Baylor University Medical Center Proceedings April 2014, Volume 27, Number 2 | Page 97

cans of sugary drinks may have contributed to the reduction in calories. LATIN AMERICA’S FIGHT AGAINST JUNK FOOD Since 2012, Peru, Uruguay, and Costa Rica have banned junk food from public schools (9). Ecuador recently mandated a nutritional label system that warns against high salt, sugar, and fat. Industrial food makers in Ecuador also will be banned from using images of animal characters, cartoon personalities, or celebrities to promote products high in salt, sugar, or fat. In 2013, Mexico passed a special tax of 8% on packaged foods like potato chips, and a per liter tax (about 8 US cents) on sugary beverages. (Mexico is Coca-Cola Company’s second-biggest market in the world by volume sales.) Columbia is also considering a beverage tax. In contrast, in more developed countries, proposed soda taxes have failed. Obesity has become a major problem in Latin America, and the trend coincides with Latin America’s becoming an important growth region for multinational food and beverage corporations. (PepsiCo Inc.’s Latin American food volume sales soared 11% while contracting 1% in North America.) Mexicans presently allot 45% of their household food expenditures to packaged foods. Chileans are on par with Americans, spending 63% of their food budget on packaged products. In both Chile and Mexico, roughly 7 of 10 adults and nearly a third of children are overweight, and diabetes mellitus threatens to overwhelm the country’s health system. Serious health problems correlate with high consumption of snacks, soda, and other industrialized foods. Good for Latin America! SMOKING DECREASE The war on smoking, now 5 decades old, is one of the nation’s greatest public health success stories (10). In 1964, four in 10 adults in the US smoked; today, fewer than 2 in 10 smoke. In 1964, the number of cigarettes smoked in the US annually by adults was 4,195 and by 2011, the number had dropped by 70%. The first surgeon general’s report on smoking and health appeared on January 11, 1964. Its statement that smoking is a cause of lung cancer and other disease was major news then. The report led to cigarette warning labels, a ban on TV ads, and eventually an antismoking movement that shifted the nation’s attitude on smoking. Then, smokers were cool; today, many are outcasts (banished from restaurants, bars, public buildings, and their workplaces). The formula for success is no longer unclear: adopt tough warning labels, air public health ads, fund smoking cessation programs, impose smoke-free laws, and raise taxes on cigarettes. Few people start smoking aft W"vR