{"id":1219,"date":"2014-07-03T12:44:40","date_gmt":"2014-07-03T10:44:40","guid":{"rendered":"http:\/\/ijph.blogs.springer.com\/?p=1219"},"modified":"2014-07-03T12:44:40","modified_gmt":"2014-07-03T10:44:40","slug":"salt-reduction-policies-in-syria","status":"publish","type":"post","link":"http:\/\/blogs.springer.com\/ijph\/current-debate\/salt-reduction-policies-in-syria\/","title":{"rendered":"Salt reduction policies in Syria before the crisis. What about after?"},"content":{"rendered":"<a href=\"http:\/\/ijph.blogs.springer.com\/wp-content\/uploads\/2014\/07\/salt.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1221\" alt=\"salt\" src=\"http:\/\/ijph.blogs.springer.com\/wp-content\/uploads\/2014\/07\/salt.jpg\" width=\"341\" height=\"227\" srcset=\"http:\/\/blogs.springer.com\/ijph\/wp-content\/uploads\/sites\/22\/2014\/07\/salt.jpg 640w, http:\/\/blogs.springer.com\/ijph\/wp-content\/uploads\/sites\/22\/2014\/07\/salt-300x200.jpg 300w\" sizes=\"auto, (max-width: 341px) 100vw, 341px\" \/><\/a>\n<p>&nbsp;<\/p>\n<p>Whenever I hear about salt reduction policies, I cannot help thinking about <a href=\"http:\/\/www.bmj.com\/content\/343\/bmj.d7352\">this paper <\/a>looking into the salt content in staff canteens of salt policy makers, that we talked about (together with other fun studies) in a <a href=\"http:\/\/ijph.blogs.springer.com\/jokes\/public-health-creativity-continued-do-we-practice-what-we-preach-the-dangers-of-beards-and-lasagna-versus-spaghetti\/\">previous blog post. <\/a>(this study showed that the salt content 18 staff canteens of salt policy makers was higher than the recommended amount, by the way. Oops!)<\/p>\n<p>On a more serious note, according to the WHO, &#8220;high salt consumption is a major factor contributing to increased blood pressure, strongly associated with cardiovascular diseases and linked to other non-communicable diseases such as strokes, left ventricular hypertrophy and renal disease&#8221;. According to the same source an astonishing 70-75% of salt consumed is hidden in processed foods and food products, such as bread. Due to the seriousness of the problem, a number of European countries <a href=\"http:\/\/www.euro.who.int\/en\/health-topics\/disease-prevention\/nutrition\/publications\/2013\/mapping-salt-reduction-initiatives-in-the-who-european-region\">are applying initiatives <\/a>to reduce salt intake, following different approaches.<br \/>\nWe have <a href=\"http:\/\/link.springer.com\/article\/10.1007\/s00038-014-0577-3\">just published a study<\/a> analyzing the cost-effectiveness of different salt-reduction policies to reduce coronary heart disease in Syria. In the years 1996-2006 the coronary heart disease mortality has increased by two thirds in Syria and -together with stroke- accounts for almost half of the country&#8217;s all-cause mortality. This study is based on data from <a href=\"http:\/\/research.ncl.ac.uk\/medchamps\/\">MedCHAMPS<\/a> project, that studied the effectiveness and cost-effectiveness of salt reduction policies in 4 middle income Eastern Mediterranean countries and recommends the best option for Syria, also taking into account the current socioeconomic and political situation.<\/p>\n<p>The salt reduction policies studies were the following:<\/p>\n<p>(a) Health promotion campaign about salt reduction<\/p>\n<p>(b) Labeling of salt content on packaged foods<\/p>\n<p>(c) Reformulation of salt content within packaged foods and<\/p>\n<p>(d) Combinations of the above<\/p>\n<p>The authors report that all policies are cost-saving and cost-effective. The combination of all three policies, however, brings the largest gain in life years. The authors note, however, that this analysis is a &#8220;best-case scenario&#8221; as the data used were collected before the crisis in the region. They note that &#8220;the decreased availability of timely and adequate treatment resulting from the current crisis will likely increase future coronary heart disease mortality and subsequent health care costs in Syria&#8221;.\u00a0 Read more about the\u00a0 <a href=\"http:\/\/www.nytimes.com\/2014\/01\/02\/opinion\/syrias-raging-health-crisis.html?_r=0\">health crisis in Syria in this NY times article. <\/a><\/p>\n<p>&nbsp;<\/p>\n<p>This study was written by<\/p>\n<div><a href=\"https:\/\/apha.confex.com\/apha\/141am\/webprogram\/Person286250.html\">Meredith\u00a0L.\u00a0Wilcox<\/a>, <a href=\"http:\/\/www.gcu.ac.uk\/yunuscentre\/theteam\/drhelenmason\/\">Helen\u00a0Mason<\/a>, <a href=\"http:\/\/www.fctc.org\/about-us-9\/join-us\/member-profiles\/569-dr-fouad-m-fouad-fca-board-member\">Fouad\u00a0M.\u00a0Fouad<\/a>, Samer\u00a0Rastam, Radwan\u00a0al\u00a0Ali, <a href=\"http:\/\/rscphsw.fiu.edu\/health_policy\/faculty_paget.html\">Timothy\u00a0F.\u00a0Page<\/a>, <a href=\"http:\/\/www.liv.ac.uk\/psychology-health-and-society\/staff\/simon-capewell\/\">Simon\u00a0Capewell<\/a>, <a href=\"http:\/\/www.liv.ac.uk\/psychology-health-and-society\/staff\/martin-oflaherty\/\">Martin\u00a0O\u2019Flaherty<\/a> and <a href=\"http:\/\/rscphsw.fiu.edu\/epidemiology\/faculty_maziak.html\">Wasim\u00a0Maziak<sup><br \/>\n<\/sup><\/a><\/div>\n<div><\/div>\n<div><a href=\"https:\/\/www.flickr.com\/photos\/dagoaty\/4718838736\/in\/photolist-8bZhmy-6nDbZd-fFArUe-dXB4J5-cK4GNf-9ft5WR-9KE4tX-4KnnyA-efy7Z3-6vHPGL-7EQj6y-7xN2Xb-4Hee2d-cK4QAU-hxCnct-a4QoLo-6skwwv-c4sEQw-hAZsMq-9j75XM-dnnNjW-7drkxC-2VjTk7-7s9Cv-ebjmh1-azTCU-4wPy9R-hxhwjX-7wMNSq-9vcyhU-HWJhM-4ykDGG-D37eb-8zbDPr-bcMxtF-jH5J8W-7AHUEK-9jfVr7-5UtHih-i3e3UZ-8kPnFx-6RNgnK-7uuAcE-8skPo8-i3esKy-i3e9PV-i3esmh-i3es3b-i3erK7-i3eroA\">*image credit<\/a><\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p class=\"excerpt\">&nbsp; Whenever I hear about salt reduction policies, I cannot help thinking about this paper looking into the salt content in staff canteens of salt policy makers, that we talked about (together with other fun studies) in a previous blog post. (this study showed that the salt content 18 staff canteens of salt policy makers&#8230;  <a class=\"excerpt-read-more\" href=\"http:\/\/blogs.springer.com\/ijph\/current-debate\/salt-reduction-policies-in-syria\/\" title=\"Read Salt reduction policies in Syria before the crisis. What about after?\">Read more &raquo;<\/a><\/p>\n","protected":false},"author":301,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,7,10,11],"tags":[148,191,194,199,242,264,377,764,874],"class_list":["post-1219","post","type-post","status-publish","format-standard","hentry","category-current-debate","category-food-for-thought","category-hot-off-the-press","category-international-journal-of-public-health","tag-chd","tag-coronary-heart-diseas","tag-cost-effectiveness","tag-crisis","tag-easterm-mediterranean-region","tag-emr","tag-health-promotion","tag-salt-reduction","tag-syria"],"_links":{"self":[{"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/posts\/1219","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/users\/301"}],"replies":[{"embeddable":true,"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/comments?post=1219"}],"version-history":[{"count":0,"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/posts\/1219\/revisions"}],"wp:attachment":[{"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/media?parent=1219"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/categories?post=1219"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/blogs.springer.com\/ijph\/wp-json\/wp\/v2\/tags?post=1219"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}