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Open AccessArticle

Global Governance of Front-of-Pack Nutrition Labelling: A Qualitative Analysis

Menzies Centre for Health Policy, Sydney School of Public Health, University of Sydney, Sydney, NSW 2006, Australia
The George Institute for Global Health, Sydney, 2042 NSW, Australia
School of Epidemiology and Public Health, University of Ottawa, Ottawa, K1G 5Z3 ON, Canada
Author to whom correspondence should be addressed.
Nutrients 2019, 11(2), 268;
Received: 15 December 2018 / Revised: 17 January 2019 / Accepted: 22 January 2019 / Published: 25 January 2019
(This article belongs to the Special Issue Front-of-Pack Nutrition Label and Public Health)
The Codex Alimentarius has approved ongoing work for international guidance on front-of-pack (FoP) nutrition labelling, which is a core intervention for prevention of diet-related noncommunicable disease. This guidance will have implications for national policy decision-making regarding this important public health issue. However, FoP nutrition labelling is also a trade and commerce policy issue. In this study, we analyze the global governance of FoP nutrition labelling and current policy processes, to inform public health policy and advocacy. We present findings from a qualitative governance and institutional analysis, based on key informant interviews with 28 global actors. The study found that Codex guidance was perceived as likely to have a high impact on FoP nutrition labelling globally. However, a small and highly interconnected “regime complex” of international institutions surrounds FoP nutrition labelling at the global level, and influence on Codex discussions is being exerted differentially by actors at the national and global level, particularly by government and industry actors. There are thus risks associated with conflicts of interests in the development of global guidance on FoP nutrition labelling. There are also opportunities for more strategic and coordinated public health engagement. View Full-Text
Keywords: nutrition labelling; codex; policy; noncommunicable disease prevention nutrition labelling; codex; policy; noncommunicable disease prevention
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Thow, A.M.; Jones, A.; Schneider, C.H.; Labonté, R. Global Governance of Front-of-Pack Nutrition Labelling: A Qualitative Analysis. Nutrients 2019, 11, 268.

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