To respond to the global noncommunicable disease (NCD) crisis, the Codex Alimentarius Commission (Codex), a multilateral United Nations body responsible for work on food standards, is developing global guidance for front of pack (FoP) nutrition labelling. Guidance from Codex regarding FoP nutrition labelling at the global level will almost certainly influence national policy making. This shift in Codex's activities towards standards to address NCDs presents new risks for achievement of public health goals, as a result of the high level of industry involvement in this forum; there is a potential commercial conflict of interest held by manufacturers of products whose consumption could be discouraged by such guidance. In this Commentary, we examine the implications of Codex processes for developing robust global guidance on FoP nutrition labelling and identify opportunities to increase consideration of public health objectives. To date, there has been significantly higher representation of food industry compared to public health actors in Codex discussions on FoP nutrition labelling. Without a strong public health voice in Codex, the industry voice could dominate discussions on FoP nutrition labelling, such that subsequent global guidance prioritises future trade and profits over potential risks to public health. There is currently a critical window of opportunity for public health interests to be prioritised in this multisectoral international forum. The key public health priority for global guidance on FoP nutrition labelling is to ensure protection of policy space for national governments to implement strong and effective regulation, and allow scope for innovation. Public health actors can engage directly with Codex processes, at both the national and global level, and also need to raise awareness among domestic policy makers - including with Ministries of Agriculture and Industry, which often represent countries at Codex - regarding the importance and effectiveness of FoP labelling in NCD prevention. Increased engagement with Codex processes represents a tangible new opportunity to strengthen global governance for public health, and move towards improved coherence between trade policy and health protection goals.

中文翻译：

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在有关营养标签的全球决策中增加公共卫生的声音。

为了应对全球非传染性疾病危机，食品法典委员会（Codex）是负责食品标准工作的联合国多边机构，正在制定包装外包装（FoP）营养标签的全球指南。食品法典委员会关于全球FoP营养标签的指南几乎可以肯定会影响国家政策制定。法典活动朝着解决非传染性疾病标准迈进的这种转变为实现公共卫生目标带来了新的风险，这是由于业界对该论坛的高度参与；产品制造商可能存在商业利益冲突，此类指导可能会阻止其消费。在此评论中，我们研究了法典流程对制定有关FoP营养标签的有效全球指南的意义，并确定了增加对公共卫生目标的考虑的机会。迄今为止，在食品法典委员会关于FoP营养标签的讨论中，与公共卫生参与者相比，食品工业的代表显着增加。如果食典委没有强有力的公共卫生声音，则业界声音可能会主导有关FoP营养标签的讨论，以至于随后的全球指南将未来的贸易和利润放在优先于潜在的公共卫生风险之上。当前，在这个多部门国际论坛上，对于公共卫生利益而言，存在一个至关重要的机会之窗。FoP营养标签全球指南的关键公共卫生优先事项是确保保护政策空间，以使各国政府能够实施强有力和有效的法规，并为创新提供空间。公共卫生行为者可以在国家和全球层面直接参与食典过程，还需要提高国内决策者的认识，包括通常代表食典国家的农业和工业部，提高人们对食典的重要性和有效性的认识。 NCD预防中的FoP标签。加强与食典流程的互动为加强全球公共卫生治理，并加强贸易政策与卫生保护目标之间的一致性提供了切实的新机遇。并允许创新的空间。公共卫生行为者可以在国家和全球层面直接参与食典程序，还需要提高国内决策者的认识，包括经常代表食典国家的农业和工业部，了解食典的重要性和有效性。 NCD预防中的FoP标签。加强与食典流程的互动为加强全球公共卫生治理，并加强贸易政策与卫生保护目标之间的一致性提供了切实的新机遇。并允许创新的空间。公共卫生行为者可以在国家和全球层面直接参与食典程序，还需要提高国内决策者的认识，包括经常代表食典国家的农业和工业部，了解食典的重要性和有效性。 NCD预防中的FoP标签。加强与食典流程的互动为加强全球公共卫生治理，并加强贸易政策与卫生保护目标之间的一致性提供了切实的新机遇。常在法典上代表各国-关于FoP标签在NCD预防中的重要性和有效性。加强与食典流程的互动为加强全球公共卫生治理，并加强贸易政策与卫生保护目标之间的一致性提供了切实的新机遇。常在法典上代表各国-关于FoP标签在NCD预防中的重要性和有效性。加强与食典流程的互动为加强全球公共卫生治理，并加强贸易政策与卫生保护目标之间的一致性提供了切实的新机遇。