| Lenin Raghuvanshi + Nambu Di glance Comoe +2001 Ashok Fellow, USA ae + 2007 Gwangju Human Rights Award, South Korea Bochelor of Ayurveda, Modern Medicine and Surgery +2008 AGHA Star Peace Award, USA +2010 Intemational Human Rights Award ‘of Weimar Germany + 201M Thomas Human Rights Award India +2047 Woekhard Child Rights Activist Award, india Date. Quad Bk R02? Respected Shri S Gopalakrishnan ji, IAS Chief Executive Officer Food Safety and Standards Authority of India (FSSAI) New Delhi Respected Sir, Greetings from Kashi Being Graduate in Ayurveda, modern medicine and surgery from Gurukul Kangri, Haridwar, Uttarakhand (Annexure no.1) | am having grave concern towards the recent data shared by National Family Health Survey (NFHS). The obesity among children has increased 60 % in last five years. Situation in rural areas is also alarming. Among adult population also, between age group of 15 to 49 years, obesity is upward trend across all states with around 25 % of men and women population are overweight. NFHS-5, for first time, also collected data around prevalence of diabetes and hypertension among adult population above 15 years of age. The survey shows that incidence of diabetes among adult population over age of 15 is significantly high, 30 % prevalence among men and 25 % among women. and found that 30 % male and 25 % female are diabetic. Similarly, more than 45 % men and around 39 % women over age of 15 are having high blood pressure or patient of hypertension. This high incidences of diabetes and hypertension among adult population is across all states and covers both urban and rural areas Contact : SA4/2A, Daulatpur, Varanasi-221002, INDIA, Mob.: +91-9935599333, 9935599331 E-mail: lenin@pvchr.asia, Blog : www.lenin-shruti.blogspot.comIn this regards, | had wrote letter to honorable Prime Minister Shri Narendra Modi ji and also posted grievance on Prime Minister Grievance cell with the registration number PMOPG/E/2022/0098202 (Annexure no.2). I received the attached ‘response from honorable Prime Minister and FSSAI.(Annexure no. 3) Even we received the support letter from Food Industries Welfare Association (FIWA) on 23" May, 2022. (Annexure no. 4) In the letter FIWA wrote FOPL will significantly help food processing industry in the country as market or demand shift toward healthy food, this will be unique opportunity created in the India which help leapfrogging Indian food processing industry and attract more foreign investment. Being aware that diseases like diabetes, cancers and heart attacks constitute majority of annual deaths in India, and the strong association of ultra-processed unhealthy diet with such diseases, we believe that to minimize the burden of NCDs, the reduction of rising consumption of unhealthy food products is pivotal. The current scientific evidence favours an urgent action on the FOPL front, with_an_w) i referenci ni bels, that mandato. icularly in ing il india wher literacy lev re sub- al, T! nce s not doption of ian Nutrition Rati We would like to submit the following key scientific evidence on these issues as below. « Ahigher consumption of ultra-processed foods (>4 servings daily) was independently associated with a 62% relatively increased hazard for all cause mortality https://www.bmj.com/content, j.11949« Arecent meta-analysis of studies on the association between ultra- processed food intakes with all-cause mortality showed that compared to low consumption, high consumption of UPF increased death risk.by 29%, https://pubmed.ncbi.nlm.nih.gov/35231930/ + A meta-analysis of five experiments assessing the effects of Health Star Rating (HSR) labels on sales found no significant effect on calories or sugar consumed; similarly, combined findings from three research indicated no impact on saturated fat or salt purchased. https://onlineli iley.com/doi/epdf/10.1111/jhn.127 « In a systematic review, evidence from interventions on the effect of front-of package (FOP) nutrition labeling on food purchases showed that 3 studies on health star ratings did not reveal an effect on food purchases compared with the control. https://pubmed.ncbi.nlm.nih.gov/335172 * The most effective label in reducing perceived healthfulness was HIWL (‘High-in' Warning Labels), which communicates clear, non- quantitative messages about high levels of nutrients of concern and demonstrated the greatest efficacy in reducing the perceived healthfulness of a sweetened fruit. https: ed.ncbi.nlm.nih.gov/34726144, The draft of the amended Food Safety and Standards (Labelling& Display) Regulations, 2020 requires packaged food to display the prescribed format of INR by assigning a rating from 1/2 star (leasthealthy) to five stars (healthiest). Therefore we are requesting to accept the following comments 1. FOPL with warning symbol on foods high in sugar, salt, and fat are more likely to aware more people before consuming them. . Warning labels should be used as preferred and mandatory choice for this purpose and should be included in the relevant FSSAI Regulation. We will be happy to present the matter personally in front of you addressing this grave concern of health of common people in India Thanking You Sincerely Yours Qo (Lenin Raghuvanshi) https: .wikipedia.org/wiki i hi