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A walk in the Park

This blog is dedicated to everyone who has struggled with Community Medicine. Through my posts I hope to simplify and demystify community medicine. The emphasis will be on clarifying concepts rather than providing ready-made answers to exam questions.

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A single example may not be able to explain 100% of a given topic, so multiple examples may be provided to explain different parts of a single concept.

If something doesn’t seem right:

a. Write to me about it (at communitymedicine4asses@yahoo.com), and

b. Cross check with another source (textbook, expert, etc.)

I hope that my exertions will make your experience with community medicine seem like a “Walk in the Park”

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WHO releases first Report on Trans Fat Elimination (22 May 2019)

The World Health Organization (WHO) has released its first report on trans fat elimination.

Background Information:

Intake of trans-fatty acids (TFA) is associated with increased risk of heart attack and death from heart disease. TFA intake is estimated to be responsible for more than half a million deaths from coronary heart disease each year around the world.

Replacing industrially produced TFA with healthier oils and fats is feasible without changing the taste of food or its cost to the consumer.

In May 2018, the World Health Organization (WHO) launched the REPLACE action package to support governments to eliminate industrially produced TFA from the global food supply by 2023. The package calls for replacement of TFA with healthier oils
and fats, to be achieved through policy and regulation, while establishing monitoring systems and creating awareness among policy-makers, industry and the public.

2018-05-15 14_08_16-replace-action-package.pdf

Key Messages:

Cardiovascular disease is the leading killer globally, causing more than 18 million
deaths every year. Elimination of industrially produced trans-fatty acids (TFA) is
a target that is within reach and can have large-scale impact in preventing heart

Half a million people die each year because of TFA in their food.

Just 10 countries make up 80% of the burden in low- and middle-income countries.

Fig. 1. Estimated number of annual deaths from coronary heart disease per million population due to TFA intake

Figure 1. Estimated number of annual deaths from coronary heart disease per million population due to TFA intake (>0.5% energy) in adults 25 years and older, low- and middle-income countries, 2010.

Mandatory TFA limits or bans on partially hydrogenated oils are currently in effect for 2.4 billion people in 28 Member States (31% global population coverage). Since the beginning of 2018, mandatory TFA limits have come into effect in six additional countries and have been passed in 24 additional countries. Some multinational companies have committed, and taken steps, to eliminate industrially produced TFA from global product lines.

Although this progress is encouraging, the vast majority of countries still do not
have policies in place to protect their citizens from the harmful effects of TFA.
Therefore, there is still a long way to go to achieve global elimination by 2023.

TFA elimination definitions

TFA ScoreMap

WHO also recommends that the following actions be taken by countries to create
a global movement on TFA elimination:

  • Develop and implement mandatory TFA limits.
  • Share experiences and best practices in TFA elimination, and consider regional or inter-country networks to enhance actions.
  • Renew support and strengthen commitment for eliminating industrially produced TFA by 2023 to achieve the first elimination of a risk factor for noncommunicable disease.

Actions are also required by countries and other concerned stakeholders to ensure that the world is free from industrially produced TFA by 2023.

WHO expectations for industry commitments for TFA elimination

Useful Links:

Link to the WHO news release:


Link to the new Report:


Link to WHO video on the REPLACE initiative: