Episode 3 The Men Who Made Us Fat


Episode 3

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There's an obesity epidemic in Britain,

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and we think it's all down to us eating too much fast food,

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processed ready meals and indulgent desserts.

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But what if we are wrong?

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What if the food being sold to us as healthier

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is the very thing making us fat?

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If you live on organic chocolate, organic ice cream and organic oven chips,

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you will get fat just as if you lived off non-organic ice cream,

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non-organic chocolate, non-organic oven chips, you'd get fat.

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My name's Jacques Peretti, and in this series,

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I'm going behind the closed doors of big business and government

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to reveal how the food industry is making us fat.

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Does food marketed as healthier

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change the psychology of the very way we eat?

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This is something I call the health halo.

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It's the idea that when the food is marketed as being healthy,

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people think that it has less calories, and as a result,

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they think they can eat more of it without getting fat.

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I'll reveal how the industry makes money out of our determination to eat more healthily.

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There were lots and lots of products which had, "contains fruit!"

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But it might only contain 0.1% fruit flavour,

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but that's permissible, but, of course, in an age that's concerned about nutrition,

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you bring up the fruit to the front of the packet.

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And I find out how the food industry put profits first,

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despite the explicit warnings of scientists.

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Putting the food industry at the policy table

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is like putting Dracula in charge of the blood bank.

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Welcome to the brave new world of shopping science.

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Kantar Worldpanel are the people who track the buying behaviour

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of 30,000 households nationwide.

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And they sell this intelligence to all the major supermarkets

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and food manufacturers in Britain.

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If anyone knows about the extraordinary rise of health food, they do.

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'Giles Quick, a director at Kantar Worldpanel,

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'analyses how the food we buy impacts on our obesity levels.'

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Giles, what's the kind of profile for someone who buys healthy food?

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Well, they tend to be more middle-class,

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more likely to be a woman living in the south of England,

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more highly skilled, more knowledgeable about cooking

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and about foodstuffs, but the truth is, they're getting fatter,

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and that's something that's changed over the past few years.

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So, how does that work in regard to health food?

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We spend about £54 billion on food and drink from grocery supermarkets,

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and of that, about £12 billion is spent on products that we believe are healthy.

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We say, "I chose this because I believed it was healthy."

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And that's grown by about 20% in the last six or seven years.

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That's almost a quarter of your basket of things you bought,

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-because you perceive them, perceive them, to be healthy.

-Yeah.

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Could you tell me a little bit about how you actually market and price a health product?

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Are there any kind of rules as to how it works?

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In general terms, the more, if you like, brand promises a product can make,

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the more ticks in the box, it's good for this, it's good for that,

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it tastes great, it's healthy for you, it's low-calorie,

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the more ticks a product has, then, in principle, it's likely to have a higher price.

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So, the bigger the promise, the bigger the price, in general terms.

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More in the way of vitamins, fresh fruit on top,

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whatever it is, there seems to be a huge amount

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of healthy add-ons to existing products to make them seem healthy.

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I've got an example over here of a product that would certainly appeal to the healthy consumer,

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and the ingredients listed on the front of the pack

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is like a checklist of the sorts of products associated with it.

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So, honey granola.

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We've got oats, sunflower seeds, flaked almonds, rye flakes, pecans, pumpkin seeds, honey.

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How fattening is that cereal?

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If we take saturated fats, then, if you compare this product to this one,

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then this has a much higher concentration of saturated fats than this.

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And yet, in general terms,

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this would be purchased because of its health credentials much more than this product.

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Do you think consumers get confused about what's healthy and what is less fattening?

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There's no question that that is true,

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and there are products you can look at, maybe that have got added fruit or fibre,

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and your instinct is, "That's healthier."

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You may be wrong in some senses,

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it may well have more saturated fats, so there is confusion.

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There's confusion around lots of processed products.

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Sales of food marketed as healthier are rocketing,

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but we're deluded about what is and isn't fattening.

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This Innocent smoothie has more calories in it

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than this can of Coke.

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This Pret no bread sandwich with rocket and lentils

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has more calories in it than this Big Mac.

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And for dessert, this granola yoghurt from Eat

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has more calories in it than this Krispy Kreme doughnut.

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How did we get here?

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In 1992, John Major's government was the first to grapple with obesity in this report.

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Back then, it was less than a third of what it is today,

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but scientists saw the coming storm, and wanted action.

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The food industry, however,

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had far bigger problems than a government report.

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The very food we ate was becoming toxic.

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Mad cow disease and BSE were at their peak.

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Images of burning cattle sent sales plummeting as consumers stopped buying beef.

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Even Agriculture Minister John Gummer

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couldn't persuade his four-year-old daughter to take a bite.

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No, it's too hot! Too hot!

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And the egg industry was still reeling from the salmonella crisis,

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which saw sales drop by 60% overnight,

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when, in 1988, Health Minister Edwina Currie,

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rather than feeding her children eggs, told reporters...

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We do warn people now that most of the egg production

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in this country, sadly, is now infected with salmonella.

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It was not long before she resigned under industry pressure.

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Manufacturers wanted to captivate consumers with nice,

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new products that were safe, or appeared to be.

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-Mum, can we get a drink?

-Go on!

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In 1998, Procter & Gamble launched Sunny Delight

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with a £10 million ad campaign.

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-And that's new Sunny Delight!

-Sunny Delight, sounds good to me!

-Yeah!

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It's got orange, tangerine and lime, with a load of lovely vitamins.

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Marketed as a healthy soft drink,

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it promised a bright and profitable new dawn.

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Its rise was unprecedented, putting it just behind Coke and Pepsi.

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The future was orange.

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But one woman questioned just how fresh and healthy Sunny Delight really was.

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'I went to Brighton to meet Sue Dibb,

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'co-director of the Food Commission

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'at the time of Sunny Delight's launch.'

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How did you come to start looking at Sunny Delight?

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What made you think this was a product worth examining in more detail?

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It was a really big marketing campaign,

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and it tapped in to that growing interest in health.

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Sunny Delight was sold in chiller cabinets,

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it gave the impression that here was a fresh, ie a healthier, product.

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But it wasn't a fresh juice by any means,

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it only had 5% juice in it, and it had an awful lot of sugar,

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as much sugar, in fact, as you'd get in Coke,

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though they had added in some vitamins, a sprinkling of vitamins,

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to again give it that aura of a healthy food,

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but you can't turn a sugary drink into a truly healthful product just by adding a few vitamins to it.

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Were they actually breaking any laws with Sunny Delight?

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No, they were breaking no laws with Sunny Delight,

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and the marketers knew that,

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and they were very clever in the way they presented this product.

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They didn't make any direct health claims,

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they didn't even call it a juice or a juice drink,

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they called it an enriched citrus beverage.

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Here's the issue of the magazine

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in which we wrote about Sunny Delight,

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just after it had come out, so it wasn't our front-page story,

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but this was what the media then subsequently picked up on.

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We were the first people to raise concerns

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and ask questions about Sunny Delight.

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Were the press quick to run with your story?

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Yes, the press did pick up on our story.

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We got the national media and television contacting us and asking us for quotes,

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picking up on what we'd written in the food magazine.

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But it was alongside the story about how big sales of Sunny Delight were.

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So, just as Sunny Delight's sales were rocketing,

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so were these questions about what was really in it?

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Yeah.

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It wasn't really until a four-year-old child turned orange

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18 months after we'd reported on this

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that really that was the nail in the coffin for sales.

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What had happened was

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this four-year-old had been drinking 1.5 litres of Sunny Delight

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and had turned orange because of the amount of beta-carotene she'd been consuming.

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And I think it was really ironic, also,

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that they were actually carrying advertisements on the television

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for snowmen turning orange as a result of Sunny Delight!

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Didn't really work out that well for Sunny Delight after that in the UK.

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-ADVERT VOICEOVER:

-For whoever might pop in this winter.

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Sunny Delight,

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the great stuff kids go for.

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So, not all publicity is good publicity?

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LAUGHING: Not in the end, no.

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But it was really interesting to see what it took

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to really bring that awareness to people's attention.

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If you hadn't written the story and put it on page six,

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no-one would have heard about this.

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Where were the Government in all of this?

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We put this out, the media picked it up

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and of course it got a very big news story once the girl turned orange,

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but the fact is, it shouldn't have been like that.

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The Government's main focus at that time was promoting

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and protecting the food and farming industry.

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It wasn't about putting consumers first.

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Consumers came a poor second at that time.

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The massive success of Sunny Delight showed that the public

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would lap up a product marketed as healthy, given half the chance.

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And it took someone like Sue to kick up a fuss

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to actually stop them, because there was no government legislation

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that prevented a company like Procter & Gamble

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selling a product full of sugar and additives,

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and marketing it as healthy.

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In 2004, Procter & Gamble sold off Sunny Delight.

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Despite being rebranded as Sunny D - with more fruit, less sugar

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and no artificial additives - its early success hasn't been repeated.

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-ADVERT VOICEOVER:

-New Sunny D - with absolutely nothing artificial.

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Improved by mums, approved by kids.

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But the health food gold rush was on.

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The public were desperate for food they could trust.

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And supermarkets saw an opportunity,

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turning to an unlikely source for help.

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Consumers would pay more for ingredients that were natural and chemical-free.

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Within a few months,

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all the major supermarkets expanded their organic ranges.

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By 1999, the organic business was worth over £600 million -

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more than doubling in two years.

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-ADVERT VOICEOVER:

-At Sainsbury's, our organic range includes...

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organic bread...

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Sainsbury's was the first,

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launching over 300 new organic products in 1998.

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..organic ready meals...

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..organic lager.

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In fact, with our widest ever range,

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It's easy to eat organic food every day...

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'Organic specialist, Simon Wright,

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'was recruited by Sainsbury's to advise on the launch.'

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You really went for it in a big way, didn't you?

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-Sainsbury's didn't do it in a half-hearted way, did they?

-Absolutely not.

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So, what happened?

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Well, it was a time when there was a lot of media stuff around problems with food.

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We had salmonella,

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We had Edwina Currie saying her stuff about eggs,

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we had BSE, so, you know, pictures of burning cows.

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We had concerns about GM...

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It was a time when conventional food supply was under a lot of strain.

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So, what happened? Tell me about that summer.

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Organics had been trickling along,

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being sold through natural food stores, health food stores,

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So, very unusually, they actually approached all these small suppliers

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and said, "would you like to sell your products in our stores?"

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Usually, if you want to start supplying a supermarket, you know,

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you're bringing up the buyer everyday, "Can I come and see you?"

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"Can I supply you with my product?"

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For it to invert, and for the supermarket to go

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to these small companies and say, "We'd like you to supply us,"

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well, that was unprecedented.

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I've never experienced it happening before or since.

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So, they turned, really, what was a crisis -

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with BSE and salmonella - into an extraordinary business opportunity.

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Yes, which is what supermarkets do. They're very clever at it.

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Crucially, they discovered that

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the people who were buying a lot of organic products

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were also shopping extensively in the other bits of the store,

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where they wanted to encourage shoppers.

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So, for example, they buy a lot of beer, wines and spirits.

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They buy a lot from the deli counter.

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These are high-margin, high-value items,

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so the supermarkets were very keen to retain those organic shoppers,

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not just for the organic products they bought,

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but for the other products they bought in the store.

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Wow, so in a way, organics was almost the sort of,

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the tip of the iceberg for the supermarkets. It was really about

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everything else that you could shift...

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I think there was some of that, yes.

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But as someone who buys organic food,

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I myself would feel more virtuous about buying organic food,

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and almost feel, I think, at some level,

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that I wouldn't become obese because I'm eating organic food.

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In my mind, that's how it's working.

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Yeah, and I think a lot of consumers would share that perception.

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But I would emphasise that is a perception,

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rather than anything people in the organic sector have said.

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If you live on organic chocolate,

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organic ice-cream and organic oven chips, you will get fat,

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just as if you lived off non-organic ice-cream, non-organic chocolate

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and non-organic oven chips, you get fat.

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Simon, with supermarkets, of course they're in it to make money,

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they're a business, but do you think they have a moral responsibility

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when it comes to something like obesity?

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What supermarkets are incredibly good at is responding to consumer demand.

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But to ask supermarkets to lead the charge against obesity,

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I think is a misunderstanding of what supermarkets do.

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Talking to Simon, I realised that supermarkets are about profit.

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The bottom line. What happened in the '90s was extraordinary.

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They were facing a crisis with BSE and salmonella,

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and what did they do? They turned it into an opportunity.

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They took organic food, which was this cranky, hippie,

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weird lifestyle thing and rolled it out.

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They turned it into a money-spinner. And that is their genius.

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'But behind this, a global disease was spreading to Britain.

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'By 2001, obesity had doubled in women and trebled in men.

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'And it was rising.

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'Two years later, the World Health Organisation

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'published this groundbreaking report.

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'It found that heavy marketing of high calorie foods to children

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'and the excessive consumption of sugary drinks

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'was having a major impact on obesity.

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'The food industry was being held to account.'

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Within a month of that World Health Organisation report,

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JP Morgan, who are a major financial institution,

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published a report of their own.

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But this report was different

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because it was of the food industry investors.

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What they said was that because obesity

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was now being called an epidemic,

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governments might actually be forced to regulate,

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and if they regulate, this will affect profits.

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'The report warned,

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'And it actually went as far as ranking companies

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'most exposed to financial risk.'

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'Professor Philip James was head

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'of the International Obesity Task Force,

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'and contributed to the WHO report.

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'In September 2003, he was invited to speak

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'at JP Morgan's headquarters.'

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Philip, the JP Morgan report, 2003.

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What was it like when it came out?

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This was a bombshell, because it was in the business world,

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out of the health world, and it was talking about the bottom line,

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and whether their returns were going to move up or down,

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and that is what gets chief executives

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out of bed in the morning, worrying about what's coming next.

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What was it in the report that said would threaten the bottom line?

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Well, it's regulation, and if you want to think about

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what the food industry in general is paranoid about, it's regulation.

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This is a whole different world, this is business, serious business.

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Well, I mean, JP Morgan was essentially assessing

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the biggest global industry in the world.

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They start categorising the range of products of a company,

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and then work out, "Where is this company making all its money?"

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"If it's making its money on unhealthy products,

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"they're vulnerable."

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And they said, "There's profit to be made,

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"if you change your portfolio

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"and you are developing all these healthier,"

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whatever that meant, "products."

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And what is amazing from what you've just said is that

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here in obesity is a business opportunity.

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To make money, you diversify into products that are seemingly healthy,

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the important thing being not whether they're healthy or not,

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but whether they're perceived to be healthy.

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Here is a chance to make money from obesity.

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And this was, therefore, in a way, not remotely interested in health.

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It was interested in business opportunities,

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and threats to a particular business.

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So Philip, what happened next? How did things unfold?

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JP Morgan rang me up and said, "Would you come and talk,

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"and have a chat with us?"

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I sent my slides and turned up at this magnificent headquarters

0:20:350:20:40

of JP Morgan in London, and they asked me,

0:20:400:20:42

"Would you mind standing over there, so that Frankfurt, New York,"

0:20:420:20:47

and I think it was Philadelphia, "can hear at the same time?"

0:20:470:20:50

And I said, "What?" Well, they said, "Well, they have your report,

0:20:500:20:53

"all your slides already there."

0:20:530:20:55

And I said, "OK."

0:20:550:20:58

And they were there for two and a half hours, and not a soul left.

0:20:580:21:02

And how did that make you feel, Philip?

0:21:020:21:05

Well, it was quite extraordinary because suddenly we realised

0:21:050:21:10

that companies were having meetings of their major executive boards

0:21:100:21:16

and deciding that they had to change

0:21:160:21:20

in response to this investor analysis.

0:21:200:21:23

What's amazing, talking to Philip is that,

0:21:230:21:26

all of a sudden this report comes out

0:21:260:21:28

and obesity is this massive issue that they have got to confront.

0:21:280:21:31

But it's also an opportunity to make money.

0:21:310:21:35

'Kath Dalmeny was policy director at the Food Commission

0:21:390:21:42

'when industry was reacting to the JP Morgan report.

0:21:420:21:45

'At the time, this grassroots organisation exposed record numbers

0:21:470:21:51

'of processed foods dubiously marketing themselves as healthier.'

0:21:510:21:55

Kath, what kind of effect did the JP Morgan report

0:21:570:22:00

have on the food that we see in our supermarkets?

0:22:000:22:02

I think the JP Morgan report and some of the other things

0:22:020:22:06

that were going on at the time marked a real crossroads

0:22:060:22:08

in how a company chose to go forward with their healthiness.

0:22:080:22:11

So there are two ways you can approach it

0:22:110:22:13

if you're a food industry body who is making food products.

0:22:130:22:16

You can either make your products actually healthier,

0:22:160:22:19

and that's called reformulation.

0:22:190:22:21

You change the things that are in the product.

0:22:210:22:23

Or you can go down the line of saying,

0:22:230:22:25

"I'm not going to change the actual product.

0:22:250:22:27

"I'll have to make it look healthier.

0:22:270:22:29

"I'll have to change the perception of the product."

0:22:290:22:31

Can you give me any examples of these?

0:22:310:22:33

Any examples of making something look healthier?

0:22:330:22:36

There were lots of products which had, "Contains fruit!"

0:22:360:22:40

But it might only contain 0.1% fruit flavour, but that's permissible.

0:22:400:22:43

But, of course, in an age that's concerned about nutrition,

0:22:430:22:46

you bring up the fruit to the front of the packet and say,

0:22:460:22:48

"Absolutely fantastic, this must be good for health,"

0:22:480:22:51

is the implication, even if the claim isn't actually made.

0:22:510:22:53

There were all kinds of things about calcium.

0:22:530:22:56

Big ticks on the front of children's food packets saying,

0:22:560:22:58

"This contains calcium.

0:22:580:22:59

"Must be good for teeth, then, mustn't it?" thinks the parent.

0:22:590:23:01

But of course, what it actually means is,

0:23:010:23:03

"This product is full of sugar, but we're not saying that on the packet.

0:23:030:23:06

-They weren't lying in what they were saying?

-No, not at all.

0:23:060:23:09

That's not the point. They're not lying, they're just sprinkling

0:23:090:23:12

a little bit of magic dust on the top to make it look healthier.

0:23:120:23:15

What does a company do when they've got nowhere to go?

0:23:150:23:17

When they can't reformulate their food

0:23:170:23:19

because they are essentially known as fattening?

0:23:190:23:22

The prime example is Cadbury.

0:23:220:23:25

There they are, stuck with a product that is a high-fat product,

0:23:250:23:29

a high-sugar product. It's got calories in it,

0:23:290:23:31

it's something that people can consume a lot of, so the finger

0:23:310:23:34

is pointing at it, saying, "That's part of the problem."

0:23:340:23:38

So what do they do? They get into a partnership with government and say,

0:23:380:23:41

"What we'll do is sponsor a sports equipment scheme,

0:23:410:23:43

"and the government will endorse that

0:23:430:23:45

"and we'll be seen as part of the solution

0:23:450:23:47

"in providing sports activities in schools,

0:23:470:23:49

"through children having to collect tokens from the chocolate wrappers,

0:23:490:23:53

"having eaten the chocolate."

0:23:530:23:54

How did this Cadbury's campaign work?

0:23:540:23:56

We found, for example, that for a netball

0:23:560:23:59

that would normally cost five pounds in the shop,

0:23:590:24:01

you'd have to spend 38 quid to get it by buying chocolate.

0:24:010:24:04

There was a cricket set, for example, that,

0:24:040:24:07

if you bought it in the shop, it'd cost you £150,

0:24:070:24:09

if you got it through the Cadbury Get Active tokens scheme,

0:24:090:24:12

then it would cost you £1,100. And in the process,

0:24:120:24:15

you'd also have been exposed to half a million calories.

0:24:150:24:18

And the whole scheme, when we totted it all up,

0:24:180:24:20

my calculator nearly exploded

0:24:200:24:22

cos it was 36 billion calories' worth of chocolate.

0:24:220:24:24

So what happened when you found all this out

0:24:240:24:27

about this sports equipment fiasco?

0:24:270:24:29

I came in late on the morning that the story broke in the media,

0:24:290:24:32

and I cycled in and saw the headlines

0:24:320:24:34

on the news stand outside our office, and nearly fell off my bike.

0:24:340:24:37

I realised, "Oh, my word! This is going to be big."

0:24:370:24:40

It had all the magic ingredients for a media story.

0:24:400:24:43

It was about a national brand everybody would recognise.

0:24:430:24:45

It was about an issue parents care passionately about,

0:24:450:24:48

the health of their children.

0:24:480:24:49

It was about ministers getting involved with endorsing a scheme

0:24:490:24:52

that was about promoting fat and sugar

0:24:520:24:53

in the middle of a health crisis.

0:24:530:24:55

The phones didn't stop going all day.

0:24:550:24:57

What do you have to eat 40 quid's worth of to get a free basketball?

0:24:570:25:00

-BELL RINGS

-Chocolate bars.

0:25:010:25:04

Cadbury has decided that the best way to get children fit

0:25:040:25:07

is to fill them up full of chocolate.

0:25:070:25:09

And so, did you hear from Cadbury after you did this?

0:25:090:25:13

My boss and I were called up to go and see the Cadbury bosses

0:25:130:25:17

in Berkeley Square in this very posh office

0:25:170:25:19

full of mahogany and very thick carpet.

0:25:190:25:22

I think they wanted to get the size of us,

0:25:220:25:24

and the size of us was quite small.

0:25:240:25:26

There was only two or three of us in the office

0:25:260:25:28

who had done all these calculations with a glass of wine at night.

0:25:280:25:31

So we were called up to meet the head of Cadbury

0:25:310:25:34

and also his marketing person who had been involved

0:25:340:25:37

in some of the design of the scheme, and we had this bizarre conversation

0:25:370:25:41

with silverware and beautiful plates, sort of chinking,

0:25:410:25:44

very politely having a meal together,

0:25:440:25:46

while we were grilled, my boss and I were grilled

0:25:460:25:49

about why on earth we had criticised this wonderful scheme.

0:25:490:25:53

And I remember that the marketing person said to me,

0:25:530:25:57

"Were you not aware that this would damage children

0:25:570:25:59

"by taking away this sports equipment from them?

0:25:590:26:01

"This is all we wanted to do was to give children sports equipment."

0:26:010:26:04

What happened to their scheme?

0:26:040:26:07

In the end, the scheme quietly died.

0:26:070:26:09

There was no fanfare about that, but it disappeared off the radar,

0:26:090:26:13

and no such scheme has happened since,

0:26:130:26:15

and certainly not with government endorsement.

0:26:150:26:17

Are the companies still promoting healthy lifestyle

0:26:170:26:21

and fitness whilst giving us a product...is this still going on?

0:26:210:26:25

Well, it's interesting that you're asking that question in 2012,

0:26:250:26:28

because, of course, we've got the London 2012 Olympic

0:26:280:26:30

and Paralympic Games coming to London, a few miles down the road

0:26:300:26:33

from where we're sitting, and of course, that is sponsored by

0:26:330:26:36

a burger company, a soft drinks company and Cadbury once again.

0:26:360:26:41

'Cadbury say the scheme gave schools thousands of pounds' worth

0:26:430:26:46

'of sports equipment, and sales were not affected.

0:26:460:26:50

'But they admit the negative publicity made them offer promotions

0:26:500:26:54

'with free entry to theme parks and attractions instead.'

0:26:540:26:57

Obesity kept on rising,

0:27:000:27:02

and the pressure was mounting on the food industry,

0:27:020:27:05

and in 2006, they were to face a real challenge.

0:27:050:27:08

A challenge that could potentially wipe billions off their profits,

0:27:080:27:11

and it all came down to a tiny label,

0:27:110:27:14

about the size of a postage stamp,

0:27:140:27:16

being looked at by the Food Standards Agency.

0:27:160:27:19

'The Food Standards Agency wanted to help consumers

0:27:190:27:22

'see past the seductive packaging

0:27:220:27:24

'and understand how fattening food really was.

0:27:240:27:27

'They looked at Guideline Daily Amounts or GDAs,

0:27:290:27:33

'which lists percentages of nutrients,

0:27:330:27:35

'but decided to recommend traffic lights, which uses a colour code.

0:27:350:27:40

'Red means high, amber means medium and green means low.

0:27:400:27:45

'The industry was divided.

0:27:470:27:49

'Some, like Sainsbury's, Co-op and Waitrose, went for it.

0:27:490:27:54

'And others, like Tesco, Morrison's and Kellogg's,

0:27:550:28:00

'stuck with Guideline Daily Amounts.

0:28:000:28:02

'Richard Ayre was on the board of the Food Standards Agency

0:28:080:28:11

'when they scrutinised food labelling.'

0:28:110:28:14

So, Richard, when you set out, you didn't have any clear preference

0:28:140:28:18

as to whether you should go with GDA or the traffic light system.

0:28:180:28:22

You didn't have any clear preconception

0:28:220:28:24

as to how this would turn out.

0:28:240:28:26

The Agency never had an axe to grind.

0:28:260:28:29

We had a legislative statutory responsibility

0:28:290:28:32

to put the interests of consumers first.

0:28:320:28:35

That's what we did, so we asked consumers. We tested with consumers.

0:28:350:28:39

What system would enable them to make the healthiest choices?

0:28:390:28:43

And it was clear what the answer was. They preferred traffic light.

0:28:430:28:47

The companies who opposed traffic lights, what were their reasons?

0:28:470:28:51

It was put about that the Food Standards Agency

0:28:510:28:54

wanted to slap a red traffic light on every bar of chocolate

0:28:540:28:58

or on every block of sugar or on every tub of butter or spread,

0:28:580:29:06

of course, we never suggested that. We were absolutely clear -

0:29:060:29:09

the traffic lights were only to label what are called complex foods

0:29:090:29:12

like processed meals, ready meals -

0:29:120:29:16

things that have several different ingredients,

0:29:160:29:18

and, unless you have some guidance, you really don't know how much

0:29:180:29:21

fat, salt, sugar there is in the total food.

0:29:210:29:24

Were you surprised by the response of supermarkets who didn't want to introduce traffic lights?

0:29:240:29:28

I think disappointed,

0:29:280:29:30

and disappointed because they wouldn't show us the evidence

0:29:300:29:34

upon which they rejected what was clear to us

0:29:340:29:37

was the right, preferred system for consumers.

0:29:370:29:41

Were we disappointed that some of the most important supermarkets,

0:29:410:29:45

like Tesco, wouldn't even try traffic lights for real?

0:29:450:29:49

Yes, of course we were disappointed.

0:29:490:29:51

How would you describe Tesco's response?

0:29:510:29:55

Almost 300,000 people in Britain work for Tesco.

0:29:550:29:59

If Tesco are unhappy with policy, governments listen,

0:29:590:30:04

so Tesco was fantastically powerful in this debate.

0:30:040:30:08

What did the industry fear so much about traffic lights?

0:30:080:30:11

It would unquestionably have changed consumer choices.

0:30:110:30:14

People would, broadly, have bought more of healthier food.

0:30:140:30:19

That was the objective, after all.

0:30:190:30:21

I wondered what the government actually did once you gave them your results.

0:30:210:30:27

Politicians hate the idea of regulation.

0:30:270:30:30

For the last 20 years, politicians of all parties

0:30:300:30:34

say they are not in favour of regulation.

0:30:340:30:36

They want to deregulate it,

0:30:360:30:38

but once the Food Standards Agency was set up

0:30:380:30:41

and it started to try to regulate in the consumer's interest,

0:30:410:30:45

it got up the noses of a lot of politicians and a lot of industry.

0:30:450:30:49

It's somewhat paradoxical that we're in a time

0:30:490:30:51

where obesity's an epidemic and yet health food

0:30:510:30:54

is the fastest-growing sector of the food industry,

0:30:540:30:57

and I wonder how those two things square.

0:30:570:30:59

So-called health food is. Um, the problem is

0:30:590:31:03

in the absence of a single, clear, simple labelling system,

0:31:030:31:07

consumers really are at the mercy of the marketing department,

0:31:070:31:11

so we know that people can be conned into believing

0:31:110:31:16

that a pizza will be good for them

0:31:160:31:18

because it has a bit of pineapple on top of it.

0:31:180:31:22

We know they can be convinced by being told that a product

0:31:220:31:27

is one of their five a day,

0:31:270:31:29

one of their five portions of fruit or vegetable a day,

0:31:290:31:32

but they're also having their entire daily allowance of sugar,

0:31:320:31:36

or of salt, or sometimes of saturated fat.

0:31:360:31:39

Richard, put yourself in the shoes of the food manufacturers.

0:31:390:31:43

Would you have introduced traffic lights?

0:31:430:31:45

Probably not.

0:31:460:31:48

Because as a food manufacturer,

0:31:480:31:51

I have an obligation to my shareholders first of all,

0:31:510:31:54

I have an obligation to my employees, I want to maximise my profit,

0:31:540:32:00

and the fact is that if you produce a clear labelling system

0:32:000:32:04

of the sort that traffic lights was, then you put at risk

0:32:040:32:08

that part of the industry that makes a healthy living

0:32:080:32:11

by producing not-very-healthy food.

0:32:110:32:14

We asked Tesco about what Richard said, and they say their GDA labels

0:32:140:32:20

are clear and simple, but they are open to discussion

0:32:200:32:23

for the best way to help customers make an informed choice.

0:32:230:32:26

Some very powerful people didn't want traffic lights to happen.

0:32:330:32:38

What's more, within six months of the coalition government coming to power,

0:32:380:32:43

the Food Standards Agency was stripped of responsibility for food labelling.

0:32:430:32:46

But the battle now shifted to Brussels,

0:32:480:32:51

where the stakes were raised and the fight was going to get dirty.

0:32:510:32:54

In the European Parliament, the votes of the MEPs,

0:33:060:33:09

who had the power to introduce traffic lights across Europe,

0:33:090:33:13

were fought over in a David and Goliath struggle.

0:33:130:33:16

The David being the small health charities lobbying for traffic lights

0:33:190:33:22

and the Goliath being the food giants with their enormous wealth and influence.

0:33:220:33:27

MEP Glenis Willmott fought hard for traffic lights

0:33:310:33:35

and saw first-hand the tactics the food lobby deployed.

0:33:350:33:39

How much effort did the food industry make

0:33:390:33:41

to influence the decision on traffic lights?

0:33:410:33:44

A huge amount. They spent, it's estimated,

0:33:440:33:47

over a billion euros to stop traffic lights. That's an awful lot of money.

0:33:470:33:51

We were inundated with e-mails, with requests for meetings.

0:33:510:33:54

There were lunches, breakfasts, dinners

0:33:540:33:57

that people were being invited to in order to try and change their minds

0:33:570:34:01

to make sure that traffic light labelling didn't get agreed.

0:34:010:34:04

Did they give you any good reasons why traffic lights wouldn't work?

0:34:040:34:07

Did they give you any research?

0:34:070:34:09

They basically said there was no evidence

0:34:090:34:11

that people preferred traffic lights. That's basically what they said,

0:34:110:34:15

but they said that meant that people preferred GDAs. It isn't what the research said,

0:34:150:34:19

and it's just one of the many, many things that they did

0:34:190:34:23

in order to stop this system getting through.

0:34:230:34:26

Could you tell me how much effort was made

0:34:260:34:28

on the side of the campaign to bring in traffic lights here?

0:34:280:34:31

Was there any lobbying by that side here?

0:34:310:34:34

Yes. However, it was a completely different scale.

0:34:340:34:36

You know, the organisations, the health and consumer organisations,

0:34:360:34:40

haven't got the resources anywhere near.

0:34:400:34:43

It was miniscule compared to the food industry.

0:34:430:34:46

What would they actually say, then, to the MEPs?

0:34:460:34:48

I mean, give me an example of the kind of thing they would say to an MEP.

0:34:480:34:52

An example would be, to Italian MEPs, for example,

0:34:520:34:55

"If you agree these traffic lights,

0:34:550:34:57

"then we will lose all of these jobs in Italy

0:34:570:35:00

"because we won't be able to produce this particular product any more

0:35:000:35:03

"because it will be labelled bad, it will be labelled red."

0:35:030:35:06

So the food industry was targeting the MEPs who had food jobs in their area?

0:35:060:35:10

Yes, absolutely. So if you had a particular factory in your area,

0:35:100:35:14

you were more likely to be targeted and told,

0:35:140:35:17

"You will lose jobs in your constituency."

0:35:170:35:20

Wow, that shows an extraordinary degree of, kind of,

0:35:200:35:24

laser-like precision to hone in on specific MEPs.

0:35:240:35:27

That was the problem. You know, people were frightened.

0:35:270:35:30

They don't want to lose jobs, obviously.

0:35:300:35:32

They've got to go back home to their constituencies

0:35:320:35:34

and explain why they voted in this way.

0:35:340:35:37

How do you go back and face your constituents? Do you want to get re-elected?

0:35:370:35:41

The food industry won,

0:35:420:35:44

and traffic light labelling would not be enforced.

0:35:440:35:47

The shocking thing is not that the food industry lobbied MEPs,

0:35:500:35:53

it's the way that they did it.

0:35:530:35:56

They specifically targeted MEPs with food industry jobs,

0:35:560:35:58

because this bill really mattered.

0:35:580:36:01

If it was passed, it would affect their bottom line,

0:36:010:36:04

their profits, and they couldn't afford to let it pass.

0:36:040:36:07

'Reading labels to work out what's good for you

0:36:070:36:10

'can sometimes be really complicated.'

0:36:100:36:13

Yet there were companies that took up traffic lights voluntarily.

0:36:130:36:18

'Mostly green means go for it.

0:36:180:36:20

'Mostly red means enjoy it once in a while. Simple.'

0:36:200:36:24

What made them work for Sainsbury's

0:36:240:36:26

when others in the industry resisted?

0:36:260:36:28

'Judith Batchelar is director of Sainsbury's Brand.'

0:36:300:36:34

Judith, when you introduced traffic lights,

0:36:340:36:36

why did you do it at Sainsbury's?

0:36:360:36:38

Well, it was back in 2004, and I think it would be fair to say

0:36:380:36:43

Sainsbury's had lost a little bit of its sparkle,

0:36:430:36:45

and I think we really were up for driving change within the organisation

0:36:450:36:51

and putting, as I say, a little bit of that sparkle back into Sainsbury's.

0:36:510:36:55

There are a lot of products that are marketed as healthy

0:36:550:36:59

which are anything but,

0:36:590:37:00

and I wondered if the worry would be around those kinds of products

0:37:000:37:04

that seem healthy because of the marketing of them,

0:37:040:37:07

but in reality, if you did put a traffic light on it, it would be red.

0:37:070:37:11

Yeah, I think what we found with traffic lights was exactly that.

0:37:110:37:15

Not that people stopped buying things,

0:37:150:37:17

but that they were surprised by things,

0:37:170:37:19

particularly things where intuitively

0:37:190:37:21

they thought that perhaps the category was healthy.

0:37:210:37:25

So, dairy products and things like yogurts, for example,

0:37:250:37:28

they thought were healthy, but actually, some yogurts have lots of sugar in them

0:37:280:37:31

because they've got different flavours and all sorts of things.

0:37:310:37:34

They're not really as healthy as they thought they were.

0:37:340:37:37

Sandwiches is another great category, actually, where...

0:37:370:37:39

-What did they do with sandwiches?

-Well, they just swapped,

0:37:390:37:42

and actually I've got another example here, actually,

0:37:420:37:46

and it's just on two chicken products.

0:37:460:37:49

Basically, you've got a product here that's got a red traffic light.

0:37:490:37:53

It's a southern fried chicken wrap.

0:37:530:37:55

The number of calories in that is, well, 525.

0:37:550:37:59

You can actually buy a 281-calorie chicken sandwich

0:37:590:38:04

in the same range, and those are the kind of trade-offs that people were making.

0:38:040:38:09

And in fact, sandwiches was where we saw the biggest shift in behaviours,

0:38:090:38:13

of people switching out of ambers and reds into greens and ambers.

0:38:130:38:17

How has traffic lights changed the culture within Sainsbury's?

0:38:170:38:21

The whole process is completely reversed,

0:38:210:38:24

because today we start with that multiple traffic light,

0:38:240:38:28

so part of the process is saying, "What kind of traffic light

0:38:280:38:30

"do I want to put on the front of this product

0:38:300:38:33

"and how hard am I going to have to work to make sure

0:38:330:38:36

"I turn a red to amber, or turn an amber to green?"

0:38:360:38:39

Clearly you will get to a point where reformulation

0:38:390:38:42

does start to have a detrimental effect on the taste of the product.

0:38:420:38:47

-Have you found that at all?

-Yes, we have found that.

0:38:470:38:49

The argument that has always been used against traffic lights

0:38:490:38:52

would be the effect on sales, so is this what you've found?

0:38:520:38:55

Have you found that you can square the circle?

0:38:550:38:58

Has it affected sales badly or not?

0:38:580:39:00

No. No, it has just transferred sales.

0:39:000:39:03

People still eat, they still come and buy the same things.

0:39:030:39:06

They still buy ready meals, they just change what they buy.

0:39:060:39:09

Sainsbury's had, by their own admission, lost their sparkle,

0:39:090:39:13

so they went for traffic lights, but if you're a thriving company

0:39:130:39:17

doing really well, why would you do it unless regulation forced you?

0:39:170:39:21

America.

0:39:290:39:32

Home of the most profitable food industry in the world.

0:39:320:39:35

If there is a way to get us to buy more food,

0:39:350:39:39

it's probably been tried here first.

0:39:390:39:41

Pierre Chandon, visiting professor at Harvard Business School,

0:39:450:39:49

has done ground-breaking research into how fattening foods are marketed as healthy.

0:39:490:39:53

'Pierre explained to me exactly how this worked.'

0:39:570:40:01

I call this the paradox of low-fat food and high-fat people,

0:40:010:40:04

and I thought, "How come when people are trying to lose weight,

0:40:040:40:07

"trying really hard and trying to eat right, they're not losing weight?"

0:40:070:40:11

And I thought maybe there's a boomerang effect here.

0:40:110:40:14

Maybe all of this healthy food is actually the reason why we're not losing weight as fast as we can.

0:40:140:40:18

And what did you discover when you started studying this?

0:40:180:40:22

So, in our study we compared two fast food chains,

0:40:220:40:25

one of which is called Subway, which in the US is marketed as being

0:40:250:40:28

a healthy place where you can get fresh food

0:40:280:40:31

and lower-calorie sandwiches,

0:40:310:40:33

and McDonald's, which is a fast food chain, a regular burger chain.

0:40:330:40:38

And what did you find?

0:40:380:40:39

So, for example, in one study we took two products.

0:40:390:40:41

We took this really big foot-long sandwich from Subway,

0:40:410:40:45

-which actually has 900 calories.

-A foot-long sandwich?!

-That's right.

0:40:450:40:49

And we took the Big Mac from McDonald's, and we asked people to estimate the number of calories.

0:40:490:40:55

What's fascinating is that even though the Subway sandwich has 50% more calories than a Big Mac,

0:40:550:40:59

people thought that it was healthier, hence it had fewer calories.

0:40:590:41:03

Now, the other thing that's really interesting is beyond that.

0:41:030:41:07

It's when people underestimated the calories of a healthy sandwich,

0:41:070:41:11

then they treated themselves to a more indulgent dessert

0:41:110:41:14

or to a full-calorie drink.

0:41:140:41:16

So the important thing is the actual store that it's coming from.

0:41:160:41:21

If the store has a healthy overall perception,

0:41:210:41:24

then everything that comes from that store will be seen as being healthy,

0:41:240:41:27

regardless of what's actually in it.

0:41:270:41:29

Exactly, so people have this idea that if you're healthy

0:41:290:41:32

because you're fresh then you're also good in terms of calories

0:41:320:41:35

and you have fewer calories.

0:41:350:41:37

This is something I call the health halo.

0:41:370:41:39

It's the idea that when food is marketed as being healthy,

0:41:390:41:41

people think that it has less calories, and as a result,

0:41:410:41:44

they think they can eat more of it without getting fat,

0:41:440:41:46

and that's a very powerful effect that we find over and over in the US,

0:41:460:41:50

in Europe, with different brands, with different types of food.

0:41:500:41:54

-It doesn't matter.

-This health halo is really fascinating.

0:41:540:41:56

I wonder how else it works, if it works on any other products.

0:41:560:41:59

We actually invented some food which does not exist.

0:41:590:42:02

You invented some food?

0:42:020:42:03

Yeah, we went and we printed on all of these M&Ms "low-fat" or "light,"

0:42:030:42:07

and we told people, "Here's some M&Ms.

0:42:070:42:10

"There's a new product. Low-fat M&Ms. Have as many as you want."

0:42:100:42:14

And we gave other people some regular M&Ms,

0:42:140:42:17

and what we found is just because the M&Ms were called low-fat,

0:42:170:42:20

-that people consumed up to 50% more of them.

-Wow.

0:42:200:42:23

Just simply because they had been labelled as low-fat.

0:42:230:42:26

Exactly, because, again, the health halo.

0:42:260:42:28

If I'm saying I'm good, I have lower fat, people think

0:42:280:42:31

I also have lower calories, therefore they think they can eat more.

0:42:310:42:35

It's so illogical, the way we actually behave. Why do we do this?

0:42:350:42:38

It's actually, from a psychological point of view,

0:42:380:42:41

it makes a lot of sense. We tend to look at food in binary terms.

0:42:410:42:45

There's good food and bad food.

0:42:450:42:46

The basic idea is very simple.

0:42:460:42:49

It's that when you're good at something or in some aspect,

0:42:490:42:51

people think you must be good in every aspect,

0:42:510:42:54

so if you are also organic, if you think that there's gluten-free everything,

0:42:540:42:57

people tend to categorise the food as being a good food overall.

0:42:570:43:00

As a result, they think it's going to be less fattening,

0:43:000:43:03

and it's not. Not always.

0:43:030:43:05

But, Pierre, all this work you've done,

0:43:050:43:06

what are the actual implications for the food industry,

0:43:060:43:09

in terms of what you've discovered?

0:43:090:43:11

I think the food industry has understood

0:43:110:43:13

and, first of all, they know this. They know this really well.

0:43:130:43:15

They've understood that there's actually an opportunity to market food as healthy.

0:43:150:43:19

And today it's almost impossible to buy food that's not saying it's healthy,

0:43:190:43:24

because more and more people are interested in being good

0:43:240:43:27

and eating healthily, and these are exactly the people

0:43:270:43:30

who are most likely to be misled by the health halos.

0:43:300:43:33

So the paradox of low-fat food and high-fat people

0:43:330:43:36

is not going to go away. I think it's just going to get worse.

0:43:360:43:39

Pierre's work on health halos

0:43:410:43:42

found that we underestimate the calories in healthy foods

0:43:420:43:46

because we subconsciously categorise food into simply good or bad.

0:43:460:43:51

If he's right about the food industry knowing this

0:43:510:43:54

and cashing in on it, can it ever help us fight obesity

0:43:540:43:57

when profits are at stake?

0:43:570:43:59

Before the Conservative Party entered office,

0:44:090:44:13

Andrew Lansley, then shadow health minister, declared

0:44:130:44:16

he was also a paid non-executive director of Profero -

0:44:160:44:20

a marketing agency whose clients included Pizza Hut, Pepsi and Mars.

0:44:200:44:24

He maintains he did not work on anything that could be a conflict of interest.

0:44:260:44:31

But at the same time as he was preparing the Tory policy on obesity,

0:44:310:44:36

he invited contributions from food industry giants.

0:44:360:44:40

Meetings would take place at the headquarters of global corporation, Unilever.

0:44:410:44:47

Andrew Lansley's Public Health Commission would meet with the major players in the food industry,

0:44:500:44:55

people like Tesco and Unilever.

0:44:550:44:57

The plan was to formulate the incoming government's policy on obesity.

0:44:570:45:02

Lansley believed working with the food industry

0:45:020:45:06

was a faster way of tackling obesity than regulation.

0:45:060:45:10

But Professor Simon Capewell,

0:45:140:45:16

a leading expert in public health from the University of Liverpool

0:45:160:45:19

who was invited to join, didn't see it that way.

0:45:190:45:22

Simon, when you were first contacted by Andrew Lansley's office,

0:45:230:45:27

why did they tell you?

0:45:270:45:28

I was actually contacted by Unilever, the public relations head,

0:45:280:45:35

who followed up on the letter from Lansley inviting me

0:45:350:45:40

to be a member of the Public Health Commission.

0:45:400:45:42

He sought to explain the purpose of the Public Health Commission.

0:45:420:45:48

Give me some idea of what it was like walking into that room for the first time.

0:45:480:45:52

-Who was there?

-It was all very grand.

0:45:520:45:56

This was a large, glitzy organisation.

0:45:560:45:59

It was clearly very successful.

0:45:590:46:01

I think some of us felt a little bit flattered.

0:46:010:46:04

We felt we were at the top table, that people were taking notice of us.

0:46:040:46:08

At no point was that sensation undermined.

0:46:080:46:13

Simon, which companies were actually represented at the meeting?

0:46:130:46:17

The chair of the Public Health Commission

0:46:170:46:20

was the chair of Unilever UK.

0:46:200:46:22

Nudging it along, Tesco were there and ASDA as well.

0:46:230:46:29

Also the people from the advertising communities.

0:46:290:46:33

So, Simon, in terms of obesity, what were you coming to the table to say?

0:46:330:46:37

I wanted to lay out the evidence

0:46:370:46:40

for interventions in public health that worked.

0:46:400:46:43

When you looked around the world, there were a number of countries

0:46:430:46:48

that have done amazing things and done it very effectively.

0:46:480:46:52

Scandinavia, Finland in particular.

0:46:520:46:55

The success of those countries was based on legislation and regulation.

0:46:550:47:00

Regulation of the food industry?

0:47:000:47:03

Yes, and serious regulation of advertising.

0:47:030:47:07

So, yes, there was a recognition that the individual had a role to play

0:47:070:47:14

but, at the end of the day,

0:47:140:47:16

the big, powerful levers were in the hands of government.

0:47:160:47:20

And what did the food industry say when you said this at this meeting?

0:47:200:47:24

In retrospect, they were very clever,

0:47:240:47:26

because we all had opportunities where we were invited to prepare papers

0:47:260:47:32

and, indeed, to do presentations.

0:47:320:47:35

On each of those occasions they listened with considerable interest and politeness.

0:47:350:47:41

-And then?

-And then nothing.

0:47:410:47:45

So the minutes of the meeting were written up and it would say,

0:47:450:47:49

"Professor Capewell gave a presentation on national interventions,

0:47:490:47:54

"and material will be used in the final report,"

0:47:540:47:58

and then we would move on to something else.

0:47:580:48:01

So none of the tricky stuff was ever challenged or contradicted.

0:48:010:48:06

What did they say were their objectives? What was their position?

0:48:060:48:11

Instead of looking at effective things like regulation,

0:48:110:48:14

taxation, we were discussing what sort of pretty package

0:48:140:48:19

should we have here to say it is the responsibility of individuals

0:48:190:48:23

if they get fat and, in particular, the government has no duty of care.

0:48:230:48:29

In terms of Andrew Lansley, where did he lie?

0:48:290:48:33

Did he lie on the side of the food companies or the scientists?

0:48:330:48:38

It was very clear from his behaviour before,

0:48:390:48:43

during and particularly afterwards, that his interests

0:48:430:48:46

and the interests of the industry were in complete agreement.

0:48:460:48:50

Simon, what is wrong, in principal,

0:48:500:48:53

with the idea of consulting with the food industry?

0:48:530:48:56

The risk here is conflict of interest.

0:48:560:48:59

Apparently, when it comes to the food industry,

0:48:590:49:03

who are producing masses of calories that make children obese or diabetic

0:49:030:49:08

or they conceal vast amounts of salt or trans fats in the food which make people sick or kill them,

0:49:080:49:15

for some reason that principle is completely ignored.

0:49:150:49:20

The conflict of interest is outrageous.

0:49:200:49:25

Putting the food industry at the policy table

0:49:250:49:28

is like putting Dracula in charge of the blood bank.

0:49:280:49:32

Instead of saying the food industry is part of the problem,

0:49:320:49:37

they actually come in and say, "From your shareholder perspective,

0:49:370:49:42

"would you like to suggest how we take forward food policy in this country?"

0:49:420:49:47

It's insane.

0:49:470:49:49

What Simon saw first-hand was the government-in-waiting's relationship with the food industry.

0:49:490:49:54

He was there, he was in the room.

0:49:540:49:56

What he said was that that relationship was too close

0:49:560:50:00

and that the science had been left out of the picture.

0:50:000:50:03

This is something we have seen again and again with the food industry -

0:50:030:50:07

that they have one priority, and that is making money.

0:50:070:50:10

In May 2010, the coalition government entered office,

0:50:120:50:16

and Andrew Lansley was now the Secretary of State for Health.

0:50:160:50:19

Within a year, the new government set out its strategy to fight obesity.

0:50:200:50:24

It was called the Public Health Responsibility Deal,

0:50:280:50:32

and invited the industry to make voluntary pledges.

0:50:320:50:34

There was to be no regulation, and many companies signed up.

0:50:340:50:39

But crucially, food companies could choose

0:50:410:50:43

what they wanted to do in terms of calorie reduction.

0:50:430:50:46

The only actual target was to help the nation as a whole

0:50:490:50:53

to reduce its calorie intake by five billion a day by the year 2020.

0:50:530:50:59

MP Valerie Vaz sits on the Commons Health Select Committee,

0:51:020:51:06

which has declared itself unconvinced

0:51:060:51:08

that the Responsibility Deal could tackle obesity.

0:51:080:51:11

In March, there was a pledge made to reduce the nation's calorie intake by five billion calories.

0:51:110:51:18

Would do you think about that pledge?

0:51:180:51:20

We need something much more specific, much more measurable.

0:51:200:51:24

Something that you can look at in a few years' time

0:51:240:51:27

and say this is working or this isn't.

0:51:270:51:30

Five billion is a very large, vague figure amongst the whole population.

0:51:300:51:35

It's meaningless.

0:51:350:51:36

No-one wants something specific.

0:51:360:51:38

The government don't want it, the food industry don't want it.

0:51:380:51:41

The whole point is that it needs to be vague for it to be something

0:51:410:51:44

that everyone can sign up to.

0:51:440:51:47

It needs to be vague, but it won't be effective.

0:51:470:51:50

There will be absolutely no result at the end of this.

0:51:500:51:52

We will be sitting here in five years' time

0:51:520:51:54

saying there is a problem with obesity, and nothing will have changed.

0:51:540:51:58

How are they actually going to review this pledge?

0:51:580:52:01

I was asking him how this was going to work.

0:52:010:52:04

How was he going to measure the success or otherwise of it?

0:52:040:52:09

Only recently he said would there be an evaluation.

0:52:090:52:11

He set aside £1 million.

0:52:110:52:13

But it is not clear exactly what the terms of reference of that review is.

0:52:130:52:17

Is it going to be a review of what the industry pledged in the first place?

0:52:170:52:22

Is it going to be a review of the outcomes? It is absolutely not clear.

0:52:220:52:25

So I am looking forward to hearing exactly what this review is about.

0:52:250:52:29

Do you not think that they have to be made to do something?

0:52:290:52:32

If you don't regulate what is going into food,

0:52:320:52:34

if you don't regulate the way the industry deals with something,

0:52:340:52:38

then you will get these diseases, you will get people cutting corners

0:52:380:52:42

and you will get a much more unhealthy society.

0:52:420:52:46

Everyone I have met has told me that regulation is the way forward

0:52:530:52:57

to stop the obesity epidemic.

0:52:570:52:59

So why doesn't the government agree?

0:52:590:53:01

Public health minister Anne Milton

0:53:030:53:06

is in charge of the government's policy on obesity.

0:53:060:53:08

Would you agree that we are in an obesity crisis?

0:53:100:53:13

I am not very fond of words like obesity crisis

0:53:130:53:16

and obesity epidemic, because somehow it takes on a life of its own.

0:53:160:53:21

It's something to do with someone else, it is not to do with me,

0:53:210:53:24

me, the government, me, an individual, me, the food industry.

0:53:240:53:28

Actually, we've all got a part to play.

0:53:280:53:30

You see, I'd love to believe that the world was like that,

0:53:300:53:33

but unfortunately, what history has taught us

0:53:330:53:37

is that time and time again the food industry has put the onus on the individual,

0:53:370:53:42

because it takes the spotlight off them.

0:53:420:53:44

When you think of obesity,

0:53:440:53:46

everyone would like to think that it is someone else's problem.

0:53:460:53:49

So you're right in a way.

0:53:490:53:51

The food industry say, "We just sell the food, it is up to an individual what they buy to eat."

0:53:510:53:55

The government find this quite difficult

0:53:550:53:57

because you've got to navigate your way through all the different factors.

0:53:570:54:02

Actually, what you have to do is be very mature and grown-up.

0:54:020:54:04

The problem with these voluntary things is that there are so tremendously vague.

0:54:040:54:08

Five billion calories by 2020,

0:54:080:54:11

and each year you just kind of find out maybe along the way how they are doing.

0:54:110:54:15

The key issue here, according to all the scientists, is calories.

0:54:150:54:20

The sheer amount of calories we're taking in.

0:54:200:54:23

On that issue, you are leaving it vague.

0:54:230:54:25

We're certainly not leaving it vague, but are being realistic.

0:54:250:54:30

The end point in this is what people put in their mouths.

0:54:300:54:35

But we've got to take a very broad approach to this.

0:54:350:54:39

It is naive to think that actually, there is one tool that will solve this problem.

0:54:390:54:45

It has always been the food industry being in partnership with the government

0:54:450:54:49

and deciding pretty much for themselves what the goal will be.

0:54:490:54:53

What's quite interesting about the food and retail industry

0:54:530:54:57

is they know quite a lot about people's behaviour.

0:54:570:55:00

They use it to their advantage to sell their products.

0:55:000:55:03

We have to work with them to try and encourage them.

0:55:030:55:06

They want to make a profit.

0:55:060:55:07

If they can make a profit selling apples

0:55:070:55:09

instead of chocolate bars, then that is great by me.

0:55:090:55:11

So when would you legislate?

0:55:110:55:14

What would make it possible for you to legislate against the food industry?

0:55:140:55:19

You can't legislate your way out of this. Everybody's got a part to play.

0:55:190:55:24

Sorry, why can't you legislate your way out of this?

0:55:240:55:27

It would be lovely to think that that just works. It doesn't just work.

0:55:270:55:31

What we have to do is change people's behaviour.

0:55:310:55:34

Fundamental to this is changing people's behaviour.

0:55:340:55:39

Talking about people changing their behaviour

0:55:390:55:43

is putting the onus on us, the public.

0:55:430:55:46

Why are you so scared of the food industry?

0:55:460:55:49

Why are governments, not just your government,

0:55:490:55:53

so scared of bringing in legislation to deal with the food industry?

0:55:530:55:58

Can we do a minute of myth-busting here?

0:55:580:56:02

First of all, the food industry does not dictate government policy.

0:56:020:56:06

Secondly, the government is not scared of the food industry.

0:56:060:56:09

Thirdly, we will do what works.

0:56:090:56:13

And what I do know, and anybody out there watching this programme knows,

0:56:130:56:17

is that there is not one tool that will fix this.

0:56:170:56:20

We will legislate, if necessary.

0:56:200:56:22

We have got voluntary agreements at the moment.

0:56:220:56:24

Those will be independently evaluated.

0:56:240:56:26

If it is not working, it is not working, and we will have to do something else,

0:56:260:56:29

and the food industry is very clear on that.

0:56:290:56:32

But scared of the industry I am not.

0:56:320:56:33

The minister couldn't be pinned down

0:56:340:56:37

to when they would actually bring in legislation.

0:56:370:56:39

So the question is, when will the critical moment come?

0:56:390:56:43

In my opinion, there will be a tipping point, and that will be

0:56:430:56:46

when the cost to the NHS of the obesity crisis

0:56:460:56:49

is greater than the revenue they receive from the food industry.

0:56:490:56:54

I have come to Leicester to see a painting of Britain's fattest man.

0:56:560:57:00

Not in 2012, but 200 years ago.

0:57:000:57:03

This is Daniel Lambert in 1806.

0:57:050:57:08

He weighed over 50 stone and was considered a freak of nature,

0:57:080:57:12

charging people a shilling to see him

0:57:120:57:14

and becoming rich on the proceeds.

0:57:140:57:16

Now the money made from obesity is made by the food industry

0:57:160:57:21

selling us food that they claim is healthy

0:57:210:57:24

but is actually making us fat,

0:57:240:57:25

with successive governments letting them do it.

0:57:250:57:29

In this series I have gone behind the obesity crisis

0:57:290:57:33

to reveal the men who made us fat,

0:57:330:57:35

who changed the very nature of what we eat, super-sized everything

0:57:350:57:39

and, in so doing, super-sized us.

0:57:390:57:42

But the greatest mistake was to believe it was solely our fault.

0:57:420:57:47

It wasn't.

0:57:470:57:48

It was also the men making decisions behind closed doors

0:57:480:57:52

who changed the shape of a nation without us even realising it.

0:57:520:57:56

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0:58:180:58:21

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