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Sydney, Australia

This paper presents a framework for identifying legal and regulatory interventions for the prevention of risk factors for cancer at the population level. The framework has wider application for behavioural risk factors for other non-communicable diseases. It is based on four different types of assessment: identifying the determinants of cancer and key settings for interventions; reviewing the key strategies that law can deploy; considering the most appropriate level for interventions within federal systems; and considering the role of law within a broader set of public health responses that includes voluntary standards, co-regulation, outcome-based regulation and more technical, prescriptive controls. The paper argues that law is an important tool for preventing the burden of disease from cancer. It then uses the framework to evaluate the current status of regulatory strategies for cancer prevention and to identify law reform priorities, taking Australia as a case study. The paper illustrates the application of the model at the country level by making extensive use of Australian evidence and published research. However, the methodology presented, the regulatory issues discussed, the evidence cited and the law reform priorities identified will be relevant to other countries with a substantial burden from cancer and non-communicable diseases. © 2011 The Royal Society for Public Health. Source

Beaglehole R.,University of Auckland | Bonita R.,University of Auckland | Magnusson R.,Sydney Law School
Public Health

Cancer is a leading global cause of death and disability, responsible for approximately 7.6 million deaths each year. Around one-third of cancers are attributable to a small number of preventable risk factors - including smoking and the harmful consumption of alcohol - for which effective interventions exist at the population level. Despite this, progress in global cancer control has been slow and patchy, largely due to the weak and fragmented nature of both the global and national responses. This has been exacerbated by the economic crisis and the tendency for other challenges involving food, energy security and climate change to overshadow cancer on the global policy agenda. This paper reviews the global burden of cancer, and summarizes knowledge about effective interventions. Responding to the global challenge of cancer requires a comprehensive and integrated approach that includes legislation and regulation. A re-invigorated approach to global cancer prevention, within the broader context of non-communicable disease prevention, is an important pathway to global health and development. © 2011 The Royal Society for Public Health. Source

Kaldor J.C.,Sydney Law School | Magnusson R.S.,Sydney Law School | Colagiuri S.,Boden Institute of Obesity
Medical Journal of Australia

Type 2 diabetes mellitus, driven by overweight and obesity linked to unhealthy diets, is the fastestgrowing non-communicable disease in Australia. Halting the rise of diabetes will require a paradigm shift from personal to shared responsibility, with greater accountability from Australian governments and the food industry. It will also require governments to try something different to the prevailing approaches emphasising education and the provision of information. We propose four priority areas where government regulation could strengthen Australia’s response. Those areas relate to mandatory front-of-pack food labelling, regulating junk food advertising, better oversight of food reformulation and taxing sugarsweetened beverages. © 2015, Australasian Medical Publishing Co. Ltd. All rights reserved. Source

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