The IOM Report: What Happens Now?
As has been well communicated through the press and blogosphere over these past several days, the Institute of Medicine Committee on the Examination of Front-of-Package Nutrition Rating Systems and Symbols recommended a new “points” system for the front of food packages, focused on the calories, saturated and trans fat, sodium and added sugars in the product. Dr. David Katz provided his views in the Huffington Post, Marion Nestle on her Food Politics blog, and the Grocery Manufacturers Association’s responses has been showcased in several places.
The purpose of my blog today is not to provide a recap of the report or my views on the report, but to talk about what happens now. With all the media coverage, it’s difficult to understand that the report is simply a recommendation. The recommendation was made to the two food regulatory agencies in our country – the U.S. Department of Agriculture (which regulates foods that contain meat and poultry) and the Food & Drug Administration (which regulates all other foods). The IOM Committee’s work is now done. It is up to the regulatory agencies to decide if any action is taken based on the report.
If is definitely the key word here. While there has been pressure from the White House for the regulatory agencies to do something to help consumers make more nutritious food choices that will idealistically lead to better health outcomes and lower health care costs that are crippling our country, the IOM recommendations are far from a slam dunk and they’re far from inexpensive. The IOM report recommends significant research and modeling to actually finalize the criteria to be used in the system, as well as budget for education and promotion of the new system. In reading the report, it appears that budget for staffing would be needed, too. Then there’s the point that right now, food safety issues seem to be higher on the priority list than nutrition issues.
All that said, if the FDA and USDA decided the “points” system would be beneficial to consumers, there’s an entire process that must be followed to create new regulation. First, the FDA would have to propose regulations. This is then typically followed by 60-90 days of an open comment period, during which time, any individual, company or entity can submit comments and feedback on the proposed regulation. Then the agencies have to review all those comments, respond in some fashion, and create final regulation. Then there’s a gap to allow time for implementation.
So despite all the media hype right now, it could be years before this system actually shows up on food packages, if it ever does.
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