Civil society organisations, health experts and public health advocates in Pakistan have condemned reports that the US Counselor in Islamabad lobbied against the government’s evidence-based proposal on Front-of-Pack Warning Labels (FOPWL) for ultra-processed products.
Non-communicable diseases, including cardiovascular disease, diabetes, cancer and chronic respiratory illnesses, are now the leading cause of death in Pakistan. Nearly six out of ten deaths in the country are attributed to NCDs, with over 2,400 Pakistanis dying each day from preventable conditions. The financial burden is stark: Pakistan spends approximately USD 2.6 billion annually on diabetes care, an amount nearly double a recent IMF instalment.
The Ministry of National Health Services, Regulation and Coordination recommended FOPWL to the Ministry of Science and Technology as a simple, evidence-based measure to protect consumers. Front-of-pack warning labels clearly indicate when products contain excessive sugar, salt or unhealthy fats, and international studies show FOPWL helps people make healthier choices and encourages industry reformulation.
The Pakistan National Heart Association, civil society partners and the Ministry of Health have pushed for mandatory FOPWL to reduce the rising toll of NCDs. The National Assembly’s National Health Committee has already directed the Ministry of Science and Technology to move ahead with implementation in the national interest.
Against this backdrop, reports that diplomatic engagement sought to delay or weaken the FOPWL proposal in favour of commercial interests have provoked strong reaction. Advocates say public health regulation designed to save lives must not be subject to corporate negotiation or external interference and that Pakistan’s sovereign policymaking process must be respected.
Civil society has urged the Government of Pakistan, including the Foreign Minister and Foreign Secretary, to take formal notice and seek a public clarification. They have called on the US Counselor in Islamabad to explain his position and offer an apology for any interference in Pakistan’s public health policymaking. Observers also noted the contradiction that the United States is advancing stronger front-of-pack nutrition labelling at home while reportedly opposing similar protections here.
Groups pressing for FOPWL said transparency and respect for national decision-making are essential to protect public health, reduce preventable deaths and ease the economic strain on families and the health system.
