8A.3 Example of campaign among public health advocates in support of Mexico’s front-of-package labeling regulation 8A.4 Example of cereal before (left) and after (right) Chile’s food labeling and

PHOTO 8A.3

Example of campaign among public health advocates in support of Mexico’s front-of-package labeling regulation

Source: © Alianza por la Salud Almentaria, https://alianzasalud.org.mx/wp-content/uploads/2020/11/bn-2011-campania -corta-por-lo-sano-ok.jpg. Used with the permission of Alianza por la Salud Alimentaria. Further permission required for reuse.

Daily 2020). Several other states are also proposing such regulations and are discussing the use of the new black seal FOP warning labels to identify banned items.

Chile

Chile passed a landmark Food Labeling and Marketing Law in 2012 that aimed to address the obesity epidemic, particularly in children. Following a protracted process, the implementation details were published in 2015 (Dintrans et al. 2020), and the law was implemented starting June 2016. Regulated foods were defined based on a specially developed nutrient profile using minimally processed foods as the benchmark. For liquids, amounts of calories, sugars, saturated fats, and sodium in 100 milliliters (ml) of cow’s milk were used as cutoffs. For solid foods, values within the 90th–99th percentile range for calories and critical nutrients were selected as the cutoff within a list of minimally or nonprocessed foods (Corvalán et al. 2019). A staggered implementation of the regulation with nutrient cutoffs becoming increasingly strict over a three-year period (phase 2 by June 2018, and the final phase by June 2019) was chosen to allow manufacturers to adapt to these regulations. Several multinational food companies mounted legal challenges against aspects of this law, but none of these lawsuits have been successful to date (Boza Martínez, Polanco, and Espinoza 2019).

Regulated foods were forbidden to be sold or offered for free at kiosks, cafeterias, and feeding programs at schools and nurseries. A stop sign, black seal stating “High in [nutrient]” was chosen as the mandatory warning label for packaged regulated foods. Products with at least one black seal were not allowed to be marketed to children under 14 years in any media (including digital) or