Significantly reducing trans fat levels in the Nigerian food supply could prevent approximately 10,000 heart disease deaths and save 90 million USD (12 billion Naira, ₦) in healthcare costs over a decade. New findings by The George Institute for Global Health on the health and economic benefits of enacting the country’s trans fat elimination policy were published today in BMJ Global Health.1
In 2023, Nigeria followed South Africa as only the second African country to adopt a best practice trans fat elimination policy and is now working to implement regulations. The cost-effectiveness model assessed the impact of limiting industrially produced trans fats to less than two percent of total fats in all foods, fats, and oils in the Nigerian food supply.
The research also found that the policy could prevent or postpone 67,000 cases of heart disease within the first ten years. This equates to a total of 260,000 deaths and 480,000 cases of heart disease prevented across the entire lifetime of the population.
The analysis found the policy to be cost-saving, meaning that it would improve health while generating net savings. Total healthcare savings could amount to approximately 90 million USD (12 billion ₦) in the first ten years, and around 520 million USD (185 billion ₦) over the population’s lifetime.
It would cost the government and food industry an estimated 17 million USD (6.2 billion ₦) to implement the policy over the first ten years and 26 million USD (9.4 billion ₦) over the population’s lifetime. For every government dollar invested this would correspond to 66 USD in healthcare cost savings.
Industrial trans fats are a group of harmful substances produced during partial hydrogenation, a process where vegetable oils are hardened to solid fats that can be used in processed, fried, and street foods. They are also a well-known risk factor for heart disease but can be substituted with healthier alternatives without affecting food quality.
Globally, industrial trans fats are responsible for around 500,000 premature deaths from heart disease every year, mostly in low- and middle-income countries.2 But only 53 countries have best-practice trans fat policies in place, most of which are high-income countries, leaving around half the world’s population exposed to health harms.3
The World Health Organization (WHO) lists elimination of industrial trans fats as an effective intervention for the prevention of noncommunicable diseases like heart disease. The organisation says the top two best-practice policies are setting a mandatory limit of 2g trans fat per 100g of total fat in all foods, and a ban on the production and use of partially hydrogenated oils. Earlier this year, the WHO revised its target for the virtual elimination of industrial trans fats globally to 2025.4
This research was funded by the Northwestern University Havey Institute for Global Health and the National Institutes of Health (UH3HL152381)
References
- Marklund M, et al. Estimated health benefits, costs, and cost-effectiveness of eliminating industrial trans-fatty acids in Nigeria: cost-effectiveness analysis BMJ Glob Health. 2024. https://gh.bmj.com/content/9/4/e014294
- World Health Organization. Countdown to 2023: WHO report on global trans-fat elimination 2022. 2023. https://www.who.int/publications/i/item/9789240067233
- World Health Organization. TFA Country Score Card. 2023. Accessed April 2024. https://extranet.who.int/nutrition/gina/en/scorecard/TFA
- World Health Organization. WHO awards countries for progress in eliminating industrially produced trans fats for first time. 2024. Accessed April 2024. https://www.who.int/news/item/29-01-2024-who-awards-countries-for-progress-in-eliminating-industrially-produced-trans-fats-for-first-time