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WORLD HEALTH ORGANIZATION ORGANISATION MONDIALE DE LA SANTÉ WELTGESUNDHEITSORGANISATION ВСЕМИРНАЯ ОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯ Date: 16 February 2023 REGIONAL OFFICE FOR EUROPE Ms Alida Mici BUREAU RÉGIONAL DE L’EUROPE REGIONALBÜRO FÜR EUROPA Ms Elen Ohov ЕВРОПЕЙСКОЕ РЕГИОНАЛЬНОЕ БЮРО Adviser European Union Affairs and International Co-operation Head office: Department UN City, Marmorvej 51, DK-2100 Copenhagen Ø, Denmark Ministry of Social Affairs Tel.: +45 45 33 70 00; Fax: +45 45 33 70 01 Suur-Ameerika 1 Email: [email protected] Website: http://www.euro.who.int 10122 Tallinn Estonia Our reference: WHO/GDO Your reference: Notre référence: -11-2023 Votre référence: Unser Zeichen: Ihr Zeichen: См. наш номер: На Ваш номер: Dear Ms Ohov, Summit of the Spouses of European Leaders to launch the Network on the Prevention of Childhood Obesity in the WHO European Region, Zagreb, Croatia, 9–10 May 2023 I have the honour to inform you that the WHO Regional Office for Europe, in agreement with the Government of Croatia, plans to hold a meeting to launch the Network on the Prevention of Childhood Obesity in the WHO European Region. The objective of this network is to foster engagement and collaboration to advocate for ending childhood obesity in the WHO European Region. The event will be co-hosted by the President’s Office of Croatia (under the auspices of the Spouse of the President of Croatia, Professor Sanja Musić Milanović) and the WHO Regional Director for Europe, Dr Hans Kluge. In December 2022, the office of the First Lady of Croatia sent an invitation to the spouses of European leaders, which was co-signed by Professor Milanović and Dr Kluge. For your country, Ms Sirje Karis has been invited. Please find enclosed the working draft of the Zagreb Declaration, which will be launched during the summit. The Declaration articulates the mission of the Network on the Prevention of Childhood Obesity in the WHO European Region. The aim of the Network and the Declaration is to increase coordination of advocacy efforts among spouses of European leaders, in order to help Member States implement effective childhood obesity prevention policies. We would welcome your review of and comments on the attached draft Declaration. Please provide your feedback by close of business on 6 March 2023. Should you need any clarification and further information, please contact Dr Mirjam Heinen ([email protected]) or Dr Julianne Williams ([email protected]). Yours sincerely, Dr Nino Berdzuli Director Division of Country Health Programmes UN City, Marmorvej 51 Tel.: +45 45 33 70 00 Email: [email protected] DK-2100 Copenhagen Ø Fax: +45 45 33 70 01 Website: http://www.euro.who.int Denmark Encls: Scope and purpose Draft Zagreb Declaration Copy for information to: Ms Triin Uusberg, Head, European Union Affairs and International Co-operation Department, Ministry of Social Affairs, Suur-Ameerika 1, 10129 Tallinn, Estonia H.E. Ms Katrin Saarsalu-Layachi, Ambassador Extraordinary and Plenipotentiary, Permanent Representative, Permanent Mission of the Republic of Estonia to the United Nations Office and other international organizations in Geneva, Chemin du Petit-Saconnex 28A, CH-1209 Genève, Switzerland H.E. Mr William Mart Laanemäe, Ambassador Extraordinary and Plenipotentiary, Embassy of the Republic of Estonia, Frederiksgade 19, 4th floor, 1265 Copenhagen K, Denmark Ms Kristina Köhler, Liaison Officer, WHO Country Office, Estonia, Paldiski Road 81, 10617 Tallinn, Estonia –2– Summit of the Spouses of European Leaders to launch the Network on the Prevention of Childhood Obesity in the WHO European Region Zagreb, Croatia 9–10 May 2023 30 January 2023 Original: English ZAGREB DECLARATION 9-10 May 2023 Obesity is a complex multifactorial disease defined by excessive adiposity. It has far reaching consequences, not only on an individual level (including increased risk of numerous health problems including cardiovascular diseases, diabetes and cancers), but also imposes a significant burden on healthcare systems and economies. We, the Spouses of European Leaders, gathered in Zagreb, Croatia on our inaugural Summit to launch the Network on the Prevention of Childhood Obesity in the WHO European Region, to raise awareness about the pressing issue of childhood overweight and obesity, which affects around one in three children in the WHO European Region, AGREE on the following: We acknowledge the importance of raising awareness of obesity and how these issues affect children and our future generations. We recognize the importance and necessity of advocating for actions to stop childhood obesity on national and international levels. We endorse the necessity of working together on a multi‐sectoral level, across relevant sectors and disciplines to find innovative solutions to promote breastfeeding, improve nutrition and increase physical activity for children from an early age. These strategies have been shown to be effective in preventing obesity and promoting overall health. We emphasize the importance of a comprehensive approach and initiatives towards creating spaces where political dialogues on addressing obesity can take place and yield results. We affirm the responsibility of working together towards promoting and creating healthy environments where children have access to good nutrition and physical activity across their life course. (see Annex 1) We commit to putting our individual and joint efforts into removing barriers and promoting and advancing opportunities for meaningful engagement with all the relevant policy‐makers and stakeholders who can influence and make changes related to the prevention of childhood obesity. We are strongly dedicated to individual and collective efforts and collaboration to improve frameworks, systems, strategies and programmes for long‐term, evidence‐informed and people‐ centred policies to address the problem of rising childhood obesity. Taking into consideration that supporting actions to address the rising obesity challenge requires systematic, multi‐sectoral policy measures, we recognize the need for the establishment of the WHO European Centre on Prevention of Childhood Obesity. Annex 11 Selected policy recommendations to reduce childhood obesity Diet Physical activity  Restrict sales, marketing (including  Provide convenient and safe access to online marketing) and portion sizes of quality public open spaces unhealthy foods  Encourage active travel by providing  Provide subsidies to increase the safe footpaths and local cycle lanes, and consumption of fruits and vegetables creating walking buses for children  Have mandatory front‐of‐pack nutrition attending local educational facilities labelling on all foods  Ensure that urban design incorporates  Run mass‐media campaigns on healthy residential density, connected street diets networks that include sidewalks, easy  Regulate where and how food outlets access to a diversity of destinations and can operate access to public transport  Implement healthy public food  Run mass‐media campaigns, procurement and service policies; community‐based education and require that all foods and beverages motivational and environmental served or sold in public settings programmes contribute to promoting healthy diets  Provide physical activity counselling and  Control the clustering of unhealthy food referral as part of routine primary‐ outlets around secondary schools to health‐care services through brief support efforts within schools interventions Nurseries, kindergartens and schools Breastfeeding promotion  Implement whole‐of‐school  Campaigns to communicate the benefits programmes that include quality of exclusive breastfeeding for the first physical education; ensure availability of 6 months of life, alongside adequate facilities and programmes to complementary feeding up to two years support physical activity for all children and beyond  Have health‐promoting frameworks in  Implement the WHO and UNICEFa Baby‐ nurseries and kindergartens friendly Hospital Initiative to enable  Provide free meals and clean drinking‐ mothers to breastfeed infants, along water; particularly for early school years with lactation support training for and children from low‐income health professionals households  Provide universal paid maternity leave,  Implement mandatory national food national labour policies and workplace standards for schools support for breastfeeding, along with  Have statutory nutrition education in laws to protect breastfeeding in public educational curricula  Restrict the inappropriate marketing of  Implement nutrition education and products that compete with breast milk, counselling in schools to increase the as detailed in the International Code of intake of fruits and vegetables Marketing of Breast‐milk Substitutes  Make every school a health‐promoting  Encourage a healthy introduction to school through supporting solid food through reformulation of implementation, maintenance and infant food to improve its nutritional scaling‐up of initiatives profile, along with accurate labelling of 1 Adapted from: WHO European Regional Obesity Report 2022. Copenhagen: WHO Regional Office for Europe; 2022 (https://apps.who.int/iris/handle/10665/353747, accessed 10 November 2022).  these products Obesity management Parental support  Provide all children living with  Monitor and provide counselling on overweight and obesity access to nutrition and exercise before and during equitable, integrated health‐care pregnancy services for the management of the  Provide food vouchers for new parents disease as part of universal health to subsidize the purchase of healthy coverage, specifically providing access to foods family based, multi‐component, lifestyle weight‐management services a United Nations Children's Fund Saatja: WHO NCD Office <[email protected]> Saadetud: 17.02.2023 12:20 Adressaat: <"Elen Ohov"> Koopia: <"Triin Uusberg">; <"SM Info">; Ms K. Saarsalu-Layachi <[email protected]>; <[email protected]>; Kaisa.Mitt-Alvarez <[email protected]>; <[email protected]>; <[email protected]>; KÖHLER, Kristina <[email protected]>; WILLIAMS, Julianne <[email protected]>; HEINEN, Mirjam <[email protected]>; CHATURVEDI, Anna <[email protected]> Teema: Summit of the Spouses of European Leaders to launch the Network on the Prevention of Childhood Obesity in the WHO European Region, Zagreb, Croatia, 9–10 May 2023 Dear Ms Ohov, Kindly find attached a letter on Summit of the Spouses of European Leaders to launch the Network on the Prevention of Childhood Obesity in the WHO European Region, to be held in Zagreb, Croatia on 910 May 2023. The summit is co-hosted by the Presidents Office of Croatia (under the auspices of the Spouse of the President of Croatia, Professor Sanja Musiæ Milanoviæ) and the WHO Regional Director for Europe, Dr Hans Kluge. Please refer to the attached Scope and Purpose of the event. We would welcome your review of and comments on the attached draft Declaration. Please provide your feedback by close of business on 6 March 2023. Best regards, Summit of the Spouses of European Leaders to launch the Network on the Prevention of Childhood Obesity in the WHO European Region Zagreb, Croatia 9-10 May 2023 13 December 2022 Original: English Scope and Purpose Childhood obesity is one of our most daunting public health challenges. In the WHO European Region, one in three children lives with overweight or obesity, and most adults live with the same condition. Childhood obesity continues into adulthood and puts people at risk of developing noncommunicable diseases (NCDs), one of the leading causes of premature death and disability. Not enough has been done to solve the problem of childhood obesity. Not a single country in the WHO European Region – or anywhere globally – is on track to meet the WHO voluntary NCD target to halt the rise in obesity. This is a problem that requires urgent attention. Hosted by Professor Sanja Musić Milanović, Spouse of the President of Croatia, and the WHO Regional Office for Europe, the inaugural Summit of the Spouses of European Leaders will lay the groundwork for coordinated advocacy and action to finally halt the rise of childhood obesity in the WHO European Region. The Summit seeks to:  raise the priority level of ending childhood obesity within the WHO European Region;  facilitate discussion between delegates and key stakeholders on necessary actions for reducing childhood obesity in the Region, with a special focus on promoting and creating healthy environments where children have access to good nutrition and physical activity, preconception and pregnancy care, weight management; and  provide a platform to showcase the efforts of the Network on the Prevention of Childhood Obesity in the WHO European Region to prevent and control childhood obesity in the Region. Outcomes of the Summit will include:  the launch of the Zagreb Declaration, which will articulate the mission of the Network on the Prevention of Childhood Obesity in the WHO European Region; and  the launch of multiple country-level advocacy initiatives to prevent and control childhood obesity;  a high-level press event to present the mission of the Network on the Prevention of Childhood Obesity in the WHO European Region.