Massive Efforts Needed to Reduce Salt Intake and Protect Lives

Spoon of salt with a red warning sign symbolizing health risk

A recent World Health Organization (WHO) global report on sodium intake reduction has highlighted an alarming reality: the world is significantly off-track towards achieving the goal of reducing sodium intake by 30% by 2025. This milestone is critical to preventing millions of avoidable deaths, yet many countries lack comprehensive policies to tackle the excessive consumption of sodium, a leading cause of heart-related diseases and premature mortality.

The report signals an urgent call to action for health professionals, policymakers, and the general public to take ambitious steps toward cutting salt consumption globally.

Why Reducing Salt is Critical

Sodium is an essential nutrient needed by our bodies in small amounts. However, when consumed in excess, it becomes a major health threat. The primary source of sodium in our diet is table salt (sodium chloride), but high amounts are often hidden in processed foods and condiments like sodium glutamate. The global average daily salt intake is estimated at 10.8 grams, more than double the WHO recommendation of less than 5 grams per day (approximately one teaspoon).

Excessive salt consumption is strongly linked to increased risks of heart disease, stroke, kidney disease, obesity, osteoporosis, and gastric cancer. According to the WHO, it is also the top dietary risk factor responsible for nutrition-related deaths. The urgency to address this cannot be overstated.

A Missed Target That Costs Lives

The report underscores a sobering reality: only 5% of WHO’s Member States currently have mandatory and comprehensive sodium reduction policies in place, while 73% have yet to fully implement such measures. Without significant improvements, millions remain at risk of preventable diseases brought on by excessive sodium consumption.

Dr. Tedros Adhanom Ghebreyesus, Director-General of WHO, stated, “Unhealthy diets are a leading cause of death and disease globally, and excessive sodium intake is one of the main culprits.” He stresses the critical need for countries to adopt WHO’s evidence-based “best buy” policies to protect their populations.

What Needs to Be Done

Countries and organizations need to go beyond voluntary reduction efforts. The WHO recommends a comprehensive approach, including the implementation of the following four «best buy» interventions:

  1. Reformulating Foods

Manufacturers should reformulate and reduce sodium content in processed foods such as snacks, canned goods, and fast food to align with global sodium targets. Governments should enforce sodium content regulations to achieve broad compliance across industries.

  1. Public Procurement Policies

Governments can set limits on sodium-rich foods within public institutions such as hospitals, schools, and workplaces. This not only aids in public health directly but also serves as an example for the private sector.

  1. Front-of-Pack Labeling

Clear, easy-to-read labels on food packaging empower consumers to make informed choices. Highlighting sodium levels upfront helps individuals choose products with less salt.

  1. Behavior Change Campaigns

Public awareness campaigns and education initiatives can play a pivotal role in changing consumption habits. These can teach individuals to use alternatives like herbs and spices or encourage home cooking over convenience meals.

The WHO’s report urges food manufacturers to implement these changes proactively and set ambitious sodium reduction targets for their products. By ensuring compliance through mandatory policies, governments can achieve wider access and level the playing field for all food companies, while prioritizing public health.

The Bigger Picture and Long-Term Savings

The potential impact of global sodium reduction efforts is significant. If implemented comprehensively, these policies could save an estimated 7 million lives by 2030. Furthermore, they align with the broader Sustainable Development Goal of reducing deaths from noncommunicable diseases.

Lowering sodium intake on a population scale also reduces healthcare costs associated with cardiovascular diseases, strokes, and other sodium-induced health issues. For policymakers, this represents not just a health investment, but an economic opportunity.

Pioneering Countries Leading the Way

Currently, only nine countries have introduced a comprehensive package of sodium reduction policies, including Brazil, Chile, Malaysia, and Spain. These countries provide valuable blueprints for others to follow. By enforcing national sodium regulations, supporting food reformulations, and educating the public, they are leading the charge to mitigate health risks and save lives.

Supporting Actions for Health Professionals and the Public

Health professionals play a critical role in educating their communities about the dangers of excessive salt intake. By counseling patients and promoting sodium reduction strategies, they can contribute to this global health mission.

For individuals, small steps can add up to significant health benefits:

  • Choose fresh or minimally processed foods.
  • Use herbs, spices, and citrus as flavor alternatives to salt.
  • Read food labels carefully to monitor sodium content.
  • Limit dining out or opt for low-sodium menu options when possible.

Public engagement and grassroots advocacy can also help encourage policy changes at the national and local levels.

The Urgency of Action

Dr. Tom Frieden, President and CEO of Resolve to Save Lives, emphasized, “The world needs action, and now, or many more people will experience disabling or deadly—but preventable—heart attacks and strokes.” Governments, organizations, and individuals must act collaboratively to meet global sodium reduction targets and prevent millions of unnecessary deaths.

The WHO has made it clear that the time for action is now. Member States are urged to implement sodium reduction policies without delay, and food manufacturers must rise to the challenge of reforming their products.

The path to reducing sodium and protecting public health is challenging but achievable. By prioritizing these «massive efforts» today, we can safeguard countless lives and build healthier nations in the years to come.