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Africa: Sugary Drinks, Processed Foods, Alcohol and Tobacco Are Big Killers – Why the G20 Should Add Its Weight to Health Taxes
Published
5 months agoon
By
An24 Africa
By 2030, non-communicable diseases will account for 75% of all deaths annually. Eight percent of these will be in the global south. Most of these diseases are what we call silent killers: type 2 diabetes, high blood pressure and heart disease, as well as certain types of cancer at increasingly younger ages.
The consumption of sugary drinks and processed foods high in sugar, salt and saturated fats is fuelling these pandemics. And increasingly advertising is being seen as the means by which the consumption of unhealthy products is promoted. This translates into the growth of non-communicable diseases in populations across the globe. This rising threat is driven largely by the way in which markets and industries are organised, which, in turn, shapes social norms towards consumption of tobacco, alcohol, food and sugary beverages.
This process is what’s known as commercial determinants of health.
Products that top the list in terms of their risk to health are tobacco, sugary beverages, ultra processed food and alcohol.
These products are heavily advertised. For example, in South Africa from 2013 to 2019, sugary beverage manufacturers spent US$191 million (R3.7 billion) to advertise their products. Many of the TV advertisements for sugary drinks were placed during child and family viewing time, between 3pm and 7pm.
Over the past decade a number of countries have introduced policies in a bid to limit the use and intake of harmful food and beverages. These have ranged from taxes on certain products, such as sugar, alcohol and tobacco, to bans on advertising. Many have proved effective. But there are still big gaps in policies to control these harmful products.
As academics who have researched this field for three decades we believe that the G20 can play a significant role in plugging these gaps. The countries under the G20 umbrella, which represent two thirds of the world’s population, have reason to act: all are experiencing a mounting burden of obesity-related illness such as diabetes, high blood pressure and cancer at ever-younger ages.
One of South Africa’s G20 presidency health priorities is “stemming the tide of non-communicable diseases“. In our view this is an invitation for the G20 to pledge to combat the drivers of non-communicable diseases.
The G20 can acknowledge that these diseases are part of a pathological system in which commercial actors are causing ill health. And G20 leaders can acknowledge that progress enacting health taxes has stagnated in most countries.
By galvanising attention in this way, the G20 can give impetus to a high level United Nations meeting in 2025 at which a new vision for the control and prevention of non-communicable diseases is due to be set. Health taxes and bans on marketing are focus areas.
What stands in the way of progress
Efforts by various countries to curb consumption of these harmful products have shown one thing clearly: there’s no silver bullet.
Nevertheless, evidence shows that consumers are responsive to price. This points to the fact that taxes are a key tool for decreasing demand, especially for young consumers.
Read more: Sugary drinks are a killer: a 20% tax would save lives and rands in South Africa
There is also mounting evidence that health taxes are progressive for health at a population level – in other words they lead to better health outcomes. Research also shows that they scarcely affect overall employment, if at all.
But advances on alcohol and tobacco taxes are slow. And there has been little progress on taxes on sugary beverages.
These taxes remain far too low because health promotion taxes face tough resistance from industry. When any health promotion taxes are proposed, industries deny harms, promote doubt, divert attention, spread disinformation, create front organisations, and varnish their reputations through corporate social responsibility initiatives.
When taxes do proceed through the legislative or regulatory process, industries influence proposals to make them less effective. They also offer to replace legislation with voluntary commitments. Evidence shows that voluntary commitments do not work.
What would be gained
In 2024, a report by a panel of experts showed that US$3.7 trillion in additional revenue could be generated over five years if all countries increased prices of tobacco, alcohol and sugary beverages by 50%.
This money is sorely needed to boost healthcare. Non-communicable diseases disproportionately affect the most poor and vulnerable and healthcare systems are increasingly unable to cope. Screening, diagnosis, medications and treatment are very expensive for both ministries of finance and at the household level, where health needs can result in catastrophic expenditure.
And taxes that generate a 50% increase in real prices of tobacco, alcohol and sugary beverages would save 50 million lives globally over 50 years.
Where to begin
We believe the G20 platform is a sound one on which to champion efforts to curb the consumption of harmful products. This is because half of the countries in the group have one or two policies for food such as taxes on sweetened beverages. Their experiences can therefore inform debates about how to protect the public from the fatal effects of diet-influenced diseases.
But building a solid foundation won’t be easy. What’s needed is for the G20 to put its weight behind these key points:
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Karen Hofman, Professor and Programme Director, SA MRC Centre for Health Economics and Decision Science – PRICELESS SA (Priority Cost Effective Lessons in Systems Strengthening South Africa), University of the Witwatersrand
Susan Goldstein, Associate Professor and Director of the SAMRC/Wits Centre for Health Economics and Decision Science – PRICELESS SA (Priority Cost Effective Lessons in Systems Strengthening South Africa), University of the Witwatersrand
This article is republished from The Conversation Africa under a Creative Commons license. Read the original article.
AllAfrica publishes around 500 reports a day from more than 110 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.
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AllAfrica is a voice of, by and about Africa – aggregating, producing and distributing 500 news and information items daily from over 110 African news organizations and our own reporters to an African and global public. We operate from Cape Town, Dakar, Abuja, Johannesburg, Nairobi and Washington DC.
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Africa: Africa in Economic Tug-of-War Between Tobacco Farming, Taxation, and Illicit Trade
Published
4 hours agoon
November 9, 2025By
An24 Africa
Tobacco remains a cornerstone of many African economies, yet several countries in the region continue to grapple with major public health threats linked to tobacco use. This has created a persistent conflict between economic dependence on tobacco and the urgent need to protect public health.
Zimbabwe remains the continent’s largest producer of flue-cured tobacco, with its 2025 output reaching 355 million kilograms worth US$1.2 billion, according to Tobacco Reporter. For the 2025/26 farming season, the country had already registered about 82,000 growers by the end of October 2025, down from 126,000 during the previous season, according to the Tobacco Industry Marketing Board (TIMB).
Across the border in Malawi, another giant in tobacco production, was projected to produce 175 million kilograms in 2025, representing a 31% increase from the 133 million kilograms recorded the previous year.
The Dilemma of Tobacco-Dependent Economies
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Countries that rely heavily on tobacco as a major foreign currency earner and contributor to Gross Domestic Product (GDP) often find it difficult to implement effective control measures and fair taxation policies. In some instances, novel nicotine products face even higher taxes than cigarettes as a deterrent and a strategy to shield the traditional tobacco sector from emerging competition.
Sahan Lungu, a Tobacco Harm Reduction practitioner from Malawi, said implementing effective tobacco control measures and taxes in Malawi would likely be an unpopular decision.
“In Malawi, tobacco is a significant contributor to the economy. It accounts for over 60% of national export earnings. This dependence makes it difficult to implement stringent tobacco control measures without risking economic instability. Many smallholder farmers in Malawi perceive tobacco farming as economically viable because it remains one of the most profitable crops we can grow here,” said Lungu.
He added that poor coordination among the Ministries of Finance, Agriculture, and Health hinders the development of comprehensive Tobacco Harm Reduction strategies. According to Lungu, a collaborative approach would enable more balanced policies that account for health, agriculture, and trade considerations.
“In Malawi, it is estimated that over 5,000 people die each year from tobacco-related illnesses, and we still have close to a million daily tobacco users,” he said.
Malawi currently applies a 1% withholding tax on small-scale farmers’ sales to ease their financial burden, replacing previously higher rates. This approach supports smallholder farmers while generating state revenue. However, concerns persist about corporate tax evasion among major producers, despite existing export levies on tobacco.
Joseph Magero, chairman of the Campaign for Safer Alternatives (CASA), told AllAfrica that the tobacco industry remains an especially sensitive sector for African economies.
“Tobacco provides income and employment for millions, especially in rural areas of countries like Malawi, Zimbabwe, and Tanzania, where few alternative cash crops exist. However, farmers often remain trapped in cycles of poverty due to low farm-gate prices, debt to leaf-buying companies, and fluctuating global demand. Governments also rely heavily on tobacco exports and tax revenues, making abrupt policy shifts economically risky,” said Magero.
He added that without viable alternatives or investment in crop diversification, transitioning away from tobacco could jeopardise livelihoods and destabilise economies already battling high unemployment and limited agricultural infrastructure.
Taxation: The Double-Edged Sword of Tobacco Control
In Zimbabwe, excise taxes on tobacco products are used to fund health initiatives and fiscal reforms, signaling efforts to align taxation policies with public health objectives. A notable example was the reversal of a proposed 10% tax on tobacco farmers in 2017 following industry backlash, highlighting the challenge of balancing fiscal needs with industry interests. Zimbabwe levies excise duty and surtax on manufactured tobacco products, including cigarettes, cigars, and cigarette tobacco.
Across the continent, countries that are signatories to the World Health Organisation Framework Convention on Tobacco Control (WHO-FCTC) have employed varying tax regimes to reduce tobacco use. Between 1994 and 2009, South Africa recorded a sharp increase in excise taxes alongside stronger tobacco control laws. According to a study published on the Tobacco Control BMJ platform, this led to a major decline in smoking rates and significant revenue gains.
Since then, South Africa has continued to raise tobacco taxes, with the government increasing excise duties above inflation levels. In the 2025 national budget, tobacco excise duties rose by 4.75%. As of the 2024/2025 financial year, the tax stands at approximately R21.77 per pack of 20 cigarettes.
Despite these efforts, smoking rates and deaths from tobacco-related diseases remain high. Data from the Global State of Tobacco Harm Reduction show that 20.3% of South African adults aged 15 and older smoked regularly in 2022, compared with 20.2% in 2020 and 20.7% in 2019. The country also recorded about 32,400 tobacco-related deaths, accounting for roughly 10% of total annual deaths.
This raises a critical question: why do high smoking rates and tobacco-related deaths persist in South Africa and other low- and middle-income countries despite heavy taxation and restrictive policies? Where do the smokers get their cigarettes?
Dr Mercy Korir, a Medical Doctor from Kenya, told this publication that over-taxation could work against intended public health outcomes.
“Over-taxation often fuels smuggling and counterfeit markets, especially where enforcement is weak, undermining both health goals and government revenue. These are common challenges across African borders. In Kenya, for example, we see people underage able to access some of these products online because the legislative framework isn’t clear, leaving room for the grey and black markets to thrive,” said Dr Korir.
The Rise of the Illicit Tobacco Market in Africa
The illicit tobacco industry has grown into a multibillion-dollar enterprise. Estimates from The Tobacco Atlas and Philip Morris International (PMI) put the global illicit tobacco market at between US$40 billion and US$50 billion annually, representing 11–15% of the worldwide market. Evidence shows that where taxes and regulatory restrictions are particularly heavy, the illicit market tends to expand rapidly.
In South Africa, the illicit tobacco trade was estimated to cost the economy around ZAR20 billion in 2023. The South Africa Tobacco Transformation Alliance reports that approximately 37 billion cigarettes are smoked in the country annually, with a large share believed to be illicit.
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Francois van der Merwe, spokesperson for the South Africa Tobacco Transformation Alliance, recently described the situation as a “national disaster.”
“The issue of illicit tobacco trade has to be addressed at the highest level in our country, and a decision must be made by Cabinet. When 70% of a major sector like tobacco is illicit, it signals a serious crisis,” he said.
Meanwhile, the South African Parliament is currently debating the Tobacco Products and Electronic Delivery Systems Bill, which seeks to tighten regulations around both traditional and emerging nicotine products.
Magero however noted that while taxation is a widely adopted tool to discourage smoking, excessive taxes often drive consumers into the black market.
“Over-taxation on legal tobacco or nicotine products often pushes prices beyond what many consumers can afford, creating strong incentives for illicit markets to fill the gap with cheaper, unregulated alternatives,” said Magero.
He warned that when consumers turn to the black market, governments lose revenue, oversight vanishes, and people are exposed to unregulated products with no safety standards or quality controls.
“This shift undermines public health goals, fuels criminal networks, and makes it harder for authorities to track consumption trends or enforce age restrictions,” he added.
In Kenya, the government has proposed the Tobacco Control Amendment Bill, which seeks to amend the Tobacco Control Act (Cap. 245A of 2007) to regulate both traditional tobacco products and newer nicotine-delivery systems such as e-cigarettes and nicotine pouches.
AllAfrica publishes around 600 reports a day from more than 110 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.
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Africa: Tanzania Election Failed to Comply With Democratic Standards – African Union
Published
6 hours agoon
November 9, 2025By
An24 Africa
Fiona Kelliher
Last week’s Tanzania elections failed to comply with democratic standards, says the African Union (AU), adding to mounting international pressure on president Samia Hassan’s administration over the deadly vote.
The AU’s election monitoring arm – which sent a team of 72 observers to Tanzania and Zanzibar for the 29 October election – on Wednesday pointed to ballot stuffing, the government-imposed internet blackout, allegations of excessive military force, and politically motivated abductions as “compromising election integrity”.
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The election “did not comply with AU principles, normative frameworks, and other international obligations and standards for democratic elections”, the mission’s report concluded, adding that the environment was “not conducive to peaceful conduct and acceptance of electoral outcomes”.
Protesters poured into the streets of Dar es Salaam and other cities following the election, where they faced police violence, clouds of tear gas and limited internet access.
The country’s main opposition party, Chadema, has since claimed hundreds of people were killed, a figure the government has denied.
Videos reviewed by Al Jazeera show dozens of bodies, including of people shot in the head, protesters with bloodied faces, and security forces firing guns in the streets.
The AU’s mission urged Tanzanian authorities to exercise restraint and pursue “thorough investigations” into violence against protesters.
“Tanzania should prioritise electoral and political reforms to address the root causes of its democratic and electoral challenges witnessed ahead of, during, and after the 2025 general elections,” the report says.
The AU report came amid another rare rebuke from the Southern African Development Community (SADC) earlier this week, which detailed violence, censorship and “general intimidation” of the public and opposition figures.
Overall, “voters could not express their democratic will”, the SADC says in a preliminary report released on Monday, adding that the elections “fell short” of SADC principles.
Hassan swept nearly 98% of the vote after her two main competitors were barred from competing. Chadema was disqualified in April after refusing to sign an electoral code of conduct, while the country’s second-biggest party, ACT-Wazalendo, was excluded after an objection from the attorney general.
Chadema’s leader, Tundu Lissu, separately faces a treason trial after calling for election reforms.
The SADC chronicles such events directly, writing that the disqualifications had created an “uneven political playing field” that undermined the democratic process.
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The last time the SADC openly criticised an African election process was during Zimbabwe’s election in 2023. It has since observed a handful of other elections, including in Malawi, Botswana, South Africa, Madagascar and the Democratic Republic of Congo.
In her first comments after being sworn in, Hassan appeared to blame foreigners for the protests, saying “it was not a surprise that those arrested were from other countries”, according to a translation by the Associated Press.
Hassan first took power in 2021 after the unexpected death of her predecessor, John Magufuli.
Since then, local and international watchdogs have repeatedly raised the alarm over her administration’s alleged campaign of forced disappearances, torture and assault of critics, as well as widespread media repression.
In June, a panel of United Nations experts said they had documented more than 200 disappearances in the country since 2019. – Al Jazeera
The Namibian uses AI tools to assist with improved quality, accuracy and efficiency, while maintaining editorial oversight and journalistic integrity.
Read the original article on Namibian.
Preliminary Statement: African Union Election Observation Mission to the October 2025 General Elections in the United Republic of Tanzania – the African Union Election Observation Mission Calls for Urgent Constitutional Reforms and Inclusive Politics in T
AllAfrica publishes around 600 reports a day from more than 110 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.
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Africa: 2.6bn People Live in 'Digital Darkness' Globally – World Bank
Published
18 hours agoon
November 8, 2025By
An24 Africa
A report by the World Bank has said that about 2.6 billion people globally lack access to the Internet and are therefore labelled as living in “digital darkness”.
The number is about one third of the world’s population and those lacking access to the Internet cut across continents.
The report was published by the Bank in Education for Global Development and was titled: Empowering adult learners: Navigating digital skills in the AI era.
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The report said, “Even European Union countries are facing a stark reality, as nearly half of all adults struggle to navigate the digital landscape. At the same time, job markets are evolving at breakneck speed–demanding advanced skills in artificial intelligence (AI), cybersecurity, and data science.”
But does this mean these individuals are destined to be left behind in a rapidly advancing world? Absolutely not!
“Contrary to popular belief, age is not the biggest obstacle to acquiring new digital skills — even in regions like Europe and Central Asia, where populations are aging rapidly. Evidence indicates that people maintain their cognitive capacity as they age. In fact, rather than age, lack of access to training, fear of technology and negative past experiences might influence adults’ desire to learn digital skills to an even greater extent.
“While adults are capable of learning, sustained engagement and practice through engaging and relevant training programmes are crucial for retaining and applying digital skills. This is especially relevant with the rise of AI. This technology demands that people of all age groups revisit and update traditional digital skills.
What can countries do?
While the shift to a digitally driven economy presents challenges, it also offers a major opportunity to enhance competitiveness, inclusion, and innovation. To enable digital transformation and equip individuals with foundational digital skills, countries can take targeted actions through the ACTS framework:
Action strategy design: Develop a vision and a national roadmap supported by an implementation plan with clear roles and responsibilities to relevant actors. For instance, the World Bank is supporting Azerbaijan in developing a comprehensive Digital Skills Roadmap- a strategic plan aligning government policy to define digital priorities and improve coordination. The roadmap serves as a bridge between the government’s digital vision and the concrete actions needed to achieve it.
Coordination and collaboration: Ensure alignment among government, public and private education institutions and industry stakeholders. In Türkiye, the Bank is working with the government to advance one of the country’s key priorities towards accelerating digital development to produce skills required in the current and future labour market. A new initiative will equip over 10,000 schools with ICT labs, benefiting up to 3.7 million students nationwide.
Train and upskill: Offer a range of training formats (remote/in-person, individual/collective, short- and long-term), which target different learner profiles. In Romania, the Digital Stars Project, a large-scale capacity-building initiative, will enhance the digital skills of 100,000 low-skilled citizens. Through an online training course delivered by 700 librarians across 560 newly established and modernised libraries, the program will develop digital skills and new employability opportunities.
Systematic progress monitoring: Use standard indicators and evaluate outcomes to inform policy improvements. In Kyrgyz Republic, the bank-funded Enhanced Digital Skills for Lifelong Learners grant under the Learning for the Future Project supports an impact evaluation of a technology teacher training programme which benefited 150 lower secondary informatics teachers and improved students’ digital skills across schools in urban, peri-urban and rural areas. The results will help inform future policy discussions.
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With the rise of AI and automation reshaping the world of work, today’s digital landscape presents challenges but also remarkable growth and development opportunities for adult learners, young and older. Implementing targeted actions through frameworks like ACTS–focusing on strategy design, collaboration, diversified training, and progress monitoring–can help equip adults with the necessary tools to stay competitive, resilient, and engaged in the digital economy.
The time to act is now, as investing in adult digital skills is not just about addressing an urgent need but also about seizing the chance to drive inclusive growth and innovation across our societies. To succeed, we must learn from evidence and practice, adapt to the fast-changing digital world, and scale proven solutions so that no learner is left behind.
Vanguard News
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AllAfrica publishes around 600 reports a day from more than 110 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.
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