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Strategies to Reduce Sodium Intake in the United States (2010)
Food and Nutrition Board (FNB)

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. "8 Committee's Considerations and Basis for Recommendations." Strategies to Reduce Sodium Intake in the United States. Washington, DC: The National Academies Press, 2010.

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Strategies to Reduce Sodium Intake in the United States

the benefits of the tax incentive offered for lower-sodium foods against the potentially lower revenue that might occur if many of their customers prefer higher-sodium foods because of their taste. It is unclear whether food manufacturers and restaurant/foodservice operators would consider it to their advantage to offer lower-sodium foods once they evaluate the total potential effect on their profits. Furthermore, food manufacturers and restaurant/foodservice operators that can most easily reduce the sodium content of their foods are likely to do so, with the result that this strategy might achieve reductions only in some foods offered in some locations. In other words, tax incentives may not result in broad sodium intake reduction across the population. Because of the uncertainties regarding the resulting reduction of sodium intake, the costs of implementing a tax incentive system (including the extensive reporting requirements that would be needed) would likely exceed the benefits of such a strategy.

Salt Tax on Foods with High Sodium Content

Public policy advocates have recently been making the case for instituting food taxes on certain foods that are suspected to be leading causes of obesity4 (Brownell and Frieden, 2009; Brownell et al., 2009). These types of taxes, often referred to as “sin taxes,” are typically excise (i.e., per-unit) taxes imposed on particular products that are believed to be harmful to society (Williams and Christ, 2009). By increasing the prices that consumers pay for these potentially harmful products, this theory suggests that consumers will reduce their purchases, substitute more healthful alternatives, and thus improve public health. Although these taxes are typically proposed for foods such as calorically sweetened beverages and high-fat snacks to reduce their consumption due to concerns about obesity, it has also been suggested that foods high in sodium could be taxed to reduce their consumption due to concerns about diseases associated with high sodium intake.

There is insufficient evidence to demonstrate the effectiveness of a sodium tax or to ensure that it will not result in unintended consequences. Past research has shown that consumers are not very responsive to small changes in food prices (i.e., food prices are relatively inelastic). Thus, the tax rate on high-sodium foods would have to be fairly substantial to induce a sufficiently large change in food purchases in order to have a major influence on health (Forshee, 2008; Golan et al., 2009; Waist banned, 2009). This has already been demonstrated by the fact that states that have implemented taxes on soft drinks have not seen a substantial effect

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248
Front Matter (R1-R12)
Summary (1-16)
1 Introduction (17-28)
2 Sodium Intake Reduction: An Important But Elusive Public Health Goal (29-66)
3 Taste and Flavor Roles of Sodium in Foods: A Unique Challenge to Reducing Sodium Intake (67-90)
4 Preservation and Physical Property Roles of Sodium in Foods (91-118)
5 Sodium Intake Estimates for 2003–2006 and Description of Dietary Sources (119-152)
6 The Food Environment: Key to Formulating Strategies for Change in Sodium Intake (153-212)
7 The Regulatory Framework: A Powerful and Adaptable Tool for Sodium Intake Reduction (213-234)
8 Committee's Considerations and Basis for Recommendations (235-284)
9 Recommended Strategies to Reduce Sodium Intake and to Monitor Their Effectiveness (285-296)
10 Next Steps (297-316)
Committee Member Biographical Sketches (317-324)
Appendix A: Acronyms, Abbreviations, and Glossary (325-334)
Appendix B: Government Initiatives and Past Recommendations of the National Academies, the World Health Organization, and Other Health Professional Organizations (335-356)
Appendix C: International Efforts to Reduce Sodium Consumption (357-404)
Appendix D: Salt Substitutes and Enhancers (405-408)
Appendix E: Background on the National Health and Nutrition Examination Surveys and Data Analysis Methods (409-416)
Appendix F: Sodium Intake Tables (417-442)
Appendix G: National Salt Reduction Initiative Coordinated by the New York City Health Department (443-452)
Appendix H: Federal Rulemaking Process (453-456)
Appendix I: Nutrition Facts Panel (457-458)
Appendix J: State and Local Sodium Labeling Initiatives (459-466)
Appendix K: Approach to Linking Universal Product Code (UPC) Sales Data to the Nutrition Facts Panel (467-468)
Appendix L: Public Information-Gathering Workshop Agenda (469-472)
Index (473-494)