The BMA is extremely concerned at reports that fast-food companies will play a key role in developing the government's public health policies (McDonald's and PepsiCo to help write UK health policy, 13 November). What interest would McDonalds and Pepsi have in encouraging children to eat more fruit and vegetables and drink fewer or no fizzy drinks? The UK is facing an obesity crisis and there are already around 1 million obese children under 16. These soaring rates in obesity have led to an increase in childhood type 2 diabetes and will lead to even more cases of heart disease, osteoarthritis and some cancers. While there is no precise figure for how much obesity costs the NHS, we know that every year it spends at least £2bn on treating ill-health caused by unhealthy diets. Engagement with food companies is essential, but it should happen once policy has been decided; their role should be in making the needed changes happen.
Professor Vivienne Nathanson
Head of BMA science and ethics