Open Letter to The Honourable Mia Amor Mottley, Q.C., M.P.

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OPEN LETTER

The Honourable Mia Amor Mottley, Q.C., M.P.

Prime Minister and Minister of Finance, Economic Affairs and Investment

And

The Honourable Ryan R. Straughn, M.P.

Minister in the Ministry of Finance Ministry of Finance, Economic Affairs and Investment

15 March, 2024

Dear The Honourable Mia Amor Mottley and The Honourable Ryan R. Straughn,

The Healthy Caribbean Coalition (HCC) in partnership with our member organisation, the Heart and Stroke Foundation of Barbados and the Barbados Childhood Obesity Prevention Coalition, extends its congratulations to the Government of Barbados for its bold decision to implement a 20 percent excise tax on snacks high in salt and to remove import duties and VAT on selected fruits and vegetables, effective June 1st, 2025.

The Caribbean has the highest noncommunicable disease (NCD) mortality rate in the Americas, with 40 percent of these deaths occurring prematurely before the age of 70. This disproportionately affects the most productive members of society, leading to severe socioeconomic consequences, particularly as aging populations place increasing strain on already vulnerable economies. According to data from the Health of the Nation Survey (2011), 41 percent of Barbadian adults aged 25 and older are diagnosed with high blood pressure and more than half of all men and women above the age of 45 were hypertensive.

The introduction of the excise tax on snacks with high salt content is a proactive measure aimed at reducing the consumption of unhealthy, ultra-processed products high in salt, sugar and fat, while the removal of taxes on fruits and vegetables will improve affordability and accessibility to healthier dietary options for all citizens. These interventions, which form a broader strategy to tackle the pressing health and economic impacts of obesity and NCDs in Barbados, complement the 20 percent tax on sugar-sweetened beverages and the National School Nutrition Policy, These policy measures align with the Declaration of Mission Barbados, which sets a target of achieving a 50 percent reduction in new cases of NCDs. Additionally they reflect the government’s commitment to the Sustainable Development Goals, specifically Goal 3.4, which aims to reduce premature mortality from NCDs by one-third by 2030.

As we build on the progress of the 2007 Port-of-Spain Declaration and look ahead to the Fourth United Nations High-Level Meeting (HLM4) on NCDs in September, strong leadership remains essential in reducing the NCD burden and improving the quality of life for those affected. We trust that the Government of Barbados will continue to demonstrate strong leadership and serve as a model for CARICOM by prioritizing the implementation of cost-effective high-impact interventions outlined in the WHO Best Buys and other evidence-based strategies for NCD prevention.

Signed 

HCC President Dr. Kenneth Connell

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