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What WHO’s recommendation for low sodium salt means for India

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(Source – The Hindu, International Edition – Page No. – 7)

Topic: GS2 – Social Justice – Health
Context
  • The WHO has recommended reducing sodium intake by promoting low-sodium salt substitutes (LSSS) to combat hypertension and cardiovascular diseases.
  • WHO also highlighted India’s high salt consumption and associated health risks.

Historical Role of Salt in Public Health

  • Salt was introduced in India in the 1950s with iodine fortification, successfully combating iodine deficiency.
  • This helped prevent hypothyroidism and other health issues, improving public health over generations.
WHO’s New Guidelines on Low-Sodium Salt Substitutes (LSSS)
  • The WHO has recommended replacing sodium chloride in table salt with potassium chloride.
  • The goal is to reduce sodium intake to below 2 grams per day to prevent hypertension and cardiovascular diseases.
  • The guidelines target households but exclude packaged and restaurant foods.
  • These recommendations apply to adults, excluding pregnant women, children, and individuals with kidney impairments.

Impact of Salt on the Human Body

  • Sodium retains water in the body, increasing blood volume and pressure.
  • Reducing salt lowers blood pressure, reducing the risk of heart disease and strokes.
  • Hypertension contributes to atherosclerosis, vascular stiffness, and cardiovascular diseases.
  • Potassium helps improve vascular function, reducing arterial stiffness.

Global and Indian Health Concerns

  • High sodium intake is responsible for 1.9 million deaths globally each year.
  • Studies show that reducing salt intake by 4.4g/day lowers systolic blood pressure by 4mmHg and diastolic pressure by 2mmHg.

Initiatives to Reduce Salt Intake

  • Sapiens Health Foundation has launched the ‘Losalter Group’ to raise awareness and train physicians.
  • Experts suggest that reducing salt intake requires action from individuals, the government, and the food industry.

Challenges in Implementing Low-Sodium Salt Alternatives

  • Low-sodium salt options are costlier than regular salt, making them less accessible.
  • Experts suggest government intervention to regulate pricing and ensure proper display of these alternatives in stores.

Concerns About Potassium-Based Substitutes

  • Potassium-enriched salts are beneficial but may be harmful to people with kidney diseases.
  • Experts warn about the risk of hyperkalemia (high potassium levels) due to undiagnosed kidney issues in India.

Conclusion

  • Reducing sodium intake is essential for combating hypertension, heart disease, and stroke in India.
  • Government policies, industry cooperation, and public awareness are key to promoting low-sodium salt alternatives while ensuring safety for all. 
Practice Question:  Discuss the health implications of high sodium intake in India and evaluate the feasibility of implementing low-sodium salt substitutes (LSSS) as recommended by the WHO. (150 Words /10 marks)

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