WEBVTT 00:00:10.543 --> 00:00:11.910 I’m from Ireland. 00:00:13.406 --> 00:00:15.413 I grew up in the Lake District in Ireland. 00:00:15.413 --> 00:00:17.220 And here we are in the Lake District - 00:00:17.220 --> 00:00:18.353 in Italy. 00:00:19.710 --> 00:00:23.160 I grew up with six brothers; we are one of seven sons. 00:00:23.160 --> 00:00:26.093 Our mother was a teacher, our father a musician, 00:00:26.093 --> 00:00:29.370 and we lived on a fifty-acre farm. 00:00:29.370 --> 00:00:32.089 Now, the reason I’m telling you this story 00:00:32.301 --> 00:00:34.738 is because back then there was a certain way of life 00:00:34.738 --> 00:00:37.440 that I would like you to capture in your mind 00:00:37.440 --> 00:00:39.870 and hold onto it throughout this talk. 00:00:40.180 --> 00:00:44.780 We grew our own food; it was natural, homegrown. 00:00:44.780 --> 00:00:46.880 Wild fish ran through the river. 00:00:47.060 --> 00:00:48.501 We were good at catching them. 00:00:48.501 --> 00:00:49.668 We still are. 00:00:50.280 --> 00:00:52.000 Every animal had a name. 00:00:52.000 --> 00:00:53.125 The cows had names. 00:00:53.125 --> 00:00:54.520 They lived in the nature. 00:00:54.520 --> 00:00:57.880 They provided us with meat and milk. 00:00:59.264 --> 00:01:00.517 Nutrition. 00:01:01.337 --> 00:01:02.440 How about lifestyle? 00:01:02.440 --> 00:01:06.110 The farmers were busy from early morning, in the afternoon, 00:01:06.110 --> 00:01:10.580 and they worked physically until after sunset. 00:01:11.560 --> 00:01:15.800 I want to leave that with you, and I want to talk about health. 00:01:16.160 --> 00:01:21.840 And more specifically, chronic disease killers. 00:01:23.050 --> 00:01:27.570 Okay, the reality is, today in Europe, 00:01:27.570 --> 00:01:33.440 over 86 percent of deaths are due to chronic disease. 00:01:34.960 --> 00:01:37.780 These people are living devastating lives; 00:01:37.780 --> 00:01:39.930 their loved ones, suffering. 00:01:40.612 --> 00:01:41.880 It's a terrible situation. 00:01:41.880 --> 00:01:44.213 In fact, by the time I finish this talk, 00:01:44.213 --> 00:01:49.030 12 people in Europe will have died because of chronic disease. 00:01:50.011 --> 00:01:52.550 Chronic disease deaths are premature. 00:01:52.550 --> 00:01:57.340 But yet, we are living longer; the longevity line is going up. 00:01:57.340 --> 00:02:00.812 But how about the quality-of-life line? 00:02:01.400 --> 00:02:05.630 The quality-of-life line is not staying with the longevity line. 00:02:05.870 --> 00:02:10.840 What it means is that people spend maybe up to 20 years in poor health 00:02:10.840 --> 00:02:13.550 before they die prematurely. 00:02:14.700 --> 00:02:19.840 Oh yes, we're busy talking about terrorist attacks, aviation safety, 00:02:19.840 --> 00:02:22.620 the weather, the economic situation. 00:02:23.220 --> 00:02:25.798 Let’s talk about the elephant in the room. 00:02:25.798 --> 00:02:27.578 It’s time to talk about that. 00:02:29.080 --> 00:02:35.360 Okay, it is now time to introduce you to these chronic disease killers, 00:02:35.360 --> 00:02:39.950 chronic disease killers that lie within each and every one of us - 00:02:40.160 --> 00:02:42.520 let’s make no mistake about it. 00:02:43.320 --> 00:02:49.934 So, number one chronic disease killer - cardiovascular disease. 00:02:50.400 --> 00:02:56.000 Cardiovascular disease claims 40 percent of lives in Europe, 00:02:56.000 --> 00:02:58.920 and by the way, these numbers are similar - maybe even worse - 00:02:58.920 --> 00:03:01.118 throughout the rest of our planet. 00:03:02.560 --> 00:03:06.080 Let's take number two: cancer. 00:03:06.930 --> 00:03:09.630 Cancer is a disease involving abnormal growth 00:03:09.630 --> 00:03:12.188 which invades and takes over the body. 00:03:12.200 --> 00:03:14.830 We all know about formidable cancer. 00:03:15.789 --> 00:03:17.148 In the European Commission, 00:03:17.148 --> 00:03:19.400 we have the European Cancer Information System, 00:03:19.400 --> 00:03:22.000 and we can tell you that this year, in Europe, 00:03:22.000 --> 00:03:27.040 there will be 3.9 million new cases of cancer. 00:03:27.040 --> 00:03:30.110 Over 1.9 million people will die. 00:03:31.060 --> 00:03:32.689 Let’s take number three: 00:03:33.320 --> 00:03:34.404 diabetes. 00:03:34.760 --> 00:03:38.360 Diabetes is a group of metabolic disorders 00:03:38.360 --> 00:03:42.160 which involve high levels of sugar in the bloodstream 00:03:42.160 --> 00:03:44.700 over prolonged periods of time. 00:03:45.840 --> 00:03:48.760 Ladies and gentlemen, they are the three big killers, 00:03:48.760 --> 00:03:51.620 contributing to 86 percent of deaths. 00:03:52.760 --> 00:03:54.240 So, what do we do? 00:03:54.240 --> 00:03:58.670 What do we do to defuse these chronic disease time bombs 00:03:58.670 --> 00:04:00.160 that lie within us? 00:04:00.160 --> 00:04:01.667 Oh, hang on! 00:04:01.653 --> 00:04:04.310 Maybe some of them are preventable. 00:04:05.600 --> 00:04:08.977 Would you like to find out how preventable these diseases are? 00:04:10.320 --> 00:04:14.520 Let’s go back then to number one: cardiovascular disease. 00:04:14.520 --> 00:04:17.053 Evidence tells us that - wait for it - 00:04:17.053 --> 00:04:21.320 90 percent of cardiovascular disease is preventable. 00:04:21.320 --> 00:04:23.400 90, not 9 - 90. 00:04:24.480 --> 00:04:25.890 Take cancer. 00:04:25.890 --> 00:04:29.920 Between 40 and 45 percent of cancers are preventable. 00:04:29.920 --> 00:04:31.680 And let’s take diabetes. 00:04:31.680 --> 00:04:35.040 80 percent of diabetes cases are preventable. 00:04:35.040 --> 00:04:37.350 Well, this is just fantastic news! 00:04:38.440 --> 00:04:40.560 It’s amazing. It's fantastic! 00:04:40.790 --> 00:04:43.633 But if we look at the reality, what's happening today, 00:04:43.640 --> 00:04:48.256 if we look at health expenditure in Europe, 00:04:48.256 --> 00:04:50.730 it's about ten percent of GDP. 00:04:51.096 --> 00:04:53.590 That doesn't mean millions, it doesn't mean billions; 00:04:53.590 --> 00:04:55.515 it means trillions of euros. 00:04:56.160 --> 00:04:57.320 But the reality is, 00:04:57.320 --> 00:05:00.441 of all that money we spend on health, 00:05:00.441 --> 00:05:06.640 less than one percent goes to prevention. 00:05:08.080 --> 00:05:12.240 So, we are not here to name, to blame, or to shame. 00:05:12.240 --> 00:05:13.610 It is what it is. 00:05:13.610 --> 00:05:16.777 We as humanity have created that situation, 00:05:16.777 --> 00:05:18.676 but I have more good news. 00:05:19.480 --> 00:05:21.369 If we talk about prevention, 00:05:21.680 --> 00:05:26.450 there are two main ways to prevent disease. 00:05:26.854 --> 00:05:27.853 Number one - 00:05:27.853 --> 00:05:31.280 and now I want to bring you back to that image of my six brothers and I, 00:05:31.280 --> 00:05:32.890 back in Ireland. 00:05:33.400 --> 00:05:35.425 Number one - nutrition. 00:05:35.425 --> 00:05:37.370 What we eat every day. 00:05:37.690 --> 00:05:40.500 And number two is lifestyle. 00:05:41.640 --> 00:05:43.564 Let’s talk a little bit about nutrition. 00:05:44.600 --> 00:05:50.000 Do you know how much sugar, salt, and fat you have put through your system today? 00:05:50.880 --> 00:05:55.330 Have you eaten at least 400 grams of fruit and vegetables today? 00:05:56.720 --> 00:05:58.668 That’s about five portions. 00:05:59.358 --> 00:06:01.080 How about your red meat consumption? 00:06:01.080 --> 00:06:04.070 In Europe, we’re eating double the amount of red meat we should 00:06:04.070 --> 00:06:05.976 and half the amount of fish we should. 00:06:05.976 --> 00:06:08.900 How about your legumes? Your fiber? 00:06:10.600 --> 00:06:12.010 Then lifestyle. 00:06:12.010 --> 00:06:14.360 Lifestyle - we all know it - 00:06:14.360 --> 00:06:16.460 smoking, it's very bad. 00:06:16.460 --> 00:06:19.475 In the European Code Against Cancer, it’s the number one killer. 00:06:19.475 --> 00:06:21.842 And the number two cause of cancer in the Code 00:06:21.842 --> 00:06:23.181 is passive smoking. 00:06:23.181 --> 00:06:24.293 So, if you don't smoke, 00:06:24.293 --> 00:06:28.879 do not accept to inhale other people's passive smoke. 00:06:29.720 --> 00:06:32.380 Alcohol? Limit it. 00:06:32.380 --> 00:06:35.840 Limit it as much as you can. 00:06:35.840 --> 00:06:38.440 And the big one - physical activity. 00:06:38.440 --> 00:06:39.920 Remember the farmers years ago? 00:06:39.920 --> 00:06:41.011 From morning to night? 00:06:41.011 --> 00:06:44.080 What are we doing all day? We are doing this. 00:06:44.080 --> 00:06:46.600 And then we go home, and we do this. 00:06:46.600 --> 00:06:47.899 And then we go to bed. 00:06:49.520 --> 00:06:51.440 So basically, they’re the main things. 00:06:51.440 --> 00:06:54.400 Now, 40 years or more have passed on. 00:06:54.400 --> 00:06:57.002 Today, I’m in the Lake District in Italy, 00:06:57.002 --> 00:06:58.660 and I love it here. 00:06:58.760 --> 00:07:00.080 I’m a JRC scientist. 00:07:00.080 --> 00:07:03.960 I am a scientist working in public health on chronic disease 00:07:03.960 --> 00:07:06.478 for the European Commission’s Joint Research Centre. 00:07:07.234 --> 00:07:08.340 Now, I need to tell you 00:07:08.340 --> 00:07:12.610 that the EU and the Commission does not have a legal mandate 00:07:12.610 --> 00:07:17.480 to impose legislation on the member states to help the situation. 00:07:17.480 --> 00:07:22.040 That is up to the member states, the countries of the European Union. 00:07:22.040 --> 00:07:25.490 But we do, and we can do, 00:07:25.490 --> 00:07:28.640 and we do a lot of very good work on spearheading projects. 00:07:28.640 --> 00:07:30.473 Let me give just one or two examples, 00:07:30.880 --> 00:07:33.480 and then we will go on towards the end of the talk. 00:07:34.680 --> 00:07:38.820 In the Joint Research Centre, we have mapped school food policies. 00:07:38.930 --> 00:07:40.640 The children are the future. 00:07:40.640 --> 00:07:42.260 When children learn good habits - 00:07:42.260 --> 00:07:45.460 and the school is a controlled setting; it's an excellent setting - 00:07:45.460 --> 00:07:47.042 they will keep those good habits, 00:07:47.042 --> 00:07:50.738 just like if they learn bad habits, it would be difficult to change. 00:07:51.868 --> 00:07:53.404 With those school food policies, 00:07:53.404 --> 00:07:56.830 we then got the member states together, and they all exchanged practices: 00:07:56.830 --> 00:07:57.827 What do you do? 00:07:57.827 --> 00:07:59.210 How can we fix the situation? 00:07:59.210 --> 00:08:01.524 How can we improve the situation? 00:08:01.524 --> 00:08:02.607 We’ve looked to see 00:08:02.607 --> 00:08:08.280 how to improve the uptake of fruit, vegetables, and water in schools. 00:08:09.360 --> 00:08:12.200 We’ve even looked at national dietary requirements, 00:08:12.200 --> 00:08:15.435 and I can give you some shocking statistics now - let's do it. 00:08:15.560 --> 00:08:19.773 If you take plain rice - plain rice in its natural form 00:08:19.773 --> 00:08:24.730 should contain, or does contain, about 0.5 grams per 100 grams. 00:08:24.730 --> 00:08:26.650 That's a half a percentage. 00:08:27.480 --> 00:08:31.600 But if you look what's on the market, what are people buying and eating? 00:08:31.600 --> 00:08:35.200 Some of those products contain over 30 grams - 00:08:35.200 --> 00:08:36.799 it's added sugar - 00:08:36.799 --> 00:08:38.599 30 grams per 100 grams. 00:08:38.599 --> 00:08:42.160 So that’s like 60, 70 times more sugar. 00:08:42.160 --> 00:08:44.120 We looked at breakfast cereals, 00:08:44.120 --> 00:08:48.250 breakfast cereals all over Europe, the various categories. 00:08:48.640 --> 00:08:52.550 There’s a chart from 0 to 35 grams per 100 grams. 00:08:53.560 --> 00:08:57.106 It was red, especially for the children: 00:08:57.106 --> 00:09:00.120 the children's cereals are full of sugar. 00:09:00.120 --> 00:09:01.520 They're going to school 00:09:01.520 --> 00:09:05.320 having already exceeded, maybe, their daily dose. 00:09:06.197 --> 00:09:08.250 We’ve also looked at front-of-pack labeling. 00:09:08.250 --> 00:09:09.251 I asked you earlier: 00:09:09.251 --> 00:09:12.132 do you know how much sugar, salt, and fat you've eaten today? 00:09:12.132 --> 00:09:15.286 Well, to be honest you'd be a genius to be able to find that out 00:09:15.286 --> 00:09:17.000 because it is very difficult. 00:09:17.000 --> 00:09:18.130 Front-of-pack labeling. 00:09:18.130 --> 00:09:21.248 When you buy something and you want to it eat it or drink it, 00:09:21.246 --> 00:09:24.450 can you look at the back of it and read and understand what's there? 00:09:24.450 --> 00:09:27.160 We are looking to improve that situation. 00:09:27.160 --> 00:09:30.400 We are mapping all of the front-of-pack labeling techniques, 00:09:30.400 --> 00:09:33.366 and we will spearhead a project to hopefully change that. 00:09:33.366 --> 00:09:35.578 If we cannot communicate this to the people, 00:09:35.578 --> 00:09:38.000 then the people won’t make the change. 00:09:39.600 --> 00:09:41.760 Okay, there were some examples of what we do. 00:09:41.760 --> 00:09:43.019 We could go on, 00:09:43.016 --> 00:09:45.378 but I need to come towards the end of the speech. 00:09:46.160 --> 00:09:48.250 Now, this is not just - 00:09:48.250 --> 00:09:51.050 if you take a step on nutrition and lifestyle, 00:09:51.050 --> 00:09:55.960 it is not just about reducing your risk of chronic disease. 00:09:56.200 --> 00:09:59.620 There are two other fantastic advantages. 00:10:00.210 --> 00:10:01.457 Number one. 00:10:02.230 --> 00:10:03.230 Think about it: 00:10:03.230 --> 00:10:07.550 if 86 percent of us are dying because of chronic disease, 00:10:07.880 --> 00:10:10.960 how many of us are already toxic? 00:10:12.680 --> 00:10:15.840 How do we feel? Do we feel good? 00:10:15.840 --> 00:10:19.960 If we take a step in this direction, we will feel better. 00:10:19.960 --> 00:10:21.340 We will think better. 00:10:21.450 --> 00:10:22.840 We will sleep better. 00:10:22.910 --> 00:10:24.670 We will move better. 00:10:24.760 --> 00:10:26.600 We will do everything better. 00:10:26.600 --> 00:10:30.360 Before, when you thought, "This is a burden; this is a stress" - 00:10:30.360 --> 00:10:34.680 that will suddenly become "It's a challenge; I will get over this." 00:10:35.520 --> 00:10:38.280 Our wellbeing should not be underestimated. 00:10:38.280 --> 00:10:41.840 That is for you: this is really for all of us. 00:10:41.840 --> 00:10:47.050 And there's a second big advantage: our precious environment. 00:10:47.520 --> 00:10:50.880 Imagine if millions of people make this little move, 00:10:50.880 --> 00:10:55.000 towards eating and their lifestyle. 00:10:55.000 --> 00:10:56.780 Just making that change. 00:10:56.780 --> 00:11:00.090 Cycling, walking to work - leave the car. 00:11:00.283 --> 00:11:01.815 The air would become cleaner. 00:11:02.286 --> 00:11:04.279 Take the stairs, not the lift. 00:11:04.279 --> 00:11:05.620 You save energy. 00:11:05.620 --> 00:11:08.630 Energy, climate change - we know the story. 00:11:08.720 --> 00:11:11.301 These are a lot of factors that we can do. 00:11:12.040 --> 00:11:14.396 So there are so many advantages, 00:11:14.396 --> 00:11:18.920 and looking at these figures and numbers and saying, “I’m going to do something." 00:11:18.920 --> 00:11:21.730 And now, we're almost at the end. 00:11:21.730 --> 00:11:26.310 And I am looking at you because I have one request: 00:11:26.310 --> 00:11:30.190 to please take away even one thing with you. 00:11:30.640 --> 00:11:32.370 That maybe from tonight or tomorrow, 00:11:32.370 --> 00:11:36.080 you will go for a walk after dinner before you go to bed. 00:11:36.080 --> 00:11:38.396 Maybe look at your fruit and veg uptake. 00:11:38.760 --> 00:11:40.413 Maybe drink more water. 00:11:40.860 --> 00:11:42.501 Please take that with you. 00:11:42.700 --> 00:11:44.309 You will feel better. 00:11:44.440 --> 00:11:46.440 Your loved ones will really appreciate it. 00:11:46.922 --> 00:11:48.320 And maybe then, 00:11:48.320 --> 00:11:52.200 we can turn the tide of chronic disease. 00:11:52.200 --> 00:11:54.500 (Applause)