The soda industry won big in Chicago this week when county commissioners voted to scrap the 1-cent-per-ounce tax on sugary drinks that had been in place for just two months.

This is a stark turn for the effort to tax these drinks, which has been making headway as voters and City Councils in at least a half-dozen other cities, including San Francisco and Philadelphia, in recent years approved measures in favor of soda levies. The sudden about-face in Chicago, after a battle in which both sides spent millions on TV and radio ads, offers an important lesson for advocates of these taxes, ourselves included, as the industry we call Big Soda takes aim at other communities: We can’t forget the grass roots.

While we are longtime healthy-food advocates, we have only recently awakened to the alarm bell of sugary drinks. For years, these drinks were flagged for “empty calories” that lead to weight gain. Today, the public health community understands that consuming sugar — particularly in liquid form — increases risks of serious health conditions, such as heart disease, Type 2 diabetes and nonalcoholic fatty liver disease, not to mention tooth decay. A 2010 study found that consuming just one to two sugary drinks a day increases your risk of developing diabetes by 26 percent.

While sugar is everywhere — in cookies and crackers, breads and pasta sauce — the single largest source in the American diet is sugary drinks. A 20-ounce Coca-Cola contains 65 grams of added sugar, significantly exceeding the American Heart Association’s daily maximum recommendation for adult women, 25 grams, and adult men, 36 grams.

It’s not hyperbolic to claim that sugary drinks pose a major public health threat. Nationally, we spent $245 billion on diabetes medical costs in 2012. By 2030 we could be spending as much as $818 billion on the direct medical costs of heart disease. Both illnesses are associated with the consumption of sugary drinks.

Fortunately, we have effective tools for addressing this crisis. Taxes on sugary drinks are one. As a peer-reviewed study published this spring found, since the tax went into effect in Berkeley, Calif., in March 2015, purchases of healthier drinks have gone up and sales of soda have gone down, all without consumer grocery bills increasing or the local food sector losing money. The tax raised about $1.5 million last year for nutrition and health programs in a city of 113,000 people.

Since Berkeley passed its tax, seven municipalities have followed suit, and many others, even some states, are interested in doing the same. This has Big Soda scared because these taxes — with the awareness they create about the health effects of sugar and the consumption they reduce — threaten the industry’s bottom line.

How scared? Leaked internal Coca-Cola emails last year revealed a “coordinated war” against policies like these, says a public health advocate, Kyle Pfister, who has studied these documents. This war, waged by the American Beverage Association and sugary drink manufacturers like Coca-Cola, includes a slew of duplicitous tactics, like funding research to give a hue of legitimacy to their anti-tax claims, pursuing social media influencers, lobbying at every level of government and targeting key journalists for persuasion. These time-tested tactics have been used by the tobacco industry in its fight against cigarette taxes.

The industry also starts and funds faux grass-roots organizations. In another email, a trade group representative boasted about the impact of Philadelphians Against the Grocery Tax, an industry-funded group, which deployed an aggressive media strategy that achieved a “significant shift in public attitudes away from initial majority support for the discriminatory tax” in Philadelphia. In the end, the industry lost there.

In Cook County, which includes Chicago, the industry’s “Can the Tax” campaign spent millions on local TV ads and pressured commissioners, in particular critiquing the use of the soda tax revenue to help cover budget deficits. (In other cities, the money has been directed to public health concerns or, in the case of Philadelphia, to fund universal pre-K.) When Jesus Garcia, a Cook County commissioner, signaled he would vote to repeal the tax, he acknowledged that the beverage industry used its financial power to shape public opinion before supporters of the tax were able to craft their own message for a public debate.

There is an important lesson here: When efforts for sugary-drinks taxes are driven and supported by community coalitions that build public awareness early on, they’re better able to withstand industry attacks. Strong coalitions are vital both to adopt new taxes and to ensure they remain to curb consumption and generate funds for public health programs.

In Berkeley, the industry waged a $2 million anti-tax campaign. We credit the success of the tax effort there to a broad-based community coalition — a united front of the local NAACP., Latinos Unidos, teachers unions and many more groups. This compact was strong enough to withstand the industry’s onslaught. We won decisively, with 76 percent of the vote. Community engagement is key.

While the Cook County decision is a setback, it’s a clear reminder of what it will take to win. There’s no substitute for good, old-fashioned community building. We know we will be outspent. Let’s not be outnumbered.

Originally published in The New York Times

Photo by Jean Balzan/Pexels

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An audacious idea was hatched: A global boycott of the biggest pusher of infant formula, the Big Food giant Nestlé. The resulting campaign included the founding of INFACT (now known as Corporate Accountability International and home to Real Food Media) and, while the campaign didn’t end Nestlé’s marketing of infant formula, it dramatically restricted how, what, and where the company could market.

This multi-decade campaign of courageous leaders around the world working to promote health in the face of multinational food industry marketing was front-of-mind reading The New York Times deeply reported piece about Nestlé in Brazil. In the piece, you learn about how the global giant is still impacting the health and well being of people around the world, not only through its ongoing marketing of infant formula, but also KitKats, pudding, sugar-sweetened yoghurt. The Times pieces is powerful evidence that preventable diet-related illnesses are on the rise and the processed foods industry, including giants like Nestlé, are driving this public health scourge.

We at Real Food Media believe as a global community, we must stand up to Big Food and its attempts to influence our elected officials and demand real regulation and new policies for public health. The good news is we know there are policies that work—the ones we seek to amplify, through our videos, collaborations and media engagement—like restricting marketing to children (particularly in schools and hospitals), promoting healthy food procurement through initiatives like the Good Food Purchasing Program, and passing taxes like the sugary beverage taxes. (Ideas I shared in a Letter to the Editor, published here).

If you haven’t yet, we encourage you to read The New York Times piece and turn the heartbreak you may feel when you finish into positive action—what we try to do every day.

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