IN THE CARIBBEAN

Caribbean children are consuming too much sugar

Caribbean children is estimated 1 in 3 to be overweight or obese

Children who are overweight or obese may have serious medical problems in childhood including Type 2 Diabetes and high blood pressure

Obese children are more likely to become obese ADULTS

adult obesity is associated with increased risk of NCDs including heart disease, diabetes, metabolic syndrome, and cancer

Sugary drinks (carbonated beverages and juices) are the primary source of sugar in diets

On average one serving of these sugary drinks exceeds the daily maximum HEALTHY sugar intake for children

Children aged 2 - 18 years Adults should consume less than 50 should consume less than 25 grams grams of free sugars daily2 1 of added sugars daily 10 TEASPOONS

5 TEASPOONS = 25 GRAMS = = 50 GRAMS =

the following shows the sugar content IN GRAMS per 330ml serving for well known POPULAR international sugar sweetened drinks

50.0 39.0 35.0 35.2 35.2 34.3 35.2 36.0 35.0 COCA COLA 25.0

BARBADOS BELIZE JAMAICA SURINAME T&T CANADA USA UK CARIBBEAN INTERNATIONAL

50.0 38.1 37.1 37.1 35.8 38.0 38.0 35.0 PEPSI 25.0

BARBADOS BELIZE JAMAICA T&T CANADA USA UK CARIBBEAN INTERNATIONAL

50.0 37.1 35.3 37.1 38.0 sprite 22.0 25.0

BARBADOS BELIZE T&T USA UK CARIBBEAN INTERNATIONAL

50.0 39.0 37.1 35.3 37.1 35.0 36.0 7up 25.0

BARBADOS BELIZE T&T CANADA USA UK CARIBBEAN INTERNATIONAL

44.9 50.0 40.9 44.0 42.2 44.0 fanta orange 23.0 25.0

BARBADOS BELIZE SURINAME T&T USA UK CARIBBEAN INTERNATIONAL

45.0 50.0 29.7 29.2 29.0

25.0 schweppes TONIC water 17.0

BARBADOS T&T CANADA USA UK CARIBBEAN INTERNATIONAL

the following shows the sugar content IN GRAMS per serving & PER 330ML SERVING FOR CARIBBEAN sugar sweetened drinks

25 GRAMS 50 GRAMS 250ML 39.0 FRUITEE GINGER BEER 330ML 51.5 250ML 50.0 FRUITEE EXTREME RED 330ML 46.5 250ML 35.0 FRUITEE SORRELL RUSH 330ML 46.2 PINE HILL MANGO 250ML 35.0 JUICE DRINK 330ML 46.2 250ML 35.0 FRUTA GUAVA PINEAPPLE 330ML 46.2

KOOL KIDS CHERRY 250ML 28.0 LEMONADE JUICE DRINK 330ML 46.2

250ML 43.0 VITA MALT CLASSIC 330ML 45.8 250ML 34.0 FRUITEE PINEAPPLE PULSE 330ML 44.9

PINE HILL PASSION 250ML 33.0 FRUIT JUICE DRINK 330ML 43.6

250ML 31.0 JU-C PINE 330ML 42.6

250ML 31.0 JU-C KOLA 330ML 42.6 250ML 32.0 FRUTA FRUIT PUNCH 330ML 42.2 KOOL KIDS KIWI 250ML 25.0 STRAWBERRY JUICE DRINK 330ML 41.3

PINE HILL ORANGE 250ML 31.0 JUICE DRINK 330ML 40.9

250ML 40.0 PINE HILL FRUIT PUNCH 330ML 52.8 BARBADOS PINE HILL BLACKCURRANT 250ML 31.0 JUICE DRINK 330ML 40.9 PINE HILL APPLE JUICE 250ML 30.0 FROM CONCENTRATE DRINK 330ML 39.6 PINE HILL BAJAN 250ML 29.0 CHERRY JUICE DRINK 330ML 38.3

PINE HILL GUAVA 250ML 28.0 PINEAPPLE JUICE DRINK 330ML 37.0

250ML 28.0 CHUBBY REGGAE RED* 330ML 36.0 ANGOSTURA LEMON 250ML 28.0 LIME BITTERS 330ML 33.6 KOOL KIDS ORANGE 250ML 18.0 JUICE DRINK 330ML 29.7 *NO LABEL - TESTED BY BNSI - 25 GRAMS 50 GRAMS GOVERNMENT SERVICES

25 GRAMS 50 GRAMS 240ML 31.0 COOOL DELIGHT 330ML 42.6

355ML 40.0 DR. PEPPER 330ML 37.2 250ML 24.0 CHILLERS PINEAPPLE DRINK 330ML 31.7 25 GRAMS 50 GRAMS BELIZE

25 GRAMS 50 GRAMS 100ML 16.0 VITA MALT CLASSIC GINGER* 330ML 52.8

SERGE COOL FRUIT 200ML 28.0 MANGO PINEAPPLE 330ML 46.2

THE JAMAICAN 100ML 14.0 ORIGINAL MALTA 330ML 46.2

BIGGA I AM JAMAICA 240ML 33.0 JUICE DRINK 330ML 45.4

DG SOFT DRINK 240ML 33.0 MIDNIGHT GRAPE 330ML 45.4

WELCHITO GRAPE 200ML 25.0 JUICE DRINK 330ML 41.3

MINUTE MAID 473ML 59.0 ANTIOX POMEGRANATE 330ML 41.2

GRACE TROPICAL RHYTHMS 300ML 35.0 FRUIT PUNCH 330ML 38.5 240ML 28.0 BOOM ENERGY DRINK 330ML 38.5 240ML 28.0 BIGGA POMEGRANATE 330ML 38.5

FRUTA CRANBERRY 250ML 29.0 RASBERRY JUICE DRINK 330ML 38.3 TRU-JUICE PREMIUM 200ML 22.0 QUALITY MIXED BERRY 330ML 36.3

RIBENA BLACKCURRANT 288ML 29.0 JUICE 330ML 33.2

ARIZONA WATERMELON 240ML 24.0 FRUIT JUICE COCKTAIL 330ML 33.0

CREMO ROYAL PREMIUM 225ML 22.0 ORANGE JUICE 330ML 32.3

LASCO ICOOL 240ML 23.0

JAMAICA TANGERINE DRINK 330ML 31.6 240ML 23.0 ISLAND STAR FANTASY 330ML 31.6 240ML 22.0 TROPICANA TROPICS GRAPE 330ML 30.3

APPLE & EVE 200ML 18.0 100% APPLE JUICE 330ML 29.7 240ML 19.0 GRACE ALOE VERA DRINK 330ML 26.1

APPE & EVE 250ML 18.0 100% APPLE JUICE 330ML 23.8 600ML 40.0 HAWAIIAN PUNCH 330ML 22.0 240ML 15.0 CRAN GRAPE WATA 330ML 20.6

BIGGA I AM 600ML 31.0 JAMAICA APPLE 330ML 17.1

BIGGA I AM 600ML 24.0 JAMAICA GRAPEFRUIT 330ML 13.2 *TOTAL CARBOHYDRATES 25 GRAMS 50 GRAMS (SUGARS NOT LISTED)

25 GRAMS 50 GRAMS 200ML 105.0 THRILL CHERRY CHEMPANE 330ML 92.4

250ML 33.0 FERNANDES SOFT DRINK 330ML 43.6

FRUTA CARTON 250ML 32.0 ORANGE JUICE 330ML 42.2 250ML 31.0 JUICLY REAL JUICE 330ML 40.9

FRUTA CAN 315ML 38.0 ORANGE DRINK 330ML 39.8 350ML 42.0 SURI ORANGE JUICE 330ML 39.6

FRUTA KOOL KIDZ 200ML 24.0 ORANGE JUICE DRINK 330ML 39.8

MOGU MOGU 320ML 36.0 ORANGE JUICE 330ML 37.1 250ML 27.0 XL ENERGY DRINK 330ML 35.6 250ML 27.0 RED BULL 330ML 35.6 250ML 26.0 MORE PUNCH NECTAR 330ML 34.3 250ML 24.0 BUSTA COLA SURINAME 330ML 31.7 591ML 35.0 POWERADE MOUNTAIN BLAST 330ML 19.5 591ML 34.0 COOL BLUE GATORADE 330ML 19.0 375ML 17.0 RC COLA 330ML 15.3 25 GRAMS 50 GRAMS

25 GRAMS 50 GRAMS 167ML 36.0 SOLO RAISIN 330ML 71.3

300ML 32.0 PEARDRAX 330ML 35.2 237ML 23.0 BUSTA PINEAPPLE SODA 330ML 32.0 237ML 23.0 BUSTA BANANA 330ML 32.0 237ML 24.0 KOLA CHAMPAGNE 330ML 33.2

315ML 39.0 FRUTA FRUIT PUNCH 330ML 40.9

315ML 38.0 FRUTA APPLE JUICE 330ML 39.8

GUAVA PINEAPPLE 315ML JUICE DRINK 330ML 45.0 355ML 43.0 SUNKIST SODA 330ML 40.0 355ML 30.0 MOUNTAIN DEW 330ML 41.3

240ML 31.0 JU-C RED 330ML 42.6

240ML 34.0 JU-C RED 330ML 46.8 240ML 26.0 AMERICAN CLASSIC SODA 330ML 36.2 250ML 20.0 ORCHARD APPLE CHERRY 330ML 26.4 250ML 18.0 ORCHARD APPLE DRINK 330ML 23.8 ORCHARD APPLE JUICE 250ML 29.0 NO SUGAR ADDED 330ML 38.3 250ML 28.0 ORCHARD CRANBERRY DRINK 330ML 37.0

ORCHARD PARTY 250ML 25.0 MIX FRUIT PUNCH 330ML 33.0 ORCHARD FRUIT 250ML 21.0 PUNCH DRINK 330ML 27.7 250ML 34.0 ORCHARD GINGER BEER 330ML 44.9

ORCHARD PARTY 250ML 15.0 MIX GRAPEFRUIT 330ML 19.8 250ML 29.0 ORCHARD GRAPEFRUIT JUICE 330ML 38.3 ORCHARD 100% GRAPE JUICE 250ML 29.0 NO SUGAR ADDED 330ML 38.3 330ML 37.0 ORCHARD VIBE GUAVA PINE 330ML 37.0 330ML 45.0 ORCHARD VIBE LUV PUNCH 330ML 45.0 250ML 32.0 ORCHARD PARTY MIX MAUBY 330ML 42.2 Trinidad & Tobago Trinidad 250ML 22.0 ORCHARD PARTY MIX ORANGE 330ML 29.0

250ML 19.0 ORCHARD ORANGE DRINK 330ML 25.1 ORCHARD ORANGE 330ML 34.0 GRAPEFRUIT DRINK 330ML 34.0

ORCHARD 100% ORANGE JUICE 250ML 23.0 NO SUGAR ADDED 330ML 30.4

ORCHARD ORANGE JUICE 250ML 26.0 WITH CA+VITAMIN C+E 330ML 34.3 250ML 32.0 ORCHARD PARADISE PUNCH 330ML 42.2 ORCHARD 100% PINEAPPLE 250ML 29.0 JUICE NO SUGAR ADDED 330ML 38.3 ORCHARD VIBE 330ML 37.0 RAINBOW PUNCH 330ML 37.0 250ML 33.0 ORCHARD SORREL DRINK 330ML 43.6

ORCHARD CALORIE 285ML 14.0 CONSCIOUS APPLE 330ML 16.2 ORCHARD CALORIE 285ML 11.0 CONSCIOUS ORANGE 330ML 12.7 25 GRAMS 50 GRAMS

WHAT YOU CAN DO

Consume fewer Drink water & coconut water sugary drinks HOME

advocate to improve school food environments, removing unhealthy foods & sugary drinks, banning promotion & marketing of unhealthy foods & encouraging vendors in and around schools to sell healthy products YOUR Approach local supermarkets to remove community sugary drinks from the line of sight of children and replace with water

use advocacy tools to build public awareness about the harmful effects of high sugar diets Speak to local manufacturers & urge them to reformulate their products and reduce the sugar content COUNTRY Support national taxes on sugar sweetened beverages NGOs WHO recommends excise taxes of no less than 20%

Source of data: HCC members in participating countries submitted photos of product packaging between Jan 2016 and August 2016. In some cases, this has not been independently verified by the HCC. International Sugar-Sweetened Soft Drink Data from survey by Action on Sugar UK.

Serving Size: Actual and average serving sizes are presented for products. An average was used to facilitate product comparisons as serving sizes vary considerably between products. The average serving size used is 330mL based on work done by Action on Sugar UK.

1Recommended Daily Maximum Intake Children: For children 2-18 years, the American Heart Association (AHA) recommends a maximum daily intake of added sugars of 25g.

2Recommended Daily Maximum Intake Adults: For adults, the WHO recommends reducing the daily intake of free sugars to less than 10% of total energy intake (strong recommendation) or 50g. [The WHO recommends a further reduction of the daily intake of free sugars from 10% of total energy intake (50g) to below 5% of total energy intake or less than 25g to provide additional benefits.]

Free sugars and added sugars: Both added sugars and free sugars are dietary sugars that provide rapidly-absorbed, concentrated doses of fructose. Added sugars are sugars added to food during processing. The term “free sugars” is inclusive of added sugars, but also includes sugars found naturally in foods like fruit juice and honey. Since free sugars are metabolically equivalent to added sugars, the AHA guidelines apply to both added sugars and free sugars combined.