Food Safety and Nutrition in India - A Public Health Challenge
April 24, 2025

Context:

  • In India, food safety and nutrition are often overshadowed by socio-political considerations, despite alarming public health indicators like widespread child malnutrition and rising non-communicable diseases.
  • Rampant food adulteration - ranging from milk and paneer to spices and oils - not only endangers health but also undermines the country’s economic credibility and regulatory framework.

Food and its Socio-Political Dimensions:

  • Food as a social construct: Decisions around food in India, including mid-day meals and public functions, are influenced more by social and political contexts than by nutritional needs.
  • Neglect of health aspects: Health considerations often take a back seat despite alarming nutrition indicators. 

Nutritional Status and Policy Apathy:

  • NFHS-5 (2019–21) findings (among under five children):
    • Stunting: 35.5%
    • Wasting: 19.3%
    • Underweight prevalence: 32.1%
  • Lack of nutritional prioritization: Despite such indicators, public health and nutrition continue to be low on the policy agenda.

The Menace of Food Adulteration:

  • Adulteration in dairy products:
    • Milk adulteration:
      • National survey on milk adulteration (2011): 70% of milk samples failed safety standards.
      • Common adulterants: Water, salt, detergents, glucose.
    • Fake paneer: Detected in Delhi, Mumbai, Noida with adulterants like starch, synthetic milk, acetic acid.
  • Spices:
    • Hong Kong banned (April 2024) MDH and Everest spice blends for containing ethylene oxide (carcinogen).
    • The EU has raised concerns about the presence of ethylene oxide in chilli peppers from India, and banned 400 spice items between 2019–2024 due to contamination.
  • Edible oil contamination:
    • Common adulterants: Rice bran oil, argemone oil, artificial allyl isothiocyanate.
    • Health implications: Linked with non-communicable diseases like diabetes.

Public Health Implications:

  • India’s health crisis:
    • Referred to as the "Diabetes Capital" with 77 million adults (above 18) suffering from this non-communicable disease.
    • A recent study by the Indian Council of Medical Research (ICMR) has attributed this to the dietary patterns, including ultra-processed and fried food consumption.
  • Lack of public awareness: Adulterated food leads to food poisoning and even death in severe cases.

Regulatory and Institutional Gaps:

  • Role of Food Safety and Standards Authority of India (FSSAI):
    • Conducts raids, tests sample, cancels licenses.
    • Urges the public to be cautious - a shift of responsibility from the state to individuals.
  • Challenges in implementation:
    • Weak state infrastructure hampers effective food regulation.
    • Need for capacity building among food producers and vendors.

Way Forward - Reforms and Recommendations:

  • Stricter FSSAI enforcement: Nationwide standardization and compliance.
  • Improved food supply chain: Focus on farming, processing, and packaging hygiene.
  • Food literacy: Promotion of awareness regarding safe and nutritious food consumption.
  • Review of pesticide permissibility: Update safety norms to align with global standards.
  • Empowering citizens without abdicating state responsibility: Balanced accountability framework.

Conclusion:

  • Food safety is not just a health concern - it is a governance issue with socio-economic and international ramifications.
  • Ensuring clean, nutritious, and unadulterated food must be a state priority backed by institutional strength, regulatory vigilance, and public engagement, especially in a country facing dual burdens of undernutrition and non-communicable diseases.

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