Diabetes is the leading cause of death for South African women [2], yet the beverage industry is desperately trying to delay and further water down the sugary drinks tax (Health Promotion Levy). BevSA and Coca-Cola’s job losses scaremongering has been exposed as exaggerated [1] and self serving [3]. A recent study showed that 3/4s of adult South Africans believe that government is doing the right thing when it makes and enforces policy to discourage the consumption of sugary beverages and junk foods [4]. We can’t underestimate how far the likes of Coca-Cola will go to protect their profits at the expense of our health. Leaked Coca-Cola executive emails show that the company has managed to get a “seat at the table in on-going regulatory discussions with the Ministry of Health” and has been fighting the tax [5]. BevSA and Coca-Cola also managed to keep health experts and advocates out of the NEDLAC process. Treasury seems to be standing up against companies like Coca-Cola and announced that the sugary drinks tax is likely to be introduced in April 2018. Treasury Deputy Director General Ismail Momoniat went one step further, acknowledging the criticism from the health sector regarding the watering down of the sugary drinks tax, stating that they would “... increase the tax until we get the result we need” [6]. South Africa can’t afford any further delays or the watering down of the sugary drinks tax. [1] Sugar tax: Job losses lower than industry’s projections. Amy Green for Health-e news June 2017 [2] Diabetes - the silent killer. Amy Green for Health-e News August 15, 2017 [3] SA’s proposed sugar tax: claims about calories & job losses checked. Kate Wilkinson & Vinayak Bhardwaj for Africa Check August 2016 [4] 70% of South Africans support sugar tax - Genesis study August 31, 2017 http://www.genesis-analytics.com/news/2017/70-of-sa-suppports-sugar-tax-genesis-study [5] New #CokeLeak: Soda Tax Opposition in 8 More Countries. https://medium.com/cokeleak/new-cokeleak-soda-tax-opposition-in-8-more-countries-a53e2df3d8e4 [6] Sugary drinks tax set for April next year. Kerry Cullinan for Health-E News September 2017

Diabetes is the leading cause of death for South African women [2], yet the beverage industry is desperately trying to delay and further water down the sugary drinks tax (Health Promotion Levy). BevSA and Coca-Cola’s job losses scaremongering has been exposed as exaggerated [1] and self serving [3]. A recent study showed that 3/4s of adult South Africans believe that government is doing the right thing when it makes and enforces policy to discourage the consumption of sugary beverages and junk foods [4]. We can’t underestimate how far the likes of Coca-Cola will go to protect their profits at the expense of our health. Leaked Coca-Cola executive emails show that the company has managed to get a “seat at the table in on-going regulatory discussions with the Ministry of Health” and has been fighting the tax [5]. BevSA and Coca-Cola also managed to keep health experts and advocates out of the NEDLAC process. Treasury seems to be standing up against companies like Coca-Cola and announced that the sugary drinks tax is likely to be introduced in April 2018. Treasury Deputy Director General Ismail Momoniat went one step further, acknowledging the criticism from the health sector regarding the watering down of the sugary drinks tax, stating that they would “... increase the tax until we get the result we need” [6]. South Africa can’t afford any further delays or the watering down of the sugary drinks tax. [1] Sugar tax: Job losses lower than industry’s projections. Amy Green for Health-e news June 2017 [2] Diabetes - the silent killer. Amy Green for Health-e News August 15, 2017 [3] SA’s proposed sugar tax: claims about calories & job losses checked. Kate Wilkinson & Vinayak Bhardwaj for Africa Check August 2016 [4] 70% of South Africans support sugar tax - Genesis study August 31, 2017 http://www.genesis-analytics.com/news/2017/70-of-sa-suppports-sugar-tax-genesis-study [5] New #CokeLeak: Soda Tax Opposition in 8 More Countries. https://medium.com/cokeleak/new-cokeleak-soda-tax-opposition-in-8-more-countries-a53e2df3d8e4 [6] Sugary drinks tax set for April next year. Kerry Cullinan for Health-E News September 2017

Diabetes is the leading cause of death for South African women [2], yet the beverage industry is desperately trying to delay and further water down the sugary drinks tax (Health Promotion Levy). BevSA and Coca-Cola’s job losses scaremongering has been exposed as exaggerated [1] and self serving [3]. A recent study showed that 3/4s of adult South Africans believe that government is doing the right thing when it makes and enforces policy to discourage the consumption of sugary beverages and junk foods [4]. We can’t underestimate how far the likes of Coca-Cola will go to protect their profits at the expense of our health. Leaked Coca-Cola executive emails show that the company has managed to get a “seat at the table in on-going regulatory discussions with the Ministry of Health” and has been fighting the tax [5]. BevSA and Coca-Cola also managed to keep health experts and advocates out of the NEDLAC process. Treasury seems to be standing up against companies like Coca-Cola and announced that the sugary drinks tax is likely to be introduced in April 2018. Treasury Deputy Director General Ismail Momoniat went one step further, acknowledging the criticism from the health sector regarding the watering down of the sugary drinks tax, stating that they would “... increase the tax until we get the result we need” [6]. South Africa can’t afford any further delays or the watering down of the sugary drinks tax. [1] Sugar tax: Job losses lower than industry’s projections. Amy Green for Health-e news June 2017 [2] Diabetes - the silent killer. Amy Green for Health-e News August 15, 2017 [3] SA’s proposed sugar tax: claims about calories & job losses checked. Kate Wilkinson & Vinayak Bhardwaj for Africa Check August 2016 [4] 70% of South Africans support sugar tax - Genesis study August 31, 2017 http://www.genesis-analytics.com/news/2017/70-of-sa-suppports-sugar-tax-genesis-study [5] New #CokeLeak: Soda Tax Opposition in 8 More Countries. https://medium.com/cokeleak/new-cokeleak-soda-tax-opposition-in-8-more-countries-a53e2df3d8e4 [6] Sugary drinks tax set for April next year. Kerry Cullinan for Health-E News September 2017

Our nation’s health is in crisis and Sugary drinks are one of the most significant contributors to diabetes, obesity, heart disease, liver and kidney damage, and some cancers that are on the rise globally and in South Africa.

We know the beverage industry is desperately trying to delay and further water down the sugary drinks tax (Health Promotion Levy). BevSA and Coca-Cola’s job losses scaremongering has been exposed as exaggerated [1] and self serving [2]. A recent study showed that 3/4s of adult South Africans believe that government is doing the right thing when it makes and enforces policy to discourage the consumption of sugary beverages and junk foods [3]. We can’t underestimate how far the likes of Coca-Cola will go to protect their profits at the expense of our health. Leaked Coca-Cola executive emails show that the company has managed to get a “seat at the table in on-going regulatory discussions with the Ministry of Health” and has been fighting the tax [4]. BevSA and Coca-Cola also managed to keep health experts and advocates out of the NEDLAC process. Treasury seems to be standing up against companies like Coca-Cola and announced that the sugary drinks tax is likely to be introduced in April 2018. Treasury Deputy Director General Ismail Momoniat went one step further, acknowledging the criticism from the health sector regarding the watering down of the sugary drinks tax, stating that they would “... increase the tax until we get the result we need” [5]. South Africa can’t afford any further delays or the watering down of the sugary drinks tax. [1] Sugar tax: Job losses lower than industry’s projections. Amy Green for Health-e news June 2017 [2] SA’s proposed sugar tax: claims about calories & job losses checked. Kate Wilkinson & Vinayak Bhardwaj for Africa Check August 2016 [3] 70% of South Africans support sugar tax - Genesis study August 31, 2017 http://www.genesis-analytics.com/news/2017/70-of-sa-suppports-sugar-tax-genesis-study [4] New #CokeLeak: Soda Tax Opposition in 8 More Countries. https://medium.com/cokeleak/new-cokeleak-soda-tax-opposition-in-8-more-countries-a53e2df3d8e4 [5] Sugary drinks tax set for April next year. Kerry Cullinan for Health-E News September 2017

We know the beverage industry is desperately trying to delay and further water down the sugary drinks tax (Health Promotion Levy). BevSA and Coca-Cola’s job losses scaremongering has been exposed as exaggerated [1] and self serving [2]. A recent study showed that 3/4s of adult South Africans believe that government is doing the right thing when it makes and enforces policy to discourage the consumption of sugary beverages and junk foods [3]. We can’t underestimate how far the likes of Coca-Cola will go to protect their profits at the expense of our health. Leaked Coca-Cola executive emails show that the company has managed to get a “seat at the table in on-going regulatory discussions with the Ministry of Health” and has been fighting the tax [4]. BevSA and Coca-Cola also managed to keep health experts and advocates out of the NEDLAC process. Treasury seems to be standing up against companies like Coca-Cola and announced that the sugary drinks tax is likely to be introduced in April 2018. Treasury Deputy Director General Ismail Momoniat went one step further, acknowledging the criticism from the health sector regarding the watering down of the sugary drinks tax, stating that they would “... increase the tax until we get the result we need” [5]. South Africa can’t afford any further delays or the watering down of the sugary drinks tax. [1] Sugar tax: Job losses lower than industry’s projections. Amy Green for Health-e news June 2017 [2] SA’s proposed sugar tax: claims about calories & job losses checked. Kate Wilkinson & Vinayak Bhardwaj for Africa Check August 2016 [3] 70% of South Africans support sugar tax - Genesis study August 31, 2017 http://www.genesis-analytics.com/news/2017/70-of-sa-suppports-sugar-tax-genesis-study [4] New #CokeLeak: Soda Tax Opposition in 8 More Countries. https://medium.com/cokeleak/new-cokeleak-soda-tax-opposition-in-8-more-countries-a53e2df3d8e4 [5] Sugary drinks tax set for April next year. Kerry Cullinan for Health-E News September 2017

We know the beverage industry is desperately trying to delay and further water down the sugary drinks tax (Health Promotion Levy). BevSA and Coca-Cola’s job losses scaremongering has been exposed as exaggerated [1] and self serving [2]. A recent study showed that 3/4s of adult South Africans believe that government is doing the right thing when it makes and enforces policy to discourage the consumption of sugary beverages and junk foods [3]. We can’t underestimate how far the likes of Coca-Cola will go to protect their profits at the expense of our health. Leaked Coca-Cola executive emails show that the company has managed to get a “seat at the table in on-going regulatory discussions with the Ministry of Health” and has been fighting the tax [4]. BevSA and Coca-Cola also managed to keep health experts and advocates out of the NEDLAC process. Treasury seems to be standing up against companies like Coca-Cola and announced that the sugary drinks tax is likely to be introduced in April 2018. Treasury Deputy Director General Ismail Momoniat went one step further, acknowledging the criticism from the health sector regarding the watering down of the sugary drinks tax, stating that they would “... increase the tax until we get the result we need” [5]. South Africa can’t afford any further delays or the watering down of the sugary drinks tax. [1] Sugar tax: Job losses lower than industry’s projections. Amy Green for Health-e news June 2017 [2] SA’s proposed sugar tax: claims about calories & job losses checked. Kate Wilkinson & Vinayak Bhardwaj for Africa Check August 2016 [3] 70% of South Africans support sugar tax - Genesis study August 31, 2017 http://www.genesis-analytics.com/news/2017/70-of-sa-suppports-sugar-tax-genesis-study [4] New #CokeLeak: Soda Tax Opposition in 8 More Countries. https://medium.com/cokeleak/new-cokeleak-soda-tax-opposition-in-8-more-countries-a53e2df3d8e4 [5] Sugary drinks tax set for April next year. Kerry Cullinan for Health-E News September 2017

We know the beverage industry is desperately trying to delay and further water down the sugary drinks tax (Health Promotion Levy). BevSA and Coca-Cola’s job losses scaremongering has been exposed as exaggerated [1] and self serving [2]. A recent study showed that 3/4s of adult South Africans believe that government is doing the right thing when it makes and enforces policy to discourage the consumption of sugary beverages and junk foods [3]. We can’t underestimate how far the likes of Coca-Cola will go to protect their profits at the expense of our health. Leaked Coca-Cola executive emails show that the company has managed to get a “seat at the table in on-going regulatory discussions with the Ministry of Health” and has been fighting the tax [4]. BevSA and Coca-Cola also managed to keep health experts and advocates out of the NEDLAC process. Treasury seems to be standing up against companies like Coca-Cola and announced that the sugary drinks tax is likely to be introduced in April 2018. Treasury Deputy Director General Ismail Momoniat went one step further, acknowledging the criticism from the health sector regarding the watering down of the sugary drinks tax, stating that they would “... increase the tax until we get the result we need” [5]. South Africa can’t afford any further delays or the watering down of the sugary drinks tax. [1] Sugar tax: Job losses lower than industry’s projections. Amy Green for Health-e news June 2017 [2] SA’s proposed sugar tax: claims about calories & job losses checked. Kate Wilkinson & Vinayak Bhardwaj for Africa Check August 2016 [3] 70% of South Africans support sugar tax - Genesis study August 31, 2017 http://www.genesis-analytics.com/news/2017/70-of-sa-suppports-sugar-tax-genesis-study [4] New #CokeLeak: Soda Tax Opposition in 8 More Countries. https://medium.com/cokeleak/new-cokeleak-soda-tax-opposition-in-8-more-countries-a53e2df3d8e4 [5] Sugary drinks tax set for April next year. Kerry Cullinan for Health-E News September 2017

We know the beverage industry is desperately trying to delay and further water down the sugary drinks tax (Health Promotion Levy). BevSA and Coca-Cola’s job losses scaremongering has been exposed as exaggerated [1] and self serving [2]. A recent study showed that 3/4s of adult South Africans believe that government is doing the right thing when it makes and enforces policy to discourage the consumption of sugary beverages and junk foods [3]. We can’t underestimate how far the likes of Coca-Cola will go to protect their profits at the expense of our health. Leaked Coca-Cola executive emails show that the company has managed to get a “seat at the table in on-going regulatory discussions with the Ministry of Health” and has been fighting the tax [4]. BevSA and Coca-Cola also managed to keep health experts and advocates out of the NEDLAC process. Treasury seems to be standing up against companies like Coca-Cola and announced that the sugary drinks tax is likely to be introduced in April 2018. Treasury Deputy Director General Ismail Momoniat went one step further, acknowledging the criticism from the health sector regarding the watering down of the sugary drinks tax, stating that they would “... increase the tax until we get the result we need” [5]. South Africa can’t afford any further delays or the watering down of the sugary drinks tax. [1] Sugar tax: Job losses lower than industry’s projections. Amy Green for Health-e news June 2017 [2] SA’s proposed sugar tax: claims about calories & job losses checked. Kate Wilkinson & Vinayak Bhardwaj for Africa Check August 2016 [3] 70% of South Africans support sugar tax - Genesis study August 31, 2017 http://www.genesis-analytics.com/news/2017/70-of-sa-suppports-sugar-tax-genesis-study [4] New #CokeLeak: Soda Tax Opposition in 8 More Countries. https://medium.com/cokeleak/new-cokeleak-soda-tax-opposition-in-8-more-countries-a53e2df3d8e4 [5] Sugary drinks tax set for April next year. Kerry Cullinan for Health-E News September 2017

We know the beverage industry is desperately trying to delay and further water down the sugary drinks tax (health promotion levy). BevSA and Coca-Cola’s job losses scaremongering has been exposed as exaggerated [1] and self serving [2]. A recent study showed that 3/4s of adult South Africans believe that government is doing the right thing when it makes and enforces policy to discourage the consumption of sugary beverages and junk foods [3]. We can’t underestimate how far the likes of Coca-Cola will go to protect their profits at the expense of our health. Leaked Coca-Cola executive emails show that the company has managed to get a “seat at the table in on-going regulatory discussions with the Ministry of Health” and has been fighting the tax [4]. BevSA and Coca-Cola managed to keep health experts and advocates out of the NEDLAC process. Treasury seems to be standing up against companies like Coca-Cola and announced that the sugary drinks tax is likely to be introduced in April 2018. Treasury Deputy Director General Ismail Momoniat went one step further, acknowledging the criticism from the health sector regarding the watering down of the sugary drinks tax, stating that they would “... increase the tax until we get the result we need” [5]. South Africa can’t afford any further delays or the watering down of the sugary drinks tax. With 10,000 new diabetes cases reported to clinics each month [6], we need to act now. [1] Sugar tax: Job losses lower than industry’s projections. Amy Green for Health-e news June 2017 [2] SA’s proposed sugar tax: claims about calories & job losses checked. Kate Wilkinson & Vinayak Bhardwaj for Africa Check August 2016 [3] 70% of South Africans support sugar tax - Genesis study August 31, 2017 http://www.genesis-analytics.com/news/2017/70-of-sa-suppports-sugar-tax-genesis-study [4] New #CokeLeak: Soda Tax Opposition in 8 More Countries. https://medium.com/cokeleak/new-cokeleak-soda-tax-opposition-in-8-more-countries-a53e2df3d8e4 [5] Sugary drinks tax set for April next year. Kerry Cullinan for Health-E News September 2017 [6] Diabetes – the silent killer. Amy Green for Health-E News. August 2017

The SA National Department of Health (NDOH) is establishing the National Health Insurance (NHI) to achieve universal access to quality health care for all who live in South Africa. We welcome the commitment from the NDOH to a NHI based on principles of equity, health as a right and redress of past inequalities. The White Paper on the NHI makes it clear a ‘Single Payer’ system is the best way to achieve this. The recent NDoH documents have jettisoned these principles of equity and human rights in how it has set up Task Teams, Advisory Committees and Working Groups to ‘implement’ the NHI. The Terms of Reference for these structure now introduce protections for the medical schemes and private sector actors that are not present in the White Paper. If implemented, they will exacerbate inequality in the health sector. Also, the composition of the Committees prescribed in the Government Gazette is dominated by the private sector and other special interest groups – with almost no participation by civil society, which is present on only one of the 7 structures. Instead, we see committees loaded with representatives of Medical Schemes, Actuarial Society, Private hospital groups, Health professional societies, Academic and research organisations. Almost all of these groups have a vested interest in keeping the health system largely the way it is and many of them are directly responsible for the fundamental health system inequalities that the NHI is meant to address. This is elite decision-making at the expense of ordinary South Africans – it isn’t democratic or logical to reserve decision-making for those who stand to benefit directly while keeping ordinary South Africans in the dark. It is crucial we keep the ‘Single Payer’ principle so that all people (employed, unemployed, civil servants and all) are treated equitably in paying into and receiving benefits from the NHI. We reject an unequal and fragmented system, which is against the progressive principles of previous planning documents for the NHI. Has the private sector and vested interests captured the NHI through secret lobbying? We reject a NHI driven by technocrats and people with direct conflict of interest in designing the implementation of the NHI. We will not accept our public health system, with all its faults, being sold off to private interests so they can secure an NHI favourable to their profits. South Africa belongs to all who live in it – all South Africans have equal status and rights to influence decisions that will affect them and their children for generations. We say no to corporate capture of the NHI. We want an accountable NHI and an accountable Health Ministry that does not say one thing in a White Paper and do the opposite behind closed doors. We will not stand back and allow this shameful co-option of the NHI by a powerful elite. We call on all individuals and Civil Society organisations to insist that our leaders and the Department of Health officials are accountable and keep to the policies they have said they would advance. Forward to a People’s NHI, forward!

Zwelakhe Dala passed away on 30 March 2015. His death certificate just states that he died of natural causes. He was 55 years old and was suffering from silicosis. Zwelakhe’s widow, Nosipho, is but one of hundreds of thousands of families who stand to benefit from the class action lawsuit brought against the likes of Anglo American, Gold Fields, AngloGold Ashanti, African Rainbow Minerals, Sibanye Gold and Harmony Gold. Zwelakhe is one of thousands of workers suffering from silicosis-related diseases. In May last year, the South Gauteng High Court ruled in favour of mine workers who intend on launching a silicosis class action. The case was granted a class action certification which will make it the largest class action ever to be certified in South Africa, allowing hundreds of thousands of gold miners and their families to seek redress against gold mining companies. Below is a summary of the facts pertaining to the settlement plan: Last year, the gold mining companies launched an appeal against the court decision to allow miners suffering from silicosis and TB to fight for compensation as a group. The High Court ruled on June 24, 2016, to allow workers and families who’ve been affected by Silicosis and TB to file a class action suit against gold companies. The biggest gold producers – African Rainbow Minerals, Anglo American SA, AngloGold Ashanti, Gold Fields, Harmony, and Sibanye – are trying to negotiate a settlement, involving the departments of Health and Mineral Resources and the mine workers’ representatives. This would involve setting up a trust fund to pay “top-ups” to workers who have already been paid compensation. It would also involve bringing mine workers under the Compensation for Occupational Injuries and Diseases Act (COIDA) and the Department of Labour, instead of the Occupational Diseases in Mines and Works Act (ODIMWA) and the Department of Health. This would prevent any future civil claims by mineworkers for damages for employer negligence causing silicosis and TB. The mining companies’ choice to use appeals to delay any trial on the merits of the case for as long as possible while they manage a negotiation process away from judicial oversight is an underhanded move aimed at undermining its role, and shortchanging the claimants and their families. We have seen evidence of this in earlier settlements where 4 365 workers were paid a maximum of R464 million [1] by Anglo mines. When this figure is divided amongst the number of workers claiming it averages to a measly R106 300 per claimant. There is also a real possibility that not all claimants will be paid based on tests of a ­random sample. Just recently, Anglo American announced a $101m (R1.3bn) “best estimate” for settling its liability in the now 13-year-old legal battle to compensate mine workers suffering from lung diseases [2]. This also coincided with Gold Fields announcing its provision for a settlement amounting to $30.2m. We need to ensure that other gold mining companies implicated stop the delay tactics and pay mine workers compensation. [1] Silicosis claims: Anglo has to cough up nearly R500m, Dewald van Rensburg for News24. 6 March 2016. [2] Mines make room for silicosis settlements, Dewald van rensburg for News24. 30 July 2017.