Asked by: Lord Rooker (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the answer by Lord Kamall on 6 July (HL Deb cols 1001–2) regarding the scientific evidence available regarding folic fortification, whether they will publish the science brief referred to by Lord Kamall referencing heliocentrism versus geocentrism.
Answered by Lord Kamall - Shadow Minister (Health and Social Care)
The scientific contestation referred to is summarised in the paper Folic acid and neural tube defects: Discovery, debate and the need for policy change by Professor Nicholas Wald. Professor Wald asserts that the United Kingdom should pursue a higher level of fortification than would be permitted by the UK’s Tolerable Upper Level (TUL). A copy of the paper is attached.
The Government and its independent scientific advisory bodies have agreed that fortification of non-wholemeal wheat flour with folic acid, at a level informed by the guidance for supplemental intake of folic acid intake advised by the UK Expert Group on Vitamins and Minerals, is a safe and effective measure to reduce the number of neural tube defects (NTDs).
This view is supported by the Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment (COT) and by the Scientific Advisory Committee on Nutrition (SACN). In 2018 COT published Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment: COT position paper on the current upper level for folic acid intake in response to a previous paper by Professor Wald, addressing the technical points raised in objection to the TUL and continuing to recommend its use. A copy of this paper is attached.
Deaths associated with high levels of folic acid refers to potential unintended harms which may arise following the fortification of flour with folic acid, such as an increase in the potential masking of vitamin B12 deficiency or pernicious anaemia where the deficiency can cause permanent neurological damage which can lead to death if untreated.
No recent discussions have taken place with countries which have implemented folic acid fortification on unintended consequences of the policy. However, evidence from a number of countries, including those which have implemented folic acid fortification policies, was considered by the SACN and COT to establish the safety and efficacy of fortifying food with folic acid. Analysis by COT and the SACN found that there was insufficient evidence to discount a number of potential risks at very levels of fortification.
While there is no specific scientific briefing relating to the debate between heliocentrism versus geocentrism, as I stated in the debate, we will routinely review the policy post-implementation to ensure it meets the objective of reducing NTDs while avoiding any unintended consequences. The forthcoming consultation will outline the proposed fortification levels with the supporting scientific rationale.
Asked by: Lord Rooker (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what discussions they have held with governments of other nations which operate a policy of mandatory fortification with folic acid regarding any unintended consequences which have arisen.
Answered by Lord Kamall - Shadow Minister (Health and Social Care)
The scientific contestation referred to is summarised in the paper Folic acid and neural tube defects: Discovery, debate and the need for policy change by Professor Nicholas Wald. Professor Wald asserts that the United Kingdom should pursue a higher level of fortification than would be permitted by the UK’s Tolerable Upper Level (TUL). A copy of the paper is attached.
The Government and its independent scientific advisory bodies have agreed that fortification of non-wholemeal wheat flour with folic acid, at a level informed by the guidance for supplemental intake of folic acid intake advised by the UK Expert Group on Vitamins and Minerals, is a safe and effective measure to reduce the number of neural tube defects (NTDs).
This view is supported by the Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment (COT) and by the Scientific Advisory Committee on Nutrition (SACN). In 2018 COT published Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment: COT position paper on the current upper level for folic acid intake in response to a previous paper by Professor Wald, addressing the technical points raised in objection to the TUL and continuing to recommend its use. A copy of this paper is attached.
Deaths associated with high levels of folic acid refers to potential unintended harms which may arise following the fortification of flour with folic acid, such as an increase in the potential masking of vitamin B12 deficiency or pernicious anaemia where the deficiency can cause permanent neurological damage which can lead to death if untreated.
No recent discussions have taken place with countries which have implemented folic acid fortification on unintended consequences of the policy. However, evidence from a number of countries, including those which have implemented folic acid fortification policies, was considered by the SACN and COT to establish the safety and efficacy of fortifying food with folic acid. Analysis by COT and the SACN found that there was insufficient evidence to discount a number of potential risks at very levels of fortification.
While there is no specific scientific briefing relating to the debate between heliocentrism versus geocentrism, as I stated in the debate, we will routinely review the policy post-implementation to ensure it meets the objective of reducing NTDs while avoiding any unintended consequences. The forthcoming consultation will outline the proposed fortification levels with the supporting scientific rationale.
Asked by: Lord Rooker (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the answer by Lord Kamall on 6 July (HL Deb col 1000), whether they will give details of the cases where people “have died because of high levels of folic acid”.
Answered by Lord Kamall - Shadow Minister (Health and Social Care)
The scientific contestation referred to is summarised in the paper Folic acid and neural tube defects: Discovery, debate and the need for policy change by Professor Nicholas Wald. Professor Wald asserts that the United Kingdom should pursue a higher level of fortification than would be permitted by the UK’s Tolerable Upper Level (TUL). A copy of the paper is attached.
The Government and its independent scientific advisory bodies have agreed that fortification of non-wholemeal wheat flour with folic acid, at a level informed by the guidance for supplemental intake of folic acid intake advised by the UK Expert Group on Vitamins and Minerals, is a safe and effective measure to reduce the number of neural tube defects (NTDs).
This view is supported by the Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment (COT) and by the Scientific Advisory Committee on Nutrition (SACN). In 2018 COT published Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment: COT position paper on the current upper level for folic acid intake in response to a previous paper by Professor Wald, addressing the technical points raised in objection to the TUL and continuing to recommend its use. A copy of this paper is attached.
Deaths associated with high levels of folic acid refers to potential unintended harms which may arise following the fortification of flour with folic acid, such as an increase in the potential masking of vitamin B12 deficiency or pernicious anaemia where the deficiency can cause permanent neurological damage which can lead to death if untreated.
No recent discussions have taken place with countries which have implemented folic acid fortification on unintended consequences of the policy. However, evidence from a number of countries, including those which have implemented folic acid fortification policies, was considered by the SACN and COT to establish the safety and efficacy of fortifying food with folic acid. Analysis by COT and the SACN found that there was insufficient evidence to discount a number of potential risks at very levels of fortification.
While there is no specific scientific briefing relating to the debate between heliocentrism versus geocentrism, as I stated in the debate, we will routinely review the policy post-implementation to ensure it meets the objective of reducing NTDs while avoiding any unintended consequences. The forthcoming consultation will outline the proposed fortification levels with the supporting scientific rationale.
Asked by: Lord Rooker (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the answer by Lord Kamall on 6 July (HL Deb col 999), whether they will cite the “scientific contestation” referred to concerning folic acid fortification as part of the Bread and Flour Regulations review.
Answered by Lord Kamall - Shadow Minister (Health and Social Care)
The scientific contestation referred to is summarised in the paper Folic acid and neural tube defects: Discovery, debate and the need for policy change by Professor Nicholas Wald. Professor Wald asserts that the United Kingdom should pursue a higher level of fortification than would be permitted by the UK’s Tolerable Upper Level (TUL). A copy of the paper is attached.
The Government and its independent scientific advisory bodies have agreed that fortification of non-wholemeal wheat flour with folic acid, at a level informed by the guidance for supplemental intake of folic acid intake advised by the UK Expert Group on Vitamins and Minerals, is a safe and effective measure to reduce the number of neural tube defects (NTDs).
This view is supported by the Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment (COT) and by the Scientific Advisory Committee on Nutrition (SACN). In 2018 COT published Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment: COT position paper on the current upper level for folic acid intake in response to a previous paper by Professor Wald, addressing the technical points raised in objection to the TUL and continuing to recommend its use. A copy of this paper is attached.
Deaths associated with high levels of folic acid refers to potential unintended harms which may arise following the fortification of flour with folic acid, such as an increase in the potential masking of vitamin B12 deficiency or pernicious anaemia where the deficiency can cause permanent neurological damage which can lead to death if untreated.
No recent discussions have taken place with countries which have implemented folic acid fortification on unintended consequences of the policy. However, evidence from a number of countries, including those which have implemented folic acid fortification policies, was considered by the SACN and COT to establish the safety and efficacy of fortifying food with folic acid. Analysis by COT and the SACN found that there was insufficient evidence to discount a number of potential risks at very levels of fortification.
While there is no specific scientific briefing relating to the debate between heliocentrism versus geocentrism, as I stated in the debate, we will routinely review the policy post-implementation to ensure it meets the objective of reducing NTDs while avoiding any unintended consequences. The forthcoming consultation will outline the proposed fortification levels with the supporting scientific rationale.
Asked by: Lord Rooker (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, following the Written Statement by Lord Kamall on 11 October (HLWS298), what progress is being made in introducing mandatory fortification of flour with folic acid.
Answered by Lord Kamall - Shadow Minister (Health and Social Care)
Officials from the Department of Health and Social Care, the Department for the Environment, Food and Rural Affairs, the Food Standards Agency and Food Standards Scotland are working to implement folic acid fortification, as part of the review on the Bread and Flour Regulations 1998 and the Bread and Flour (Northern Ireland) Regulations 1998.
The UK Government and the devolved administrations have engaged industry on the decision to fortify non-wholemeal wheat flour with folic acid and are now developing draft legislation and an impact assessment for future consultation.
Asked by: Lord Rooker (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what steps they have taken to purchase UK-made biodegradable PPE products as opposed to single use plastic products.
Answered by Lord Kamall - Shadow Minister (Health and Social Care)
The Department has investigated biodegradable personal protective equipment (PPE) from United Kingdom and overseas suppliers. However, waste stream channels from health and social care settings do not facilitate the separation of these products, unless they have been used for non-healthcare functions, such as catering. Most biodegradable products are single use and contribute to the environmental impacts from excessive manufacture, transportation and storage. Therefore, biodegradable products are not the most effective solution for single use health care infected PPE. The Department is exploring reusable products for Type IIR masks, eye protection and transparent masks.
Asked by: Lord Rooker (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to their response to the Forty-Second report of the Public Accounts Committee 2019–21 on 28 April, what steps they will take to incentivise the NHS Supply Chain to buy PPE which is made in the UK.
Answered by Lord Kamall - Shadow Minister (Health and Social Care)
NHS Supply Chain is working with 30 United Kingdom manufacturers to build resilience within the manufacture of personal protective equipment. This also includes addressing innovation, sustainability and fit testing of masks for the National Health Service and social care.
Asked by: Lord Rooker (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what plans they have to update Table A in their COVID-19 guidance 'Personal protective equipment (PPE) made in the UK as at 1 December 2020', published on 9 March, to set out the UK-made items of PPE compared to expected demand.
Answered by Lord Kamall - Shadow Minister (Health and Social Care)
Personal protective equipment (PPE) made in the UK as at 1 December 2020 reported on the delivery of a specific commitment to ensure that UK Make supply would be sufficient to meet 70% of demand for the coming winter, for all items except gloves, by 1 December 2020. The table referred to reports on that commitment and confirms that it was met therefore there are no plans to update or modify it. In practice, we found that UK Make supply met 82% of the demand for that period.
Asked by: Lord Rooker (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the answer by Lord Bethell on 13 July (HL Deb, col 1701), what plans they have to consult scientists on folic fortification, following their consultations with the devolved administrations.
Answered by Lord Bethell
There are no current plans to further consult scientists on flour fortification. We are finalising agreement of a four-nation response to the United Kingdom-wide consultation on the proposed mandatory fortification of flour with folic acid which ran from 13 June to 9 September 2019. The next steps will be laid out in the Government’s response.
Asked by: Lord Rooker (Labour - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, further to the answer by Lord Bethell on 13 July (HL Deb, col 1702), what are the stated "implications of the Northern Ireland Protocol" in respect of folic fortification, given that nutrition is a matter for EU member states.
Answered by Lord Bethell
Under the terms of the Protocol on Ireland/Northern Ireland, European Union legislation will apply in the United Kingdom in respect of Northern Ireland. Regulation 1925/2006 on the Addition of Vitamins and Minerals to Foods is included the Northern Ireland Protocol. Consideration is therefore necessary in discussion with the devolved administrations to ensure the consultation response and any proposed fortification policy takes into account the Northern Ireland Protocol.