Front of Package Warning Labelling Process

by HCC

Actors

  • Pan American Health Organization (PAHO) – Provided evidence, technical support, and advocacy for octagonal warning labels.
  • CARICOM Regional Organisation for Standards and Quality (CROSQ) – Led regional food labelling standards process; proposed QR code alternative in 2025.
  • Civil Society Organisations (CSOs) – Advocated for strong, rights-based labels mobilised public campaigns and protests.
  • Private Sector – Opposed octagons; lobbied, commissioned counter-studies, promoted weaker alternatives.
  • Allies/Media – Amplified debates; exposed interference; supported public health messaging.

2017

Regional Partners

PAHO Project: Country Cooperation for Health

The Pan American Health Organisation (PAHO) facilitated a cooperation project between CARICOM and Chile under the Country Cooperation for Health (CCHD) framework, which focussed on nutrition policies such as front of package labelling. Chile was the first country to introduce the octagonal warning label.

2018

CROSQ

CROSQ Moves to Revise Food Labelling Standards with Octagonal High-In Warnings

As a part of the cooperation project, the CARICOM Regional Organisation for Standards and Quality (CROSQ)  initiated the revision of the CARICOM Regional Standard for Specification for Labelling of Pre-packaged Foods (CRS 5:2010) to include octagonal ‘high-in’ warning labels and the PAHO Nutrient profile model based on existing and emerging scientific evidence free from conflicts of interest.

In 2018, extensive consultations were launched at the national level through the national bureau of standards via national mirror committees. These local bodies, managed by the Regional Technical Subcommittee, are responsible for disposing and consolidating comments on the CARICOM Regional Standard for Specification for Labelling of Pre-packaged Foods (CRS 5:2010) received from the National Bureaus of Standards in all CARICOM member States.

CSOs

National Mirror Committees Created

Civil Society organisations across the region represented on the National Mirror Committees. For more information about composition of the committees, visit the HCC FOPWL page.

2019

CROSQ

National Consultations Continued

CSOs

Civil Society organisations across the region were also raising public awareness on this issue

2020

Private Sector

CPSO and CARICOM Sign MOU

In 2020, the Caribbean Private Sector Organisation (CPSO) was formed as an Associate Institution of CARICOM, legitimising the engagement of commercial actors with vested interests and giving them direct access to decision-makers.

The CARICOM Private Sector Organization (CPSO), on the request of the Chambers of Commerce, Manufacturers’ Associations, and other Business Support Organizations, was asked to support the regional private sector’s participation in the process since June 2020.

2021

Regional Partners

PAHO, Ministry of Health and Wellness of Jamaica, the University of Technology, Jamaica Research

Superior Efficacy of Front-of-Package Warning Labels in Jamaica

PAHO in collaboration with the University of Technology and Ministry of Health, Wellness and the Environment launched a study, Superior Efficacy of Front-of-Package Warning Labels in Jamaica.

Various Front of package warning labels on a yellow background

CROSQ

CARICOM Finalizes Draft Standard for Voting

In January 2021, the Regional Technical Sub-Committee completed a final draft of the pre-packaged food standard which retained the warning labels and PAHO Nutrient Profile. This draft was then submitted for voting to all CARICOM MS during 17 February- 14 April, 2021 and further extended to May 2021.

The voting process was facilitated by the National Bureaus of standards through consensus building with all stakeholders.

Vote Outcome: CARICOM Member States failed to reach the 75% threshold needed to escalate the draft to the CROSQ Council and then onto COTED. Nine (9) MS voted in all with six (6) approving the Standard, three (3) disapproving and six (6) abstaining.

This opened another regional consultative process.

CSOs

HCY Stage Silent Protest

On April 10th and 24th, 2021, Healthy Caribbean Youth (HCY), with support from local civil society organisations and allies hosted a Call to Action, in the form of a silent protest across a number of CARICOM territories including: Antigua and Barbuda, The Bahamas, Barbados, Grenada, Jamaica and St. Lucia.

Private Sector

Caribbean Private Sector Organisation (CPSO) Response

​Throughout the process, the private sector sent communications to the National Standards Bodies detailing their lack of support for the octagonal warning FOPNL. They also hosted radio shows, webinars and lobbying meetings with high-level decision-makers to counter public health efforts. For example, their efforts in Jamaica, would have resulted in an unorthodox last-minute change against the final draft standard which raised concerns around voting irregularities and industry interference which was captured in TV Jamaica’s documentary – Food for Thought.

In 2021, the CPSO received approval by the Council for Trade and Economic Development (COTED) to launch its own study, “The CARICOM Impact Assessment (CIA) study on front-of-package Nutritional Labelling,”

Allies/Media

TVJ Documentary ‘Food for Thought’ Spotlights OWL Voting Process Discrepancies

CSOs

HCC and Partners Launch Campaign- Now More Than Ever Regional Campaign Promoting Front-of-Package Warning Labelling

CSOs

The Heart Foundation of Jamaica launch the Right To Know Campaign

In March 2021, the Heart Foundation of Jamaica launched the “Right To Know” campaign, in an effort to build support for the introduction of front of package labelling.

Videos: Right to know and What’s in Our Food.

Heart Foundation of Jamaica Right to Know campaign video screenshot

CSOs

HCC and Partners Webinar – A Conversation About the Urgency To Introduce Front-of-Package Warning Labeling in the Caribbean

In April 2021, HCC and the Pan American Health Organisation (PAHO), the Organisation of Eastern Caribbean States (OECS) Commission and UNICEF hosted a webinar – A Conversation About the Urgency To Introduce Front-of-Package Warning Labeling in the Caribbean

CSOs

HCC and Partners Webinar – A Conversation About the Urgency To Introduce Front-of-Package Warning Labeling in the Caribbean

CSOs

HCC and Partners Share Statement of Support for OWL

CSOs

HCC and Partners Launch the #WeSupportFOPWL Campaign

On October 14th 2021, the Heart Foundation of Jamaica, The Heart & Stroke Foundation of Barbados, The Healthy Caribbean Coalition, Pan American Health Organization, United Nations Children Fund and other partners launched the #WeSupportFOPWL (We Support Front-of-Package Warning Labels) mass media campaign.

After CPSO Launched their study, the HCC and a number of key stakeholders including the HFJ, PAHO, CARPHA, UNICEF, UWI LHRU, and the OECS Commission issued a statement to the joint COTED/COHSOD expressing concerns around conflict of interest research and flaws in the study methodology.

2022

CROSQ

Continuation of Regional Consultations on DCRS-5

Second Review of FCDRS: In 2022, the standard was relegated to a draft standard and sent out for further regional consultations. From November 2022, through their local Standards Bureaus, National Mirror Committees in eleven (11) Member States reviewed Draft CARICOM Regional Standard for Specification for labelling of pre-packaged foods (DCRS 5:2010) which incorporates specifications for the ‘high-in’ monochromatic octagonal front of package warning label system (OWL) and the PAHO Nutrient Profile Model to guide the thresholds for labelling of pre-packaged foods as ‘high-in’.

Private Sector

Study Launched by the CPSO

In February 2022 the CPSO study “Determination of An Appropriate FoPNL Scheme and the Identification of a Harmonized Approach for Implementationwas launched.

The study found that the US Facts Up Front and the UK Traffic Light FoPNL models, which are already included on the packaging of several products within the Region, are best suited for achieving the regional population’s health objectives, compared to the proposed Octagon Warning Label (OWL). The findings were presented to Ministers of Health and Trade later on that year during the 6th joint (Council for Trade and Economic Development) and COHSOD (Council for Human and Social Development) meeting.

CSOs

HCC and Partners Challenge CPSO Study

HCC, in partnership with public health and academia penned a joint statement to the COTED and COHSOD calling into question the CPSO study on the grounds of Conflict of Interest and methodological flaws.

2023

CSOs

“Now More Than Ever” Campaign Re-Launched with New Urgency

CROSQ

Final Revised Draft Standard Put to Vote

On 21 July 2023 the final revised draft standard went out to Member States for voting with a deadline of 14 October 2023. 

What did the national stakeholder voting forms say?

The national stakeholder voting forms in 2023 provide for three (3) options:

  1. We agree to the proposed presentation for Front of Package Labelling (FOPL) as set out in the Informative Annex D of the draft CARICOM Regional Specification for the Labelling of Pre-packaged foods (DCRS 5) with or without comments;
  2. We do not agree to the proposed presentation for Front of Package Labelling (FOPL) as set out in the Informative Annex D of the draft CARICOM Regional Specification for the Labelling of Pre-packaged foods (DCRS 5) with reasons for disagreement attached; 
  3. We abstain from voting without or with reason.

Regional Partners

PAHO Study Shows Warning Labels Could Save Lives and Millions of Dollars in Barbados

In September 2023, PAHO released a FOPWL modelling study “Front-of-package warning labels save lives and resources: results from a modeling study in Barbados” highlighting the health and economic benefits of implementation. Findings showed that warning labels have the potential to avert 16% of the deaths caused by NCDs and save USD 732.8 million in Barbados.

CSOs

HCC and Partners Launch New Campaign “#ActonFacts”

In September 2023, HCC and partners launch The Octagonal Warning Labels Helps Consumers #ActonFacts campaign.

an octagonal warning label with high in sodium written on it

CSOs

HCY and CSOs Call for Octagonal Front of Package Warning Labelling Amidst 2nd Regional Vote

Regional Partners

CARPHA, HCC, PAHO Host Webinar “Promoting Octagonal Warning Labels in CARICOM”.

On Monday 9 October 2023, CARPHA in partnership with the Healthy Caribbean Coalition (HCC) and the Pan American Health Organization (PAHO), hosted a webinar entitled Promoting Octagonal Warning Labels in CARICOM.

Private Sector

Private Sector Plans NCD Working Group for Coordinated Regional Action

In October 2023, the study findings were released publicly via the regional media. The study found that, “the US Facts Up Front and the UK Traffic Light schemes are best suited to achieve the regional population’s health objectives, in comparison to the CARICOM Regional Standards Scheme Octagonal Warning Label”.

Accordingly, the CPSO will establish a Working Group to address NCDs, with a focus on a comprehensive package of measures that address diets, education and awareness, exercise, and prudent public policy.  This Working Group will facilitate a more ‘joined up’ response by the regional private sector to the challenges faced by NCDs.

CSOs

CSOs Issue Open Letter Urging CARICOM to Approve OWL

In October 2023, Open Letter to the National Standards Bodies of CARICOM reference to the FDCRS-5.

CSOs

HCC and Partners Host Webinar: What’s Happening with Food Labels in CARICOM?

During this same month, the HCC in partnership with PAHO, CARPHA, the OECS Commission, UNICEF and the Caribbean Public Health Law Forum hosted a webinar – What Is Happening With Food Labels in CARICOM?

Food Labels

2024

CROSQ

CARICOM Votes to Remove OWL and PAHO Model from Standard

Vote Outcome: CARICOM Member States voted on the final draft standard which did not reach the required 75% support threshold. The decision was made to remove FOPWL and PAHO’s Nutrient Profile Model from the standard which was then approved by COTED in October 2024.

CSOs

HCC and Partners Launch CROSQ Report

CSOs

HCC Pennes Letter to CARICOM

HCC Submitted a letter to CARICOM Secretariat documenting concerns around regional standards process (April 2024).

Allies/Media

Media Spotlight

The Belize Chamber of Commerce and Industry (BCCI): Caribbean Says No to OWL at CROSQ- What Happens Now?

CSOs

HCC Requests Agenda Item at Ministerial Meeting

HCC Request CARICOM Secretariat for an HCC FOPL agenda item during Joint COHSOD-COTED meeting (meeting not held) (May 2024).

CSOs

HCY-Led Op-Ed Demands Accountability on FOPWL Vote Outcome

In July 2024, Healthy Caribbean Youth penned an op-ed – Are we hitting healthy food policies for a six? Demanding answers to the outcome of the FDCRS-5 Round 2 vote.

cricketer dressed in blue hitting healthy food policies ball for six

CSOs

FOPWL Raised During CARICOM Heads of Government Meeting

Submission of a statement during the 37th Conference of Heads of Government through CPDC.

2025

CROSQ

CROSQ Proposes QR Code-Based FOPWL

In an effort to advance the front of the package labelling process, CROSQ proposed an FOPWL embedded QR code to be placed on food labels across CARICOM.

From May – June 2025, CROSQ holds consultations with National Mirror Committees/bodies of key stakeholders to discuss the embedded QR code.

CSOs

HCC Flags Concerns About QR Code Approach

In May 2025, HCC shared correspondence outlining serious concerns about the FOPWL embedded QR code with CROSQ. HCC Raises concerns at the 33rd Chief Medical Officers Meeting.

Public Health Decision Making In CARICOM

CSOs

Youth Activists in Jamaica Launch ‘Fix My Food’ Campaign

Allies/Media

Media Spotlight

CSOs

CSOs Reject QR Code Label Proposal

CSOs engaged in National Consultations on the Embedded QR Code noting that the approach is not equitable, rights-compliant and undermines the original objective of  empowering consumers to quickly, correctly and easily identify unhealthy foods as a key policy measure for CARICOM governments to tackle NCDs.

CSOs

HCC and Partners Host Webinar Global Updates on Front of Package Warning Labelling

On Friday 16 May 2025 the HCC in partnership with PAHO and CARPHA hosted a webinar entitled: Global Updates on Front of Package Warning Labelling showcasing progress and lessons learned, underscoring the efficacy of the evidence-based ‘high in’ octagonal warning label and the critical importance of a robust supportive nutrient profile model.

Global Updates on Front of Package Warning Labelling promo

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