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China Consults on Adjustment and Cancellation of Health Food Functional Claims

China is currently consulting on proposed amendments to the permitted terminology, scope of claims and appropriateness of the 27 functional claims currently used for health foods in China.

On March 28, 2019, State Administration for Market Regulation (SAMR) began consulting on adjustment to health food functions[1], specifically an adjustment to the permitted terminology used in 18 of the current 27 acceptable functional claims, cancellation of 3 out of the 27 functional claims, and further investigation on the appropriateness of 6 other claims which skirt the boundaries of medicinal claims. Deadline for comments is April 28. Details are:

Invalidate functions relating to children and pregnant women

Experts think health functions relating to children, pregnant and lactating women should be subject to much more stringent supervision. 3 functions are proposed to be removed[2].

SNItems to be removed
1Beautify/balance skin lipid
2Facilitate growth/improve growth
3Stimulate lactation

Cancellation of products approved prior to 2011

There were no technical requirements for health foods prior to 2011, a time when the former Ministry of Health (MOH) was in charge of health food registration. Over 5000 health foods were granted approval before that date without any expiration date on the approval. Even after the National Health and Family Planning Commission (NHFPC) took the place of former MOH and reformed health food management, these previously permitted health food products remained in circulation. With SAMR undertaking responsibilities tasked to the now disbanded NHFPC, China’s health food administrators are finally getting around to addressing this glaring issue. The consultation draft calls to cease production of all previously registered health foods whose function claims are illegal according to current regulations. Functions include but are not limited to:

SNItems to be removedSNItems to be removed
1Suppression of tumor growth10Block synthesize of N-nitrite compound
2Anti-mutation11Prevent dental decay and protect teeth
3Improve sexual function12Stimulate hair growth
4Regulate immunity (single)13Higher leucocyte level
5Regulate blood lipids (single)14Prevent myopia of teenagers
6Improve microcirculation15Balance skin pH
7Beauty (bigger bosom)16Reduce secretion of sebaceous gland
8Prevent seborrheic alopecia17Reduce wrinkles
9Improve GI motility18Skin beauty (alleviate UV damage to skin)

If the draft regulation is passed successfully products bearing any of the 21 canceled functions will be banned from further production. Products made before implementation of the new requirements can be sold until expiration. The current consultation period can thus be considered a form of de facto grace period.

Refine the expression of 18 health functions by adding “help/aid” or similar terminology

In the draft, 18 functional claims are revised by adding “aid/help” or similar terminology in order to clarify that health foods could only contribute to improved function[3]. These changes will affect the following claims:

SNBefore revisionAfter revision
1Immune regulation/ enhance immune functionHelp to enhance immune function
2Anti-fatigue/ relieve body fatigueRelieve body fatigue
3Anti-oxidationAid anti-oxidation
4Increase/improve bone densityAid bone health
5Improve gastrointestinal function (laxative function)/ defecationHelp to reduce constipation
6Improve gastrointestinal function (regulate enteric bacteria flora)/ regulate enteric bacteria floraHelp to regulate enteric bacteria flora
7Improve gastrointestinal function (promote digestion)/ promote digestionHelp to facilitate digestion
8Improve gastrointestinal function (have protective function against gastric mucosa injury)/ have protective function against gastric mucosa injuryAid protecting gastric mucosa
9Anti-hypoxia/ improve ability to anti hypoxiaAnti-hypoxia
10Weight lossAid balance of body fat
11Beauty (get rid of chloasma)/ get rid of chloasmaAid alleviation of chloasma
12Beauty (get rid of acne)/ get rid of acneAid alleviation of acne
13Beauty (improve skin moisture/oil balance)/improve skin moistureAid improvement of skin moisture
14Improve memory/ aid improvement of memoryAid improvement of memory
15Clear and nourish throat/ clear throatClear and nourish throat
16Alleviate nutritional anemia/ iron-deficiency anemiaAid alleviation of iron-deficiency anemia
17Improve eyesight/ relieve eye fatigueRelieve eye fatigue
18Improve sleepHelp improving sleep

If passed unchanged the new regulation will require relevant stakeholders to change the corresponding expressions in product packaging, labeling and instruction manuals.

Claims and assessment methods of 6 functions to be investigated

For some borderline claims that blur the boundaries between medicine and health foods, the government is currently undertaking research on the appropriateness of continued approval. These functions are[4]:

SNItems to be discussed
1Aiding blood lipid reduction
2Aiding blood sugar reduction
3Aiding blood pressure reduction
4Aiding protection against chemical liver injury
5Protection against radiation
6Facilitating lead excretion

These new regulations if passed unchanged will drastically alter China’s health food industry and will lay down a big marker for future regulation in the sector. Interestingly the new changes are a big reversal in government stance outlined in remarks made by the head of SAMR during the two sessions earlier this March[5] in which it was stated “our goal is to ensure enterprises’ responsibility and expand the scope of permitted claim”.

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