Part 1: Food and Public Health – Lessons from the UK for Pakistan
When we think of the UK, most Pakistanis imagine Big Ben, double-decker buses, and Premier League football. But hidden behind the iconic visuals is a society that has, over the years, transformed its relationship with food and public health. Walking through a British high street, you will see everything from vibrant street food markets to neatly regulated supermarkets. Behind that food culture lies a complex web of hygiene regulations, public health campaigns, and lifestyle trends that Pakistan could draw valuable lessons from.
This two-part series dives into three key themes that link food and health: street food safety, obesity and lifestyle diseases, and the rise of vegetarian and vegan movements. Today in Part 1, we explore the first two—areas where the UK’s experience holds particularly powerful insights for a rapidly urbanising Pakistan.
Street Food Safety – When Hygiene Becomes Culture
Street food is a universal love language. From fish and chips in London to bun kebabs in Karachi, food sold on the street is not just about hunger—it is about community, affordability, and flavour. But here’s the striking difference: in the UK, eating street food rarely comes with a fear of typhoid, dysentery, or hepatitis A, whereas in Pakistan, enjoying a quick plate of gol gappay or chana chaat can often feel like a gamble with your health.
1. UK Street Food Culture
The UK’s street food market has evolved dramatically in the last two decades. Once limited to occasional hot dog vans, cities like London, Manchester, and Birmingham now host thriving food markets such as Borough Market, Camden Market, and Manchester Arndale Market, offering cuisines from every corner of the globe—including Pakistani favorites like biryani and kebabs.
But the secret to their success isn’t just variety—it’s trust.
Every street food vendor in the UK must register with the local council at least 28 days before opening.
Vendors are inspected under the Food Standards Agency (FSA), which scores businesses from 0 to 5 stars for hygiene.
Results are publicly available, often displayed on stalls or searchable online.
For a consumer, this is transformative. A family strolling through a UK food market can see the hygiene rating before deciding whether to eat, creating a culture of accountability.
2. Pakistan’s Street Food Challenge
Pakistan’s street food scene is, culturally, one of its richest treasures. The aroma of karahi at Lahore’s Food Street, chai and parathas in Karachi, and samosas in Peshawar are part of our national identity. But these foods are often prepared in environments that lack basic hygiene standards:
Water safety is a persistent issue, with many vendors using unfiltered or contaminated water.
Handwashing facilities are rare, and cross-contamination with raw ingredients is common.
No formal inspection system exists for most informal vendors, leaving health risks entirely on the consumer.
The result? Pakistan continues to face high burdens of foodborne illnesses. According to WHO estimates, millions of cases of diarrhoeal disease in South Asia each year are linked to unsafe food, disproportionately affecting children.
3. Lessons for Pakistan
The UK experience offers clear, actionable takeaways:
Introduce a grading system for street food hygiene, even starting in major cities like Karachi and Lahore.
Empower local councils to issue, monitor, and publicly display hygiene ratings.
Public awareness campaigns encouraging consumers to seek hygienic food could shift demand and pressure vendors to comply.
If adopted gradually, this model could protect public health without destroying livelihoods, creating safer and more sustainable street food culture.
Obesity and Lifestyle Diseases – A Shared Modern Epidemic
While foodborne illness is an old public health problem, the new challenge for both the UK and Pakistan is the rise of lifestyle diseases. But the way these countries are responding could not be more different.
1. The UK’s Battle with Obesity
The UK, like many high-income countries, has been wrestling with obesity for decades. More than 60% of adults in England are either overweight or obese, with childhood obesity becoming a major concern.
To tackle this, the UK government has launched multi-pronged strategies:
Sugar Tax (Soft Drinks Industry Levy): Introduced in 2018, this pushed companies to reduce sugar in sodas to avoid higher taxes.
Calorie Labelling: Large restaurants and fast-food chains are required to display calorie counts on menus.
Public Campaigns: Initiatives like Change4Life encourage exercise, healthier meals, and portion control through media and schools.
Urban Health Promotion: Parks, cycling lanes, and public sports facilities are widely available to make active lifestyles convenient.
These measures are not perfect—obesity remains high—but they demonstrate a coordinated national effort that links food consumption to public health outcomes.
2. Pakistan’s Silent Surge
In Pakistan, undernutrition and obesity coexist, a phenomenon known as the double burden of malnutrition. On one hand, millions of children face stunting and micronutrient deficiencies. On the other, urban obesity is rising sharply, particularly among women and middle-income groups.
Studies suggest that around 30% of urban Pakistani adults are now overweight or obese.
Fast food consumption is rising rapidly, with global chains and local shawarma and roll-paratha stalls dominating city diets.
Physical activity is rarely integrated into urban planning, and walking or cycling often feels unsafe or impractical.
Yet, Pakistan lacks structured national campaigns like the UK’s. There is no sugar tax, limited nutrition labelling, and minimal public health communication on portion control or exercise.
3. A Wake-Up Call for Pakistan
Borrowing lessons from the UK:
Nutrition Labelling and Regulation: Introduce calorie counts and encourage portion awareness in urban restaurants.
Soft Drink Taxes: Pakistan has one of the highest per-capita consumptions of sweetened drinks in South Asia; taxing them could curb intake.
Urban Health Initiatives: Develop public parks, walking tracks, and cycling zones to encourage active lifestyles.
National Media Campaigns: Use social media and TV to normalize fitness and healthy eating, similar to the UK’s Change4Life campaigns.
Addressing obesity early could prevent a future public health crisis, including diabetes and heart disease—conditions already straining Pakistan’s healthcare system.
Part 2 Preview:
In the next part of this series, we will explore the rise of vegetarian and vegan movements in the UK and what it means for cultural adaptation in Pakistan, from plant-based trends to the role of traditional diets in promoting health.


