Eliminating trans fat from the global food supply

A trans fat-free world is now within reach.

Right: Participants in “Law & Health Security: Strengthening Nigeria’s Legal Preparedness”. Credit – Resolve to Save Lives

Eliminating trans fat from the global food supply

Challenge

Artificial trans fat in our food increases the risk of heart attack and stroke and kills more than 500,000 people a year.

Solution

We partnered with WHO to co-create the REPLACE initiative, calling on countries to ban trans fat and providing step-by-step guidance on how to do it.

Impact

Since REPLACE launched in 2018, 54 countries have banned trans fat protecting nearly 4 billion people from this deadly toxin and advancing heart health worldwide.

What is trans fat elimination?

Trans fat is a harmful compound added to food to improve shelf-life—you may not know it’s there, but eating it increases your risk of heart attack, stroke, and premature death. As recently as 2018, trans fat contributed to as many as 500,000 deaths every year.

But no one needs to eat trans fat. It can be replaced with healthier alternatives and kept out of food supplies using mandatory, best-practice policies.

How trans fat elimination works

To protect heart health and save lives on a national scale, countries can adopt best-practice policies that remove trans fat from the food supply and keep it out.

Mandatory bans ensure food manufacturers replace trans fat with healthier oils, removing this added toxin from the source without changing taste or cost to consumers.

Countries that have eliminated trans fat prove it’s possible.

Image: include bar graph of countries from current TFA page. 

How RTSL supports trans fat elimination

Practical tools for a global challenge

Since 2018, we’ve partnered with the World Health Organization (WHO) on REPLACE, an initiative to eliminate artificial trans fat from the global food supply.  We helped develop the REPLACE action package, a step-by-step guide that provides governments all the tools they need to eliminate trans fat in their country and guides manufacturers on making the switch to healthier fats.

At the end of 2025, just over half the world’s population—4.1 billion people—lived in countries with best practice trans fat elimination policies, a huge jump from just 6% when REPLACE was launched.

How RTSL supports trans fat elimination

Practical tools for a global challenge

Since 2018, we’ve partnered with the World Health Organization (WHO) on REPLACE, an initiative to eliminate artificial trans fat from the global food supply.  We helped develop the REPLACE action package, a step-by-step guide that provides governments all the tools they need to eliminate trans fat in their country and guides manufacturers on making the switch to healthier fats.

At the end of 2025, just over half the world’s population—4.1 billion people—lived in countries with best practice trans fat elimination policies, a huge jump from just 6% when REPLACE was launched.

Supporting the policy process

At the national level, we work with governments and advocates to pass policies that work.

When trans fat elimination is not on the health agenda, we work to change that. In collaboration with our partners, the Global Health Advocacy Incubator and the NCD Alliance, we support local civil society organizations to make the case for trans fat elimination to decision makers and the public. We also support research on trans fat levels in food and advocacy campaigns on the dangers of trans fat.

From policy to practice

Policy passage is just the beginning. Keeping trans fat out of the food supply requires enforcement. We’re working with WHO to build lab capacity to test for trans fat across multiple regions, and supporting improved food control systems—making it easier for countries to monitor compliance. 

WHO also awards validation certificates to countries whose best practice trans fat elimination policies are supported by adequate monitoring and enforcement systems, and the number of success stories from around the world is growing.

NYC trans fat ban

Eliminating trans fat: Only your heart will know the difference

August 5, 2025
Dr. Tom Frieden explains how New York City successfully banned trans fat and became a model for eliminating this toxic food additive. 
9 Million lives saved and counting

9 million lives saved and counting

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April 21, 2025
Heart health partnerships between 2018 and 2023 will result in 9 million fewer deaths worldwide. This report details how.
TFA implementation and enforcement image

Trans fat elimination: Maximizing lives saved through policy implementation and enforcement

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December 1, 2025
Resolve to Save Lives’ guidance for enforcing best-practice trans fat elimination policies.
transfat-seven-steps

Developing and implementing a trans fat elimination policy: A 7-step guide for policymakers

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May 21, 2023
Practical steps for countries to develop and implement best practice trans fat elimination policies

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