Food Politics

by Marion Nestle
Mar 22 2011

Who is responsible for dealing with poverty?

I don’t often respond to comments but this one about the political division caused by obesity is worth further discussion.

I truly resent your statement that Republicans don’t want to have an education, access to health care or access to nutritious food. Such statements not only undermine your credibility but contribute nothing to the discussion.

For the record, Republicans as just as committed to these things as the Democrats. The difference is that the Republicans don’t believe that it is the taxpayers responsibility to provide them.

If not taxpayers, who?  The writer does not say.

I thought of this question when I read the new report released by the NYC Center for Economic Opportunity. The center was established in 2006 by Mayor Bloomberg to seek evidence-based ways to reduce poverty in the city.

As the New York Times explains:

Without a flood of food stamps and tax benefits for low-income families, about 250,000 more New Yorkers would have slipped into poverty at the height of the recession…The center concluded that the poverty rate would have been three percentage points higher without federal tax programs passed in 2009 for low-income families and an aggressive city program to enroll New Yorkers who were not receiving public assistance but were eligible for food stamps, coupled with higher food stamp benefits.

Beyond personal damage, poverty is demonstrably bad for the health of cities.  Poor people do not buy much.  They cause social unrest.  They drain public resources.  Getting people out of poverty is sensible public policy and has been throughout history.

History also tells us that private charity is never adequate to meet the needs of the poor.

That’s why U.S. taxpayers support food stamp and other food assistance programs to the tune of close to $100 billion a year, as can be seen in the USDA’s budget figures.

The “aggressive city program” paid off.  At a time of economic crisis, poverty levels throughout America increased.  New York City’s did not.

Isn’t dealing with poverty a core function of government?  Isn’t some reasonable level of income equity a core feature of democratic society?

I think so, but await your opinions.

Mar 21 2011

GAO calls for unified food safety system–yet again!

Just a couple of weeks ago, the Government Accountability Office (GAO), the congressional watchdog agency, issued a report calling for a single food safety agency (see my post on this). 

The GAO is working hard on this issue.  It has just issued yet another report, this one called FEDERAL FOOD SAFETY OVERSIGHT: Food Safety Working Group Is a Positive First Step but Governmentwide Planning Is Needed to Address Fragmentation.

The report points out some of the alternatives it has suggested in the past:

  • A single food safety agency
  • A food safety inspection agency
  • A data collection and risk analysis center
  • A coordination mechanism led by a central chair

GAO says:

GAO and other organizations have regularly paired proposals for alternative food safety organizations with calls for comprehensive, unified, risk-based food safety legislation.

New food safety legislation that was signed into law in January 2011 strengthens a major part of the food safety system; however, it does not apply to the federal food safety system as a whole or create a new risk-based food safety structure.

GAO recommends that the Director of OMB, in consultation with the federal food safety agencies, develop a governmentwide performance plan for food safety that includes results oriented goals and performance measures for food safety oversight and a discussion about strategies and resources.

As I have mentioned in previous posts, GAO has been making these kinds of recommendations for 20 years.  Does anyone in government listen?  This report notes that the Office of Management and Budget declined to respond to its recommendations.

Responsive government anyone?  This seems like a reorganization well worth trying.  We only have one food supply.  We should not need two agencies to manage its safety risks.

Mar 20 2011

Uh oh. Radioactive iodine in Japanese food

Japanese health authorities have found levels of radioactive iodine and cesium in spinach, milk, and water.  They detected levels of iodine-131 up to seven times higher than safety limits in spinach collected from six farms as far as 75 miles from the reactors.

How serious a problem is this?  From a strictly scientific viewpoint, probably not much.   But note the “probably.”  From the standpoint of the public, the problem is very serious indeed.

What’s happening with the Japanese food supply gets us into the classic contradictions of risk communication.  Consider this response:

After the announcements, Japanese officials immediately tried to calm an already-jittery public, saying the amounts detected were so small that people would have to consume unimaginable amounts to endanger their health.  “Can you imagine eating one kilogram of spinach every day for one year?” said State Secretary of Health Minister Yoko Komiyama. One kilogram is a little over two pounds.

Edano [chief cabinet secretary] said someone drinking the tainted milk for one year would consume as much radiation as in a CT scan; for the spinach, it would be one-fifth of a CT scan….Drinking one liter of water with the iodine at Thursday’s levels is the equivalent of receiving one-eighty-eighth of the radiation from a chest X-ray.

Is the Japanese public likely to be reassured by these statements?  They remind me of the British minister who went on TV and fed a hamburger to his small daughter during the mad cow crisis of the early 1990s.  It didn’t work.

We are talking about food here.  Something that people put in their bodies and those of their children.

Specialists in risk communication would view radioactive spinach as a problem ranking high on anyone’s “dread-and-outrage” scale.

Radioactivity is not visible, is not under personal control, and is technological, unfamiliar, and foreign.  This makes something like this really, really scary, as I explain in the introduction my book Safe Food: The Politics of Food Safety.

So the statements of American experts don’t help much either:

“The most troubling thing to me is the fear that’s out of proportion to the risk,” said Dr. Henry Duval Royal, a radiologist at Washington University Medical School.

Yes it is.  Understandably so.  And Japanese officials will have a hard time dealing with it unless they are thoroughly forthcoming with information, earn the trust of the public, and take the fears seriously.

Update, March 21: The New York Times account on this issue from March 20.  The March 21 story describes the spread of the radioactive materials:

Spinach from a farm in Hitachi, about 45 miles from the plant, contained 27 times the amount of iodine that is generally considered safe, while cesium levels were about four times higher than is deemed safe by Japan. Meanwhile, raw milk from a dairy farm in Iitate, about 18 miles from the plant, contained iodine levels that were 17 times higher than those considered safe, and milk had cesium levels that were slightly above amounts considered safe.

Mar 19 2011

The latest on the salt restriction politics

The New York City Health Department announces good news and bad news.  The good news is that seven companies have agreed to reduce the salt in their products.  The bad news:

  • The average sodium intake in New York is 3.1 grams (2.3 grams is recommended for people who are not at risk of hypertension; for those who are, it’s 1.5 grams )
  • 79% of New Yorkers exceed sodium recommendations
  • 89% of New Yorkers at high risk of hypertension exceed sodium recommendations

Reminder: salt is 40% sodium.  This means that 3.1 grams of sodium is equivalent to nearly 8 grams of salt (two teaspoons).

The health department is working hard to bring restaurants and packaged food companies on board with salt reduction initiatives.  Packaged foods are easier (they have to label the amount of sodium).  The salt in restaurant foods is up to the chef, and one meal can easily exceed recommended levels for a day.

As for the effect of such efforts on food companies, FoodNavigator.com has compiled its recent pieces on salt restriction, all from the viewpoint of industry:

Salt restriction could increase risk of iodine deficiency: Restricting salt intake could increase risk of iodine deficiency, particularly among women, according to a new study published in the American Journal of Hypertension…

Mandatory sodium reduction 20 times more effective, finds study: Imposing mandatory sodium limits for processed foods could be 20 times as effective as voluntary reduction measures, suggests a new study published in the journal Heart…

Review shows steady US sodium consumption: Rising obesity rates may be a more important factor for hypertension than rising sodium consumption, claim the authors of a new study that suggests US sodium intake has remained relatively constant over the past 50 years…

Food makers look to umami as they cut sodium, says Bell Flavors: Food manufacturers are increasingly looking to boost the taste of their products with mouth-filling umami-type flavors as they reduce sodium in their products, according to Bell Flavors and Fragrances…

Concerted industry effort needed for sodium reduction: In order to cut sodium from American diets food manufacturers must work in unison to reduce sodium in their products – and their efforts have gained momentum, according to major industry players…

Packaged food makers have to label the sodium in their products

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Mar 18 2011

Obesity: the great political divide

I was interested to read Charles Blow’s comment in the New York Times (March 12) on the results of a recent Pew Research Center poll.  The question: Should the government should have a role in obesity prevention?

Nearly 60 percent said yes. Only about 40 percent said no.  Blow comments:

This is a remarkable change in public sentiment from 2005 when the Harvard School of Public Health asked a similar question and got almost the exact opposite result.

So what happened in the intervening years? One major occurrence has been the push by the president and first lady to combat the problem. Their initiatives promote commonsense approaches like increased breast-feeding, better diets and more exercise. Who could argue with that? The right, that’s who.

Blow presents the obesity statistics for states won by John McCain in 2008 (see below).  His conclusion:

This really shouldn’t be a partisan issue. This should be an all-hands-on-deck issue, including the hands of the government.

And red states, many of which are now the biggest losers in the fight against childhood obesity, have the most to gain.

To me, the interesting thing about this table is what we public health people call “tracking.”  Obesity tracks (correlates) with other measures of poor health—diet, activity, prenatal care, health care—all of which also correlate closely with poverty.

The curiosity here is why people who lack access to education, health care, and, for that matter, healthful diets would vote for candidates who don’t want them to have those things, but that’s American politics for you.


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Mar 17 2011

Soda companies vs. soda taxes: breathtaking creativity

I keep telling you.   You can’t make this stuff up.  Try these for food politics–in this case, soda politics–in action.

Beverage Association gives $10 million to Children’s Hospital of Philadelphia (CHOP)

From the Philadelphia Inquirer blog (March 16):

In keeping with a controversial pledge to made last year to City Council as part of an effort to ward off Mayor Nutter’s steep tax on sugar-sweetened beverages, the soft-drink industry will donate $10 million to the Children’s Hospital of Philadelphia to fund research into and prevention of childhood obesity.

The three-year grant is funded by a new organization, the Foundation for a Healthy America, created by the American Beverage Association, the national trade group representing manufacturers and bottlers. The ABA was instrumental in lobbying Philadelphia City Council to reject Nutter’s proposal to tax sugary drinks at 2-cents per ounce as a way to cut consumption and raise money for the general fund.

In a press release Wednesday, CHOP insisted that it will “retain absolute clinical and research independence,” as the source of its funding for the research is likely to come under attack from those wary of the beverage industry’s influence. That includes funding for clinical studies to be submitted to peer-reviewed publications.

Atkins Obesity Center publishes review of effects of soft drinks on obesity

In a delicious irony, the latest review of this topic comes from the Atkins Center at Berkeley.  Yes, the Atkins Diet Atkins, the one that promotes high-fat, low-carbohydrates, and has everything to gain from proving that sugars are bad for you.

With that duly noted, set the irony aside.  The review was funded by independent agencies and organizations.  Let’s take its results at face value.

The reviewers looked at five kinds of evidence: secular trends, mechanisms, observational studies, intervention trials and meta-analyses.  All supported the idea that

The currently available evidence is extensive and consistently supports the hypothesis that sweetened beverage intake is a risk factor for the development of obesity and has made a substantive contribution to the obesity epidemic experienced in the USA in recent decades.

Sweetened beverages are an especially promising focus for efforts to prevent and reduce obesity for two reasons: (i) the evidence supporting the association between sweetened beverage intake and excess weight is stronger than for any other single type of food or beverage; and (ii) sweetened beverages provide no nutritional benefit other than energy and water.

Coca-Cola funds North Carolina School of Public Health campaign against Childhood Obesity

Isn’t that nice of them?  The apparently unironical slogan of the campaign : “Everything in moderation.”

Robert Wood Johnson Foundation report, “F as in Fat”, features piece by PepsiCo’s CEO

Melanie Warner, writing on bNET, explains that the RWJ Foundation is usually scrupulously independent but that putting Pepsi’s PR piece into its document makes no sense.

A third of the way into the report, up pops a bizarre “personal perspective” from PepsiCo’s (PEP) CEO Indra Nooyi in which she details the many ways her company is working to make America healthier. “Helping consumers by building on our portfolio of wholesome and enjoyable foods is not just good business for PepsiCo -– it’s the right thing to do for people everywhere,” Nooyi chirps in a two-page soliloquy that reads like a press release and touts everything from Pepsi’s pledge to reduce the sodium in its products by 25% by 2015 to its reduced sugar drinks like Trop50 and G2. No other food company is mentioned, just Pepsi.

[This inclusion]…also ties into the ongoing debate about what role the food industry should play in helping Americans slim down. Are food companies trusted partners who are committed to fundamental changes, or is getting people to eat healthier versions of processed food really a whole lot of Titanic deck chairs?

As the research linking soft drinks to obesity gets stronger and stronger, it is no wonder that the Beverage Association is buying off city councils, and soft drink companies are eager to position themselves as helping to solve the problem of childhood obesity, not cause it.

Do these actions remind you of any other industry’s behavior?  Cigarette companies, anyone?

Mar 16 2011

How come a private company is funding national nutrition surveys in Asia?

I was surprised to read a report in FoodNavigator.com that a private company is about to conduct an enormous—and undoubtedly very expensive—study of the nutritional status of children in Southeast Asia.

The study will collect data from more than 16,000 children aged 12 and under in four countries:

  • Dietary profiles and nutrient intake assessment, including food intake, bone density and cognition.
  • Iron status, vitamins, lipid profile and blood pressure.
  • Body composition and physical activity, including measurements on weight, height and hand grip strength.

The company is doing this in partnership with institutions in Indonesia, Malaysia, Thailand, and Vietnam.

Why would a private company embark on a project like this?  The company is FrieslandCampina, a Dutch firm specializing in dairy products:

We provide people around the world with all the good things milk has to offer, with products that play an important role in people’s nutrition and well-being.

Our product range: baby and infant food, milk-based drinks, cheese, milk, yoghurts, desserts, butter, cream, milk powder, dairy-based ingredients and fruit-based drinks.

As the company explains, “We aspire to help people move forward in life with our dairy nutrition, and are committed to helping our consumers maintain and improve their nutritional well-being with the goodness of milk.”

I’m willing to predict that these studies will show that kids in Southeast Asia would be a lot healthier if they drank more milk.   And will find reasons to dismiss concerns that lactose intolerance is the norm in Asian populations over the age of five or so.

Mar 15 2011

Don’t farmworkers’ kids deserve a break?

I’ve been mulling over the article in the New York Times (March 13) about the effects of an itinerant lifestyle and the threat of deportation on the children of farmworkers in California.  If ever there was an example of how the political gets personal, this is it.

The article focuses on a third-grade teacher, Oscar Ramos, who is on the front lines trying to give these kids a chance in life, let alone at the American dream.  It describes what he’s up against: nearly all his students are near the poverty line, and nearly 80% have limited English.  They move frequently and live under crowded conditions.

But the often disrupted lives of the children of migrants here is likely to grow still more complicated as the national debate over immigration grows sharper.

Efforts by lawmakers to rescind automatic citizenship for children born in the United States to illegal immigrants are already stoking fears among many agricultural workers, and that has consequences for their children.

Some parents, as they move with the crops, are already keeping their children out of school when they get to Arizona because they are worried about the bureaucracy and tougher restrictions in the state.

The article is long but well worth reading.  If nothing else, take a look at the photographs.

This is how our relatively inexpensive food gets to us.   The costs, as the economists tell us, are externalized.  Here is one of those externalized costs–the potential of those kids to become functioning citizens in our democratic society.