In the latest issue of the American Journal of Public Health, Derek Yach and his colleagues at PepsiCo in Purchase, NY, say yes, it can, in answer to the question they pose in their article, “Can the food industry help tackle the growing global burden of undernutrition?”

If we are to successfully combat global undernutrition, efforts must be sustained by multiple stakeholders from various sectors. We believe that trust is built through industry’s demonstration of practical actions that improve health, and recognition of these actions by governments and nongovernmental organizations. Only through new and innovative public–private sector partnerships can we truly make a difference.

Three international public health leaders counter with no, it can’t, in an article entitled “The snack attack.”  They point to irreconcilable differences between the the goals of private industry and public health:

The problem lies with food, drink, and associated companies whose profits depend on products that damage public health and that also have damaging social, economic, and environmental impacts. These most of all include transnational companies, of which PepsiCo is one. To succeed, big business must sustain and increase annual turnover, profit, and share price…We suggest that public health professionals see papers such as those of Yach et al. as part of the marketing strategies of transnational food and drink companies…The privatization of public health does not work.

This argument reminds me of the editorial that David Ludwig and I wrote for JAMA late in 2008: “Can the food industry play a constructive role in the obesity epidemic?”  We concluded:

With respect to obesity, the food industry has acted at times constructively, at times outrageously. But inferences from any one action miss a fundamental point: in a market-driven economy, industry tends to act opportunistically in the interests of maximizing profit. Problems arise when society fails to perceive this situation accurately.

While visionary CEOs and enlightened food company cultures may exist, society cannot depend on them to address obesity voluntarily, any more than it can base national strategies to reduce highway fatalities and global warming solely on the goodwill of the automobile industry. Rather, appropriate checks and balances are needed to align the financial interests of the food industry with the goals of public health.

PepsiCo owns Pepsi Cola, of course, but also Gatorade, Frito-Lay snacks, and Aquafina water, among many other brands.  According to Advertising Age (June 22, 2009), PepsiCo earned $43 billion in worldwide sales in 2008. Its product-specific advertising expenditures in 2008, just for “measured media” (meaning run through advertising agencies) were, for example:

• $162 million for Gatorade
• $145 million for Pepsi Cola
• $27 million for Tostitos
• $14 million for Doritos
• $11 million for Fritos.

These figures, staggering as they may be, do not include the amounts Pepsi spends on lobbying, supporting the American Beverage Association’s efforts to fight soda taxes, funding medical research at Yale, or marketing to children and adults in India and other developing countries, as previously discussed on this site.

Is corporate “social responsibility” really responsible?  Or is it just marketing?  And what should be the checks and balances?  You decide.

Added April 17: This comes from a former employee of PepsiCo who asks that I post this anonymously:

I think you probably know that the “marketing dollars,” the share (ads/direct marketing), of companies like Pepsico are only a fraction of what are their actually marketing/promotions budgets.  Many years ago, PepsiCo made a conscious effort to redefine/shift budgets to what is called promotional spending from traditional marketing spending.  In doing so though, they keep the control and allocation of the funds in the hands of the marketing teams.

For Pepsi I know that the $145 million you mention is probably only 25% of what Pepsi “internally” considers consumer marketing spending.  For example, direct to retails “incentive” bonus funds are given for moving volume — those funds are almost entirely funneled into the retails increasing consumer marketing to their direct customers.  There are even examples where they can hide 10’s of millions of dollars at a time by linking event sponsorships (stadiums, etc.) to retailer agreements, thus moving those dollars to long-term “capital expenditures.”  I would guess that for Pepsi alone that that $145 million could be as much as a billion a year for direct and indirect consumer marketing spending.

It is not just obscene how much gets spent to increase volume… since, for companies like PepsiCo, Coke, etc.  Volume is the only way they generate higher profit to their shareholders.  As you say, to expect a corporation to do things for the good of the consumer just shows a misunderstanding of their primary function when they are a for-profit entity.

The National Research Council has a new study out evaluating the benefits of GM (Genetically Modified) foods: Impact of Genetically Engineered Crops on Farm Sustainability in the United States.  The blurb about the book gives the good and bad news (which is which depends on how you interpret it):

Since genetically engineered (GE) crops were introduced in 1996, their use in the United States has grown rapidly, accounting for 80-90 percent of soybean, corn, and cotton acreage in 2009. To date, crops with traits that provide resistance to some herbicides and to specific insect pests have benefited adopting farmers by reducing crop losses to insect damage, by increasing flexibility in time management, and by facilitating the use of more environmentally friendly pesticides and tillage practices.

But then it continues:

However, excessive reliance on a single technology combined with a lack of diverse farming practices could undermine the economic and environmental gains from these GE crops.

I haven’t had a chance to read the book yet but I most certainly will.  I am curious to know how the report defines “sustainability” in relation to GM food crops.  In the meantime, the New York Times has weighed in on some clearly unsustainable aspects of this technology:

Use of Roundup, or its generic equivalent, glyphosate, has skyrocketed to the point that weeds are rapidly becoming resistant to the chemical. That is rendering the technology less useful, requiring farmers to start using additional herbicides, some of them more toxic than glyphosate…Shares of Monsanto [the manufacturer of Roundup], which have been falling since January, slipped nearly 2 percent Tuesday to $67.75.

When the FDA first approved GM food crops for planting in 1994, critics warned that overuse of Roundup would eventually promote the growth and proliferation of plants resistant to this chemical.    Well, yes.

As for the scope of planting, we have Louis Umerlik to thank for creating these nifty maps of use of GM crops in the U.S.  Start with this one (it gives references to sources of the information).  Then look at his maps of soybean, corn, and cotton plantings.  Enjoy (or not).

The Institute of Medicine’s long awaited study,  Strategies to Reduce Sodium Intake in the United States, will be released next week at a public briefing in Washington, DC.

According to study director Chris Taylor, the briefing will be held Wednesday, April 21, from 10:00 a.m. to 11:00 a.m. at the National Press Club, 529 14^th Street, NW, Washington, DC.  Those who cannot attend can listed to a live audio Webcast at http://www.nationalacademies.org/.  Anyone who wants to attend should register at http://www.iom.edu/Activities/Nutrition/ReduceSodiumStrat.aspx.  For information, contact the news office at the National Academies, (202)-334-2138 or onpi@nas.edu.

In what can hardly be a coincidence, General Mills has announced that it will be reducing the sodium in several lines of its products by 20% between now and 2015.

The great majority, perhaps 80%, of the salt in U.S. diets comes from processed and pre-prepared foods.  If salt is to be lowered, the processed food and restaurant industries must do it.  Just about everyone agrees that salt reduction has to occur gradually and across the board.  It’s great that General Mills is signing on to this effort.

Several informants – and students in my NYU Food Ethics class – told me about KFC’s latest sandwich or sent me to stories about it: two slabs of breaded chicken, two slices of bacon, two melted slices of cheese, and sauce.  I checked the KFC website.  Apparently, it’s for real.  There is even a TV Commercial.

And here’s the nutrition information.  Practically a diet product (except for the sodium).  You can’t make up stuff like this.

In part in response to the outpouring of hate mail about Jamie Oliver’s “food revolution,” Kerry Trueman has tossed in another question from Eating Liberally:

KT: The last two episodes of Jamie Oliver’s Food Revolution have yet to air, but folks are already assessing whether Oliver’s attempt to launch a culinary coup in the community of Huntington, West Virginia was a success or a failure. Jamie’s ‘people’ consulted you at the start of this project. Did they heed your advice? If it had been your show, how would you have gone in and done it?

Dr. Nestle: I don’t watch much TV (technophobe that I am, I have yet to figure out how to turn it on without resorting to instructions), but I would not miss the Jamie Oliver show. I first heard about it from students in my NYU Food Ethics class. They made it clear that the show was well worth watching by anyone who cares about how America eats.

I was dubious. When I met with Jamie Oliver’s staff in London last summer—an information session, not a consult—I thought the project sounded kind of arrogant but knowing nothing about reality television, I was curious to see how it would go.

Splendidly, I would say. What I hadn’t realized is how much fun this guy is, and how gutsy. OK, he has annoying Briticisms. OK, a lot of this is about him.

But he wants everyone to learn to cook healthy food and have fun doing it. He wants school lunches to be better. He wants people to be healthier. Along the way, he is exposing deep flaws in the federal school meal programs and in the kinds of foods that many people eat without giving what they eat much thought. Sounds good to me.

I’m kind of stunned by the hostility the programs have evoked among people I would have expected to support these goals. My teaching assistant, Maya Joseph, a doctoral student at the New School, categorized the criticisms for me:

• the wounded ego messages (how dare Jamie Oliver not mention MY work!!)

• the ugly foreigner message (how dare Jamie tell AMERICANS what to eat!)

• the outraged sensitivity messages (how dare Jamie Oliver not take account of X,Y, and Z when he so rudely ballooned into this town).

Maya adds: “I would have thought that it would be obvious…that this is (a) a TV show! and (b) great publicity for our food system tragedies.”

Me too. Or, as food consultant Kate Adamick points out in the first of  her ongoing reviews on the Atlantic Food Channel, “the revolution will be televised.”

This is reality TV aimed at an important public health problem. Is it theater, or is something bigger going on?

From the number of people I know who are watching it and talking about it, I’m voting for bigger. I think it’s useful for people to know that kids at school think it’s normal to eat pizza for breakfast, French fries for lunch, and nothing with a knife and fork. And they have no idea what a tomato or a potato looks like. People need to know that schools and USDA regulations allow these things to happen. They need to know that better food costs more.

From my observations of school food over the years, getting decent food into schools requires:

•  A principal who cares about what kids eat

•  Teachers who care about what kids eat

•  Parents who care about what kids eat

•  Food service personnel who not only care what the kids eat, but also know the kids’ names.

Jamie Oliver is trying to reach all of these people, and more.

I think the programs have much to teach about the reality of school food and what it will take to fix it. The New York Times reviewer, also dubious at first, ended his review with this comment:

One thing noticeably absent from the first two episodes is a discussion of any role the American food industry and its lobbyists might play in the makeup of school lunches and in the formulation of the guidelines set for them by the Agriculture Department. If Mr. Oliver wants a real food revolution, it can’t happen just in Huntington.

Yes! And these programs could help.

Finally, let me comment on the West Virginia University’s evaluation. This survey found that the kids didn’t like Oliver’s meals (but did try them). The staff didn’t like the increased work. Everything cost more.

Once again, this is TV, not a real school intervention. Real ones start at the beginning of a semester, not in the middle, and are about food, not entertainment. They also do not leave it up to the kids to decide what to eat.

As I said in one of my blog posts on these programs, I want to know what happens in schools and in the community after the TV crews are gone. If the programs are any indication, I think real changes will take place in the minds, hearts, and stomachs of at least some participants and viewers. Whether researchers can figure out how to capture those changes is another matter.

Watch them. And get your kids to watch with you.

Addition April 21: Jane Black of the Washington Post has done a thorough evaluation of the TV series accompanied by notes on her  personal interview with Jamie Oliver.   She thinks he did some good.  Me too.

It’s the weekend and I’m cleaning out my e-files.  The Government Accountability Office (GAO), the congressional watchdog agency, has just released a bunch of reports complaining about the way the FDA and USDA do business:

Food Irradiation: FDA Could Improve Its Documentation and Communication of Key Decisions on Food Irradiation Petitions (GAO-10-309R, February 16, 2010, 23 pages).

labels on food products subject to FDA jurisdiction do not have to be reviewed and preapproved by FDA before marketing. Rather, the processor is responsible for properly labeling its products. In fact, FDA officials told us that they do not collect information on how irradiated foods are labeled and marketed. In contrast, USDA reviews and preapproves all labels before use on meat and poultry products and has denied label submissions that do not meet its requirements…FDA does not require the product’s ingredient list to disclose that a particular ingredient has been irradiated, while USDA generally does.

Food Safety: FDA Should Strengthen Its Oversight of Food Ingredients Determined to Be Generally Recognized as Safe (GRAS) (GAO-10-246, February 3, 2010, 69 pages).

FDA only reviews those GRAS determinations that companies submit to the agency’s voluntary notification program…the agency has not systematically reconsidered GRAS substances since the 1980s… FDA has largely not responded to concerns about GRAS substances, such as salt and the trans fats in partially hydrogenated vegetable oils, that individuals and consumer groups have raised through 11 citizen petitions submitted to the agency between 2004 and 2008…FDA’s approach to regulating nanotechnology allows engineered nanomaterials to enter the food supply as GRAS substances without FDA’s knowledge. In contrast to FDA’s approach, all food ingredients that incorporate engineered nanomaterials must be submitted to regulators in Canada and the European Union before they can be marketed.

Food safety note #1: This arrives in the middle of the latest set of FDA recalls, this time of nearly 100 products made with a flavor enhancer, hydrolyzed vegetable protein, contaminated with Salmonella.

Food safety note #2: the Produce Safety Project at Georgetown University has estimated the cost of foodborne illness:  $152 billion annually, of which $39 billion is due to leafy greens and other vegetables.

Food and Drug Administration: Opportunities Exist to Better Address Management Challenges. (GAO-10-279, February 19, 2010, 54 pages).

Through reviewing reports…GAO determined that FDA’s management challenges include recruiting, retaining, and developing its workforce; modernizing its information systems; coordinating internally and externally; communicating with the public; and keeping up with scientific advances…While FDA has taken steps to align its activities and resources to strategic goals, these efforts in its centers and offices are not clear, making it difficult to connect the agency’s use of resources to the achievement of its goals.

If you feel gossipy (or want to interpret the raw data for yourself), you can read what FDA staff actually told GAO interviewers.

Humane Methods of Slaughter Act: Actions Are Needed to Strengthen Enforcement (GAO-10-203, February 19, 2010, 60 pages). [The actual survey responses are here.  And a shorter version given as testimony is here.]

The guidance does not clearly indicate when certain enforcement actions should be taken for an egregious act–one that is cruel to animals or a condition that is ignored and leads to the harming of animals. A noted humane handling expert has stated that FSIS inspectors need clear directives to improve consistency of HMSA enforcement. According to GAO’s survey, FSIS’s training may be insufficient.

This, one can only assume, is an understatement.

The GAO does important work, no?  Now if only government agencies would listen to it.

Food corporations are pushing corporate social responsibility (CSR) as hard as they can.  This seems like an oxymoron to me, but here’s what they say:

CSR #1: Nestlé (no relation) says it is creating shared value by “optimizing water use and productivity, Italy.”

In the Piacenza and Parma region of Italy, in recent years, water has become scarcer, especially during the summer. Nestlé Italia decided to engage more closely with its tomato suppliers, to secure its supply of tomatoes and significantly reduce the amount of fresh water used for irrigation.

The three-year project with Consorzio Interregionale Ortofrutticoli, a cooperative of tomato farmers, aims to maximise tomato production and optimise irrigation in 10 pilot farms with differing soil conditions, by using solar-powered CropSense Soil Moisture Monitoring technology. Data at root level is collected daily and used to provide the exact amount of water needed to optimise crop revenue and water use.

Data collection will continue into 2011, and additional farmers are already keen to join the project based on the initial results: yields have nearly doubled, the tomato quality (sugar content) increased by 15% and the water used to produce one tonne of tomatoes fell by 45%.

Watch Nestlé’s film: Optimising water use and productivity, Italy

Read more in Nestlé’s report, Creating Shared Value

Anti-CSR: For an antidote, try Corporate Accountability International’s campaign called “Think Outside the Bottle,” and watch the video of Annie Leonard’s Story of Bottled Water.

CSR #2: FoodNavigator has a new collection of commentaries on CSR:

Yesterday, the New England Journal of Medicine published – online ahead of publication – my Perspective on “Health Care Reform in Action–Calorie Labeling Goes National.”

Never, in the more than 40 years since I published my first scientific paper (see note below), have I had an experience like this one.

Most of the time, academic publishing is a tortuous process, fraught with endless delays, rejections, nit-picking, and humiliation.

Not this time:

• Friday, April 2: Perspective submitted
• Monday, April 5: Perspective accepted, edited, set into page proofs, and queried
• Tuesday, April 6: Queries dealt with and page proofs corrected
• Wednesday, April 7: Figure added and Perspective published online and scheduled for print publication on May 27.

Whew!  Let’s hear it for electronic publishing.  I think I could get used to this.

Note: I know you are dying of curiosity about that first paper.  It appeared in 1968 when I was a budding (alas, never flowering) nucleic acid biochemist: Nestle M, Roberts WK.  Separation of ribonucleosides and ribonucleotides by a one-dimensional paper chromatographic system.  Analytical Biochemistry 1968;22:349-351.