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The 2015 Dietary Guidelines Advisory Committee (DGAC) issued its more than 500-page report yesterday.

Before I say anything about it, please note that this report informs, but does not constitute, the Dietary Guidelines. The agencies—USDA and HHS—write the actual Guidelines and are not expected to do so until the end of this year.

Here are what I see as the highlights (these are direct quotes)

• A healthy dietary pattern is higher in vegetables, fruits, whole grains, low- or non-fat dairy, seafood, legumes, and nuts; moderate in alcohol (among adults); lower in red and processed meat; and low in sugar-sweetened foods and drinks and refined grains.
• A diet higher in plant-based foods…and lower in calories and animal-based foods is more health promoting and is associated with less environmental impact than is the current U.S. diet.
• It will take concerted, bold actions…to achieve and maintain the healthy diet patterns, and the levels of physical activity needed to promote the health of the U.S. population. These actions will require a paradigm shift to an environment in which population health is a national priority and where individuals and organizations, private business, and communities work together to achieve a population-wide “culture of health” in which healthy lifestyle choices are easy, accessible, affordable, and normative.

Some facts and statements from the report (not direct quotes).

• Half the energy intake in U.S. diets comes from a combination of burgers and sandwiches (~14%), desserts and sweet snacks (8.5%), sugary beverages (6.5%), mixed dished made with rice, pasta, and other grains (5.5%, savory snacks (~5%), pizza (4.3%), and meat, poultry and seafood mixed dishes (~4%).
• Nearly half of total sugar intake comes from beverages other than milk and 100% fruit juice

The report comments on issues under current debate.

• Saturated fat: “replacing SFA with unsaturated fats…significantly reduces total and LDL cholesterol…Strong and consistent evidence…shows that replacing SFA [saturated fatty acids] with PUFA [polyunsaturated fatty acids] reduces the risk of CVD [cardiovascular] events and coronary mortality…For every 1 percent of energy intake from SFA replaced with PUFA, incidence of CHD [coronary heart disease] is reduced by 2 to 3 percent. However, reducing total fat (replacing total fat with overall carbohydrates) does not lower CVD risk.”
• Sugars: “Strong and consistent evidence shows that intake of added sugars from food and/or sugar sweetened beverages are associated with excess body weight in children and adults…Strong evidence shows that higher consumption of added sugars, especially sugar-sweetened beverages, increases the risk of type 2 diabetes among adults and this relationship is not fully explained by body weight.[Theae findings are] compatible with a recommendation to keep added sugars intake below 10 percent of total energy intake.”
• Food labels: “Consumers would benefit from a standardized, easily understood front-of-package (FOP) label on all food and beverage products to give clear guidance about a food’s healthfulness.” [This refers to the recommendations of the Institute of Medicine that I’ve written about previously; they disappeared without a trace.]
• Soda taxes: “Economic and pricing approaches, using incentives and disincentives should be explored to promote the purchase of healthier foods and beverages. For example, higher sugar-sweetened beverage taxes may encourage consumers to reduce sugar-sweetened beverage consumption.”
• SNAP: “Policy changes within the federal Supplemental Nutrition Assistance Program (SNAP), similar to policies in place for the WIC program, should be considered to encourage purchase of healthier options, including foods and beverages low in added sugars. Pilot studies using incentives and restrictions should be tested and evaluated.”

The DGAC recommends (these are direct quotes but not necessarily complete):

• Establish local, state, and Federal policies to make healthy foods accessible and affordable and to limit access to high-calorie, nutrient-poor foods and sugar-sweetened beverages in public buildings and facilities.
• Set nutrition standards for foods and beverages offered in public places.
• Improve retail food environments and make healthy foods accessible and affordable in underserved neighborhoods and communities.
• Implement the comprehensive school meal guidelines (National School Lunch Program) from the USDA that increase intakes of vegetables (without added salt), fruits (without added sugars), and whole grains.
• Limit marketing unhealthy foods to children.
• Make drinking water freely available to students throughout the day.
• Ensure competitive foods meet the national nutrition standards (e.g., Dietary Guidelines for Americans).
• Eliminate sugar-sweetened beverages [from schools].
• Nutrition Facts label should include added sugars (in grams and teaspoons).

And for all federal nutrition programs, the DGAC recommends:

• Align program standards with the Dietary Guidelines for Americans so as to achieve the 2015 DGAC recommendations and promote a “culture of health.”

Congratulations to this committee for its courageous recommendations.

Why courageous?  See my previous comments on the objections to such advice.

The next step: public comment:

The public is encouraged to view the independent advisory group’s report and provide written comments at www.DietaryGuidelines.gov for a period of 45 days after publication in the Federal Register. The public will also have an opportunity to offer oral comments at a public meeting in Bethesda, Maryland, on March 24, 2015. Those interested in providing oral comments at the March 24, 2015, public meeting can register at www.DietaryGuidelines.gov. Capacity is limited, so participants will be accepted on a first-come, first-served basis.

Here’s your chance to support this committee’s excellent ideas and demonstrate public approval for diets that promote the health of people and the planet.

Note: the reactions to the report are pouring in and I will deal with them next week.  Enjoy the weekend!

This was a big election for the food movement:

• Soda taxes in Berkeley and San Francisco
• GMO initiatives in Colorado, Oregon, and Maui
• The reelection of particularly fierce opponents of food stamps
• Minimum wage laws

Soda taxes

Hats off to Helena Bottemiller Evich of Politico ProAg who stayed up half the night to file her story at 3:00 a.m.  As usual, she cuts right to the chase.  Here’s her comment on the Berkeley win:

Voters approved Measure D, a penny-per-ounce tax, by a three-to-one margin after a bitter campaign battle, with the beverage industry spending more than $2.1 million to oppose the initiative. The pro-tax campaign was bolstered by more than $650,000 from former New York City Mayor Michael Bloomberg.

The vote for the tax in Berkeley was a whopping 75%–a clear, unambiguous win.

The vote in San Francisco passed the tax by a majority—54.5%—but a 2/3 vote was required because the measure specified where the funds would to.

And here’s some commentary

Dana Woldow, who has covered these elections closely on the website Beyond Chron, has this to say about the Berkeley win.

Xavier Morales, executive director of the Latino Coalition for a Healthy California, told me that entities across the state have just been waiting to hear what happens in Berkeley and SF to advance their own local plans for a tax, and that there are ongoing discussions at the state level regarding the feasibility of a soda tax bill to help reduce diabetes, heart disease and stroke. “Other cities in the Pacific Northwest have also been watching both San Francisco and Berkeley with great interest,” he said.

Sara Soka, campaign manager for Berkeley vs Big Soda (the Yes on D campaign)says:

What happens in Berkeley doesn’t stay in Berkeley…Berkeley’s public school system was one of the first to voluntarily desegregate in 1968. It’s led in public school food policy, smoke-free areas in restaurants and bars, curb cuts for wheelchairs.  All these positive changes are now mainstream.

Michael Jacobson, director of Center for Science in the Public Interest, a long-time supporter of soda taxes, says:

Berkeley voters have shown it can be done.  A community’s health can trump Big Soda’s insatiable appetite for profit…This is a historic victory for public health and a historic defeat for the increasingly disreputable soda industry. Coca-Cola, PepsiCo, and the American Beverage Association can no longer count on spending their way to victory.

San Francisco’s Choose Health SF

This isn’t about one soda tax. This is about a national movement that was kicked off tonight, and we are proud to have raised the conversation about the health impacts of soda and sugary beverages, and exposed the beverage industry’s deceptive tactics.

GMO labeling and no-plant initiatives

At a cost estimated at more than $60 million, the GMO industry and its food industry friends managed to defeat labeling measures in Oregon and Colorado.

In Maui, voters passed an initiative to block cultivation of GMO materials on Maui, Molokai and Lanai until cleared by environmental and safety studies.

The Information Technology & Innovation Foundation released this statement quoting Val Giddings of the Biotechnology Industry Organization:

The effort was a misleading, fear-based campaign to put a “scarlet letter” on genetically modified foods. “We commend the citizens of Colorado for protecting the environmental benefits, food abundance and lower prices that have been delivered by seeds and crops improved through biotechnology.”

Reelection campaigns

These have to do with representatives whose positions on food stamps are especially awful.   The position of one, Florida Republican Steve Southerland, was so dreadful that he was singled out by Food Policy Action for targeting.

During discussions of the farm bill, Southerland led attempts to cut food stamps and force beneficiaries to work.  Food Policy Action’s Tom Colicchio and Ken Cook issued a statement:

This is a big win for food advocates and Florida families. Congressman Southerland has repeatedly made policy choices that are harmful to families and small farmers. Today, we proved that voters care about food issues, and they will hold their elected officials accountable on Election Day.

 New York City Coalition Against Hunger notes these election results:

• Steve Southerland (Florida 2), arguably the greatest Congressional opponent of SNAP/Food Stamps, lost his re-election bid.
• PA Governor Tom Corbett who – soon after becoming Governor – wanted to slash Food Stamps benefits – lost big.
• In contrast, Thad Cochran, who is perhaps the GOP’s strongest supporter of SNAP/Food Stamps, won re-election to the Senate by a wide margin in Mississippi.

It quotes executive director Joel Berg: “Cutting SNAP and other safety net programs is bad policy, bad morals, and, as last night’s results show, bad politics.”

Minimum Wage Laws
Voters in four red states (SD, AR, AK, NE) passed raises in the minimum wage by wide margins, even though they defeated Democratic candidates.

My comments on all of this

• To the question, will soda taxes reduce consumption, I would answer: the soda industry thinks so to the tune of $11 million in San Francisco and Berkeley.
• To the question, will GMO labeling hurt the GMO and food industries, I would answer: the industries think so to the tune of about $100 million so far.
• These expenditures—and the bullying that go with them—are sufficient to explain the voter turnout.

If you haven’t seen Nightline’s exposé of the soda industry’s tactics, now might be a good time to take a look.

And celebrate!

Can money buy elections?  Apparently so.

Yesterday’s election results indicate that the GMO-labeling initiative in Washington state and the soda tax initiative in Telluride, CO both failed.

Washington’s I-522

According to USA Today, the defeat cost opponents $22 million.  All of that—except $550—came from out of state.

The top five contributors were the Grocery Manufacturers Association, Monsanto, DuPont Pioneer, Dow AgroSciences and Bayer CropScience.

But the Grocery Manufacturers Association was required to list its contributors.  The top five?  PepsiCo, Nestlé (no relation), Coca-Cola, General Mills, ConAgra  at about a million each when you add it all up.

USA Today reports:

Food industry ads claimed that the initiative would raise food prices. Labels would mislead consumers into thinking that products that contain genetically engineered ingredients are “somehow different, unsafe or unhealthy,” said Brian Kennedy of the Grocery Manufacturers Association, a food industry group based in Washington, D.C.

The Yes on 522 campaigns emphasized consumers right to know what’s in their food.

But PoliticoPro points out that because votes are mailed in, more than 600,000 votes may still be left to count.

The food and biotech industries used their considerable war chest to make ad buys across the state, pointing out all of the products that would not be covered under the measure — such as cheese, beer, restaurant food and even, they claimed, pet food — and pushing the message that the bill is misleading and would considerably raise food prices. They said the law would hurt Washington’s farm families.

As I told USA Today, sooner or later, one of these is going to pass. At some point the industry is going to get tired of pouring this kind of money into these campaigns and will beg for labeling, which is what should have happened in the first place.

The Telluride soda tax

Telluride is a small town, so the amounts are much smaller.

According to ProPolitico, the Colorado Beverage Association installed an onsite lobbyist to generate opposition to the measure through meetings and an Internet site.

The largest donors to the opposition campaign were a Texas billionaire who owns a second home in Telluride ($55,000), and the the local and national beverage associations. were the largest contributors to the anti-tax campaign, giving $20,000 and $55,000 respectively.

Taxes, of course, are never popular even when intended for public health purposes, as this one was.

Soda taxes too, will pass eventually.

Patience and fortitude.

Addition: Here’s the Washington State vote as of this morning.

Coca-Cola’s announced its new “global commitments to help fight obesity” in a full-page ad in the New York Times.

The company says it is committed to several actions in the more than 200 countries in which it sells products:

• Offer low- or no- calorie beverage options in every market;
• Provide transparent nutrition information, featuring calories on the front of all of our packages;
• Help get people moving by supporting physical activity programs in every country where we do business;
• Market responsibly, including no advertising to children under 12 anywhere in the world

The company’s press kit contains:

• Global press releases in English and Spanish
• U.S. press releases about “Shaping a healthier Georgia” in English and in Spanish
• An infographic on the global commitment (also as high res or printable PDF)
• A website where Coca-Cola commits to measure the scale and reach of its efforts.

As might be expected, the announcement has gotten a lot of press, most of it highly laudatory (see below).

How are we to interpret all this?  It sounds good if you don’t think about it too carefully.  Coke has made these kinds of promises before with not much to show for it.  And the company is still focusing on personal choice and physical activity.

It can’t advise people to drink less soda.  Business is already bad enough.  Sales of Coke are flat in the United States, or declining.  The company needs to sell more, not least to pay the salary of its President, Muhtar Kent, who earned $26 million last year.

This looks to me like a major public relations campaign to keep vending machines in schools and head off federal, state, or local soft drink taxes or soda caps.

The only way Coke can really help address obesity and poor diets is to sell less soda—the one thing its stockholders will not allow.  And the company is doing everything it can to fight city and state soda taxes, portion size caps, or anything else that might reduce sales.

It will be interesting to watch this one play out.  Stay tuned.

Here are some of the press accounts:

My monthly (first Sunday) column in the San Francisco Chronicle appeared today.

I used the May 1 publication of the tenth anniversary edition of Food Politics (Michael Pollan wrote the Foreword) to reflect on what ‘s happened since the book first appeared in 2002.

A decade later, the Chronicle’s headline writer put it this way: 

Plenty of positive change happening

In case you missed all the publicity about Coca-Cola’s new ad campaign positioning the company as a force for public health, take a look at its new two-minute TV ad.

The video—how much do these things cost?—argues that the company is producing lower-calorie products in smaller sizes and promoting community activity, that all calories count, and that it’s up to you to fit Coke into your healthy active lifestyle.

The ad is an astonishing act of chutzpah, explainable only as an act of desperation to do something about the company’s declining sales in the U.S. and elsewhere.

If Coke really wanted to help prevent obesity, it would STOP:

• Targeting its “drink more Coke” marketing to kids.
• Targeting marketing to low-income minorities.
• Lobbying and spending a fortune to defeat soda taxes and caps on soda sizes.
• Fighting attempts to remove vending machines from schools.
• Pricing drinks so the largest sizes are the best value.
• “Bribing” health professions organizations to shut up about research linking sugar-sweetened beverages to poor diets and weight gain.
• Pushing Coke sales in developing countries where rates of obesity and related conditions are skyrocketing.

Instead, it’s doing all these things, but not talking about them in videos.

The company is supposed to be releasing a second video tonight, explaining how to work off the “140 happy calories” in a soda by dog-walking, dancing, or laughing. If only.

I can’t wait.

Addition, January 18:  Someone who calls himself John Pemberton has gone to the trouble of presenting the 2-minute commercial with a somewhat different narrative—the real story about Coca-Cola and obesity.  If that link doesn’t work, try this one.

For my monthly (first Sunday) Food Matters column in the San Francisco Chronicle, I devote the one in January every year to predictions.  Last year I got them all pretty much on target.  It didn’t take much genius to figure out that election-year politics would bring things to a standstill.  This year’s column was much harder to do, not least because the FDA was releasing blocked initiatives right up to the printing deadline.

 Q: I just looked at your 2012 crystal ball column. Your predictions were spot on. But what about 2013? Any possibility for good news in food politics?

A: Food issues are invariably controversial and anyone could see that nothing would get done about them during an election year. With the election over, the big question is whether and when the stalled actions will be released.

The Food and Drug Administration has already unblocked one pending decision. In December, it released the draft environmental assessment on genetically modified salmon – dated May 4, 2012. Here comes my first prediction:

The FDA will approve production of genetically modified salmon: Because these salmon are raised in Canada and Panama with safeguards against escape, the FDA finds they have no environmental impact on the United States. The decision is now open for public comment. Unless responses force the FDA to seek further delays, expect to see genetically modified salmon in production by the end of the year.

Pressures to label genetically modified foods will increase: If approval of the genetically modified salmon does nothing else, it will intensify efforts to push states and the FDA to require GM labeling.

Whatever Congress does with the farm bill will reflect no fundamental change in policy: Unwilling to stand up to Southern farm lobbies, Congress extended the worst parts of the 2008 farm bill until September. Don’t count on this Congress to do what’s most needed in 2013: restructure agricultural policy to promote health and sustainability.

The FDA will start the formal rule-making process for more effective food safety regulations: President Obama signed the Food Safety Modernization Act in January 2011. Two years later, despite the FDA’s best efforts, its regulations – held up by the White House – have just been released for public comment. Lives are at stake on this one.

The FDA will issue rules for menu labels: The Affordable Care Act of 2010 required calorie information to be posted by fast-food and chain restaurants and vending machines. The FDA’s draft applied to foods served by movie theaters, lunch wagons, bowling alleys, trains and airlines, but lobbying led the FDA to propose rules that no longer covered those venues. Will its final rules at least apply to movie theaters? Fingers crossed.

The U.S. Department of Agriculture will delay issuing nutrition standards for competitive foods: When the USDA issued nutrition standards for school meals in January 2012, the rules elicited unexpected levels of opposition. Congress intervened and forced the tomato sauce on pizza to count as a vegetable serving. The USDA, reeling, agreed to give schools greater flexibility. Still to come are nutrition standards for snacks and sodas sold in competition with school meals. Unhappy prediction: an uproar from food companies defending their “right” to sell junk foods to kids in schools and more congressional micromanagement.

The FDA will delay revising food labels: Late in 2009, the FDA began research on the understanding of food labels and listed more relevant labels as a goal in its strategic plan for 2012-16. Although the Institute of Medicine produced two reports on how to deal with front-of-package labeling and advised the FDA to allow only four items – calories, saturated and trans fat, sodium and sugars – in such labels, food companies jumped the gun. They started using Facts Up Front labels that include “good” nutrients as well as “bad.”

Will the FDA insist on labels that actually help consumers make better choices? Will it require added sugars to be listed, define “natural” or clarify rules for whole-grain claims? I’m not holding my breath.

Supplemental Nutrition Assistance Program participation will increase, but so will pressure to cut benefits: Demands on Snap – food stamps – reached record levels in 2012 and show no sign of decline. Antihunger advocates will be working hard to retain the program’s benefits, while antiobesity advocates work to transform the benefits to promote purchases of healthier foods. My dream: The groups will join forces to do both.

Sugar-sweetened beverages will continue to be the flash point for efforts to counter childhood obesity: The defeat of soda tax initiatives in Richmond and El Monte (Los Angeles County) will inspire other communities to try their own versions of soda tax and size-cap initiatives. As research increasingly links sugary drinks to poor diets and health, soda companies will find it difficult to oppose such initiatives.

Grassroots efforts will have greater impact: Because so little progress can be expected from government these days, I’m predicting bigger and noisier grassroots efforts to create systems of food production and consumption that are healthier for people and the planet. Much work needs to be done. This is the year to do it.

And a personal note: In 2013, I’m looking forward to publication of the 10th anniversary edition of “Food Politics” and, in September, my new editorial cartoon book with Rodale Press: “Eat, Drink, Vote: An Illustrated Guide to Food Politics.”