Food Politics

by Marion Nestle
Aug 26 2020

Fox guarding chickens: OSHA’s worker-safety partnership with the meat industry

The Labor Department’s Occupational Safety and Health Administration (OSHA) has formed an alliance with the North American Meat Institute (NAMI) to

provide NAMI’s members, workplace safety and health professionals, the meatpacking and processing workforce, and the public with information, guidance, and access to training resources that will help them protect workers by reducing and preventing exposure to Coronavirus 2019 (COVID-19), and understand the rights of workers and the responsibilities of employers under the Occupational Safety and Health Act.

NAMI’s motto is “One unified voice for meat and poultry companies, large and small.”  Its members are listed here.

OSHA’s stated mission

With the Occupational Safety and Health Act of 1970, Congress created the Occupational Safety and Health Administration (OSHA) to ensure safe and healthful working conditions for working men and women by setting and enforcing standards and by providing training, outreach, education and assistance.

  • Do we see a potential conflict of interest here?  Indeed, we do.

Basically, the Alliance aims to

  • Share information…regarding potential exposure to COVID-19 and the challenges for exposure control in meat packing and processing facilities.
  • Develop information on the recognition of COVID-19 transmission risks and best practices.
  • Conduct outreach through joint forums, roundtable discussions, stakeholder meetings, webinars, or other formats on OSHA guidance and NAMI’s good practices.
  • Speak, exhibit, or appear at OSHA and NAMI conferences…regarding good practices.
  • Encourage NAMI members…to utilize OSHA’s On-Site Consultation Program to improve health and safety and prevent COVID-19 transmission.

This looks like meat industry propaganda to me.

As quoted by Food Dive, Marc Perrone, president of the United Food and Commercial Workers International Union, called the deal “an outrage.” His statement:

Throughout the pandemic, employers have continued to keep workers and the general public in the dark about illness in the plants while trying to shield themselves from any liability for the role they played in the loss of life. It is shocking that the Department of Labor is now giving the meat industry even more power to police itself on worker safety.

He’s not kidding.  The Food and Environment Reporting Network is tracking cases.  As of August 17, its figures show confirmed cases of Covid-19 in

  • 474 meatpacking plants among 40,708 meatpacking work (189 deaths)
  • 269 food processing plants among 8658 food processing workers (34 deaths)

No surprisae, workers have filed thousands of complaints with OSHA.

What has OSHA done for them?  It co-issued (with CDC) guidance on what companies ought to be doing about distancing and masking. 

Are companies following this guidelines?  Not with much conviction.

That is why workers have had to resort to filing lawsuits against Smithfield Foods and Tyson Foods—and OSHA—as summarized by ProPublica.

According to Politico (behind a paywall, unfortunately), the lawsuits reveal that OSHA admits that it is unable to police its own safety guidelines.

Although an inspector from OSHA’s Wilkes-Barre Area Office witnessed employees working “2 to 3 feet” apart without physical barriers — which goes against the Centers for Disease Control and OSHA’s safety recommendations — the agency concluded there was no “imminent danger” at the plant, the inspector testified during a July 31 hearing.

As always, it’s hard to make up stuff like this.

Aug 25 2020

Food insecurity is rising, especially among kids

The Wall Street Journal reports “More Americans Go Hungry Amid Coronavirus Pandemic, Census Shows.

As of late last month, about 12.1% of adults lived in households that didn’t have enough to eat at some point in the previous week, up from 9.8% in early May, Census figures show. And almost 20% of Americans with kids at home couldn’t afford to give their children enough food, up from almost 17% in early June.

The most shocking revelation?  Try this.

What’s going on here?

If ever there was a need for policy, this is it.

Aug 24 2020

Coronavirus marketing exploitation of the week: Lays travel chips

 

According to ABC News:

With so many people feeling cooped up due to restrictions in place because of the coronavirus pandemic, potato chip maker Lay’s has developed four new internationally-inspired flavors to satisfy both food and travel cravings alike.

But here’s the real gimmick:

The new flavors won’t be sold in stores.  Anyone wishing to taste one of the new flavors will have to reply to one of the company’s social media posts and tell them which country you’d like to visit.  A bag from the country they choose will be shipped to the lucky winners.

Lays tried this in 2016.  But you could buy those in stores, although not for long evidently.  The Greek Tzatziki flavor is the only one of that lot to make it into this one.

Frito-Lay, of course, is owned by PepsiCo.  So this is Big Food in marketing action.

Aug 21 2020

Weekend reading: Diabetes, race, and class

Arleen Tuchman.  Diabetes: A History of Race and Disease.  Yale University Press, 2020.Diabetes: A History of Race and Disease: 9780300228991: Medicine & Health Science Books @ Amazon.comI did a blurb for this book:

This is a superb, deeply researched history of the role of racism and class bias in perceptions of type 2 diabetes.  Its root causes?  Poverty and discriminationa new vision for a prevention agenda.

Tuchman does for type 2 diabetes what historians of other diseases have done: explore the central role of race and racism.  Racism, she explains, can

Generate ill health by producing pathological responses to the stress of living in a society in which skin color is endowed with privileges denied to others.  Racism, in other words, can make people sick.  In this way, racism—not race—becomes a fundamental cause of differential disease rates, making it impossible to draw a sharp line between what is biological and what is social.

As she documents, health professionals first viewed diabetes as a disease of the Jews—perhaps because they went to doctors more often.   It took decades for scientists to distinguish type 1 from type 2 diabetes, and more decades to recognize that its higher prevalence among non-white minority groups might be due to the obesity-promoting diets and lifestyles of poverty.

For documentation of the social determinants of health, this book is an instant classic.

Aug 20 2020

What else is happening with plant-based meat alternatives

Since writing about Christopher Gardner’s study on Monday this week, I have plant-based meats on my mind.  Here are some other recent items about the booming interest in these products.

Aug 19 2020

The latest on USDA’s food boxes: they now come with a personal note from Trump

I learned about this latest development in the ongoing sage of USDA’s food boxes from Maine Representative Chellie Pingree on Twitter.

Trump’s letter is here.

The letter from members of Congress to USDA is here.

It has a list of ten questions, among them my two favorites:

5. Identify the total amount of funding expended or obligated to plan, coordinate, draft, review, provide stakeholder or public notification, and disseminate the President’s letter. Include the specific regulatory or statutory authorities associated with such funding.

7. Explain the rationale for why the letter is signed by the President on White House letterhead rather than by the Secretary of Agriculture and/or the Secretary of Health and Human Services.

Politico Morning Agriculture asks (“A new front in the food box fracas,” August 17):

So what’s the upshot? Besides heightened scrutiny of the ongoing effort, the new controversy could further motivate key lawmakers who are pushing to tighten restrictions on how the department spends any future farm relief funds — assuming Congress and the White House ever agree on a new stimulus package…

Aug 18 2020

The UK takes on obesity: a new campaign

Boris Johnson, the UK’s admittedly overweight prime minister, has suddenly become a champion of anti-obesity policy, following his bout with Covid-19.

As the Washington Post puts it, “Boris Johnson says ‘I was too fat’ as he launches anti-obesity campaign.”

The campaign is based on two reports, one detailing the high and growing prevalence of obesity in Great Britain and its links to Covid-19 susceptibility.

The second is a government policy report, which says it is

  • introducing a new campaign – a call to action for everyone who is overweight to take steps to move towards a healthier weight, with evidence-based tools and apps with advice on how to lose weight and keep it off
  • working to expand weight management services available through the NHS [National Health Service], so more people get the support they need to lose weight
  • publishing a 4-nation public consultation to gather views and evidence on our current ‘traffic light’ label to help people make healthy food choices
  • introducing legislation to require large out-of-home food businesses, including restaurants, cafes and takeaways with more than 250 employees, to add calorie labels to the food they sell
  • consulting on our intention to make companies provide calorie labelling on alcohol
  • legislating to end the promotion of foods high in fat, sugar or salt (HFSS) by restricting volume promotions such as buy one get one free, and the placement of these foods in prominent locations intended to encourage purchasing, both online and in physical stores in England
  • banning the advertising of HFSS products being shown on TV and online before 9pm and holding a short consultation as soon as possible on how we introduce a total HFSS advertising restriction online

The UK food industry does not like this.  It insists that this campaign is “a terrible missed opportunity.”

I was interested to see Hank Cardello’s comment on this (Cardello is with the conservative Hudson Institute in the US): “How A Libertarian Is Tackling Obesity And Why Big Food Should Worry.”  Cardello thinks that Johnson’s efforts are the wave of the future.  The food industry should stop fighting public health measures, he says.  Instead, it should:

  • Get ahead of imposed regulations instead of resisting change. Instead of fighting public health initiatives, they can lead the way with research that defines workable steps to reverse the obesity crisis.
  • Educate with public service ads. It’s time that food and restaurant corporations air public service announcements (PSAs) about healthy eating and the impact of high sugar, salt and fat on health and obesity.
  • Commit to a BHAG (”Big Hairy Audacious Goal”). They can decide, for instance, that at least 50% of the products they sell will be healthier versions or in smaller portions.

Wouldn’t that be terrific, and it’s great that he’s saying so (I keep telling him that he sounds more like me every day).

But can food companies follow his advice?  Not as long as they put profits to shareholders, first, alas.

That’s what really needs to change.

Aug 17 2020

Industry-funded study of the week: Beyond Meat

Stanford University issued a press release to announce the results of a study comparing physiological effects of eating plant-based meat alternatives (Beyond Meat) to eating foods of animal origin.

A diet that includes an average of two servings of plant-based meat alternatives lowers some cardiovascular risk factors compared with a diet that instead includes the same amount of animal meat, Stanford Medicine scientists found.

The study:  A randomized crossover trial on the effect of plant-based compared with animal-based meat on trimethylamine-N-oxide and cardiovascular disease risk factors in generally healthy adults: Study With Appetizing Plantfood—Meat Eating Alternative Trial (SWAP-MEAT).  Crimarco A, et al.  American Journal of Clinical Nutrition, August 11, 2020.  https://doi.org/10.1093/ajcn/nqaa203

Overall conclusion: “This study found several beneficial effects and no adverse effects from the consumption of plant-based meats.”

The sponsor: “Supported by a research gift from Beyond Meat Inc. (to CDG)…Funding for this study was provided by Beyond Meat. In an effort to reduce any influences on the outcomes of this study, a statistical analysis plan was submitted to ct.gov. The main analysis was conducted by a third-party individual who had no involvement with the study design or collection of data, and was blinded to all study participants.

Comment

Ordinarily, I would simply present this study as a classic example of how industry-funded studies predictably produce results that favor the commercial interests of their sponsors, a topic to which I devoted my book, Unsavory Truth: How Food Companies Skew the Science of What We Eat.

But CDG is Christopher Gardner, the study’s lead scientist, whose impressive track record of managing complicated clinical trials of diet and health I greatly admire.

Gardner describes himself as a vegan (meaning that he eats no animal products).

Knowing of my concerns about industry-funded research, he wrote me some months ago to say that this study was in the works and to point out that he has done at least six industry-funded studies with null findings (he sent me a PowerPoint slide deck to prove it).  In his correspondence, he said:

  • “I believe this is the FIRST industry funded study I’ve run that had a significant positive health finding.”
  • “Beyond Meat was not involved in design or analysis, and to this day still doesn’t know the study outcome.”
  • “I’m preparing myself for being called out as a vegan industry shill….hoping I’ve established a reputation for objectivity to withstand this ?”
  • “PS – Hope you enjoy the study acronym (Study With Alternative Plantfood – Meat Eating Alternative Trial: SWAP-MEAT)” [Indeed I do].

OK.  So let’s take this study on its merits.

Gardner asked healthy non-vegetarian adults (36) to consume 2 servings a day of either Beyond Meat or regular meat (what the study calls Animal Meat).  The Beyond Meat and Animal Meat were provided to participants.  The rest of their diets was on their own.

For 8 weeks, they ate Beyond Meat or Animal Meat.  For the next 8 weeks, they switched over to the other kind.

Results: Participants consuming Beyond Meat displayed lower levels of

  • LDL-cholesterol (the bad kind)
  • Body weight (by 1 or 2 pounds)
  • TMAO (Trimethylamine N-oxide)—but only for those who consumed Animal Meat first and Beyond Meat second (not the other way around)

Beyond Meat may be plant-based, but it is ultraprocessed.  FoodNavigator produced a nice comparison.

Beyond Meat would dearly love to demonstrate that its ultraprocessed composition is immaterial to its health benefits.  Hence: this study.

Beyond Meat is already using it for marketing purposes: “New study finds health benefits of plant-based meats.”

As I see it, there are two issues here: (a) what else the participants were eating and (b) the significance of the TMAO measurements.

(a) The diet: This was not a controlled dietary intake trial conducted in a closed metabolic ward.  Participants were free to eat whatever they liked and how much they liked.  They lost a little weight during the Beyond Meat phase, which means they must have been eating fewer calories during that phase, as they reported (this graph is in the Supplementary material).

Reported daily calories were under 2000, which means that lots of calories must not have been reported.  So it’s hard to know what the weight loss is actually due to.

(b)  TMAO: You make TMAO after you eat foods containing choline, a compound common in animal-based foods: meat, poultry, fish, and eggs.  A 2019 editorial review in JAMA discusses the association of TMAO with heart disease risk.

Now, researchers are homing in on another possible culprit: a dietary metabolite linked to red meat called trimethylamine N-oxide, or TMAO. Three recent meta-analyses confirmed that high blood levels of TMAO are associated with increased risks of cardiovascular disease and all-cause mortality. One of the studies, published in the Journal of the American Heart Association in 2017, found a more than 60% heightened risk of both major adverse cardiovascular events and death from all causes in people with elevated TMAO. Other research has associated higher TMAO levels with heart failure and chronic kidney disease.

On the other hand, an analysis by Dr. Bret Scher raises questions about whether TMAO has any real meaning for health (and I thank Stephen Zwick for sending this to me).

In my opinion, this is an example of a well-run study that, in the end, lends very little to our knowledge of human health….The main outcome from this intervention had to do with TMAO. Why is this problematic? Well, it has to do with the fact that small, short-term trials are unable to measure meaningful endpoints, such as who lives, dies, or who gets heart disease.  So, instead, the authors have to choose the surrogate outcome markers that they believe relate to human health.

Dr. Scher believes that “There is no convincing evidence that these results impact someone’s health.”  As Scher has discussed previously, he sees no cause-and-effect relationship between TMAO levels and health.  You can read his arguments here:

The bottom line?  This study suggests that two servings a day of Beyond Meat is unlikely to be harmful.  Whether substituting Beyond Meat for real meat is truly useful for health in the absence of other dietary changes remains to be confirmed, hopefully by independently funded research.