by Marion Nestle

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Dec 29 2013

My last San Francisco Chronicle column: Looking Back, Looking Forward

Looking back at year of progress for food system

After 5 1/2 years and 70 columns written exclusively for The Chronicle, this is my last. As I move on, I do so with much hope for a healthier and more equitable food system.

My optimism comes from taking the long view of progress in agriculture, food, nutrition and public health. When I look back on what’s happened since, say, 1980, I see enormous improvement in the foods available in supermarkets and in schools, the availability of organic and locally grown food, and public interest in everything about food, from taste to politics.

At this time of year, it’s customary to highlight the 10 most notable achievements of the past 12 months. But let me point out one conspicuous absence from this list – the creation of a stronger and more compassionate safety net for the poor and unemployed. Working toward this goal needs to be high on the food advocacy agenda for 2014.

With that gap in mind, here’s where I’ve seen noteworthy progress:

School nutrition standardsThe new rules are the result of the most significant achievement of Michelle Obama‘s Let’s Move! campaign – the Healthy, Hunger-Free Act of 2010. This act required schools to provide not only healthier meals, but also snacks. Early reports find most schools to be doing a good job of putting the new rules into effect. Yes, the rules do not go nearly far enough (they are too generous in sugar, for example), but they are a step in the right direction and lay the groundwork for even better standards.

Food safety rulesThe Food and Drug Administration finally started issuing regulations for the Food Safety Modernization Act of 2010. Once final, these rules will go a long way toward requiring food producers to take measures to ensure safety, and giving the FDA the authority to make sure they do. Yes, its details still need tweaking, but FSMA is a milestone on the road to a safer food supply. The next steps will be to bring the U.S. Department of Agriculture’s authority in line with the FDA’s, and to develop a single food safety agency that combines the functions of both.

FDA’s guidance on antibiotic resistanceThe FDA has called on drug companies to voluntarily agree to stop using medically important antibiotics to promote growth in farm animals and to require a veterinarian’s prescription when using these drugs to treat, prevent or control animal disease. Yes, this is voluntary and drug companies have three years to comply. But the FDA has taken the first step toward banning antibiotics for anything but therapeutic purposes, an impressive achievement given current political realities.

Let’s Move!’s food marketing initiativeMarketing is the elephant in the room of childhood obesity. It overwhelmingly influences kids to prefer, demand and consume junk foods and sodas. Mrs. Obama’s Let’s Move! campaign has no authority to regulate marketing to kids. By keeping a focus on this issue, she gives advocates plenty of room to hold food companies publicly accountable for their marketing practices.

Soda and junk food taxes in MexicoDespite intense and well-organized opposition by its soda, sugar and small-business industries, the Mexican government passed a 1-peso-per-liter tax on soft drinks and an 8 percent tax on junk foods.

These measures were meant to counter the country’s 70 percent of overweight people and, no coincidence, record-breaking soda consumption. The initiative succeeded as a result of strong advocacy support and also because the revenues were committed to social purposes, among them providing clean drinking water in schools. Other countries are likely to be inspired to enact similar measures.

GMO labeling initiativesConnecticut passed a GMO labeling law in 2013, but election initiatives in California and Washington failed. Even though the food and biotechnology industries poured tens of millions of dollars into defeating labeling measures, the margins of defeat were small. My crystal ball says that some such measures will eventually pass. The food biotechnology industry must think so too; some of its groups are calling for voluntary GMO labeling.

Fast-food workers’ wage demandsPeople who work full time should be able to support their families and not have to be on public assistance. If you work 40 hours at the federal minimum wage of $7.25 per hour, you will earn less than $300, and that’s before taxes.

USDA‘s agricultural coexistence initiativesBy agricultural coexistence, the USDA means peaceful relations between quite different farming systems – industrial and GMO versus organic and sustainable. Peaceful coexistence would be a lot easier if GMO pollen didn’t drift onto organic crops, if Congress supported sustainable agriculture in proportion to its size, and if the ag-biotech industry didn’t dismiss cooperation out of hand.

The New York City mayoral candidates forum and coalition buildingAbout 85 food and nutrition advocacy groups put their differences aside to jointly question mayoral candidates on their views about food problems facing city residents. Seven candidates showed up to answer questions, a clear sign that coalitions are strong enough to demand attention.

A personal perspectiveThe past year brought many new food studies programs into universities. When we created food studies programs at New York University in 1996, only one other such program existed. Today, universities throughout the country are training young people to advocate for food systems healthier for the planet and for people, rich and poor.

University of California Press released the 10th anniversary edition of “Food Politics,” and Rodale Books issued “Eat, Drink, Vote: An Illustrated Guide to Food Politics.”

The message of both books – the first in text and the second in cartoons – is the same: Vote with your fork for a more delicious and sustainable food system. Even better, vote with your vote! Engage in food politics to make our food system more conducive to health and social justice.

The food movement is making much progress, but much more remains to be done. I’ve had a great run at The Chronicle, for which I deeply thank readers and editors. I will continue to write about food matters on my blog, at www.foodpolitics.com. Please join me there.

Marion Nestle is also the author of “Why Calories Count: From Science to Politics” and “What to Eat.” She is a professor in the nutrition, food studies and public health department at New York University, and blogs at www.foodpolitics.com. E-mail:food@sfchronicle.com

Nov 26 2013

The hooks and lines of the farm bill: Catfish inspection

As I am endlessly complaining, the farm bill is so detailed, complicated, and opaque that no rational person can possibly understand it, let alone a member of Congress.

To wit: catfish inspection.

As Gail Collins noted in her New York Times column a week or so ago, some members of the House want the USDA to inspect catfish, not the FDA (which ordinarily is responsible for fish inspection).  The current FDA inspection office costs $700,000 per year.  The USDA office, established by the 2008 farm bill, costs about $14 million a year, even though the USDA has not gotten around to issuing rules or actually inspecting catfish.

What is this about?  Not fish safety, really.  It’s about protecting catfish farmers in the South and setting up “more rigorous” safety criteria that will exclude competitive foreign catfish imports, especially from Vietnam.

The House version of the farm bill calls for repeal of USDA catfish inspection as a cost-cutting measure (the Senate farm bill does not mention catfish inspection, which means it leaves the USDA office in place).

Thad Cochran, Republican Senator from Mississippi, wants the House to delete the repeal provision, keep USDA in charge, and, thereby, protect the Mississippi catfish industry from foreign catfish imports.

Politico Pro quotes a member of Cochran’s staff:

Sen. Cochran has made it clear that his priority is to complete the new farm bill and get it signed into law. It sounds like there are some who have a deep under-appreciation of the diversity of Mississippi’s agriculture industry and the importance of this bill to the state’s farmers, foresters, hunters, and those in need of nutrition assistance.

The New York Times also points out that although some watchdog consumer groups support tougher safety standards for catfish (because of lower foreign standards for antibiotics and other chemicals), a Government Accountability Office report in May 2012 called imported catfish a low-risk food and said an inspection program at the Agriculture Department would “not enhance the safety of catfish.”

Now, says the Times in another article, a coalition of budget watchdog groups and a seafood trade group are lobbying to repeal the USDA’s inspection program.

All of this is in the House version of the farm bill, but unless you are a lobbyist for the catfish industry, you would never know it from the bill itself.  Here’s the relevant section from the  House bill.

catfish

As Gail Collins puts it,

See, this is what I like about the farm bill. The agriculture parts harken back to the golden era when Republicans and Democrats could work together to promote stupid ideas that benefited the special interests in their districts. And then go out and get inebriated in bipartisan drinking sessions. Now everybody is in the gym and then shutting down the government.

Nov 4 2013

Feds must take stronger action against salmonella

My monthly (first Sunday) column in the San Francisco Chronicle:

Q: When I read that people are getting sick from salmonella in Foster Farms chicken, I don’t know what to do. Are we supposed to stop eating chicken?

A: I share your frustration.

Last month, the Department of Agriculture warned that chicken produced by Foster Farms plants in California was linked to illnesses caused by a strain of salmonella Heidelberg which is resistant to multiple antibiotics.

Although these antibiotics are not the ones usually used to treat salmonella, antibiotic resistance in general makes bacteria more virulent.

The Centers for Disease Control and Prevention now reports 362 people ill with this strain, three-quarters from California, with a shockingly high – 38 percent – rate of hospitalization.

And because most food-borne illness is never reported, some estimates suggest that there could be 9,000 cases of chicken-induced illness in California alone.

The USDA’s response? It did not require Foster Farms to recall the chicken; it just told the company to clean up its act.

According to the USDA, it’s your responsibility to make sure you don’t get sick. You should be following basic household food safety rules, cooking chicken to 165 degrees, and using a food thermometer to make sure.

Fine, but shouldn’t chicken be safe before it gets to you? You should not have to run your kitchen like a maximum-security biological laboratory.

Besides, cooking chicken to 165 degrees may not be enough. Costco, to its credit, recalled rotisserie – cooked – chickens from its store in South San Francisco when people reported getting sick after eating them. Nobody knows whether the cooking temperature wasn’t high enough or the chickens got cross-contaminated later.

Salmonella, alas, is hardly a new problem. In 1971, public health advocates petitioned the USDA to put salmonella warning labels on chicken. But the USDA said no. Salmonella, it said, is an inherent contaminant of raw meat, not an adulterant. The USDA had no need to act. You just needed to learn how to cook chicken properly.

In the 1990s, the USDA finally issued better rules for poultry safety. Despite them, the CDC reports a steady rise in salmonella outbreaks and illnesses.

The industry responds that the salmonella issue is a complex one because the bacteria are inherent in bird species.

Sorry, but salmonella illnesses are preventable.

If people are getting sick from eating contaminated chicken, the companies are not following safety rules, and the USDA is not enforcing them.

This is about politics, not public health.

For decades, advocates have complained about the USDA’s conflicting missions to promote agricultural production and protect consumer health. We have called on Congress to unite federal food safety oversight within one independent agency. Failing that, we insist that the USDA enforce its own rules.

The USDA’s recent decision to allow American poultry meat to be shipped to China for processing is hardly reassuring. The mind boggles to think that chickens raised and slaughtered in America would go to China to be turned into chicken nuggets and then come back here to be sold.

Also for decades, safety advocates have called for an end to the use of antibiotics as growth promoters in meat and poultry production. Antibiotics not only induce resistance, they induce virulence. Fortunately, the Foster Farms bacteria are still susceptible to the kinds of antibiotics most effective against salmonella, but victims of the next outbreak may not be so lucky.

Why do Congress, federal agencies and the White House permit meat and poultry producers to continue reckless use of antibiotics? Chalk this up to industry lobbying and campaign contributions.

If you can afford it, buy chicken that has not been factory farmed. Even so, you must cook the meat to a temperature that will kill bacteria, avoid cross-contamination, and sterilize everything the chicken comes near.

But the salmonella problem goes way beyond your own kitchen.

We all need to press for a food safety system that holds public health as its first priority. This means empowering the USDA to enforce its own rules, uniting the functions of USDA and the Food and Drug Administration, and using antibiotics in meat and poultry production only for therapeutic purposes.

Marion Nestle is the author of “Eat, Drink, Vote,” “Why Calories Count: From Science to Politics,” “Food Politics” and “What to Eat,” among other books. She is a professor in the nutrition, food studies and public health department at New York University, and blogs at www.foodpolitics.com. E-mail: food@sfchronicle.com

Sep 26 2013

CDC’s thoroughly convincing report on the threat of antibiotic resistance

The CDC has produced a major study on antibiotic resistance and how it works. 

The report provides convincing evidence that use of antibiotics in farm animals must be restricted to therapeutic purposes—and not used to promote growth.

Sep 1 2013

“Natural” on food labels? Ain’t necessarily so…

It’s the first Sunday of the month and time for my monthly Food Matters column in the San Francisco Chronicle.  In this one, I deal with the annoying “natural” on food labels, a term that the FDA prefers not to define.

Q: I am doing legislative research on food policy for one of my state’s senators on the definition of “natural.” As things stand, it’s difficult for consumers to understand what “natural” means on food labels. How should the FDA define this term so it is accurate and not misleading?

A: I was traveling in New England when your question arrived, and it sent me right to the nearest Hannaford supermarket. Hannaford makes this research easy. Sections everywhere in the store are labeled “organic and natural.”

Organic is no problem. Certified organic products must be made with ingredients raised or grown without artificial fertilizers, pesticides, hormones, antibiotics, irradiation, sewage sludge or genetic modification.

But what are we to make of Honey BBQ All Natural Potato Chips containing 20 ingredients, among them monosodium glutamate, yellow food color, and undoubtedly genetically modified corn and soy, but “no hydrogenated fats and gluten free”? Or Healthy Natural Dog Food containing meat by-products and other such things but “no artificial preservatives, colors or fillers”?

The Food and Drug Administration is not much help. Its answer: “From a food science perspective, it is difficult to define a food product that is ‘natural’ because the food has probably been processed and is no longer the product of the earth. That said, FDA … has not objected to the use of the term if the food does not contain added color, artificial flavors or synthetic substances.”

If you have made it through all the not’s in this non-definition, you can begin to understand how the FDA can allow high-fructose corn syrup to be “natural.” Even though enzymes, synthetic or not, are required to convert cornstarch to this mixture of glucose and fructose, it does not contain artificial colors or flavors.

But the products I mentioned do. Yellow No. 5 is an artificial color. You must assume that the corn or soy in any “natural” product is genetically modified unless the label says GMO-free or Certified Organic. You may be someone who has a hard time considering GMO ingredients “natural.”

In the last decade, new products marketed with “natural” claims have proliferated, and it’s easy to understand why. Marketers love the term. “Natural” sells products, not the least because consumers consider it a synonym for healthful and, often, for organic. Anyone would rather buy “100 percent natural seltzer water” – “calorie-free, no sugar, no sodium, gluten-free” (things never found in water) – than plain seltzer.

While “natural” does not necessarily mean “healthy” or even “healthier,” it works splendidly as a marketing term and explains why many junk-food manufacturers are switching from expensive organic ingredients to those they can market as “natural.”

The FDA isn’t fixing this situation because, according to a statement in response to a petition by Center for Science in the Public Interest, it’s “not an enforcement priority.”

Manufacturers of highly processed foods could not be happier with this nondecision.

In the absence of regulation, enter litigation. In recent years, advocacy groups have filed dozens of lawsuits seeking to ban “natural” claims on foods containing ingredients that seem unnatural, especially those genetically modified. Judges tend to say it’s the FDA’s problem and are calling on the agency to define the term.

The U.S. Department of Agriculture, which is responsible for meat and dairy products, has attempted to clarify what it means by “natural.” Its Food Safety and Inspection Service says meat and poultry can be labeled “natural” when they are minimally processed and have no artificial flavorings, colorings or preservatives. USDA’s Agricultural Marketing Service says “naturally raised” means the meat must come from animals produced with no hormone growth promoters, no antibiotics and no animal by-products.

How about all of the above? And if the public really can’t tell the difference between “natural” and “organic,” the closer the definition of “natural” is to that of “organic,” the less confused they will be.

Perhaps you could advise the senator to begin with the organic standards. And then toss in working definitions that exclude anything synthetic, artificial and more than minimally processed.

You should expect food industry lobbying against this idea to be fierce. But the public will be better served if the compromises in defining “natural” come at the end of the negotiations rather than at the beginning.

Marion Nestle is the author of “Why Calories Count: From Science to Politics,” “Food Politics” and “What to Eat,” among other books. She is a professor in the nutrition, food studies and public health department at New York University, and blogs at www.foodpolitics.com. E-mail:food@sfchronicle.com

Apr 29 2013

Happy 5th Birthday: Pew Commission

Five years ago today, The Pew Commission on Industrial Farm Animal Production released its report: Putting Meat on the Table: Industrial Farm Animal Production in America.

I was a member of the commission, put together by Pew  Charitable Trusts in partnership with the Johns Hopkins School of Public Health, and chaired by John Carlin, a former governor of Kansas.

The commission met for two years to investigate the effects of the current system of intensive animal production on public health, the environment, the communities housing confined animal feeding operations (CAFOs), and on the welfare of farm animals.

As a member, I had the opportunity to visit huge dairy farms, feedlots, pig farms, and facilities housing 1.2 million chickens.  This was, to say the least, quite an education.

The big issues? Overuse of antibiotics and the shocking environmental impact of vast amounts of animal waste.

The big surprise? Plenty of adequate laws exist to protect the environment and communities; they just aren’t being enforced.

A New York Times editorial noted that farm policies have turned “animal husbandry…into animal abuse,” and need rethinking and revision.

Indeed they did and do. 

As with all such reports, this one made too many recommendations but the most important ones had to do with the inappropriate use of antibiotics in farm animal production:

Restrict the use of antimicrobials in food animal production to reduce the risk of antimicrobial resistance to medically important antibiotics.

Another key recommendation:

Fully enforce current federal and state environmental exposure regulations and legislation, and increase monitoring  of the possible public health effects of IFAP [industrial farm animal production] on people who live and work in or near these operations.

And my sentimental favorite:

Create a Food Safety Administration that combines the food inspection and safety responsibilities of the federal government, USDA, FDA, EPA, and other federal agencies into one agency to improve the safety of the US food supply.

What good do reports like this do?

The report established a strong research basis for the need for policies to clean up industrial farm animal production and better protect the health and welfare of everyone and everything involved: workers, communities, the environment, and the animals themselves.

This is a good time to take another look at the report and consider how its basic—and absolutely necessary—recommendations can be put in place, and the sooner the better.

Apr 24 2013

FDA vs EWG: Report on antibiotic-resistant superbugs in meat oversimplified, misleading?

Earlier this month, the Environmental Working Group (EWG) issued a report on antibiotic-resistant bacteria in meat: Superbugs Invade American Supermarkets.

Its message:

Consumers have a right to know that federal scientists are finding antibiotic-resistant bacteria on retail meat in high percentages.

The report must have struck a nerve.  The FDA has now posted a rebuttal on its website, along with the agency’s interpretation of data in the 2011 Retail Meat Annual Report of the National Antimicrobial Resistance Monitoring System (NARMS).

The EWG, says FDA, “oversimplifies the NARMS data and provides misleading conclusions.”

The FDA particularly objects to EWG’s use of the term “superbugs.”

We believe that it is inaccurate and alarmist to define bacteria resistant to one, or even a few, antimicrobials as “superbugs” if these same bacteria are still treatable by other commonly used antibiotics.

The FDA says the NARMS data show:

  • No fluoroquinolone resistance in Salmonella from any source (the drug of choice for treating adults with Salmonella).
  • Resistance to trimethoprim-sulfonamide is also low (0% to 3.7%).
  • Fluoroquinolone resistance in Campylobacter has remained essentially unchanged since it was banned for use in poultry in 2005.
  • Macrolide antibiotic resistance in retail chicken isolates remains low (this is the drug of choice for treating Campylobacter)
  • Multidrug resistance is rare in Campylobacter except that gentamicin resistance increased from 0.7% in 2007 to 18.1% in 2011.
  • Resistance to third-generation cephalosporins, which are used to treat salmonellosis, increased in Salmonella from chicken (10 to 33.5%) and turkey (8.1 to 22.4%) from 2002 to 2011.  FDA has already taken action by prohibiting certain extra-label uses of cephalosporins in cows, pigs, chickens and turkeys.

The EWG’s response to the FDA’s rebuttal:

This is the best the agency can do?

It has been failing to protect the public health on this issue for 40 years, only recently issuing a voluntary guidance to scale back on the worst antibiotic abuses.

What are we to make of this dispute?

Beyond questions about how best to frame antibiotic resistance, some facts are clear.

  • Most antibiotics in the United States are used as growth promoters for raising meat animals, not as treatment for infections in animals or people.
  • Frequent use of antibiotics selects for and promotes the growth of antibiotic-resistant bacteria.
  • Infections with antibiotic-resistant bacteria are difficult to treat, and sometimes very difficult to treat.

It would be better for public health to end the use of antibiotics as growth promoters.

The FDA’s current stance on use of animal antibiotics appears to be more about protecting the meat industry than about protecting public health.

While waiting for the politics to get better (and this might be a long wait), the EWG has some tips for avoiding antibiotic-resistant bacteria in meat.  I can’t think of a single good reason not to follow these recommendations, except that they place the burden of avoiding antibiotic-resistant bacteria on you rather than on the meat industry.

That’s why EWG’s advice to Be Vocal makes especially good sense:

Be vocal: 

  • When you’re eating out: ask if the meat was raised without unnecessary antibiotics. 
  • „At the doctor’s office: don’t press for unnecessary antibiotics. 
  • With your friends: share this tip sheet or a wallet guide with them. 
  • „Make your voice heard: Go to ewg.org/antibioticsaction to find out how you can help preserve the effectiveness of antibiotics [Try www.ewg.org–the link given here doesn’t seem to work].
Sep 5 2012

Are organics more nutritious? Again? Sigh.

The latest study arguing that organics are not more nutritious than conventionally grown crops once again makes big-time news.

The last time I wrote about a study like this, I posted the British newspaper headlines.

Never mind the media hype.  Here’s what the authors conclude:

The published literature lacks strong evidence that organic foods are significantly more nutritious than conventional foods. Consumption of organic foods may reduce exposure to pesticide residues and antibiotic-resistant bacteria.

Isn’t reducing exposure to pesticides and antibiotic use precisely what organic production is supposed to do?

Organics is about production methods free of certain chemical pesticides, herbicides, irradiation, GMOs, and sewage sludge in plant crops, and antibiotics and hormones in animals.

This meta-analysis confirms that organic foods have much lower levels of these things.  I’d call that doing exactly what it is supposed to.

But what about nutrients?  I can’t think of a single reason why organics should have fewer nutrients than conventional crops, and plenty of reasons why they might have a bit more if the soils are rich enough.

Plants make their own vitamins.  The vitamin levels should not be expected to differ significantly.  The mineral content might.

But even if organics do have higher levels of nutrients, so what?  Will people eating them be healthier as a result?

Just as with supplements, additional nutrients do not make healthy people healthier.

The only reason for organics to be about nutrition is marketing.  Nutrition turns out to be a better selling point than lower levels of pesticides and antibiotics.  It also makes better headlines, apparently.

But aren’t those lower levels—in production and in the body—good reasons to buy organics?

I think so.  You?

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