Search results: antibiotics

I attended the launch of the new food icon this morning, and the press conference following it (which featured Red Rooster chef Marcus Samuelson).

 

 

 

 

 

 

 

 

 

As USDA Secretary Tom Vilsack explained, we have an obesity crisis in America that imperils our nation’s national security, economic vitality, and health care system.  It’s time for action.

I got a preview of the design on a conference call last week (while I was in Spain) and took a screen shot:

 

 

 

 

 

 

 

 

 

 

 

 

This may not look much like action, but it is a sharp departure from previous USDA icons (which USDA has delightfully put online).   These mostly emphasize the importance of meat and dairy foods (the 1992 Pyramid was an exception, which was why the Bush II USDA got rid of it).

Before yawning, consider its strengths:

• It is easy to understand (as Mrs. Obama explained, even a child can use it).
• Vegetables comprise the largest sector.
• Together, vegetables and fruits are half the plate.
• You can put whatever foods you like on that plate.
• You don’t have to count servings or worry about portion size (if the plate isn’t too big).
• Dairy foods–a discretionary group–are off to the side.

My one quibble?  Protein.  I’m a nutritionist.  Protein is a nutrient, not a food.  Protein is not exactly lacking in American diets.  The average American consumes twice the protein needed.  Grains and dairy, each with its own sector, are important sources of protein in American diets.

Why protein?  USDA used to call the group “meat” even though it contained beans, poultry, and fish.  The meat industry ought to be happy about “protein.”  Meat producers have spent years trying to convince Americans to equate meat with protein.

And USDA says its consumer testing (as yet unpublished) indicated that the public understood “protein” to cover diverse food sources.

According to William Neuman’s report in the New York Times, USDA official Robert C. Post said that:

U.S.D.A. had spent about $2 million to develop and promote the logo, including conducting research and focus groups and creating a Web site. Some of that money will also be used for the first year of a campaign to publicize the image.

I would like to see that research.  Post told me that the research would be published on the website within the next few days.  I look forward to seeing it.

One other point: consider the alternative.  Just for fun, here’s the plate the USDA was considering in its last efforts to try to get rid of the Pyramid in 1991.  We have Marian Burros, then at the New York Times, to thank for rescuing the Pyramid that came out in 1992.

 

 

 

 

 

 

 

 

 

 

The next step, of course, is to bring agricultural policy in line with the plate, meaning doing a much better job of supporting producers of vegetables and fruits.  This is part of Secretary Vilsack’s plan for repopulating and revitalizing rural America—a goal that I strongly support.

Given the pushback against public health that is happening in Congress this week—Cut school lunches! Cut WIC! Get rid of nutrition recommendations! Go easy on tobacco and antibiotics!—the more I think it took courage for USDA to do this.

Let’s hope USDA can stand up to the heat.

 

 

 

By this time, you must have heard about the study in Clinical Infectious Diseases sponsored by the Pew Charitable Trusts.  The study found nearly half of supermarket meat and poultry samples to be contaminated with Staphylococcus aureus. Half of the contaminated samples were resistant to multiple antibiotics.

Staph causes awful infections.  When I was a child, my mother had a Staph infection that kept her out of commission for what seemed like months in that pre-antibiotic era.  Antibiotics can keep Staph under control, but not if the Staph are antibiotic-resistant.   Staph resistant to multiple drugs are a clear-and-present danger.  No wonder this study got so much attention.

The study provides strong support for the idea that we ought to be reducing use of antibiotics as growth promoters in farm animals, an idea strongly supported by the CDC.

Even though 80% of U.S. antibiotic use is for farm animals, the meat industry strong opposes any proposal to change its practices.

The National Cattleman’s Beef Association responds by attacking the science:

Calling into question the safety of U.S. beef without conclusive scientific evidence is careless and misleads consumers. Pew Charitable Trusts, an agenda-driven organization on this issue, funded this study, which concludes that its extremely small sample size was ‘insufficient to accurately estimate prevalence rates’ and that ‘public health relevance of this finding is unclear.’ The study’s authors clearly call into question the validity of their own study. The bottom-line is U.S. beef is safe and is part of a healthy, well-balanced diet.

The American Meat Institute reassures the public that meat is safe.  After all, you are going to cook your meat, aren’t you?  In any case, the responsibility rests with you.

While the study claims that the many of the bacteria found were antibiotic resistant, it does note that they are not heat resistant.  These bacteria are destroyed through normal cooking procedures, which may account for the small percentage of foodborne illnesses linked to these bacteria.

As with any raw agricultural product, it is important to follow federal safe handling recommendations included on every meat and poultry package that urge consumers to wash hands and surfaces when handling raw meat and poultry and to separate raw from cooked foods to ensure that food is safe when served.

These sound like the arguments that the meat industry has made for years for Salmonella and E. coli O157:H7.

I see this study as another reason why we need better food safety regulation, and the sooner the better.

Postscript: Bill Marler reports that he had 100 samples of chicken tested from Seattle markets:

IEH Labs found S. aurea [sic], or staph, in 42 percent of the samples overall and Campylobacter in 65 percent. The supermarket chicken was contaminated with other pathogens as well: 19 percent of the samples tested positive for Salmonella, one tested positive for Listeria, and 10 percent showed the presence of the methicillin-resistant S. aureus (MRSA). In an unusual finding, one of the chicken samples tested positive for E. coli 0126, Shiga-toxin producing E. coli (STEC) bacteria more likely to be a contaminant of beef than poultry. Organic Chicken proved to be slightly less contaminated than nonorganic with 7 of the 13 (54%) testing positive for harmful bacteria.

As I said….

This is one of a series of occasional Q and A’s from Eating Liberally’s Kerry Trueman.

Submitted by KAT on Wed, 04/13/2011 – 9:12am.

I get asked all the time what food has to do with politics.  My answer: everything.  Take food safety, for example.

No wonder meat producers hate bad press.  According to Illinois Farm Gate, when consumers read scary things about meat, they stop buying it.

When media attention is given to animal welfare issues, regardless of the production practices involved, consumer demand softens not only for that particular meat, but for all meats. Over the past decade, pork and poultry demand would be higher, were it not for media attention to livestock production issues. Such attention causes consumers to eat less meat and show preference to spend their food dollar on non-meat items for as long as 6 months after the media report.

This week’s bad press is about the use of antibiotics as growth promoters in industrial pig farming.

Dispensing antibiotics to healthy animals is routine on the large, concentrated farms that now dominate American agriculture. But the practice is increasingly condemned by medical experts who say it contributes to a growing scourge of modern medicine: the emergence of antibiotic-resistant bacteria, including dangerous E. coli strains that account for millions of bladder infections each year, as well as resistant types of salmonella and other microbes.

Dr. James R. Johnson, an infectious-disease expert at the University of Minnesota explains what this is about:

For those of us in the public health community, the evidence is unambiguously clear….Most of the E. coli resistance in humans can be traced to food-animal sources.

Will reports like this discourage consumers from buying pork and other meats?  Consumers are not stupid.  They just might.

As for our profoundly dysfunctional Senate: it seems increasingly unlikely to pass food safety legislation before the midterm election cycle.  All of a sudden, food safety is too expensive?

Tell that to industries producing food that nobody will buy out of fear of becoming sick.

That’s food politics in action for you.

Last year at about this time, Bill Marler, the Seattle attorney who represents victims of food poisonings, sent every senator a tee shirt with this logo on it.  I suppose it’s naive to hope that maybe he will get his wish by this thanksgiving, but I am everlastingly optimistic that reason occasionally prevails.

Footnote 1: China is considering the death penalty for perpetrators of food safety crimes: “Officials who are involved in food safety crimes should not be given a reprieve or be exempt from criminal punishment.” Mind you, I am not a proponent of the death penalty, but I do think we need a safety system that holds food producers accountable.

Footnote 2: And then there is the half billion”incredible” egg recall.  Slow Food USA has a nifty video on the alternatives: “USDA and FDA.  Make eggs edible.  Now that would be incredible.”

I’ve been sent a press release from the Institute for Agriculture and Trade Policy in Minneapolis to announce the creation of its new Healthy Food Action website.

The website, says IATP:

makes it simple for health professionals—nurses, dieticians, physicians, public health workers, social workers and others—to engage in major public policy debates that affect our food system. It provides both vital information and easy-to-use tools to contact legislators, government officials and companies.

“Will make it simple” seems more like it.  At the moment, the site seems to be devoted exclusively to the issue of arsenic in poultry feed.  Eventually, it promises to take on other issues such as antibiotics in food animals and the Farm Bill.

Ah yes, the Farm Bill.  It’s none to early to get started on the next one.  Sites like this could help once they get into full swing.

The Institute for Agriculture and Trade Policy works locally and globally at the intersection of policy and practice to ensure fair and sustainable food, farm and trade systems.

I’ve been collecting items on food safety for the last week or two. Here’s a roundup for a quiet Friday in July:

Antibiotics in animal agriculture

     USA Today does great editorial point/counterpoints and here is one from July 12 on use of antibiotics as growth promoters or as  prophylactics in farm animals and poultry.  This selects for antibiotic-resistant bacteria.   If we get infected with antibiotic-resistant bacteria, too bad for us. 

     The paper’s editors think that use of antibiotics for these purposes is irresponsible:  Our view on food safety: To protect humans, curb antibiotic use in animals.

     Dr. Howard Hill, a veterinarian who directs the National Pork Producers Council, defends these uses of antibiotics: Don’t bar animal antibiotics.

The source of the 2006 E. coli 0157:H7 outbreak in California spinach

     USDA and UC Davis investigators are still trying to figure out how the toxic E. coli O157:H7 got onto the spinach. Investigators did not find the bacteria on the spinach field itself, but they did find it in water, cattle, and cattle feces at a cattle crossing over a stream one mile away. Leading hypotheses: runoff from that stream or wild boar.

     Subsequent studies showed low levels of E. coli 0157:H7 in wild animals and birds.  A new study confirms that just under 4% of wild boar harbor the bacteria. 

     The investigators say the spinach outbreak of 2006 was the result of a combination of circumstances: “Everybody is starting to realize that maybe unusually heavy rainfall prior to planting could be an issue in terms of where water is routed.”

     Dairy farming is moving into California’s Central Valley in a big way.  Runoff from those farms will not be sterile and growing vegetables along water routes may be risky.  Compost, anyone?

The chemical behind Kellogg’s cereal recall

     Kellogg recalled 28 million packets of breakfast cereals last month because people reported funny smells and getting sick from something in the packaging.  At first, Kellogg would not say what the chemical contaminant might be.  

     Then it said the chemical is methylnaphthalene. Mothballs! (Are they still making mothballs?  Their smell is unforgettable)

     Tom Philpott’s comments on Grist.com point out what’s really at stake: “And of course, the real scandal is what Kellogg’s is marketing to kids: a tarted-up slurry consisting mainly of sugar, corn products, partially hydrogenated oil, and food colorings. But that’s a whole different story.”

Salsa and guacamole are sources of foodborne illness

     The CDC reports that salsa and guacamole are becoming more frequent sources of contaminants leading to illness.  CDC started collecting information on sources of outbreaks in 1973.  Its first outbreak due to salsa or guacamole occurred in 1984.  Since then, there have been 136 such outbreaks.  Restaurants and delis were responsible for 84%.  Between 1984 and 1997, salsa and guacamole outbreaks accounted for 1.5% of total foodborne outbreaks.  But the percentage rose to 3.9% from 1998 to 2008.

     Moral: make your own!

China deals with melamine in milk powder

     China is taking creative steps to prevent melamine from getting into milk powder and infant formula.  To discourage fraudulent producers from boosting up the apparent level of protein in milk with melamine, it simply reduced the amount of protein required.

The latest on food irradiation

     FoodSafetyNews.com presented a two-part series on food irradiation (part 1 and part 2), both of them quite favorable to the technology. As I discuss in my book, Safe Food, I don’t have any safety ojections to food irradiation, but I consider it a late-stage techno-fix for a problem that should never have occurred in the first place.

     I conclude with my favorite quote from former USDA official Carol Tucker Foreman: “sterilized poop is still poop.”

Enjoy a safe weekend!

Thanks to Nicholas Kristof of the New York Times (“New alarm bells about chemicals and cancer“) for telling readers about a report on chemicals and cancer just released by the President’s Cancer Panel.

I had never heard of this panel – appointed during the Bush Administration, no less – and went right to its 2008-2009 annual report.

The Panel says that the “risk of environmentally induced cancer has been grossly underestimated,” that “nearly 80,000 chemicals [are] on the market in the United States, many of which are…un- or understudied and largely unregulated,” and that “the public remains unaware…that children are far more vulnerable to environmental toxins and radiation than adults.”

evidence suggests that some environmental agents may initiate or promote cancer by disrupting normal immune and endocrine system functions. The burgeoning number and complexity of known or suspected environmental carcinogens compel us to act to protect public health, even though we may lack irrefutable proof of harm.

I’m guessing this report will cause a furor.  Why?  “Lack irrefutable proof” means that the science isn’t there.  In this situation, the Panel advises precaution.  Check out these examples selected from the recommendations:

• Parents and child care providers should choose foods, house and garden products, play spaces, toys, medicines, and medical tests that will minimize children’s exposure to toxics.  Ideally, both mothers and fathers should avoid exposure to endocrine-disrupting chemicals.
• It is preferable to use filtered tap water instead of commercially bottled water.
• Exposure to pesticides can be decreased by choosing…food grown without pesticides or chemical fertilizers [translation: organics] and washing conventionally grown produce to remove residues.
• Exposure to antibiotics, growth hormones, and toxic run-off from livestock feed lots can be minimized by eating free-range meat [translation: don’t eat feedlot meat].

Expect to hear an uproar from the industries that might be affected by this report.  The American Cancer Society (ACS) doesn’t like it either, since the report implies that the ACS hasn’t been doing enough to educate the public about this issue.  The ACS said:

Elements of this report are entirely consistent with the recently published “American Cancer Society Perspective on Environmental Factors and Cancer”…Unfortunately, the perspective of the report is unbalanced by its implication that pollution is the major cause of cancer, and by its dismissal of cancer prevention efforts aimed at the major known causes of cancer (tobacco, obesity, alcohol, infections, hormones, sunlight) as “focussed narrowly”…it would be unfortunate if the effect of this report were to trivialize the importance of other modifiable risk factors that, at present, offer the greatest opportunity in preventing cancer.

ACS says the Panel does not back up its recommendations with enough research [but see May 14th note below].  Maybe, but why isn’t ACS pushing for more and better research on these chemicals?   However small the risks – and we hardly know anything about them – these chemicals are unlikely to be good for human health.   Doesn’t precaution make sense?  I think so.

Addition, May 7: Here’s Denise Grady’s take on the report from the New York Times: “Cancer society criticizes federal panel as overstating risks.”

Addition, May 14: I received a note from Michael Thun,  retired Vice President for Edemiology & Survey Research of the American Cancer Society requesting a clarification of my statement.  He says:

I hope that you can correct your report to say that ACS actually is pushing for more and better research, and has never discouraged people who choose to eat organic food from doing this. The only thing we object to is unsupported claims that the effect of current level of pollution on cancer has been “grossly underestimated”.

In 1996, I chaired an ACS committee writing dietary guidelines for cancer prevention and worked with Dr. Thun on our report.  I’d take his word for this.

National Home Office | American Cancer Society, Inc.

 







My most recent column in the San Francisco Chronicle appeared later than usual (March 14) so I forgot to post it when it came out.  It deals with Listeria in pregnancy:

A guide to avoiding Listeria

Nutrition and public policy expert Marion Nestle answers readers’ questions in this monthly column written exclusively for The Chronicle. E-mail your questions to food@sfchronicle.com, with “Marion Nestle” in the subject line.

Q: I miscarried at 19 weeks of pregnancy. My doctor said my placenta was infected with Listeria, only her second case in 20 years of practice. I am your typical Bay Area food lover. I thought if I knew the sources of most of my food, I’d be safe. What is safe for pregnant women to eat in the post-Michael Pollan era?

A: Thanks for allowing your personal tragedy to alert others to this hazard. Losing a wanted pregnancy is a heartbreak. Losing one to a food-borne illness is especially tragic. Such illnesses should be preventable.

Food should be safe before it gets to you. That it sometimes is not is a consequence of our inadequate food safety system, which does not require food producers to test for harmful bacteria. The House of Representatives passed legislation that does so last summer, but the Senate is sitting on it. As an individual, you cannot easily protect yourself against invisible hazards in food. Congress must pass that legislation.

Without federal requirements, you are on your own to keep yourself and your unborn infant safe from food pathogens, especially Listeria. Much as I hate to add to what the French sociologist Claude Fischler calls “Listeria bacteria hysteria,” I must. Listeria preferentially affects pregnant women. If you are pregnant and want to stay pregnant, you must avoid Listeria.

This will not be easy. Listeria is widely dispersed in foods. Infections from it may be rare, but they are deadly. Listeria kills a shocking 25 percent of those it infects and is particularly lethal to fetuses.

Most people, including pregnant women, are immune to Listeria and do not feel ill when infected. But unlike most bacteria, Listeria penetrates the placenta, and fetuses have no immunity. The first sign of an infection can be a miscarriage or stillborn infant – too late for antibiotics.

How worried should pregnant women be about Listeria? Given our ineffective food safety system, I’d advise caution. The Centers for Disease Control and Prevention report 2,500 cases a year and 500 deaths. These numbers are minuscule – unless your pregnancy is affected.

Cases occur mainly among the young, the old and others with poor immunity. But the cause of miscarriages is not typically investigated, and I’m guessing that fetal deaths from Listeria are badly underreported.

Animals and people often excrete Listeria from their digestive tracts, even when they show no signs of illness. The bacteria get into food from infected animal waste and unwashed hands.

As a result, unpasteurized milk products and contaminated raw vegetables are frequent food sources. Other sources depend on yet another of Listeria’s nasty features – Listeria grows, reproduces and flourishes at refrigerator temperatures that stop other bacteria cold.

This explains why the CDC strongly advises pregnant women not to eat potentially undercooked foods stored in refrigerators: hot dogs, lunch meats, deli meats, patés, meat spreads and smoked seafood (salmon, trout, lox, jerky); soft cheeses such as feta, Brie, Camembert, those with blue veins, and especially Mexican “queso blanco fresco”; and raw milk or foods containing unpasteurized milk.

Even though some of these foods were cooked or pasteurized to begin with – blue cheese, for example – they can become contaminated after processing. Days or weeks of refrigeration give Listeria ample time to reproduce. Just about any food sitting around in a refrigerated package can be a source, with meat, fish and dairy foods especially suspect.

The CDC advises following safe food handling procedures to the letter at home. Avoid cross-contaminating raw and cooked foods, and use refrigerated perishables right away.

Listeria infections were virtually unknown 25 years ago, so view this hazard as collateral damage from the consolidation and centralization of our industrialized food supply.

Do not despair. There is some good news. Cooking kills Listeria. Pregnant women still have plenty of options for good things to eat that are safe.

Anything cooked hot is safe. So are hard cheeses, semisoft cheeses like mozzarella, pasteurized processed cheeses, and cream and cottage cheeses. These were cooked or are now too dry and salty for bacterial growth. Anything canned – patés, meat spreads, smoked fish, other fish – also is safe.

When it comes to food hazards during pregnancy, Listeria is unique. A sip of wine every now and then is not going to induce fetal alcohol syndrome, nor will your baby get mercury-induced brain damage from an occasional tuna sandwich. The risks from such hazards accumulate with amounts consumed over time.

But the risk from Listeria is acute. With so much at stake, and so many other food choices available, why take chances?

Just last month, the Food and Drug Administration reported recalls of queso fresco, blue cheese and bean sprouts because of possible Listeria risk. The FDA is doing its best, short of legislation. To keep Listeria out of the food supply, Congress needs to act. Write your representatives now.

Marion Nestle is the author of “Food Politics, “Safe Food” and “What to Eat,” and is a professor in the nutrition, food studies and public health department at New York University. E-mail her at food@sfchronicle.com and read her previous columns at sfgate.com/food.