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Olivier de Schutter must be finishing up his six-year term as the United Nations Special Rapporteur on the Right to Food.

His final report to the U. N. Human Rights Council

Objectives such as supplying diverse, culturally-acceptable foods to communities, supporting smallholders, sustaining soil and water resources, and raising food security within particularly vulnerable areas, must not be crowded out by the one-dimensional quest to produce more food,

In a speech to the annual summit of the World Health Organisation (WHO), Reuters reports: 

Unhealthy diets are now a greater threat to global health than tobacco. Just as the world came together to regulate the risks of tobacco, a bold framework convention on adequate diets must now be agreed, he said.

De Schutter, who has held his post of special rapporteur on the right to food since 2008 and earlier headed the Paris-based International Federation of Human Rights, reports to the U.N. Human Rights Council in Geneva.

In 2005, a U.N. convention on tobacco control aimed at reducing deaths and health problems caused by the product went into force after long negotiations under the umbrella of the WHO.

In a report to the rights council in 2012, de Schutter said a similar accord on food should include taxing unhealthy products, regulating food high in saturated fats, salt and sugar, and “cracking down on junk food advertising.”

That report also called for an overhaul on the system of farm subsidies “that make certain ingredients cheaper than others”, and for support for local production “so that consumers have access to healthy, fresh and nutritious foods.”

De Schutter  reports that public procurement can and should be used to ‘buy justice’ in food systems (also see press release):

“Public procurement represents a rare opportunity to support more nutritious diets and more sustainable food systems in one fell swoop,” he said, as he released his final publication as UN Special Rapporteur on the right to food.

Recalling that OECD countries spend an average of 12% of GDP on public procurement, and developing countries only slightly less, he identified five principles for using public procurement to support the realization of the right to food:

• Source preferentially from small-scale food producers and help them to access tenders
• Guarantee living wages and fair prices along the food supply chain
• Set specific requirements for adequate food diets
• Source locally whenever possible and impose sustainability requirements on suppliers; and
• Increase participation and accountability in the food system

De Schutter has done honorable work as Special Rapporteur and his role in this position will be missed.

The New York Times Room for Debate blog asked me to comment on What other unhealthy products should CVS stop selling?

Here’s my response: Next, Cut the Soda and Junk Food.

Good for CVS! Cigarettes are in a class by themselves. The evidence that links cigarette smoking to lung cancer and other serious health problems is overwhelming, unambiguous and incontrovertible. So is the evidence that the mere presence of cigarettes is sufficient to create demand, especially among young people.

A group of public health experts based mainly in Britain have announced a new anti-sugar campaign.

Called Action on Sugar, it is modeled on Great Britain’s campaign to get the food industry to gradually reduce salt in processed foods—voluntarily.  That campaign is considered to have led to a reduction of 25% to 40%.

Action on Sugar’s objective: Reduce sugar in packaged foods by 20% to 30% over the next 3 to 5 years.

Action on Sugar is a group of specialists concerned with sugar and its effects on health. It is successfully working to reach a consensus with the food industry and Government over the harmful effects of a high sugar diet, and bring about a reduction in the amount of sugar in processed foods. Action on Sugar is supported by 18 expert advisors.

As one of the experts put it, “Everywhere, sugary drinks and junk foods are now pressed on unsuspecting parents and children by a cynical industry focused on profit not health”—just like the tobacco industry behaves.

You have to love the British press:

Enjoy the weekend!

At a talk I gave for CQ Roll Call in Washington, DC last week, an audience member asked about the definition of “natural.”  I thought I had said everything there was to say about it (see post from August).  Wrong.

Another member of the audience sent me the definition of “natural” produced by, of all things, the  Treasury Department’s Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF).

Three federal agencies deal with “natural.”

The FDA

In answer to the question, “What is the meaning of ‘natural’ on the label of food?,” the FDA says:

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 developed a definition for use of the term natural or its derivatives. However, the agency has not objected to the use of the term if the food does not contain added color, artificial flavors, or synthetic substances.

The USDA

The USDA discusses “natural” in the context of organic foods, in order to distinguish “natural” from organic:

Natural. As required by USDA, meat, poultry, and egg products labeled as “natural” must be minimally processed and contain no artificial ingredients. However, the natural label does not include any standards regarding farm practices and only applies to processing of meat and egg products. There are no standards or regulations for the labeling of natural food products if they do not contain meat or eggs.

The ATF

This agency is in charge of regulating alcoholic beverages, largely for tax-collection purposes.  Its “ATF Ruling 85-4” does not actually define the term “natural,” but instead says when ATF takes no exception to its use.

(1) Any grape fruit, citrus or agricultural wine may be designated “natural” if it is made without added alcohol or brandy…No other type of wine may be designated as “natural.”

(2) A distilled spirit may be designated as “natural” if is solely the result of distillation, with or without mingling of the same class and type of spirits or simple filtration which does not alter the class or type of the product.

(3) A malt beverage may be designated “natural” if it is made without adjuncts (additives) other than those additives which do not remain in the finished product, either by precipitating out or by combining with other components of the product and the resulting compound precipitates or is filtered out.

I am not making this up.

CSPI thinks it’s time to phase out the use of “natural.”  OK by me.

Addition: Michele Simon, who blogs at Eat, Drink, Politics, writes (she’s not making this up either):

In fact, ATF is how housed within the Department of Justice.

Historically, ATF had all jurisdiction over alcohol (and was within Treasury), which is where that rule must have come from.

ATF still maintains jurisdiction over criminal activity, but now, the Alcohol and Tobacco Tax and Trade Bureau oversees labeling. That’s housed within Treasury.

This explains the split in 2002 (click here).

Clear as mud? So maybe you can add a fourth agency to your list!

The American Society of Nutrition (ASN) is not the only nutrition society raising issues of conflict of interest (see yesterday’s post).  The Academy of Nutrition and Dietetics (AND) is the subject of two recent analyses of this problem.

• The Food Ties that Bind
• And Now a Word From Our Sponsors

FoodNavigator-USA interviewed a number of people, including me, about the implications of these reports.  Opinions differ, to say the least.

But here’s what I said:

Sponsorship perverts science

However, Dr Marion Nestle, Paulette Goddard professor of nutrition, food studies, and public health at New York University, said it was wishful thinking to assume that companies that make their money selling soda and chips as well as water, juice and oatmeal could provide a “full” picture.

The issue, she said, was not whether FNCE delegates were capable of distinguishing facts from sponsored spin in conference handouts.

She told us: “That’s not the right question. Most people are unaware of how such things influence their opinions. Substantial research on sponsorship by tobacco, drug, and chemical companies provides such evidence. There is not yet as much research on the effects of food industry sponsorship but the few studies that exist are completely consistent with research on other industries.”

It’s stunningly easy to design studies that accomplish these goals

Asked whether it was unfair to automatically dismiss industry-funded research and information rather than judging it on its merits, Nestle said: “In my opinion, agriculture, food, nutrition, and health professionals should dismiss industry-sponsored research out of hand, and journals should not accept industry-sponsored papers. 

“There is only one reason for food companies to sponsor research—so they can use the results in their own interests. 

“Sponsorship perverts science.  Sponsored research is not about seeking truth or adding to public knowledge.  It is about obtaining evidence to defend or sell the sponsor’s product, to undermine research that might suggest that a product is unhealthy, to head off regulation, and to allow the product to be marketed with health claims. 

“It’s stunningly easy to design studies that accomplish these goals and to conduct them in ways that meet the scientific criteria of peer-reviewers.”

She added: “Peer reviewers, journal editors, and readers ought to be asking: Why did the sponsor fund this study?  Was the research question designed to permit an answer that might not meet the sponsor’s goal?  Was the study conducted in a way that permitted an answer against the sponsor’s interest?  Sponsored studies almost always fail these tests of independence.”

I think corporate sponsorship poses huge problems for the credibility of nutrition researchers and nutritionists in general.  The issue requires much more discussion than it has received to date.

Let the debates begin!

I’ve just been sent a copy of  the opening address given by the Director-General of the World Health Organization, Dr Margaret Chan, to a Global Conference on Health Promotion in Helsinki on June 10.

Here is an excerpt from her extraordinary remarks:

Today, getting people to lead healthy lifestyles and adopt healthy behaviours faces opposition from forces that are not so friendly.  Not at all.

Efforts to prevent noncommunicable [chronic] diseases go against the business interests of powerful economic operators.

In my view, this is one of the biggest challenges facing health promotion…it is not just Big Tobacco anymore.  Public health must also contend with Big Food, Big Soda,and Big Alcohol.

All of these industries fear regulation, and protect themselves by using the same tactics.

Research has documented these tactics well. They include front groups, lobbies, promises of self-regulation, lawsuits, and industry-funded research that confuses the evidence and keeps the public in doubt.

Tactics also include gifts, grants, and contributions to worthy causes that cast these industries as respectable corporate citizens in the eyes of politicians and the public.

They include arguments that place the responsibility for harm to health on individuals, and portray government actions as interference in personal liberties and free choice.

This is formidable opposition. Market power readily translates into political power…

Not one single country has managed to turn around its obesity epidemic in all age groups.  This is not a failure of individual will-power. This is a failure of political will to take on big business…

I am deeply concerned by two recent trends.

The first relates to trade agreements. Governments introducing measures to protect the health of their citizens are being taken to court, and challenged in litigation. This is dangerous.

The second is efforts by industry to shape the public health policies and strategies that affect their products. When industry is involved in policy-making, rest assured that the most effective control measures will be downplayed or left out entirely. This, too, is well documented, and dangerous.

In the view of WHO, the formulation of health policies must be protected from distortion by commercial or vested interests.

Dr. Chan was courageous to say this so clearly.  Would that our health officials would be as brave.

I was fascinated to read Michael Mudd’s piece in the New York Times on Sunday, “How to force ethics on the food industry.”  Noting that the court overturned Mayor Bloomberg’s 16-ounce soda ban, he said:

But governments should not be deterred by this and should step up their efforts to protect the public health by limiting the marketing tactics of food companies. Anyone who believes these interventions are uncalled-for doesn’t know the industry the way I do.

…The industry is guilty because it knew what the consequences of its actions might be. Large food processors employed a flock of Ph.D. nutritionists and food scientists. The connection between calorie consumption and weight gain was always as plain as the number on the bathroom scale. But instead of acknowledging this and taking corrective action to sell a better product more responsibly, food processors played innocent by blending in with the crowd of causes.

This sent me to dig through my files to search for what I’d saved about Mr. Mudd’s efforts at Kraft.  Here, for example, is the front page of USA Today, July 1, 2003.  Kraft chose USA Today to announce its new anti-obesity initiatives, and gave it an exclusive to do so.

The initiatives included, among a long list, elimination of all in-school marketing, setting nutritional criteria for marketing practices, and establishing meaningful criteria for health claims.

Even at the time, I was dubious:

They have to demonstrate what it is they’re actually doing before I can start turning cartwheels about this…Kraft has other credibility problems when it comes to marketing healthier products…Philip Morris Co., the tobacco giant now called Altria Group, owns 84 percent of Kraft [Altria sold off Kraft in 2007].

One year later, Kraft announced  that  it had begun to act on its promises.  After another six months, Kraft introduced its Sensible Solution  program  to label “better-for-you” products. leaving plenty to be dubious about.  By 2004, Michael Mudd was no longer with Kraft.

In 2007, I sent a couple of students out to see whether Kraft had kept its promises.  Not a chance, as we documented.

How come?  Food companies are not social service agencies.  Their job is to sell products.  And, as Michael Moss explains in Salt, Sugar, Fat, they must do whatever it takes to achieve that goal.

As Mr. Mudd now puts it,

It’s time to end the charade and mandate the needed changes that the industry has refused to make.