Currently browsing posts about: Dairy

This one was sent to me by a reader who wishes to remain anonymous (thanks!).

The Study: Dairy Fat Consumption and the Risk of Metabolic Syndrome: An Examination of the Saturated Fatty Acids in Dairy.  Allison L. Unger,Moises Torres-Gonzalez, and Jana Kraft.  Nutrients 2019, 11(9), 2200; https://doi.org/10.3390/nu11092200

The review argues: “it is likely that the diverse array of SFA [saturated fatty acid] constituents within full-fat dairy foods contributes to favorably modulating cardiometabolic health.”

It concludes: “In summary, previous work on the impact of dairy-derived SFA consumption on disease risk suggests that there is currently insufficient evidence to support current dietary guidelines which consolidate all dietary SFA into a single group of nutrients whose consumption should be reduced, regardless of dietary source, food matrix, and composition.”

Funding and Conflicted Interests (my emphasis): “The work involved for this manuscript was funded by National Dairy Council….M.T.-G. is employee of National Dairy Council. J.K. has received research funding from National Dairy Council.

Comment: This purpose of this dairy-funded review is to demonstrate that contrary to contradictory information, the saturated fatty acids in dairy foods are not only benign, but beneficial. The dairy industry would love that to be true.

This particular sponsored review is exceptionally well organized and illustrated.  I especially appreciated the timeline of dietary recommendations for saturated fat from 1977 to the present.  This is the bottom half:

This is a classic industry-funded review arriving at the desired conclusions.  In essence, it is a dairy industry advertisement and should be understood as such.

Why do this?  The dairy industry is in serious economic trouble these days, as I will discuss tomorrow.

I’ve been collecting items related to plant-based meat and dairy foods from the various newsletters I read.  I am having a hard time keeping up.  This is a super-hot topic with investors pouring money into these products.

Things are moving so quickly that Food Dive has established a plant-protein tracker to help readers keep up.

Even a quick scan of just the titles of these articles will make clear just how hot this area is.

Let’s start with the in-fighting.

• Impossible Foods CEO: Plant-based competitors ‘suck’ and stifle industry growth: Pat Brown, who started the California company eight years ago, said other offerings in the market only serve to reinforce the idea that faux meat options “are terrible.”

Here’s what he’s talking about.  I’ll bet they don’t agree.

• Nestlé’s Awesome Burger debuts in crowded plant-based meat space: Sweet Earth founders Kelly and Brian Swette discuss their relationship with the Swiss food giant, the creation of the product and why it will beat its competitors.
• Chickpeas: The next big protein source for plant-based meat? Nutriati unveils TVP:  Virginia-based Nutriati has commercialized what it claims is the world’s first textured chickpea protein, providing plant-based meat formulators with a Non-GMO protein source that rivals soy, wheat, and peas in the functionality and nutrition stakes, and could also simplify ingredients lists by removing the need to add methyl cellulose… Read 
• Ripple Foods launches ‘superfood’ milks, relaunches yogurts (‘we messed up’), explores new low-cost plant protein sources: Ripple Foods has debuted a new, improved line of creamy plant-based yogurt alternatives (following an abortive launch of a Greek-style product last year); unveiled a new line of ‘superfood’ plant milks infused with matcha, turmeric and acai; and built some IP around the extraction of protein from ‘secondary’ feedstocks such as sunflower meal… Read 
• What’s next beyond soy, pea, and wheat for plant-based meat? In conversation with ADM:  Soy, wheat, and peas currently dominate the plant-based meat market, but what’s next? FoodNavigator-USA caught up with Ana Ferrell (AF), VP of marketing, and Kurt Long (KL), commercial director of protein specialties and flexitarian solutions at ADM, to talk plant proteins… Read  
• Parabel USA unveils neutral-tasting, beige-colored protein hydrolysate from water lentils:  Parabel USA – best known for its green-hued ingredients from the ‘water lentil,’ a micro aquatic plant also known as duckweed/Lemna/Lemnaceae – has unveiled a neutral-tasting, beige-colored protein hydrolysate suitable for a wide range of applications from plant-based burgers to sports nutrition products… Read  
• Conagra Brands talks plant-based meat: ‘In 7-10 years we’re talking about a $30bn opportunity in the US’  Gardein has quadrupled in size over the past four years and is now the second largest brand in the meat-alternative space behind Morningstar with annual retail and foodservice sales topping $170m. And there is still a significant opportunity to grow in both channels, says brand owner Conagra Brands… Read  
• Atlantic Natural Foods: Shelf-stable is area of untapped opportunity for plant-based meat, poultry, seafood:  While the shelf-stable market for plant-based meats and eggs is small compared with the frozen and chilled segments, it represents an area of significant untapped opportunity, says Atlantic Natural Foods (ANF), which is gaining traction in this market with its Loma Linda and neat brands… Read  
• PowerPlant Ventures partner: ‘The plant-based milk market didn’t take off until they solved the taste issue; the same applies to plant-based meat’  Insect protein remains frustratingly niche, and cell-cultured meat – while groundbreaking – could be a tough sell. But plant-based meat is something mainstream consumers can understand and embrace, provided products truly deliver on taste and price, argues a co-founder of PowerPlant Ventures… Read  
• The ‘clean taste and smooth texture of almond protein are unparalleled in the protein space,’ says Blue Diamond:  Plant-based protein is a hot ingredient in the food industry right now, as formulators experiment with everything from mung beans to sacha inchi. But how does almond protein square up vs the competition?.. Read  
• Vegan start-up takes on mozzarella, parmesan and brie: ‘It’s all about the classics’:  Israeli food tech start-up Goodfoods is developing dairy-free alternatives to classic cheeses based on cashew nuts. It is ‘dairy reinvented’, founder Michal Peleg tells FoodNavigator… Read  
• MycoTechnology unveils texturized fermented vegetable protein for plant based meat applications:  >As the race to expand protein options for plant-based meats heats up, Colorado-based MycoTechnology has thrown its hat into the ring with a texturized version of PureTaste, a vegetable protein produced via the fermentation of pea and rice proteins with Shiitake mushroom mycelium (roots)… Read
• Tyson expands presence in plant-based sector with New Wave Foods investment: US processor Tyson Foods has completed an investment in plant-based shellfish business New Wave Foods… Read
• Tyson Foods launches plant-based range:  US processor Tyson Foods has launched its first range of plant-based and blended products… Read
• Hormel Foods unveils plant-based range: Hormel Foods has become the latest producer to enter the plant-based meat alternatives market with the launch of the Happy Little Plant brand… Read
• Plant-based and cell-based investment skyrockets: Investment in plant-based and cell-based meat alternative companies has grown significantly in the past two years, new research has shown… Read
• Cargill increases investment in pea protein business: US food giant Cargill has invested $75m in pea protein producer Puris to help it double capacity at its Minnesota site… Read
• Smithfield Foods enters plant-based market with Pure Farmland range: Smithfield Foods has thrown its hat into the US plant-based ring with the launch of a new soy-based portfolio… Read
• Thurston Butchers becomes the first in the UK to sell plant-based meat: Thurston Butchers in Suffolk has partnered with THIS to become the first UK butcher to sell plant-based meat alternatives… Read
• US plant-based market now worth $4.5bn: US retail sales of plant-based foods have grown 11% over the past 12 months, according to new data… Read
• Is plant-based reaching saturation? Innovation opportunities in a meat-free market: While certain plant-based categories are booming, others are lacking in innovation. So where do market opportunities in vegan product development lie? FoodNavigator hears from industry experts at Oatly, Bol Foods, and Sainsbury’s… Read

As for what the meat industry thinks of all this…

• Meat industry needs to ‘restore pride’: The meat industry has become a ‘pharmakon’ and needs to communicate its benefits to the public, according to a leading food expert… Read 

And the New York Times’ take on Big Meat’s getting in on this action.

These three papers were part of a supplement to Advances in Nutrition published in September 2019: Supplement—6th Yogurt in Nutrition Initiative (YINI) Summit / More than the Sum of Its Parts, sponsored by Danone Institutes International. Publication costs for this supplement were defrayed in part by the payment of page charges.

I.  Introduction to the Sixth Global Summit on the Health Effects of Yogurt: Yogurt, More than the Sum of Its Parts.  Sharon M Donovan ; Olivier Goulet. Advances in Nutrition, Volume 10, Issue 5, September 2019, Pages 913S–916S.

Conclusion: “Ultimately, the inclusion of fermented dairy products in food-based dietary guidelines, not only as a dairy option, but as a significant source of viable bacteria and fermentation products, could contribute to improved public health and should be considered.”

Author disclosures: “The guest editor of the supplement has the following conflict of interest: SMD co-chairs the Yogurt in Nutrition Initiative. She received reimbursement for travel expenses and an honorarium from Danone Institutes International for chairing the Sixth International Yogurt in Nutrition Summit at the Nutrition 2018 meeting in June 2018 in Boston, MA….SMD and OG are co-chairs of the Yogurt in Nutrition Initiative. Travel expenses and an honorarium were paid to SMD and OG by Danone Institutes International for chairing the Sixth International Yogurt in Nutrition Summit at the Nutrition 2018 meeting in June 2018 in Boston, MA. OG is also the Chair of Danone Institutes International.

II.  Dairy Foods, Obesity, and Metabolic Health: The Role of the Food Matrix Compared with Single Nutrients.  Dariush Mozaffarian.  Advances in Nutrition, Volume 10, Issue 5, September 2019, Pages 917S–923S,

Conclusion: “The present evidence suggests that whole-fat dairy foods do not cause weight gain, that overall dairy consumption increases lean body mass and reduces body fat, that yogurt consumption and probiotics reduce weight gain, that fermented dairy consumption including cheese is linked to lower CVD risk, and that yogurt, cheese, and even dairy fat may protect against type 2 diabetes. Based on the current science, dairy consumption is part of a healthy diet, without strong evidence to favor reduced-fat products; while intakes of probiotic-containing unsweetened and fermented dairy products such as yogurt and cheese appear especially beneficial.”

Disclosures: “DM received an honorarium from the American Society of Nutrition for the preparation of this manuscript. A freelance science writer, Denise Webb, was supported by Danone Institute International to prepare an initial draft of this manuscript for DM based on a recording of his talk and slides at the American Society of Nutrition 2018 Congress. The final manuscript was edited in detail and approved by DM. The funders had no role in the design, analysis, interpretation, review, or final approval of the manuscript for publication…DM reports research funding from the NIH and the Gates Foundation; personal fees from GOED, Nutrition Impact, Pollock Communications, Bunge, Indigo Agriculture, Amarin, Acasti Pharma, Cleveland Clinic Foundation, and America’s Test Kitchen; scientific advisory board, Elysium Health (with stock options), Omada Health, and DayTwo; and chapter royalties from UpToDate; all outside the submitted work.”

III.  Effects of Full-Fat and Fermented Dairy Products on Cardiometabolic Disease: Food Is More Than the Sum of Its Parts.  Arne Astrup; Nina Rica Wium Geiker; Faidon Magkos.  Advances in Nutrition, Volume 10, Issue 5, September 2019, Pages 917S–923S.

Conclusion: “Although more research is warranted to adjust for possible confounding factors and to better understand the mechanisms of action of dairy products on health outcomes, it becomes increasingly clear that the recommendation to restrict dietary saturated fat to reduce risk of cardiometabolic disease is getting outdated. Therefore, the suggestion to restrict or eliminate full-fat dairy from the diet may not be the optimal strategy for reducing cardiometabolic disease risk and should be re-evaluated in light of recent evidence.”

Disclosures.  “NRWG and FM, no conflicts of interest. AA is a member of advisory boards/consultant for BioCare Copenhagen, Denmark; Dutch Beer Institute, Netherlands; Gelesis, United States; Groupe Éthique et Santé, France; McCain Foods Limited, United States; Novo Nordisk, Denmark; Pfizer, United States; Saniona, Denmark; and Weight Watchers, United States. AA has received travel grants and honoraria as a speaker for a wide range of Danish and international consortia. AA is co-owner and member of the board of the consultancy company Dentacom Aps, Denmark; cofounder and co-owner of UCPH spin-outs Mobile Fitness A/S, Flaxslim ApS, and Personalized Weight Management Research Consortium ApS (Gluco-diet.dk). He is coinventor of a number of patents owned by the University of Copenhagen, in accordance with Danish law. He is coauthor of a number of diet and cookery books, including books on personalized diet approaches. AA is not an advocate or activist for specific diets and is not strongly committed to any specific diet.”

Comment

These papers aim to dispute the idea that full-fat dairy products but have negative health effects. This is a legitimate scientific question that deserves investigation and analysis, preferably by studies funded by independent sources.  Industry-funded studies and opinion pieces are well known to produce results and conclusions favorable to the sponsor’s interest, as is the case here.

A reader, Gema Flores Monreal, who holds a doctorate in Food Science and Nutrition, pointed me to this study.  She noted that it examines the effects on blood pressure of eating 5 to 6 servings of dairy per day, twice what is typically recommended. 

it is easy to understand why a dairy company would want research like this.  People are consuming less dairy food, and the industry wants to reverse the decline.

The study:  Effect of high compared with low dairy intake on blood pressure in overweight middle-aged adults: results of a randomized crossover intervention study.  Rietsema S, and 11 other authors.  Am J Clin Nutr 2019;110:340–348.

Conclusions: “This intervention study shows that an HDD [high dairy diet] results in a reduction of both systolic and diastolic BP [blood pressure] in overweight middleaged men and women. If the results of our study are reproduced by other studies, advice for high dairy intake may be added to treatment and prevention of high BP.”

Funding: “Supported by the Public–Private Partnership Topconsortium voor Kennis en Innovatie (TKI) Agri & Food (TKI-AF-12104).”  FrieslandCampina, a Dutch multinational dairy cooperative, is part of the partnership.  Two of the authors are employed by FrieslandCampina.

Comment: As I discuss in Unsavory Truth, research like this has a high probability of producing biased results.  I’m reserving judgment about dairy foods and blood pressure until results like these are confirmed by independent research.

Knowing that this review was sponsored by the dairy industry, can you predict its conclusions?

Association between dairy intake and the risk of contracting type 2 diabetes and cardiovascular diseases: a systematic review and meta-analysis with subgroup analysis of men versus women. Moshe Mishali, Shiri Prizant-Passal, Tova Avrech, and Yehuda Shoenfeld . Nutrition Reviews 2019;77(6):417–429.

Conclusions: “In conclusion, these results, indicating that dairy product consumption decreases the risk of T2D and CVD, are in line with the recommendations for the public to consume dairy products. The findings about sex differences and the positive effect of milk on women need further establishment. Future studies should focus on isolating the effect of dairy products for men and women throughout their life span

Funding. This work was financed by the Israel Dairy Board.

Declaration of interests. M.M. is a consultant for the Israel Dairy Board. S.P. was paid for her work by the Israel Dairy Board. T.A. is Chief Health Officer at the Israel Dairy Board. Y.S. is a consultant for the Israel Dairy Board.

Comment: This is a study paid for by the Israeli dairy industry.  As such, it can well be considered an advertisement.  Like other such industry-funded studies (as I discuss in Unsavory Truth), it puts a positive spin on equivocal results (“need further establishment”).

Nutrition journals sometimes publish supplements on specific topics.  These are paid for by sponsors.  The papers listed here are part of a supplement to the May 2019 issue of Advances in Nutrition.

The sponsor?  As stated in the introductory article,

This supplement was sponsored by the Interprofessional Dairy Organization (INLAC), Spain. The sponsor had no role in the design of the studies included in the supplement; in the collection, analyses, or interpretation of the data; in the writing of the manuscripts; or in the decision to publish the results. Publication costs for this supplement were defrayed in part by the payment of page charges. The opinions expressed in this publication are those of the authors and are not attributable to the sponsors or the publisher, Editor, or Editorial Board of Advances in Nutrition.

Author disclosures: The authors have no conflicts of interest to declare.

The authors may think they have no conflicted interests, but as I discuss in Unsavory Truth, the effects of industry funding often are unconscious, unintentional, and unrecognized.

As is typical of industry-sponsored studies, the results of these dairy-funded studies are predictable.  From looking at these titles, you can predict that they will show dairy foods to have positive effects on pregnancy, lactation, child growth, bone density, and cognition, and no negative effects on mortality, metabolism, type 2 diabetes, cardiovascular disease, or cancer.

The overall conclusion is also predictable:

In conclusion, the systematic reviews and meta-analyses of the present supplement support adequate milk consumption at various stages of life and in the prevention/control of various noncommunicable chronic diseases.

If the dairy industry wants the public to believe these results, it should not be paying for them. 

Supplement—Role of Milk and Dairy Products in Health and Prevention of Noncommunicable Chronic Diseases: A Series of Systematic Reviews

• Introduction and Executive Summary of the Supplement, Role of Milk and Dairy Products in Health and Prevention of Noncommunicable Chronic Diseases: A Series of Systematic Reviews.  Ángel Gil ; Rosa M Ortega
• Effects of Milk and Dairy Product Consumption on Pregnancy and Lactation Outcomes: A Systematic Review.  María Achón; Natalia Úbeda; Ángela García-González; Teresa Partearroyo ; Gregorio Varela-Moreiras
• Effects of Dairy Product Consumption on Height and Bone Mineral Content in Children: A Systematic Review of Controlled Trials.  Carmela de Lamas; María José de Castro; Mercedes Gil-Campos ; Ángel Gil; María Luz Couce …
• Milk and Dairy Product Consumption and Risk of Mortality: An Overview of Systematic Reviews and Meta-Analyses.  Ivan Cavero-Redondo; Celia Alvarez-Bueno; Mercedes Sotos-Prieto; Angel Gil ; Vicente Martinez-Vizcaino …
• Effect of Milk and Other Dairy Products on the Risk of Frailty, Sarcopenia, and Cognitive Performance Decline in the Elderly: A Systematic Review.  Federico Cuesta-Triana; Carlos Verdejo-Bravo; Cristina Fernández-Pérez ; Francisco J Martín-Sánchez
• Effects of Milk and Dairy Products on the Prevention of Osteoporosis and Osteoporotic Fractures in Europeans and Non-Hispanic Whites from North America: A Systematic Review and Updated Meta-Analysis.  Pilar Matía-Martín; Macarena Torrego-Ellacuría; Angélica Larrad-Sainz ; Cristina Fernández-Pérez; Federico Cuesta-Triana …
• Dairy Product Consumption in the Prevention of Metabolic Syndrome: A Systematic Review and Meta-Analysis of Prospective Cohort Studies.  Guillermo Mena-Sánchez; Nerea Becerra-Tomás; Nancy Babio ; Jordi Salas-Salvadó<
• Effects of Milk and Dairy Product Consumption on Type 2 Diabetes: Overview of Systematic Reviews and Meta-Analyses.  Celia Alvarez-Bueno;  Ivan Cavero-Redondo; Vicente Martinez-Vizcaino; Mercedes Sotos-Prieto ; Jonatan R Ruiz …
• Milk and Dairy Product Consumption and Cardiovascular Diseases: An Overview of Systematic Reviews and Meta-Analyses.  Javier Fontecha; Maria Visitación Calvo; Manuela Juarez; Angel Gil ; Vicente Martínez-Vizcaino
• Association Between Dairy Product Consumption and Colorectal Cancer Risk in Adults: A Systematic Review and Meta-Analysis of Epidemiologic Studies.  Laura Barrubés; Nancy Babio; Nerea Becerra-Tomás ; Núria Rosique-Esteban; Jordi Salas-Salvadó
• Milk and Dairy Product Consumption and Prostate Cancer Risk and Mortality: An Overview of Systematic Reviews and Meta-analyses.  Bricia López-Plaza; Laura M Bermejo; Cristina Santurino ; Iván Cavero-Redondo; Celia Álvarez-Bueno …
• Milk and Dairy Product Consumption and Bladder Cancer Risk: A Systematic Review and Meta-Analysis of Observational Studies.  Laura M Bermejo; Bricia López-Plaza; Cristina Santurino ; Iván Cavero-Redondo; Carmen Gómez-Candela
• Milk and Dairy Product Consumption and Inflammatory Biomarkers: An Updated Systematic Review of Randomized Clinical Trials.  Stine M Ulven; Kirsten B Holven; Angel Gil; Oscar D Rangel-Huerta
• Role of Functional Fortified Dairy Products in Cardiometabolic Health: A Systematic Review and Meta-analyses of Randomized Clinical Trials.  María J Soto-Méndez; Oscar D Rangel-Huerta; María D Ruiz-López ; Emilio Martínez de Victoria; Augusto Anguita-Ruiz …

The New York Times writes about the tragedy of Wisconsin dairy farms.

Over the past two years, nearly 1,200 of the state’s dairy farms have stopped milking cows and so far this year, another 212 have disappeared, with many shifting production to beef or vegetables. The total number of herds in Wisconsin is now below 8,000 — about half as many as 15 years ago. In 2018, 49 Wisconsin farms filed for bankruptcy — the highest of any state in the country, according to the American Farm Bureau Federation.

It explains this as the result of “The rise of corporate farms and more efficient milking processes have led to an oversupply as consumption of milk has waned nationally.”

What’s going on with dairy farming is astonishingly poor policy, especially for small farmers who are now a deeply endangered species.

How to explain?  Bad policy.

In what other industry would you find producers continuing to ramp up production while demand slides, and then stuffing the growing pile of surplus into warehouses, hoping the federal government will buy some of it?

• The current dairy production support system favors Big Dairy.
• Government subsidies encourage dairy farmers to produce more milk.  Large producers get more subsidies than small ones.
• Large producers produce more milk.
• Milk production is up.
• Milk consumption is down (but not because of vegan ideology).
• Milk surpluses get converted to cheese.

The result: The government is now stockpiling 1.4 billion pounds of cheese.

Should dairy farmers go back to a system of restricting production the way they do in Canada?

One thing is for sure.  If we want local dairy farms to survive, we have to find a way to pay dairy farmers as much or more than it costs them to produce.

Serious policy thinking, anyone?

I was in Beijing last week, reading the English-language, government-issued China Daily in my hotel, and ran across this article about China’s “growing appetite for cheese,”

Cheese has never been part of traditional Chinese cuisines, and the Chinese still do not eat much.

Currently, annual per capita consumption of cheese in China is only 0.1 kilogram, far below 2.4 kg in Japan, 2.8 kg in South Korea, 15 kg in the United States and 18.6 kg in Europe where France, Germany and the Netherlands take the top three spots, according to the China Dairy Industry Association.

But there is a big push to encourage dairy consumption.  Chinese dietary guidelines advise adults to consume 300 grams of dairy a day.

The annual per capita consumption of dairy products in China has reached 36 kg now, much higher than the 6 kg recorded two decades ago, but the volume is still less than half that of Asia and less than a third of the world average.

This all seems odd to me.  Asian populations tend to be lactose intolerant, making dairy products difficult to digest.  But dairy foods are believed to promote faster growth and taller heights in children, which the government deems desirable.  Many people can handle dairy foods, especially yogurt and other fermented varieties.

I went to a large supermarket in an area where many foreign embassies are located and was impressed by the size of the dairy aisle.

But on an Untour Food Tour to Beijing’s lower income alleys (hutongs), I was taken to a tiny store devoted exclusively to dairy products.

Most of the products were milk or yogurt.  The cheese in both places was mostly slices, Kraft and the like.

But in an indoor farmers’ market, I visited Le Fromager de Pekin stall and did some tasting.  At the moment, French cheese makers (or American, for that matter) have nothing to fear from Chinese competition.   I will be interested to see how cheesemaking progresses.

In the meantime, I’m not the only one fascinated by the very thought of cheese in China.  DairyReporter.com notes:

Three decades after most consumers had tried their first cheese slice or milk shake, fortunes have changed dramatically for dairy in China.The country is now the world’s biggest importer of dairy products, with a younger, more mobile generation ravenous for cheeses from overseas. With a market value of US$12bn today, cheese sales are expected to grow by US$4bn over the next year, according to Mintel. In just two years the number of Chinese cheese-eaters has grown from 15% to 17% in 2017, with the market researcher anticipating further rises of 13% annually until 2021.

As for dairy use, the unanticipated consequences are already emerging, not least the environmental impact of the transition from sheep to dairy cows in New Zealand.

A massive rise in the country’s dairy herd over the last 20 years has had a devastating impact on the country’s freshwater quality, a key area being targeted by the government for improvement….groundwater failed standards at 59% of wells owing to the presence of E coli, and at 13% of the wells owing to nitrates. Some 57% of monitored lakes registered poor water quality, and 76% of native freshwater fish are at risk of or threatened with extinction…the main culprits for worsening freshwater quality were the intensive use of fertilisers, irrigation and cows.

And much of this is driven by China’s purchases of New Zealand’s dairy production.

Kiwi companies sold $4b worth of dairy products in China. Milk powder, butter and cheese mainly. The success of dairy companies Fonterra and A2 is largely underpinned by exports to China. Fonterra [a New Zealand company] accounts for 36 per cent of all dairy imports into China…11 per cent of China’s total dairy consumption was produced by Fonterra, and 26 per cent of Fonterra’s output was shipped to China.

It’s hard to believe that any of this is good for the health of people or the envirornment.