by Marion Nestle

Currently browsing posts about: White House Conference

Oct 10 2024

Thoughts about nutrition II. The need for leadership

II.  The need for nutrition science leadership in promoting policies to prevent and treat disease

Three-quarters of American adults are overweight or obese and at increased chronic disease risk, yet nobody is screaming much about it (except for the MAHA people).

As the Government Accountability Office put it in 2021,  “federal strategy needed to coordinate diet-related efforts.

Chronic health conditions (like heart disease, diabetes, cancer, and obesity) are costly and deadly—causing over half of U.S. deaths in 2018. They also exacerbated the pandemic: Americans with such conditions were 12 times more likely to die after contracting COVID, according to the CDC.

Yet chronic conditions are largely preventable with a healthy diet and other behaviors like exercise. The federal government leads 200 different efforts, spread across 21 agencies, to improve Americans’ diets. But agency efforts are fragmented and there are gaps in key scientific research, including for children. A strategy for working together could help.

In its recommendations, the GAO says:

Congress should consider identifying and directing a federal entity to lead development and implementation of a federal strategy for diet-related efforts aimed at reducing Americans’ risk of chronic health conditions.

The GAO comments:

The White House sponsored a conference on Hunger, Nutrition, and Health on September 28, 2022. In advance of that event, the White House released a national strategy aimed at ending hunger in America and increasing healthy eating and physical activity by 2030. [Note: I wrote about these events extensively.  For example, here]

However, we do not believe the White House strategy satisfies our matter because it does not contain the necessary information about outcomes and accountability, resources, and leadership. In particular, without designated leadership, it may be difficult to sustain the strategy over time. Therefore, as of March 2024, the matter remains open.

In October 2024, it still remains open.  I see this as an urgent priority.

Tomorrow: Personalized nutrition

Oct 14 2022

Weekend reading: Follow up to the White House Conference on Hunger, Nutrition and Health

As a follow up to the White House Conference on Hunger, I’ve been collecting fact sheets (my version of what happened at the conference is here)

Official information is available on the conference website.   You can even watch it; links to videos of the sessions are posted here.

Note that everything in the fact sheets refers to the conference “Pillars.”  As a reminder, these are:

  1. Improve Food Access and Affordability
  2. Integrate Nutrition and Health
  3. Empower Consumers to Make and Have Access to Healthy Choices
  4. Support Physical Activity for All
  5. Enhance Nutrition and Food Security Research

Fact sheet #1: The Biden-Harris Administration Announces More Than $8 Billion in New Commitments as Part of Call to Action for White House Conference on Hunger, Nutrition, and Health

These [commitments] range from bold philanthropic contributions and in-kind donations to community-based organizations, to catalytic investments in new businesses and new ways of screening for and integrating nutrition into health care delivery. At least $2.5 billion will be invested in start-up companies that are pioneering solutions to hunger and food insecurity. Over $4 billion will be dedicated toward philanthropy that improves access to nutritious food, promotes healthy choices, and increases physical activity.

Fact sheet #2: From Senate Agriculture Committee Chairwoman Debbie Stabenow:   Anti-Hunger and Healthy Food Successes

As long as we have hunger and food insecurity in America, we have work to do…We’ve put policies in place that take big steps to strengthen the food safety net, incentivize purchases of healthy fruits and vegetables, and provide more resources for food banks and other organizations to address hunger and nutrition issues in their communities.

Fact sheet #3: From USDA’s Food and Nutrition Service (FNS): Leveraging the White House Conference to Promote and Elevate Nutrition Security.

FNS’s work aligns closely with the National Strategy, which outlines steps the government will take, while calling on the public and private sector to address the intersections between food, hunger, nutrition, and health.

It is fair to ask what the conference will produce and how government and private agencies will be held accountable for their commitments.  For that we must wait and see.

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Sep 29 2022

The White House Conference: They Pulled It Off!

Despite chaotic organization (see note below), the White House Conference on Hunger, Nutrition, and Health was inspiring (you can watch it on YouTube here).  It was exciting to be in the room where it happened, as you can see from my photo-taking (courtesy of tweet by Suzanna Martinez).

The conference had a laser-like focus on ending hunger and hunger inequities.  Although there was much talk of diet-related diseases, it was not at all about preventing obesity and its chronic disease consequences in the general population.  Instead, its aim was to make sure that poor people, especially those of color, have access to healthy, culturally appropriate diets at a price they can afford.

Common themes

Bipartisan: Ending hunger has to be a united effort (Republicans were barely represented, but not for lack of trying)

Diet-related disease: none of us ever expected to hear that phrase from high elected officials, let alone POTUS

Lived experience: Many of the panels included people who had grown up on foods stamps, and President Biden was introduced by Jimmieaka Mills of Houston, TX (her name was not listed in the program; I found it on Twitter) who spoke eloquently of how much food assistance meant to her life.

Food at the center: it must stop being an afterthought.

Food as Medicine: This refers to the health care system’s use of food prescriptions or distributions.  Alhough his idea is sometimes perceived as paternalistic—food should really be about pleasure and culture (see ConscienHealth)—it plays well politically.

Impressions

Almost everything related to the conference is on the website.  My reactions.

How it felt: It was a joy to see old friends and colleagues who care deeply about food and preventing hunger.  We hadn’t seen each other since before the pandemic.  Hugs all around.

The tone: This was a packed auditorium with a standing room audience, happy to be there, appreciative, and enthusiastic.

The love: Almost everyone thanked Congressman Jim McGovern who has tried to get this conference held for years.  He got—and deserved—standing ovations.

The speeches

The President: Biden mostly reiterated the main points of the National Strategy, but insisted on the value of the Child Tax Credit (see my previous post on this).  This got a standing ovation (along with a couple of others).  Ending food insecurity, he said, is a way to treat each other with decency.

Jim McGovern: When he worked with George McGovern (no relation, a Democrat) and Republican Bob Dole on food issues,  ending hunger was a bipartisan goal.  Now, 35 million Americans needi food assistance; hunger should be illegal.

Cory Booker: Americans are in the midst of a storm of diet-related disease.  Congress will hold hearings on Food as Medicine.  We need to put the F back in FDA (ovation).

The plenary panel

Debbie Stabenow, who heads the Senate Ag Committee; “We will not cut SNAP.”

Rosa de Lauro, who heads the House appropriations committee: “I like holding the gavel.  We will fund what we need to.”

Eric Adams, mayor of New York City: “We are making healthy eating the default.”

The major speech

José Andrés: This was the major political speech of the conference: the problem, the moral imperative, and the policies needed (ovation). My favorite line: “We must stop giving breadcrumbs and start building bakeries.”

My assessment

The conference put hunger on the agenda of Susan Rice, who heads Biden’s Domestic Policy Council (and who stayed throughout the entire meeting), and on that of the President himself.

  • It gave high visibility to the issue.
  • It highlighted the fabulous work of individuals and organizations who are working to  help bring people out of poverty.
  • It called for—and got—commitments from organizations and corporations to take real action to address food insecurity and its consequences.
  • It generated excitement and hope among people working on these issues.

Will it lead to real change?  Will it improve the current situation?  Will it lead to reduced hunger?

Not without public pressure, I’m guessing.

A note on the organizational chaos: last-minute invitations (mine arrived Sunday night after 9:00 p.m. and Eric Adams’ staff, who attended, never did get theirs; no advance schedule until a couple of days before, when it was still quite vague; a 6:00 a.m. announcement to be there at 7:30 to register because security lines would be long; badge printers that didn’t work; no printed program; no clear listing of speakers and times; auditorium too small for audience (most were in overflow room); a mystery as to who was in charge—a committee of the Domestic Policy Council, apparently.  Still, it all worked!

A note on the meals and swag: The James Beard Foundation arranged the lunch—vegan, bison, or chicken. These were packed in heavy plastic lunch trays, later washed and packed along with cutlery into Oxo bags given to participants.  The only real souvenir is the name badge, to be treasured.

A note on Biden’s blooper: He called out Jackie Walorsky— “Where’s Jackie?” — which got gasps from people who knew she had died in a traffic accident in August.   Later, a video tribute to her brought people to tears.

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Coming soon!  My memoir, October 4.

For 30% off, go to www.ucpress.edu/9780520384156.  Use code 21W2240 at checkout.

 

Sep 28 2022

On my wish list for the White House Conference: Reauthorize child nutrition legislation

The White House Conference on Hunger, Nutrition & Health is convening today.  As a reminder of why it matters, here’s what’s happening with the much-needed reauthorization of the Child Nutrition Bill.

The reauthorization bill, required every five years, was introduced in the House in July as H.R.5919Early Childhood Nutrition Improvement Act of 2021.  If and when passed, it will:

  • Increase kids’ access to free school meals
  • Expand kids’ access to summer meals
  • Expand kids’ access to day care meals
  • Expand WIC (the Special Supplemental Nutrition Program for Women, Infants, and Children) benefits and access
  • Enable Tribal sovereignty in program administration 

The Food Research & Action Center (FRAC) offers:

I’m hoping the White House Strategy announced today will include these elements for reducing childhood hunger.

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Coming soon!  My memoir, October 4.

For 30% off, go to www.ucpress.edu/9780520384156.  Use code 21W2240 at checkout.

 

Sep 27 2022

Tomorrow! The White House Conference on Hunger, Nutrition, & Health

At 9:09 on Sunday night, I received a rather lat-minute invitation to this conference.  I think it’s worth going to, and will.

Whatever it turns out to be, this will be an historic occasion.

Almost everything public about it is on the conference website.

Here’s what it says will happen:

On Wednesday, September 28, the Biden-Harris Administration will host the White House Conference on Hunger, Nutrition, and Health. The Administration will also release a National Strategy with actions the federal government will take to drive solutions to these challenges.

As it happens, the White House released The Biden-Harris Administration National Strategy on Hunger, Nutrition, and Health yesterday.  I will say more about this tomorrow, but here’s a summary of Pillar 1:

Improving food access and affordability, including by advancing economic security; increasing access to free and nourishing school meals; providing Summer Electronic Benefits Transfer (EBT) benefits to more children; and expanding Supplemental Nutrition Assistance Program (SNAP) eligibility to more underserved populations.

The opening speakers have been announced:

  • President Joseph R. Biden, Jr.
  • Second Gentleman Douglas Emhoff
  • Ambassador Susan E. Rice, White House Domestic Policy Advisor
  • Secretary of Agriculture Tom Vilsack
  • Secretary of Health and Human Services Xavier Becerra
  • Chef José Andrés

It can be watched online:

It will be interesting to see what the National Strategy might be, and what emerges from the conference.

In the meantime, to inform the conference:

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Coming soon!  My memoir, October 4.

For 30% off, go to www.ucpress.edu/9780520384156.  Use code 21W2240 at checkout.

 

Sep 21 2022

The White House Conference: an outsider’s update

Everything I know for sure about the White House Conference on September 28 is at its website.

It has a classy logo:

It has some details.

It has a link to view the conference online and let them know if you plan to host a Watch Party or Satellite Event.

It has a link to the conference agenda (it’s there, but still vague).

It has a toolkit for running satellite events

Everything else I know about it is rumor and hearsay—who has been invited (not me, although I am , oddly, invited to a reception the night before); who is speaking (not me), what will be discussed, what will be announced.

Not helpful?  More to come when I know more.

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Coming soon!  My memoir, October 4.

For 30% off, go to www.ucpress.edu/9780520384156.  Use code 21W2240 at checkout.

 

Sep 7 2022

What’s up with the White House Conference on Hunger, Food, and Health?

Here’s what I do not know about this conference:

  • The agenda
  • Who is speaking
  • Who is invited
  • What will be announced

Everything I do know about it is in this message sent from the White House last week.

White House Conference on Hunger, Nutrition, and Health Stakeholder Update

The Biden-Harris Administration is hosting the White House Conference on Hunger, Nutrition and Health on Wednesday, September 28, 2022 and we need your leadership.

For the first time in over 50 years, the White House will convene public and private sectors, catalyzing our nation’s leaders around a coordinated strategy to accelerate progress and drive significant change to end hunger, improve nutrition and physical activity, and reduce disparities.
It’s time to take back our nation’s health. We need your help bringing people together to deliver on bold action and to make meaningful change in every community.

It will take everyone working together to be the change needed to finally end hunger and reduce diet-related diseases and disparities. Thank you for being a leader as we build a healthier and more equitable future for America.
Here are some ways to be a leader for change in your community:

      • Sign up to receive email updates about the Conference and learn more.
      • Host an event or watch party to bring people together to take bold actions in your community. An event toolkit has been developed to assist you in planning for these.
      • Share your ideas and stories about how to end hunger and reduce diet-related diseases and disparities.
      • Watch the livestream of the Conference on Wednesday, September 28, 2022
      • Help spread the word about the Conference on social media by using #WHConfHungerHealth and tagging @WhiteHouse

    White House Conference Website

      • Please share the

    White House Conference website

      • with your networks! Interested stakeholders can sign up here for updates:

    https://wh.gov/OPE-hungerhealthconference-signup

      .

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Coming soon!  My memoir coming out in October.

For 30% off, go to www.ucpress.edu/9780520384156.  Use code 21W2240 at checkout.

 

 

Aug 24 2022

Task force on Hunger, Nutrition, Health report: a missed opportunity?

The Task Force on Hunger, Nutrition, and Health released its comprehensive report yesterday.

The report’s purpose is to inform the upcoming White House Conference on Hunger, Nutrition, and Health.  If so, it’s going to leave the White House in a quandary.

The report has lots of useful information, beautifully presented, and does all it should on adddressing hunger.

But as I read it, the report, titled Ambitious, Actionable Recommendations to End Hunger, Advance Nutrition, and Improve Health in the United States,” is not nearly ambitious enough when it comes to nutrition and health.

It makes far too many recommendations—30.  That’s always a bad sign (too many to do).  .

Really, only 2 recommendations are needed.  These should establish or expand federal agriculture, food, and nutrition policies to ensure:

  1.  Adequate, affordable food and nutrition for everyone.
  2.  Healthy diets for everyone, meaning those that follow Dietary Guidelines and are largely plant-based, balanced in calories, and low in undesirable fats, sugars, and salt (i.e., ultra-processed foods).

The hunger recommendations do the job: they call for ensuring benefits sufficient to meet households’ basic needs.

But the second?  A mess.

Here is the most obvious example [my comments follow] .

Recommendation #9: “Reduce the marketing of foods that do not align with the latest DGA and increase the marketing of foods that align with the latest DGA to children and populations with disproportionate rates of diet-related chronic conditions” [Good! But not through the recommended voluntary methods by industry.  That won’t work; it requires legislation]

But here’s Recommendation #25: “Increase the ability of food companies to communicate with consumers about the evidence for healthfulness of certain food products and nutrients.”  [Uh oh]

This comes with three action items:

  1. FDA should expeditiously update its definition of the word “healthy” [good] and incentivize food companies to use the terminology and/or associated symbol in their food packaging and marketing [Yikes!] and increase the proportion of products on the market that meet the “healthy” definition [OK, as long as they are not gaming the system].
  2. Congress and/or FDA should improve and streamline the process for application, review, approval, and use of health claims and qualified health claims on food packages. [No!  If it’s one thing we don’t need, it’s more misleading health claims]. 
  3. Congress and/or FDA should create a new process for communicating about foods, nutrients, and other bioactive ingredients that may prevent or treat disease through label claims. [No!  We do not need more claims for the benefits of ultra-processed food products].

What’s missing from this report?

  • Anything about ultra-processed foods and their effects on calorie intake and overall health.  The term is mentioned once, but only in the context of ‘more research needed’ (Recommendation #19).
  • A clear statement of the benefits of soda taxes in reducing consumption of sugar-sweetened beverages.  Why isn’t there one?  A box explains: “Task Force members voiced diverse perspectives on this topic.”
  • A clear statement about making SNAP align with Dietary Guidelines.  This is mentioned, but only in the context of pilot research (recommendation #2), and therefore contradicts recommendations #3 and #5.  #3:  Increase nutrition security by promoting dietary patterns that align with the latest Dietary Guidelines for Americans (DGA) through federal nutrition programs.  #5:  Leverage the federal nutrition programs’ power in economic stimulus to support food systems that promote foods that align with the latest DGA.”
  • Firm calls on Congress to pass legislation to do what is needed.

What happened?  One member of the committee explained to me that its membership included everyone from anti-hunger advocates to food industry representatives, and too many vested interests were at stake.  Members could not agree on anything that would make a real difference to policy.  Anything substantive met strong resistance.

When it comes to public health policy, which this most definitely is, the food industry has no business being at the table.

This was a recommendation of the 2019 Lancet Commission on the Global Syndemic of Obesity, Undernutrition, and Climate Change.  Read that report.  It explains why including the food industry in policy recommendations that might reduce sales is not a good idea.

If I had been a member of this Task Force, I would have called for a minority report on policies for reducing consumption of sugary drinks and ultra-processed foods.  But that, of course, is why I’m no longer appointed to such committees.