Nutrition Programs: How Many Spending Cuts Can We Afford?

U.S. National Archives | 1941

In the midst of economic instability, it’s become clear that funding for major federal programs will be subject to cuts, and nutrition programs are no exception. Perhaps cuts are unavoidable, but it is essential that we examine their potential impact on public health.

According to a recent USDA Economic Research Service report, more than 50 million Americans, including 17 million children, were food insecure in 2009, meaning they were uncertain of having enough food or unable to acquire enough food for their household members. Food insecurity and hunger can have far-reaching consequences—numerous studies suggest that children in food-insecure households have higher risks of health and development problems than children in otherwise similar food-secure households. Any changes to these nutrition programs must not undermine the safety net they provide for millions of Americans. Read More >

New USDA Report Stresses Regulations on Antibiotic Use

A new technical review by the U.S. Department of Agriculture, “A Focus on Antimicrobial Resistance,” calls the issue a growing public health concern worldwide, stating the misuse of antimicrobial drugs in food animal production and human medicine is the main factor accelerating antimicrobial resistance.

The USDA report, in the National Agriculture Library, is a compilation of research from 63 scholarly and peer reviewed journals, including research supported by the Center for a Livable Future. It says limiting the inappropriate use of antimicrobials in animals agriculture can be achieved by:

  • Understanding the risks and benefits of antimicrobial use in food animals.
  • Development and implementation of principles guiding appropriate antimicrobial use in the food animal production.
  • Improvement in animal husbandry and food production practices to reduce the dissemination of AMR.
  • Development of regulations for prudent use of antimicrobials in food animals.
  • Development of testing and reporting protocols for drug-resistant foodborne pathogens by regulatory agencies.
  • Reduction in the usage of antimicrobials that are “critically important” for human medicine in food animals.

According to data released last December by the Food and Drug Administration (FDA), 80% (or 28.8 million pounds) of the antibiotics sold in 2009 were used to raise livestock and poultry.

In an article in last Saturday’s New York Times, “When Food Kills,” Columnist Nicholas Kristoff  calls attention to the ongoing E. coli outbreak in Europe, noting 325,000 people are hospitalized from food-borne illnesses each year. “We have an industrial farming system that is a marvel for producing cheap food, but lobbyists block initiatives to make food safer,” writes Kristoff. “Perhaps the most disgraceful aspect of our agricultural system….is the way antibiotics are recklessly stuffed into healthy animals to make them grow faster.”

Kristoff calls for more testing and education about E. coli adding, “a great place to start reforms would be banning the feeding of antibiotics to healthy livestock.”

CLF opposes Rehberg amendment, antibiotic-resistant Salmonella infections in children

The FY 2012 Agriculture appropriations bill, voted out of the House Appropriations Committee last week, includes an amendment that would severely limit the authority of FDA to regulate the use of antimicrobials, including antibiotics, in food animal production-a key concern of public health researchers.  Sponsored by Rep. Denny Rehberg (R-MT), the amendment would prohibit the agency from spending any money appropriated by the bill on actions “intended to restrict the use of a substance or a compound” unless certain conditions are met.  Although the amendment is broad-affecting any “substance or compound,” notably including tobacco-Rep. Rehberg has told The Washington Post that his goal was to block FDA action on the use of antimicrobials by food animal producers.  Indeed, the amendment would, among other things, preempt upcoming FDA restrictions on the misuse use of cephalosporin-the antibiotic of choice for serious Salmonella infections in children.  (Researchers have reported increased incidence of cephalosporin-resistant Salmonella infections [Foley and Lynne, 2008].)   Joining many others in the public health community, researchers at the Center for a Livable Future recently sent a letter to Congress , urging members to strike the amendment from the legislation before final passage.

The Rehberg amendment reads as follows (we have broken it into numbered and lettered points to make the language easier to follow):

None of the funds made available by this Act may be used by the Food and Drug Administration to write, prepare, develop or publish a proposed, interim, or final rule, regulation or guidance that is intended to restrict the use of a substance or a compound unless the Secretary

  1. bases such rule, regulation or guidance on hard science (and not on such factors as cost and consumer behavior), and
  2. determines that the weight of toxicological evidence, epidemiological evidence, and risk assessments clearly justifies such action,
  3. including a demonstration that a product containing such substance or compound

a.  is more harmful to users than a product that does not contain such substance or compound, or

b.  in the case of pharmaceuticals, has been demonstrated by scientific study to have none of the purported benefits. Read More >

Food and Farm Policy: this is not the image and style that you’re used to

HFHP Summit 2011

HFHP Summit 2011

Recently, my boyfriend offered to give me a dollar for every blog I started with, “Stop what you’re doing, ’cause I’m about to ruin the image and the style that you’re used to.” I responded to his idea with a barrage of reasons why it was ridiculous and certainly not appropriate in my line of work to write blogs citing The Digital Underground’s “The Humpty Dance.” On second thought, however, those 18 words are an oddly apropos summary of the overarching goals of the Healthy Farms, Healthy People (HFHP) Summit, recently held in Arlington, VA, funded by the Centers for Disease Control and Prevention and hosted by Public Health Institute. The Center for a Livable Future was a co-organizer of the Summit-along with American Farmland Trust, California Food and Justice Coalition, the Institute for Agriculture and Trade Policy, and Public Health Law and Policy-which brought together interests from conventional and sustainable agriculture with public health professionals, physicians and health insurers to discuss potential shared issue-areas in food and agriculture policy. The goals of the Summit were to: Read More >

Nationwide Poll: 80% of America’s Moms are Concerned About Antibiotic Use in Industrial Food Animal Production

When moms talk you can bet lawmakers listen, not to mention food retailers. That is exactly what the Pew Campaign on Human Health and Industrial Farming is counting on following the release of a nationwide poll of 804 American moms, which found that 80 percent are concerned that food animals produced on industrial farms are being given large amounts of antibiotics. Each of these moms is a  registered voter and has kids aged 16 or younger.  Not only were most of the moms polled concerned about antibiotic use, more than three-quarters said they would support federal regulations to limit its use in food animals.

No doubt this news has the animal agriculture industry concerned. Despite the warnings from scientists and public health experts of the risks of the low-dose use of antibiotics in livestock and poultry,  food animal producers have for years fought proposed federal regulations claiming there is little proof the practice poses a risk to humans. Top leaders of the U.S. Centers for Disease Control and Prevention and the Food and Drug Administration disagree with animal producers. Former FDA Deputy Commissioner Joshua Sharfstein testified in front of Congress stating the links are undeniable and in a letter to the Johns Hopkins Center for a Livable Future (CLF) the director of the CDC, Dr. Thomas R. Frieden, confirmed that the CDC, “feels there is strong scientific evidence of a link between antibiotic use in food animals and antibiotic resistance in humans.”

More and more research continues to pour in, almost on a daily basis, linking antibiotic-use in intensive food animal production facilities to the growing threat of antibiotic resistant infections in people. Earlier this month, a Pew funded nationwide study of grocery store meats revealed nearly 50 percent of the meat and poultry we buy carries antibiotic-resistant Staphylococcus aureus and that DNA tests indicate the animals themselves were the primary sources. Read More >

Study on Drug-Resistant Staph and Store-Bought Meat: What Most News Reports Are Missing

Staphylococcus aureus, Image Courtesy: CDC

Staphylococcus aureus, Image Courtesy: CDC

According to a recently published nationwide study of grocery store meats, the next time you handle a piece of meat or poultry bought at your local supermarket there is nearly a 50 percent chance that it will be carrying drug-resistant Staphylococcus aureus (Staph). The Translational Genomics Research Institute study determined that the majority of those bacteria are likely resistant to several classes of antibiotics. Antibiotic-resistant strains of Staph are to blame for a host of illnesses, ranging from simple skin infections to life-threatening diseases, such as pneumonia and sepsis. Staph infects an estimated 500,000 patients in U.S. hospitals annually and more deathsdeaths are blamed on Methicillin-resistant Staphylococcus aureus (MRSA)infections every year than HIV/AIDS. Infectious disease experts warn the consequences of rendering antibiotics useless would be disastrous to modern medicine, which depends on antibiotics for everything from organ transplant surgeries and cancer therapies to the care of patients with trauma or battlefield injuries.

The frequency of detection of resistant bacteria on meat purchased in grocery stores is alarming.  Despite this, most of the news coverage we’ve seen this week misses a key message that can be gleaned from the conclusions of the study. The study does not point directly to new or heightened food-safety risks to the consumer, rather, it serves as verification that one of human medicine’s strongest safeguards against disease is quickly losing its efficacy, in part due to inappropriate use of antibiotics in the industrial food animal production system. Read More >

U.S. Dept. of the Interior among 2,000 Sodexo clients offered Meatless Monday

The Meatless Monday campaign just gained America’s protector of natural resources and heritage as one of its latest supporters. The U.S. Department of the Interior is one of Sodexo’s more than 2,000 corporate and government clients, which the food service giant encouraged to adopt its Meatless Monday initiative.

Sodexo announced today that it is all part of the company’s ongoing efforts to boost health and wellness and promote sustainability in the North American communities where it serves as many as 10 million meals a day. The Department of Interior joins several of Sodexo’s well-known clients, such as Toyota and Northern Trust Bank in adopting Meatless Monday.

The non-profit Meatless Monday campaign, which is operated out of New York City, was launched in 2003 with the help of the Johns Hopkins Bloomberg School of Public Health and the Center for a Livable Future. The public health campaign was first started simply to reduce America’s saturated fat consumption by 15%, following the recommendations of the Healthy People 2010 report issued by then U.S. Surgeon General David Satcher in 2000.

While reducing potential negative health effects, such as cardiovascular disease, remains a key goal, a few years ago the initiative expanded its focus to environmental impacts of intensive meat production. Those impacts can be quite substantial. Research suggests that it takes 20 times the amount of fossil-fuel energy to produce conventional beef protein than plant-based protein. According to a study out of California, it takes about 2,000 gallons of water to produce one pound of beef. That’s almost ten times more than the 220 gallons water needed to produce a pound of tofu.

A Sodexo spokesperson says the Department of Interior reports that, “the population of customers at DOI is very health and environmentally conscience, so that Meatless Monday is a welcome addition to our program.” In a Sodexo news release, Toyota executive Will Nicklas was quoted as saying, “Meatless Monday has been successful here primarily because Sodexo helps our customers understand that it is not at all about becoming vegetarians or even weight loss, it’s about taking easy steps to guard our health and be good stewards of our environment.” Read More >

Corn Panic

By Dr. Dennis Keeney, Visiting Scholar, Johns Hopkins Center for a Livable Future

corn-for-ethanolThe USDA 2011 Prospective Plantings Report was one of the most anticipated planting reports in several years. It came on the heels of a shocking Grain Stocks Report issued last month, which showed that corn stocks have come down 15% since March 2010. Ending stocks are projected to be only 675 million bushels, about 5% of the projected marketing year consumption, while consumption of the current marketing year corn was higher than in 2009 and well above projected consumption. Lowered stocks were also caused by a smaller than expected corn crop due to cold and rainy weather in the Corn Belt in 2010. Corn prices almost immediately increased by another $1 per bushel on the heels of a doubling of price during the past year. This dramatic price jump portends another round of world-wide food price increases, similar to those in 2008-2009. Already, some political uprisings in the Middle East have been blamed to some extent on rapid food price increases. In 2008-2009, yields bounced back to normal and the ethanol demand was much lower.

Why has this happened? Will it be alleviated by a bumper crop on more acres in 2011? Or has the grain commodity price structure started a trend towards a “new normal” of steadily increasing prices and more shortages?

The March 31 crop report indicated that farmers “intend” to plant 5% more acreage in corn, 8% more in wheat and 15% more in cotton while cutting soybean planting by only 1%. This adds up to 4 million more acres of cropland than there were in 2010.  One wonders where that extra land is coming from. Most likely, it is land being retired from the Conservation Reserve Program (CRP), and includes more fragile meadow and grassland. That is not good news for the environment. Just recently, a number of congressional members called for the immediate release of some of the 31.2 million acres of CRP for cropland.

I would like to explore what corn is used for and why the sudden drop in ending stocks surprised so many people, before presenting some scenarios that may play out in the near future. Read More >

Will the U.S. Hog Industry Ever Kick Its Reliance on Low-Dose Antibiotics?

The editors of Scientific American recently encouraged U.S. hog farmers to “follow Denmark and stop giving farm animals low-dose antibiotics.” Sixteen years ago, in order to reduce the threat of increased development of antibiotic resistant bacteria in their food system and the environment, Denmark phased in an antibiotic growth promotant ban in food animal production. Guess what? According to Denmark’s Ministry of Food, Agriculture and Fisheries the ban is working and the industry has continued to thrive. The government agency found that Danish livestock and poultry farmers used 37% less antibiotics in 2009 than in 1994, leading to overall reductions of antimicrobial resistance countrywide.

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Courtesy: Ministry of Food, Agriculture and Fisheries, Danish Veterinary and Food Administration, July, 2010

Except for a few early hiccups regarding the methods used in weaning piglets, production levels of livestock and poultry have either stayed the same or increased. So how did Danish producers make this transition, and why isn’t the U.S. jumping to follow suit? Like many things in industrial agriculture, the answer is not clear.

If any country knows how to intensively produce food animals, particularly pigs, it is Denmark. In 2008, farmers produced about 27 million hogs. In fact, the Scandinavian country claims to be the world’s largest exporter of pork. Thus Scientific American editors argue that the Danish pork production system should serve as a suitable model to compare to ours. U.S. agriculture economists from Iowa State University agree. In a 2003 report, Drs. Helen Jensen and Dermot Hayes stated that Denmark’s pork industry is “…at least as sophisticated as that of the United States… and is therefore a suitable market for evaluating a ban on antibiotic growth promotants (AGPs).” Read More >

A Blow to Industrial Dairy Farming in the U.K.

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Just over a week ago, I received a phone call from Katharine Mansell, the Media Relations Manager for the U.K. World Society for the Protection of Animals (WSPA). What she told me was without doubt excellent news for both sustainable agriculture and public health in Western Europe. The proposal to build the Nocton Dairy, which was to be the first U.S.-style industrialized dairy in Western Europe, is officially no longer under consideration. On February 16, 2011, the farmers withdrew their application, ostensibly after continued objections from the Environmental Agency of England and Wales. However, it is clear that the advocacy campaigns undertaken by groups such as the WSPA also played a critical role in the ultimate withdrawal of the application.

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As part of the Not in My Cuppa campaign, volunteers dressed up as cows in orange prison jumpsuits

While the Nocton Dairy debate received relatively little attention here in the U.S., it was a consistent topic of media coverage inthe U.K. since its initial proposal to the North Kesteven District Council in December 2009. The initial plan for the facility, formally known as the Nocton Dairy Ltd., included over 8,000 cattle almost entirely confined to large barns and featured two 24-hour milking parlors. In a statement that ended up giving ample fodder to groups opposing the dairy, one of the farmers behind the dairy noted that “cows do not belong in fields.” Soon after the proposal was made, both neighbors of the proposed facility and environmental and animal welfare groups began to express serious misgivings about the project. By April 2010, 150 MPs had signed an Early Day Motion (the equivalent of a resolution in the U.S. Congress) declaring their opposition to the construction of the dairy and stating that the House “…believes that the proposed unit is taking U.K. dairy farming in the wrong direction…” While the proposed number of cattle was eventually reduced to 3,770, serious concerns about the dairy remained.

Realizing the importance not only of preventing the construction of this particular industrial dairy, but also of preventing the further encroachment of U.S.-style industrial farm animal production in Western Europe, a number of advocacy groups came together in an unprecedented alliance of environmental, animal welfare, and rural protection groups. Read More >