Issues in Sustainable, Healthy Agriculture Martin T Donohoe, MD, FACP Chief Science Advisor Campaign for Safe Food Oregon Physicians for Social Responsibility
Dec 26, 2015
Issues in Sustainable, Healthy Agriculture
Martin T Donohoe, MD, FACPChief Science Advisor
Campaign for Safe FoodOregon Physicians for Social Responsibility
Sustainable Foods
A sustainable food system is one in which the environmental, social, and economic impacts of our decisions both sustain the needs of the current generation and allow for future generations to do the same
Sustainable Foods
• Produced, processed, stored and transported with minimal use of non-renewable energy sources
• Produced and handled in a way that supports strong regional economies
• Healthy as part of a balanced diet and do not contain harmful biological or chemical contaminants
Sustainable Foods
• Fairly or cooperatively traded between producers, processors, retailers, and consumers
• Non-exploiting of employees in the food sector in terms of rights, pay and work conditions
• Environmentally beneficial or benign in production and processing
• Accessible in terms of geographic access and affordability
Sustainable Foods
• High animal welfare standards in both production and transport
• Socially inclusive of all people in society
• Encourage knowledge and understanding of food and food culture
Overview
• Local, Sustainable Foods– Locally-grown food < 1% of $900 billion food industry
in the US– Food typically travels 1500 miles from field to fork
(25% increase over 1980)– 16% of vegetables sold in US come from abroad;
44% of fruit– Air pollution, global warming
• Dietary Considerations/Components• Pesticides
– Worker health and safety• Factory Farms/CAFOs/Agricultural Antibiotics
Overview
• GMOs
• Biopharming
• Food Irradiation
• rBGH
Overview
• Cloned Meats
• COOL
• Famine, Biofuels
• Conclusions re Role of Health Care Institutions
Local Foods
• ↓ transportation costs
–1/3 of agricultural energy costs go to processing, packaging, and transportation
• ↓ air pollution
• ↓ global warming
Local Foods
• Supports local economies
–Financial
–Local environments
–Social cohesion
• Enhanced purchaser-supplier relationships
Wasted Food
• Household food waste adds up to $43 billion/yr in the U.S.
• An average American family of four tosses out $590/yr food
• Americans discarded 3 times as much food in 2005 as in 1985
Dietary Components/Considerations
• Health choices– Dietary information labels– Eliminate soda machines– Healthy snack machines– No bottled water– Animal/vegetable products
• ↓ fast foods• ↓ trans fats• ↓ obesity
– Contributes to 300K deaths/yr in US– Major contributor to disease
Pesticides
• Air/water pollution
• ↓soil quality/fertility/diversity, inhibit nitrogen fixation, decrease crop yields
• 5.5 billion lbs/yr worldwide– 1.2 billion lbs/yr in US
• Air pollution/global warming
Pesticides and Human Health
• EPA: U.S. farm workers suffer up to 300,000 pesticide-related acute illnesses and injuries per year
• NAS: Pesticides in food could cause up to 1 million cancers in the current generation of Americans
• WHO: 1,000,000 people killed by pesticides over the last 6 years
Pesticides
• Farm worker health issues
• Floriculture, farm workers, and human rights
–Hospital gift shops
Factory Farms/CAFOs
• Factory farms have replaced industrial factories as the # 1 polluters of American waterways
• Livestock responsible for more greenhouse gas
emissions than the entire transportation sector
– Methane, CO2, and NO
– Grass-fed cattle produce less methane,
contain less saturated fat
Factory Farms/CAFOs
• 1.4 billion tons animal waste generated/yr–130 x human waste
• Waste pollutes air, waterways–Fish kills–Human infections: Pfisteria
Factory Farms/CAFOs
• Farm subsidies favor factory farms– One week of developed world farm
subsidies = annual cost of food aid to solve world hunger
• Decline of small, family farms and rural communities
Overuse of Agricultural Antibiotics
• Agriculture accounts for 70% of U.S. antibiotic use
• Use up 50% over the last 15 years
Agricultural Antibiotics and Food-Borne Human Infections
• CDC: “Antibiotic use in food animals is the dominant source of antibiotic resistance among food-borne pathogens.”
Agricultural Antibiotics and Food-Borne Human Infections: Examples• Campylobacter fluoroquinolone resistance
• VREF (due to avoparcin use in chickens)
• MRSA in pork, chickens
• Gentamycin- and Cipro-resistant E. coli in chickens
Agricultural Antibiotics and Food-Borne Human Infections
• $4billion/yr to treat antibiotic-resistant infections in humans
• Alternatives– Vaccinate animals– Selective Dx/Rx– Control overcrowding and heat stress– Improve food handling and storage– Animal care/welfare– Worker welfare– Vegetarianism
Agricultural Antibiotics and Food-Borne Human Infections
• EU bans use of all antibiotic growth promoters effective 1/1/06
• Three years after a Danish ban on routine use of antibiotics in chicken farming, the prevalence of antibiotic-resistant bacteria in chickens dropped from 82% to 12%
• US Preservation of Antibiotics for Medical Treatment Act – awaiting vote
Genetically-Modified OrganismsGMOs
• Definition• Industrialization and corporatization of
agriculture• Inadequately regulated: USDA, EPA, FDA• Famine and developing world markets• Local bans/labeling laws
– Oregon’s failed Measure 27
• Biopharming– Oregon Biopharm Bill
Risks of GMOs
• Altered nutritional value of foodstuffs
• Allergies
• Gene transfer → superweeds
• ↑ pesticide/herbicide use
Risks of GMOs
• Ripple effects on other organisms
• Transfer of antibiotic resistance genes to livestock
• Interbreeding with wild relatives
–Adverse effects on organic farmers, world markets
Biopharming
• GMOs designed to produce industrial chemicals and pharmaceuticals– Examples– Health and environmental risks
• Oregon Biopharm Bill– Other bills
Recombinant Bovine Growth Hormone (rBGH, Posilac©)
• Produced by Monsanto
• Adverse animal health effects
• Adverse human health effects
–↑ IGF-1 → cancers
–? ↑ risk of Variant Creutzfeld-Jacob Disease
• Successes of OR PSR’s CSF, HCWH
Food Irradiation
• Rationale• Altered nutritional content of meat
– Lipid peroxides, benzene → cancers– ↓ antioxidant value– ↑ trans fatty acids– ↓ vitamin content
• Meat tastes worse• May encourage sloppy handling – avoids
roots of problem
Food Irradiation
• Animals fed irradiated foods show multiple adverse health effects
• Human health effects unknown
• Illegal in EU except for some herbs and spices
• Public/scientific opposition strong
Food Irradiation
• Labeling inadequate– Flower symbol, “electronically pasteurized,”
no labeling
• Large school districts opposed to use in National School Lunch Program
• Costly– USDA estimates 13-20 cents extra / lb meat
• Does not destroy prions
Food Irradiation
• Irradiation facilities costly to build and maintain
• Worker safety issues
• ↑ transportation costs
• Homeland security
Food Irradiation
• Production of radioactive cobalt and cesium requires commercial reprocessing of high level nuclear waste
• Alternate, cheaper, and safer means of decreasing bacteria and food-borne infections exist
Alternatives to Food Irradiation
• Vaccinate animals, control overcrowding and heat stress, and improve food handling and storage
• Hire more government meat inspectors and use better equipment in our present, technically-sound but under-funded food inspection programs
• Fully cook meat, especially ground beef• Improve sanitary conditions in cafeterias
Cloned Meats
• Approved by the FDA, 2008
• No requirement for labeling
• Problems:– Very expensive, ?growth potential?– 2007: 90% pre-natal failure rate– Surrogate suffering – spontaneous abortions,
“large offspring syndrome” leading to early-term and stressful C-sections
Cloned Meats
• Problems– Post-natal health problems:enlarged tongues,
heart/lung/liver/brain damage, kidney failure– High doses of hormones, antibiotics required
(pre- and post-natally)
• NAS (2004): It is “impossible to draw conclusions about the safety of food from cloned animals”
COOL:Country of Origin Labeling
• Fish and seafood - 2005
• Meats, poultry, fruits, and vegetables – 2008
• Processed foods exempted
Famine and Biofuels
• Food prices rising worldwide
– In part a consequence of rising oil prices (hydrocarbons necessary for transportation, fertilizing, and packaging)
• Corn, other food crops, being used for inefficient biofuels
Role of Health Care Institutions
• Practice nutritional ecology
• Support health of patients, staff, and local communities
• Set standards for other organizations
–Example: Burger King in hospital cafeteria vs. GE/NY Presbyterian Hospital; Tobacco
Role of Health Care Institutions
• Hold farmers’ markets on hospital grounds
• Create hospital gardens to grow fresh produce, herbs, and flowers
• Compost, divert, and reduce food waste
Role of Health Care Institutions
• Buy certified coffee
• Create a value chain: string of companies or collaborating players working together to satisfy market demands for specific products and services
Role of Health Care Institutions
• HCWH, ANA, AMA President (’07-’08) all oppose rBGH
• Role for everyone in food chain to contribute to sustainable foods
References, Further Information
• Campaign for Safe Food, Oregon Physicians for Social Responsibility: http://www.oregonpsr.org/programs/campaignSafeFood.html
• Food safety page of Public Health and Social Justice Website: http://phsj.org/?page_id=14
Further Information
• Oregon Physicians for Social Responsibility’s Campaign for Safe Food– http://
www.oregonpsr.org/programs/campaignSafeFood.html
• Thanks to Rick North, Neha Patel, and Karen Adams
Contact Information
Public Health and Social Justice Website
http://www.phsj.org