Health Points: Wednesday

The Center for Science and the Environment announced in August that drinks manufactured by Coca-Cola and PepsiCo in India contained on average more than 24 times the safe limits of pesticides, which could come from sugar, water and other ingredients.

When those reports appeared on the front pages of newspapers in India, Coke and Pepsi executives were confident that they could handle the situation. But they stumbled.

They underestimated how quickly events would spiral into a nationwide scandal, misjudged the speed with which local politicians would seize on an Indian environmental group’s report to attack their global brands and did not respond swiftly to quell the anxieties of their customers.
This is an especially difficult admission for younger docs who are just starting their practice and I have discovered that part of the maturing process as a physician is to accept that you simply cannot have all the answers. Naturally you should not proclaim ignorance too many times or you would be just plain incompetent. As a specialist, I am also very aware of the fact that I should know "my" area of the body more thoroughly, and that patients have been specifically referred to me because of this knowledge.
The bacteriophage additive was approved for use on ready-to-eat meats, which are normally consumed without additional cooking, said Andrew Zajac, acting director of the division of petition review in the FDA Office of Food Additive Safety.


These foods can become contaminated with listeria when they are made, and because they're not cooked the contaminants won't be killed. The phage product will be sprayed on meats before packaging so that contaminated meats will be purged of listeria before the products reach the consumer.
Hundreds of sixth graders in 42 middle schools will begin taking part in a study sponsored by the National Institutes of Health (NIH). The HEALTHY study will determine if changes in school food services and physical education classes, along with activities that encourage healthy behaviors, lower risk factors for type 2 diabetes, an increasingly common disease in youth. Participating schools will be randomly assigned to a program group, which implements the changes, or to a comparison group, which continues to offer food choices and PE programs typically seen in middle schools across the country. Students in the program group will have healthier choices from the cafeteria and vending machines (e.g., lower fat foods, more fruits and vegetables, and drinks with no added sugar) longer, more intense periods of physical activity, and activities and awareness campaigns that promote long-term healthy behaviors. After 2.5 years, all students will be tested for diabetes risk factors, including blood levels of glucose, insulin, and lipids. They will also be measured for fitness level, blood pressure, height, weight, and waist circumference.
Under the program, the federal government paid $130 each time a chemotherapy provider assessed a Medicare patient's pain, fatigue and nausea. The payments were designed to encourage doctors to report information that might one day lead to improved care for cancer patients.


In a report to be released Wednesday, the inspector general for the Health and Human Services Department cast doubt on whether the money was well-spent. He questioned the integrity of the data that doctors submitted.
What remains baffling to the scientists is "why a sour receptor would come to be." They can explain 'bitter' as our way of avoiding poisonous substances, and 'sweet' as our way of knowing what to eat when we need a boost in energy. But sour??? They still don't know why we would need to detect sour food items.

The School Lunch Conundrum

It's one thing to have something bad happen to you. It's another thing entirely to pay someone to do something bad to you.

That's how I have always felt about school lunches.

OK, fine, there are some times and places where children will get the message that pizza, chicken strips, and french fries constitute a normal lunch. And, OK fine, our tax dollars go to feeding children lunch. But to put the two together? To foot the bill to teach children to love food that contributes to disease? Wow.

The good news is that people across the nation are doing things about it.

Lisa Belkin has long been one of my favorite journalists. She wrote a big story about school nutrition which is on the cover of The New York Times magazine that came out yesterday. She profiles several such efforts, with a heavy focus on a district in Florida that has entered into an agreement with the Foundation run by man who made his money from the South Beach Diet. (The irony here is that the South Beach Diet is hardly a role model: Dr. Fuhrman calls it one of the most dangerous of several bad diets.)

The article points out that the holy grail that could lead to further, more profound school nutrition changes nationwide, is measurable evidence that changing the menu can make kids healthier. The experiment in Florida has made changes that any Fuhrman fan would find exceedingly moderate (along the lines of making the pizza crust whole wheat) yet still has some preliminary good news: 23 of the 486 children who had been classified overweight before the plan began are no longer in that category. At a control school in the same district, the number of overweight children increased.

Belkin describes aggressive dietary changes at a school district in California. These are also being studied. If it gets good results, perhaps that will be an important step in creating an environment in American schools where large quantities of fruits and vegetables are a regular part of life. Belkin explains:

Across the country, in Berkeley, the chef Ann Cooper questions the idea of making healthier versions of flawed foods. In her book “Lunch Lessons: Changing the Way We Feed Our Children,” she asks whether healthy food should simply mirror existing unhealthy patterns and concludes: “We just don’t need an organic Twinkie. We don’t!”

How can we feed our children more healthfully in school?

Cooper, who spent years impressively overhauling the menu at the select Ross School in East Hampton, N.Y., began trying to do the same thing at the 16 schools in the Berkeley public school district starting last October. Her six-figure salary is being paid by the Chez Panisse Foundation, which also finances, in Berkeley, Martin Luther King Jr. Middle School’s Edible Schoolyard kitchen garden, a creation of Alice Waters, who all but started the organic food movement in the United States 30 years ago.

It is a common assumption that the existence of programs like the Edible Schoolyard means that Berkeley students already eat well, but when Cooper arrived last fall, the district’s menu looked like menus everywhere with their fried and fatty foods. One item that Cooper makes particularly merciless fun of is the Uncrustables sandwich — the same one that caught Almon’s eye. She thawed one and kept it on display on a desk where, because of its preservatives, “it looked exactly the same months later,” she said while giving a tour of a high-school lunchroom.

In the time since she came aboard, a salad bar has been added to every school, with ingredients that include strawberries, organic chicken or turkey, sunflower seeds, fresh avocado and other eclectic in-season items in addition to the usual lettuce, tomato and cucumber. Ninety-five percent of the food was processed when she arrived, she says, and now 90 percent is fresh and cooked from scratch. And those foods are not what one would expect on a school menu, including choices like chicken cacciatore, organic sushi and organic chicken raised on a nearby farm. The foods she does not make on the premises, foods like fresh tamales and muffins and vegetable calzones, are brought in from small local businesses.

Even here, however, the “acceptance question” arises. When Cooper first removed nachos from the middle-school menu, the percentage of students buying lunch in the cafeteria dropped significantly. Cooper quickly restored the nachos, using transfat-free chips and Cheddar cheese — from an area cheesemaker, not an industrial processor — the equivalent, she concedes, of an organic Twinkie. And she did not even try to change the pizza her first year. “I just can’t take everything away,” she says. “Or they will walk out.

“Change is never easy. And if it’s hard for us, imagine how hard it would be in Oklahoma or Omaha.”