Tag Archives: disease

Diet and Climate Change: Cooking Up a Storm

One of the most prestigious medical journals in the world editorialized that climate change represents the biggest global health threat of the 21st century. Currently, chronic diseases are by far the leading cause of death. Might there be a way to combat both at the same time? For example, riding our bikes instead of driving is a win-win-win for the people, planet, and pocketbook. Are there similar win-win situations when it comes to diet?

As I discuss in my video below, the foods that create the most greenhouse gases appear to be the same foods that are contributing to many of our chronic diseases. Researchers found that meat (including fish), eggs, and dairy had the greatest negative environmental impact, whereas grains, beans, fruits, and vegetables had the least impact. And not only did the foods with the heaviest environmental impact tend to have lower nutritional quality, but they also had a higher price per pound. So, avoiding them gives us that triple win scenario.

The European Commission, the governing body of the European Union, commissioned a study on what individuals can do to help the climate. For example, if Europeans started driving electric cars, it could prevent as much as 174 million tons of carbon from getting released. We could also turn down the thermostat a bit and put on a sweater. But the most powerful action people could take is shift to a meat-free diet.

What we eat may have more of an impact on global warming than what we drive.

Just cutting out animal protein intake one day of the week could have a powerful effect. Meatless Mondays alone could beat out a whole week of working from home and not commuting.

A strictly plant-based diet may be better still: Its responsible for only about half the greenhouse gas emissions. Studies have suggested that moderate diet changes are not enough to reduce impacts from food consumption drastically. Without significant reduction in meat and dairy, changes to healthier diets may only result in rather minor reductions of environmental impacts. This is because studies have shown that the average fossil energy input for animal protein production systems is 25 calories of fossil energy input for every 1 calorie producedmore than 11 times greater than that for grain protein production, for example, which is around 2 to 1.

Researchers in Italy compared seven different diets to see which one was environmentally friendliest. They compared a conventional omnivorous diet adhering to dietary guidelines; an organic omnivorous diet; a conventional vegetarian diet; an organic vegetarian diet; a conventional vegan diet; an organic vegan diet; and a diet the average person actually eats. For each dietary pattern, the researchers looked at carcinogens, air pollution, climate change, effects on the ozone layer, the ecosystem, acid rain, and land, mineral, and fossil fuel use. You can see in the video how many resources it took to feed people on their current diets, all the negative effects the diet is having on the ecosystem, and the adverse effects on human health.

If people were eating a healthier diet by conforming to the dietary recommendations, the environmental impact would be significantly less. An organic omnivorous diet would be better still, similar to a vegetarian diet of conventional foods. Those are topped by an organic vegetarian diet, followed by a conventional vegan diet. The best, however, was an organic vegan diet.

The Commission report described that the barriers to animal product reduction are largely lack of knowledge, ingrained habits, and culinary cultures. Proposed policy measures include meat or animal protein taxes, educational campaigns, and putting the greenhouse gas emissions information right on food labels.

Climate change mitigation is expensive. A global transition to even just a low-meat diet, as recommended for health reasons, could reduce these mitigation costs. A study determined that a healthier, low-meat diet would cut the cost of mitigating climate change from about 1% of GDP by more than half, a no-meat diet could cut two-thirds of the cost, and a diet free of animal products could cut 80% of the cost.

Many people arent aware of the cow in the room. It seems that very few people are aware that the livestock sector is one of the largest contributors to greenhouse gas emissions. But thats changing.

The UKs National Health Service is taking a leading role in reducing carbon emissions. Patients, visitors, and staff can look forward to healthy, low-carbon menus with much less meat, dairy, and eggs. Evidence shows that as far as the climate is concerned, meat is heat.

The Swedish government recently amended their dietary recommendations to encourage citizens to eat less meat. If we seek only to achieve the conservative objective of avoiding further long-term increases in [greenhouse gas] emissions from livestock, we are still led to rather radical recommendations such as cutting current consumption levels in half in affluent countriesan unlikely outcome if there were no direct rewards to citizens for doing so. Fortunately, there are such rewards: important health benefits… By helping the planet, we can help ourselves.

In health,
Michael Greger, M.D.

PS: If you havent yet, you can subscribe to my free videoshereand watch my live, year-in-review presentations2015:Food as Medicine: Preventing and Treating the Most Dreaded Diseases with Diet, and my latest, 2016:How Not to Die: The Role of Diet in Preventing, Arresting, and Reversing Our Top 15 Killers.

Related
Never Too Late to Start Eating Healthier
Combating Common Diseases With Plants
One in a Thousand: Ending the Heart Disease Epidemic

Disclaimer: The views expressed above are solely those of the author and may not reflect those of Care2, Inc., its employees or advertisers.

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Diet and Climate Change: Cooking Up a Storm

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Trump’s Pick for Budget Director Isn’t Sure the Government Should Fund Scientific Research

Mother Jones

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Mick Mulvaney, the ultra-conservative South Carolina congressman whom Donald Trump has tapped to be his budget director, has questioned whether the federal government should spend any money on scientific research.

If confirmed by the Senate to lead the Office of Management and Budget, Mulvaney, a deficit hawk who recently spoke before a chapter of the right-wing-fringe John Birch Society, would be in charge of crafting Trump’s budget and overseeing the functioning of federal agencies. One thing he seems to believe the budget and the agencies should not be funding is research into diseases like the Zika virus.

Two weeks before Congress finally passed more than $1 billion to fight the spread of Zika and its effects, Mulvaney questioned whether the government should fund any scientific research. “Do we need government-funded research at all,” he wrote in a Facebook post on September 9 unearthed by the Democratic opposition research group American Bridge. Mulvaney appears to have deleted his Facebook page since then.

In the post, he justified his position on government-funded research by questioning the scientific consensus that Zika causes the birth defect microcephaly. The Centers for Disease Control and Prevention (CDC) concluded in April that the Zika virus causes microcephaly and other defects. But Mulvaney wrote:

And before you inundate me with pictures of children with birth defects, consider this:

Brazil’s microcephaly epidemic continues to pose a mystery — if Zika is the culprit, why are there no similar epidemics in countries also hit hard by the virus? In Brazil, the microcephaly rate soared with more than 1,500 confirmed cases. But in Colombia, a recent study of nearly 12,000 pregnant women infected with Zika found zero microcephaly cases. If Zika is to blame for microcephaly, where are the missing cases? According to a new report from the New England Complex Systems Institute (NECSI), the number of missing cases in Colombia and elsewhere raises serious questions about the assumed connection between Zika and microcephaly.

According to the New York Times, the relatively low rate of microcephaly in Colombia has indeed puzzled some researchers, who point to the fact that many women likely delayed pregnancy or had abortions when testing revealed the birth defect. But that doesn’t change the scientific consensus linking Zika to microcephaly.

Here’s the full post from Mulvaney:

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Trump’s Pick for Budget Director Isn’t Sure the Government Should Fund Scientific Research

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What If We Never Passed the Clean Air Act?

Fortyyears ago, the United States government passed theClean Air Acta federal law that regulates atmospheric emissions in order to protect the air we breathe from pollution. Without it, our world would look a whole lot different.

But what exactly does that mean?

Let me take you into an alternate reality, with the help of a report from our friends at Save on Energy: a reality in which air pollution levels have reached a new height, where impurities rule and air visibility is just about non-existent. You can find that full report here!

What would our cities look like? How would our lives be different?

The following graphics demonstrate how American citieswould look in a world without the Clean Air Act. The pollution levels were determined by calculatingconcentration of particles in the air (similar to China’s post polluted city, Xingtai), to visibility in miles.

Here’s the actual formula, for all your science aficionadosout there:

Adj. Max. Daily PM2.5 for Population = (US Pop. / Xingtai Pop.) * Max Daily PM2.5 for Xingtai

VL= (A * 10^3)/G

VL= Equivalent visual range.

A = 0.75 Adjusted for miles

G = Micrograms per cubic meter.

Here’s how Chicagowould look without the Clean Air Act:

What about Dallas? Houston?San Jose? Take a look!

What isAir Pollution?

According to the Save on Energy report, which gives a great definition, “Air pollution occurs when particulate matter, biological agents, or other harmful pollutants are introduced into the atmosphere, posing both an environmental and human health risk.” The World Health Organization (WHO) considers this to be just about any contaminant that “modifies the natural characteristics of the atmosphere.”

Pollutants like this can come through anything like industrial facilities, the burning of fossil fuels, vehicle exhaust, household fires and more. These pollutants can cause allergies and seriously detrimental diseases like lung cancer, chronic and acute respiratory disease, asthma, reduced fertility, neurological disorders and stroke.They also make their way into our foods, contaminating the fish and plants we eatthrough bioaccumulation,and cause acid rain. The Guardian suggests that air pollution kills approximately 3.3 million people every single yeara number that will double by 2050 if we don’t make some more serious changes to our pollution policies. That’s more than malaria and HIV/AIDScombined.

Did the Clean Air Act really make a difference?

Absolutely! Since 1973, when the Act was passed, the Clean Air Act has helped decrease surface ozone levels by 25 percent since 1980, reduced mercury emissions by 45 percent since 1990 and taken out more than half of the nitrogen oxide and sulfur dioxide responsible for acid rain since 1980. We can also thank the Clean Air Act for preventing the premature deaths of some 40,000 people, and millions more from contracting diseases like those listed above.

Thank goodness for proactivity!

Disclaimer: The views expressed above are solely those of the author and may not reflect those of Care2, Inc., its employees or advertisers.

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What If We Never Passed the Clean Air Act?

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Here Is When You Should Get Your Flu Shot

Mother Jones

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As flu season draws nearer, you may have noticed ads in your local pharmacy urging you to get your annual flu shot. On Thursday, the US Centers for Disease Control and Prevention (CDC) doubled down on that message, urging Americans to get their vaccine as soon as they can. But last week, Americans got some conflicting advice. Some vaccine experts have suggested that it may be better to wait to get your flu shot. So which is it: Get your shot now or wait until the end of the month?

The conundrum is rooted in evidence that the immunity you get from your flu shot may wane over time, especially if you’re over the age of 65. Two weeks after you get your shot, your body develops antibodies—like little soldiers in your bloodstream that protect you from an influenza infection. The CDC recommends that everyone over the age of six months get a flu shot, and the immunity boost is especially important for children and the elderly, who are more vulnerable to complications. But some studies show that those antibodies may start to decline before the end of the flu season.

That’s why Laura Haynes, an immunology expert at the University of Connecticut Center on Aging, told Kaiser Health News that the ideal time to get your flu shot is sometime between Halloween and Thanksgiving.

“If you’re over 65, don’t get the flu vaccine in September. Or August,” she said. Last year, the flu season peaked in December.

According to Kaiser Health News, the push to get people to vaccinate early is partly driven by economics. As more and more pharmacies offer flu shots, it makes sense for them to offer their vaccines as soon as they’re available in order to bring in more customers—even if it’s well before the flu season has begun.

However, waiting to get your vaccine carries its own risks. First and foremost, some people who delay getting their flu shot may simply forget to get one. An early vaccine is better than no vaccine at all.

“The problem is that a vaccination deferred is often a vaccination forgotten,” warned Tom Frieden, director of the CDC. At the annual National Foundation for Infectious Diseases press conference on flu vaccines, Frieden noted that even a small uptick of 5 percent in vaccination coverage could prevent nearly 10,000 hospitalizations.

In fact, last year saw a slight decline in the number of people who got vaccinated. About 45 percent of people got their vaccination last year, down about 1.5 percentage points compared with the previous year. And the largest decrease was among folks over the age of 50. According to Arthur Reingold, an epidemiology expert at the University of California-Berkeley and a member of the CDC’s immunization advisory committee, last week’s push to get people vaccinated is partly about keeping those numbers up.

“Each year, we have the challenge of getting people out the door—to their providers, to their drug store, to their work site—to do this,” Reingold told me. “So I would imagine that this suggestion that people get their flu shot now is partly to try to ensure that we don’t see a further decline in how many people actually do that.”

It’s also not entirely clear when your flu vaccine starts to wear off. Some studies show that you may still carry protection from your vaccination the previous year if the flu strains didn’t change. And there’s another reason you might not want to delay too long: You never know when the flu will arrive in your neighborhood. According to the CDC, the flu season can begin as early as October.

Overall, Reingold says, waiting a couple of weeks probably won’t make that much of a difference.

“My advice would be to get the flu shot whenever it’s convenient and not worry so much about trying to time it perfectly,” he said.

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Here Is When You Should Get Your Flu Shot

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We’re Using the Strongest Antibiotics More Than Ever Before—and It’s Terrifying

Mother Jones

Pretend you found a mosquito in your bedroom. Would your first move be to kill the mosquito or to call in the exterminator to fumigate your whole house? Probably you’d start by killing the mosquito and, maybe, if his friends kept showing up, you’d try a few other things. If none of that worked, you’d eventually call in the big guns.

Doctors use the same approach when they treat infections with antibiotics: In general, they try to use the weakest possible drug that they know will be effective for a specific kind of infection. If that doesn’t work, they move on to the big guns—broad-spectrum antibiotics that can kill a wide range of bacteria.

But now, doctors are prescribing more broad-spectrum antibiotics than they ever have before—which leads researchers to speculate that first-line antibiotics aren’t working as well as they used to.

A new report from the Centers for Disease Control and Resistance tracked antibiotic prescriptions at 300 US hospitals. Between 2006 and 2012, overall antibiotic prescription rates remained the same. But prescriptions for carbapenems—a class of antibiotics used to treat infections that don’t respond to the usual drugs—jumped by an alarming 37 percent. Prescriptions of the extremely powerful antibiotic vancomycin—one of the only drugs effective against the scary skin infection, methicillin-resistant Staphylococcus aureus (MRSA)—increased by 27 percent.

Meanwhile, the use of fluoroquinolones, a very commonly prescribed class of antibiotics that isn’t nearly as strong as carbapenems or vancomycin—dropped by 20 percent.

The researchers think they can explain the rise in prescriptions of super-powerful antibiotic and the decline in use of less potent drugs: As bacteria develop resistance to the most commonly prescribed drugs, doctors have to call in the big guns more often. And if bacteria start developing resistance to the most powerful antibiotics, we’re really in trouble, as science journalist Maryn McKenna explained here.

One way to avoid that dire outcome is to make sure that doctors save the last-resort drugs for bacteria that other drugs can’t kill. The researchers note that “inappropriate antibiotic use increases the risk of antibiotic resistance and other adverse patient outcomes.”

But hospitals are not the only source of superbugs. As my colleague Tom Philpott has reported, an astonishing 80 percent of all US antibiotics go to the livestock industry, where meat producers regularly dose even healthy animals with them. This practice allows farmers to cram lots of animals into small spaces without sickening each other and makes them grow faster. It also spreads antibiotic-resistant genes to humans.

Although the FDA’s rules on livestock antibiotics are pretty permissive, in response to consumer concerns about superbugs, some meat companies are moving away from antibiotics on their own. Read Tom’s story of one company that chose to ditch the drugs here.

The good news: The FDA appears to be noticing the mounting evidence that our antibiotics are losing strength. Last week the agency signaled that it may soon limit how long farmers can use the drugs.

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We’re Using the Strongest Antibiotics More Than Ever Before—and It’s Terrifying

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We’re starting to understand just how Zika and climate change go together

We’re starting to understand just how Zika and climate change go together

By on Aug 4, 2016

Cross-posted from

Climate CentralShare

Athletes and tourists converging on Brazil this week are crowding into a country where rapid environmental change and natural weather fluctuations nurtured a viral epidemic that has gone global.

The Zika virus has exploded throughout South America, up through Mexico and Puerto Rico and into Florida, but the conditions it needed to fester in northern Brazil were rooted in urbanization and poverty. The initial Brazilian outbreak appears to have been aided by a drought driven by El Niño, and by higher temperatures caused by longer-term weather cycles and by rising levels of greenhouse gas pollution.

A truck sprays insecticide near grounds workers at Olympic media accommodations as part of preventative measures against the Zika virus.REUTERS/Chris Helgren

This combination of human and natural forces is emerging as the possible incubator of a disease that’s painfully elusive to detect, despite its cruel effects on unborn children.

The U.S. Centers for Disease Control and Prevention issued an unprecedented domestic travel advisory this week, warning pregnant women to avoid a Miami neighborhood where more than a dozen Zika cases were confirmed.

The warning came six months after the World Health Organization declared a public health emergency “of international concern” in Brazil, where the opening ceremony for the Summer Olympics is scheduled for Friday.

Most Zika infections produce no symptoms, turning their hosts into unwitting harbors for the disease, which is mainly spread through mosquito bites. Unborn children risk microcephaly when their mothers are infected, meaning their heads are small — the result of unusual brain development.

While the effects of El Niño and other weather cycles are beyond the control of humans, the recent spread of the disease into the U.S. is a savage reminder of the heavy toll that humans are taking on their planet — and of the potential for those changes to bite back.

Climate Central research recently showed that warming temperatures have lengthened the mosquito seasons in three quarters of major cities in the United States.

For Americans unaccustomed to fearing tropical diseases at home, the northward march of the outbreak is delivering an exotic threat. Researchers are warning that the disease could reach the halls of power in Washington D.C. and the dense metropolis of New York.

Mosquitoes rely on water to breed and flourish, yet a drought that beset northern Brazil amid a heatwave in 2014 and 2015 — while the disease was stealthily taking root — is thought to have worked in the mosquitoes’ favor.

That’s because households began storing more water, ushering breeding mosquitoes and their larvae inside their homes. Like other developing countries, many in Brazil lack regular access to piped water.

“If you have a drought, you don’t have reliable water access, and that makes you go and get water and store,” said Sadie Ryan, a medical geographer at the University of Florida. “By storing it, you’re creating mosquito habitat.”

Small puddles and ponds of water that accumulate in urbanized areas also tend to favor the lifestyles of the types of mosquitoes that spread Zika, compared with those that tend to thrive in more remote regions. Ryan called these types of mosquitoes “urban capable.”

“In South America up to the ‘70s, there was a really big push for vector control,” Ryan said, referring to efforts to control mosquito populations, such as spraying insecticides. “Then the money went away for it.”

Meanwhile, temperatures have been rising globally because of the polluting effects of fossil fuel-powered industrialization, deforestation and livestock farming, and natural climate cycles have been exacerbating the rate of warming in some places, such as in northern Brazil and California. That’s significant, because mosquitoes can only survive above certain temperatures.

“Once you’re over that minimum temperature, there’s nothing killing the vector,” Ryan said. “There’s nothing slowing it down.”

In a February letter published in The Lancet, a British medical journal, the University of Haifa’s Shlomit Paz and Jan Semenza of the Stockholm Environment Institute and the European Centre for Disease Prevention and Control reported discovering a “striking overlap” between areas in Brazil that were afflicted by extreme weather linked to El Niño, and areas where Zika was lurking one month later.

More recently, a team of American and Venezuelan scientists took a closer statistical look at the relationship between climate and the Zika outbreak, and reported that El Niño and climate change were not the only important factors — though they were both important.

While the team blamed El Niño for the drought that fueled the Zika outbreak, they concluded that climate change and long-term weather cycles, such as the Pacific Decadal Oscillation, which is a long-term cycle in trade winds that influences surface temperatures globally, played important roles in pushing temperatures up to those favored by Zika-carrying mosquitoes.

The findings were hurriedly pre-published without being peer reviewed on the website bioRxiv. That provided health officials and policymakers with rapid information about the findings while the details continue to be reviewed and improved.

Anthony Janetos, a professor of earth and environmental studies at Boston University, who wasn’t involved with the recent study, warned that it does not definitively prove the links that the researchers reported.

Because of that, Janetos criticized the researchers for their choice of headline for the paper, which states that the Zika epidemic was “fueled by climate variations.”

“If they’d been able to show that the same patterns occurred in other outbreak regions, such as Puerto Rico, then their circumstantial case would be stronger,” Janetos said. “But they haven’t done that.”

Ángel Muñoz, a climate scientist with affiliations at Princeton and Columbia universities who led the research, acknowledged Janetos’s criticisms, and he said the headline would be changed prior to final publication.

“This paper is not an answer for a lot of the questions that we have, but it’s an important step,” Muñoz said.

“It’s not possible right now to show a formal link between Zika and climate, because no one has enough data,” Muñoz said. “You need years, not months.”

With models warning that the epidemic will worsen before it begins to improve, the human suffering that’s expected in the months and years to come may help scientists continue to tease apart roles of natural forces in driving the outbreak from those of climate change and other problems caused by humans.

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We’re starting to understand just how Zika and climate change go together

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BPA’s Lasting Effects on Kids May Start in the Womb

Mother Jones

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The US childhood obesity rate remains high and is probably still inching upward. A new study points to a possible contributing factor that’s often neglected: prenatal exposure to bisphenol A (BPA), a chemical widely used in plastic water bottles, metal food cans, and receipt paper.

A team of researchers from Columbia University, Johns Hopkins, and the Centers for Disease Control and Prevention tracked 369 mother-child pairs from the third trimester of pregnancy until the kids turned 7. They measured BPA levels in the moms’ urine during pregnancy, and then checked the kids’ height, weight, waist circumference, and body fat as they aged, also measuring their BPA levels. They adjusted the results for factors that could potentially skew the results, including race and pre-pregnancy obesity among the moms.

They found that 94 percent of the pregnant women in the study had measurable levels of BPA in their bodies. The kicker: The higher the mothers’ BPA exposure was during pregnancy, the more signs of obesity girls showed at age 7, as measured by body fat and waist circumference compared to height. There was no such association for boys; nor was there any relation between BPA levels in the kids’ urine and obesity as they grew.

The fetal period is when we’re most vulnerable to BPA and its ability to alter metabolism and the way our bodies generate fat cells, the results suggest. As for the finding that BPA seems to affect girls differently than boys: That’s not surprising, said the study’s lead author, Lori Hoepner of Columbia University’s Joseph L. Mailman School of Public Health. BPA is an endocrine-disrupting chemical, meaning it mimics or blocks hormones produced by the body. Boys and girls produce different hormones, so hormone-disrupting chemicals might be expected to affect them differently.

Hoepner added that other studies have linked prenatal BPA exposure to higher body fat in children up to age 4. The current study is the first one to find an association at age 7. Hoepner and her team plan to follow the same mother-child pairs to see if the effect persists into puberty.

While the current study found evidence for an obesity effect from prenatal exposure, others—like this one—have also found an obesity association in older girls from childhood exposure. Previous studies have also linked to BPA to neuro-developmental disorders and asthma in kids.

A Columbia University press release accompanying the study delivered this advice for avoiding BPA: “To reduce exposure to BPA, the National Institute of Environmental Health Sciences recommends avoiding plastic containers numbers 3 and 7, shifting from canned foods to fresh or frozen foods, and, when possible, choosing glass, porcelain, or stainless steel containers, especially for hot food and liquids.”

The US Food and Drug Administration has banned BPA from baby bottles and sippy cups, but that won’t protect pregnant women from exposing their fetuses to it via, say, eating canned food or handling receipts. For its part, the chemical industry insists BPA is safe. According to the US Department of Agriculture, two companies—Dow and Bayer—”produce the bulk of BPA in the world.”

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BPA’s Lasting Effects on Kids May Start in the Womb

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Here’s Why Kids Are Still Getting More Obese

Mother Jones

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According to a 2015 New York Times analysis of government and private-sector data, the number of calories consumed annually by the average US child declined 9 percent between 2004 and 2013. And yet, researchers from Duke and Wake Forest have found that trend has not improved the child obesity situation.

Using body mass index data from the National Health Examination Survey, which tracks randomly selected households with health exams and surveys every two years, the researchers calculated moderate (class 1), mid-level (class 2) and extreme (class 3) obesity rates among kids aged 2 to 19. Here’s what they found, from a paper they published in the peer-reviewed journal Obesity.

From “Prevalence of Obesity and Severe Obesity in US Children, 1999-2014,” Skinner et al, 2016.

The “overweight” rate—which encompasses the above “obese” categories as well as slightly overweight kids—also nudged upward from an already-high level: 28.8 percent from 1999 to 2000, compared with 33.4 percent from 2013 to 2014, the study found. The authors broke out data by age, gender, and race, and not a single group showed a statistically significant decline in obesity or being overweight over the time frame. (The authors used standard definitions from the Centers for Disease Control and Prevention: Overweight kids fall between the 85th and 95th percentiles compared with peers of the same age and gender, while obesity starts above the 95th percentile.)

So, despite the above-mentioned drop in calorie intake, our kids are still packing on too much weight too fast. What gives?

I put the question to Barry Popkin, a veteran obesity researcher and professor of nutrition at the University of North Carolina at Chapel Hill School of Public Health. (He wasn’t involved in the paper). He said that while kids have eased up on problematic items like sugary sodas in recent years, they’re “not shifting the quality of their diets toward healthy foods.” Instead, “we continue to see our children mainly eat what we would call junk food,” relying heavily on cookies and other grain-based sweets, along with plenty of salty snacks, fruit juice (which acts an awful lot like soda in our bodies), and other sugary beverages.

A recent analysis of another big federal data set, the National Health and Nutrition Examination Survey (NHANES), bears out Popkin’s claim. When infants transition from baby food to solid food, they still tend to get plied with plenty of processed junk and few vegetables, the study found (more here). The report noted that 40 percent of babies get brownies or cookies, and that French fries and chips are the most common form of vegetables kids eat by the time they’re two years old.

But obesity doesn’t exist just because of individual choices by parents and kids. On the policy front, the US government “has yet to aggressively do more than try to make some minor changes in a few programs,” Popkin added. For example, Congress and President Barack Obama reformed the school food environment in important ways back in 2010, cutting down on the once-ubiquitous availability of sugary snacks and beverages, but public school cafeterias are still constrained by tight budgets to churning out plenty of highly processed food. (More here on the the modest US lunch reforms and the brewing congressional backlash against them.) In Brazil, by contrast, “70 percent of all food served in schools must be real food that is healthy,” Popkin said.

And then there are chemical factors not directly related to food choices. Chemicals like bisphenol A (BPA) and phthalates are ubiquitous in food packaging and all manner of consumers products; yet there’s “strong mechanistic, experimental, animal, and epidemiological evidence” that at tiny doses they mess with our endocrine systems and can trigger obesity and diabetes, warns the Endocrine Society. Kids can be saddled with a higher risk of obesity before they’re even born, when their pregnant moms are exposed to BPA.

Add all of this to stubbornly low rates of physical activity among kids and the long decline of time and resources devoted to physical-education classes and even recess, and it’s no wonder our childhood obesity problem persists.

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Here’s Why Kids Are Still Getting More Obese

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The unexpected ways climate change harms your health

A man rests during a heat wave in Manhattan, New York. Reuters/Eduardo Munoz

The unexpected ways climate change harms your health

By on 4 Apr 2016commentsShare

Climate change is bad for your health. There’s no question that the impacts of a warming world — harsher heat waves, increased flooding — will put a strain on our nation’s public health. Take one example: studies predict some 11,000 additional heat-related deaths during summers about 15 years from now.

But other health-related climate consequences have proven more difficult to tease out and thus more difficult to quantify. The White House released a scientific report on Monday that draws on research from eight federal agencies to provide the most comprehensive look yet at climate’s health impacts.

“I don’t know that we’ve seen something like this before, where you have a force that has such a multitude of effects,” U.S. Surgeon General Vivek Murthy told reporters when previewing the report. “As far as history is concerned, this is a new type of threat that we’re facing.”

Here are some of the more unexpected consequences of climate change identified in the report:

Americans are at greater risk of eating contaminated food. Higher temperatures and more extreme weather create perfect conditions for dangerous contaminants to make their way into the food supply. For example, researchers found a link between higher ocean temperatures and mercury accumulation in seafood. Warmer weather and flooding also raises the chance for foodborne illnesses like salmonella.

More of the water we drink may be unsafe. The same problems in food affect water quality, with extreme weather and floods raising the risk of bacteria, pathogens, and other contaminants. Plus, higher temps give harmful algae the opportunity to thrive in new, more widespread parts of the country. Compounding the problem is when flooding overwhelms our existing and quite creaky water infrastructure.

Mosquitoes and ticks will be more than an itchy nuisance. Mild winters and early warmer seasons allow insects to travel further and faster, carrying illnesses like Lyme Disease with them.

Disasters will compromise mental health for already-vulnerable populations. Just think about the stress that extreme weather events like Hurricane Katrina or Superstorm Sandy add to people’s lives: displaced families, economic losses, ruined livelihoods. For children, the elderly, and pregnant women, who are among the most vulnerable, these conditions can lead to post-traumatic stress, anxiety, and depression.

The air you breathe is dirtier. Fossil fuels make our air dirtier — that’s obvious. But greenhouse gases can impact air quality in other ways. Climate change affects weather and precipitation patterns, changing how smog and particulate matter moves over cities. More wildfires add pollution  to the air, too.

Lives are literally at stake if we don’t act on climate change. Even a small global change in average temperature can hurt people at the extremes, and the same holds true for health — affecting the poor, indigenous, very young, and very elderly people the most.

“The public health case for climate action is really compelling beyond words,” Environmental Protection Agency Administrator Gina McCarthy said. “It’s not just about glaciers and polar bears. It’s about the health of our kids.”

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