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What an extraordinary achievement for a civilisation: to have developed the one diet that reliably makes its people sick!

Michael Kevin Pollan, American author, journalist, activist, and professor of journalism at the UC Berkeley Graduate School of Journalism (1)

Introduction to the problem and scale

  • Unhealthy diets are the largest global burden of disease and pose a greater risk to morbidity and mortality than does unsafe sex, and alcohol, drug, and tobacco use combined. (2)
  • The prevalence of diet-related non-communicable diseases – including coronary heart disease, stroke, and diabetes – associated with high-calorie, unhealthy diets is increasing. (3)
  • Non-communicable diseases, including cardiovascular disease, cancer and diabetes are responsible for 71% of deaths globally each year. (4)
  • The burden of non-communicable diseases is rising disproportionately among lower-income populations and countries, accompanying a “nutrition transition” toward diets that are higher in animal-based foods, added sweeteners, and refined carbohydrates. (5)
  • Antimicrobial resistance is increasing, it is now a global crisis that threatens a century of progress in health and achievement of the Sustainable Development Goals. (6)
  • Each year, approximately 700,000 people die from drug-resistant diseases, this could increase to 10 million per year as early as 2050 if no action is taken. (7)
  • The cost of malnutrition is also an economic problem not only in terms of health care costs but also loss of productivity within the workplace with global estimates of $3.5 trillion. (8)

Link to intensive animal farming

  • High consumption levels of red and processed meat --that has been made possible by industrial animal farming--contributes to heart disease, obesity, diabetes, and certain cancers. (9)(10)(11)
  • Free-range animals, which consume fresh forage and have higher activity levels, often provide meat of higher nutritional quality than animals that are reared industrially. Pasture-fed beef has less fat and higher proportions of omega-3 fatty acids than grain-fed beef (12) The same applies to slower-growing chickens as compared with intensive fast-growing breeds and also to free range vs indoor production. (13)
  • Routine application of antibiotics in feed and water used to prevent disease and enhance grow this a major contributor to antibiotic resistance. 73% of all antibiotics are used in farm animals (14), and antibiotic use in animals is increasing worldwide. (15)
  • Research shows that antibiotic use is lower in higher welfare systems for keeping pigs and chickens than it is in intensive production (16) In the Netherlands where around 40% of chicken production uses slower-growing breeds of chicken to meet the health and welfare requirements of their retailers, these slower growing breeds are consistently at least three times less likely to need antibiotic treatment than the fast growing breeds they keep for export. (17)
  • Studies show that in some countries – including Denmark and the UK– agriculture is responsible for a larger proportion of the health problems arising from air pollution than transport or energy generation (18) Air pollution is a serious problem for human health as it contributes to conditions such as bronchitis, asthma, lung cancer and congestive heart failure.

SDG 3: Ensure healthy lives and promote well-being for all at all ages. (19)

  1. https://en.wikipedia.org/wiki/Michael_Pollan
  2. Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Published by the Lancet 2019
  3. Willett, W. , Rockström, J., Loken, B., Springmann, M., et al 2019 Food in the Anthropocene: the EAT-Lancet-Commission on healthy diets from sustainable food systems. The Lancet https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31788-4/fulltext
  4. World Health Organisation. Key Facts. June 2018. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
  5. Popkin, Barry M. 2015. Nutrition Transition and the Global Diabetes Epidemic. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4942180/
  6. NO TIME TO WAIT: SECURING THE FUTURE FROM DRUG-RESISTANT INFECTIONS, Interagency Coordination Group on Antimicrobial Resistance. Report to the Secretary-General of the United Nations April 2019 Summary of Recommendations and Key Messages. https://www.who.int/docs/default-source/documents/no-time-to-wait-securing-the-future-from-drug-resistant-infections-en.pdf
  7. World Health Organisation. Newsroom Detail. April 2019. https://www.who.int/news-room/detail/29-04-2019-new-report-calls-for-urgent-action-to-avert-antimicrobial-resistance-crisis
  8. Branca, F., Lartey, A., Oenema, S., Aguayo, V.,Stordalen, G.A., Richardson, R., Arvelo, M., Afshin, A., 2019 Transforming the food system to fight non-communicable diseases. The British Medical Journal. https://www.bmj.com/content/364/bmj.l296
  9. Friel, S., Dangour, A.D., Garnett, T., Lock, K., et al, 2009. Health and Climate Change 4: Public health benefits of strategies to reduce greenhouse-gas emissions: food and agriculture. Published online November 25, 2009 DOI:10.1016/S0140-6736(09)61753-0
  10. Aston LM, Smith JN and Powles JW, 2012. Impact of a reduced red and processed meat dietary pattern on disease risks and greenhouse gas emissions in the UK: a modelling study. BMJ Open Vol 2, Issue 5 http://bmjopen.bmj.com/content/2/5/e001072.full.pdf+html
  11. Anand, S.S., Hawkes, C., de Souza, R.J., Mente, A., et al 2015.Food Consumption and its Impact on Cardiovascular Disease: Importance of Solutions Focused on the Globalized Food System. Journal of the American College of Cardiology, 66, no 14
  12. Research reviewed in Nutritional benefits of higher welfare animal products, 2012. Compassion in World Farming. https://www.ciwf.org.uk/media/5234769/Nutritional-benefits-of-higher-welfare-animal-products-June-2012.pdf
  13. Compassion in World Farming, 2012. Nutritional benefits of higher welfare animal products. https://www.ciwf.org.uk/media/5234769/Nutritional-benefits-of-higher-welfare-animal-products-June-2012.pdf
  14. Keep Antibiotics Working Campaign. Public Health England 2018. https://www.gov.uk/government/news/keep-antibiotics-working-campaign-returns
  15. Stop using antibiotics in healthy animals to prevent the spread of antibiotic resistance. World Health Organisation. Newsroom 2017 https://www.who.int/news-room/detail/07-11-2017-stop-using-antibiotics-in-healthy-animals-to-prevent-the-spread-of-antibiotic-resistance
  16. Alliance to Save Our Antibiotics, 2017. Real farming solutions to antibiotic misuse. http://www.saveourantibiotics.org/media/1777/asoa-report-real-farming-solutions-to-antibiotic-misues-what-farmers-and-supermarkets-must-do.pdf
  17. Compassion in World Farming, 2020, quoting industry data. Dutch slower growing chickens require less antibiotics than fast growing chickens. https://www.ciwf.org.uk/media/7441136/dutch-slower-growing-broilers-require-less-antibiotics-than-fast-growing-chickens-updated-2020.pdf Data used comes from the Dutchindustry’s Avined website.
  18. B Brandt, Jørgen & Silver, Jeremy & Frohn, L. & Christensen, Jesper & Andersen, Mikael &Bønløkke, Jakob & Sigsgaard, Torben & Geels, C. & Gross, Allan & Hansen, Ayoe & Hansen, K.& Hedegaard, G. & Kaas, Eigil. (2011). Assessment of Health-Cost Externalities of Air Pollution at the National Level using the EVA Model System. CEEH Scientific Report No 3.
  19. United Nations Department of Economic Social Affairs Sustainable Development https://sdgs.un.org/goals/goal3
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