2019: The year of food and nutrition reports!

2019 was an interesting year in the food and nutrition space.

The Lancet had food on its mind this year with THREE Commissions/Series:

• Food in the Anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems

• The Global Syndemic of Obesity, Undernutrition, and Climate Change: The Lancet Commission report

• The Double Burden of Malnutrition

The EAT-Lancet Commission made the biggest “footprint” and spurred much debate and controversy, and pissed some people off. Good. That is exactly what it was meant to do. This along with the Syndemic made the Altmetrics top 100 papers of 2019. Cool.

The Global Burden of Disease finally published a solo paper on diets as a risk factor. That too made the Altmetrics top 100 list.

A slew of other reports on food, planet, and people came out this year. See the image below which doesn’t capture everything. They all pretty much say the same thing: We need to transform our food system if we want to save ourselves and the planet that we live on. We cannot disentangle the two. We depend on each other. It won’t be easy. The stakes are high and so are the challenges (like urban and population pressure). It will take significant, synergistic political will and investment. We are running out of time. That is the gist.

The Global Nutrition Report and Scaling Up Nutrition (SUN) movement churned on to keep the momentum, largely in the undernutrition space, moving.

We saw some neglected areas get more attention this year. Fish, plant-based burgers, older children and adolescents. The Nobel Prize went to two stellar development economists whose research has informed our thinking on poverty, and how we can reduce it. But of course, with a dose of caution.

The Committee on Food Security is in the process of crafting the Voluntary Guidelines on Food Systems and Nutrition. Regional consultations took place all year, and a draft is now out for review. If you are interested in providing written feedback on Draft One, you can do so by sending comments to cfs@fao.org by February 5, 2020. You can find all the info here.

This was the year of reports. Let’s make 2020 the year of action. We have a lot of evidence of what to do and how to do it. Many of us have written about it in ways in an attempt to get the attention of politicians. Now, we need to take what is written on paper and translate that into changes that matter for people. We need to vote for policymakers that care about these issues at the local level. Let’s push to make food, climate, and health a part of their campaigns, and give them the opportunity to take ownership of the issues.

We also need to think about politics outside our hometowns. We have seen some major shifts in the global political machinery of how we relate to each other and our willingness to participate as global citizens. Some of the heavy hitters, such as the U.S., will continue on its downward spiral into irrelevance, with the UK following close behind. But until they completely make themselves obsolete, their decisions, unfortunately, matter for the world, as we witnessed with the shoulder-shrugging at the COP 25 negotiations in Spain. Another year, lost.

But I am a cautious optimist. Well…let’s not push our luck here. Maybe more of a realist. We have the Tokyo 2020 moment to increase investments for nutrition (which are currently dismal). We will be half-way through the UN Decade of Action on Nutrition and 1/3 through the Sustainable Development Goals (not sure what this means, but hey). Derek Byerlee and I wrote about how far we have come and what achieving SDG2 means for the world. We have the Committee on Food Security hopefully approving the Voluntary Guidelines mentioned above. And we always have COP 26, to stir up a miracle to save the planet. These global moments are important, but not enough.

This is what I plan to do in 2020:

1. I am going to take a look in my own backyard to make changes (and maybe stop flying around the world, thinking I am saving it).

2. I will vote with my fork and the dire importance of the 2020 election in the U.S. cannot be understated.

3. I will work more with people and less with paper – i.e. stop being involved in all these goddamn reports (that few read…).

Food bytes: Weekly nibbles from Feb 18 - Feb 24

Food Bytes is a weekly blog post of “nibbles” of information on all things food and nutrition science, policy and culture.

Since the publication of the Food in the Anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems,” there have been some thoughtful critiques on the paper. Lawrence Haddad of GAIN and some other GAIN colleagues published what they felt were omissions but also the opportunities for more research, dialogue and debate. Over at the New Food Economy, Sam Bloch tried to eat the planetary health diet for one week. He struggled. He cooked almost all his meals, and he found the diet more expensive. I think he was a bit extreme, forgoing coffee and spices, which is not really recommended, but A effort in at least trying to take the lofty goals of the report and giving some practical insights into whether one can consume this diet on a daily basis. But don’t throw the baby out with the bathwater just yet. There are many attempts to ensure plant-based diets and vegan cuisine are tasty to our picky palates. Restaurants and food companies are trying new recipes and using new technology to ensure that vegetables make our mouths water just as much as those pavlov-dog-drooling juicy steaks do.

Another Lancet journal commission report was published last week on the “Global Syndemic of Obesity, Undernutrition, and Climate Change.” What is a syndemic one might ask? It is a synergy of pandemics that co-occur in time and place, interact with each other, and share common underlying societal drivers. Oh. Sounds serious. Well, in this case, it is. The pandemics are climate change and malnutrition - that being undernutrition and obesity. All three affect most people in every country. They give this example:

“Food systems not only drive the obesity and undernutrition pandemics but also generate 25-30% of greenhouse gas emissions (GHGs), and cattle production accounts for over half of those. Car-dominated transportation systems support sedentary lifestyles and generate between 14-25% of GHGs. Underpinning all of these are weak political governance systems, the unchallenged economic pursuit of GDP growth, and the powerful commercial engineering of overconsumption. The outcomes of obesity, undernutrition, and climate change interact. For example, climate change will increase undernutrition through increased food insecurity from extreme weather events, droughts, and shifts in agriculture. Likewise, fetal and infant undernutrition increases the risk of adult obesity. The effects of climate change on obesity and vice versa are currently uncertain.”

The Commissioners argue that double and triple duty actions are necessary to address The Global Syndemic. This figure below shows some options of triple duty actions. Some are very similar to what was recommended in the EAT Lancet Commission like reducing meat consumption and more sustainable dietary guidelines. Seems, most scientists are somewhat on a similar page on these recommendations. They do rip into both governments and food and beverage industries for not governing and not having public health concerns in mind respectively.

Triple duty actions to address the “global syndemic”

Dark cuisine. Copyright: NYT

Of course, as part of these global conversations is the issue of meat production and consumption and the potential future technologies that could save the planet, animals and humanity. One report just released argues that lab-grown meat could accelerate climate change, more so than current cattle production. Shwoops. Not sure about the authors assumptions, but they do acknowledge the limitations of their modeling of different types of gases and the energy calculations to come up with such a sweeping conclusion. The podcast Freakonomics breaks down the potential future of meat - weighing the pros and cons. It is worth a listen. One thing they discuss in the podcast that I had not heard of is “finless foods” - where fish are produced from stem cells. With 33% of fish stocks overly fished, this could be a game changer. That is, if people want to eat cultured meats and seafoods….

And speaking of weird science, and the future of food, ever heard of stargazy pie? It is a pie made up of herring, half buried in the pie with their heads and eyes peaking up from the buttery crust. Underneath is the rest of their bodies “leaching their brine in a rich custard, larded with bacon and hard boiled eggs.” Yummmm. Welcome to the world of ugly food and “dark cuisine.” These ugly food concoctions are highlighted in the New York Times Fashion section no less.