Public Health,Ethics, and Functional Foods

Functional foods aim to provide a positive impact on health and well-being beyond their nutritive content. As such, they are likely candidates to enhance the public health official’s tool kit. Or are they? Although a very small number of functional foods (e.g., phytosterol-enriched margarine) show such promise in improving individual health that Dutch health insurance companies reimburse their costs to consumers, one must not draw premature conclusions about functional foods as a group. A large number of questions about individual products’ safety, efficacy, and affordability need to be answered before they might become an important part of the public health agenda. More importantly, though, the costs and benefits of functional foods relative to alternative mechanisms of public health improvement need to be ascertained. Alternative scenarios that warrant investigation are mainly the supply of nutraceutical ingredients in pill form targeting “at risk” groups and consumer education on diet and lifestyle.     

The transatlantic rift in genetically modified food policy

The regulatory structures underlying United States and European Union policies regarding genetically modified (GM) food and crops are fundamentally different. The US regulates GM foods and crops as end products, applying roughly the same regulatory framework that it does to non GM foods or crops. The EU, on the other hand, regulates products of agricultural biotechnology as the result of a specific production process. Accordingly, it has developed a network of rules that regulate GM foods and crops specifically. As a result, US regulation of GM foods and crops is relatively permissive, whereas EU regulation is relatively restrictive. Why are genetically modified food policies in the United States and the European Union so strikingly different? In the light of the recent World Trade Organization dispute on agricultural biotechnology, it may seem that economic interests are the driving force behind policies. While they are certainly part of the picture, the issue is far more complex. This paper argues that three different elements help explain differences between US and EU GM food policies. First, an investigation of US and European policies of the 1970s and 1980s on recombinant DNA research and of events leading up to early GM food and crop regulation allows a deeper understanding of current policy. Second, scrutinizing underlying values and norms can uncover the beliefs that condition current GM food and crop policy. Third, an analysis of involved actors’ views and levels of success in influencing policy is essential to understanding US and EU policies.     

Neoliberalism and the making of food politics in Eastern Ontario

Despite their opposition to the dominant agri-food system, alternative agri-food initiatives may unwittingly reproduce central features of neoliberalism. Julie Guthman has been a particularly strong proponent of this view, arguing that food activism and neoliberalism have shaped one another dialectically in California in recent decades. This paper responds to her argument, with a view to distinguishing between what it reveals and what it may conceal about the transformative potential of alternative agri-food initiatives in North America. Drawing on primary research on a variety of community-based food initiatives in Eastern Ontario, Canada, we show how a neoliberal lens does help to illuminate some problematic characteristics of these initiatives, including assumptions about market-based solutions and focus on self-improvement at the expense of state involvement. However, this lens underestimates those aspects of community-based food initiatives that may appear commensurate with neoliberal rationalities but which also push in more progressive directions.     

You Are What You Eat: Genetically Modified Foods, Integrity, and Society

Thus far, the moral debateconcerning genetically modified foods (GMF) hasfocused on extrinsic consequentialist questionsabout the health effects, environmental impacts,and economic benefits of such foods. Thisextrinsic approach to the morality of GMF isdependent on unsubstantiated empirical claimsand fails to account for the intrinsic moralvalue of food and food choice and theirconnection to the agent's concept of the goodlife. I develop a set of objections to GMFgrounded in the concept of integrity andmaintain that food and food choice can beintimately connected to the agent's personalintegrity. I argue that due to the constitutionof GMF and the manner in which they areproduced, such foods are incompatible with thefundamental values and integrity of certainindividual moral agents or groups. I identifythree types of integrity that are threatened byGMF: religious, consumer, and integrity basedon certain other moral or metaphysical grounds.I maintain that these types of integrity aresufficiently important to provide justificationfor political and societal actions to protectthe interests of those affected. I conclude byproposing specific steps for handling GMFconsistent with the moral principles ofinformed consent, non-maleficence, and respectfor the integrity of all members of society.They include mandatory labeling of GMF, theimplementation of a system for control andregulations concerning such foods, andguaranteed provision of conventional foods.     

One ecosystem,one food system: the social and ecological context of food safety strategies

Eating is the most intimate relationship people can have with their environment. As people have migrated, in very large numbers, from various parts of the globe, as well as from the countryside to the city, they have brought to their new homes not only their intimate familial relationships, but also their intimate environmental relationships. Intraand international trade in human foods and animal feeds amounting to billions of dollars annually support these transplanted eating habits. Infectious disease agents, toxins and environmental contaminants of all sorts are globally distributed along with these foods. Furthermore, the internationalization of a substantial portion of the food industry, along with urbanization, has resulted in unrealistic consumer perceptions of food, and fostered ecologically and socially unsound food production and food safety practices, which themselves are creating new food safety problems. Effective food safety strategies, which by necessity must account for the contamination of the environment in which the food is grown, as well as the environments through which it passes on the way to the consumer, need to be global in both breadth (socially and geographically) and depth (ecologically). As well, the desire for democratic social control now evident throughout the world, along with this diversity of culinary tastes, suggest that a successful global food safety strategy would do well to reflect the kinds of diversity and complex interactions seen in natural ecosystems.     

Safety Assurance of Foods: Risk Management Depends on Good Science but it is not a Scientific Activity

We make many decisions in our livesand we weigh the benefits against thedrawbacks. Our decisions are based on whatbenefits are most important to us and whatdrawbacks we are willing to accept. Decisionsabout what we eat are made in the same way; butwhen it comes to safety, our decisions areusually made more carefully. Food containsnatural chemicals and it can come into contactwith many natural and artificial substancesduring harvest, production, processing, andpreparation. They include microorganisms,chemicals, either naturally present or producedby cooking, environmental contaminants, andpesticides. Since the chance of being harmed bythese potential hazards is called risk, riskanalysis might be better termed as the scienceof safety, because risk management is anessential part of it. It would, however, bedifficult and shortsighted to maintain thatquestions about risk and safety can have nomoral dimension. Risk and safety become mattersof moral concern when they raise furtherquestions about responsibility, accountability,and justifiability. The question of risk cannotbe ignored in any ethical investigation ofgenetic engineering, novel foods, animalwelfare, and individual choices. However, foodis more than metabolic fuel. It hasphysiological, psychological, social, cultural,and aesthetic associations that merge to form agestalt that people endanger and maintain. Thecontribution of any food towards anindividual's well being is as complex as theindividual himself. In this context, thebenefits of consuming food that containshazards may outweigh the risk.     

Food, Consumer Concerns, and Trust: Food Ethics for a Globalizing Market

The use of biotechnology in food productiongives rise to consumer concerns. The term ``consumerconcern' is often used as a container notion. Itincludes concerns about food safety, environmental andanimal welfare consequences of food productionsystems, and intrinsic moral objections againstgenetic modification. In order to create clarity adistinction between three different kinds of consumerconcern is proposed. Consumer concerns can be seen assigns of loss of trust. Maintaining consumer trustasks for governmental action. Towards consumerconcerns, governments seem to have limitedpossibilities for public policy. Under current WTOregulations designed to prevent trade disputes,governments can only limit their policies to 1) safetyregulation based upon sound scientific evidence and 2)the stimulation of a system of product labeling. Ananalysis of trust, however, can show that ifgovernments limit their efforts in this way, they willnot do enough to avoid the types of consumer concernsthat diminish trust. The establishment of a technicalbody for food safety – although perhaps necessary –is in itself not enough, because concerns that relatedirectly to food safety cannot be solved by ``pure'science alone. And labeling can only be a good way totake consumer concerns seriously if these concerns arerelated to consumer autonomy. For consumer concernsthat are linked to ideas about a good society,labeling can only provide a solution if it is seen asan addition to political action rather than as itssubstitution. Labeling can help consumers take uptheir political responsibility. As citizens, consumershave certain reasonable concerns that can justifiableinfluence the market. In a free-market society, theyare, as buyers, co-creators of the market, andsocietal steering is partly done by the market.Therefore, they need the information to co-create thatmarket. The basis of labeling in these cases, however,is not the good life of the individual but thepolitical responsibility people have in their role asparticipants in a free-market. Then, public concernsare taken seriously. Labeling in that case does nottake away the possibilities of reaching politicalgoals, but it adds a possibility.     

Local food networks as catalysts for food policy change to improve health and build the economy

Local food networks (LFNs) are growing in popularity, in part as a response to broader criticisms of conventional food production. Municipal policy-makers have the opportunity to work with stakeholders to build LFNs to increase access to healthy foods in cities and ultimately improve population health and well-being. Building opportunities for healthy eating is particularly important in our study area. Flint, Michigan, is a post-industrial shrinking city suffering from the economic and health effects of deindustrialisation. Various stakeholders in Flint have responded to a significant issue with access to food by strengthening collaborations through a food policy council (FPC). Growth in the local food system has been supported by administrators and community advocates alike, through supporting community gardens, farmers' markets, and urban agriculture in a manner similar to nearby Detroit. Participant observation was conducted with stakeholders involved in the development of the LFN and the FPC in Flint. Stakeholders were exposed to existing research on the food system to help inform their policy direction. The group expressed several core concerns and prospects for future work, including a strong emphasis on consensus-based decision-making. Based on the synthesis of stakeholder opinions, policy recommendations are made to aid in continued planning of the LFN. Planning for food is an important first step in improving public health and strengthening local economic development in post-industrial cities. This research highlights the issue by making explicit the challenges and opportunities for policy advocacy in LFNs.     

Food access,food security and community gardens in Rockford,IL

Urban agriculture projects seek to ameliorate issues of food access and food security for people living in areas with low access to fresh foods, including food deserts. Within this discourse, community gardens have been promoted as vehicles to reclaim unused urban space, produce food locally and connect populations to their food sources and larger community. A variety of community garden models exist; in the Midwestern city of Rockford, Illinois, many community gardens grow food for donation to food pantries as part of a programme to benefit socioeconomically disadvantaged persons in the city. However, the ability of these gardens to involve neighbourhood participants and provide the social capital-related benefits attributed to community gardens in the literature is uncertain. Here we examine community gardens in Rockford, IL to assess the extent to which they contribute to residents’ ability to obtain fresh produce as well as other social benefits. Data for this project come from a combination of interviews with gardeners, focus groups with food pantry users and a survey of pantry users. We find that while non-gardening community members are benefitting from the increased produce that the gardens provide, they are not receiving all of the social and communal benefits associated with actively participating in a garden.     

Food justice youth development: using Photovoice to study urban school food systems*

How do youth learn through participation in efforts to study and change the school food system? Through our participatory youth action research (YPAR) project, we move beyond the “youth as consumer” frame to a food justice youth development (FJYD) approach. We track how a group of youth learned about food and the public policy process through their efforts to transform their own school food systems by conducting a participatory evaluation of farm-to-school efforts in collaboration with university and community partners. We used the Photovoice research method, placing cameras in the hands of young people so that they themselves could document and discuss their concerns and perspectives. The research was designed to gain insight about youths’ knowledge of food, health, and community food systems. Drawing upon the youth group’s insights, we build a framework for building critical consciousness through FJYD.     

Hunger amidst plenty: farmworker food insecurity and coping strategies in California

Farmworkers are often overlooked as producers and consumers of food; although farmworkers in California labour in some of the most productive agricultural regions in the world, they are largely food insecure. This paper investigates approaches to relieving farmworker food insecurity in one of the most productive agricultural regions in North America, California's Northern Central Coast. I explore the structural causes for farmworker food insecurity, looking at how farmworker food insecurity is linked to international trade and immigration policies, as well as the systematic exploitation of workers in California agriculture. Investigating the various ways that farmworkers cope with food insecurity, I compare two different approaches, food assistance programmes and farmworker gardens. I discuss the linkages between farmworkers' place in the food system as both producers and consumers, as they simultaneously are exploited for their labour and create their own coping mechanisms utilising their embodied agricultural knowledge.     

Food Supply Chain Governance And Public Health Externalities: Upstream Policy Interventions And The UK State

Contemporary food supply chains are generating externalities with high economic and social costs, notably in public health terms through the rise in diet-related non-communicable disease. The UK State is developing policy strategies to tackle these public health problems alongside intergovernmental responses. However, the governance of food supply chains is conducted by, and across, both private and public spheres and within a multilevel framework. The realities of contemporary food governance are that private interests are key drivers of food supply chains and have institutionalized a great deal of standards-setting and quality, notably from their locations in the downstream and midstream sectors. The UK State is designing some downstream and some midstream interventions to ameliorate the public health impacts of current food consumption patterns in England. The UK State has not addressed upstream interventions towards public health diet at the primary food production and processing stages, although traditionally it has shaped agricultural policy. Within the realities of contemporary multilevel governance, the UK State must act within the contexts set by the international regimes of the Common Agricultural Policy and the World Trade Organization agreements, notably on agriculture. The potential for further upstream agricultural policy reform is considered as part of a wider policy approach to address the public health externalities issuing from contemporary food supply chains within this multilevel governance context.     

Leveraging foodways for health and justice

ABSTRACT

The global industrial food system is increasingly recognised as a source of poor health that deepens social and economic inequity. Health advocates, policy makers, and food activists strive to improve nutrition and food access across racial and ethnic divides; however, given established approaches, they may miss fundamental pathways for improving health and justice comprehensively. While food access and nutrition are often identified as primary concerns for marginalised communities and the reason for food insecurity and food-related illness, critical food justice scholars use a more expansive lens to suggest a democratised food system is needed, and that solutions based solely in access to healthy food can undermine more systemic approaches. Our research extends this analysis, highlighting the importance of endemic food culture (foodways) as a tool for retaining identity, building community, and maintaining health among refugee populations in one community in Salt Lake City, Utah. Further, this work suggests that community engagement and expertise is essential in leveraging foodways such that marginalised communities can effectively resist cheap, unhealthy, and placeless calories.     

More than something to hold the plants up: soil as a non-human ally in the struggle for food justice

Healthy, fertile soil is the material of life itself. It is chemically, biologically and physically structured to support the growth of healthy, environmentally sustainable foods. Recent years have seen a resurgent focus on soil science in Australia. Yet, the influence of soil in the politics of food systems has received comparatively little attention, despite long awareness in farming communities of how the natural world shapes farmers’ choices and possible actions. Drawing on work with SoilCare, a Landcare group with a focus on soil processes in the Northern Rivers of New South Wales, this paper explores the usefulness of approaching soil as an actor in food systems. Taking a participatory approach, and drawing on recent work on new materialisms, we argue that soil can be understood as an important ally in the struggle to shape a just and sustainable food system. While this work is intended to test this idea through a modest local case study, it may point to important new avenues for investigation in food politics.     

“Life just keeps throwing lemons”: the lived experience of food insecurity among Aboriginal people with disabilities in the West Kimberley

This paper reports findings of a qualitative study conducted in collaboration with Aboriginal people with disabilities and their carers residing in the rural and remote Kimberley region of Western Australia, specifically the impact of chronic food insecurity on their daily lives. Nutritious food is important to maintaining health, particularly for Aboriginal people with disabilities who are at the greatest risk of a range of chronic health conditions, illnesses and secondary disability. In the remote areas of the West Kimberley, the high cost of living, including food expenses and the generally low incomes of residents mean that food insecurity is common. A large portion of the population living in remote and rural areas of the Kimberley is Aboriginal, and chronic illness and disability are twice as likely among this group. Lack of access to nutritious food has a cyclical interaction with disability, resulting in secondary impairments and ill health, which leads to greater economic exclusion and further food insecurity. Participants in this research consistently reported that they coped with food insecurity by fishing and crabbing on their traditional lands, “in country”. This link between land sovereignty, food sovereignty and food security for Aboriginal Australians has echoes with global food sovereignty movements.     

Trust,Food, and Health. Questions of Trust at the Interface between Food and Health

The food sector and health sector become more and more intertwined. This raises many possibilities, but also questions. One of them is the question of what the implication is for public trust in food and health issues. In this article, I argue that the products on the interface between food and health entails some serious questions of trust. Trust in food products and medical products is often based upon a long history of rather clear patterns of mutual expectations, yet these expectations are not similar in both sectors. As long as the food sector and health sector remain distinct, these differences will not lead to problems of trust, yet when new products are introduced, like functional foods or personalized dietary advices, trust can be threatened. To prevent this, we need clarity with regard to what we can expect of these new products and of whom to expect what in this situation. This requires not␣only adequate information on operating procedures, but also a profound debate␣on responsibilities and the explication and interpretation of moral values and norms.     

The Struggle over Functional Foods: Justice and the Social Meaning of Functional Foods

The social and scientific debate overfunctional foods has two focal points: one isthe issue of the reliability andtrustworthiness of the claims connected withfunctional foods. You don't have to be asuspicious person to be skeptical vis-à-visthe rather exorbitant claims of most functionalfoods. They promise prevention against allkinds of illnesses and enhancement ofachievements like memory and vision, withouthaving been tested adequately. The second issueis the issue of the socio-cultural dimension offunctional foods and their so calleddetrimental effect on the social and normativemeanings of food, with possibly the effect thatfood in general will be treated like amedicine, with radical individualizing effects.Finally, individuals would only be allowed toeat what their gene-profile prescribes them. Inthis paper, it is argued that food is anon-neutral public good that contributesinherently to the identity of vulnerableindividuals. It should be treated in anon-neutral, but impartial way. Therefore,politics need to intervene in food markets froma justice and ethical point of view with twoaims in mind. The first aim (as an implicationof justice considerations) should be toestablish safety conditions, and to identifyand monitor food safety standards in anobjective and impartial way. Preventive medicalclaims of foods should be allowed on the basisof appropriate and objective testing methods.The second aim (as an implication of ethicalconsiderations) should be to shape conditionsfor a cohabitation of various food styles,including that of functional foods. Moreover,the cultural and symbolic meaning of food in apluralistic society requires that the differentfood styles find some modus of living andinteracting together. As long as functionalfoods comply with safety standards and respectother food styles, they should be allowed onthe market, just like any other food product.     

A market for nature: linking the production and consumption of organics in Tuscany

Contemporary analysis of the food sector has failed convincingly to link production to consumption, and it has not provided a sociological account of such links. This paper makes a provisional attempt to begin such an analysis and does so by examining the case of the market for organic food in Tuscany. It proposes that the ‘pioneers’ of organics in this region constituted a new food movement that succeeded in opening up a new market. However, this market could only be successfully expanded once other actors were enrolled in the market-making process, notably state agencies and supermarkets. The regional government, through new regulations and specific initiatives, integrated organic foods into rural development policy, thereby assisting producers in the process of conversion. Supermarkets co-operated in the implementation of these policies and made space for Tuscan organic products in their stores. So while the ‘pioneers’ began the process of market building, these later entrants were crucial to the stabilization and expansion of the organic sector in Tuscany. Thus, it can be concluded that the emergence of these new ‘markets’ for nature can only be adequately explained by analysing the full range of actors. Copyright © 2001 John Wiley & Sons, Ltd.     

Taking Consumers Seriously: Two Concepts of Consumer Sovereignty

Governments, producers, and international free tradeorganizations like the World Trade Organization (WTO) areincreasingly confronted with consumers who not only buy (or don'tbuy) goods, but also demand that those goods are producedconforming to certain ethical (often diverse) standards. Not onlysafety and health belong to these ethical ideals, but animalwelfare, environmental concerns, labor circumstances, and fairtrade. However, this phantom haunts the dusty world of social andpolitical philosophy as well. The new concept ``consumersovereignty' bypasses the conceptual dichotomy of consumer andcitizen.According to the narrow liberal response to this newconstellation, with respect to food one should conceptualizeconsumer sovereignty as the right of the individual consumer toget information on food products and to make his or her ownchoice on the market of food products. In this conception, thereis a very strong emphasis on rules and principles with respect tothe autonomy of individuals.I argue that these narrow liberal concepts are not sufficient forappropriate public policy-making in democratic societies, andthat they only enable us to identify problems; they do not helpnon-experts (and experts, if it comes to that, as well) inweighing the different ethical claims. Besides, not onlyprinciples play a role in the outcome, but all kinds of ideals aswell, like roles, values, and norms. My principal argument isthat analysis or justification of norms or principles is notsufficient to get a synthesis or construction of ethicalsolutions: we need some value orientation to guide us inbalancing the different ethical claims by solving an ethicalproblem. Moreover, this balancing is something that requiressocial space and social time, i.e., public debates. With theconcept of public debates a whole new dimension enters ethicalanalysis, because the attention of ethicists shifts toformulating criteria of successful and rational public debates.However, in the broad liberal view these concepts aresupplemented with values, preferences, practices of care, andinvolvement. I argue firstly for a broadened perspective on foodas an integral part of life styles and not only as something thatpresents risks. That is the reason that food gets such intensiveattention from the public, which is summarized in the concept ofconsumer concerns. Secondly, I defend the argument that not only(rational) public debates, but intensive commitments of bothproducers and consumers in every link of the chain in so calledcare practices or consumer councils can enhance confidence in thefood production system and the way we extract our daily intakefrom nature.     

Iron and Zinc status in soils, water and staple food cultivars in Itakpe, Kogi State of Nigeria

The levels of iron (Fe) and zinc (Zn) were quantitatively determined in soil and water samples as well as in staple food cultivars in Itakpe, Nigeria's major iron mining town. The survey was conducted to establish a baseline pollution index for Fe and Zn in the Itakpe environment and to evaluate the role of foods as an exogenous source of these metals among the inhabitants. Exceedingly high levels of both metals characterized the staple food cultivars in the town.