The Leading Voices in Food

Duke World Food Policy Center
The Leading Voices in Food

The Leading Voices in Food podcast series features real people, scientists, farmers, policy experts and world leaders all working to improve our food system and food policy. You'll learn about issues across the food system spectrum such as food insecurity, obesity, agriculture, access and equity, food safety, food defense, and food policy. Produced by the Duke World Food Policy Center at wfpc.sanford.duke.edu.

  1. Explore the Daily Table non profit grocery store model

    6 DAYS AGO

    Explore the Daily Table non profit grocery store model

    Today, we're going to explore Daily Table, an innovative non profit grocery chain dedicated to providing fresh, convenient, and nutritious food affordable to everyone, even those on the Supplemental Nutrition Assistance Program, or SNAP. In today's economic climate, where rising food prices are impacting households across the country, the concept of a non profit grocery store seems to fill a real need. Our guest today is Daily Table CEO, Sasha Purpura, a software engineer who spent 15 years in the tech industry and product management and development roles. Interview Summary Sasha, it is such a pleasure to connect with you. I'm intrigued to hear more about where Daily Table is today because I too was a Daily Table shopper. So, let's begin just hearing about what Daily Table is and what's the driving mission of the organization. Absolutely, Norbert. Simply what's driving the organization is the belief that everybody deserves access to healthy food. Daily Table is such a simple solution, but so incredibly innovative. It's a grocery store where everybody can afford healthy food. To me, seems like that should be there already. Unfortunately, it isn't. Historically, the way we have addressed hunger in this country is food pantries. And food pantries play a critical role and they're very necessary. However, there's spaces designed for people with low income. To say you're low income, you can't afford food, come here. And we know that 40 percent of the people that qualify for food pantries won't go to a food pantry because of that stigma. And because they want agency. They want the dignity of providing for their families and choosing what they want to eat. So Daily Table creates that shopping experience. People who don't use food pantries, they shop for themselves. And the sad reality is they have not been able to choose healthy food every day. They can't. It is not affordable. If you are lower on the income scale, you cannot afford to put fruits and vegetables on your table every day. Daily Table makes it possible for every person to afford to put fruits and vegetables on their table every day. And we are a normal grocery store. Anybody can come in there. We welcome everyone. It is not set up for people with a low income. It is a shopping experience. It is bright and colorful. It is dignified, enjoyable. Let's go look at all this beautiful produce. Daily Table dedicates a third of its footprint in each store to produce. Think about any grocery store you go into. That is not the case. We are focused on healthy, beautiful, fresh food. So, it's produce. It's proteins. And then finally, we have a commissary kitchen in our Dorchester store. It serves all of our stores, and we make healthy meals. A lot of people working two jobs cannot cook for themselves. Don't have the resources. And unfortunately, in many cases, turn to fast food, which isn't even that affordable these days. We make a chicken meal with a big chicken leg and 2 sides starting at $2.99. We have a large garden salad for $2.99. We have smoothies. We have soups that aren't extremely high in sodium. So, we provide healthy, tasty, prepared meals alongside fresh produce. If you can cook it, it's the ingredients are there. If you can't cook it, we cook it for you. And so Daily Table, our mission and what we do every day, is ensure that healthy food is truly affordable to everybody. This is really a useful way of hearing about what Daily Table is. As someone who used to live in Boston, I would visit the Dorchester store. And I remember all they asked is to tell us what zip code you're from and we would go shopping. We don't even ask that anymore. Oh, you don't even ask that anymore! That is awesome. And, you know, what's great it was easy to take my very young daughter at that time into the store and feel good about what we were getting. And my wife was like, can you believe these prices? In a good way! In a very good way. And so, it was always a positive experience. And it was great to know that there were people in that local community that were in the store. That were part of the staff. And it was a great place to visit. So, I'm glad to be able to connect with you on this. But I got to ask this question, how did a software engineer all of a sudden end up in a nonprofit grocery store? What happened? What drew you to this work? Well, it wasn't all of a sudden, but it was definitely a path. I met my husband when we were working at Nokia. I was in product management at the time. And in 2005, he quit to start an organic farm. A dream he'd always had. Went to it full time, that's how he makes his living. And he'd always had a big garden and just been a food person and I learned through him. I'd work with him on the weekends and getting the farm started and go to farmer's markets with him. And I, I discovered food in a way I'd never really understood it. I fell in love with it. I fell in love with the way that food creates community. I mean, it is the center of community. It's how we show love. It's how we come together over holidays. But to work with my husband creating this really beautiful produce, healthy, and to share that and just, just at a farmer's market, see how people come together that don't know each other. And 'how do you use collard greens? Or what is this vegetable?' It was just life. It was just life and I wanted that. So, I quit in 2009. I worked with him on the farm for a couple of years while I went back to school just to expand my network and nonprofit and other things. And in 2012, I began as an executive director of another hunger relief organization. And what was amazing, what is amazing to me, whether it's at a food pantry or Daily Table or a farmer's market, it is the same experience. It is people coming together around food and sharing. And it is beautiful and it, it creates healthy communities. It's not just nourishing us physically, but that's critical. By the way, healthy food is the cheapest form of healthcare. If we would just invest in that. But it also nourishes a community. It's mental health. It's sitting around the table with your family. It's cooking. It's not being hungry. And so, to go from the one extreme of a local organic farm in a farmer's market that isn't cheap. You know, my husband isn't making money off of it. He's not getting rich, but the food, it takes a lot to grow food. So, to go from that experience and bringing together people who can afford farmer's market prices and seeing that same experience in a food pantry or at Daily Table, it is, it's about food. It's not about money and it should be accessible to all. It is really amazing. I loved the two years on the farm and bringing access to local food to people. And to now do that to folks who otherwise simply couldn't get access to healthy food. It's, it's just an incredible honor to be a part of that. Thank you for sharing that. And thank you for sharing part of your story. I'm interested to go back to Daily Table and understand how is it different than other nonprofit organizations, especially in the food justice space? Help us to appreciate that you gave us a bit of an idea when you were talking about comparing it to food pantries. But I'd like to hear sort of more of your thoughts on that. Well, my thoughts are not so much are how are we different, but how do we fit into the emergency food system? One of the beautiful things... I'm in Cambridge, Massachusetts, Daily Table is at Cambridge and Boston and Salem. And I've worked now for 12 years in this field in Northeastern United States, Massachusetts. And what I've discovered is there is a network of food justice, hunger relief organizations. And we are an incredibly large community of people that care about the same thing and working together. So, we need a lot of different solutions. SNAP, as you mentioned, the supplemental nutrition access program, that is hunger relief, right? That lets people have access to purchasing food. Then there's Daily Table where you can use your SNAP benefits to buy produce. To buy very healthy food at very low prices. Then there's a food pantry for people that perhaps don't even have access to SNAP. They can go to a food pantry and access food, or people can shop at Daily Table and supplement what they're buying a Daily Table at a food pantry. We work with an organization called the Boston Area Gleaners that uses volunteers to rescue food off of farms. And has their own farm now and grows some produce that we sell at Daily Table. We work within a network of different types of food justice organizations that are serving people in different ways and meeting them where they are. We work with Fresh Truck, which is a mobile market that goes into communities with a truck with fresh produce on it, right? So, all of these things are necessary. I would say Daily Table is absolutely critical to serving all of those people who are not comfortable getting free food. The last organization I worked for was called Food for Free, and it was wonderful, and it served hundreds of thousands of people. But there are hundreds of thousands of people that are not going to take food for free and Daily Table assists folks in that way. Yeah. I am really appreciative of the way you've talked about this. And sometimes I get a sense that there is competition in this space. And what you're talking about is, no, we're actually all part of a large network and that we're serving different needs and that we are stronger together. Finding ways of collaborating and giving people options and in the community. I find this really encouraging. Thank you. I'm so excited to hear more about this and to think about what that means as we go beyond the Boston area. Beyond the Northeast. And talk about replication, but I don't want to get ahead of myself. I've got to ask. This can't be easy, I mean, to offer these products at the low prices that you do and the fact that they're all nutritionally oriented.

    17 min
  2. E262: Impact of skimming and shimming fraud on SNAP recipients

    JAN 30

    E262: Impact of skimming and shimming fraud on SNAP recipients

    On our podcast, we have often talked about the Supplemental Nutrition Assistance Program, or SNAP. In many of those conversations, we've talked about the benefits and eligibility, and ways to improve the work that SNAP does to help low-income families meet their food needs. In today's podcast, we're going to turn our attention to a particular challenge, and it's the SNAP skimming fraud. To help us understand this and the larger context of SNAP, we have the great pleasure of talking with Salaam Bhatti, who is the director of SNAP at the Food Research and Action Center, or FRAC. Interview Summary So, let's provide a little bit of level setting for our listeners. Can you tell us what role SNAP plays in the lives of individuals who are facing low income or food insecurity? Yeah, Norbert, the problem with being in the richest, most powerful nation in world history is that we are facing a food and hunger crisis. We have the means, we have the resources to solve for it, but we haven't. For the record, the USDA, the United States Department of Agriculture, did a study last year. They do this study every year where they report food security in the country. In 2023, 86.5 percent of U. S. households were food secure. The remaining 13.5 percent, which is 18 million households, were food insecure. And this was an increase from 2022. So, 86.5 percent of food security is barely a B+. To be in the most powerful wealthiest nation in the world and we're barely getting a B+ in this space is unacceptable. And so, we saw some really interesting policies happen during the pandemic. We saw emergency allotments come in for the SNAP program, where all households received the maximum benefit amount for their households. And that, unfortunately, sunset. When that emergency allotment was in place, food insecurity-surprise, surprise-decreased. But not just that, we also saw Medicaid healthcare spending costs decrease as well. Because who would have thought that when people had food security, they didn't need to go to the emergency room because their blood sugar was low. So, we're experiencing a lot of challenges where we've seen the government show its hand that it can end poverty. It can end hunger. It just chooses not to. We know that SNAP is an entitlement program. It's available to anyone who meets the eligibility requirements. But we know that everyone who's eligible doesn't participate in the SNAP program. Can you help us think about how more people can be enrolled who are eligible. And maybe we even need to think more broadly about what is eligibility? What are your thoughts about this? In a given month these days, about 42 million people participate in SNAP. That's a lot of people. I would say that 42 million people are participating in it every day, but unfortunately, SNAP benefits do not last the whole month. By the third week of the month, people's SNAP benefits have been exhausted. Now, taking a step back, in case the listeners don't know how SNAP benefits work, it's a, as you said, a government program. And it comes in the form of an electronic benefits transfer card, an EBT card. It looks like a credit card, looks like a debit card. But really, it's more like a hotel card key, because it doesn't have the security measures, which we can talk about later in the show. It doesn't have the security measures that a credit and a debit card have. It is essentially a glorified hotel key. It's got the magnetic stripe on the back, circa 20 years ago. Maybe 15. I'm dating myself. I don't know how long ago it was we were swiping the cards. But all you gotta do is you swipe the card and you type in your PIN. And then you can use it at the EBT retailer. That is in a nutshell how 40 million people are utilizing SNAP benefits every single month. The program itself is also vital to retailers as well. We've seen that every dollar of SNAP benefits generates about $1.54 in economic activity during an economic downturn. So that means that when somebody is using their SNAP benefits at the grocery store, it's helping that grocery store keep the lights on. You know, employ the cashiers. And we need to employ cashiers, enough of this self-checkout stuff. It helps to pay the truck driver who's transporting the produce to the store. And it ultimately even helps pay the farmer for growing the crop. So, it's a great investment from the federal government into not just our households to help them put food on the table, but really into the whole local economy. And it is immediately used directly by the people and helps so many people. Now so, to your question about how do we enroll more people? Well, luckily we are at a time where the USDA reports that in the fiscal year 2022, 88 percent of eligible individuals were participating in SNAP. And that is the highest participation rate we've seen since they started tracking this in the past 50 years. That's great. But again, it's just a B+ so we can do better. There is room to improve. In the study, it showed that older adults, those who are over 60, they're participating at lower rates with only 55 percent of eligible members in that age category participating. We also have so many military families and veterans who are eligible, but don't participate. This SNAP gap is something that our partners are working throughout the states, throughout the entire country. We're working in partnership with a lot of federal agencies and partners as well. So, how do you ultimately close the SNAP gap? We're seeing a lot of targeted outreach. Seeing a lot of education efforts, but, you know, with 88 percent of eligible people participating, what's going on-on the local level? And unfortunately, Norbert, we've seen that state agencies which administer the SNAP program are unfortunately understaffed and they're underfunded. I used to be a state advocate at the Virginia Poverty Law Center. And when I was, hustling in the halls and lobbying for a million households with low income, I became friends with our social services agency because we had similar goals. We wanted to help households with low income. And we came to learn that the agency that we are relying on to administer the program was never getting their budget met by the legislative assembly. So, what we did was we got into partnership with them to advocate for their budget so that they could retain their staff, and so that the staff could do the job. That is something that we have to do across the states. Support these social service agencies in getting the funding so that they can have the staffing so that they can administer the programs in a timely way. Unfortunately, I don't know if you've seen this but earlier this year, the USDA Secretary Vilsack sent out a letter to like 44 state agencies, including D. C. and Guam. Being very concerned about their timeliness issues because they're supposed to complete the application reviews and determine eligibility within 30 days. And that's for a normal SNAP application. You have seven days for expedited applications. And 44 of these agencies were not meeting the mark. That's bad for, in terms of deadlines, but even worse for the families experiencing the food insecurity. So that is a very layered answer. It's the seven-layer dip answer of how we increase participation. Well, we need more staff to, to help that out. I hear that, and I'm really grateful for how you hit it at this point, and I want to draw a little more attention to it. While you talk about 88 percent participation, it looks different on a state-by-state level. Some states have a higher level of participation, other states don't. Do you think it's really the ability of those state agencies to provide that support, or do you think there are other factors that may be influencing the differential participation rates across states? Yeah, so we saw a big retirement, the great resignation, that happened during the pandemic. There were so many state agency employees, you know, who were, who were doing the job because they were passionate about it. They were also at retirement age. So, we saw quite a resignation happen. Because it was incredibly difficult. It was traumatizing to be involved in this space. And so, they resigned, or they retired, or they moved on to somewhere else. The new workers came in and they learned the programs with the flexibilities that were provided during the pandemic. Now, they have to relearn the program because all those flexibilities are gone. So, we're seeing a lot of administrative burden taking place within these agencies. I have a colleague, Carolyn Barnes, who's worked on this idea of administrative burden and the challenge of what's sometimes referred to as street level bureaucrats. The people who are on the ground who do the administration of these programs and the challenges that they face and the ways they engage folks. I appreciate hearing more about this. And I'm going to ask a potentially controversial question then. What if we took that responsibility out of the hands of state agencies and privatized that? What would that look like? Oh, and people have tried that. Governments have tried that, and it's always resulted in net losses. Not only has it cost the states more, but it has also led to the participants not receiving their benefits, or receiving less than, or receiving an error of more than. So many errors have resulted, which has made the program and administration worse. Which is an interesting question because a lot of people don't know that there are skilled employees at the helm within the agencies that are working on these eligibility determinations. They're known as merit-based staff. And every now and then you'll see a Farm Bill, that's the piece of legislation that houses the SNAP program, it'll come in and they'll try to privatize parts of the program. In the guise of, 'Oh, we're just wanting to help the agencies out and get the benefits to the people.' But listen, the several states that have p

    23 min
  3. Here’s what you don’t know about food safety

    JAN 23

    Here’s what you don’t know about food safety

    For many years in talks that I gave, I showed a slide with an ingredient list from a food most people know. Just to see if the audience could guess what the food was. based on what it was made of. It was very hard for people to guess. A few people might come close, but very few people would guess. And it was pretty hard because the food contained 56 ingredients. This is in one food. And the ingredient list had chemical names, flavorings, stabilizers, and heaven knows what else. But 56 things in one, just one food in the food supply. Pretty amazing to think what kind of things we're bombarded with in foods we eat in our everyday lives. So, one key question is do we know what all this stuff does to us, either individually or in combination? So, how does ingredient 42 interact with ingredient 17? Even if we happen to know what they do individually, which we may not. And, who's looking out for the health of the population, and who has regulatory control over these things? Today we're joined by the author of a new article on this topic published in the American Journal of Public Health. Jennifer Pomeranz is an attorney and is Associate Professor of Public Health Policy and Management in the School of Global Public Health at New York University. The food, by the way, was a chocolate fudge Pop Tart. Interview Summary So, who has regulatory oversight with these things that are added to foods? The FDA has the authority over all of those packaged foods. So, Pop Tarts, all of that type of packaged foods and the ingredients in there. Can you explain the nature of their authority and the concept of GRAS and what that stands for? Yes. So, there are two main ingredients in our food, but there is also color additives and other things that we didn't get to in our study. But the two main ingredients are called 'food additives' and then 'generally recognized as safe' or GRAS substances. And these are the two ingredients that are in all the processed foods. They're both complex substances, but they're regulated differently. GRAS is assumed to be safe. And food with GRAS substances is presumed to be safe as long as there's a generally agreement among scientists that it's safe, or if it's been in use in food since 1958. Food additives, on the other hand, are presumed to be unsafe. And so, foods that have food additives must have the food additive be approved for the condition of use. So actually, the FDA issues regulations on the food additives. Is it true that the FDA authority covers lots of these chemical type things that get put in foods that we discussed? But also, things that occur naturally in some things like caffeine? Yes. And so, caffeine is considered GRAS or generally recognized as safe. The FDA has a tolerance level for cola-type beverages for caffeine. It actually doesn't enforce that as you see, because we have energy drinks that far exceed that type of level. So, there's different types of GRAS substances. But they can be very complex substances that are actually not so different than food additives. Who decides at the end of the day whether something's safe or not? You imagine this battalion of scientific experts that the FDA has on hand, or consults with, to decide whether something's safe or not. But how does it work? Unfortunately, that's not exactly the case. When it comes to food additives, the industry must petition the FDA and provide evidence showing that it's safe. And the FDA promulgates a regulation saying that it agrees it's safe and it can be used for the things that it set forth in the regulation. For GRAS, there are two mechanisms. One is the industry can notify the FDA that it thinks something's safe. And then it actually goes through a similar transparent process where the FDA will evaluate the evidence submitted. Or, shockingly, the industry can actually decide that it's safe for themselves. And they don't have to notify the FDA. And they can add it to their food without the FDA or the public actually knowing. Now they might disclose this on a website or something, but it's actually not even required to be based on peer reviewed literature, which is actually one of the concerning aspects about this. Concerning is polite language for what one might call shocking. So, in the case of some of these things that go into the food, the industry itself decides whether these things are safe. And in some cases, they have to at least tell the FDA that something they declare as safe is going into the food. But in some cases, they don't even have to do this. Right. So, they only have to if they've determined that it's a food additive. But actually, the industry itself is deciding that it's a food additive versus GRAS. Once it made the decision, it's GRAS, it doesn't even have to notify the FDA that it considers it safe. If they do, they are supposed to rely on their own research saying that it's safe. But actually, there's some alarming parts about that as well. The other outside research that's not my own found that the panels of experts that they employ, 100 percent of the people on those panels have financial conflicts of interest. So, that's already worrisome. They're receiving money from the food industry in some way. Yes. To say that the ingredient is safe. Another scary part is that if they do notify the FDA and they're not happy with how the FDA is reacting to their GRAS notification, they can actually request a cease and desist. The FDA will issue a cease and desist letter, and then they can actually go to market with that ingredient. Pretty amazing. Like loopholes that not only a truck can go through, but a train and everything else. That's really pretty remarkable. So one could say that the risk built into this system is hypothetical, and it works pretty well. But is that true? I mean, are there cases where things have gotten through that probably shouldn't have? Or is it just that we don't know? I think there's a lot of unknowns. The Environmental Working Group does that research and they have identified things that they find to be concerning. A lot of it is that we actually don't know what we don't know, right? So even the FDA doesn't know what it doesn't know. And that is, is part of the concern, that you can't just identify this by looking at the nutrition facts label where they list ingredients. Sometimes they just use terms like spices, flavorings, colorings, chemical preservatives. But that could be masking an ingredient that has never been examined and for which It's unclear that it's actually safe. I know there have been some policy efforts in places such as California to prohibit use of some of these things that have otherwise been considered safe by the FDA, or perhaps just by industry. Is that true that's happening more and more? Yes, actually there has been. Because of the gap in the FDA's oversight, we are seeing states, and it's actually a pretty shocking situation, that California banned four ingredients that the FDA did not. And it's saying that those ingredients are not safe to be in food in California. And given what a huge market California is, the thinking is that the industry will have to change their ingredients across the nation. And frankly, they've already taken those ingredients out of the same foods in Europe, where those ingredients are not allowed. So how much do you trust this self-policing by the industry? To be honest, I'm quite concerned about it. The FDA has the authority to review substances post market, so after they're already in the ingredients. But we see that it can take years or even decades. In the case of, remember, partially hydrogenated oils, which were artificially produced trans-fat. It took decades for them to get that removed from the food supply, despite significant research showing that it had caused health harm. So, even when there is evidence of harm, it takes quite a long time for the FDA to remove it. And in the case of another ingredient recently where California banned it, then the FDA decided to ban it. So, it does worry me that even their post market authority is not being utilized to the extent that it should. Let's think about what a good set of defaults might be and how this might actually play out in practice. If you'd assume these things that go into foods are not safe by default, then the question is what would it take to make sure they're safe before they're allowed in the food supply? And it would take toxicology studies, studies with lab animals perhaps, studies with humans. I don't know exactly how these things are tested, but one can imagine it's not an easy or a quick process. Nor probably an inexpensive one. But somebody would have to do it, and if government can't do it, you can't rely on industry to do it. I wonder if the default might be fewer things in the food supply and whether that might not be a pretty good thing? I love that you said that because that's the conclusion I came to as well. Why do we need all these new ingredients? We already have ultra processed foods, which are by definition contain all these ingredients that we don't really know what they are. And why do we even need new ingredients? I think they could even put a moratorium on new ingredients and say, let's take a, take an analysis of what we've got in the food supply at this point. And to be honest, it would take Congress to act to change FDA's authority to give them more authority to do what you just suggested. And of course, resources, which would be personnel like you described. So maybe that chocolate Pop Tart that has 56 ingredients could get by with 41 or 32 or 17. And you know, maybe we'd be just fine having it with fewer ingredients. One interesting thing that I've heard about, but I'm not an expert in because my background isn't law, is I know it's possible for outside parties to bring lawsuits against government for failing to execute its duties. Has there been any talk about possible lawsuits taking on the FDA for fa

    14 min
  4. E260: Food Recovery Network Urges Food Date Labeling Reform

    JAN 14

    E260: Food Recovery Network Urges Food Date Labeling Reform

    I don't know about you and your household, but in my home, we have a long history of opening the refrigerator and discovering pasta sauce or mayonnaise that we don't remember when it was put in the refrigerator, when we last opened it, and we're confused. We open the container; we smell it; we check out the date label. And if we're confused, we have a mantra: when in doubt, throw it out. But aren't those date labels supposed to help us make good decisions about whether or not a food product is safe? Currently, there is no federal regulation on what those labels should say. Best Buy, Use Buy, Sell Buy, or what have you. However, there is legislation in the Congress called the Food Date Labeling Act to help us address this issue. And today's guest, Regina Harmon, will help us explore this particular issue. She is the executive director of the Food Recovery Network, the largest student led movement fighting food waste and hunger in the United States. Interview Summary First, some of our listeners may not be familiar with the Food Recovery Network. Could you tell us more about the organization and what it hopes to accomplish? Absolutely. Thank you so much. Food Recovery Network was started in 2011 by college students at the University of Maryland who saw a couple of things happening. They saw a lot of food waste on their college campus, and they also saw a lot of people who were experiencing hunger in their communities. And so, they thought, hey, instead of throwing this perfectly good food away, what we could do is package this food up and give it to those in our neighborhood that we know need some help. And that's how Food Recovery Network was started. They started at the University of Maryland, one dining hall, one carload of food. They started calling other friends that went to different colleges and universities across the United States. And over the last decade and some change, we've grown into, as you said, the largest movement of students who are fighting food waste and hunger. We have about 200 college campuses that have food recovery network chapters. We've recovered over 16 million pounds of food through the power of young people. And today we also help other sectors that would like to also do the right thing with their surplus food. We help farms, we help corporate events, large scale events, we help conferences. You name it, wherever there's surplus food, Food Recovery Network can help make sure that food doesn't go into landfill and helps feed those in need. I would love to hear a little bit about who you are able to serve through the Recovered Food. Are you working with food banks? Are you working with the pantries directly? Tell me a little more about that connection. It's a beautiful connection. We have about 400 nonprofits all over the United States. That directly receive the surplus food that we donate. We go to the sites where the food is. So again, in college dining halls, large scale events, you name it, and that food is packaged up safely. And then it's brought to what we call hunger fighting nonprofits. These are nonprofits on the front lines in all of our communities that are in some way feeding our neighbors in need. These are homeless shelters, soup kitchens, food banks. These are domestic violence shelters. These are afterschool programs, churches, anywhere that can also handle the food safely and then distribute it to our neighbors directly. So through that, we've been able to meet so many incredible people, and a lot of times volunteers themselves who work at these incredible locations that again, are just helping those who need support to make their ends meet. Great. This is really important work. Thank you so much for the work that you all are doing. So, how does the Food Recovery Network activate to end food waste and make a positive impact on the environment? There's a lot of things that are happening here. You know, millions of tons of food is wasted every single year. And I know we'll get into the Food Date Limiting Act in just a moment, but every part of our food system, there's food waste. On farm fields, during transportation, at supermarkets, in our own homes. And so, a lot of times, most of the time, the majority of the time, all of the food that is wasted is actually thrown into landfills. You know, we see those images of whole entire tractor trailer trucks of food being dumped into landfill. And that is the problem. The majority of food, much of which is still perfectly good to eat, perfectly good to consume, is being driven into landfill, where it then is covered up, it begins to rot, and this is where the environmental harm starts. The food rots, and it creates additional CO2 into our environment and other greenhouse gases that is really difficult for our environment to reabsorb because it's happening at such an increased rate. And that is directly causing what we now know as global warming. Food all across the United States, all across the globe, is the third largest emitter of CO2 gases. And so that is the environmental issue that Food Recovery Network is addressing. It's directly harming our atmosphere. But then when we take that step back and we think about all the water it took to grow these plants, all the fuel it took to transport the food, all the fertilizer it took to put into the soil. All of those precious resources are also wasted, and we need to reclaim those resources year after year after year for food that ultimately we are going to throw away, have it cause harm by rotting and going into our atmosphere in the form of CO2 gas. So, it is a really disturbing cycle. Our mission is to recover surplus food to feed everyone who is hungry so that precious food isn't going into landfill unnecessarily and causing all of that environmental harm. Yes, this is what I find really critical about the work that you all are doing because of the greenhouse gas emissions from decomposing food and landfills is really problematic, but I'm so grateful for the way you talked about how there are losses, if you will, all along the supply chain from on the farm to the final consumer. I remember even talking to a farmer in Virginia who said, it really breaks his heart to see food wasted. He put a lot of effort, his blood, sweat and tears into that production to see it wasted was just disappointing. And that's going beyond the environmental costs to just thinking about the value of someone's labor. I really appreciate what you all are trying to accomplish. But it sounds like you all are involved in the day-to-day work of preventing it from going into the landfill and trying to get into the hands of people. How is it that you all are involved in policy? I'd love to hear how you all are thinking about date labeling and the law that is in the Congress to try to address this challenge. Thank you so much, Norbert, for that question, because, yes, we are here to feed people through recovering food and donating it and helping our neighbors and being in community with our neighbors. That absolutely must happen. There's 47 million people who are food insecure all across the United States. We all know somebody who is food insecure. We might not know it. But we do. 47 million people. So that act of not wasting our precious food and bringing it back further into community is vital. And then at the same time, Food Recovery Network, we are involved in advocacy to begin to correct a system that allows for this food waste and food loss. At the policy level is where we can really begin to recapture all of this precious food that our incredible farmers across the United States are growing for all of us. So, we got involved with the Food Date Labeling Act several years ago, and it has, you know, come up in our Congress a few different times. And we see this as a beautiful way to help reduce confusion around why food is being wasted in the first place. And in particular at the consumer level - our homes. You know, 80 percent of households at some point, they're going to be confused because of a date label. Again, your story emphasized that so wonderfully because it's something that we've all experienced. About 80 percent of homes are having those same kinds of conversations. The majority of people do believe that date labels are already standardized, and lo and behold, they are not. And so, what we're trying to do, we're lending our voice to support the Food Date Labeling Act, so that we can begin to standardize these date labels. And then prevent millions of tons of food from going to waste in the future every single year unnecessarily. This is the way that I can imagine doing the work that you all are doing, not just on the physical movement of food, but also thinking about the policies that can help support the work that you're doing. It takes sort of that broad spectrum of approaches to really affect this challenge. But I've got to ask, and I hear your passion. I hear your great concern. Can you help us understand why the urgency now? Why, why try to find a permanent solution to food waste today? What's the impetus? You're absolutely right, Norbert. The time is now. We are getting many messages. I will speak from the perspective of our students. So, this is Gen Z, Gen X, Millennials, you know, young people that are on the front lines of this movement to say, we can no longer waste precious food. We were all born [00:10:00] into millions of people being food insecure. That's wrong. And we know that we can do something about that. We have the simple solution of at least redirecting our precious food to help those in need. So that urgency is now. People are hungry right now. And we have our chapters all across the United States that are doing a food recovery right now. At some point in the day, there's somebody who is doing the right thing to help say, I can help feed my neighbors in need. There's nothing more urgent than that. We know all the hardships that come with being food ins

    14 min
  5. Your state of the science on weight loss drugs

    JAN 9

    Your state of the science on weight loss drugs

    About two years ago, we released a podcast with Dr. Thomas Wadden of the University of Pennsylvania describing work on a new generation of medications to treat diabetes and obesity. They were really taking the field by storm. Since then, much more is known since many additional studies have been published and so many people have been using the drugs. So many, in fact, the market value of the Danish company, Novo Nordisk, one of the two major companies selling the drugs, has gone up. It is now greater than the entire budget of the country of Denmark. This single company is responsible for about half of Denmark's economic expansion this year. So, a lot of people are now taking the drugs and this is a great time for an update on the drugs. And we're fortunate to have two of the world's leading experts join us: Dr. Wadden, Professor of Psychology and Psychiatry at the University of Pennsylvania School of Medicine and the inaugural Albert J. Stunkard Professor of Psychiatry at Penn. Joining us as well as Dr. Robert Kushner, a physician and professor of medicine at Northwestern University and a pioneer in testing treatments for obesity. Interview Summary Tom, you and I were colleagues at Penn decades ago. And I got frustrated the treatments for obesity didn't work very well. People tended to regain the weight. And I turned my attention to prevention and policy. But you hung in there and I admired you for that patience and persistence. And Bob, the same for you. You worked on this tenacious problem for many years. But for both of you, your patience has been rewarded with what seems to me to be a seismic shift in the way obesity and diabetes can be treated. Tom, I'll begin with you. Is this as big of a deal as it seems to me? Well, I think it is as big of a deal as it seems to you. These medications have had a huge impact on improving the treatment of type 2 diabetes, but particularly the management of obesity. With older medications, patients lost about 7 percent of their starting weight. If you weighed 200 pounds, you'd lose about 15 pounds. That was also true of our best diet and exercise programs. You would lose about 7 percent on those programs with rigorous effort. But with the new medications, patients are now losing about 15 to 20 percent of their starting body weight at approximately one year. And that's a 30-to-40-pound loss for a person who started at 200 pounds. And with these larger weight losses, we get larger improvements in health in terms of complications of obesity. So, to quote a good friend of mine, Bob Kushner, these medications have been a real game changer. Thanks for putting that in perspective. I mean, we're talking about not just little incremental changes in what treatments can produce, which is what we've seen for years. But just orders of magnitude of change, which is really nice to see. So, Bob what are these medications that we're talking about? What are the names of the drugs and how do they work? Well, Kelly, this transformation of obesity really came about by finding the target that is really highly effective for obesity. It's called the gut brain axis. And when it comes to the gut it's starting off with a naturally occurring gut hormone called GLP 1. I think everyone in the country's heard of GLP 1. It's released after we eat, and it helps the pancreas produce insulin, slows the stomach release of food, and reduces appetite. And that's where the obesity story comes in. So pharmaceutical companies have taken this hormone and synthesized it, something similar to GLP 1. It mimics the action of GLP 1. So, you could actually take it and give it back and have it injected so it augments or highlights this hormonal effect. Now, that same process of mimicking a hormone is used for another gut hormone called GIP that also reduces appetite. These two hormones are the backbone of the currently available medication. There's two on the market. One is called Semaglutide. That's a GLP 1 analog. Trade name is Wegovy. Now, it's also marketed for diabetes. Tom talked about how it is used for diabetes and increases insulin. That trade name is Ozempic. That's also familiar with everyone around the country. The other one that combined GLP 1 and GIP, these two gut hormones, so it's a dual agonist, the trade name for obesity is called Zep Bound, and the same compound for diabetes is called Mounjaro. These are terms that are becoming familiar, I think, to everyone in the country. Tom mentioned some about the, how much weight people lose on these drugs, but what sort of medical changes occur? Just to reiterate what Tom said, I'll say it in another way. For Semaglutide one third of individuals are losing 20 percent of their body weight in these trials. For Tirzepatide, it even outpaces that. And I got a third of individuals losing a quarter of their body weight. These are unheard of weight losses. And with these weight losses and these independent effects from weight, what we're seeing in the trials and in the clinic is that blood pressure goes down, blood sugar goes down, blood fats like triglyceride go down, inflammation in the body goes down, because we marked that with CRP, as well as improvement in quality of life, which we'll probably get to. But really interesting stuff is coming out over the past year or two or so, that it is improving the function of people living with congestive heart failure, a particular form called a preserved ejection fraction. We're seeing improvements in sleep apnea. Think of all the people who are on these CPAP machines every night. We're seeing significant improvements in the symptoms of sleep apnea and the apneic events. And lastly, a SELECT trial came out, that's what it was called, came out last year. Which for the very first time, Kelly, found improvements in cardiovascular disease, like having a heart attack, stroke, or dying of cardiovascular disease in people living with obesity and already have cardiovascular disease. That's called secondary prevention. That, Tom, is the game changer. Bob, I'd like to go back to Tom in a minute but let me ask you one clarifying question about what you just said. That's a remarkable array of biological medical benefits from these drugs. Just incredible. And the question is, are they all attributable to the weight loss or is there something else going on? Like if somebody lost equal amounts of weight by some other means, would these same changes be occurring? Those studies are still going on. It's very good. We're thinking it's a dual effect. It's the profound amount of weight loss, as Tom said. Fifteen to 21 to even 25 percent of average body weight. That is driving a lot of the benefits. But there also appear to be additional effects or weight independent effects that are working outside of that weight. We're seeing improvements in kidney function, improvement in heart disease, blood clotting, inflammation. And those are likely due to the gut hormone effect independent of the weight itself. That still needs to be sorted out. That's called a mitigation analysis where we try to separate out the effects of these drugs. And that work is still underway. Tom, one of the most vexing problems, over the decades that people have been working on treatments for obesity, has been long term results. And I'm curious about how long have people been followed on these drugs now? What are the results? And what was the picture before then? How do what we see now compared to what you saw before? The study that Bob just mentioned, the SELECT trial followed people for four years on Semaglutide. And patients achieve their maximal weight loss at about one year and they lost 10 percent of their weight. And when they were followed up at four years still on treatment, they still maintained a 10 percent weight loss. That 10 percent is smaller than in most of the trials, where it was a 15 percent loss. But Dr. Tim Garvey showed that his patients in a smaller trial lost about 15 percent at one year and while still on medication kept off the full 15 percent. I think part of the reason the weight loss in SELECT were smaller is because the study enrolled a lot of men. Men are losing less weight on this medication than women. But to your question about how these results compare to the results of earlier treatment, well with behavioral treatment, diet, and exercise back in the 70s beyond, people lost this 7 or 8 percent of weight. And then most people on average regain their weight over one to three years. And the same was true of medication. People often stopped these earlier medications after 6 to 12 months, in part because they're frustrated the losses weren't larger. Some people were also worried about the side effects. But the long and short is once you stop taking the medication, people would tend to regain their weight. And some of this weight regain may be attributable to people returning to their prior eating and activity habits. But one of the things we've learned over the past 20 years is that part of the weight regain seems to be attributable to changes in the body's metabolism. And you know that when you lose weight, you're resting metabolic rate, which is the number of calories your body burns at rest to maintain basic bodily functions. Your resting metabolic rate decreases by 10 to 15 percent. But also, your energy expenditure, the calories you burn during exercise decreases. And that may decrease by as much as 20 to 30 percent. So, people are left having to really watch their calories very carefully because of their lower calorie requirements in order to keep off their lost body weight. I think one thing these new drugs may do is to attenuate the drop both in resting metabolic rate and energy expenditure during physical activity. But the long and short of it is that if you stay on these new medications long term, you'll keep off your body weight. And you'll probably keep it off primarily because of improvements in your appetite, so y

    42 min
  6. Do ‘market driven epidemics’ drive your food choices?

    12/19/2024

    Do ‘market driven epidemics’ drive your food choices?

    For much of history, the word 'epidemic' applied to infectious diseases. Large numbers of cases of disease caused by organisms such as bacteria and viruses that spread through water, air, or other means, sometimes transmitted from person to person, or back and forth between people and animals. Then came epidemics of chronic diseases such as obesity, diabetes, heart disease - diseases occurring in very large numbers and created not by infectious agents, but by drivers in our day to day lives, such as a bad food environment. A new paper was just published in the PLOS global health literature that I found fascinating. It focuses on another use of the concept of epidemics: market driven epidemics. Let's find out what these are and find out a little bit more about their implications for our health and wellbeing. Our guests today are two of the authors of that paper. Dr. Jonathan Quick is a physician and expert on global health and epidemics. He is an adjunct professor at Duke University's Global Health Institute. Eszter Rimanyi joins us as well. She works on chronic disease and addiction epidemiology at Duke university. Interview Summary Access the PLOS article “Dynamics of combatting market-driven epidemics: Insights from U.S. reduction of cigarette, sugar, and prescription opioid consumption.” So, Jono, let's start with you. Tell us what you mean by market driven epidemics. The pattern is familiar to people. There is a product that that humans like and the business community says we can make a lot of money on this unmet need. And so they do that and they start selling a lot of it. And then people start noticing that this thing that the humans like is killing some of them. And so, the scientists do the public health. And then the business community says these scientists are going to kill the golden goose. They buy up other scientists and try to defend themselves. And then it goes on and on before we really bend the epidemic curves. This pattern of consumer products that have harmful effects, those products are major contributors to the root causes of at least a million deaths a year in the US, and over 20 million deaths worldwide. So, to try to look at this from an epidemic point of view, we first established a case definition. Our definition of market driven epidemic is a significant increase in death, disability and other harmful effects on humans and human health and wellbeing. It's arising from a consumer product whose use has been accelerated by aggressive marketing. Whose harmful effects have been denied or otherwise minimized by producers. And for which effective mitigation is possible but actively opposed by producers. So, we looked at the natural history of this, and we found five phases through which these epidemics pass. There's market development, either inventing a new product, developing a product like prescription opioids, or transforming an existing product like tobacco. Phase two is evidence of harm. First, there's suspicion, astute clinicians, whistleblowers, and then eventually proof of harm. Phase three is corporate resistance. Companies deny harm, seek to discredit accusers, commission counter science, manufacture doubt, mount legal challenges. All the while deaths and social upheaval and economic costs are mounting. And finally, our next phase four is mitigation. We get some regulatory efforts going, and there's a tipping point for the consumption and resulting deaths. And then finally, phase five of this is market adaptation. In a response to decreasing or threatened consumption, companies and consumers typically seek alternatives. Adaptations can be positive or negative. Some are healthier, some are equally or more harmful. Thanks very much for that description. It really helps explain what the concept is all about. You chose three areas of focus. You could have chosen others, but you chose cigarettes, sugar, and prescription opioid use. Why those in particular? We wanted to identify differences in these market driven epidemics in a few product categories. We wanted to look at distinctly different consumer experiences so we could see what worked and what didn't in terms of bending the epidemic curve. We picked nicotine delivery, food, and prescription medicine. And to choose within those categories we established five inclusion criteria. So, number one, the product had to have proven adverse health effects. Number two, there needed to be well documented histories of product development, marketing, mitigation efforts, and so forth. Number three, the product needed to meet the overall case definition. That is, companies knew they were doing harm, continued to do harm, and fought that harm. Number four, there needed to be long term data available for product consumption and associated impact. And number five, most important, we chose products for which mitigation efforts had already resulted in significant sustained reduction in product consumption. Based on these three criteria, cigarettes, sugar, and prescription opioids came out as the ones that we studied. Thanks. I really appreciate that description. And when we get to the punchline in a minute, it's going to be interesting to see whether the behavior of the industry in this natural history that you talked about is similar, given that the substances are so different. We'll get to that in a minute. So Eszter, I'd like to turn to you. What kind of information did you pull together to write this paper? I think I looked at over a thousand different documents. But there were two clear types that I interrogated to pull together all of our background data. The first category was publicly available data, so that could have been a clinical study, epidemiological study, advertisement by the company, CDC or other government reports, mortality data, etc. But then there was also a distinct different type of data that we really looked at and that was really useful for putting together these pictures of the natural history, which was internal documents. In some cases, these could have been leaked by an internal employee, which was the case with the so called 'brown documents' with tobacco. But it also came from sometimes court hearings or as a result of lawsuits that the companies had to release internal data. It was really interesting to compile together the different sides, of the outside look from CDC reports, and then the insider scoop from Purdue Pharma. So, it's a very well rounded, interesting way to find all this data. I admire your effort. It's a big job to do a normal scientific review where you might have 50 papers and you were looking at things that were much harder to obtain and a vast number of things that are really quite different in character. Boy, congratulations for just reading all those things. Tell us what you found. Gosh, so even though there's so many distinct differences between a lot of these epidemics, what we actually found was that there was a lot of narrative similarities. And because of that, we could really create this holistic, but also really well-fitting idea of market driven epidemics. A lot of the corporate strategies were either mirrored, imitated, or in some cases quite literally lifted over because of overlapping ownership between the companies. One of the things that we really wanted to hammer into our article was that producers not only created their product, but they also manufactured doubt. Which means that they created, on purpose, public hesitancy around their product even when they internally knew that it was harmful to health. They wanted the public to be on the fence about what the health impact of their product was. There was a lot of different ways that they achieved that goal. Sometimes it was through showing propaganda films in high schools. Which I still can't believe that happened and then that was legal. But also in different ways, like co-opting science, paying scientists to publish articles in their favor. I know a really famous example of this that has now been public is that two Harvard researchers in cardiovascular disease published saying that sugar was not harmful to health. So, there's a lot of different ways that they achieved it, but the goals overall were very similar by all the companies. You know, you mentioned overlapping ownership. And so, you might have been referring specifically to the ownership of the food companies by the tobacco companies. Correct. Because it happened a while ago, that's not something that was well known. But there's a fascinating history there about how the tobacco industry used its technology to maximize addiction and used that to develop food products and to change the DNA of the food companies in ways that still exist today, even though that ownership ended many years ago. I'm really glad you pointed that out. Yeah, exactly. I think there's this shared idea that there's a turning point for companies. Where they know internally that their product is causing harm. And what really tips them over into becoming market driven epidemics is not actually coming out and saying that there's an issue with their product or not improving it. But you know really digging that information into the dirt and saying no we're going to protect our product and keep giving this out to the public despite the harms. You know, maybe we can come back to this, but the fact that you're finding similarities between these areas suggests that there are contingencies that act on corporate executives that are similar no matter what they're selling. And that's helpful to know because in the future, you can predict what these companies will be doing because there are many more similarities than differences. Jono let me ask you this. You've talked about this appalling period of time between when there are known health consequences of use of some of these things and the time when meaningful action occurs to curb their consumption and to rein in the behavior of the compa

    29 min
  7. Embracing convergence in the RECIPES Network

    12/04/2024

    Embracing convergence in the RECIPES Network

    In 2021, American University and 15 partner institutions across the U. S. launched the Multiscale RECIPES Research Network with the goal of transforming our wasted food system into a sustainable and resilient one. Food loss and waste is a complex problem spanning societal issues such as food insecurity and food recovery, sustainable farming, food packaging and transportation, food marketing, sales and consumer preferences, family dynamics, and corporate profits, among others. A fascinating part of the RECIPES Network vision is a purposeful focus on convergence, making the research process more effective and creative in designing solutions to big problems such as these. In a recent article in the journal Ecology and Society, team members evaluated how well the network's intentional convergence efforts have worked thus far. Interview Summary Norbert Wilson - It is my great pleasure to welcome my colleague, Amanda Wood, who is a research scientist at the World Food Policy Center. Amanda Wood - Thank you, Norbert. I'm looking forward to this discussion today. Our guests come from the University of Illinois Institute of Technology Food Systems Action Lab. Weslynne Ashton is a professor of environmental management and sustainability at Illinois Tech and co directs the Food Systems Action Lab. Azra Sungu is a design researcher and strategist at the Food Systems Action Lab, who just defended her doctoral dissertation. So, our biggest congratulations to Dr. Sungu. Thank you so much for being here today. So first, I want to start by saying the RECIPES Network has gone about their work a little bit differently than most traditional academic projects by taking a convergence approach. Weslynne, would you talk about what convergence is in research, and why is this approach useful for tackling complex societal challenges like food waste? Weslynne Ashton - Convergence is an approach that really tries to integrate the best of many different disciplines. The way that they see, approach, and tackle problems. And tries to integrate them in a really holistic way, right? Like, we often operate in silos and universities and this is a way of trying to get out of that. But more than working side by side on the same topics, it really tries to pull ways of working and ways of knowing across these different disciplines. For the topic of food waste, which as Norbert described is incredibly complex, right? There are so many different dimensions. They're scientific, natural science, social science, anthropological, political science. So, there are these technical aspects, economic aspects, social aspects, as well as cultural and spiritual aspects that we really don't talk about that often. And so, a convergence approach tries to say, how can we bring together the way all of these different disciplines approach understanding and developing solutions so that the solutions we develop can be more holistic. And more likely to take hold because they are considering these different perspectives. Amanda - A lot of individuals might not see food waste as this complex challenge. They throw their leftovers in the bin and that's food waste to them. But as you say, challenges of food waste and food loss extend all the way across the food system. So, we definitely need that more holistic approach. Thanks for that bigger picture. Norbert, over to you. Norbert - Azra, I'd like to turn it over to you and ask you a question about design. And I've got to say, this is the first project that I've ever worked on where I've worked with design scholars. And so, I'm excited for you to share with our audience what actually is design. And how do you see design fitting in the context of the work that we've been doing? Azra Sungu - Thank you. Yes, it's been very exciting for me to part of such a transdisciplinary group as well. And probably in over 12 years of design education that I got, that was the most frequent question. Like my family and everyone that's asking, like, what

    33 min
  8. ATNI - driving market change towards nutrition

    11/21/2024

    ATNI - driving market change towards nutrition

    Now more than ever, it's important to challenge the world's food and beverage manufacturers to address nutrition issues like obesity and undernutrition. Today, we're going to discuss the 2024 Global Access to Nutrition Index, a very important ranking system that evaluates companies on their nutrition related policies, product portfolios, marketing practices, and engagement with stakeholders. The index is an accountability strategy produced by ATNI, the Access to Nutrition Initiative, a global nonprofit foundation seeking to drive market change for nutrition. Our guest today is Greg Garrett, Executive Director of ATNI. Interview Summary You know, I very much admire the work you and your colleagues have done on this index. It fills such an important need in the field and I'm eager to dive in and talk a little bit more about it. So, let's start with this. You know, we've all heard of the concept of social determinants of health and more recently, people have begun talking about corporate determinants of health. And your organization really is focused on corporate determinants of nutrition. Let's start with a question that kind of frames all this. What's the role of industry in nutrition, according to the way you're looking at things? And how does the Global Index shine a light on this topic? Thanks for the question. We're working primarily quite downstream with large manufacturers and retailers. But we hope to affect change across the value chain by working with that group. Of course, when we talk about private sector in food, that's a very, very broad terminology that we're using. It could include farmers on the one hand, looking all the way upstream, all the way through to SMEs, aggregators, processors, manufacturers. SMEs are what? Small and medium enterprises, small and medium enterprises, local ones. All the way through to the multinational food and beverage manufacturers. But also catering organizations and restaurants. When we talk about business what we're trying to do is ensure that business cares about portability, and access to safe and nutritious food. And I think we can say pretty safely, based on the data which we'll talk about, that the health aspects of food are still not as, they're not at the forefront like they should be. Yet. We'll dive in and talk a little bit more about what the index is and what it shows in a minute. But let's start with a kind of broader question. What is the role of diet and consumption of processed foods in influencing health? Yes, so they say now one in five deaths are related to poor diet. It's arguably now the biggest risk factor related to global morbidity and mortality. We've seen in the last 20 years a slight slowing down of our efforts to combat malnutrition and undernutrition. Whereas we've seen over nutrition, obesity, really taking off. And that's not just in high income countries, but also low- and middle-income countries. So, you know, it might be too little good food and that can lead to at the extreme end of things wasting. It might be too little micronutrients, which can lead to all kinds of micronutrient deficiencies or hidden hunger that leads to many adverse outcomes. Including, for example, cognitive decline or reduced immune system. And then, in terms of diabetes and obesity, we're seeing that really skyrocket. Not only in countries where we have excessive food intake, but also in low- and middle-income countries where they have too much food with a lot of, say, empty calories. Not enough nutrients that are needed. In fact, the recent numbers that we've been working with, it looks like in the last 20 years, obesity rates have gone from about 7.9 percent to 15.9 percent. And by 2030, it might be that 20 percent of global population is considered obese if we don't mitigate that. Right, and of course that number is many, many times higher in the developed countries. So, you've got a tough job. You talked about the complexity of the food industry going all the way

    27 min
4.6
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About

The Leading Voices in Food podcast series features real people, scientists, farmers, policy experts and world leaders all working to improve our food system and food policy. You'll learn about issues across the food system spectrum such as food insecurity, obesity, agriculture, access and equity, food safety, food defense, and food policy. Produced by the Duke World Food Policy Center at wfpc.sanford.duke.edu.

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