The Archive Appetizer: Making Farming Extension Work for Nutrition

There appears to be a resurgence in efforts to ensure that nutrition is integrated into farming practices. A decade ago, we undertook a global study to synthesize experiences on integrating nutrition into Extension and Advisory Services (EAS) — the networks of agents who work directly with farmers worldwide. I think the study remains relevant and sheds light on how to improve EAS for nutrition-sensitive agriculture. In the study we find:

• Nutrition integration is mostly limited to food availability interventions.
  The most common way nutrition enters EAS is through efforts like home gardening, crop diversification, biofortification (e.g., orange-fleshed sweet potatoes), and reducing post-harvest losses. These focus on increasing the supply of nutritious food, but less attention is given to food access and utilization dimensions of nutrition.

• Nutrition training for extension agents is inadequate.
  Extension agents typically lack sufficient technical nutrition knowledge and the “soft skills” (communication, gender sensitivity, facilitation) needed to deliver nutrition messages effectively. Training is often short, inconsistent, and without refresher courses or mentorship. Weak career incentives further discourage agents from prioritizing nutrition.

• Significant challenges hinder integration.
  Barriers include poor or ineffective nutrition training, unclear organizational mandates that overload agents, lack of female representation in the workforce, reduced mobility due to poor resources, and systemic disconnects between agriculture and nutrition sectors (different “languages,” weak coordination, and inadequate resources). These create major constraints on scaling up nutrition-sensitive agriculture.

• Opportunities exist but remain underutilized.
  Despite challenges, EAS hold promise because they already have reach, trust, and cultural familiarity with rural communities. Key opportunities lie in engaging communities through participatory approaches, creating demand for nutrition (so that households value and request nutrition services), and using innovative communications technologies (ICT, radio, mobile platforms) to reinforce nutrition messages.

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This word cloud above is enlightening. It shows the most frequently mentioned keywords by respondents to an online survey question, “What would be considered the greatest challenges in integrating nutrition into EAS?” The font size of the words placed in the word cloud represents their frequency and usefulness. The more prominent (larger text size) the word is in the word cloud, the more frequently it appeared in the online provided. Transportation, task overload, funding, and quality training were considered the most frequent challenges listed in the survey responses.

The takeaway? EAS could be a powerful vehicle for “nutrition-sensitive agriculture,” but only with sustained investment, multisectoral collaboration, and attention to equity.

🔗 A must-read, 10 years standing, for anyone working at the intersection of food, farming, and nutrition! Check out the paper here.

Food Bytes: September 2025 Edition

FOOD BYTES IS A (ALMOST) MONTHLY BLOG POST OF “NIBBLES” ON ALL THINGS CLIMATE, FOOD, NUTRITION SCIENCE, POLICY, AND CULTURE.

Food Bytes is back after taking August off (already practicing my ferragosta!). I think I say this every month, but it is hard to keep up with all the fantastic science and reports coming out. So let’s get to it.

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The “Feeding Profit” report, published by UNICEF, argues that today’s food environments are systematically failing children by flooding markets and everyday spaces with cheap, ultra-processed foods that are aggressively marketed, thereby limiting access to nutritious choices. The data support this. Globally, 5% of children under the age of 5 and 20% of children and adolescents aged 5–19 live with overweight, and for the first time in 2025, obesity among 5–19-year-olds (9.4%) has overtaken underweight (9.2%). In many low- and middle-income countries, the prevalence of overweight individuals has more than doubled since 2000, and these countries now account for 81% of the global overweight burden (compared to 66% in 2000). The report finds that children’s diets are increasingly dominated by ultra-processed foods and sugary drinks, displacing more nutritious options, such as fruits, vegetables, whole grains, pulses, and animal-source foods (see the figure on the right). It highlights that for infants and children aged 6–23 months, only a minority meet minimum acceptable diet standards — e.g., globally, ~61% meet the minimum meal frequency standard, but only ~32% achieve the minimum dietary diversity (i.e., ≥ 5 food groups). It emphasizes that food environments—encompassing pricing, availability, marketing, and convenience—strongly shape diet quality, and that poor diets are not merely individual choices but are structurally driven by unhealthy food systems that food and beverage companies often interfere with and manipulate. Finally, it advocates for reforms such as reallocating agricultural and trade subsidies toward nutritious foods, regulating marketing and labeling, and enhancing social protection to make healthy diets more accessible and affordable.

Speaking of unhealthy foods, the Nature article, “Are ultra-processed foods really so unhealthy? What the science says,” scrutinizes whether the broadly used category of ultra-processed foods is scientifically justified, arguing that the classification may be overly heterogeneous to guide nutrition policy. While numerous observational studies link the consumption of ultra-processed foods to obesity, metabolic disease, and mortality, critics counter that many of these associations stem from confounding factors (e.g., overall diet quality, energy intake) rather than the definition of ultra-processed foods itself. The piece calls for improved definitions, mechanistic studies, and nuance in policy action, suggesting that a one-size-fits-all ban or tax on these foods may misfire without a clearer scientific basis. I think many working in this space disagree….

The study “Benchmarking progress in non-communicable diseases” analyzes changes in cause-specific mortality across 185 countries from 2010 to 2019, utilizing age-specific death rates and life-table methods to estimate the probability of dying from non-communicable diseases before the age of 80. During that period, non-communicable disease mortality declined in 82% of countries for females and 79% for males; however, the pace of decline slowed compared to 2001–2010, and in a minority of countries, the probability increased. Circulatory diseases contributed most to mortality reductions, while neuropsychiatric disorders, pancreatic and liver cancers, and diabetes offset gains in many settings.

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Moving on to the area of sustainable diets, an interesting report , Meat vs EAT, was released last week, revealing a coordinated online backlash against the EAT Lancet Commission report. The backlash was driven by a network of 100 mis-influencers responsible for nearly 50% of posts and over 90% of engagement during the initial backlash. ​ Key hashtags, such as #Yes2Meat, reached 26 million people, surpassing the 25 million reached by pro-EAT-Lancet posts, with critical messages being shared six times more frequently than supportive ones (see Figure to the left). ​ Industry ties were evident, while mis-influencers monetized their advocacy through books, subscriptions, and events. None of this is shocking. With the second Commission report coming out this week, and the current global political turmoil, it will be interesting to see how they address the Commission's findings and its scientists. Their playbook? Attack the scientists, not the science. Boooo!

Let’s stay on this broad topic. A new study highlights the significant health impacts of anthropogenic climate change, including deaths, illnesses, and disabilities, with a focus on heat-related mortality, extreme weather events, and diseases like malaria and dengue. While most research has concentrated on high-income countries and temperature-related risks, recent studies have expanded to include air pollution, child health, and displacement, revealing substantial economic losses valued in billions annually. ​ The authors emphasize the need for more geographically diverse and equitable research, particularly in the global south, to better understand and address the health consequences of climate change.

Speaking of climate change, this study uses US household food purchase data (2004–2019) linked with meteorological records to quantify the effect of temperature on added sugar consumption. Results show that intake rises sharply between 12 °C and 30 °C (~0.7 g °C⁻¹), driven primarily by sugar-sweetened beverages and frozen desserts, with disproportionately larger effects among lower-income and less-educated groups. Projections under a 5 °C warming scenario suggest average daily added sugar intake will rise by ~3 g per person by 2095, exacerbating nutrition-related health risks and inequalities. Interesting study? Yes, we need to understand how climate extreme events impact dietary quality and nutrition outcomes. But are the findings significant? Probably not…3 grams of sugar ain’t much…

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And to pivot a bit, the Lancet published "Getting back on track to meet global anaemia reduction targets: a Lancet Haematology Commission." The Commission assesses why the world is far off track to meet global anaemia reduction targets and provides a roadmap to get efforts back on course. As it stands, anaemia affects nearly 2 billion people worldwide, and most countries are far off track to meet reduction targets. Five takeaways:

1. Anaemia has multiple drivers, from poverty, food insecurity, and poor WASH to infections, chronic diseases, and inherited blood disorders. Recognising this complexity is key to designing context-specific solutions.

2. Reliable surveillance is patchy. Nearly half of the countries lack recent national anaemia data for women or children, and almost none collect comprehensive cause-specific information. Better integrated data platforms are urgently needed.

3. Iron deficiency remains the leading cause, but infections, inflammation, micronutrient deficiencies, blood loss, and environmental stressors (like air pollution and climate change) all play major roles. Interventions must address this whole spectrum.

4. Reducing anaemia requires strong governance across health, nutrition, and social sectors. Equity and human rights should be central, ensuring programmes reach the most vulnerable while being tailored to local contexts.

5. The current WHO target of a 50% reduction by 2030 is unattainable with existing tools. A new evidence-based framework suggests a more realistic 12–22% global reduction, with country-specific goals that balance ambition and feasibility.

A companion article, “Anaemia in a time of climate crisis” published by your Food Archiver surveys how climate change — through effects like extreme heat, altered rainfall, and reduced agricultural yields — threatens to exacerbate global anaemia. It argues that vulnerable populations (especially women and children) in already high-burden settings will face worsening micronutrient deficits unless interventions integrate climate resilience into nutrition and health systems.

Gotta love Molly, oh how I miss the 80s!

A few interesting media pieces for your reading pleasure:

• Sushi has become the grab-and-go, convenient food. Interesting how something raw has become so mainstream. (love the shoutout to Molly Ringwald in Breakfast Club)

• An article on the beauty and craft of pizza.

• I recently traveled to Mexico City and had a hard time finding good Mexican food. Why? Damn gringos are all moving there demanding, you guessed it, sushi and pizza.

• Fantastic piece by Illana Schwartz, a Columbia University climate student, on the climate vulnerability of NY’s food supply, particularly the Hunts Point Cooperative Market, the point of distribution for 35 percent of the meat that enters the five boroughs. That’s more than 1 billion pounds of meat annually.

• A Guardian article on why meat’s contribution to climate is often ignored by the media.

• Breaking the trend of consolidation, Kraft Heinz, the makers of Kraft Mac and Cheese, Lunchables, and, you guessed it, Heinz ketchup, is breaking up:

• Last, an important article on what happens to children when they become increasingly acutely malnourished. Recall that FEWS Net and others have declared that many parts of Gaza are now experiencing famine. Incredibly tragic.

And some final random thoughts. The great Italian actress Claudia Cardinale passed away this week. We were inspired to watch her in Werner Herzog’s Fitzcarraldo. Such an insane movie. Even better is to watch the making of it in the documentary, “Burden of Dreams.” Herzog is at his finest when he discusses nature and the jungle…His words resonate on the fragility of our world and humans in it.

The Archive Appetizer: Nutrients on the Line When Trade Walls Rise

I have been going through old papers and this one from 2018 is a banger, and highly relevant to the current tariff wars. The paper examined how international food trade influences the global distribution of nutrients. Instead of focusing only on food quantity, we assessed whether trade helps countries meet macro- and micronutrient needs, and what happens under a no-trade scenario. Our central question was to determine whether trade improves nutritional equity across countries and what risks protectionist trade policies pose to food security.

Three Key Findings:

1. Global adequacy exists—but is unevenly distributed.

If nutrients were equitably distributed, current global food supply could meet average dietary needs for all major nutrients, with huge surpluses for protein and vitamin B12. However losses due to waste, conversion, and unequal distribution mean that many countries fall short, especially for micronutrients like folate and iron.

2. Trade improves nutrient equity, especially for poorer countries.

International trade reduces inequality in nutrient distribution. Without trade, disparities would be much higher, and between 146–934 million fewer people could be potentially nourished, depending on the nutrient. Low-income countries generally obtain access to nutrients through trade, except for iron and folate. The map below shows the change in the number of people who could be nourished without trade. For each country, the number of people (in millions) who could be nourished under current (average of 2007–2011) scenarios was subtracted from the number of people who could be potentially nourished under a no-trade scenario. Map breaks correspond to minimum, first quantile, medium, third quantile, and maximum for each nutrient.

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3. Protectionist policies threaten nutrition security.

While trade is not perfect—since traded foods are often low in micronutrient content and not equally accessible to the poor—it still plays a critical role in helping countries meet nutrient needs. For some critical micronutrients—like iron and folate—trade does not consistently improve availability, and in some cases makes it worse. This highlights both the benefits and vulnerabilities of relying on global markets for nutrition but also, restricting trade would likely worsen global undernutrition and inequality in access to key nutrients.

Check out the paper here.

Food Bytes: June 2025 Edition

FOOD BYTES IS A (ALMOST) MONTHLY BLOG POST OF “NIBBLES” ON ALL THINGS CLIMATE, FOOD, NUTRITION SCIENCE, POLICY, AND CULTURE.

I just returned from an unforgettable trip to Lao PDR, with two stopovers in Bangkok, Thailand. Laos is a country of striking contrasts—on one hand, it moves with an unhurried, almost meditative rhythm; on the other, it carries the weight of a complicated past, still navigating the long shadows cast by war, particularly the enduring legacy of unexploded ordnance.

By Jess Fanzo, Luang Prabang

As many of you are aware, I’m currently working on a book that explores how the counterculture movements of the long 1960s have shaped today’s food systems. Inevitably, that journey includes grappling with the legacy of the Vietnam War, and as an American, traveling through this region stirs deep reflection. It's impossible not to think about the imprint left behind by U.S. military action and the resilience of communities who’ve had to rebuild in its aftermath.

Yet what struck me most was how far this part of the world has come. There’s a quiet strength in Laos, a gentle pride in its culture, and a determination to move forward without forgetting the past. It’s a powerful reminder of the world’s ebbs and flows, and how, even in the face of immense hardship, there’s the possibility of healing. “This too shall pass” kept echoing in my mind—not as a dismissal of pain, but as a recognition of time’s capacity to soften and transform.

Onward to this month’s Food Bytes.

IFPRI put out a bible in this year’s Food Policy Report. Where the rubber meets the road is Section 5, on effective change and the factors that determine how policy change occurs. One of our new papers led by Stephanie Walton (who is doing amazing work at Oxford) suggests that addressing asset stranding proactively, rather than trying to prevent it, could be a powerful lever for change.

Some great data exercises are out that provide useful nuance in how our food systems are performing. First up is the Systems Change Lab, which assessed progress for 32 outcome indicators in the food system. To help spur transformational change, we also highlight 58 critical enablers and barriers. Results of their analysis? NOT GOOD. The second is by the Better Planet Laboratory, which identifies food flows through nearly every major port, road, rail, and shipping lane worldwide and traces goods to where they are ultimately consumed. It’s called the Food Twin Map.

There are also some great people producing worthy pieces to read and follow. First, the great Bill McKibben has a Substack. I encourage you to read one of his latest entries, “So many moving pieces.” Nicholas Kristof is fighting the good fight and producing many excellent pieces on how the US government’s actions are harming global health and nutrition. Check out this, this, and this. Other institutions are getting in on the action. Bloomberg News has launched a new food column, titled "The Business of Food." The UNDP appears to be making a play in the food systems sector, including the launch of a new Conscious Food Systems Alliance. Fascinating!

Some highlights from journalists writing about food:

• An interesting take on RFK Jr’s Make America Great Again policy: Grocery Update Volume 2, #4: MAHA Or Misdirection. Grocery Nerd argues that the “MAHA” framework may serve more as political window dressing than actual change.

• DeSmog reported that food giants Nestlé, JBS, PepsiCo, Mars, and Danone are overstating their climate commitments—leaning heavily on unproven carbon removal schemes, neglecting methane reductions, and relying on weak, loophole‑filled deforestation pledges—according to a new report from the NewClimate Institute and Carbon Market Watch. Gee, what a shocker…

• In this article by Grist, the blending of at least 30% vegetables or plant proteins into meat products—known as “balanced proteins”—can deliver taste and price similar to conventional meat, while significantly reducing greenhouse gas emissions.

• This fascinating article in The New Yorker, entitled “Schmear campaign: How a Hazelnut Spread Became a Sticking Point in Franco-Algerian Relations,” is about how the European Union has banned Nutella competitor El Mordjene, a move some see as politically and racially motivated.

• In the New York Times, they have a new series, “What is History.” They kicked off the series with two articles on food: One by Jacques Pepin on culinary pursuits and the other by Carey Fowler on the biodiversity of our food supply.

• I fully admit to being a fan of Elizabeth Kolbert, and she delivers with her latest article: "Do We Need Another Green Revolution?" Worth your time to read along with all of her work.

• Michael Grumwald has a new book out, and he wrote a piece, A Food Reckoning Is Coming, as part of his book tour. Another worthwhile and perhaps divisive read.

Some highlights from the science literature

• This study validates the Healthy Diet Basket—a least-cost dietary model based on food-based dietary guidelines—as a globally consistent benchmark, finding that it delivers adequate macronutrients and micronutrients at about US $3.68/day.

• Whereas this study argues that dietary species richness (DSR)—a measure of the number of different edible species in a diet—is the most effective global marker for capturing food biodiversity. They also show it correlates strongly with lower mortality in Europe compared to other diversity indices, and tracks micronutrient adequacy in low- and middle-income countries.

• Speaking of diets, this study uses a linear programming model of over 2,500 U.S. foods to show that individually tailored vegan, vegetarian, and flexitarian diets (with ≤255 g of pork and poultry per week) can meet nutritional needs, align with the Paris Agreement's 1.5 °C climate target, yield up to ~700 healthy-life minutes per week, and reduce climate impacts sevenfold.

• Fortification remains essential and is considered a cost-effective way to fill nutrient gaps. Check out this modeling paper.

• On processing…This NEJM perspective argues that mounting evidence linking ultraprocessed food consumption to increased calorie intake, obesity, and chronic disease necessitates regulatory policies—such as front‑of‑package labeling, marketing restrictions, and excise taxes—to curb their public health impact. Not sure there’s anything new here.

• Numerous modeling papers are being published on the impacts of climate change on food production. This paper models six usual suspect staple crops — maize, soy, rice, wheat, cassava and sorghum — and finds that for every 1 °C increase in temperature, food production will decline from current levels by 120 calories per person per day, but that income growth and adaptation strategies could alleviate 23% of global losses by 2050 and 34% by 2100. Gulp.

• Should we consider alternatives like insects? According to this article, that may not be the case. The title alone is click-worthy: Beyond the buzz: insect-based foods are unlikely to significantly reduce meat consumption.

• Maybe it’s time to start building climate-resilient systems - not just food, but across all systems. Check out our new policy paper, which argues in this manner.

For those interested in broader development issues, the Sustainable Development Report 2025 is now available. Another report that feels more like a book on how the world is progressing on those pesky goals that would make the world a better place and leave no one behind. Related to that, we have a new paper on how pastoralists are coping with resource constraints, conflict, and climate extremes. We initiated this work a decade ago in Isiolo County, Kenya, utilizing photo elicitation and semi-structured interviews with Borana and Turkana pastoralists to gain a deeper understanding of the constraints hindering their ability to practice pastoralism and to identify opportunities for better supporting pastoralist communities with climate-resilient strategies. And last but not least, a conversation about The Myth of the Poverty Trap.

And do check out our new Food for Humanity podcast! This limited series is all about alt-proteins.

That’s all, folks. Have a wonderful, safe, and delicious summer!

Food Bytes: October 2024 Edition

FOOD BYTES IS A (ALMOST) MONTHLY BLOG POST OF “NIBBLES” ON ALL THINGS CLIMATE, FOOD, NUTRITION SCIENCE, POLICY, AND CULTURE.

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There is much to catch up on in this month’s Food Bytes. The fall season here in the U.S. always brings a lot of productivity. There seem to be more meetings, more papers, and more output. We just finished the UN General Assembly and Climate Week in New York. I love seeing so many friends and colleagues come to town, but it is exhausting. There are so many “side” events. We hosted a Bollinger Convening at Columbia’s Climate School that brought together some of the best people in the food systems field, including the President of Malawi, the PM of Haiti, and the First Lady of Brazil. Good times were had by all, but I deeply wonder if all the time, money, and greenhouse gases spent flying to NY actually amount to meaningful change. There were swanky events where people were nibbling on gourmet hors d'oeuvres, drinking champagne cocktails, and pontificating about solving poverty through quick tech fixes…It is a bit nauseating, to say the least. The same goes for COP, Davos, etc. As one of my colleagues said, “Just say you want to bring all your friends into town and have a big party. But don’t think you will solve the world doing so.” Point taken. Ollie Camp at GAIN did an excellent re-cap for those who couldn’t make it to Gotham. For an even briefer re-cap, all the food-focused events seem to be honing on two topics: (1) regenerative agriculture (what exactly is it?) and (2) the livestock conundrum. The UN produced a Pact for the Future with 56 actions for a global transformation protecting present and future generations. Is this the next set of Sustainable Development Goals?

Reports

The Tilt Collective, a new initiative focusing on plant-based foods, made a big splash at Climate Week. It will be interesting to see where they go. They have a report to explain their plan further, and the CEO, Sarah Lake, summarizes her modus operandi on a Tedtalk that can be found on the Tilt homepage. The Gates Foundation also released its Goalkeepers report and had a splashy event at Climate Week, focusing on nutrition. They argue that “No other global health problem requires a larger-scale solution than malnutrition.” I tend to agree…

Speaking of nutrition, the World Bank released their much anticipated Investment Framework for Nutrition. They argue that scaling up nutrition interventions to address undernutrition globally will require an additional $13 billion annually over the next ten years (2025-2034). This would mean $13 per pregnant woman and $17 per child per year under five years. This investment could avert 6.2 million deaths in children under age five and 980,000 stillbirths over the next decade.

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Food systems are garnering attention from less traditional UN bodies. UNDP released a white paper on food system transformation. I'm not sure it says much more than what we already know. UNEP has a rich interactive site called the Journey of Food. The most depressing report of all is the WWF’s Living Planet Report. The average size of wildlife has decreased a staggering 73% since 1970. Most of that is driven by habitat loss (see the figure to the right showing the drivers of species loss in North America), mainly from agriculture. Read the report — it is depressing but critically important for our planet and us.

Science papers

It is getting hard to keep up with food-climate-nutrition scientific output these days because there is just so much of it. This is a good problem to have. Here are some highlights of what I have been reading over the past two weeks.

• Nature Food’s September issue is rich in sustainable diet science. I appreciated Loken and colleagues' paper on the importance of culture to diet health and sustainability.

• If you want to double down on your doomsday depression about the state of the planet, Ripple and colleagues deliver yet again! Bottomline? We are so screwed.

• Emmerling and colleagues have a fantastic paper in Nature Climate Change that examines the relationship between climate change and inequality. The scientists model that by 2100, climate impacts will increase inequality by 1.4 points of the Gini index on average. If we stay within the Paris Climate Agreement to stay below 1.5 °C, long-term inequality increases by two-thirds but increases slightly in the short term. It's so great to see this topic getting some attention.

• Last, the Lancet published the Earth Commission report. In it, they “quantify safe and just Earth-system boundaries and assess minimum access to natural resources required for human dignity and to enable escape from poverty. Collectively, these describe a safe and just corridor essential to ensuring sustainable and resilient human and planetary health and thriving in the Anthropocene.” It is a long read but worth it.

• The Food Compass, out of Tufts University, has published its second paper, improving on its nutrient profiling system that assesses the healthfulness of diverse foods, beverages, and meals. Their score, named FSC grouped foods into three categories: foods and beverages scoring ≤30 are those to be minimized, foods and beverages scoring 31–69 are those to be consumed in moderation, and foods and beverages scoring ≥70 are encouraged. They found that among all products, 23% scored FCS ≥70; 46%, FCS 31–69; and 31%, FCS ≤30. Most beverages (54%) and animal fats (92%) scored ≤30; whereas most meat, poultry, eggs and dairy scored 31–69. Most products within seafood, legumes, nuts, vegetables and fruits scored ≥70 (82%, 80%, 89%, 63% and 53%, respectively. Nothing too shocking no?

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Media

Of course, our favorite media outlets are always generating some food journalism.

• This BBC piece is balanced about the ultra-processed nature of plant-based alt foods. Thanks for sending it my way Hermano Herrero!

• The FT has highlighted this notion that the US has reached peak obesity. Is it behavior change or ozempic?

• The scorching and dredging of the Amazon is happening, and the potential devastation to ecosystems and those who depend on its mighty waters is for realzzzz. Brings me back to the piece I wrote about rivers.

• The hippie-dippie Erowon-esque food crazes won’t die, and the city of Los Angeles leads the way in blisfull ridiculousness. This New Yorker article captures the insanity well.

• Love tuna? So do I but should we be eating so much of it. The NYT fishes around for the deets.

• Speaking of tuna, I started watching the series, Omnivore, curated by the chef, Rene Redzepi. Each episode focuses on a singular food or ingredient. The first is on tuna. Great watch about the importance of food across many cultures.

And that’s about all she wrote for this month. Just some final closing words. This month was not the easiest for many people. Some parts of the world are in intractable conflict. My parents lost just about everything in Hurricane Helene, and my good friend Richard Deckelbaum passed. And the U.S. election has me filled with much dread. Yesterday, I turned 53 and have much to be grateful for. My parents are alive and okay. Richard led a long, amazing life. And people are out there fighting the good fight for democracy, climate action and the world's wellness. I am filled with hope. And not the kind of hope that is a belief that everything was, is, and will be fine. It is the kind of “hope” about the possibilities and the actions for our future.

The Archive Appetizer: Climate services servicing nutrition

The Archive Appetizer is a short musing on a topic, distinct from our longer regular blogs and monthly Food Bytes posts. Let’s get started.

Since coming back to Columbia, some of our research has taken on a new focus of climate services. What exactly are climate services? I like this definition published by the Climate Service Journal (it seems like a legitimate source, in my opinion). They define climate services as:

“The transformation of climate-related data (from the past, present or future) - together with other relevant information - into customized products such as projections, forecasts, information, trends, economic analysis, assessments (including technology assessment), counselling on best practices development and evaluation of solutions and any other services in relation to climate that may be use for the society at large.”

How climate services are generated, translated, transferred and used.

Climate change and climate-related extreme events have multiple negative effects on global public health including food insecurity, infectious disease burden, malnutrition, and diet-related non-communicable diseases. Today, there is a growing recognition that public health and nutrition practitioners (PHNPs) need access to climate services to be better equipped and tackle more effectively the complex health challenges of climate disruption for the populations they serve. However, evidence suggests that local PHNPs rarely use climate services efficiently or effectively to prevent malnutrition and provide better health care to the populations in which they serve. This is a critical gap, as these PHNPs are responsible for designing and implementing health-nutrition program interventions when and where they are most needed.

We have started a project that is designed to address this gap directly. In this project, we posit that targeted climate services that focus more intentionally on improving nutrition and health programming have the potential to lead to even more significant improvements in health outcomes. Bringing together a transdisciplinary team of climate and public health, nutrition, and policy experts, the project will be conducted in Ethiopia and Indonesia, where multiple forms of malnutrition and infectious disease are endemic and where risks of climate stress are recognized and well documented.

Stay tuned….

Climate-resilient communities are nutrition-resilient communities

This piece was originally published as a commentary in Nature Climate Change.

Climate change and nutrition are closely interconnected. Climate variability, which includes year-on-year variations in climate and longer-term climate trends, can disrupt both health and food systems, leading to increased food insecurity, reduced access to quality diets, and worsened burdens of malnutrition, particularly for vulnerable populations, including women and children.

While the 2021 UN Food Systems Summit made some advancements in integrating climate change actions into food system transformations, nutrition, more specifically, is still not mainstreamed into the larger climate change agenda or global commitments made at the annual global COP meetings. At the same time, the field of nutrition has yet to fully consider climate-responsive adaptation strategies in its core policy and programming.

One first step towards more engagement between climate and nutrition communities is for climate scientists to provide climate information (such as weather and climate variability forecasts and projections) to health practitioners delivering nutrition interventions through the public health sector. By providing them with information that is easy to understand and use, practitioners will be better equipped to tackle the complex health challenges that come with climate disruptions for the populations they serve.

It is unclear how local nutrition practitioners use climate information in their day-to-day decision-making. Understanding this uncertainty is critical, as these practitioners are responsible for targeting health–nutrition program interventions where and when they are most needed, including reaching the most vulnerable populations in resource-constrained settings. Such climate information includes

(1) risk assessments for better targeting of actions,

(2) early warnings of extreme events, and

(3) long-term planning and preparedness to improve the design of short- and long-term adaptation strategies that target timely nutrition interventions throughout the health system.

Some examples of cost-effective interventions that aid the public health sector in adapting to climate variability and change include stockpiling supplements and therapeutic foods to treat acute malnutrition and prioritizing the management of infectious disease treatments that ultimately impact nutrition outcomes (that is, deworming medicines, materials, and oral rehydration salts). In addition, ministries of health can leverage climate information for planning and preparedness, such as strengthening capacity, resources, and infrastructure to assist communities in adapting better to near- and long-term events. Last, timely digital technology of early warning systems (that is, climate forecasting information) should be scaled up and reach communities disproportionately impacted by climate change. These technologies should complement the outreach of community health workers to ensure that households have fundamental services such as access to an environment that enables breastfeeding, clean drinking water, and safe, sufficient, and diverse foods.

Equipping public health nutrition practitioners with knowledge, confidence, and motivation to incorporate climate information into their daily work has multiple benefits. First, the climate science community can better respond to health system needs by co-generating and co-translating climate information that is understandable and actionable and ultimately supports climate adaptation and resilience. Second, better use of this climate information will ensure that health practitioners have the skills and abilities to construct public health nutrition programs that are more climate resilient. Last, with more targeted programs, nutritional needs can be better prioritized and served among communities coping with and adapting to a changing climate.

'Coz I'm the tax man

I get asked a lot about whether taxing soda is effective. There has been a lot published on taxing food and beverages that are deemed bad for us. So what gives? Does taxing soda have any impact on our health? This is my take on the science, but first, let this jig run through your head….

Should five percent appear too small
Be thankful I don't take it all
'Cause I'm the taxman
Yeah, I'm the taxman

I'll tax the street
(If you try to sit, sit) I'll tax your seat
(If you get too cold, cold) I'll tax the heat
(If you take a walk, walk) I'll tax your feet

TAXMAAAAAAAN!!!

Sugar-sweetened beverages (SSBs) are nonalcoholic beverages containing added caloric sweeteners. In addition to carbonated soft drinks or sodas, SSBs include energy and sports drinks, less-than-100-percent fruit or vegetable juices, ready-to-drink teas and coffees, sweetened waters, and milk-based drinks. SSBs are widely consumed worldwide, and the retail sales of these beverages have been increasing over the last decade. Their consumption has been associated with obesity, diabetes, heart disease, and other detrimental non-communicable diseases (NCDs). Because of their unhealthy nature, the World Health Organization has included a range of policy priorities, including SSB taxes, to help countries combat NCDs and improve the overall health of the global population.

Taxes on SSBs have been introduced in 118 countries, with 105 at the national level and 13 at the subnational level, covering 51% of the world’s population. Most SSB taxes are implemented using excise taxes (88%), with a handful of other countries implementing them through mechanisms such as import taxes, differential Value-Added Tax (VAT), Goods and Services Tax (GST), or regional sales tax (see the figure below). These excise taxes occur mainly as tax pass-throughs, in which the price increase of the taxed product falls on the consumer. In the U.S., for example, 70% of SSB taxes are passed onto consumers through higher-priced SSBs.

Types of SSB taxes being implemented around the world

In a systematic review and meta-analysis of 62 empirical studies of SSB taxes across 45 countries, the majority of SSB taxes were implemented as a tax pass-through. While the impacts were heterogeneous across the countries, the demand for SSBs was sensitive to tax-induced price increases, with a mean reduction in sales of SSBs by 15%. The sales resulted in no substitution towards healthier, untaxed beverages (e.g., bottled water). Another review argued that SSB taxes provide no substantive changes to dietary or purchasing behavior due to the lack of substitution towards healthier alternatives. Another study found that while SSB taxes modestly reduced the purchases of some taxed beverages in the taxing jurisdiction, consumers respond to the taxes by increasing cross-border shopping, in which they go outside the taxing jurisdiction and buy those same taxed beverages at a lower cost. However, taxes may spur downstream effects on other industry responses and policies, including reformulating products to reduce sugar consumption in those beverages, as was seen with the graduated sugar tax implemented in the UK.

Of the tax policies around the world, 73% are implemented in low- and middle-income countries (LMICs), with the highest in South Asia. However, LMICs face many challenges in implementing SSB taxes, including a lack of political will and resources, weak national capacity to implement policies, large informal food sectors, and substantial influence of the food and drink industry on policy development.

The question remains whether SSB taxes can result in healthier dietary patterns and reduce the health implications accompanying excess consumption of these products – particularly NCDs. Most of the evidence — particularly from  Nakhimovsky et al., 2016; Niebylski et al., 2015; Teng et al., 2019; and Thow et al., 2014 — suggests that SSB taxes have impacted the purchases of taxed products to varying degrees, but not necessarily long-term and impactful behavior change towards healthier diets and improvements in health. One potential reason may be that the SSB taxes translate to only a 5 to 22-kilocalorie reduction per capita daily. This is insufficient to have a meaningful impact on disease outcomes. Some researchers suggest that one way to deal with this is to raise the current tax rates from the current approximate 5% to 20%. This would also be aligned with the WHO’s recommendation for at least a 20% tax on SSBs. Several countries, such as Qatar and Saudi Arabia, have substantive (50-100%) excise taxes on SSBs, which are more in line with the taxation rates of tobacco.

The question is whether other foods, particularly red meat, should be taxed due to their significant implications on the environment and contributions to climate change. While consuming red meat in high amounts can contribute to NCDs, red meat is also a source of important nutrients. If a tax on red meat makes them prohibitively expensive for those who already struggle to afford these foods, it could put these nutrient-dense foods even further out of reach for the world’s poor. Thus, a “carbon tax” on red meat might be appropriate in wealthy countries with strong social protective measures and in countries with disproportionately high levels of red meat consumption.

Can Fixing Dinner Fix the Planet?

Two years ago, I embarked on the writing of my very first book. Coming from a field of expertise that values peer-reviewed scientific publications more than books, I did not think it was in the cards to consider authoring a book about my discipline and my experience working in that discipline. But here we are, and tomorrow, my JHU Press Wavelength series trade book, Can Fixing Dinner Fix the Planet? will be released. The pandemic helped, unfortunately. It nudged me to sit still and put pen to paper.

The book investigates the interactions among food systems, diets, human health, and the climate crisis. It draws on my experiences (along with my team and many colleagues) working and living in Africa, Asia, Europe, and the Americas. It describes how food systems must change to slow and reverse the stark trends we see with increased hunger and obesity, catastrophic climate change, and inequities. The book draws attention to the idea that the very nature of food and food systems can play a significant role in fixing these vexing challenges and bring communities together.

Food books abound—cookbooks by celebrity chefs (thanks Anthony Bourdain!), history of food and cuisines, and self-help diet books. My book does not delve into these areas much. Instead, it delves deep into politics and shows that if we take a “business as usual” path of how food systems have, are, and will operate, there will be significant negative consequences on human and planetary health. It provides examples of what can be done by the various actors like government and food and agriculture industries to promote healthy, sustainable, and equitable diets, sustain the earth’s biodiversity, and protect the environment and all species living on the planet. And last, it raises readers’ food and environmental literacy and empowers readers to take immediate and long-term changes by helping them make informed decisions when they walk into restaurants, grocery stores, farmers' markets, and their kitchens.

The book changed the way I communicate my work. It is not easy to write about a complex topic like food systems and ensure that it inspires eaters, global experts in governments, and those working in and shaping food systems to make better decisions. I tried my best to bring to life some of my experiences working in different countries—from very poor to prosperous—and the experiences of those I have worked with and shared time with in deeply rural and urban pockets of the planet. It provides a nuanced story that takes you away from computer and desk research to farmer’s fields, families’ kitchens, and United Nations’ working forums.

I hope the book shows readers how our everyday diets are the products of massive, interconnected, and highly complex food systems that extend from the seedlings in a farmer’s field to the global distribution and marketing networks that deliver food to our plates. These systems have direct and substantial impacts on poverty, the planet’s natural resources, the nutrition of individuals and populations, the composition of the atmosphere, and social equity. They also are incredibly vulnerable to the climatic changes that we have already seen and that will accelerate in the future.

The lost art of reading a book

I recently did an interview for the Reading List with Phil Treagus. I am a big book fan (my better half is a book publisher and archiver) but especially books on food (go figure). I also have two books coming out this year that I am pretty excited about. The first is through Johns Hopkins University Press titled “Can Fixing Dinner Fix the Planet?” The book is my own take on improving food systems and brings in a lot of my own experiences working on food issues in different places in the world. It comes out May 2021. The second book is a textbook published by Palgrave titled “Global Food Systems, Diets and Nutrition: Linking Science, Economics and Policy.” My colleague Claire Davis and I are excited to see this book out in June 2021.

This is what I had to say about books and you can also go to the original interview here.

How do you describe your occupation?

Educator and researcher of food systems.

Talk us through a typical day for you…

My day starts with a series of very early morning (begins around 5 am) zoom meetings with other researchers and organizations (UN, NGOs, etc.) working in Europe, Africa, and Asia on projects, publications, or initiatives. If I am not teaching a course that semester, I usually have one guest lecture to do and am usually on one or two public panels/webinars/keynote talks throughout the day. I try to block some time to read, write and do data analysis and, of course, to exercise (one hour a day)—usually mid-morning or late afternoon. Sometimes, I have 10-15 meetings throughout the day, so having concentrated focus time is challenging. Dinner is always the highlight of the day. We eat early, like 5:30, and my husband whips up gourmet meals. We usually watch something on Netflix or Criterion for about an hour or so. Then back at it to do a bit of writing in the early evening. I am in bed (and asleep) by 10 pm.

What are you reading at the moment, and what made you want to read it?

Science Fictions: How Fraud, Bias, Negligence, and Hype Undermine the Search for Truth by Stuart Ritchie. With so much dis- and misinformation on facts, data, and evidence, and the significant conflicts of interest in the food world, I was very keen to look inward into the science community that generates information. Where have we failed? Where are our faults? What could we do better? This book highlights the pitfalls of how we develop, communicate and vet science (with nutrition examples throughout the book) and turns the mirror on the science world. It is fantastic!

Can you remember the first book you read by yourself?

It is a toss-up. The two that stand out to me and are forever imprinted on my brain is Mrs. Frisby and the Rats of Nimh by Robert O’Brien and James and the Giant Peach by Roald Dahl. Strangely, and I haven’t thought about this until just now, both involve the food world. Mrs Frisby (a mouse) needs to move her home, which is endangered from the fields’ annual spring plowing. She asks a sophisticated bunch of rats for help. The story of James centers on a boy who enters a peach, and his world changes. Both stories highlight the magic and mysticism of ecosystems and experiences with that magic.

Are you a page folder or a bookmarker?

Page folder. But I go one step further. I fold the top of the current page I am reading so I know where I am the next time I pick up the book. I fold the page’s bottom if there is something on that page I want to go back to or research later.

Can you tell us a little more about the Global Food Security Journal?

The Journal strives to publish evidence-informed strategic views of experts from a wide range of disciplinary perspectives on prospects for ensuring food security, nutrition, and health across food system issues. We wish to publish reviews, perspectives articles, and debates that synthesize, critique and extend findings from the rapidly growing body of original publications on global food security, nutrition, food systems, and related areas; and special issues on critical topics across food security, food systems, and nutrition including how these are impacted by climate and environmental dynamics.

If you could gift yourself books at age 16 and age 25 – what would they be and why?

The Omnivore’s Dilemma: A Natural History of Four Meals by Michael Pollan and The End of Food by Paul Roberts. Pollan has mastered the craft of telling compelling food stories that have political, social and environmental repercussions in such an approachable way. While the book focuses mainly on the United States, it does raise questions as to the sustainability and ethics of how we grow our food and the individual dietary choices we make every day. Pollan has his fair share of critics, but I have yet to see an academic write such a compelling narrative on the fractured global food system. Paul Roberts’s book had an even deeper impact on me. It was hard to eat after reading his book because essentially, you feel the world is doomed! As Jim Morrison of The Doors sang, “the future is certain and the end is always near.” The End of Food, as the title suggests, brings those lyrics to life…

If you could invite 5 authors (dead or alive) to a dinner party – who would they be and why?

Amartya Sen (for his incredible influence on how we view poverty, famine, and human development and his many authored books including Poverty and Famine). Mark Kurlansky (for his incredible journalistic deep dives into things like Salt, Cod and Paper). Leah Penniman (author of Farming While Back and co-owner of Soul Fire Farm. A walking the talk author and entrepreneur!). Rachel Carson (for her landmark book Silent Spring that influenced the entire environmental movement). Joseph Campbell (his vast knowledge on the human experience and author of A Hero with a Thousand Faces). I highly recommend the interviews he had done towards the end of his life with Bill Moyer. After watching that, I wanted to be better at my craft.

What was the last book you purchased, and why did you buy it?

New Climate War by Michael Mann. Michael is a climatologist at Penn State. He is a clear communicator and fantastic science whose work has helped build the evidence on global warming. His new book is all about the politics of inaction on climate. In the food world, and very much tied to climate, we face similar issues of political inertia, interference and power imbalance of powerful industry players and complex scientific messages. Hopefully, I can learn something from Mann’s experience in battling the “merchants of doubt” and how he and others have fought to keep the evidence of climate change on the top of the global agenda.

What is your favourite thing about reading?

The quiet time and the ability to reflect on other’s views, worlds, and perspectives. I also find that I like the feel, experience, and act of reading an actual book as opposed to an e-book or an audiobook.

What’s the best book you’ve read in the last 6 months?

The Fire Next Time by James Baldwin. Written in 1962 but felt like it was written in 2020.

In your Twitter bio you describe yourself as a ‘goat lover’, I have to ask you to elaborate on this…

Goats are just so cool. Resilient, smart, and independent. And did you know they can surf? My husband and I even keep a blog, named “Goat Rodeo.” Speaking of books, there is a great book about goats entitled Goat Song by Brad Kessler who leaves New York City with this partner to go raise Nubian goats in Vermont.

If you could insert yourself into any book, which would you pick and why?

This is a tough one! Maybe Rats: Observations on the History and Habitat of the City’s Most Unwanted Inhabitants by Robert Sullivan. Robert would roam the city streets of New York in the silence and darkness of night observing what rats would feast on, and how they lived their lives. I am disgusted by but fascinated with these resilient little creatures and it would have been fun to spend a year doing this sort of rodential research. Turns out their diets are a lot like humans…they like junk food.

What is the book that you feel has had the single biggest impact on your life? What impact did it have?

This is really a tough one. I want to say Ulysses by James Joyce but that is a total lie. Perhaps Silent Spring by Rachel Carson. As a trained molecular nutritionist, it upended the way I think about food, human health and environmental sustainability. I pulled my head out of the petri dish and have focused much more on their connections and the macro- long view of food systems and how and where they fit into sustainable development.

If you could only own three cookbooks, which would you pick and why?

Anything by Alice Waters but especially The Art of Simple Cooking. She lays out the necessities of cookware, ingredients and basic recipes you need to at least feel like you are cooking organic, wholesome food straight out of the 1970s Berkeley. She also just propels food and cooking to an art form. Bibi’s Kitchen because it highlights the diversity of Africa’s cuisine told through and shared by grandmothers. Salt, Fat, Acid, Heat: Mastering the Elements of Good Cooking by Samin Nosrat. She makes cooking so approachable.

Are there any books you haven’t mentioned that you feel would make your reading list?

I’d also include:

Chronicles by Bob Dylan,
Just Kids by Patti Smith (I am a big fan of music books),
Salt Sugar Fat by Michael Moss,
Blood, Bones and Butter: The Inadvertent Education of a Reluctant Chef by Gabrielle Hamilton,
Food Politics and Soda Politics by Marion Nestle (see our interview with Marion Nestle),
Mass Starvation by Alex De Waal,
One Day I will Write About this Place by Binyavanga Wainaina,
Four Fish by Paul Greenberg,
Sweetness and Power by Sidney Mintz,
The Wizard and the Prophet by Charles Mann,
and The Way we Eat Now by Bee Wilson.

Which book sat on your shelf are you most excited about reading next and why?

The Secret Life of Groceries by Benjamin Lorr. I love the premise of this book. The author takes the reader through the inner workings of the nebulous supermarket that has become the powerhouse influencer on our diets. I am sort of scared though. I have a feeling I am going to never want to set foot in a supermarket again after reading this. Much like how I felt after reading Fast Food Nation by Eric Schlosser. I have yet to eat at McDonald’s (not that I really want to) since reading that book…