Big Sugar’s scandalous sweetheart deal with public health experts exposed
RT | February 12, 2015
British public health experts issuing guidance on obesity receive hundreds of thousands of pounds from the sugar industry, an investigation has found.
Funding from companies including Coca-Cola, PepsiCo and Nestlé has flowed into scientific research bodies such as the UK’s Scientific Advisory Committee on Nutrition (SACN) and the Medical Research Council (MRC) for over a decade.
Scientists whose work was at least partly funded and sometimes fully funded by the sugar industry include Professor Susan Jebb, the government’s obesity tsar.
Leading scientists blamed the government’s funding cuts for forcing researchers into the arms of Big Sugar, while one doctor told RT the findings were “disturbing.”
The report comes at a time when medical experts say daily guidelines on sugar intake are misleading, with the average Briton consuming two to three times the World Health Organization’s (WHO) recommended limit.
According to the BMJ’s investigation, one government-funded organization, the MRC’s Human Nutrition Research unit in Cambridge, received an average of £250,000 a year for the past decade from Big Sugar.
Other scientists received consultancy fees from Boots, Coca-Cola, Mars, Cereal Partners UK and Unilever. They have also sat on advisory boards for Coca-Cola, the Food and Drink Federation and the Institute of Grocery Distributors, the report claims.
Nutrition scientist Susan Jebb, who is the UK government’s adviser on obesity, received £1.37 million in industry funding between 2004 and 2015, according to the investigation.
This money came from food and retail companies including Cereal Partners UK, which operates under the Nestlé brand, Rank Hovis McDougal, Sainsbury’s, Coca-Cola’s Beverage Institute for Health and Wellbeing and Unilever.
In a statement published via the Science Media Centre, Jebb rejected the BMJ’s investigation.
“It refers to a series of studies in which I was involved which included funding from industry. None of these involve research into the effects of sugar on health,” she said.
“I have received no personal remuneration from any of these projects. All have been conducted according to all the MRC governance arrangements for working with industry and the industry involvement has been declared.”
Dr Aseem Malholtra, a cardiologist and Science Director at the medically led Action on Sugar, told RT the findings were “disturbing.”
“I think it’s quite disturbing. I think the public would be appalled that the people advising them on what they eat are receiving money from the food industry.”
“We know that biased funding for research is one of the root causes of problems within healthcare at the moment. Whether it’s food industry funding or pharmaceutical funding.”
Malholtra said the average UK citizen consumes 2-3 times the WHO’s recommended sugar intake.
“The labeling of sugar remains extremely misleading. The guidelines’ daily amount doesn’t distinguish between added sugars and what’s intrinsic to the product,” he said.
“The current sugar labeling suggests one could consume 22 teaspoons of sugar a day as part of your daily amount. The WHO advice is for 6 teaspoons per day.”
“My question is: what are the scientists doing turning a blind eye?”
Former SACN chair Alan Jackson blamed the government’s research funding cuts for pushing scientist towards industry money.
Universities are estimated to have lost over £460 million in government research funding between 2009-10 and 2012-13, a financial burden which has seen them turn to business for over £2 billion over the past decade.
Jackson said scientists were encouraged by the government to develop a “mixed portfolio of support” for their research which explicitly included help from industry.
“So most, if not all, researchers will have some form of industry support and funding and hence have potential conflicts of interest,” he told the BMJ.
“By the very nature of its complex roots and wide interdisciplinary engagement nutrition has particular vulnerabilities in this regard, but it is by no means unique to nutrition.”
READ MORE: Child obesity looms large, with 1/3 of European teenagers overweight
FDA fails to report fraud in clinical trials – study
RT | February 10, 2015
The Food and Drug Administration (FDA) routinely fails to report evidence of fraud or misconduct when it inspects the way researchers conduct clinical trials, leaving the public unaware of which research is credible and which isn’t.
Researchers at New York University found that in dozens of published papers where the FDA had uncovered faults in clinical trials, only three ever indicated that violations occurred. In a stem cell trial, for example, all patients were said to have experienced improvement – despite one having a foot amputated.
The New York University study examined 57 clinical trials that received a notice of violation from the FDA for poor record keeping, false information, and poor patient study. Researchers found that findings from those clinical trials were used in 78 published papers – but only in three instances were the faults in the clinical trials mentioned in the papers.
In the other cases, none of the published papers containing data from faulty trials were corrected or retracted.
“These are major things,” Professor Charles Seife, the study’s author, told Reuters. “No one really knows unless you go through these documents that anyone is question the integrity of the trials.”
In one case, an entire clinical trial was considered unreliable by the FDA, but the published paper didn’t mention the violation at all. In another trial, researchers covered up a patient’s death.
Of the 57 published clinical trials, 39 percent had evidence of false information, 25 percent reported adverse events, 61 percent had record keeping problems, and 35 percent failed to protect the safety of the patient or had issues with oversight or informed consent.
“The FDA has repeatedly hidden evidence of scientific fraud not just from the public, but also from its most trusted scientific advisers, even as they were deciding whether or not a new drug should be allowed on the market,” Seife wrote at Slate. “For an agency devoted to protecting the public from bogus medical science, the FDA seems to be spending an awful lot of effort protecting the perpetrators of bogus science from the public.”
Seife said his team could have uncovered even more instances from the 600 clinical trials mentioned in the documents, but most of the documents obtained from the FDA were heavily redacted. “In some cases, you can’t even tell which drug is being tested,” he said.
Every year, the FDA inspects several hundred clinical sites performing biomedical research on human participants and occasionally finds evidence of violations of good clinical practices and misconduct. The study said, however, that the FDA has no systematic method for communicating these findings to the scientific community, and its findings go unremarked in peer-reviewed literature.
In a statement to Reuters, the FDA said it is “committed to increasing the transparency of compliance and enforcement activities with the goal of enhancing the public’s understanding of the FDA’s decision, promoting the accountability of the FDA, and fostering an understanding among regulated industry about the need for consistently safe and high-quality products.”
READ MORE:
US spends most on this drug… and no one knows how it works
GMO potato seeks FDA approval, opponents say safety risks remain
Monsanto agrochemicals causing genetic damage in soybean workers – study
RT | January 22, 2015
Soybean workers exposed to the agrochemicals like glyphosate, the main component in Monsanto’s ‘Roundup’ herbicide and other biocides, suffer from elevated DNA and cell damage, according to a new study.
The study, published in the journal Mutation Research/Genetic Toxicology and Environmental Mutagenesis, involved 127 people, including 81 exposed to biocides while working in the Brazilian soybean industry and 46 non-exposed individuals in a control group.
The exposed group exhibited an elevated level of cellular apoptosis, as well as DNA damage, according to researcher Danieli Benedetti and his team, which concluded that the now-common use of genetically-modified soybeans in the State of Rio Grande do Sul, especially in the city of Espumoso, has toxic ramifications for workers.
“Our findings indicate the advisability of monitoring genetic toxicity in soybean farm workers exposed to pesticides,” the researchers said.
Genetically-engineered seeds, proliferated across the globe by multinational agribusiness conglomerates like Monsanto, are designed to withstand dousing by glyphosate and other biocides in order to terminate insect, fungus, and weed nuisances.
Benedetti’s team focused specifically on Glyphosate and 2,4-D, the two top biocide components in American-biotechnology farming culture. Glyphosate is the prime ingredient in Monsanto’s Roundup products, while Dow Chemical’s 2,4-D is a potent herbicide that was also used in making Agent Orange, the chemical used by the US to devastate resistance during the Vietnam War.
Last spring, Brazil’s public prosecutor sought to suspend use of glyphosate based on its toxic effects. Studies have linked glyphosate to a fatal kidney disease that has affected poor farming regions worldwide.
Just last week, Monsanto won final approval from the US for its new genetically-modified soybeans and cotton, designed to withstand a dominant biocide that fights weed resistance built up as a result of the company’s glyphosate-based Roundup herbicide already in use.
Monsanto reported an earnings drop of 34 percent in its first fiscal quarter. The company reportedly lost $156 million in the fourth quarter of last year due to a one-time payment made to settle an environmental legal case.
As multinationals such as Monsanto and Dow Chemical have sought strict standardization in agriculture markets the world over, the corporate leviathans, especially the former, have become the target of considerable protests and demonstrations.
Companies like Monsanto market their own patented seeds that, given their genetic modification, can be doused with biocides to kill pests and weeds, and which can jeopardize long-term health of the soil and the necessary biodiversity of a local environment that allows for natural pollination and, thus, food security.
In May of last year, activists on five continents around the globe, comprising of 52 nations organized resistance under the ‘March against Monsanto’ umbrella. Protests positioned against Monsanto and involving other corporate-food issues occurred in around 400 cities worldwide, according to reports.
Just this past weekend, more than 120 organizations joined the fifth annual ‘We are Fed Up!’ demonstration in Berlin to focus on the increased importation of American farming practices – such as genetic modification, frequent antibiotic injections for animals, and chemical meat treatments – following the implementation of the controversial Transatlantic Trade and Investment Partnership (TTIP).
Protests have raged most furiously in Europe, where the EU recently approved a law that would let its nations ban genetically-modified organisms even if the EU had deemed them safe. Monsanto said last year it would not try to get any more GM crops approved in Europe given the consistent pushback.
Anger and unrest against Monsanto’s stranglehold has also spread to South America. In Argentina, protests have occurred in resistance to the company’s potent biocides used in tandem with their genetically-engineered seeds. In Brazil, farmers have called on Monsanto and other producers of pest-resistant corn seeds to reimburse them for money spent on additional biocides when the bugs killed the crops instead of dying themselves, speaking to the biocide arms race involved in using GM seeds. Brazilian soy exporters are also tangling with Monsanto over seed royalties.
In Central America, Guatemala’s highest court suspended in September a controversial ‘Monsanto Law,’ a provision of a US-Central American trade agreement, that would insulate transnational seed corporations considered to have “discovered” new plant varieties.
On its home turf in the United States, Monsanto has worked diligently with other multinational biotech, agribusiness, and food production companies to beat down state-level proposals to simply label whether food is comprised of GM ingredients.
The most recent example came in the state of Oregon, where a November ballot initiative to require GMO labeling was narrowly defeated in what became the most expensive ballot measure in the state’s history. The likes of Monsanto and Dupont flushed more than $21 million into the anti-labeling campaign, dwarfing the $9 million raised by proponents.
The company has sued Hawaii’s Maui County for passing last year that bans the cultivation of genetically modified organisms.
Monsanto’s St. Louis headquarters have been the target of mild protests, especially during shareholder meetings.
Meanwhile, agribusiness allies on Capitol Hill are pushing new federal legislation, the Safe and Accurate Food Labeling Act, that would standardize food labeling, effectively killing popular state-based efforts to pass labeling laws.
READ MORE:
Monsanto gets approval for new GMO corn, soybeans designed for potent new biocide
Rising suicide rate for Indian farmers blamed on GMO seeds
In facts & numbers: Absolute majority of Americans want GMO food to be labeled
Monsanto gets approval for new GMO corn, soybeans designed for potent new biocide
RT | January 16, 2015
Monsanto has won final approval from the US for its new genetically-modified soybeans and cotton, designed to withstand a dominant biocide that fights weed resistance built up as a result of the company’s glyphosate-based Roundup herbicide already in use.
The US Department of Agriculture’s Animal and Plant Health Inspection Service (APHIS) announced Thursday that the powerful biotechnology corporation’s GMO cotton and soybean plants have been given “non-regulated” status.
Monsanto now awaits approval from the US Environmental Protection Agency for the new herbicide – a mix of the formidable chemical dicamba and glyphosate, which the company has developed for use on the newly-approved GMO crops.
The new GMO crops – coupled with the dicamba/glyphosate cocktail – make up what Monsanto has dubbed the ‘Roundup Ready Xtend crop system,’ designed to trump super weeds that have evolved along with the company’s glyphosate-based Roundup biocide.
Dicamba was first approved in 1967 and has been linked to high rates of cancer and birth defects in the families of food growers, according to government and other scientific studies.
Consumer, health, environmental, and farmer advocates have fiercely opposed the new Xtend system, as it portends an overall “10-fold increase in dicamba use in American agriculture, from under 4 million lbs. at present to more than 40 million lbs. per year,” according to Center for Food Safety.
“Monsanto’s genetically-engineered dicamba-resistant crops are yet another example of how pesticide firms are taking agriculture back to the dark days of heavy, indiscriminate use of hazardous pesticides, seriously endangering human health and the environment,” said Andrew Kimbrell, executive director of Center for Food Safety, in a statement.
“If EPA also reneges on its responsibility to protect human and environmental health, Center for Food Safety will pursue all available legal options to halt the introduction of these dangerous crops.”
The USDA and Monsanto have said that Xtend will increase dicamba use in cotton by 14 times current levels, according to Reuters, and, in soybeans, 500 times current levels, the Pesticide Action Network said in a statement.
“I am convinced that in all of my years serving the agriculture industry, the widespread use of dicamba herbicide [poses] the single most serious threat to the future of the specialty crop industry in the Midwest,” said Steve Smith, Director of Agriculture for Red Gold, a tomato-processing company.
Opposition — and even the USDA — says more dicamba will only mean additional weed resistance in the future, translating to more profits for the likes of Monsanto and Dow Chemical, which received US approval for its genetically-engineered 2,4-D-resistant corn and soybeans in September 2014.
“The pesticide treadmill spins on, and that’s great news for Monsanto,” said Gary Ruskin, executive director of U.S. Right to Know, a consumer advocacy group, Reuters reported. “This is just the latest in a endless string of favors from our federal government to Monsanto.”
Crops most at risk from increased dicamba exposure include fruits, nuts, and vegetables, growers of which say they fear the chemical will drift onto and damage their fields.
Monsanto, according to Reuters, said it will educate food growers over the proper way to avoid dicamba drift. But biocide opponents are skeptical of these promises and say the burden will rest with the growers — not Monsanto.
“Monsanto’s response to farmers’ concerns about crop damage has been to develop exceedingly complex and demanding protocols for applying and disposing of the herbicide cocktail, including a ten-step triple rinse of sprayers that is likely to take more than an hour and then entails proper disposal of the contaminated rinse water,” said the Pesticide Action Network. “This ‘solution’ puts all responsibility on farmers, and sets up the company to escape liability for crop damage.”
Biocide drift will also adversely impact flowering plants and their pollinators and other species, which depend on them for nectar and habitat.
Meanwhile, Monsanto is awaiting approval from China to allow imports of its new soybeans. China has been reticent about approving more GMO crops, as exemplified in farmer lawsuits aimed at American agribusiness companies following the nation’s rejection of US genetically-engineered-corn imports.
Monsanto Chief Technology Officer Robb Fraley said last week that Chinese approval is expected in time for Xtend’s commercial launch in 2016.
READ MORE:
EU to pick which GMO it grows after new bill passed overwhelmingly
Oregon GMO-labeling initiative defeated by Monsanto-sponsored groups
Monarch butterfly may be listed as endangered species after 90% population drop
French Polynesia to demand nearly $1bn from Paris over tests
RT | November 25, 2014
In an unprecedented move, French Polynesia, an overseas territory governed by France, is to ask Paris for nearly $1 billion in compensation for damage caused by nuclear weapons tests carried out by France in the South Pacific between 1966 and 1996.
The Assembly of French Polynesia has prepared a demand for $930 million (754,2 million euros) over “major pollution” caused by the 193 tests carried out by France for 30 years, La Dépêche de Tahiti reported. On top of this, the proposed resolution seeks an additional $132 million for the continued occupation of the Fangataufa and Mururoa atolls, used for nuclear testing.
The conservative Tahoera’a Huiraatira party committee has been acting independently of Polynesian President Edouard Fritch, who said he was “sorry” for the motion “written without consulting him,” local press reported.
Meanwhile, the text of the resolution, set for approval by the Assembly, highlights a “very poor situation of the atolls,” and a clean-up “impossible in the current state of scientific knowledge,” Tahiti Infos reported. They write that French Polynesia has been “too long sidelined” from decisions on “waste conservation and monitoring modes whatever their nature as well as the rehabilitation options of the atolls.”
On 24 August 1968, France conducted its first multi-stage thermonuclear test at Fangataufa atoll in the South Pacific Ocean, the so-called ‘Canopus’ test. With a 2.6 megaton yield, its explosive power was 200 times that of the Hiroshima bomb, according to the Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO).
France began its last series of nuclear tests in the South Pacific in 1995, breaking a three-year moratorium, provoking international protests and the boycott of French goods. It conducted its final nuclear test in January 1996 and then permanently dismantled its nuclear test sites. Later in that year, France signed the Comprehensive Nuclear-Test-Ban Treaty (CTBT).
In 1996, in the wake of the nuclear testing, a $150 million annual payment was granted to French Polynesia, a territory of over 100 islands and atolls with its own government.
France, together with China, is not party to the 1963 Partial Test Ban Treaty, which bans nuclear explosions in the atmosphere, under water and outer space but not underground.
Last year it came to light that French nuclear tests carried out in the South Pacific had proved to be far more toxic than previously thought. According to declassified documents, seen by Le Parisien, plutonium fallout covered a much broader area than Paris had initially admitted, with Tahiti allegedly exposed to 500 times the maximum accepted levels of radiation.
According to the CTBTO, a study conducted between 2002 and 2005 of thyroid cancer sufferers in Tahiti, who had been diagnosed between 1984 and 2002, established a “significant statistical relationship” between cancer rates and exposure to radioactive fallout from French nuclear tests. Another survey carried out by an official French medical research body, Inserm, in 2006, also detected an increase in thyroid cancer among people who had been living within some 1,300 km of the nuclear tests conducted on the Polynesian atolls between 1969 and 1996.
In 2010, France pledged that veterans and survivors would be elegible for compensation, noting that this process would take time.
‘Entire villages disappeared’: Ebola deaths in Sierra Leone ‘under-reported’
RT | November 1, 2014
Ebola’s toll on Sierra Leone is much greater than previously thought, with entire villages killed off by the virus. This means up to 20,000 people could have succumbed to the disease by now, a senior coordinator for Doctors Without Borders (MSF) believes.
According to Rony Zachariah, coordinator of operational research for MSF, the Ebola impact on Sierra Leone is in fact “under-reported,” AFP quotes.
“The situation is catastrophic. There are several villages and communities that have been basically wiped out. In one of the villages I went to, there were 40 inhabitants and 39 died,” Zachariah told the agency. “Whole communities have disappeared but many of them are not in the statistics. The situation on the ground is actually much worse.”
The latest figures from the World Health Organization (WHO) put the total number of dead at 4,951 out of 13,567 recorded cases.
But the real total could be up to 20,000 people dead, Zachariah argues. “The WHO says there is a correction factor of 2.5, so maybe it is 2.5 times higher and maybe that is not far from the truth. It could be 10,000, 15,000 or 20,000.”
Zachariah also highlighted the shortage of healthcare workers in the country.
“You have one nurse for 10,000 people and then you lose 10, 11, 12 nurses. How is the health system going to work?” he said.
Even at this point, the pace of dealing with Ebola is slow, he added. “We might get a vaccine and a treatment… but even now we need to go much faster because the clock is ticking…We want action now.”
Meanwhile, the latest cases of Ebola in Spain and the US have sparked fears of an even bigger outbreak, prompting Canada to step up its border security so as to limit the risk of infection spreading into the country.
The federal government announced on Friday it is suspending the processing of visa applications for residents and nationals who have been in Guinea, Liberia, and Sierra Leone in the last three months. The same goes for permanent residence applications. … Full article
READ MORE: Canada imposes visa ban on Ebola-hit African countries
Guatemala defies ‘Monsanto Law’ pushed by US as part of trade agreement
RT | September 3, 2014
The highest court in Guatemala has suspended the controversial ‘Monsanto Law,’ a provision of a US-Central American trade agreement, that would insulate transnational seed corporations considered to have “discovered” new plant varieties.
The Constitutional Court suspended on Friday the law – passed in June and due to go into effect on Sept. 26 – after a writ of amparo was filed by the Guatemalan Union, Indigenous and Peasant Movement, which argued the law would harm the nation, LaVoz reported.
The Court’s decision came after several Guatemalan parliamentarians from both the governing Patriotic Party and the opposition party Renewed Democratic Freedom said they would consider repealing the law after outcry from a diverse cross-section of Guatemalans.
The decision also offers interested parties 15 days to present their arguments pertaining to the law in front of the Constitutional Court. Members of both political parties said they would present motions to resist the law.
The ‘Law for the Protection of New Plant Varieties,’ dubbed the ‘Monsanto Law’ by critics for its formidable seed-privatization provisions, is an obligation for all nations that signed the 2005 CAFTA-DR free trade agreement between Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua, the Dominican Republic, and the United States. The agreement requires signatories to adhere to the International Convention for the Protection of New Plant Varieties.
The law offers producers of transgenic seeds, often corporate behemoths like Monsanto, strict property rights in the event of possession or exchange of original or harvested seeds of protected varieties without the breeder’s authorization. A breeder’s right extends to “varieties essentially derived from the protected variety,” thus, a hybrid of a protected and unprotected seed belongs to the protected seed’s producer.
The Rural Studies Collective (Cer-Ixim) warned that the law would monopolize agriculture processes, severely threaten food sovereignty – especially those of indigenous peoples – and would sacrifice national biodiversity “under the control of domestic and foreign companies.”
The National Alliance for Biodiversity Protection said in July that the law is unconstitutional “because it violates the rights of peoples. It will benefit transnational seed companies such as Monsanto, Duwest, Dupont, Syngenta, etc.”
“According to this law, the rights of plant breeders are superior to the rights of peoples to freely use seeds,” the Alliance said in a statement.
“It’s a direct attack on the traditional knowledge, biodiversity, life, culture, rural economy and worldview of Peoples, and food sovereignty,” the Alliance added.
Anyone who violates the law, wittingly or not, could face a prison term of one to four years, and fines of US$130 to $1,300.
It is unclear what options the Guatemalan government has given the obligations under CAFTA-DR. The US would likely put pressure on the nation to pass the law, part of a global effort using trade agreements to push further corporate control over trade sectors like agriculture in the name of modernization. Upon further refusal, the US could drop Guatemala from the trade agreement.
US labs close after mishandling highly infectious pathogens
RT | July 13, 2014
The Centers for Disease Control (CDC) and Prevention have closed two labs after it was found they had made dangerous mistakes when transporting pathogens like anthrax. The CDC’s director has called the errors “unacceptable” and potentially deadly.
In response to a series of laboratory blunders, the CDC announced the closure of two labs on Friday. The organization has also placed a temporary ban on the transportation of dangerous pathogens for high-security labs.
A report carried out by the CDC revealed that over the past 10 years disease labs have mishandled potentially deadly pathogens.
“These events revealed totally unacceptable behavior,” said CDS Director Tom Frieden to press on Friday. “They should never have happened. I’m upset, I’m angry, I’ve lost sleep over this, and I’m working on it until the issue is resolved.”
Frieden added that the staff involved had knowingly disregarded laboratory protocol and would be disciplined accordingly.
The latest incident this year happened in June when as many as 75 CDC employees were exposed to a live strain of anthrax in Atlanta, after failing to deactivate the deadly bacteria according to lab protocol.
The potentially infectious samples of the pathogen were then sent out to other laboratories ill-equipped to deal with them. Staff members also handled the samples, which should have been deactivated without following correct safety procedures.
The previous incident, which was disclosed on Friday, happened in May when a sample of non-pathogenic avian influenza was accidentally cross-contaminated with a potentially lethal kind of flu (H5N1). No lab workers were exposed to the pathogen, but it was shipped to a lab administered by the United States Department of Agriculture.
Frieden said the most distressing aspect of the latter case was that although it happened in May, the CDC only found out about it this week.
The CDC says that there have been no reported infections after the two incidents and all workers involved had been offered vaccines and antibiotics.
The latest revelations followed an announcement that two of six vials of smallpox discovered in a research center in Washington contained live strains of the virus. It is thought to be the first time unaccounted traces of smallpox have been found in the US after the disease’s declared eradication in the 80s.
Frieden argues that the latest findings are a sign that the world needs to minimize the number of labs that deal with dangerous pathogens.
Genetic Testing of Citizens Is a Backdoor into Total Population Surveillance by Governments and Companies
By Helen Wallace | GeneWatch UK | June 5, 2014
The new Chief Executive of the National Health Service (NHS) in England, Simon Stevens, was recently reported arguing that the NHS must be transformed to make people’s personal genetic information the basis of their treatments (1).
His proposition is unsurprising since it is in line with the efforts of successive UK governments to build a DNA database in the NHS in England by stealth. In particular, sequencing every baby at birth and storing whole genomes in electronic medical records is a plan backed by Health Secretary Jeremy Hunt (2). The current version of this plan would involve sharing whole or partial DNA sequences (genomes or genotypes) with companies like Google, which would use genetic information and health data to calculate personal risk assessments for feedback to patients (3). Massive investment from taxpayers would be required as part of a public-private partnership that would allow commercial exploitation of the data.
Building a DNA database within the NHS would be a massive waste of public money. But it would also create a system of total surveillance which would enable the government and private companies to track every individual, not to mention their relatives. This is not speculation; as wikileaks revealed, the United States government is already actively collecting DNA samples and biometric data on foreign officials and populations.
Commercial companies wish to exploit genetic information to market products such as drugs and supplements to healthy people, based on genetic risk assessments. If current trends continue, this will harm, not benefit, health: it is personalised marketing not personalised medicine. The potential for misuse is very high. Doctors could be replaced by computer algorithms used to market medication, massively expanding the drug market to include large numbers of healthy people, rather than smaller numbers of (often poorer) people who are sick. There is also the danger that prescribing would be driven by vested interests, rather than medical need: with high financial costs and more harmful side effects. Genetic risk assessments could also be misused, leading to stigma or discrimination, for example by insurers.
Why does the NHS want to collect genetic information?
There is one element of truth to Simon Stevens’ remarks. Some cancer drugs have been successfully tailored to genetic mutations that arise in the cancer tumour. However, attempts to select drugs for people based on the genetic make-up they are born with (their genome or genotype) have largely been a failure. This is because genetic differences only account for a part of individual differences in metabolism. For example, a recent study found that targeting warfarin treatment based on genetic make-up did not improve health outcomes, although this application was regarded as the ‘poster child’ of this approach (4).
Why did it not work? An important misconception, apparently shared by Simon Stevens, is that genes are good predictors of most diseases and adverse drug reactions in most people. However, contrary to misleading claims made to promote the Human Genome Project, this is not true (5). Moreover, even if it were true, there is no evidence that genetic selection of individuals, for example into high risk and low risk groups, improves outcomes or cuts costs. All of which begs the question of the purpose of taking and storing genetic information as a default medical procedure.
The online gene testing company 23andMe, funded by Google, has been forced to withdraw its gene tests from the US market due to failure to prove they can reliably predict individual risks of many common conditions using computer algorithms. The company now wants to target the UK market, where genetic testing is not regulated (6). Patrick Chung, a 23andMe board member and partner at the venture-capital firm NEA told Fast Company (7): “… 23andMe will make money by partnering with countries that rely on a single-payer health system. “Let’s say you genotype everyone in Canada or the United Kingdom or Abu Dhabi,” he says, “and the government is able to identify those segments of the population that are most at risk for heart disease or breast cancer or Parkinson’s. You can target them with preventative messages, make sure they’re examined more frequently, and in the end live healthier lives, and the government will save massive expenses because they halted someone who’s prediabetic from getting diabetes. 23andMe has been in discussion with a bunch of such societies“. Yet there is not a scrap of evidence that this approach is good for health. This is because genomic tests have limited clinical validity or utility; so in reality there is no health benefit to targeting segments of the population in this way.
Genetic testing remains useful to diagnose rare genetic disorders, mainly in babies and young children, and whole genome sequencing has helped to identify new mutations causing these diseases. Rare familial (largely inherited) forms of many common diseases also exist, including breast cancer, but these account for only a small percentage of cases of these conditions.
Use of genetic testing in the NHS should focus on prioritising resources for the limited applications that do work, not on introducing misleading and harmful screening of the whole population and creating unnecessary, expensive databases. Certainly it should not be driven by ulterior commercial and government interests.
References
(1) New NHS boss: service must become world leader in personalised medicine. The Guardian. 4th June 2014. http://www.theguardian.com/society/2014/jun/04/nhs-boss-world-leader-personalised-medicine
(2) Children could have DNA tested at birth. The Telegraph. 8th December 2013. http://www.telegraph.co.uk/health/healthnews/10501788/Children-could-have-DNA-tested-at-birth.html
(3) GeneWatch UK PR: GeneWatch UK report exposes plans to build a DNA database by stealth in the NHS. 23rd May 2013. http://www.genewatch.org/article.shtml?als[cid]=569352&als[itemid]=572536
(4) Pharmacogenomic Warfarin Dosing: Worth the Cost? Medscape. 23rd December 2013. http://www.medscape.com/viewarticle/818088
(5) Human Genetic Predispositions – the hidden politics of genomic science. Bioscience Resource Project. http://www.bioscienceresource.org/resources/human-genetic-predisposition/
(6) Gene startup 23andme casts eyes abroad after U.S. regulatory hurdle. Reuters. 6th May 2014. http://in.reuters.com/article/2014/05/07/23andme-genetictesting-idINL2N0NT05I20140507
(7) Inside 23andMe founder Anne Wojcicki’s $99 DNA Revolution. Fast Company. 14th October 2013. http://www.fastcompany.com/3018598/for-99-this-ceo-can-tell-you-what-might-kill-you-inside-23andme-founder-anne-wojcickis-dna-r
Dr Helen Wallace is Executive Director of GeneWatch UK
EU Safety Institutions Caught Plotting an Industry “escape route” Around Looming Pesticide Ban
By Jonathan Latham, PhD | Independent Science News | May 26, 2014
EU documents newly obtained by the nonprofit Pesticide Action Network of Europe reveal that the health commission of the European Union (DG SANCO), which is responsible for protecting public health, is attempting to develop a procedural “escape route” to evade an upcoming EU-wide ban on endocrine disrupting pesticides. Endocrine disrupting chemicals (EDCs) are those that alter hormonal regulation at very low doses to cause effects on behavior, reproduction, and gender, as well as cancer and birth defects.
In 2009, under the European Union’s then-new chemical REACH legislation, a continent-wide ban on endocrine disrupting pesticides was agreed. The European Commission (EC) was charged with taking various steps to protect public safety. These included officially defining what constitutes an endocrine disrupting effect and designating acceptable chemical detection methods. The deadline to present these criteria for ensuring protection against endocrine disrupting pesticides expired on December 14, 2013.
Instead of providing the needed safety guidance, however, the EU’s Health Commission (DG SANCO) appears to be drafting a procedural “escape route” around the endocrine disrupting ban. This legal maneuvering is being done behind closed doors and with the collaboration of some EU member states and the European Food Safety Authority (EFSA, an independent EU agency created to assess food risks for the Commission).
As initially revealed by the Pesticides Action Network of Europe (PAN Europe), only Sweden is opposing this escape route, which they consider to be an abandonment of the original democratic mandate. According to a report by Agence France Presse (AFP) Sweden is now going to sue the EU due to mounting evidence that harmful impacts of endocrine disruption are already being felt. AFP quotes Swedish environment minister Lena Ek:
“In some places in Sweden we see double sexed fish. We have scientific reports on how this affects fertility of young boys and girls, and other serious effects.”
The documents obtained by PAN Europe show that the lobbying to undermine the ban is being led by EFSA. This is in direct conflict with the missions of both EFSA and DG SANCO which are to protect public health.
The crisis has come about because EDCs are the subject of a large body of independent academic research showing that certain synthetic chemicals are already causing developmental disabilities and cancer among humans and wildlife through non-traditional (i.e. hormonal) toxicological routes. This evidence is why the ban was instigated. Because of the strength of the evidence and the low doses involved (Vandenberg et al 2012), any rigorous and effective rules to protect the public are likely to result in widespread bans and restrictions on commonly used industrial, agricultural, and household chemicals. This is one reason why AFP also reported the Swedish Minister as saying that EU commissioners were under strong industry pressure.
Tony Tweedale, a Brussels-based independent consultant to NGOs, explained to Independent Science News, there is a second reason for industry pressure:
“That hormones are often disrupted at very low doses threatens to upset industry’s decades-long total control of risk assessment which is based, for example on insensitive tests.”
While missing their mandated December deadline for providing safety rules, DG SANCO and EFSA chose to perform an economic impact assessment of potential regulations instead. Now this economic impact assessment is itself 9 months late. Sweden and others have interpreted these delays as stalling a collectively agreed action.
Before the Swedish lawsuit was announced Sweden had already expressed its concerns to the European Commission in letters to DG SANCO (published on the PAN Europe website). These letters reveal that Sweden believes the failure of DG SANCO to proceed according to the rules is deliberate and that DG SANCO is instead focused on drafting the illegal escape clause. This, believes Sweden, would likely take the form of a general derogation for pesticides that may be endocrine disruptors (1). It would be a legal technicality that effectively allowed pesticides which would have been banned to be exempt from the ban (2).
Simultaneous with Sweden’s announcement to take the European Commission to court, PAN Europe uncovered a letter from a representative of the EFSA Scientific Committee (which is helping to draw up the new scientific criteria). In this letter, which is addressed to advisors of Jean-Manuel Barroso (head of the European Commission), the EFSA official says that the permanent science advisors to EFSA are opposing the ban and aim to use traditional risk assessment to undermine it. Traditional risk assessment is the approach favoured by the pesticide industry.
Also in the letter, the EFSA science advisor complains of the pesticide legislation having no “control route” or “socio-economic route” to save endocrine disrupting pesticides from a ban. The anonymous writer suggests that an existing ‘negligible exposure’ option (EC 1107/2009, Annex II, 3.6.5) can be manipulated to keep such pesticides on the market. It is use of this ‘negligible exposure’ option that is opposed by Sweden, which believes that because negligible exposure is not well defined it is in danger of becoming a generic exemption (i.e. a derogation) for the use of endocrine disrupting chemicals.
The existence of this letter confirms Sweden’s interpretation of the intentions of EFSA and DG SANCO; the ‘negligible exposure’ option is indeed being lined up as a loophole for avoiding likely science-based bans on endocrine disruptors.
In the view of PAN Europe:
“By unilaterally changing the rules, DG SANCO is sidelining the EU Parliament and choosing economic interests over their own mission to protect people and the environment.”
Science Director of The Bioscience Resource Project, Allison Wilson, concluded:
“The public will be astounded and appalled to find that the institutions tasked with protecting them are secretly working against them. EFSA has shown itself to be untrustworthy and should be disbanded. Deep rethinking appears necessary since it is not only the EU that has failed to construct institutions capable of safely regulating toxic substances. Perhaps we should question the wisdom of economies dependent on synthetic chemicals and high risk products.” (3)
Footnotes
(1) A derogation is a partial or temporal suspension of a law.
(2) The list of pesticides Sweden thinks likely to be banned can be found here.
(3) See: Robinson C., Holland N., Leloup D., Muilerman H. (2013) Conflicts of interest at the European Food Safety Authority erode public confidence. J Epidemiol Community Health 2013;67:717-720 doi:10.1136/jech-2012-202185
References
Vandenberg LN, Colborn T, Hayes TB, Heindel JJ, Jacobs DR Jr et al. (2012) Hormones and endocrine-disrupting chemicals: Low-dose effects and nonmonotonic dose responses. Endocr Rev 33: 378-455.
