If We Can Replace Antibiotics with Homeopathy, then Cheese is the New Miracle Cure!

IMG_1903 cropIn the Guardian this week, HRH Prince Charles proposed homeopathy as a solution to antibiotic resistance, citing his “agro-ecological” farm as an example of one that has cut antibiotic use by using homeopathic treatments.

Given the concern over bacterial resistance to medically-important antibiotics, it is vital that we find alternatives. Yet they also must have a biologically sound mode of action and be proven to be effective. It is difficult to conceive how a solution so dilute that not one molecule of active ingredient remains, where the premise of the mode of action depends on water having a “memory” of the ingredient (as opposed to all the other contaminants within that water), can possibly have any verifiable impact on disease. Indeed, there are no studies to date that show positive, replicable effects of homeopathy compared to conventional treatment.

Personally, I have no issue with any alternative therapy has been shown to be an effective alternative to conventional drugs (note that homeopathy does not fall into this category). When I underwent chemotherapy for breast cancer, I had some reiki sessions. Did I believe that energy was being channeled by the reiki healer and making me better? Honestly, no. Would I have ever considered giving up the chemotherapy? Absolutely not. But the focused breathing and relaxation certainly helped with pre-chemo anxiety. Would taking Rescue Remedy or a similar homeopathic preparation have helped? If I’d believed that it would – yes, probably. But that is biased by the placebo effect – it’s not the same as the treatment being independently effective. One of the claims made for using homeopathic treatments in animals is that they are independent of the placebo effect – they don’t have the expectation that the tincture administered is going to cure their lameness or mastitis. Yet when we assess the results, it’s not the animal who’s reporting the success or failure of the homeopathic treatment, it’s the farmer.

So let’s examine a scenario. A farmer has two mildly sick cows (e.g. slightly lame, or unwilling to eat with a raised temperature) within the herd. Both are moved to the hospital pen, given fresh bedding, water and feed plus a homeopathic remedy. Cow A gets better – hoorah for homeopathy!  Cow B doesn’t and has to be treated with antibiotics – boo! Does this mean homeopathy works in 50% of cases? No. There’s no control treatment here, no evidence that Cow A wouldn’t have got better without homeopathy – some diseases just need time, TLC and the cow’s own immune system for recovery. Did the farmer cut antibiotic use? Yes – Cow A didn’t receive it. Yet again there is no evidence that this is due to the homeopathic treatment. How many times have we as humans debated whether to go to the doctor because of a minor ailment, then have found that it’s cleared up without medical treatment? It’s not miraculous, it’s simply our immune systems functioning as they are intended to.

In the absence of controlled experiments that compare homeopathic treatments to both conventional antibiotics and no veterinary treatment (save for good animal husbandry), it is disingenuous to claim that homeopathy is successful in treating bacterial disease or can effectively be used to replace antibiotics. We need to look to veterinarians and scientists when making decisions about animal care and treatment rather than relying on anecdotal data from those with royal connections. After all, HRH Prince Charles may have reduced antibiotic use on his farm, but I can also claim to have reduced antibiotic use in my household through dairy consumption – my toddler has a serious cheese addiction and has never had to take antibiotics. Hoorah – cheese is the new homeopathy!!*

(*obviously I am being sarcastic here for those who missed it, though the extent of cheese consumption and fact that she’s never had antibiotics are both entirely true)

Who Needs Scientists? Just Let Mother Nature Design Your Greek Yogurt.

Chobani.jpgHow you get to 100 calories matters. Most companies use artificial sweeteners. We think Mother Nature is sweet enough”. Clever marketing from the greek yogurt company Chobani, simultaneously disparaging alternative brands, and playing the ultimate caring, sharing, natural card with the mention of “Mother Nature”. However, earlier this week, Chobani’s #howmatters hashtag set the twitter feeds alight after their new “witty” tagline on the underside of yogurt lids was posted (below).

howmattersThe wording plays beautifully into what is fast becoming a universal fear of science intruding on our food supply – we want real food; food like our grandparents ate; food from traditional breeds and heirloom varieties – providing it doesn’t take us over 2,000 cal per day or increase our cholesterol levels. Rightly or wrongly, many people blame processed foods with hidden sugars and added chemical preservatives for many health issues in developed countries – the epitome of a #firstworldproblem, given that the corresponding #thirdworldproblem is hunger and malnutrition.

However, this time the twitter anger wasn’t from rampaging mommy bloggers, or infuriated activists, but scientists. After all, without science, would Chobani have a product? Yogurt was first developed in ancient times, but the modern pasteurized, long-shelf-life, greek yogurt is rather different to the cultured milk our ancestors would have enjoyed.

FAGEI have a 100-calorie greek yogurt from a rival brand in my fridge, so let’s examine the ingredients (left). Simply pasteurized skimmed milk and live active yogurt cultures (note, no added sweeteners). Louis Pasteur, a 19th century French scientist developed pasteurization (in addition to his discoveries relating to vaccines and microbial fermentation); biologists developed methods to identify and classify the bacteria that ferment milk into yogurt; and food scientists experimented with the exact mixture of bacteria to produce the desired flavor, texture and color of yogurt,  as well as developing the range of other processes needed to make the yogurt safe, appealing and shelf-stable.

Yes, we could make greek yogurt without scientists – after all, the original recipe didn’t originate in a corporate experimental kitchen. But without hundreds of years of scientific input, could we make Greek yogurt that, at 100 calories per serving, is desirable to the consumer and is a safe, affordable source of vitamins, minerals and protein? No. To imply that we could does a huge disservice to food scientists.

It appears that being a modern-day scientist appears to be somewhat equivalent to clubbing baby seals to death. Caring little for human suffering and illness, the cold and clinical scientist rubs his hands together with glee as he removes all nutrients from real food, replacing them with chemicals, additives and genetically-modified ingredients. As a side-line, he develops cocktails of toxic elements, pesticides and embalming fluid and markets them as vaccines. Yes, science is the enemy. Just remember that next time you take an aspirin for a hangover from pasteurized, fermented beverages.

How Long is Long-Term? Are We in Danger of Sacrificing Food Security to Satisfy GMO Paranoia?

FrankenfoodsMy Twitter feed is being taken over by two things: 1) arguments and 2) comments that are going to cause arguments. Almost every tweet appears to draw a contrary comment – I’m tempted to post “Elephants have four legs and one trunk” just to see how many people reply “No, there’s an elephant in South Africa called Minnie who only has three legs but has two trunks…”

The latest discussions (debates? arguments? long drawn-out 140-character battles?) have related to the safety of GMOs. Without exception, the argument from the nay-sayers comes down to “We don’t know what the long-term effects are, so we should ban them until we can conclude that they’re safe.”

In other words, we’re trying to prove a negative – show me that there’s no adverse effects whatsoever and I’ll believe it’s ok. Utterly impossible. Can you be absolutely sure that the screen you’re reading this on isn’t causing constant, minute but irreparable damage to your eyes? Water, that essential nutrient without which humans, animals and plants would die, can kill through drowning or intoxication. Even oxygen, without which brain cells are irretrievably damaged in just 10 minutes,  causes seizures and death when inhaled at high pressures. Should we ban these, just in case?

Perhaps we should take a long-term approach to all new technologies. iPhones were only introduced seven years ago, yet many of us spend considerable amounts of time typing on them, or holding them to our ears when they’re not in our pockets – what health-damaging consequences could these shiny new toys confer? What about the now-ubiquitous hand sanitizer? Once only the province of hospitals and germophobes, it’s now sloshed around by the gallon. Touted to kill 99.9% of harmful bacteria – what harm could those chemicals be doing to our fragile physiology?

I’ve yet to meet anybody who, when scheduled for quadruple bypass surgery, demanded that the surgeon only used techniques developed in 1964; or a type I diabetes sufferer who would only use insulin produced from pigs, as it was originally in 1923. When I was treated for breast cancer, I jumped at the chance to be part of a clinical trial involving a new monoclonal antibody treatment, regardless of the very slight risk of heart damage. In medicine, we seem happy to trust that science has the answers – not surprisingly, we prefer to survive today and take our changes with side-effects tomorrow.

With regards to food however, the opposite appears to be the case. The first commercial GMO (the Flavr Savr tomato) was introduced in 1994, GM corn and soy were commercialized in 1996, and not one death or disease has been attributed to any of these crops. Yet the “what are the long-term effects?” concern still persists. So how long-term is long enough? 10 years? 20? 50? Should we keep researching and testing these crops for another 80+ years before allowing them onto the market around the year 2100?

If your answer is yes, just pause for a moment and ask your parents, grandparents or even great-grandparents what life was like during the Great Depression in the USA, or World War II in Europe. Consider what life was like when food was scarce or rationed, when, for example, a British adult was only allowed to buy 4 oz of bacon, 8 oz ground beef, 2 oz each of butter and cheese, 1 fresh egg and 3 pints of milk per week. Those quantities of meat and cheese would only be enough to make two modern bacon cheeseburgers.

By 2050, the global population is predicted to be over 9 billion people. I don’t relish the idea of explaining to my grandchildren that they live with food scarcity, civil unrest (food shortages are one of the major causes of conflict) and malnutrition because public paranoia regarding GMOs meant that a major tool for helping us to improve food production was removed from use. In the developed world we have the luxury of choosing between conventional, natural, local, organic and many other production systems. However, we’re in danger of forgetting that not everybody has the same economic, physical or political freedom to choose. If you gave a basket of food to a family in sub-Saharan Africa subsisting on the equivalent of $30 per week, would they refuse it on the basis that the quinoa wasn’t from Whole Foods, the meat wasn’t organic and the tofu wasn’t labeled GMO-free?

When we have sufficient food being supplied to everybody in the world to allow them to be healthy and productive, we can then start refining the food system. Until then, the emphasis should be on finding solutions to world hunger, not forcing food system paranoia onto those who don’t have a choice.

Is Our Modern, Chemical-Laden, Twinkie-Guzzling Lifestyle Killing Us?

Burger4How often do we hear that we’re so much more unhealthy than our ancestors? That our modern chemical-laden diet is responsible for the fact that in 2010, the top three causes of death were heart disease, cancer and chronic airways disease? That if we only ate like our ancestors did (if you can’t pronounce it, it shouldn’t be in your food…) we’d have the secret to eternal life?

Let’s take a trip back to 1900 – the US contained 70 million US inhabitants, McKinley was president, and the first Hershey bar was introduced. Life was so much simpler without those pesky whipper-snapper millenials on social media and everybody lived till they were 95, passing with a smile on their face surrounded by their 17 children…or did they?

It’s a beautiful image – and an absolute fallacy. Life expectancy at birth in 1900 was 47.3 years. To put that into context, Michelle Obama, Keanu Reeves and Elle McPherson would already be dead, and Julia Roberts, Matt LeBlanc and Will Ferrell would be enjoying their final days of celebrity life. The low life expectancy was skewed by the high rates of infant mortality in 1900 – premature birth was the #11 most-common cause of death and up to 10% of infants died before their first birthday. Any child that made it past 5 years old had a pretty good chance of surviving – as long as disease didn’t set in – the top three killers in 1900 were pneumonia/flu, tuberculosis and heart disease.

Hold on… heart disease? Surely that’s a consequence of our modern, slothful, twinkie-guzzling lifestyle? Let’s move on to 1950, when most food was still organic, high-fructose corn syrup hadn’t yet been invented and the majority of beef and dairy cattle were grazed on pasture. Top three killers: heart disease, cancer, stroke.

There’s a reason why Mark Twain’s saying “lies, damned lies and statistics” gets quoted so often. In this case, the data is true. However, when we look at the statistics, i.e. the % of people killed by heart disease or cancer, those have indeed gone up. Why? Because very few people die of pneumonia, flu or TB. If we express something on a percentage basis, a decline in one factor means an increase in another. Simple 3rd-grade math. I hate to point out the obvious, but we’re all going to die – and there will always be a cause.

Many enthusiasts for the “Paleo” diet like to suggest that it must be a healthy lifestyle, because the average lifespan for our ancestors was the same as it is now – providing that they didn’t die in accidents, war or from infection. Way to go for those few ancestors who stayed in their cave and didn’t get attacked by a wildebeest! All that actually suggests is that a human body has a genetic potential for life of 75-80 years. Europeans who died from the Black Death in 1348-1350 weren’t genetically programmed to live shorter lives, they were just unlucky enough to run up against the microorganism Yersinia pestis. We can’t eliminate specific causes of death that don’t suit our theory to “show” that one lifestyle is more healthy than other – everything that we do, every single day will have some positive or negative effect on our eventual lifespan.

We’re lucky enough to live in a society where we have effective sanitation, a wide variety of nutritional choices, antibiotics, vaccines, x-rays and prenatal vitamins. In the US, nowadays only 6 babies die per 1,000 births compared to ~100 per 1,000 births in 1900. Average life expectancy is 78.1 years. If I were to follow the activist “correlation = causation” logic I could point out that in the past 114 years we’ve seen the introduction of cell phones; nuclear bombs; GMO-crops; rbST for dairy cattle; implants and antibiotics for beef cattle; and corn-fed beef… so these technologies must make us live longer!! Hooray!! Instead, I’ll just be thankful that I will be giving birth within the next week in a world where we have a safe, effective food supply and that my baby will have a far better chance of surviving than her great-grandparents did. Thank goodness for technology.