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.

In Africa, Covid-19 Threatens to Worsen Hunger

This is a cross-posted blog and originally on Bloomberg Opinion. The original can be read here.

The continent has some unique strengths, but food insecurity is a special vulnerability. 

“It is easy to see the beginnings of things and harder to see the ends,” Joan Didion wrote in “Goodbye to All That.” Her words resonate in the midst of the Covid-19 pandemic, when no one has a clue whether we’re at the beginning, in the middle or near the end. In sub-Saharan Africa, not knowing is especially worrisome because it’s difficult to tell whether the continent’s fragile food supply systems will weather the strain.

 While the continent has made great strides toward economic security over the past several decades, Covid-19 could stymie that progress. Conditions vary greatly from country to country, but many struggles to ensure that their citizens have access to basic essentials: soap to clean hands, potable water and nutritious food to keep immune systems strong. Hunger and food insecurity have not gone away. Twenty-three percent of people in sub-Saharan Africa are undernourished. Because of the global economic fallout from Covid-19, the number of people worldwide facing acute food insecurity could nearly double this year to 265 million, the United Nations World Food Programme estimates, and much of that impact will be felt in Africa.

 At the same time, obesity and noncommunicable diseases (heart disease and diabetes for example) are rising in many low-income countries, Africa included, and both are proving to be serious complications for people infected with Covid-19. Much of the continent is also still dealing with other complex infectious diseases – HIV/AIDS, tuberculosis, malaria, and other neglected tropical illnesses – that will make it more difficult to treat Covid-19 infections.

 As it expands on the continent, Covid-19 will put further stress on already strained health systems – with limited numbers of ventilators and proper beds, minimal personal protective equipment, and, in some places, too few health care workers.

At the same time, food supply chains are starting to falter. Lockdowns in 30 African countries have made it very challenging for farmers to sell their goods in markets or for workers to get to fields. Food assistance is not always making it to those most in need. Many informal markets – the infamous wet or open-air markets, where most Africans shop for food – are closed, further imperiling food insecurity and threatening malnutrition. Reports from the Global Alliance for Improved Nutrition’s offices in Nigeria and Mozambique noted that prices of food, particularly the fruits and vegetables, have increased significantly.

In many African cities, social distancing and self-isolation are a recipe for disaster. Slums and informal settlements are overcrowded and lack basic services such as running water, cooking facilities, and electricity. And even if people infected with the coronavirus had safe places to isolate, some feel they must work to keep their families fed. Commutes to work often involve overfilled buses and long traffic jams – which increase the spread of disease.

With global unemployment rising, remittances worldwide are also are expected to fall – by 20%, or nearly $110 billion, according to the World Bank. In sub-Saharan Africa, they may drop by 23%. This will push more people to go to work, increasing their exposure.

To be sure, African countries have a few things working in their favor. For one, they have experience with massive infectious diseases – HIV/AIDS, Ebola, and polio, to name a few – and public health systems have been strengthened over the last decade. The Democratic Republic of the Congo has been hard hit by Ebola, but there are signs of progress with a declining case load in early 2020.

 In the current crisis, African governments can take some early lessons from the rest of the world that has been grappling with the pandemic a month or two longer, and work to keep the food supply moving. The continent is still 60% rural, and many urban Africans have close ties to the countryside, owning land or family plots. With luck, lower population density in rural areas may slow the spread of Covid-19, allowing farmers to continue to grow food, that is if they can get access to seeds and the technologies needed to plant and harvest. Support to food producers is an absolute necessity to keep the continent food sufficient.

 Sub-Saharan Africa is also fortunate to have a relatively young population, which may make it better able to weather outbreaks of Covid-19 with less hospitalization and death.

 Still, it remains hard to see the end. Some people hypothesize, with little evidence, that Africa may not be hit as hard as other places because of its warm climate. Perhaps, they say, the spread will be slower in Africa, and that will buy extra time. Given how easily Covid-19 has spread in other warm places such as Singapore and Thailand, that’s not something to count on.

 To ensure that Africa doesn’t starve and that it can weather the Covid-19 storm, it is essential to make sure people are guaranteed access to food, water, soap, masks, and cash transfers to support their families. The poorest and most vulnerable should be the priority. World governments with their donor partners, including the World Bank and the World Food Programme, will be counted on for support over the next four months. Businesses who make food products need support as well. We must all help make sure they come through.

The silent companion: Food Bytes Edition April 2020

Silence. We sit in our houses, in silence, watching the world from afar with only COVID-19 as our silent companion. But this silence isn’t really calming. The silence has an urgency to it. It is loud. And there is only so much silence one can take.

We are seeing the restlessness. We are seeing signs of noise. The world wants to open up and get things moving again. But that is risky. And our companion is keen to stay with us, just sitting in the quiet.

But some things have to move. Like our food system. As precocious Lawrence Haddad wrote:

“Keep the supply of nutritious food moving—and expand the flow. Unlike the 2008-2009 food price crisis, this coming crisis is not one of drought, oil prices, and biofuels. This is a car crash of supply chain logistics.”

Yes, cars crashing. Noisy.

There is also information noise. Some good, and some bad. As science and data emerge, the noise will get filtered out. Until then, we have to adapt to the loud stream of information to find the gems. Here are a few:

• The Nutrition Connect has been diligently publishing blogs on food, nutrition, and COVID on a weekly basis. We are up to 21! There have been a few really good papers on the implications of COVID on the food system.

• Maximo Torero of FAO published a Nature commentary on food supply chains. He argues that while stocks of food are sufficient, that is quickly changing with food price spikes, food sitting at ports, exports being banned, and dumping of commodities.

• Chris Barrett at Cornell University also published an important piece on food shocks. He argues that food supply disruptions must be met with safety nets to ensure that the world avoids catastrophic hunger.

• The Economist published an excellent overview of export trade, supply, and demand changes in the food system and what can be done to avert hunger. They argue that trade must stay open and keep food flowing.

• Jennifer Clapp points out the inefficiencies and weaknesses of the food system in this short op-ed in the New York Times. She argues, instead, to support local value chains and supply.

• The NYT has a well-rounded piece on meatpacking processing facilities and the fall-out of potential large-scale declines in meat production and processing, along with potential positives on the climate.

• Yours truly published a piece at Bloomberg Opinion on the challenges and maybe gleams of hope that the continent of Africa has to avoid catastrophic food insecurity.

And then there is the future of restaurants, the places where many of us go to socialize, try new cuisines, and enjoy the fruits of our food system in all its finest glory. A few very thoughtful articles have been published on the future of restaurants and what they will look like (NOT THE SAME, NOT AS MANY, AND NOT AT THE SAME PRICE STRUCTURE…). Some will close their doors, forever. There is that silence again. Here are a few good reads:

• The New Order, by Tom Sietsema: “Restaurants can’t possibly return to their old selves, at least not immediately. I imagine fewer tables, longer lines outside restrooms, hand sanitizer where flowers used to be, and shorter menus with fewer contributors.”

• As Restaurants Remain Shuttered, American Cities Fear the Future, by Jennifer Steinhauer and Pete Wells: “The danger facing restaurants, which thrive on crowded rooms and get by on razor-thin margins, poses a special threat to small cities and large towns where a robust food culture plays an outsize role in the economy. In places that had been hollowed out by poverty and suburban flight, like parts of Indianapolis, Cleveland, and Detroit, they are engines of growth.”

• My Restaurant Was My Life for 20 Years. Does the World Need It Anymore? by Gabrielle Hamilton: “And yet even with the gate indefinitely shut against the coronavirus, I’ve been dreaming again, but this time I’m not at home fantasizing about a restaurant I don’t even yet have the keys to. This time I’ve been sitting still and silent, inside the shuttered restaurant I already own, that has another 10 years on the lease.”

While sitting still and silent may no longer be an option for the global economy (it is imploding on a profound level), nor the food system, if we are to remain viable, we need to support our food system workers, producers, and entrepreneurs. They need personal protection, living wages, and decent work. These buffers will keep economies chugging along, and potentially stave off widespread hunger and malnutrition. Until then, turn it up and bring the noise.

19 days of COVID cuisine: Cooking to combat cabin fever

My better-half, who does all the cooking in this casa and serves as the main hunter-gatherer-forager for all things food, wrote a post on his 5cense blog, but gave me the permits to post it here too. He goes into our food life in the times of COVID and how he gets by with a recent diagnosis of Ménières disease. He tries hard to practice what I preach in my professional life, ensuring we eat as sustainably as possible, and have zero food waste. Right now, these principles are harder for everyone, with the strained global food supply trying to keep up as the economy slows. For those already suffering from food insecurity and uncertain employment, the struggles are immense and we can’t even begin to comprehend the sacrifices and hardship. We feel so incredibly lucky to be able to put food on the table every night and are trying to support our local food system and community as best we can.

Please go and support your local farmers and CSAs (see who we support below), restaurants and food banks. They need us more than ever.

Virtual Sourcing
Don't know how y'all get your food, but this is problema #1 these days, 'specially for car-less folks like us that are used to the Italian way of doing things—buying fresh stuff every day for what you're gonna eat that night. By the time we went to the market a few weeks ago, most everything had been hoarded (btw, the TP shortage phenomena has an EZ answer—a Tushy bidet attachment... toilet paper is a filthy habit anyway). We have a Trader Joe's a block away, but seems to be a cesspool for Corona right now (+ no, not the beer). And when u go on Fresh Direct the time slots are always taken... so what u gotta do is wake up (or stay up til) 12:01am when they release time slots for the next day + then be patient thru 15 minutes of tumbling hourglasses or spinning wheels as everyone in the country is also refreshing their browsers over + over like you are. On the 2nd or 3rd night we got lucky + scored a rez for a week later.

Fresh Direct lets u modify your cart up until the night before your delivery so just put whatever in there to book a slot and then keep adding as u wait a week for your time to come up... of course lately they are out of most everything + even if u do manage to get some stuff in your cart, by the time they deliver ⅓ of your items are missing + the recommended replacements are ridiculous like in loo of raisins they suggest maraschino cherries, or low-sodium Goya black beans instead of the regular (which we've probably eaten more of then any other food item in el mundo (we brought cases of 'em to Rome, along w/ 5 or so kilos of Maseca)... spose u can just add your own salt + here's a tip: squeeze a lime into the can so u don't waste all them juices + gook stuck to the side of the can. And sure, u can boil your own, but we're lazy + DiY beans give us gas (tho pressure cookers help) + they were out of the dried ones too.

Whole Foods on the other hand has the opposite approach—u can reserve only 2 days in advance for delivery, but they release slots throughout the day, so if u keep ⌘-R'ing the screen u might score a delivery w/in a few hours. They don't let u update your cart tho + their bait + switch tactics are more extreme... yesterday we went to buy butter, Jasmine rice + paper towels but ended up w/ a few bottles of cava, organic blueberries + Engine-2 Rip's (only cereal we can find w/o added sugar or oils), but none of what we originally ordered (they don't tell u until after checkout that they are out of these things), tho guess we did score a few bags of Peet's Major Dickason's (no other coffee will do for us).

Daily Bread for a Fortnight
If ever we was gonna write a cookbook, it wouldn't be about singular recipes but the flow from 1 day to the next... about efficiency, variety, conservation of resources, adaptability + yes, 1-pot meals cuz we're fundamentally lazy. Rule #1 would be don't follow recipes. Just get creative w/ what u got, analyze the contents of your fridge in the order of when it will go bad + then figure out what u can concoct so nothing gets wasted... can't remember when the last time something in our fridge went bad. Most every meal ends up being a unique dish, tho there are a few general patterns that repeat. Rarely does a week go by that we don't have tacos, so we start w/ a batch of salsa. Choice of peppers might vary (+ sometimes we opt for green tomatillos) but usually, it's habaneros, cilantro, white onion, lime + roasted Roma tomatoes (5 makes enough to exactly fill our container)... the only problem is that there was no cilantro (a problem we are well used to, living in Italy where they regard cilantro as worse than old man b.o.) so we did the unspeakable + used basil + parsley. When we ordered habaneros from Fresh Direct last week we thought we were getting 6, but ends up we got 6 bags... so really like 40-50 habaneros. No problema, we roasted all of 'em w/ our stovetop roaster (w/ fan on high!) + then added a bit of olive oil + lime (to make it pasty) + put it in the freezer so whenever we need roasted habanero (which is always) we can just nuke it for 10 seconds then take a spoonful. While we were mucking up our food processor (Breville... highly recommended) figured we may as well whip up the jerk + pesto sauces (read on). Ideally, this prep day should coincide w/ the day u get your goods, which this time around conveniently fell on April 1.

April 1: Vongole—this is another dish in high rotation, if not weekly then every fortnight, being that clams are our bedder-½'s favorite food (she's got a tattoo as proof) + low on the food chain, low carbon footprint (unless u get them from New Zealand... which we must admit, them cockles are tasty). Our custom is to make this for whenever she comes back from a trip, which used to be often, but seeing as no one is traveling these days we make 'em just because. Ain't much to do w/ vongole (or linguine 'Congolese' as our iPhone calls it)... soak the clams 1st thing in cold salted water (our seafood monger in Rome used to tell us how much salt per liter but we forget) in the sink + apologize to them 1 x 1 for the trauma they endured being scooped from the sand + shipped thru whatever supply chain to your home (hopefully your seafood monger knows better not to seal the bag so they can breathe). Rub each 1 down + if they are slightly ajar they should clench close when u massage them otherwise they ain't no good. If u squeeze 'em a bit u can sorta tell.

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If we had a baguette we would of made garlic bread to "fare la scarpetta con le vongole" (mop up the clam juices w/ the bottom of your shoe) but apparently everyone's hoarding baguettes (which at least makes more sense then guns + TP) so instead we just took regular sliced (whole grain sourdough) bread + smeared crushed garlic + olive oil (butter is also out of stock, so we're rationing the little that we have) + put it in the oven. Then put the water on to boil.

In another pot (a janky non-teflon 1 cuz it might get scratched up by the clams) put some chopped garlic, olive oil + white wine... we like to put sum sorta cherry tomatoes (ideally those nippled piennoli from the slopes of Mt Vesuvius) but alas, out of stock, so instead we chopped up some red peppers (sweet minis). At the same time u put the pasta in (linguini or spaghetti for vongole... nothing else will do) put the poor little clams in the pot w/ the lid on. Make sure to under-cook pasta, we just drain against the side of the sink to not have to wash a strainer then add lots of fresh chopped parsley, red pepper flakes, ground pepper, salt + a squeeze of lemon, then dump the clams (cook long enough for them to all open) + juices on top + hold onto the pot u used to steam the clams cuz u can use that for the discarded shells. We didn't take a photo of the vongole cuz we didn't know then we'd write this post + we're more into eating our food then taking pictures of it. We also had a salad (use them greens while their fresh) w/ avocado + red onion. We've been trying not to drink during the week, but hard to have vongole senza vino bianco.

April 2: Gnocchi Pesto—fresh basil should also be made into pesto as soon as possible... it doesn't mean u have to eat it that day, but at least make it. As we mentioned, we also made the salsa + jerk sauce at the same time to save on cleaning. Often humus gets worked into this routine, but not this time. Pesto is e-z p-z.. throw basil, pine nuts, garlic, olive oil + pecorino romano in the food processor + voilà. Most recipes probly call for parmigiano but our time in Rome has biased our buds. Sometimes we squeeze a squirt of lemon into the mix. ½ of the pesto we'll put in a jar (top off w/ a layer of olive oil so it stays green + unoxidized).

We chose gnocchi cuz we had pasta the night before + also cuz the last time we went to Trader Giotto's they were out of all the pastas except gnocchi. While the gnocchi were boiling (if u have gnocchi w/ tomato sauce u can cook them right in the sauce + save a pot) we sautéed a bit of shrimp + mustard greens (often we'll throw chick peas in for protein, but the shrimp suffice this time) then add the gnocchi + mix in the pesto last, after the heat is off. Again, w/ a salad + unfortunately sliced bread instead of a baguette to mop up the oily remnants. Pesto is hard to eat w/o vino rosso, but we can't drink red wine this time of year w/ our allergies + we ain't sposed to be drinking anyway during the week. We usually also have sparkling water but SodaStream is taking forever refilling our cannisters... so it's tap water straight up, w/ a squeeze of lemon (April is the month they chlorinate the water in DC (gotta keep them pipes clean living in the swamp) which smells gross but u can't really taste it). Again, we didn't take photos of the final product, tho here's the pesto sauce we haven't used yet, along w/ the salsa we haven't tapped into either.

April 3: Jerk Chicken—we haven't been talking much about what we eat the rest of the day.... if we have leftovers from the night before we skip breakfast + eat those for lunch. Or we eat a late breakfast + skip lunch, or just snack on whatever throughout the day. Lately we've been into smoothies + while we haven't resorted yet to frozen berries, we got some for the day when we can't get 'em fresh.

'Jerk' is 1 of those vague words that to us means whatever u find laying around, but usually entails roasted habaneros (which we already mentioned we have a frozen stash of) + green onions... those are the only 2 real requirements, + oh, spose allspice is must-have to be jerk. If we have pickles on hand (which we do) we'll pour some of the briney water into the mix, or capers w/ some of the juices they're soaking in,... soy sauce, ponzu, whatever salad dressing u might have, lime, vinegar, salt, pepper, spices, etc. Baste the chicken in this concoction overnight (we did all this the day before). Then all u got to do is fire up the grill + throw 'em on.

Actually, shuck the corn + put those on 1st cuz they take longer. Then put the meatier breasts + legs before the wings + smaller pieces... tho we couldn't get a whole chicken, all we could get was 2 legs + a package of wings (if we wanted organic, free range). We don't do chicken that often btw, maybe once a month. It's the only animal we eat that doesn't live in the ocean. We justify it cuz it's low on the food chain + comparatively resource-efficient, but fact is it's delicious. Roasted corn doesn't need anything, perhaps just a squeeze of lime. And again, a salad, while the greens last. Washed down w/ Pilsner Urquel. We got tired of waiting for SodaStream so canceled our order + put on a bandanna + braved the hardware store to exchange our cannisters. After dinner mixed sum gin into our limey soda water (it was Friday night after all)... nursing our Japanese gin to stretch it for as long as we can.

April 4: Tacos—we've eaten tacos probably more than any other dish in our lifetime, at least once if not twice a week. We had a bit of leftover chicken so grilled it up w/ sum mushrooms, green onions + a few types of peppers (dare we use the word fajitas?). We actually scored some tortillas (albeit small "street" style ones) otherwise we would of made our own. And whipped up a batch of guacamole... + the salsa, sour cream, jack cheese (sadly they were out jalapeño jack) + a bottle of pilsner.

April 5: Risotto—take the bones you've been collecting from the chicken, along w/ whatever else (we keep a pot in our fridge for scraps), the tips of onions, celery, etc. + add water to boil. The longer they simmer the better. This week we made risotto w/ the broth, but the last time we made vegetable bean soup + the time before that pozole.

While the broth simmers start chopping up stuff for the risotto... this time we put garlic, eggplant, shitake mushrooms, a few frozen shrimps, mustard greens (add last) + green chilies. Fortunately we have 10 kg of frozen roasted Hatch chilies we got last September... we still have about 5 kg left. Roast the garlic + briefly toast the risotto then start adding stuff. We just put the strainer right on top + pour the broth straight in. Set the risotto simmering, stirring often. Once the stuff in the strainer has cooled (spraying a bit of cold water thru helps) we like to get in there + wring all those juices out, squeezing the remnants to a pulp. Broth-making should correspond w/ the day before garbage day so these remnants don't stink up your kitchen or attract vermin. When it's near to done grate some pecorino in. We served it on a bed of arugula since we had some to use up.

April 6: black bean tostadas/tacos—we had a few leftover broken tortillas that we put in the oven to make tostadas + since we don't have any more tortillas we made our own from Maseca... again, plenty used to doing this since they don't have tortillas in Rome or Nairobi (not corn ones anyway). We still have salsa from a few days ago + grated some cheese + diced up some peppers, green onions, arugula, cilantro, sour cream, etc...

April 7: Penne Pesto w/ shrimp, mushrooms, peppers on a bed of arugula (using rest of pesto sauce made a few days ago).

April 8: Veggie-burgers /w fries + babaga-humus—scraping the bottom of the fridge so dipped into the freezer to dig out some Engine-2 Pinto-Habanero Burgers that we've been meaning to try since we like their cereals so much (all simple plant-based ingredients w/ no added oils or sugars). Grilled up some onions, mushrooms + peppers to put on the patties + also a slice of NY sharp cheddar cheese. Roasted some potatoes in the oven (w/paprika, rosemary, garlic, salt + o'bay). While we had the oven on, roasted an eggplant + mixed it w/ some humus (why not... humus + babaganoush have basically the same ingredients): chick peas, tahini, olive oil, lemon, fresh parsley, habanero paste, sesame seeds + the roasted eggplant). Celery + pickles. Washed down w/ a bottle of Cava since our bedder-½ got promoted to full professor (she was already tenured + endowed, but technically "assistant" prof before) so we were celebrating. The verdict on Engine-2 Pinto-Habanero "burgers"? Consistency was weird, soft + mushy + falling apart, but w/ all the fixings + mayo + mustard it's all tasty.

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Oh yah, the cookies... those are the professor's doing. We don't bake... at least not baking that necessitates following a recipe.

Eating + drinking w/ Ménières
Didn't sleep so well + woke up w/ our head pounding/spinning, maybe on account of the cava + cookies. Last year we were diagnosed w/ Ménières disease + our doctor said no salt, alcohol, caffeine + basically every food item listed here that we love. But life's too short! Would rather be dizzy + lose hearing in 1 ear than eat unsalted beans. Especially since there's been no conclusive studies demonstrating that this even helps, it's all just anecdotal speculation. A few months ago we started to keep a food journal to see if we could identify any triggers, but barometric pressure, allergies + lack of sleep seem to have more of an influence than diet... tho salt, sugar + alcohol certainly doesn't help + eating a lot in 1 meal after fasting all day doesn't bode well for us either. In particular we've noticed we don't do so well w/ wine (especially red, but even whites now). We're okay w/ beer (as long as it's low alcohol %... not these crazy high-octane IPAs they make nowadays), in fact we sleep + feel even better if we have 1 or 2 beers. Really it's about moderation in everything, keeping fluid levels at an even keel, don't eat a bunch of salt 1 day + then no salt the next + don't binge on anything all at once, but eat consistently throughout the day. Our Ménières is probably acting up cuz it's allergy season (this time last year we were really hating life). Yesterday we went for a run (only cuz it rained all night) + when we got back our legs felt + looked like we got bit by 100s of mosquitoes all at once, in addition to sneezing attacks + itchy bloodshot eyes. So avoiding the outside world is something we should be doing anyway for the next month, regardless of COVID.

April 9: Shrimp Tacos w/ Guacamole—Re-up day... got our Fresh Direct delivery this morning... this as we learn that the Trader José's near our house closed cuz an employee got COVID, so now we'll be even harder pressed to get food in our hood. We made shrimp tacos cuz 2 of the avocados we're really soft so figured we may as well make guacamole + the shrimp weren't frozen so best to 'em sooner rather than later. Made another batch of fresh salsa for the week.

April 10: Mushroom Gorgonzola Stroganoff—we have no clue how a proper stroganoff is made, this is based more on the Hungarian Mushroom soup recipe we remember from Moosewood (back when we was a hippie child in the '80s we admit to using that cookbook). Sauté some mushrooms (a mix of cremini + the regular ones) + onions + garlic in white wine, olive oil + butter. We couldn't get sour cream so used Greek yogurt. Spice w/ salt + pepper + most importantly paprika + fresh parsley. Oh yah, and this time we sprinkled some crumbled gorgonzola in which gave it a nice zest.

April 11: Linguini Vongole—1 of the professor's students was going to Whole Foods w/ a car today + asked us if we wanted anything (spose this is the 2020 version of giving the teacher an apple) so we gave her a list of things including vongole, so repeated day 1's clam-fest only this time w/ linguini + we had little kumatos to throw in. Not only was this student kind enough to do our shopping but she souprized us w/ other goodies we didn't ask for such as burrata, so included that in our meal.

We were going to do a whole fortnight of food getting us thru lock-down, but seems the cycle is starting to repeat + we have friends in Naples asking to swap recipes, so we'll go ahead + post now... u get the idea, it's not about knocking your socks off w/ 1 meal, but sustaining yourself thru the week, month + also eating to sustain the planet. W/ the nearby Trader Joe's closed cuz of COVID it's getting harder to shop (supposedly the queue at the nearby Whole Food's is 2 blocks long). We're losing sleep staying or waking up at midnight to get a delivery rez on Fresh Direct only to find out they are all booked in advance + seems all food delivery services are overwhelmed. On the other hand, there is tons of food going to waste cuz the chain is severed from farmers that normally supply restaurants + business besides supermarkets, or the mom + pop specialty farms that supply farm-to-fork restaurants. We signed up for a local CSA (Earth N Eats) so we are getting a bunch of fresh stuff on Friday. There's also lots of otherwise thumb-twiddling restaurants getting involved in distributing (uncooked) food (at least in DC). So we're set for at least a few weeks, here's what our fridge looks like at the moment:

Next Week's Menu
As mentioned, we don't follow recipes or plan meals in advance (+ or even grocery lists) but we have a vague notion in the back of our head that gets inspired day off based on the status of food in our fridge in the order it will go bad (not a drop or leaf of any food item above will go to waste). But here's some other e-z to make meals that usually find their way into the mix:

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• Pozole—while the authentic version is complicated (+ involves pig feet) we have our own version that can be made in minutes. Ideally u do this w/ broth u made, but in a pinch u can use 1 of them boxes (+ veggie broth if you don't do chicken). Grill up onions + garlic, add roasted Hatch green chilies (we have them frozen, but u can get them canned, tho they're not nearly as good/spicy), oregano, a can of hominy, black beans + voilà. Mexicans garnish w/ cabbage, onions (white), pork, radish, lime + chili sauce... we modify this sometimes w/ whatever leafy green, green onions, grated cheese + chicken, if we have it.

• Quiche—quiche is another great way to use things up, just grill up whatever u have on hand, add 4 eggs (2 per pie) + grated cheese... basically an omelet in a pie crust. We only make pie crusts if we have to (like in Italy where u can't buy them frozen) but what a pain in the ass when u can just buy 'em frozen. If u don't have a pie crust, u can always make breakfast for dinner... we often do a Mexican version of this w/ huevos rancheros + black beans + home fries.

• Pizza—same thing we said about pie crusts applies to pizza dough... much easier to get frozen + thaw + roll it out out day of. U also need to an oven that can crank up to 450° if not 500°+ ... ours never seems to get hot enough to get a crispy crust (+ we never forked over the dough for a proper pizza stone but use a metal 1), but maybe also cuz we load it up w/ veggies (usually lots of mushrooms) + cheese, to try to make a meal of it. We also often pile arugula on to turn it in to a sort of pizza salad. Otherwise, if we want a proper pizza we leave that to the professionals (same could be said about sushi).

• Cevicherashi—while we don't usually make sushi ourselves, we often do a Mexican/Peruvian hybrid that we already documented here. Or a Polynesian take on this is poisson cru (basically the same thing but w/ coconut milk).

• TJ's Thai Lime + Chili Amondless Larb—it's easy to fall prey to the Asian stir-fry, face it, we all have + it's never the same as when u go to a good Thai or Chinese restaurant. Maybe 1 reason is that it usually requires liberal doses of fish sauce which stinks your house up to high hell. But the classic stir-fry is always a good way to use up those fresh veggies + Jasmine rice is a nice change from pasta. One secret we have (being that we consume mass quantities of those Trader Joe's Thai + Lime Almonds) is we re-use all those leftover spices (lemongrass, kaffir, etc.) once we've eaten the almonds + yes, u sorta have to plug your nose + use fish sauce, that's the dirty secret to Thai cooking. When we 1st got turned on to Thai food in the '80s in San Jose, we got the cook from our favorite restaurant drunk so she'd reveal her secrets + evidently cooking w/ vodka is also key. If we don't use shrimp, our stir-fry dishes often end up a bit larby, w/ lime, scallions, cilantro + ground chicken or turkey or crumbled tofu, tempeh or we've even tried this w/ beyond burger.

• Casarecce Carciofi—we got some artichokes coming friday in our CSA so we'll likely make a variation of this, hopefully they'll have the stems on them cuz them's good eating. Basically we follow the recipe for carciofi ala Romana (steam w/ garlic, mint + lemon) + rather than waste those juices the artichokes were simmering in, we take the artichokes out, mash up the stems (hopefully they're soft enough) + garlic + then maybe add mushrooms or whatever else + put the pasta in there + add pecorino Romano to stretch your artichokes into a meal.

• Anything Goes Mulligatawny—googling now this doesn't resemble the mulligatawny recipes we see on Inurnet, but it's usually what we call our goulashy vegetable soups. The inspiration goes back to 2 decades ago when we used to stand in line at the Soup Nazi in Hell's kitchen (before he sold out + franchised + had to drop the "Nazi") + it was pretty much just like in Seinfeld (except u stood in line outside, rain or shine), u had to know the drill or get scolded. And it was well-worth it. My favorite was his mulligatawny, which seemed more Persian than Indian. And we'll use a dollop of sour cream or yogurt instead of coconut milk (as we think did the Soup Nazi). Regular players in our mulligatawny include: lentils or chick peas and/or whatever beans, celery, carrots, squash or pumpkin, onions, potatoes or faro, etc. but really this all hinges on your broth. We might spice it w/ a bit of curry powder or rosemary + tarragon + usually there's habaneros involved or some other chilies.

Bon appétit! And wash those hands.

Food bytes: March 21st edition

Food Bytes is a weekly blog post of “nibbles” of information on all things food and nutrition science, policy and culture.

As much as we want to pretend all is normal, it is clearly not. We are in the middle of a global pandemic, with a massive amount of uncertainty, fear, and in some places, complacency. We will be posting another blog entry on the COVID crisis but for now, we will highlight, just a few emerging articles on the growing concern of food insecurity and the food supply, along with our regular updates on all things happening in the food space.

On COVID, we have never been in a situation like this before with talk of it reshaping the global order or social collapse or cohesion. So to predict how markets will continue to react to the future and the health of the global food supply is uncertain. Anyone who postulates how it will go is misleading us. Yes, of course, we can look in real-time on how households and communities are handling the crisis, and we can look to the past, on how other pandemics like the Spanish Flu, impacted food security and supplies. However, times are different. Food supplies are globalized. The population in 1918 was 1.6 billion. We are now at 7.5 billion.

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Locusts in east africa (copyright: BBC News)

Rob Vos at IFPRI argues there is no major concern for food insecurity, yet. They came to this conclusion by looking at food prices of staple crops. Huh. As the Brookings Institution rightly pointed out, low-income seniors are already feeling the impacts. In the U.S., with roughly 15% of households being food insecure, some are concerned about their ability to feed themselves in the coming months. A WaPo article quoted: “If coronavirus doesn’t get us, starvation will.” Then there is Africa. Food insecurity and stark hunger could worsen in an already fragile context. East Africa is also reeling from an invasion of locusts which don’t help the already burgeoning food insecurity in the region. This video is pretty insane if you want to see the locust infestation.

The EAT-Lancet Commission report follow ons just keep coming. Did you know that the report has already been cited 790 times since its publication in January 2019? Insane! A few interesting articles are emerging that again test the validity of the Commission’s findings.

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The water footprint (blue and green water) of different nut types (shelled) as well as some other food products for comparison, in litre/kg and litre per g of protein. (Vanham et al 2020)

• One article published by the LIvestock Innovation Lab at the University of Florida shows the importance of animal source foods and explains that raising livestock and eating animal source foods can be compatible with sustainable development.

• Another article questioned the recommendation in the report to increase nut consumption. The article dissects the water intensity issues in producing trees and ground nuts especially in India, China, Pakistan, the Middle East, Mediterranean, and the U.S. Check out cashews in the figure!!

• A publication in the Journal of Nutrition argued that the mortality reduction effect of the EAT-Lancet proposed diet in the USA is no greater than the impact of energy consumption changes that would prevent under-weight, over-weight, and obesity alone, calling into question its findings. Authors are funded by the National Cattlemen's Beef Association…

• Pedro Sanchez, one of the world’s experts on tropical soils and a World Food Prize winner wrote a piece about the land needed to grow the Lancet-EAT diet was oversimplified. He provided some alternative calculations. He argues that current total world food production is estimated at 9.30 billion metric tons of crops and animal-sourced foods, with crops grown in 1.27 billion hectares of land. Implementation of the EAT-Lancet diet for 10 billion people by 2050 would require a lot less, 5.39 billion metric tons of food in 1.10 billion hectares of cropland, assuming no increase in crop yields.

Pedro’s paper was part of a special issue in Food Policy in the Food Policy journal initiated by Editor in Chief Chris Barrett. The issue is about the evolution of the Consultative Group on International Agricultural Research (CGIAR), and the international agricultural research centers (IARCs) that comprise the CGIAR System. Over the past two decades, the CGIAR has undergone a series of reforms with the latest reform being termed “One CGIAR”.  Maybe they should take a lesson from the UN and find out how the One UN worked out…The special issue is out and is meant to “help inform a research strategy for the new One CGIAR.”

Robotics, AI, nano. Will these technologies transform the food system, and eliminate the “human” element from agriculture work? Yet to be seen. This article in the Economist discusses agricultural robots. And they have names: Tom, Dick, and Harry.

In the world of nutrition, meat will remain a controversial topic that is heating up. Nutrition is always accused of having serious conflicts of interest - who pays for the research? Who is biased? Who is paid off? JAMA and Scientific American highlights the controversy with meat-funded research and plant-funded research - and the “bullying” by both sides. Katz responds here. The livestock industry responds here. This debate has left consumers confused, and lacking any trust in science. A few other tidbits on meat. This NYT opinion piece by Alicia Wittmeyer argues that to stop eating meat, can alienate us from our traditions. Meanwhile, the EU is considering a tax on meat.

Speaking of diets, with 2.1 billion overweight and obese adults, and half of the U.S. facing obesity, we need some new strategies. Intermittent fasting seems to be all the rage these days as the best way to lose weight and keep it off. A review in JAMA highlights the evidence, and NYT provided some guidance. We tried it. It is not so hard. Just eat between the hours of noon and 8 pm. Thereafter, no calories should be consumed in solid or liquid forms.

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Changes in purchases of high-in beverages, by education level of household head (Tallie Smith et al 2020)

Diet quality matters too. Bee Wilson, an amazing writer of food and its history, wrote a long piece in the Guardian on the contributions of ultra-processed foods on the global obesity crisis. These foods are cheap, attractive and convenient, and we eat them every day. But they are also riddled with sugar, salt, and unhealthy fats. This article is worth the read. Some countries are worried. Take Chile. They instituted a Food Labelling and Advertising which put warning labels on the front of food packages if the food was high in sugar, high in salt or high in fat. Sugary drinks, unhealthy snacks, and packaged foods must carry the front-of-pack labels. These foods are also regulated. These foods cannot be marketed or sold in schools or on TV. Has it worked? Yup. Sales of these foods are down 23%. In college-educated consumers, as you can see in the figure, purchases were done 29%!

Su-su-summertime sadness

Summer is coming to an end and Lana Del Ray’s song, su-su-summertime, summertime sadness keeps running through my head. Not sure if I am sad it is coming to an end, or sad that it wasn’t the summer I dreamed it would be. But is it ever? Summer always starts with such high hopes. The stretched-out days, sun-drenched bronzed skin, quality time with nature whether it be in water or atop mountains, relaxing nights in the backyard, vacations, beaches. A time when the livin’ is easy. When “laziness finds respectability.” As Charles Bowden said, “summertime is always the best of what might be.”

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Summer conjures up inspiration. Just think of the vast number of songs that have eloquently articulated that summertime feeling. Sly and the Family Stone, War, Bananarama, the Isley Brothers, Childish Gambino, the Motels, Seals and Crofts, Don Henley, Death Cab for Cutie, Lana Del Ray, The Lovin’ Spoonful, to name a few.

The posted playlist is just a sampling of “summer” songs. I purposely chose songs that had “summer” in the title, but clearly there are so many songs about summer, the anticipation of it, or the experience of it. Think Alice Cooper’s “Schools out for Summer”, The Go Gos “Vacation”, The Ramones “Rockaway Beach”, and anything by the Beach Boys…

Remember when square Sandy and T-bird Danny reminisce about their summer affair “summer lovin’ had me a blast, summer lovin’ happened so fast” in Grease? Oh the fleeting moments of young, summer romance…We’ve all been there.

But my favorite summer (sad) song has to be from Jonathan Richman of the Modern Lovers.

That summer feeling
When there's things to do not because you gotta
When you run for love not because you oughtta
When you trust your friends with no reason not ta (nada)
The joy I name shall not be tamed
And that summer feeling is gonna haunt you
One day in your life.

My summers always haunt me. The could’ves, the should’ves, the would’ves. I could have done more with my summer, or I could have done less. I should have done what the Italians do and take a whole month off to celebrate Ferragosto. I would have gone to the beach this summer and worked on my tan but alas, I don’t want to look like Keith Richards, an old leather shoe with lips.

So what the hell does this post have to do with food you may be asking yourself? Indulge me for just a few minutes more.

When I got to thinking about writing a post about summer and what it means for all things food, it got me thinking about seasons. The beginning of one season, ends another season. I feel that years go by faster when a place experiences four seasons - winter, spring, summer and fall. It can be refreshing - shedding skin, birth and death, light and dark. Winter is often associated with death, old age, pain, loneliness, despair or an end. Yikes. Spring is almost always associated with rebirth, renewal, hope. Summer, well, we have already expunged that season enough, but it does symbolize fullness, joy, and dare I say, freedom. August, often means bounty, change, maturity and maybe some anticipation of decay...

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Lynch’s annoying twitter feed

When you live in a place like Arizona or California in the US, or in the southern tropics, you have sort of two seasons - hot and less hot, wet and dry. Back in 2009, David Lynch would annoyingly remind us on a daily basis of the wonderful, consistent, balmy weather in Los Angeles. And he wasn’t fibbing. Way to rub salt in the wounds of us New Yorkers struggling to stay alive amidst the bleak snow-covered streets and dead plantation.

The Earth’s tilt toward the sun and its trips around the sun dictates the cycle of seasons. The longest and shortest day of the year occur when Earth's axis is either closest or farthest from the sun also known as the summer and winter solstices.

Equinoxes are another significant day during Earth's journey around the Sun. On these days, the planet's axis is pointed parallel to the Sun, rather than toward or away from it. The spring, or vernal, equinox for the northern hemisphere takes place on the same day as the south's autumnal equinox and vice versa.

Seasons are so critical for food. Seasons bring different harvests of food that contribute to the diversity and quality of our diets. There are many studies out here looking at the seasonal affects associated with access to and availability of foods. Studies in Ghana, Bangladesh, and Malawi show that seasonality is a key element to food availability in many low-income countries, what is often called “local seasonality.” Seasonality impacts food access often through food prices of even the most basic staple foods. In many high-income countries, people don’t even think about seasons. You can get anything you want, any time of the year, what is called “global seasonality.” Blackberries in January, apples in June, corn in April. All completely off-season from when they could actually be harvested in the United States. Thank you global trade (take note Potus). We have become completely disconnected from the agrarian calendar. But more on that in a minute.

Jenny MacDiarmid, a fantastic researcher in Scotland, asked whether eating seasonal foods contributes to a more sustainable diet. One could argue that demanding global seasonality in a diet would provide nutritional benefits by increasing diversity of the diets, particularly perishable foods, but it could have high environmental costs. MacDiarmid argues that greenhouse gas emissions (GHGE) of globally seasonal food are not necessarily higher than food produced locally as it depends more on the production system used than transportation. She wrote: “Adopting a global seasonality approach to food supplies may not have major consequences for GHGE but to meet demands it could create greater water stress in already water scarce countries. A similar argument could be made against increasing the global supply of fresh food year-round because of the increased land it will require, which will have knock-on effects for loss of environmental biodiversity.”

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Nigerian crop calendar

The agrarian or farm calendar is essentially the same as the crop calendar which is a time tool on when to plant, sow, and harvest local crops based in specific agro-ecological zones or landscapes. FAO has a bunch of examples based on crop or country. Here is an example of Nigeria. Yams looks like a solid bet for year-round food. This calendar shows maize across a few countries. It shows how diverse the planting and harvesting seasons are across the world, with some places getting in two harvests of corn per year.

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Harvest calendar of the United States

It was always thought that the United States school year calendar was based on the agrarian calendar. The idea is to keep kids at home during the summer months (June through August), the most active time to plant and harvest. I even thought that was true. Turns out, it is not. Rural and urban schools had different calendars but summer was just a logical time for teachers and students to take breaks. According to this Washington Post article, “In the early 1800s, agrarian communities generally operated public schools for a winter and a summer term of two to three months each. The spring and fall, labor-intensive times for farming, featured no school. During the summer — no less important an agricultural season — older children were typically absent from school, since families counted on their labor.” Interesting. The myth of the United States education system still rooted in ancient agrarian times is a myth after all.

And if one were to look at the seasonal calendar of the United States, it would be near impossible to line that up with the current school year calendar of the country. The sheer diversity in temperatures, what is grown, where, and when, would put a child in each region of the country in a different academic calendar year, were it to be dependent on our farm systems. The harvest calendar of the United States based on temperature is shown on the right.

Seasonality also brings challenges associated with malnutrition. Due to seasonal variability of food production, dietary intake, food security and morbidity in the developing world, many children suffer from impaired growth or acute malnutrition issues. Seasonal malnutrition is often tied to disease burden brought on by seasons - rainy seasons bring about diarrhea incidence as one example. Stephen Devereux and colleagues published a PLoS paper about seasonal hunger and showed the patterns linking severe acute malnutrition and malaria during the rainy season in Niger.

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Vaitla B, Devereux S, Swan SH (2009) Seasonal Hunger: A Neglected Problem with Proven Solutions. PLoS Med 6(6): e1000101. https://doi.org/10.1371/journal.pmed.1000101

Interestingly, when one searches for reviews in PubMed on seasonality and stunting (54 articles) or wasting (4) or undernutrition (220), very little emerges with most articles involving Vitamin D specifically. It shows how little the nutrition community pays to seasonality - which impacts interpretations of research findings of timed surveys and interactions with disease burden, programming and policy interventions. Andy Prentice has been studying seasonality for a good long time in The Gambia, and he wrote a paper back in 1994 on the topic. Crazy. Action Against Hunger wrote about it as a “missing link” a few years ago, arguing that seasonality rarely get attention by governments.

But how are seasons changing with climate change and what will this mean for malnutrition and our food security? A lot. We wrote about the seasonal affects on malnutrition in the context of near-term weather events, like El Nino and La Nina in the Global Nutrition Report in 2015 with Madeleine Thomson of Wellcome Trust. The report (check out chapter 6), articulates that for the poorest groups, the seasonal cycles of food availability, infection, and time use remain a significant challenge to nutrition security and provide a stark indicator of the vulnerability of populations to climate risk. The figure below shows how stunting varies by month of birth for Indian children under the age of three.

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Stunting variation in India based on season (Global Nutrition Report 2015)

We also wrote about the impacts of seasonality in the context of climate change on the entirety of the food system. Forecasts of the future climate— whether short-term seasonal anomalies or long-term climate change scenarios—may also impact production and consumption patterns, price hikes of food staples, and social stability. And with climate change, the length and intensity of our seasons are getting harder to predict and harder to control. Farmers are challenged and will continue to be challenged.

Seasons. They are essential for the foods we grow, the diets we consume and our overall wellbeing. Seasons fill in the gaps and pauses that the world makes. But they are shifting, shaping and changing. Much of that due to the anthropocene.

My favorite season? You guessed it. Summer. But that summer feeling haunts me. As much as I want to hold onto it and its cumulative memories, it is gone as soon as it arrives. Although I tend to get sad when summer ends, I am glad when it comes around with each passing year.

Food Bytes: July 8 - July 20

Food Bytes is a weekly blog post of “nibbles” of information on all things food and nutrition science, policy and culture.

Food environments seem to be on the tip of the tongue for everyone these days. Food environments are the “collective physical, economic, policy and sociocultural surroundings, opportunities and conditions that influence people’s food choices and nutritional status.” Or to put it more simply, it is the place where consumers go to buy or order food - a market, a restaurant, a cafeteria.

The UN Standing Committee on Nutrition, also known as UNSCN, has just published a collection of papers on the food environment. It splits up the food environment into two entry points - the food supply shaping these environments and the consumer demand side - and what it would take to make change, also known as the enabling environment. The publication is chock-full of case studies from all over the world. I like the ones on Mexico, the private sector last mile, the flathead reservation, cash transfers, and the digital influence.

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Food Environment Framework showing supply and demand. Source: Marshall et al 2019 UNSCN report

In South Africa’s Soweto hood, women struggle to be healthy. Food environments are pretty dismal (fries, fries and more fries), and exercising outside can be dangerous. It is not just about supply and demand of healthy foods, which the UNSCN publication focused on, but the whole built environment, the way women are treated in our society and urban safety. At the same time, its seems many South Africans are taking food security into their own hands. One study found that 2.2 million households have recently constructed food gardens at their homes in order to avert food insecurity.

While we are on the lovely UN, the UN Committee on Food Security is rolling out a series of regional consultations on what is known as the Voluntary Guidelines on Food Systems and Nutrition. This stems from the High Level Panel of Experts on Nutrition and Food Systems report which called for these guidelines to be developed by governments collectively and collaboratively. These voluntary guidelines are meant to create a global norm of reference in the governance of food systems and nutrition/diets. The guidelines outline principles and practices that governments can refer to when making laws and administering food systems. These guidelines should be seen as an internationally negotiated soft law or a set of guidelines in which all governments have reached a common ground. So, they can be important, and quite powerful. Anyone can comment on the zero draft - far from its final - here. The regional consultations started in Africa, Ethiopia. Then, Asia, Bangkok. Then Central and South America, Panama, North Africa, Egypt, Europe, Budapest and last but not least, North America. I had the pleasure of being at the Ethiopia meeting and it was quite fantastic to have so many African countries in one room talking about African food systems. Amazing stuff.

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Source and Copyright: Johnny Miller, NYT 2019

Speaking of Africa, the diversity of cuisines and culture is what makes the continent so amazing. Take Nigeria. Reading Yewande Komolafe’s recipes made me want to jump on a plane to Lagos and eat my way through it.

But it is not always a rosy picture for Africa. The continent is still struggling with food insecurity, while at the same time, obesity is creeping up, up and up. The FAO State of Food Insecurity (SOFI) 2019 report just came out, two months early. It was reasoned that it came out to line up with the High Level Political Forum. Yeah sure. I think it was timed to be released right before the Director General, José Graziano da Silva stepped down to celebrate his 8 years as the leader of FAO. However, the report is nothing to celebrate. I digress…The major findings of the SOFI were the following:

• More than a quarter of the world’s population now struggles to eat safe, nutritious and sufficient food.

• Hunger is on the rise in most of Africa, in parts of the Middle East and in Latin America and the Caribbean. The situation is most alarming in Africa, where since 2015 undernourishment has steadily increased in almost all subregions. In Asia, undernourishment has been decreasing in most regions, reaching 11.4 percent in 2017. In Latin America and the Caribbean, rates of undernourishment have increased in recent years, largely as a consequence of the situation in South America.

• Economic shocks are contributing to prolonging and worsening the severity of food crises caused primarily by conflict and climate shocks.

• No region is exempt from the rising trends of overweight and “obesity rates are higher in those countries where moderate food insecurity is also higher.”

We see this in the United States too. I just wrote a piece for Bloomberg Opinion (I didn’t choose the photo.) showing that food insecure adults in the U.S. are 32% more likely than others to be obese — especially if they are women. Poverty and unemployment have driven the dual rise in food insecurity and obesity since the 1960s, especially in rural America. But many city dwellers subsisting with inadequate social services and support structures are also susceptible. Every time I write a piece in Bloomberg Opinion, I always get lots of interesting email comments. For this piece, most commenters feel that if you are fat, it is your fault. If healthy foods are available, affordable and easy to access, “these people” will always make the wrong choice. My reaction? WOW. It is so hard to eat healthy in our perverse food environments. Blaming and shaming is not going to make things better. But it seems, consumers are catching on in the U.S. - diet quality is improving.

But what does the latest evidence suggest for those who are overweight and want to lose weight? I will soon dedicate a longer blog to this issue because the literature is confusing. Is it a keto diet? Is it intermittent fasting? Is it low-carb? Is it putting a teaspoon of oil in your coffee every morning? New evidence suggests that cutting 300 calories per day, from any food, can lead to substantial weight loss in adults (7.5 kilos over two years) compared to the control group. Tamar Haspel of the Washington Post, argues that eating ultra-processed foods comes down to increased calorie consumption. We consume more of those foods, and they are calorically dense. She wrote:

“In a nutshell: The root of obesity is palatability and calorie density, combined with ubiquity and convenience. Satiety hormones and other metabolic machinations have much less to do with it. We’re responding to cues from without, not from within. One new study doesn’t prove it, of course, but it’s the hypothesis that best fits the preponderance of the evidence.”

I really appreciate this article that “Being Fat is Not a Moral Failure.” Damn straight. This Scientific American article argues “Individual behavior change is ineffective in the face of social and structural barriers that constrain individual choice. These barriers are uniquely relevant among racial and ethnic minorities and impoverished adults who are more likely to be obese.”

A bunch of scientific papers and media articles came out this week on diets, nutrition, and food systems. Here are some highlights.

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Kathmandu food stall - healthy and unhealthy foods. Source and Copyright: Jess Fanzo

• “Ultra-processed” foods or what I call, junk food, are in the news again. This article outlines four dangers with food reformulation - redesigning an existing processed food product with the objective of making it healthier. This article argues that reformulation just tinkers around the edges, and isn’t really fixing the root problems of the food system, and what the authors say is food and beverage industries.

• Case in point? Nearly 10,000 cases of heart disease and stroke and 1,500 cases of cancer could have been avoided in England if the government had not switched to a voluntary deal (as opposed to mandatory) with the food industry to cut salt in food. England is doing so much good stuff in the food space right now, but man, there are potential setbacks with Brexit and political shifts. This BMJ post by Annie Purdie and colleagues is concerned about Boris Johnson’s recent decision to look at “sin taxes” and creating a nanny state. The authors argue that the public health community needs to “move beyond debating the cost-effectiveness of interventions, and engage with the underlying political nature of the issue.” We need to pay more attention to the language (sin, nanny, liberties etc) used to highlight the problem and the proposed solutions like taxes on soda and regulating the levels of salt and sugar in foods. As Bob Marley sang, “don’t let ‘em fool ya.”

• There is more and more coming out that nutritional sciences is “broken.” In this article, they use the “eggs are again bad for you” study that came out in JAMA. Waah. Is it? I disagree! Of course, when we focus on specific foods and nutrients, the data is not clear, but dietary patterns show basically the same thing. Give it a rest dudes.

• While these researchers argue that more evidence is needed, they did find that snack foods and sugar‐sweetened beverages are providing a substantial proportion of energy intakes (ranges from 13 to 38%!) among children below 2 years of age in Latin American and South‐east Asian low and middle income countries.

• A study in the capitol of Nepal, Kathmandu, showed just that consumption of unhealthy snack foods and beverages contributed 47% of total energy intake among the wealthiest consumers, compared with 5% among the poorest. This pattern of junk food consumption among young children was associated with inadequate micronutrient intakes. The reason that mom’s give these foods to their children? Convenience - they are easy to prepare and easy to feed. Makes sense. Looks like even among very poor countries, we are seeing the nutrition transition play out in real time. Ever try making dal bhat from scratch? Not easy and incredibly time consuming…

• I love that the Lancet is calling on oral health researchers to review the evidence and conflicts of interest of the impacts of what we eat on our dental health and the caries that come with sugar consumption. The lead scientist argues, and this goes back to the infant studies: “A particular concern is the high levels of sugar in processed commercial baby foods and drinks which encourage babies and toddlers to develop a preference for sweetness in early life. We need tighter regulation and legislation to restrict the marketing and promotion of sugary foods and drinks if we are to tackle the root causes of oral conditions.”

• New microbiome research shows that a specialized food made up of chickpeas, soy, peanuts, bananas and a blend of oils and micronutrients substantially boost microbiome health in severely malnourished children. Yummy.

• Do cookbooks need nutrition labels? Great question but sort of takes the fun out of cookbooks no?

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Some things have improved for food security and nutrition. Source: Byerlee and Fanzo, 2019 GFS Journal

Derek Byerlee and I wrote a piece looking back 75 years on commitment to hunger when the first international commitment to ending hunger was made at the UN Conference on Food and Agriculture, at Hot Springs, Virginia, USA in 1943. That conference set the goal of ‘freedom from want of food, suitable and adequate for the health and strength of all peoples’ that should be achieved ‘in all lands within the shortest possible time’ (US Department of State, 1943). It is sobering and shameful that 75 years after this clarion call, as well as the dozens of similar global declarations since 1943 for ending hunger, some 800 million persons are estimated to be undernourished and over 2 billion adults and children suffer from other forms of malnutrition be it obesity or micronutrient deficiencies. We remind readers of the significance of the Hot Springs conference and briefly trace the long road that has led us back to the original vision of ending hunger that recognized the several dimensions of nutrition, from undernourishment to micronutrient deficiencies. While there has been progress, this reflection over 75 years helps appreciate the fact that today for the first time, the links of agriculture, health and nutrition outlined in 1943 are again at center stage in the global hunger challenge as embraced in SDG2. Accordingly, SDG2 offers a better foundation for accelerating progress in reducing malnutrition in its several dimensions, although we recognize major gaps in knowledge, financing, and implementation capacity for realizing SDG2 targets.

Someone else is realizing the importance of agriculture. It seems Bill Gates has woken up to the fact that the CGIAR exists. His article is titled “You’ve probably never heard of CGIAR, but they are essential to feeding our future.” Hate to spoil it Billie Boy, but we have heard of the CGIAR…and I don’t confuse it with the word “cigar,” cigarillos, ciggies, or ziggie stardust.

Country ratios of fruit and vegetable availability to WHO age-specific recommendations. Source: Mason-D’Croz et al 2019

On the environmental and climate change front, lots going on. The World Resources Institute released a mother of a report - 564 pages - on Creating A Sustainable Food Future. You may have seen the abbreviated version released 6 months ago. But this one goes into great detail a 22-item “menu” which is divided into five “courses” that together could close the food, land and greenhouse gas gaps: (1) reduce growth in demand for food and agricultural products; (2) increase food production without expanding agricultural land; (3) protect and restore natural ecosystems; (4) increase fish supply (through improved wild fisheries management and aquaculture); and (5) reduce GHG emissions from agricultural production. Richard Waite and Janet Ranganathan are seriously my heroes in creating these action oriented solutions. Well done.

Following on the heals of that report, two Lancet Planetary Health papers came out. One paper shows that even under optimistic socioeconomic scenarios future supply of fruits and vegetables, central components of a healthy diet, will be insufficient to achieve recommended levels in many countries. Consequently, systematic public policy targeting the constraints to producing and consuming fruits and vegetables will be needed. The second paper shows climate change and increased atmospheric CO2 will impact the availability of protein, zinc and iron availability. The many countries that currently have high levels of nutrient deficiency would continue to be disproportionately affected.

This expose by the Guardian shows that Brazil’s huge beef sector, and the appetite for beef, continues to threaten health of world’s largest rainforest, the Amazon. This is just downright sad.

And while those of us in nutrition don’t really get to the larger social determinants of food insecurity and malnutrition, it is important to do so. This article in NPR’s Goats and Soda delve into the practice of trading sex for fish in Lake Chilwa in Malawi. This is driven by poverty and food insecurity and the impacts are catastrophic in this southern African country - HIV, violence and stigma - for these women.

Food Bytes: May 6 - May 25

Food Bytes is a weekly blog post of “nibbles” of information on all things food and nutrition science, policy and culture.

The Annual Reviews have just released a special issue on the Future of Food. Presents 20 articles on "Research & efforts to ensure a safe, nutritious, & affordable global food supply, while preserving biodiversity & minimizing environmental damage." Keen to read these by some stellar scientists!

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Processed food is having its moment. New research shows that those who eat ultra-processed foods gain more weight than those who ate whole or minimally processed foods. Researchers at the National Institutes of Health, tested this using the randomized, controlled trial approach. Study participants on the ultra-processed diet ate an average of 508 calories more per day and ended up gaining an average of 2 pounds over a two-week period. People on the unprocessed diet ended up losing about 2 pounds on average over a two-week period. Fantastic food writer Bee Wilson has a new book entitled: The Way We Eat Now: How the Food Revolution Has Transformed Our Lives, Our Bodies, and Our World. She writes about how these processed foods, ala junk food, has taken over traditional diets everywhere in the world, and is having impacts on health, at a very alarming pace.

Another study highlighted the impacts of poor diets on health. An estimated 80,110 new cancer cases among adults 20 and older in the United States in 2015 were attributable to eating a poor diet. Other research supports this claim. The study found that decreasing dietary fat and eating more fruits and vegetables may lower a woman’s risk of dying of breast cancer. They tracked 48,835 women ages 50 to 79 without breast cancer since the 1990s.

The way we eat is changing. There is a fantastic piece by the Guardian looking at how more and more people are eating alone, and it has quite dramatic changes on the way we eat, what we eat and why we eat. Netflix is involved in this equation…

Let’s discuss individual foods. Are you obsessed with vanilla? Check this out. Like citrus? You may be disappointed after reading this. With 70% of America consuming bananas, they can’t be that bad right? Think again. Do you dig on swine? This may scare you.

Some places, as we know still are food insecure in the world. The UN FAO reports 815 million people go to bed hungry. Venezuela, sadly is not immune, and is really in a free fall. NYT is reporting that “Butchers have stopped selling meat cuts in favor of offal, fat shavings and cow hooves, the only animal protein many of their customers can afford.” Terrible times for the country. Let’s hope things turn around soon.

On the polar opposite, but strangely, very much on the same side of the coin, it always thought that urbanization is driving the obesity pandemic. A very impactful Nature study has shown that 55% of the global rise in mean body mass index since the mid-1980s—and more than 80% in low- and middle-income regions—was due to increases in body mass index in rural areas. The team of scientists argue that: “There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories.”

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The difference between rural and urban mean body mass index in women. Figure A is 1985. Figure B is 2017.

Nature is on a role. They also just published a really important paper nothing related to food, but on HIV. The researchers used a high spatial resolution across the continent to look at HIV prevalence sub-nationally. They already published a similar study examining undernutrition. They show that the epidemic is very unevenly spread. Of the 25 million HIV-positive people in sub-Saharan Africa, one third live in very small, highly concentrated pockets. The remaining two-thirds are spread out more broadly. This work will help hone in on the hotspots and where attention should be drawn to continue progress on halting the spread of HIV.

As for furthering education and building capacity, the London School of Hygiene and Tropical Medicine is starting a new Center on Climate Change & Planetary Health and the University of Washington has a new degree program on Food Systems, Nutrition and Health. Google them if you are interested in these new academic programs!

The Sustainable Development Solutions Network is hosting a 3-day webinar on Nutrition-sensitive agriculture. Sign up! We have three stellar speakers who will be talking about:

• Smallholder production and Dietary Diversity

• Market Challenges and Solutions to Nutritious Food Access

• Women’s Empowerment for Better Nutrition

And on a personal note, I was sad to hear about the passing of Kenyan writer Binyavanga Wainaina. He has some famous stories, including How to Write About Africa. But his most defining moment has been his coming out as a gay man, in a letter to his mum, raising awareness and rights of LGBTQIA throughout the continent.

Why Hunger Amidst Plenty?

I had the pleasure of doing a keynote talk at the “Ending Global Hunger Conference” at the Center for Global Food Security of Purdue University . My talk was entitled “Why Hunger Amidst Plenty?” My slides are here.

The punchline of the talk was this: We are living in a complex world made up of multiple burdens of malnutrition. While the obstacles to address the burden are daunting for citizens, there are tools to solve it. We just need political will, global cooperation, and immediate action.

The malnutrition burden is massive. But the story is mixed - there is the good, the bad, and the ugly. Let’s start with the good. Stunting is coming down - in some places quite fast - like Ethiopia, Bangladesh and Nepal. Also, the risk of dying from a famine has become much, much smaller than at any time in history. Then there is the bad. For the third year in a row, there has been a rise in world hunger. The absolute number of undernourished people has increased to nearly 821 million in 2017, from around 804 million in 2016. These are levels from almost a decade ago. Further, “hidden” hunger remains significant but is shrouded in mystery. We don’t know the state of micronutrient deficiencies, particularly among the nutritionally vulnerable populations, such as children under five years of age, women and adolescent girls. And now the ugly. Overweight and obesity is rising everywhere and among every stage of life. No country has stopped the trends we are witnessing.

The question remains why?

• Why do we still have hunger & undernutrition?

• Why are we not seeing improvements? And in some cases reversals of progress?

• How did we get to this place of paradox: hunger & obesity?

• What can we do about it?

I argue that hunger is still rampant because of poverty, conflict change, conflict, poor infrastructure, unstable markets, food loss and waste, and periods of seasonal hunger in rural places.

But how did we get to this place of paradox? That is complex but in a nutshell, our lives and lifestyles are transforming as are our diets and food systems. Many in the world are now consuming sub-optimal diets, exercising less and hence are more sedentary, and these contribute to the risk of disease and death. At the same time, healthy diets are not accessible to all.

As a result, many people are now affected by both food insecurity and obesity at the same time.  Food-insecure populations, really no matter where they live, are subject to the same, but unique influences in trying to consume a healthful diet:

• Limited resources and lack of access to healthy, affordable foods

• Cycles of food deprivation and overeating

• High levels of stress, anxiety and depression

• Limited access to health care

• Fewer opportunities for physical activity

• Greater exposure to marketing of obesity-promoting products

The question remains, what to do? There is no one simple measure that can successfully shift the burden at the national or global scale. Rather, a constellation of different approaches and strategies, operating across scales and supply chains, and targeted at different people and organizations will be required. I argue for 10 actions:

1. Care. We need governments, industry and citizens to care about their diets and their nutrition, climate change and food systems.

2. Push for countries to develop a food systems policy. No country has implemented a full range of updated, comprehensive, and evidence informed strategies to encourage a healthier and more equitable food system.

3. Consider the situation a “Syndemic” and take on triple duty actions.

4. Consider options for keeping the food system within environmental limits. Dietary, technological change on farms, and reductions in food loss and waste are critical to reduce environmental impacts of our food system on the planet.

5. Don’t forget about who will continue to feed the world. As Ruth DeFries eloquently wrote: “Now we are transforming from farmers to urbanites. Our newest experiment-to feed massive numbers of people from the work of a few-is just beginning. The outcome is yet to be seen.” Who will feed us when the average age of the world’s farmer is 60?

6. Invest in small and medium holder farmers. Smallholder farmers have more diversified landscapes, making important contributions to the overall dietary diversity for the world’s population. 53-81% of micronutrients in the food supply are produced by small and medium farms. These farms make up 84% of all farms and 33% of the land areas globally and are more predominant in Asia and sub-Saharan Africa.

7. Maximize net increases of nutrition along value chains. Identify points in the chain that can be “leveraged for change.” Leverage points can cause nutrients to be lost or exit the value chain as well as enhance the nutritional value of select nutrient-rich foods.

8. Engage and empower women in on- and off-farm opportunities. Women need social capital including information and access to new technologies and farming practices and tapping into social networks that may assist in times of hardship. Women need access to credit with greater ability to invest in infrastructure and to smooth consumption or production shocks. And last, we need to improve their human human capital and agency - give them opportunities for education, and increase their ability to get health and nutrition services.

9. Help consumers navigate this complex web. Give them the information and knowledge the make healthy choices. Make them affordable, accessible and culturally appropriate. But consumers are super, duper confused…

10. Dig deeper. We must address the underlying social determinants that impact malnutrition. Every country is impacted by poverty but its determinants may be different, or the same…

Food Bytes: Weekly Nibbles from Jan 1 - 7

Food Bytes is a weekly blog post of “nibbles” of information on all things food and nutrition science, policy and culture.

As the world slowly wakes up to a new year, there are already some interesting food nibbles published this week.

Great commentary in Lancet Planetary Health on a new, longitudinal study being led by researchers at the Australian National University to understand the relationship between culture and health of the Aboriginal and Torres Strait Islander people, a group of indigenous peoples who have been discriminated against, underserved and disrespected for too long. The study is actually being designed BY and WITH Aboriginal and Torres Strait Islander people and will gather comprehensive data to explore the links between land, culture, and health amidst the “backdrop of an evolving human civilization and changing state of planetary health.” Looking forward to seeing the results and the transferability of the research to other indigenous peoples.  

In light of the frightening IPCC report on climate change, the Washington Post asked activists, politicians and researchers for 11 climate policy ideas that offer hope. Two involve food. One is about cutting the food we waste in half and is a “win-win-win-win-win for waste mitigation, jobs, economic activity, food security and of course, the climate.” The second is reducing the expansion of CAFOs - concentrated animal feeding operations, and instead, supporting smaller-scale farmers practicing sustainable grazing practices, expanding the infrastructure for grass-fed beef and dairy markets, and enforcing fair market and fair contract rules for the livestock industry.

The Lancet published a very short piece on how digital technologies may revolutionize nutritional sciences. One big gap in the science is that we do not know what people eat, and for everyone who does eat (which is everyone…), we have no way of tracking the health of those foods without going through a very laborious process. Now, with the advancement of technology, we may be able to carry our own personal nutritionist in our pocket, that is, through our smart phones. “By synchronizing various health data types from multiple sources, such as wearable sensors, electronic health records, metabolic profile, gut microbiome, and diet, all analyzable in real-time using machine or deep-learning algorithms, a person’s smartphone has the potential to function as a digital nutritionist.” I am particularly keen to see how the photo-based dietary tracking through automated food image recognition that determines calorie and nutritional content will work.

Gerald Nelson and colleagues published a Nature Sustainability paper and a follow-up op-ed piece in the Washington Post that the global agriculture sector’s narrow focus on feeding the world, in the form of carbohydrate calories (mainly maize, rice and wheat), has led us and will continue to lead us down a dangerous path. In their study, they found that there will be more than enough food per capita to feed 10 billion people by 2050, even with the business as usual climate change pathway. They argue that the focus on carbohydrates has been a contributor to the rising rates of obesity and continued micronutrient deficiencies. They recommend that agriculture shift gears and increase production of major nutrient-rich foods such as fruits, vegetables, nuts, seeds and beans instead of the forty-year focus on staple grains.