Good news on Diacetyl

First it was the melamine. Then this weekend, there was that horrible story about deaths in Panama linked to the use of diethylene glycol in cough syrup. Now, pigs are dying mysteriously.

Epidemic Is Killing Pigs in Southeastern China – New York Times

Hong Kong television broadcasts and newspapers were full of lurid accounts today of pigs staggering around with blood pouring from their bodies in Gaoyao and neighboring Yunfu, both in Guangdong Province. The Apple Daily newspaper said that as many as 80 percent of the pigs in the area had died, that panicky farmers were selling ailing animals at deep discounts and that pig carcasses were floating in a river.

Lovely. China has exploded out of the gate with its development and incredible growth. But its infrastructure, bureaucracy, attitudes, government accountability and transparency are obviously way behind. The whole world faces the consequences of this lag. But my guess is that it is the rural Chinese and the ones who have been “left behind” that suffer the most, something to keep in mind I guess as people rush to blame China for yet another safety issue. We have the option of being more careful, the rural Chinese don’t.

A good summary of the state of food safety regulation in the United States.

How Safe Is The Food Supply?

These known cases make up a tiny fraction of the overall problem–an estimated 76 million illnesses and 5,000 deaths in the U.S. from food poisoning each year. Meanwhile, imports of food, some from countries without strict controls, soared to more than 9 million shipments last year doubling since 2002. The cash-strapped FDA is able to inspect less than 1% of imports. It’s a recipe for disaster. “Our food-safety system in this country is broken,” warned former FDA Commissioner Dr. David A. Kessler at a recent congressional hearing.

Few incidents ever have a body count high enough to shock the country into making fundamental changes. Overall, “we do have a very safe food supply,” says Sanford A. Miller, former director of the FDA’s Center for Food Safety & Applied Nutrition. But the alarms over pet food and vitamin A have lit a fire under lawmakers and executives. On May 2 the Senate rushed to pass a bill by a vote of 94-0 giving the FDA more responsibilities, such as creating databases of adulterated food. Meanwhile, food producers have been holding emergency meetings with suppliers, looking for problems in their factories or supply chains. Companies are “feverishly examining their own purchasing policies and trying to ensure they are followed,” says Kovacs.

Note that it is always tempting to blame the bureaucrats here. Bureaucracy is a dirty word in this country, associated with “red tape”, “corruption”, “standing in the way of business”, “pencil pushers”, “big government”, you name it, they get called it. But, agencies like the EPA and the FDA have competent scientists who know what they are doing. But, without the money and the authority, which is given to them by the political arm of the government, they cannot do much. They have also, in recent years, been headed by political appointees who come from the industry they are supposed to regulate and show a distaste for regulation which is in complete opposition of the mandate they are supposed to fulfill as the head of a regulatory agency.

It’s easy to take potshots at the FDA, but remember who gives them the money, makes the rules and tells them what not to oversee.

But can it follow up?

FDA limits Chinese food additive imports – USATODAY.com

The Food and Drug Administration is enforcing a new import alert that greatly expands its curtailment of some food ingredients imported from China, authorizing border inspectors to detain ingredients used in everything from noodles to breakfast bars.

The new restriction is likely to cause delays in the delivery of raw ingredients for the production of many commonly used products.

Inspectors are now allowed to detain vegetable-protein imports from
China because they may contain the chemical melamine. Melamine, used in
the manufacture of plastics, was found in the wheat gluten and rice
protein concentrate that has led to the recall of 5,300 pet food
products.

Good, and about time. The FDA cites “control issues” in issuing this alert.

Now for the products to reach U.S. foodmakers, the importers will have
to prove to the FDA that they are safe. The ingredients restricted
include wheat gluten, rice gluten, rice protein, rice protein
concentrate, corn gluten, corn gluten meal, corn by-products, soy
protein, soy gluten, mung-bean protein and amino acids.

Excellent stuff, exactly what was needed, to put the onus on the manufacturer to prove safety. Here’s the FDA’s press release.

The onus, of course, is on enforcement. Can the FDA identify every item on this list, and quarantine it until a certificate is produced? Can it subject a random number of these products to independent verification to avoid cheating? Does it have the resources? Does it have the inspectors? Stay tuned.

Am I just slow on the uptake? How can you simultaneously be an advocate for someone, and also sell them something very expensive and important? If at some point in time, these two tasks conflict, will AARP drop out of the healthcare industry to ensure that its role as advocate does not get compromised? I think not, the conflict of interest simply boggles the mind. How can you write a whole article about this issue and not have CONFLICT OF INTEREST flashing in big bold letters!!

For example, if it is proven that single payer, universal healthcare was the most effective way to ensure that people 50-64 (before they hit medicare, which used to work very much like single payer healthcare without drug coverage until a really complex and crazy drug insurance was written on top of it) were insured and healthy, how would this affect the AARP? They are now in the business of selling you the health insurance that would be rendered less necessary by said policy, what would the AARP do? Somehow, I don’t see them saying “Yeah, we’ll close our multimillion dollar profit making business because it is the right thing to do”.

This is ridiculous!

AARP Says It Will Become Major Medicare Insurer While Remaining a Consumer Lobby – New York Times

AARP, the lobby for older Americans, announced Monday that it would become a major participant in the nation’s health insurance market, offering a health maintenance organization to Medicare recipients and several other products to people 50 to 64 years old.

The products for people under 65 include a managed care plan, known as a preferred provider organization, and a high-deductible insurance policy that could be used with a health savings account.

When the new coverage becomes available next year, AARP will be the largest provider of private insurance to Medicare recipients. In addition to the new H.M.O., AARP will continue providing prescription drug coverage and policies to supplement Medicare, known as Medigap coverage.

William D. Novelli, the chief executive of AARP, said, “In launching these initiatives, we are driven by our mission to create a healthier America.”

The group also said it would use its leverage to reshape the health insurance market. The organization has 38 million members, and Mr. Novelli said it hoped to have 50 million by 2011.

The new Medicare product will be marketed with UnitedHealth Group. Policies for people under 65 will carry the AARP name and will be marketed with Aetna.