Consumer Reports. Food safety and sustainability: making better food choices. Urvashi Rangan, Ph.D. Hunter College March 2016

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Consumer Reports Food safety and sustainability: making better food choices Urvashi Rangan, Ph.D. Hunter College March 2016

Consumer Reports Mission: To work for a fair, just, and safe marketplace for all consumers and empower consumers to project themselves. Founded in 1936 (nearly 80-years old!) Consumer Reports is a non-profit that executes its mission to serve consumers through unbiased product testing and ratings, research, journalism, public education, and advocacy. We are independent and accept no ads, free samples, or corporate contributions of any kind. We have strict conflict of interest policies and cannot invest in stock of what we test. We re an organization of about 600 staff, including scientists, engineers, reporters, editors, fact checkers, lawyers, survey scientists and advocates

Uninformed Choice Is Not Free Choice Colston Warne Founder of Consumer Reports, 1936

Makeup of Consumer Reports Testing and product ratings: engineers, scientists, technicians, market and product analysts Statistics: sample design, data analysis, database analysis Editorial: investigative reporters, editors, fact checkers, top level copy editors Communications: media relations, social media, CR television Survey and market insights: national polling, consumer focus groups Legal: copy review, legal troubleshooting and response Advocacy: influencing international, federal, state and sometimes local policy External Relations: manage relations with government, industry, and strategic partnerships, help plan events, development

Urvashi s Background Environmental Health/Toxicology Ph.D. Johns Hopkins Consumer Reports 17 years, expert national spokesperson Direct Consumer Safety and Sustainability Lead Food Center & food safety Manage testing groups and scientific reports, advocate FDA Food Advisory Committee and ANSI Board of Directors Mom, cook, gardener, consumer!

Food Safety and Sustainability Center -Science and data driven approach -Conduct tests (some very large), national surveys, data analysis, contextualize safety & sustainability issues -Compare products, production systems and assess root causes of problems -Demonstrating healthier production practices that lead to safer food -Shift market demand &advocate for marketplace change

Food System Risks Acute risks from food pathogen contamination antibiotic resistance Chronic risks from food heavy metal contamination Food additives with poor safety profiles (e.g. caramel color) Food system risks indiscriminant antibiotic use poor hygiene Systemic problems end of line solutions rather than addressing root cause of problems (e.g. hygiene v chlorine) lack of or lax government regulation Farm hygiene, manure management, food additives, truthful labeling, heavy metal standards for food and more Better and more sustainable choices Labeling Production practices

Food System Benefits Animal Welfare, health and safety Consumer health and safety Safe & Sustainable Market Worker Welfare, health and safety Environment and ecologic health and safety

QUIZ TIME!

Rating food labels market choices Create sample groups for our test projects based on credible labels Comparatively rate food labels for environmental, animal and worker welfare Survey consumer sentiment, attitudes, behaviors Watchdog label programs like organic Advocate for more truthful, transparent and meaningful labeling

Key Questions How are consumers being misled? What do consumers think food labels mean? What are the standards? What are consumer expectations? What standards do consumers want for food labels? Is there a trend over time? (Survey from 2014 and 2015)

December 2015 What Consumers Want from Their Food

Consumer interest in worker welfare Would you pay more for fair trade produce? How much more consumers would pay for fair trade produce 10 cents more 22% 25 cents more 22% No 18% Yes 79% 50 cents more 20% One dollar more 9% More than one dollar 5% 0% 5% 10% 15% 20% 25% 30% Percent of Consumers Consumer Reports National Research Center 2014

Percent of Consumers 100% 75% 79% Consumer Perception of HUMANELY RAISED Claim on Eggs, Dairy and Meat Consumer thinks claim CURRENTLY means 92% 77% 90% 75% 88% Consumer thinks claim SHOULD mean 65% 79% 75% 50% 51% 25% 0% Farm ins pected to verify claims Minimum living space requirements Animals were slaughtered humanely Animals went outdoors Animals raised without cages Source: CONSUMER REPORTS NATIONAL RESEARCH CENTER 2014

Consumer perceptions and expectations of natural on meat (USDA) December 2015

Consumer perceptions and expectations of natural on processed food (FDA) December 2015

December 2015

More Consumers Look for Natural Label Than Organic Label Source: CONSUMER REPORTS NATIONAL RESEARCH CENTER 2014

Natural label campaign 2014 survey shows majority of consumers misled by natural label Petitions to ban claim filed with FDA and USDA 200,000+ signatures Alternatively, advocate for setting high bar: organic + no artificial ingredients for processed foods Nov 2015 FDA announces open comment period. CR petition cited. May 10, 2016 FDA closes comment period on natural label CR sign on petition @ greenerchoices.org

HighlyMeaningful Meaningful 100% Organic Visit greenerchoices.org for more info

Somewhat Meaningful Misleading labels that undermine true demand Natural Free Range Grass-fed No nitrates No antibiotics used for growth promotion Humanely Raised Pesticide Free Visit greenerchoices.org for more info

USDA verify for hire

Courtesy of Animal Welfare Approved

Consumer Reports food stories 2015-2016 Arsenic in rice and alternative grains Jan 2015 * GMOs in corn and soy processed foods Feb 2015 Caramel color in soda Feb 2015 * Pesticides in produce March 2015 Shrimp April 2015 Ground beef October 2015 Antibiotics in meat production January 2016 Misleading natural labels March 2016 Other past / ongoing food issues: Mercury in fish and seafood Arsenic in apple (pear, grape) juice Chicken Turkey Pork Food additives Label ratings and watchdogging

Consumer Reports Coverage on Meat 2012-2015 Chicken Ground turkey Pork Ground beef Shrimp TESTING CONSUMER SURVEYS BETTER CHOICES UNNECESSARY RISKS GAPS IN REGULATION

Increased rates of disease A tale of two systems: preventing disease in food animals Confined conditions Conventional Production Daily antibiotic and other drug use Better animal health Poor hygiene Space and animal welfare Sustainable Production No daily drugs use Good hygiene and manure mgmt

Investigating meat Pathogens and other potentially harmful bacteria Antibiotic resistant organisms and rates Virulence genes (s. aureus, c. perfringens, e.coli) Correlate to product type, plant #, brands, production practice (wild, organic, no antibiotics) Contextualize findings to larger perspective of food systems and identify gaps in policies that impact environment and public health Identify and rate better choices in the market Advocate for better production practices and labeling Campaign against misleading labeling Promote meaningful labeling

2014 Chicken Study Results (4 th test) Enterococcus (79.8%), e.coli (65.2%), campylobacter (43%), klebsiella pneumonia (13.6%), salmonella (10.8%), and staphylococcus aureus (9.2%) Since 1998, Consumer Reports tests of chicken have shown salmonella rates have not changed much, ranging between 10 and 16 percent. 13% of samples from conventional samples contained multidrug resistant bacteria vs. 3% of no-antibiotic +/- organic raised chicken 17.5% of the e.coli had ExPEC virulence genes During our tests, we discovered one sample was a Foster Farms chicken breast associated with the 2013-14 outbreaks. Confirmed match to one of the outbreak strains (Salmonella Heidelberg).

Consumer Reports National Research Center, Survey, 2013

Change FSMA passage and implementation Salmonella performance standard has decreased over time from 20% to 7.5% prevalence rate on broilers Campylobacter now included in HACCP 2016 standards established for poultry parts but many other meat parts without standards Limiting antibiotic use FDA acknowledgement (213), bills to push harder (Slaughter), California 4/4 arsenical drugs in poultry feed off market by end of 2015 Empirically demonstrate benefit from sustainable practices like not using antibiotics to influence policy Stop routine feeding of antibiotics and other drugs to healthy animals (450 drugs approved in animal ag)

Shrimp 342 samples of frozen shrimp 284 raw and 58 cooked Salmonella, vibrio, staphylococcus aureus, E. coli, and listeria 60% of the raw samples had 1+ bacteria type 28% raw shrimp samples had vibrio 7 raw shrimp samples had MRSA 11imported raw shrimp samples (5% of imported) had illegal antibiotic residues including tetracyclines including those with GAA-BAP labels No residues in wild samples and lower rates of antibiotic resistant bacteria Recommendations: Eat sustainably raised wild shrimp. Choose meaningful labels (greenerhoices.org) and avoid those that aren t Establish credible organic standards for farmed shrimp sold in US (expecting proposal in 2016) Increase inspections and testing: About 94 percent of America s shrimp is imported. In 2014, FDA examined only 3.7 percent of foreign shrimp shipments, and tested only 0.7 percent Add Vibrio to bacteria that should be controlled (Vibrio infections uniquely on the rise in the US, controls for other shellfish but not shrimp) Full Scientific Report on conventional and sustainable production systems, comparative labeling ratings, and full test results at http://www.greenerchoices.org/products.cfm?product=0415shrimp

Country of origin

Ground beef bacteria prevalence 300 samples raw, ground beef, 181 conventional samples, 119 more sustainable (all no abs +/- organic +/- grassfed) Not enough samples to detect toxic e.coli (<0.5% prevalence) C. perfringens 1million illnesses annually (40% beef related) Staph (food) tox gene - 12.5% conventional v. 6% more sustainable

Multiple Drug Resistance

WHAT CONSUMERS CAN DO TO TAKE ACTION AGAINST MISLEADING LABELS Food and Drug Administration: www.fda.gov/safety/reportaproblem/consumercomplaintcoordinators/def ault.htm Federal Trade Commission: www.ftc.gov/complaint US Department of Agriculture (for mislabeled meat, poultry or eggs): ccms.fsis.usda.gov USDA National Organic Program (for mislabeled organic foods): NOPCompliance@ams.usda.gov Consumers should report the mislabeled food to all relevant agencies. Also let us know: labels@cr.consumer.org

MERCURY AND FISH: Sustainable and safer fish choices especially for pregnant women and children

Arsenic in our Food and Production Systems LEVELS: Determined levels of arsenic in various food Included analysis from other sets of data (EU, FDA, literature) EXPOSURE: Analyzed NHANES data for juice consumption and urinary biomarkers RISK: Conducted cancer risk assessments for adults and children POLICY RECS: Calculate and advocate for standard limits of As in food Advocate for banning practices that compound arsenic into the food supply (pesticides and poultry drugs) ADVISE

Excess Cancer Risk Excess Cancer Risk (CSF x LADD) for Average Rice Consumption for Whole Population 1.7/1,000 1/1,000 6.4/10,000 2.2/10,000 1.3/10,000 8.4/100,000 1.7/100,000 Lowest ias Concentration Average ias Concentration 1.3/10,000 Highest ias Concentration

Excess Cancer Risk Excess Cancer Risk for Average Rice Consumption for Asian Population 1/100 6.3/1,000 3.9/10,000 1.3/1,000 8.2/10,000 5.1/10,000 1/10,000 Lowest ias Concentration Average ias Concentration 7.8/10,000 Highest ias Concentration

Consumer Advice serving size recommendations for arsenic in rice and rice products for adults and children

Arsenic in Food II Integrated 1700 rice product test results from FDA Basmati (CA, India, Pakistan) and Sushi rice (US) lower (50%) Non-rice grains (quinoa, amaranth, buckwheat, millet) lower in As compared to all rice Infant and children rice foods of high concern

Developments Withdrawl of all arsenical drugs in poultry (feed) AAP issued advice on baby s first food not having to be rice FDA some advice regarding alternatives to rice as first solid food for infants. risk assessment on rice and rice products pending action limit of 10ppb for apple juice proposed but not final Congressional legislation proposals to set standards CODEX and EU set As limit for rice at 200ppb ias on white rice and set US is backing a 350ppb proposal for brown rice won t effect most of market ~4% (CR rec 120 ppb ias for white rice) EPA Iris re-risk re-re-assessment EPA has taken no additional action on arsenical pesticides. Allowances for cotton, sod farms & rites of ways (everywhere)

Thank You! Greenerchoices.org @UrvashiRangan ConsumerReports.org

Cross Cutting Public Health Messages: Science of Resistance Pesticide resistance (produce, lice treatment, garden care) Antibiotic resistance (hospitals, animal agriculture, antibacterials in personal care products) Educate how antibiotic use can lead to bacterial resistance Loss of antibiotic effectiveness compounded by use in food production Science tells us that organisms evolve to resist efforts to try to kill them with drugs or pesticides Toxicity lessons learned over time