Telling Americans to ‘eat better’ doesn’t work. We must make healthier food | Mark Bitman

Diet-related chronic disease is the perennial number one killer in the United States, responsible for more deaths than Covid-19 even at the pandemic’s peak. Yet we cannot manage to define this as a “crisis”. In fact, our response is lame: for decades we’ve been telling people to “eat better”, a strategy that hasn’t worked, and never will.

It cannot, as long as the majority of calories we produce are unhealthy. It is the availability of and access to the types of food that determine our diets, and those, in turn, are factors of agricultural policy. For a healthy population, we must mandate or at least incentivize growing real food for nutrition, not cheap meat and corn and soya beans for junk food.

As omnivores, humans have choices, but most choices available to Americans are bad ones. Literally: 60% of the calories in the food supply are in the form of ultra-processed foods (UPFs, or junk food), which are the primary cause of diet-related diseases. That means almost no one can make a “good” choice every time, and many of us can barely make good choices ever.

And it’s not enough to say “eat plant-based”, because most junk food is actually made from plants; the future of food, especially when you add environmental factors, is plant-centric but minimally processed – plants in close to their natural form, in diets that resemble those eaten traditionally by almost everyone in the world until the 20th century. To make that happen, we must address the functioning of the entire food system.

Government mandates around public health, environmental protection and even literacy can yield desirable results: laws or regulations around seat belts, tobacco, light bulbs, recycling, public education, have all improved public welfare. Yet no such efforts have been made in diet, where the mantra of “behavior change” stands in for good policy.

Junk food and meat are both damaging, but must be considered separately: The case for reducing the consumption of junk food rests in part on the fact that UPFs dominate the calorie supply of industrialized nations, and that diet-related diseases (diabetes, heart disease, a dozen cancers) kill around 600,000 Americans per year. (By contrast, at current rates, Covid-19 will kill 100,000 people in the US next year.) Increasingly, studies show that it isn’t simply “sugar” or “inflammation” or “saturated fat” that causes these diseases, but rather a still-to-be-determined combination of factors inherent in UPFs.

We can reduce the consumption of junk food quickly with better labeling laws, taxes on the most aggressive offenders (especially sugar-sweetened beverages) and limits on selling junk food on government properties and to minors. All of these are being explored in various municipalities in the US and even countries abroad.

While eating meat itself isn’t necessarily unhealthy, producing 10 billion animals per year – in the US alone – for consumption has devastating effects on our health and environment. Negative effects abound: astronomical land and resource use, greenhouse gas generation, antibiotic exposure and resistance and the environmental damage and carcinogenic impact of factory farms themselves. Unprocessed food from the plant kingdom is less expensive, less damaging and in countless ways healthier than industrially produced meat.

Although some are in favor of outlawing meat, it’s important to move beyond a fetishization of “animal protein” as critical to human health (it is not), and to acknowledge that meat consumption in industrial nations must be reduced. We can begin doing this by making production less damaging (Senator Cory Booker’s recent Industrial Agriculture Accountability Act would do this), which would reduce both yield and consumption.

Good moves here include restricting the barely regulated use of antibiotics in animal production; reducing monopolistic practices and supporting small farms, as well as local and regional production and consumption; limiting the (currently almost unregulated) emissions produced by factory farms; and defining and penalizing the kind of animal cruelty accepted as “routine” in factory farms.

Of course, meat production would also be curbed by encouraging the growing and consumption of what the US department of agriculture calls (without irony) “specialty products” – fruits and vegetables. The more land that produces other crops than corn and soya beans (mostly used for producing UPFs and animal feed), the less meat and junk we’ll eat. This could be accomplished first by emphasizing subsidies to encourage the growing and sale of real foods, and by making sure that those food programs receiving federal dollars promote truly plant-forward eating.

Rectifying the gross historic injustices in the US land distribution, which has historically been disadvantaged or shut out farmers of color, women and queer farmers, and encouraging new farmers to grow good food well, is also a critical step.

None of this is, as critics argue, a return to more primitive methods of farming, but a recognition that a blend of modern

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Joe Trivelli’s rich and warming winter recipes | Food

We are never without butter at home, as essential to us as dried oregano, garlic, tomato sauce, capers and olive oil. My wife has been known to melt a pat of Jersey butter for flapjacks, and my children eat it like cheese on the endless rounds of toast they clamour each morning. Everyday luxury.

Butter is a staple of northern Italian cooking, used much more than in the south. Historically the fat of choice for the wealthy, its rich, mellow sweetness is in the elevated fine pasta served with white truffles, and is also crucial in risotto. What is poetically described by Elizabeth David as “a walnut of butter”, added towards the end of something home-cooked with everyday ingredients, making it the hug one needs at this time of year.

Pollo alla cacciatore

An Italian classic, this can be heaped on a bed of marigold-yellow polenta – an opportunity for more lashings of butter. It would also work well with greens and bread on the table to mop up the juices.
Serves 4

chicken 1, small (roughly 1 kg)
butter 90g
celery with leaves 3 sticks
leek 1, large
garlic 2 cloves
green olives 12
rosemary 3 sprigs
bay 4 leaves
passata 200ml
white wine 250ml
salt and black pepper

Using a good knife or scissors, cut the backbone out of the chicken. Turn it upside down and cut the chicken in 2 between the breasts. Remove the wings and thighs and separate them from the drumsticks. Cut each breast in 2. (Alternatively, ask your butcher to joint the chicken for you.) Season with salt and black pepper.

Melt the butter over a medium-high heat in a wide, lidded pan. When it is foaming, add the chicken, skin side down. Fry, gently crackling, for 8 minutes, turning from time to time until golden brown. While this is happening, chop the celery and leek into 2cm pieces. Peel and then add the garlic with the olives into the crackling butter in a space between the chicken. Fry for a further minute or 2.

Add the herbs and vegetables and mix them through – the butter will quieten down at this point. After 3 minutes, add the wet ingredients, incorporate and cover. Cook over medium low heat for 35 minutes, turning and basting halfway through.

Porcini and saffron risotto

Deep and rich in flavour: porcini and saffron risotto.
Deep and rich in flavour: porcini and saffron risotto. Photograph: Romas Foord/The Observer

There is a strong argument that porcini makes the very best risotto. The luxurious lick of saffron, along with butter and parmesan, highlights their depth of flavour. Use powdered saffron if you like it or omit it altogether if you don’t have any.
Serves 6

dried porcini 15g
saffron threads a pinch
celery with leaves ¼ of a head
red onions 1, small
garlic 1 cloves
butter 80g
olive oil
risotto rice 400g
white wine 1 large glass
stock 1.5 liters (chicken, meat or vegetables)
parmesan 60g, grated
salt and pepper

Soak the porcini in a cup of boiling water and, separately, the saffron in a couple of tablespoons. Reserving any leaves, finely chop the celery along with the onion and garlic. Warm the stock.

Melt half the butter with a little olive oil in a saucepan and sweat the vegetables with a pinch of salt over medium heat until soft. Reserving the water, drain and chop the porcini and add to the pan. After 3 minutes, add the rice and continue to gently fry, stirring for a minute or until all the grains are hot. Turn the heat up, add the saffron in its water and all the wine. Stir well as the wine evaporates. Once the liquid has evaporated, add the mushroom water, continuing to stir. Now it’s time for the stock. Add ladle by ladle, stirring and allowing for the last ladle to be absorbed before adding the next one.

Continue cooking until the rice is to your liking. Slightly al dente is the best. The whole process should take about 25 minutes. Turn off the heat. Check the seasonings. Complete it by stirring in the rest of the butter, parmesan and chopped celery leaves. Cover and allow the glossy rice to rest for 2 minutes before serving.

Celeriac, fennel and squash

A comforting braise: celeriac, fennel and squash.
A comforting braise: celeriac, fennel and squash. Photograph: Romas Foord/The Observer

A slightly aniseed, comforting mix of braised autumn vegetables. This works as well with a savory centrepiece as it does as the centrepiece itself.
Serves 4

fennel 3 bulbs (about 500g)
celeriac 350g
winter squash 300g
garlic 5 cloves
butter 50g
parsley or marjoram ½ a bunch
red wine vinegar ½ tbsp
sea ​​salt and black pepper

Cut the fennel into 3cm wedges. Peel the celeriac and winter squash and cut both into 2cm slices. Peel and cut each garlic in half.

Melt

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Botulism from food causes the death of a respected outdoorsman from Jackson Hole

Wyoming social media reports the death of 55-year-old Hans Russell, who succumbed to botulism after being conscious but also completely paralyzed for several weeks in a Salt Lake City hospital.

Russell was a popular outdoorsman and river guide in Jackson Hole, WY. His death is blamed on a solo camping trip to Idaho where he consumed a can of soup that was not properly refrigerated. The doctors in Salt Lake City who fought to keep him alive came to believe that the single can of soup was the source of the botulism toxin Russell consumed.

Russell was well known in Jackson Hole. He was a kayaker, paraglider, rock climber, fisherman, and guide for Mad River Boat Trips and a bus driver for Lewis and Clark Expeditions. He was an expert in the whitewater areas of Wyoming and Idaho who always put safety first

He was from Pittsburg, KS, and became attached to the Yellowstone/Teton area after high school. He did return to Kansas to pick up an Arts Degree from Pittsburg State University. His friends say he was also “an amazing guitarist.”

The botulism-contaminated soup that led to Russell’s paralysis and death was said to have trapped him in his own body in that he could not move and was called a nightmare that began with a can of soup.

The outdoor enthusiast, river runner, and guide was diagnosed with Botulism A, a rare bacterial infection that undermines the body’s nerves and prevents breathing and paralysis of muscles. It left Russell unable to talk or open his eyes.

He was a Jackson Hole resident for the past 10 years. His death was first reported on the GoFundMe page that friends were using to help pay Russell’s hospital bills.

About botulism
While a variety of food poisoning can result from eating under-processed food, one of the most dangerous is botulism poisoning. Untreated, botulism can paralyze the muscles needed for breathing, resulting in sudden death.

Anyone who has eaten any recalled products and developed signs of botulism poisoning should immediately seek medical attention, according to the US Centers for Disease Control and Prevention (CDC).

“In foodborne botulism, symptoms generally begin 18 to 36 hours after eating contaminated food. However, symptoms can begin as soon as 6 hours after or up to 10 days later,” according to the CDC website.

The symptoms of botulism may include some or all of the following: double vision, blurred vision, drooping eyelids, slurred speech, difficulty swallowing, difficulty breathing, a thick-feeling tongue, dry mouth, and muscle weakness. People with botulism poisoning may not show all of these symptoms at once.

These symptoms result from muscle paralysis caused by the toxin. If untreated, the disease may progress, and symptoms may worsen to cause paralysis of specific muscles, including those used in breathing and those in the arms, legs, and the body from the neck to the pelvic area.

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