The CDC's Public Health Turkeys

by Steven Milloy
November 21, 2001, FoxNews.com

The Centers for Disease Control and Prevention performed admirably in managing the recent anthrax attacks. But that performance is a lone highlight for an agency in desperate need of something useful to do.

The CDC’s public health crisis of the moment is traveling by car during the Thanksgiving holiday. The CDC issued an advisory reminding motorists to wear seat belts, restrain children appropriately and to not drink and drive.

While this is sensible advice, the CDC offers it because “in 2000 during the Thanksgiving holiday, motor-vehicle crashes killed approximately 500 persons and resulted in more than 43,000 hospital emergency department visits.” CDC portrays Thanksgiving as a particularly risky time for motorists.

In fact, though, the Thanksgiving holiday is no more dangerous to motorists than any other five-day period.

About 40,000 persons are killed and 3.2 million are injured in automobile accidents every year. This averages out to about 110 killed and about 8,800 injured every day. So for any five-day period, we might expect 550 deaths and 44,000 injuries resulting from automobile accidents. There doesn’t seem to be extra motorist carnage during the Thanksgiving holiday.

The CDC pulls a similar stunt every Halloween, alarming parents about increased child pedestrian deaths. During 1975 to 1996, from 4 p.m. through 10 p.m. on October 31, a total of 89 deaths occurred among pedestrians aged 5 to 14 years, compared with 8,846 on all other evenings.

This works out to about 4 deaths each Halloween, compared to 1 death on all other evenings. It apparently never occurred to the CDC that there is a many-fold increase in child pedestrians on Halloween night.

If the CDC more appropriately compared death rates, instead of just numbers of deaths, it most likely would have found the child pedestrian death rate actually decreases on Halloween. But what kind of scare would that make?

Holidays aren’t our only public health “problem,” according to CDC researchers. Suburban living is another.

Early November saw the release of “Creating a Healthy Environment: The Impact of the Built Environment on Public Health” — a report authored by two senior CDC researchers.

The reasons why suburban living is a public health problem, according to the report, include:

  • Increased commuting means more air pollution and respiratory disease (Never mind that the air is cleaner today than 30 years ago, according to the U.S. Environmental Protection Agency, even though there are many more vehicles on the road.)
  • Because suburbanites drive more, they engage in less physical activity, which makes them obese and unhealthier. (This point was not supported by any data comparing urbanites and suburbanites. Also, whether you walk or drive to the neighborhood convenience store isn’t a reliable indicator of physical activity, body weight and overall health.)
  • Residential development next to farmland creates a “zone of conflict” from the “spillover effects of agriculture, such as excess noise, blowing dust and pesticide overspray.” (The citation for this claim is a “report” by the anti-growth activists at the American Farmland Trust.)

The CDC’s sprawl alert is only the latest of the agency’s efforts to medicalize behavior into a public health problem. Past efforts have targeted such familiar politically incorrect activities as firearms ownership, smoking and alcohol consumption.

The CDC also has extended its alarmism to pets (4.7 million dog bites per year), youth sports (“injuries are common and can be severe”), swimming pools (“try your best to avoid even having water in your mouth”) and dating (“courtship violence ranges up to 65%”).

Virtually every human activity may have personal health and injury consequences. That, however, should not make every human activity a public health problem subject to CDC nanny-ing.

The CDC was originally called the “Communicable Disease Center” when formed in 1946. Its mission was to control infectious disease. In 1970 when that mission was largely accomplished, the CDC’s name was changed to the “Centers for Disease Control” to reflect a broader mission in preventative health — i.e., bureaucratic sprawl.

The only successful effort beating back the CDC’s interference in every aspect of our lives was achieved in 1996 when Congress banned the CDC from engaging in gun control advocacy.

In the wake of the recent anthrax attacks, the Bush Administration wants to increase CDC’s funding. The CDC, however, could probably accomplish its new bio-terrorism mission within current budget limits if its activities were restricted to actual public health problems.

Steven Milloy is the publisher of JunkScience.com , an adjunct scholar at the Cato Institute and the author of Junk Science Judo: Self-defense Against Health Scares and Scams (Cato Institute, 2001).

Harry Potter and the Sorcerer's … Soda?

By Steve Milloy
November 16, 2001, FoxNews.com

The much-anticipated movie Harry Potter and the Sorcerer’s Stone opens nationwide this weekend. So does another extreme and, frankly, silly crusade against soft drinks by the “food police” at the Center for Science in the Public Interest.

Exploiting the release of the new Harry Potter movie, CSPI is escalating its anti-soft drink offensive by attacking Coca-Cola’s sponsorship of the movie and promotion of the “Reading Is Fundamental” program for children.

At a time when parents and children could use a good distraction, CSPI’s unfortunate message seems to be “have a Coke and a frown.”

CSPI protested at the Washington, D.C., premier of the new movie, and launched a Web site goading visitors to send complaint letters to Harry Potter author J.K. Rowling.

CSPI wants Rowling to cease the Coca-Cola sponsorship deal or donate the royalties from the deal to fund “nutrition campaigns” — code words for nutty causes like CSPI’s.

The anti-Coca-Cola CSPI apparently would be more than happy to accept Coke’s money. No hypocrisy there.

The basis for the campaign is CSPI’s characterization of soft drinks as “liquid candy” that contain “a mildly addictive stimulant drug” — i.e., caffeine. CSPI alleges that “sugar promotes obesity, a worldwide problem” and that soft drinks displace “more healthful” drinks in the diet.

“The bottom line,” says CSPI, is that “liquid candy is bad for health.” The more accurate bottom line, though, is that CSPI is cavalierly ignoring scientific data and common sense in favor of its self-beneficial activism.

Until earlier this year, only two studies with conflicting results explored the potential relationship between soft drink consumption and childhood obesity. That’s now changed.

In April 2001, researchers from the Georgetown University-affiliated Georgetown Center for Food and Nutrition Policy presented four new studies at the Experimental Biology 2001 annual meeting.

The studies were based on analyses of data from two national surveys: The U.S. Department of Health and Human Services’ National Health and Nutrition Examination Survey and the U.S. Department of Agriculture’s Continuing Survey of Food Intake.

The researchers reported:

  • No relationship between consumption of carbonated soft drinks and obesity among 12- to 16-year-olds;
  • Soft drinks did not reduce calcium consumption among 2- to 20-year-olds;
  • Teens who consumed more soft drinks were as physically active as those who consumed fewer soft drinks; and
  • Soft drink consumption did not harm diet quality among children and teens as measured by the USDA’s Healthy Eating Index.

The researchers added, “We need to stress the vital role of physical activity for all students, not just the best athletes chosen for varsity sports teams.”
Other recent research also takes the fizz out of CSPI’s attack.

Michigan State University researchers reported in May 2000 at the U.S. Department of Agriculture National Nutrition Summit that soft drinks have not replaced milk in the diets of children aged 1-19. Over the last 10 years, according to the report:

  • Among children ages 1-5, milk consumption significantly increased and soft drink consumption significantly decreased;
  • Among children ages 6-9, milk and soft drink consumption remained steady; and
  • Among children ages 10-19, milk consumption remained steady while soft drink consumption increased.

While these data are undoubtedly not the last word on the subject of kids and soft drinks, they certainly seem to fly in the face of CSPI’s claims. Worse, CSPI brazenly ignores these data in hopes that the public will rely on a naïve and misplaced intuition that soft drinks are bad simply because they contain sugar and caffeine.

No one advocates that kids drink only, or too many, soft drinks. They have no nutritional value. But based on recent scientific data and generations of soft drink consumption, there is no question that soft drinks can be a safe treat in an otherwise balanced diet.

Through an $18 million grant associated with its sponsorship of Harry Potter and the Sorcerer’s Stone, Coca-Cola will place 10,000 sets of 120 to 150 new, high-quality hardcover children’s books in kindergarten through third grade classrooms and community centers throughout the country.

Maybe CSPI senses such generosity is a threat to its viability. The better kids learn to read, the less likely they will be to fall for junk science foolishness.

The public is already starting to wise up to CSPI’s gimmick-laden attacks. Reportedly, only about 10 people showed for the protest of the Harry Potter premiere in Washington, D.C.
Flat soda might have more zip than CSPI’s tired activism.

Steven Milloy is the publisher of JunkScience.com , an adjunct scholar at the Cato Institute and the author of Junk Science Judo: Self-defense Against Health Scares and Scams (Cato Institute, 2001).

Flu Shot Frenzy Not Anthrax Answer

by Steve Milloy
November 2, 2001, FoxNews.com

I suggested in last week’s column that public health officials be excused for “honest” mistakes inadvertently leading to two postal worker deaths from inhalation anthrax. But their bad advice about the flu shot as an aid to the diagnosis of anthrax is another matter. Continue reading Flu Shot Frenzy Not Anthrax Answer

Misinformation Is Real Anthrax Danger

by Steven Milloy
October 19, 2001, FoxNews.com

Alarmists in the federal government and media were wrong about the “potency” of the anthrax found in Sen. Tom Daschle’s office. This error hasn’t dissuaded those who are exploiting the alleged “potency” to blame the recent anthrax letters on state-sponsored terrorism. Continue reading Misinformation Is Real Anthrax Danger

Concerns Vs. Chaos in the Anthrax Scare

By Steven Milloy
October 12, 2001, FoxNews.com

Bio-terrorism alarmists view last week’s death of a Florida man from anthrax as validation of their advocacy of panic. Cooler heads view the incident more as a limited bio-crime rather than a harbinger of mass bio-terrorism. Continue reading Concerns Vs. Chaos in the Anthrax Scare

Smallpox Attack Exaggerated

By Steven Milloy
October 5, 2001, FoxNews.com

Concern over the possibility of terrorist attacks involving biological agents—especially the smallpox virus—is developing into full-fledged hysteria. Sen. Bill Frist claimed last week that a smallpox attack could kill 40 million Americans. Continue reading Smallpox Attack Exaggerated

Bio-Terror Fear More Costly Than Attacks

By Steven Milloy
September 28, 2001, FoxNews.com

Many special interests are encouraging fears of terrorism to advance their own dubious causes at public expense. We need to get a grip on our fears and not become victims of our domestic terrorists. Continue reading Bio-Terror Fear More Costly Than Attacks

Asbestos Could Have Saved WTC Lives

By Steven Milloy
September 14, 2001, FoxNews.com

Asbestos fibers in the air and rubble following the collapse of the World Trade Center is adding to fears in the aftermath of Tuesday’s terrorist attack. The true tragedy in the asbestos story, though, is the lives that might have been saved but for 1970s-era hysteria about asbestos. Continue reading Asbestos Could Have Saved WTC Lives

Soft Drinks, Hard Bias

By Steven Milloy
April 20, 2001, FoxNews.com

Sen. Patrick Leahy, D-Vt., just introduced a bill to restrict sales of soft drinks in schools. “The Better Nutrition for School Children Act of 2001” comes on the heels of a series of anti-soft drink articles in The Washington Post.

But Sen. Leahy should know better than to believe everything he reads.

The notion that children who consume soft drinks tend to be obese is intuitively appealing. That is undoubtedly why the Post felt comfortable running three articles on Feb. 27 — “Soft Drinks, Hard Facts,” “Schools Hooked on Junk Food” and “Easy Cash Eroding Their Principles” — alarming readers about kids’ soft drink consumption.

The bias in the Post’s reporting is breathtaking.

“Soft Drinks, Hard Facts” reported: “One very recent, independent, peer-reviewed study demonstrates a strong link between soda consumption and childhood obesity. One previous industry-supported, unpublished study showed no link.”

As opposed to the latter study, the former study apparently was “independent” because it was funded by federal agencies, including the Centers for Disease Control and Prevention, and the National Institute of Diabetes and Digestive and Kidney Diseases.

But both government agencies already urge that children avoid soft drinks despite the scarcity of scientific data, ostensibly only one study, to support such advocacy. The agencies are hardly disinterested in the outcome of the research.

A background check into the authors of the “independent” study reveals the study outcome is not unexpected. The authors have long been in the childhood obesity research business, blaming childhood obesity on diet and television-viewing habits.

It shouldn’t be surprising longtime childhood obesity researchers might be somewhat biased toward producing results that promote their area of research interest.

The Post expanded on the “independent” study, claiming each daily serving of a sugar-sweetened soft drink increased the rate of childhood obesity 1.6 times. This rate was estimated based on a statistical analysis of a small population of children.

It is elementary in such an analysis that reported increases in health effects rates on the order of 2.0 and less are considered weak and unreliable.

More accurately reported, the “independent” study reported no significant increase in obesity for soft-drink consumption among children.

The Post went to great pains to explain this basic rule when similarly weak statistics were used to link abortion with increased risk of breast cancer. With respect to women who had abortions having 1.5 times more breast cancer, the Post reported: “Though this may appear to be a large increase in risk … it falls in the barely detectable range.”

Why the double standard? A cynic might suggest that abortion is more politically correct than soft drinks.

The Post’s conduct gets worse.

Researchers from the Georgetown University-affiliated Georgetown Center for Food and Nutrition Policy presented four new studies at the Experimental Biology 2001 annual meeting on April 3.
The studies were based on analyses of data from two national surveys: The U.S. Department of Health and Human Services’ National Health and Nutrition Examination Survey and the U.S.

Department of Agriculture’s Continuing Survey of Food Intake. The researchers reported:

  • No relationship between consumption of carbonated soft drinks and obesity among 12- to 16-year-olds.
  • Soft drinks did not reduce calcium consumption among 2- to 20-year-olds.
  • Teens who consumed more soft drinks were as physically active as those who consumed fewer soft drinks.
  • Soft drink consumption did not harm diet quality among children and teens as measured by the USDA’s Healthy Eating Index.

The researchers added, “We need to stress the vital role of physical activity for all students, not just the best athletes chosen for varsity sports teams.” Though the media was informed of the Georgetown studies’ release before the meeting, the Post didn’t see fit to report the news.

The omission is no surprise. The Georgetown studies were funded by the National Soft Drink Association. Though the group had no power to influence or alter the research findings, this funding arrangement apparently didn’t meet the Post’s dubious standard for “independence.”

But should the studies’ funding source really make them less newsworthy? Shouldn’t scientific studies be judged on their technical merits, not their financing? On their scientific, not political correctness?

The new studies certainly are not the final word on soft-drink consumption and children’s health, nor should they be. They are simply another analysis that should be considered among the limited database of relevant studies.

The problem, though, is that it seems as if the Post is more interested in frightening parents and children, and senators, rather than informing them.

Steven Milloy is a biostatistician, lawyer and adjunct scholar at the Cato Institute and publisher of JunkScience.com

Get the lead hysteria out

By Steven Milloy
March 16, 2001, FoxNews.com

The Centers for Disease Control and Prevention reported last December that levels of lead in children continue to decline. That’s a scary thought to the lead hysteria industry. This week the lead-heads launched an effort to “head off” any further good news about lead. Continue reading Get the lead hysteria out