International Federation of Medical Students Association – Netherlands webinar

I’ll be giving a webinar lecture Friday May 8th for the International Federation of Medical Students’ Association – the Netherlands as part of their Youth Delegate Programme masterclass series in collaboration with the Dutch ministry of Health, Welfare and Sports (VWS), and the Ministry of International Affairs (BuZa).
I’m excited to share my research in their series on Global Health amidst the COVID-19 crisis.
Please feel free to attend. Here’s the link to register:
Dr. Yogi Hendlin.jpeg

Interspecies Prosperity: What it is and why it matters

I have a new blog post over at the Erasmus University Rotterdam initiative I’m a part of, the Dynamics of Inclusive Prosperity. This interdisciplinary research team from law, business, and philosophy brings together mavericks who work across disciplines, and are both cognitively and operationally open to working with and between traditionally-siloed faculties.

My latest contribution, Interspecies Prosperity: What it is and why it matters, deals with the paradox of health. As long as we’re preoccupied with our own health and well-being, if we are so to the detriment of our surrounding ecosystem, we end up getting sick, as we are of course permeable membranes to our environments. Hurting others to get ahead ipso facto produces the types of results in public health that we’re seeing today in the US, for example: 4 years straight of decreasing life expectancy. We’ve sunk all the carbon sinks, and compounded the growth on a finite space. Increasingly, in medicine, major institutions as well as rank and file physicians realize that we have to tackle environmental degradation and the climate crisis if we care about health, both at the individual and collective levels. This shift in priorities in medicine of course clashes both with personalized medicine and other expensive and pay-to-play forms of care. Unless we take care of our commons, our medical outcomes are going to be stochastically worse. Even it it’s not me or you, our chances of thriving and surviving go down significantly when we’re breathing contaminated air, have microplastics in our food and water, and toxins in everything we come in contact with. So, we have to learn the hard work of care for our environment, caring for our locality, and also the extension of commodity chains that like lashes connected to our every movement reverberate around the world in their ramifications. We have to learn to work together to take responsibility to clean up this mess. That will be the best medical insurance we can buy.

BMJ article on conflicts of interest in the tanning industry just published

Working at the CTCRE at UCSF allowed me to meet all sorts of medical practitioners aware of the influence of industry on the health of their patients.

One of those people I happened to meet, was Eleni Linos (now at Stanford), a dermatologist who had noticed throughout the years the influence of the tanning industry on spreading disinformation to the public on the health harms of tanning.

Lola Adekunle, Rebecca Chen, Lily Morrison, Meghan Halley, Victor Eng, Yogi Hendlin, Mackenzie R Wehner, Mary-Margaret Chren, and Eleni Linos’ paper “Association between financial links to indoor tanning industry and conclusions of published studies on indoor tanning: systematic review,” challenges the invisibility of industry as it attempts to blend in its research into the scientific public record. Our paper shows the impressive discrepancy between the scientific conclusions on the health harms of tanning studies with financial links to the indoor tanning industry found, versus those of independent, non-financially-interested researchers.

Figure 3 from our paper, available here:

Jerod Stapleton also published for the British Journal of Medicine an editorial on our article, concluding that “We must challenge industry attempts to change the conversation about tanning.” Stapleton is no stranger to the harms of tanning, having conducted significant research on the health outcomes, as well as leading a paper in JAMA Pediatrics titled “The American Suntanning Association: a “science-first organization” with a biased scientific agenda.” Indeed, according to the tanning industry’s January 2015 issue of Smart Tan, the ASA succeeded in convincing (bullying?) the CDC to remove claims of a 75% increase in melanoma risk from sunbed use that had previously been displayed on the CDC website.

The Failure of COP25

I recently read – from afar – the sorry state of the UNFCCC #COP25 in Madrid. According to, instead of barring fossil fuel companies from engineering the COP, the security guards at the UNFCCC forcibly removed hundred of activists and scientists who aimed to bring gravitas to an otherwise hypocritical and superficial discussion.

LIVE feed from the #COP25 UN climate meeting
— Dr. Lucky Tran (@luckytran) December 15, 2019

The de-badging of climate activists, who refused half-measures and rhetoric as adequate given the current hundreds of billions if not trillions of dollars of damages each year due to corporate- and government-induced climate chaos and decades of enforced ignorance, is not surprising–but it is the first time this has occurred on this scale at the UNFCCC.

As The Onion burlesques the denialism,

In response to the attention she was receiving for her vocal objections to international leaders’ refusal to address global warming, critics in the 2030s asked why teen climate activist Elisa Garcia-Reilly wasn’t in an abandoned school bailing water and shooting enemy foragers. “Instead of constantly screeching about how all our policies are selling out her generation and dooming them to unavoidable suffering, maybe this little hussy ought to spend more time in the remains of what was once a high school choosing which infants to save and defending her family’s food cache from scavengers,” said television pundit Caden Williams of the 16-year-old climate activist, voicing the sentiments of critics who declared that she had no clue what she was talking about and was trying to catastrophize being constantly starving and up to her waist in water.

A cinematic cityscape depicting a destroyed city.

Having myself attended the UN World Summit on Sustainable Development in Johannesburg, South Africa, in 2002, in an action with AdBusters, I too was de-badged as US representative to the meeting Colin Powell obfuscated effective action. That was 17 years ago. Things have gotten even worse since then, and now climate chaos is felt in every part of the world.

The question remains: what will it take before we prioritize life over profit?

Will the currents have to stop? Massive crop failures from extreme weather events? Heat waves that kill millions? Dikes cracking from prolonged droughts? Wild fires destroying trillions of dollars of real estate? The end of business as usual as commodity chains break down?

The problem is, in our current system, there simply is no circuit breaker. There is nothing that could happen – within our current dominant mindset – that would force action. It’s like the person bleeding profusely who swears they’re healthy until they fall over and die, instead of getting the help they need and interceding on the “inevitable.”

This clip is an apt metaphor for Capitalist Realism.

Climate chaos is a spectrum. The more we double down with ignorance and denialism, the worse it gets. The sooner we clean up our act, the less possibility that doomerism will be correct. The irony of deterministic ideas such as “Well, we destroyed the climate, so might as well enjoy the luxuries before they’re all gone,” is that the path is made by walking. Yes, we have created since the industrial revolution, a tremendous amount of path dependency, creating ozone holes, the 6th great extinction, and making life on earth very difficult for the next hundred (or thousand – our choice) years.

But, what we do now crucially influences whether we get to keep some of the goods of human civilizations while jettisoning as soon as possible the bads; or, if we take out the majority of complex life on earth out with our species. It’s our choice. But it requires completely reorganizing society according to our interspecies interdependence, and revere the processes of nature which human artifice and systems of control and domination have swerved into dysfunctional and perverse fragmentation.

Stanford Talk on Industrial Epidemics

Today I gave a talk at the Stanford History of Science and Technology Workshop on Industrial Epidemics. It was a pleasure to discuss the ins and outs of public health, corporate malfeasance, and glyphosate in particular with the students and professorate of the History of Science and Technology Program. Especially rich were the insights of Robert Proctor, the coiner of the term agnotology, who has been a great inspiration for my own work.

Here’s the Abstract:

Noncommunicable diseases (NCDs) have turned out to be quite communicable; the disease vector isn’t some virus or pest, but instead the very bulwark of industrial civilization. While NCDs have always been with us as a species, their normalcy and multiplication is novel. The very system of corporate science, muscle, and capital that helped eradicate harrowing infectious diseases that threatened generations in the 20th century have left in their wake a new epidemic of chronic disease above and beyond background levels for the 21st century to clean up. The rise of chronic disease tracks directly with the rise in environmental exploitation and industrial pollutants. By virtue of epidemiology and randomized control trials, we know that certain classes of people (such as smokers, obese people, chemical manufacturing workers, farmers using pesticides) have inordinately more chronic disease than people without those exposures. Many people, especially as they age, incur multiple chronic diseases, causing them much suffering, and costing them and society extensive financial resources. Merrill Singer ( 2009, xiv) describes how syndemics represent “a set of enmeshed and mutually enhancing health problems that, working together in a context of noxious social and physical conditions, can significantly affect the overall disease burden and health status of a population.” Adopting the public health descriptor of epidemics associated with infectious disease for chronic disease conditions, framing the rise of chronic disease first in developed countries and now worldwide in terms of an epidemic caused by industrial processes, scrutinizes how corporate behavior socially determines the health of populations. This paper focuses on how these mechanisms have manifested in the agrochemical and petrochemical industries.

And my bio:

Yogi Hale Hendlin is an assistant professor in the Erasmus School of Philosophy and core faculty of the Dynamics of Inclusive Prosperity Initiative at Erasmus University Rotterdam in the Netherlands, as well as a research associate in the Environmental Health Initiative at UCSF. Yogi has been working at the intersection of public health and environmental political philosophy for 15 years and has published in journals such as MMWR, BMJ, Ambio, PLoS Medicine, The American Journal of Public Health, Tobacco Control, Environmental Philosophy, Environmental Ethics, and the Annals of Internal Medicine. Yogi’s work has been taken up in popular media outlets such as Time, National Geographic, The Guardian, BMJ, CNN, Fox, Salon, Reuters, Gizmodo, Bloomberg, Nautilus, The Revelator, and Science Daily. Yogi is currently writing a monograph titled Industrial Epidemics: Chronic Disease and the Corporate Determinants of Health.

National Geographic and Guardian Articles about Ecigarette Waste and EPR

In the flurry of the semester starting, I’ve been remiss in updating this blog with a couple important articles that have come out in the press discussing the environmental harms of electronic cigarette (ecig) electronic waste (ewaste).

Both The Guardian and National Geographic did excellent jobs surveying the topic and getting across the complexities as well as most important points. And I’m grateful to through interviews have been able to contribute to these articles.

I think the most important point I made in The Guardian article is the need for Extended Producer Responsibility, and how it practically works:

Hendlin said he and other environmental advocates have endorsed an Extended Producer Responsibility (EPR) model for e-cigarettes – one JUUL is considering. This would include charging users an extra deposit (ie $1.00 per pod, $5.00 per vape unit) that consumers get back when they return them, practices like returning old packaging to JUUL after receiving new pods each month, and refunding or giving credits for returned pods/vapes.


What made me want to puke however, is just before I was settling down with my popcorn to watch the (excellent!) National Geographic video they made on the effects of e-cig waste, I was subject to a 15-second propaganda piece by the grandmasters of waste and treachery themselves, Nestle. Especially as in my piece in The Conversation, I write

The two largest global brands of capsule coffee, Nespresso and Keurig, are regarded by many as environmental nightmares. Billions of the throwaway nonrecyclable plastic products currently clutter waste dumps, waterways and city streets. Both inventor of the “K-cups” John Sylvan and former Nespresso CEO Jean-Paul Gaillard have publicly bemoaned the environmental consequences of the products they once championed. Sylvan has stated that the disposable (but not biodegradable) coffee capsule is “like a cigarette for coffee, a single-serve delivery mechanism for an addictive substance.”

The comparison between cigarette butts and capsule coffee is surprisingly fitting. Both butts and capsules are intentionally designed to be convenient, single-use products. Both are also nonbiodegradable and unrecyclable. As pervasive and polluting as cigarette butts are, however, the e-waste from e-cigarettes presents an even more apt comparison.

You can imagine how I felt then, when Nestle pimps this feel-good (Spanish language!) advertisement at me, never mentioning the billions and billions and billions of plastic-metal-paper non-recyclable single-use bad-tasting coffee hits it blights the planet with each year.

The Nespresso ad video before the cool National Geographic video. So nice (not!) that National Geographic is producing videos for Nespresso, to preempt people realizing that environmental health problems (having to do with the environmental determinants of health) are intersectional, too.

Fuel emission standards

Who is fueling the Alice in Wonderland media world which slowly is infecting and deceiving people around the world, spreading the ignorance virus?

Let’s take the way that Trump wanted to roll back the Obama-era federal fuel emission standards as an example. While Trump and the oil companies thought this would be a marvelous idea, to stick it to the liberals, so that we’d waste more oil, astonishingly the four biggest auto manufacturers were opposed to this, as they had already begun producing cleaner cars, and other big markets like Europe have similar fuel and pollution auto standards, so going Neanderthal in vehicle fuel and emissions standards didn’t make sense. It was a big surprise to the White House, apparently, that creating more pollution and costing individuals more to fill up their tank didn’t work, even with auto manufacturers. What a surprise for Trump and Co. to realize that even pandering to the worst possible arguments didn’t work. Then 4 of the largest automakers and the state of California made a pact that they would uphold the previous Obama-era emissions standards and fuel targets. Because it made good business sense. (Nevermind the fact that it saves consumers hundreds of billions of dollars and reduces pollution).

The New York Times somehow thought it fitting to ask the Trump Whitehouse to weigh in.

“Unfortunately, California is trying to impose its failed policies on the rest of the country by making new cars significantly more expensive for American consumers and less safe,” said Russ Vought, the acting director of the White House Office of Management and Budget, in an emailed statement. “Even worse for Americans on the road, a handful of irresponsible automakers are aiding California’s radical agenda that will hurt every one of us.”

This completely up-is-down-and-down-is-up response, which is about as far away from reality you can get unless some giant loaded you in one of those dog ball-throwing launchers and whipped you into a few galaxies down the lane, not only reaffirms that US Government has become a premier propaganda machine, in their attempts to rival North Korea and China, but also shows how the New York Times is working for the same corporate masters. Why? Two reasons.

First of all, the dumb idea to force California to not enforce it’s laws is a non-starter. What ever happened to states’ rights? Oh yeah, that was only a corporate tool, and to gain libertarian votes and then give them the finger. Classy, tea partiers and Koch Co.

Second, there’s the fact that California will not comply with unreasonable federal the-sky-is-falling threats. Sorry, California is the world’s 5th largest GDP, you can’t push it around like that. We control your freaking internet ;) But why is the NYT giving more platform to the Competative Enterprise Institute, a well-known rabid racist, misogynist, and overall ahistorically-inclined corporate front-group? There are a million intelligent people to interview about how laughable this proposal is, how the Trump administration will never achieve this, and that it’s just shirtcocking posturing from Mr. smallfingers. But no, the NYT goes for its one interview with the humpback goon of Trump. Great balanced reporting, right there.

Of course,

“The Obama-era tailpipe pollution rules that the administration hopes to weaken would require automakers to build vehicles that achieve an average fuel economy of 54.5 miles per gallon by 2025, cutting about six billion tons of carbon dioxide pollution over the lifetimes of those vehicles. The proposed Trump rule would lower the requirement to about 37 miles per gallon, allowing for most of that pollution to be emitted.”

And of course,

“Xavier Becerra, the California attorney general, restated his intention to sue over any attempt to undermine his state’s legal authority to set its own pollution standards. “California will continue its advance toward a cleaner future,” he wrote in an email.”

Hypocrisy at the International Society for Environmental Epidemiology

The ISEE, or the International Society for Environmental Epidemiology, is an organization that one would expect to walk its talk. After all, it has been around for 31 years with its annual conferences, and is one of the most sophisticated and cutting edge of the biological medical sciences. Environmental epidemiology’s ability to aggregate data across many different scientific domains in a meaningful way, to build off of findings in genetics, population biology, medicine, and public health, is truly extraordinary. Furthermore, the field has demonstrated a commitment to addressing questions of environmental racism, classicism, and gender inequality, and is actively diverse.


Why then, at my first ISEE conference, in Utrecht, which was a 30 minute train ride from my home in Rotterdam, am I bombarded with 1960s style catering?

I know, I know. Why pick on such a minor detail? After all, the content of the meeting is driving policies far more important than some PC peccadillo having to do with food, right?

I do not dispute the good of bringing people together here. I do not dispute the good of the research, the necessity of the work. But I do object to the weak argument that because of all the other good being done, that we can ignore our own personal emissions and harms, that we can refuse responsibility to do our part, to do better, to be the change we wish to see in the world.

The metaphor is how discredited Al Gore has been for flying all around the world on his private jet to promote sustainability. It doesn’t pass the smell test. How can we say, “Do as I say, not as I do?” It’s this sort of elitist thinking that got us into this quandary in the first place.

Example A. In a Symposium session today on “A World less dependent on fossil fuels — scientific evidence and corporate influence,” a presenter brought up the fact that the way academic conferences are organized are going to have to change. But, the presenter said the AMA (American Medical Association) has to change, but immediately addended his comment with, “But not the ISEE.” I and a few others blurted out “Why not?” Why is our precious little conference exonerated? How are we any different, except for our smaller size? People still are arriving from all over the globe via airplanes to spend 3 days presenting a 10 minute paper and then hanging around nervously at the peripheries hardly communicating with people they didn’t already know.

Thanks for the trash, ISEE!

Which leads me to the point of my post.

I have been to APHA and many other larger and smaller conferences, in Europe and the US, and I am sorry to say that this is the least environmentally sustainable conference I have ever been to. The fact that hundreds of thousands of pieces of single-use plastic are being used every day for this conference should be sobering to us all.

And the fact the majority of the food is meat and animal-based shows the height of hypocrisy on environmental issues—not leadership.

Therefore, I propose that the ISEE adopt the following two binding resolutions, effective immediately, and for all future conferences:

(1) Conference organizers and any other contracted companies and caterers shall only use reusable forks, knives, spoons, plates, bowls, cups, and other food ware items. This includes no longer relying on single-use creamers, sugars, etc. 

(If the ISEE and its conference organizers are still addicted to disposables, at least have them be PLA (compostable bioplastics), which is a far second-best to washing actual silverware and dishes, but is still better than sucking down more on the plastic-petrol pipeline.)

(2) In light of the well-documented harmful effects to personal and planetary health, ISEE conferences and gatherings shall only serve vegetarian meals, with a minimum of 50% of all meal items being vegan (and clearly labeled). This is consistent with the evidence base and ISEE’s leadership in walking our talk on health and climate change.
Please forward these resolutions to the authorizing boards, and let me know the outcome of the vote.

I see this as a beginning, not a destination. Complacency on these issues will just make the ISEE less relevant. For example, the name badges are oversized non-recyclable hard plastics. A huge amount of waste. And instead of giving steel water bottles out at every conference, just start selling them, and advertise in large font “BRING YOUR OWN REUSABLE WATER BOTTLE.” A little prevention goes a long way. But we, more than anyone, environmental epidemiologists, already knew that.


It turns out, that in the ISEE’s 2018 meeting in Ottowa, Canada, a country quickly becoming synonymous with oil power obliterating public health, that affiliated societies part of the ISES-ISEE joint conference received financial sponsorship by ExxonMobil — a huge conflict of interest! That the ISEE, and its local organizers let this one “slip past them,” is a huge cognitive-ethical bungle. How can public health researchers be credible in evaluating the science of pollution when they are lining their pockets and funding their meetings with those very same polluters’ dollars?

In the Introduction to the symposium on “A world less dependent on fossil fuels – scientific evidence and corporate influence” Prof. Dr. Manolis Kogevinas, Research Professor of the NCDs Program at the Barcelona Institute for Global Health, gave a talk on August 26th, 2019 that included the following abstract:

The Symposium organised by the Policy Committee of ISEE originated following the widespread surprise and annoyance of our members from the sponsorship of the 2018 ISES-ISEE joint conference in Ottawa by ExxonMobil. ISEE did not directly accept these funds but other societies are more willing to accept them.
We will argue that organizations representing health researchers should not accept support from the fossil fuel extraction companies.
Banning health research funded by the tobacco industry helped bring major public health gains; we will argue that we should do the same with BigOil. We further argue that ISEE should become more vocal on this issue and promote measures such as divestment from these industries.
There are three main reasons for taking this position: (i) The most important is that fossil fuel industries are major determinants of human disease and environmental deterioration; (ii) The second is that they knew! Like the tobacco industry, Big Oil knew for decades that their products could make the planet uninhabitable, and intentionally buried the evidence; (iii) The third reason is that like our stand against the tobacco industry that resulted to significant public health advances, we should take a categorical, effective and clear-cut position against the products and actions of these harmful industries. The science is more than adequate to warrant action. Unless we do this, we will not be able to effectively convince the lay public and our politicians of the urgency with which we must mobilise.
The proposed Symposium will illustrate major aspects of health consequences of fossil fuel combustion and the reactions of the industry trying to influence epidemiological research. We will discuss on the way epidemiologists should continue providing essential support to health policies avoiding corporate interests while encouraging industry and other stakeholder involvement as a part of the solution to the problem.

San Francisco BART’s Unpleasant Design

Introducing: The inverted guillotine

Having lived for the better part of my life in the San Francisco Bay Area, I have put in my time on the Bay Area Rapid Transit (BART) system. From it’s loud, overcrowded, clunky, and infrequent trains, to the spate of BART police shootings of young men of color, this privatized (militarized?) operation has a monopoly on public transport, and unashamedly has its will with the region with little grace.

The latest offense is the instillation of “skull crusher” “inverted guillotine” pop-up spring-loaded barriers, that could hurt or maim (it’s just a lawsuit waiting to happen).

Instead of pouring money into education, or helping the homeless, the Bay Area has now apparently prioritized metal spikes shooting up from their BART turnstiles. Way to go, gentrification!

The fact that “fare jumping” is solved by violence is telling. Instead of maybe just making the BART – a public service – into a public company, free for all riders, payed by a corporate property tax (or some other public funding in the insanely overpriced Bay), as many other localities such as Tallinn in Estonia have done, doubling down on menacing design elements further marginalizes the marginalized. BART really doesn’t lose much money at all on fare jumpers. Their financial mismanagement is sui generis. Yet, like all administrative classes, the propensity to pay themselves more to harm the poor is too tempting; it exculpates their responsibility for mismanagement (and points to the need for the region to re-buy the service to run it correctly), and instead finger-wags at “scofflaws” for being bad people, when all they really are doing is what is necessary to get around their own town when they haven’t benefited from the Silicon Valley boom.

The book Unpleasant Design discusses the epidemic of public infrastructure that makes being in public an injurious experience for those worst off. From bus benches in shelters that slope so you can’t sleep on them (you’d fall off), to “anti-homeless spikes,” sonic warfare (projecting odious or repetitive noises, like that corporately-engineered “hit” “Baby Shark“), ordinances against “sitting” or lying in public spaces for too long — rich countries, especially English-speaking ones, have declared war on public space.

London, UK. 10th June 2014. Anti-Homeless Spikes Protest outside Stock Photo: 70030582 - Alamy
Anti-homeless spikes

Unpleasant design takes what little of the commons are left – the nooks and the crannies – and puts money into destroying them to keep out “undesirables.” This racist and classiest action is often the result of gentrification; justified to keep the zoos of the rich free of those who can’t pay their entry fee.

These artists are tackling London's anti-homeless spikes head on
Activists in London combat the painful anti-homeless spikes

The psychological warfare of guillotine turnstiles makes the entire experience of public transportation less comfortable for everyone. Instead of dealing with the 80-20 principle that 80% or 90% of riders will pay no problem, and that there will always be a remainder of the population that for what ever (often very legitimate) reason cannot or will not pay, BART has chosen to harm the public, pushing more people into their polluting cars.

I’m sure before long, people will be defacing these violent turnstiles. And it is likely that the accumulated rage against BART will reduce paying ridership (despite their monopoly), actually bringing them less money than they had before–the exact opposite result than they profess to so-desperately and so-forcefully want.

The public outrage on Twitter is already loud and clear against BART’s weaponization of its service. Such aggrandizement activities miss the point of their charge: they are in the business in providing a public service, and some people can pay more, some less, and not at all. Perhaps peg BART tickets to income. Then the rich might pay $100 per ride, the poor the normal $3.40 trip, and the very poor nothing. That would be a fair approach. Our society is far from that enlightened thinking, sadly, even in that hotbed of *potential* San Francisco, Oakland, Berkeley, and environs.

But let’s not deceive ourselves. There’s a reason why you can’t take the BART to Marin County: racism. Back in the 1950’s there was a plan in place to extend the San Francisco BART to Marin (North Bay), but because of vocal refusal by residents, it failed. And now, no easy public transportation (besides the ferries) go to Marin. The Bay Area is disconnected by design, an open gated community in a natural and cultural paradise predicated on class, race, and exclusion.

Have we not evolved as a city in 70 years? Are we still just as violent towards those less fortunate than us. San Francisco is a mess because of its wealth. But at least on this case of BART structural violence, the people are having their day of reckoning.

Big Tobacco, Big Pharma, Big Vape

About a decade ago, the “American Vaping Association” railed against RJReynolds (later RAI, now part of British American Tobacco (BAT)) for attempting to persuade the FDA to “ban the sale of open-system e-cigarettes, including all component parts.” Now that pretty much all of the e-cigarette companies are tobacco companies, from Altria’s 35% stake in JUUL to RAI’s Vuse being #2 in the US, the question is moot. Big Tobacco won. Open systems are on the fringe, for people like Leonardo di Caprio.

Reynolds’ play to racism and prejudice by equating Chinese manufacture with poor quality is telling. Their own products are manufactured in China. But in order to try to dissuade the FDA from allowing open tank vape systems, it plays the China card. We need to educate people to stop doing this, as 99% of the time they are being hypocritical anyways (their own products are being made in China); and also, American manufacture now is mainly robot-run anyhow. Few quality American manufacturing jobs exist, compared to the 1970’s, for example.

What remains to be seen in the indefinite postponement of the E-cigarette regulations by the FDA is whether Big Tobacco got their way; or if public health will see their day.

New Publication: Financial Conflicts of Interest and Stance on Tobacco Harm Reduction: A Systematic Review

My colleagues Manali Vora, Jesse Elias, and Pam Ling and I at the Center for Tobacco Control Research and Education at the University of California, San Francisco just Financial Conflicts of Interest and Stance on Tobacco Harm Reduction: A Systematic Review. (Also available at PubMed).

Here are some sources that have blogged about the paper:


Background. Tobacco companies have actively promoted the substitution of cigarettes with purportedly safer tobacco products (e.g., smokeless tobacco, e-cigarettes) as tobacco harm reduction (THR). Given the tobacco, e-cigarette, and pharmaceutical industries’ substantial financial interests, we quantified industry influence on support for THR.

Objectives. To analyze a comprehensive set of articles published in peer-reviewed journals assessing funding sources and support for or opposition to substitution of tobacco or nicotine products as harm reduction.

Search Methods. We searched PubMed, Embase, Web of Science, and PsycINFO with a comprehensive search string including all articles, comments, and editorials published between January 1, 1992 and July 26, 2016.

Selection Criteria. We included English-language publications published in peer-reviewed journals addressing THR in humans and excluded studies on modified cigarettes, on South Asian smokeless tobacco variants, on pregnant women, on animals, not mentioning a tobacco or nicotine product, on US Food and Drug Administration–approved nicotine replacement therapies, and on nicotine vaccines.

Data Collection and Analysis. We double-coded all articles for article type; primary product type (e.g., snus, e-cigarettes); themes for and against THR; stance on THR; THR concepts; funding or affiliation with tobacco, e-cigarette, pharmaceutical industry, or multiple industries; and each author’s country. We fit exact logistic regression models with stance on THR as the outcome (pro- vs anti-THR) and source of funding or industry affiliation as the predictor taking into account sparse data. Additional models included article type as the outcome (nonempirical or empirical) and industry funding or affiliation as predictor, and stratified analyses for empirical and nonempirical studies with stance on THR as outcome and funding source as predictor.

Main Results. Searches retrieved 826 articles, including nonempirical articles (21%), letters or commentaries (34%), editorials (5%), cross-sectional studies (15%), systematic reviews and meta-analyses (3%), and randomized controlled trials (2%). Overall, 23.9% disclosed support by industry; 49% of articles endorsed THR, 42% opposed it, and 9% took neutral or mixed positions. Support from the e-cigarette industry (odds ratio [OR] = 20.9; 95% confidence interval [CI] = 5.3, 180.7), tobacco industry (OR = 59.4; 95% CI = 10.1, +infinity), or pharmaceutical industry (OR = 2.18; 95% CI = 1.3, 3.7) was significantly associated with supportive stance on THR in analyses accounting for sparse data.

Authors’ Conclusions. Non–industry-funded articles were evenly divided in stance, while industry-funded articles favored THR. Because of their quantity, letters and comments may influence perceptions of THR when empirical studies lack consensus.

Public Health Implications. Public health practitioners and researchers need to account for industry funding when interpreting the evidence in THR debates. (Am J Public Health. Published online ahead of print May 16, 2019: e1–e8. doi:10.2105/AJPH.2019.305106)

Lunchtime Talk at Erasmus School of Philosophy on Advertising and Agency

Advertising and Agency: An ethological account of how social infrastructure compromises or sustains our autonomy

May 16, 2019 12:00 – 13:00 Bayle Building, J5, Erasmus University Rotterdam
Humans like to think of ourselves as autonomous agents, freely making our own rational decisions, despite the temptations and influences of society. Indeed, especially in individualistic liberal societies, the desire to be “unique” and “different” tugs strongly at our sensibilities. As social animals subject to needs to belong, and to have proclivities for certain stimuli, these instincts are often taken advantage of by marketing and advertising in order to sell products. This lecture will examine mechanisms of supernormal stimuli that manipulate our instincts, rendering us less sovereign over decisions and actions, as well as what sort of social infrastructure may act protectively, insulating us from predatory semiotics. 

Science and Politics of Glyphosate Workshop June 6, 2019

My Erasmus University Rotterdam colleague Alessandra Arcuri and I are organizing a day-long workshop on the most used pesticide in the world: glyphosate. Glyphosate, the active ingredient in RoundUp, Monsanto’s flagship herbicide, has been linked with cancer by the International Agency for Research on Cancer (IARC) in 2015.

For more information, registration, and to submit a paper to present at the conference, please visit our website, at the Dynamics of Inclusive Prosperity Initiative.

IARC and EFSA’s differing views on glyphosate

Disposable is NOT Environmental

I was perusing Kickstarter when I happened upon a solution to a problem that I didn’t know was that big of a deal: spices going bad. As it turns out, it’s not that big of a deal, it’s what could easily be classified as a “first world problem.”

Spices, because we live in a commodified society with more supply than demand, often sell us large quantities of pre-picked, pre-ground spices. Moreover, these spices are picked from around the world, very far from where we live, and so by the time we use much of them, they lose some of their pungency.

For the same reason that many people grind their own coffee beans, and in many parts of the world including Europe, their own grains, many people still grind their own spices. (Full disclosure, wherever possible, I grind my own spices too – they taste way better fresh that way; no pre-ground spice, no matter how well packed, will taste as good). There is no secret to this. A couple of good kitchen tools, and you’re good to go with most spices. It keeps the nutrients fresh and less degraded (though of course, from picking a spice, it’s shelf-life starts ticking away), and much more pungent and enticing.

Yet, this Kickstarter doesn’t say, “hey, I’d like to make some money by selling you high quality spices, but you’ll still have to grind them yourselves and take an extra minute of delight every time you cook!” No, instead, it fails to see that good cooking, by its nature is a meditation, not something to create a lot of trash with for convenience’s sake. It is a fail because it does not understand that gourmands who like fresh spices are happy to take the extra 30 seconds and grind their own pepper, ginger, or nutmeg. Instead, it grinds the spices already, prematurely, and puts all of its heft on the claim that it has found a better “preserving” mechanism, better than glass containers, but somehow stopping short of formaldehyde.

By appealing to “design” this company is yet another hipster gourmand appropriation of disposable trashy production in order to pull the wool over consumers’ eyes. They have the gall not to merely discuss how their throw away, potion enough for a bachelor(ette) only spice capsules, but to call their product “revolutionary” for its ability to “keep spice fresher at the molecular level.” At the molecular level! I love it–they don’t explain what they mean (except through appealing to the boogieman of “oxidation”) by saying “molecular,” other than that it has become the new buzzword after “neuro” and “nano.” But hey, if you’re already in the business of commodifying trends, why not throw in meaningless buzzwords to prey on consumer gullibility?

Beyond their appeals to their product perhaps rightly being “more flavorful,” than old forgotten spices, they also make the much more suspect claim of it being more “affordable” as well. But worst – and here it’s just a blatant lie – they also claim that their throwaway aluminum pod peel trash wrapper is also more “sustainable.” And that’s why I’m calling bullshit on Occo, and all products like them that attempt to solve a non-problem for people who have more money than they know what to do with, by creating more trash for future generations.

For fun, let’s take a look at some of their misleading and fallacious sustainability claims:

(1) That aluminum is “the most recyclable material in the world”

(1) A: The price for aluminum is higher today than it has been in many years. That’s why there have been, for the first time a rash of thefts of aluminum bleacher seats at parks. So I ask the very Instagrammable Connie and Lisa: do you know what bauxite is? (The raw material from where aluminum comes from). Have you ever been to a bauxite mine? How about a bauxite processing plant? Ever breathed in those fumes? No, because otherwise, you would avoid aluminum like the plague that it is.

Sorry to burst your bubble, but disposable aluminum (where do you even discuss recycling, and the fact that in many jurisdictions your customers may not even have adequate access to recycling facilities?) is a loser. It’s an environmental nightmare, not the paragon of recyclability you paint it as.

Anything that can be used more than once, or say, used many, many times, for years, is more sustainable than something that is only used once. Period. You don’t have to be an industrial ecologist to do the math and realize that even in the best case scenario, if you melt something down, you’re using a tremendous amount of energy to do so, (coming from where?), and then refashioning that raw material into another thing–losing material and energy along the way.

(2) “Saving food waste” claim.

(2) A: Another fallacy is that Occo is helping reduce food waste and saving the planet by selling expensive spices in high quantities in disposable aluminum. The company even does a masterful deflection of using a loaded label against the waste in bulk food items (they call it the “Movie Soda Mark-Up”), that strikes a chord with their Millennial audience of single, big income, no children. They say that food waste is created because people buy more than what they need, and when people are more minimalistic (I love the movement of minimalism, but detest the way it has become commodified to sell more crap that people don’t need to them in the name of minimalism!). But I truly have to question how true this is around spices: what percentage of the 40% of food waste boils down to spices? 1%? 0.5%? If so, that would boil down to 0.4-0.2% of food waste blamable on too many spices. And this is a generous estimate. Nice try, but this is a clear case of the misuse and abuse of pulling on legitimate environmentalist heartstrings.


To sum up: the problem with this scheme and so many like it is that there’s no money in simply telling people to go quality over quantity; and to buy less instead of buying more. The “super premium” segment of the nouveau riche, always eager to virtue signal their “style” and “taste” is one of the leading contributors to ecological disaster and climate chaos.

To falsely claim some sort of ecological currency in doing so, should be met with a healthy dose of reality and opprobrium. There are enough charlatans around; the last thing we need is more cannibalism of truth by poseur minimalists willing to say any ecological lie to make a quick buck.

P.S. After writing this, I just found some more spurious reasoning from these poster-children for the Dunning-Kruger effect (a little bit of knowledge is dangerous–you might actually think you know something when that’s not the case). I’m not going to comment on it, I’ll just put it here:

Thoughts and Prayers and Regulations

There is an epidemic of thoughts and prayers in America. It seems the more politicians think and pray, the more school shootings happen, the more places of worship get gunned and burned down, and the more people die.

Maybe to reverse this trend, politicians need to stop sending their thoughts and quit praying, and instead begin doing their jobs: defending the commonweal against those who would sacrifice it for profit.

E-cigarette e-waste litter is an environmental health harm that can be stopped before it metastasizes

My op-ed in the American Journal of Public Health that appeared this week discusses the new tobacco waste stream of electronic cigarette waste. Electronic waste is already the fastest growing waste stream globally. Creating a new product that has no current responsible recycling infrastructure, and that may be littered widely, contributing to plastic sinks such as the Great Pacific Gyre (garbage patch) in the Pacific Ocean, is a mistake. This op-ed discusses the problem and some of the solutions that can be taken to avoid a possible environmental health and ecological disaster.


Photo of a dropped Juul vape on SF MUNI by Julia McQuoid, used with permission

Regarding this article and other research I am conducting, I also wrote a piece in the online academic blog/forum The Conversation on e-cigarettes as the Nespresso of tobacco products, environmentally speaking.

This article was republished by the University of California, Salon,, The Houston Chron, the Connecticut Post, The Fresh Toast, Business Insider, EcoWatch, The Chicago Tribune, and many other news sources.

Reuters also interviewed me for a piece titled “E-cigarette policy should consider environmental effects, expert says.”

For my other writing on e-waste, please see my interview with Eric Lundgren in Nautilus.


The Elon Musk of E-waste

My new article, “Is This Man the Elon Musk of E-Waste?” in my favorite popular science online magazine Nautilus, describes the Right to Repair movement, and the necessity to move from a linear manufacturing process built on planned and perceived obsolescence to a circular economy.

If we are to combat the 99 billion pounds of e-waste produced per year, ending up incinerated, in lakes and rivers, and trashing our communities and the lives of future generations, we’re going to need to mandate manufactures of electronics such as Apple, Samsung, Microsoft, IBM, Dell, and all the other major players, to engineer products that can DIY be taken apart, repaired, and built to last.

My interview with Eric Lundgren, his last before he was sent to prison for creating 28,000 Microsoft Windows restore CDs meant for refurbishing computers that otherwise would end up as e-waste, describes the necessity for financial mechanisms to incentivize companies and consumers to place e-waste back into an (dis)assembly line of reuse, reduce, recycle.

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Lundgren has championed the right for electronics to be repaired rather than tossed by staging high-profile recycling demonstrations including his Guinness Book of World Records farthest driving on a single charge electric car (999 miles with 90% recycled materials including recycled hybrid batteries) and his flagship solar-powered e-waste recycling factory.

I appreciate the comment on the article made by Ryan Shaw, who wrote:

Mr. Lundgren has done more with far less than what Musk started with so I don’t think the comparison does Lundgren justice (although I am a huge Musk fan). Maybe someday if Tesla starts a car rebuild program to re-use scrapped cars the title would be, “Elon Musk is the Eric Lundgren of car manufacturing.”

New PLOS Medicine Article on Addiction

PLOS Medicine just published an article I wrote with Jesse Elias and Pam Ling at UCSF on “Public versus internal conceptions of addiction: An analysis of internal Philip Morris documents.” This article discusses previously secret industry documents pointing at the disconnect between the Philip Morris’s public statements of addiction as reduced to nicotine, and their secret unpublished research showing that nicotine is a minor overall component of smoking addiction.

Public health researchers interested in helping smokers would do well to critically appraise the public statements, policies, and actions of tobacco and nicotine dealers, especially as these are strictly for-profit companies beholden to their lexical priority of fiduciary responsibility increasing shareholder value at all costs.

Rather than bandwagoning on nicotine determinism, addiction is a biopsychosocial disease with lobbying and advertising as disease vectors.


News media on the paper appears in The Outline and other interviews.

The Outline writes:

Publicly, Philip Morris has been willing to admit that cigarettes are addictive since 1998—but would only cop to the role of nicotine in forming an addiction. Yet privately, the company knew that social, psychological, and environmental factors are also central to addiction and how difficult it is to quit smoking. In other words, addiction was never just about nicotine, and Philip Morris knew it.

Gizmodo writes:

the researchers hope to remind public health officials that tobacco addiction is about more than just nicotine, and that there isn’t enough long-term data to show whether “reduced harm products” actually benefit public health. Even Philip Morris recognized this.

OnMedica writes:

In other words, they said, PM’s ‘opportunistic’ shift from denying to affirming nicotine’s addictiveness was driven not by a substantive change in scientific understanding but by public, regulatory, and legal pressures.

Inverse writes:

While Philip Morris publicly acknowledged nicotine’s addictiveness in 2000, the study’s authors suggest that the company scapegoated the chemical as the solitary driver of addiction. By placing the blame on nicotine, company scientists drew attention away from a potential public health focus on biological, social, psychological, and environmental factors that could help people quit smoking….

For addiction researchers, public health researchers, and smokers, it’s clear that smoking is about so much more than the nicotine. But this analysis suggests that a major tobacco company attempted to steer the focus toward only nicotine, decreasing the effectiveness of interventions that could help people quit.

Susan Mayor writes in the British Journal of Medicine writes that while PM’s “Addiction Consensus Group”:

Sounds very virtuous

More like a cover up. An analysis funded by the US National Cancer Institute compared the company’s public position on addiction with what was being discussed within company walls. It found that throughout the 2000s Philip Morris reinforced the idea that nicotine’s pharmacology was the main driver of smoking addiction. But internally, company scientists were saying there was bit more to it than that. Addiction was the result of “interconnected biological, social, psychological, and environmental determinants,” with nicotine just one component.

Euphemisms and Dysphemisms

Here I will attempt to gather and decode euphemisms (saccharine words covering up the dismal reality, e.g., climate change for global warming) and dysphemisms (derogatory terms for neutral ones, e.g., warmist for people who acknowledge the facts of global warming) of corporate-speak.


“Crop Protection Agents” = pesticides

Example: Philip Morris attempting to use the natural anti-pest properties of tobacco to make the claim that tobacco is better for the environment than food crops (remember the neonicotinoid pesticides that are decimating bee and butterfly populations? They come from tobacco)

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Airplanes and Death: A Study in Sound Pollution


I recently published an article in Berkeley’s newspaper, Berkeleyside, about the incessant overhead air traffic, and how this likely is causing significant public health effects.

Here’s the evidence  base: “These significant associations were not attenuated after the adjustment for air pollution. The present ecological study supports the hypothesis of an association between aircraft noise exposure and mortality from cardiovascular disease, coronary heart disease, and myocardial infarction. However, the potential for ecological bias and the possibility that this association could be due to residual confounding cannot be excluded.” “Aircraft noise was associated with mortality from myocardial infarction, with a dose-response relationship for level and duration of exposure. The association does not appear to be explained by exposure to particulate matter air pollution, education, or socioeconomic status of the municipality.”

A Systems Approach to Dysfunction


One of the things that resonates the most about systems theory, is that it focuses on how different pieces of large puzzles interrelate and interlock. For, it is the inter aspect that gives phenomena movement, gusto, dynamism, spark. Speaking of things, essences, stuff, or problems, tends to slump description into the corner of inexorability, and worse, resignation.

When we look at climate change, war mongering, oil interests, urban design, transport diversity, and factory farming in concert, then suddenly, the intractable problems of each become much more tractable. The haze lifts, and the easy solutions abound. Instead of the Sisyphusian task of unravelling Gordian Knots (to mix my Greek metaphors), like Alexander the Great, we simply cut through it. With systems thinking, we cut through the lies, the bad habits, the greed, excuses, and story. We take care of what calls for attending, without the oppositionality, the rage, hate, or anger. We don’t even resent the system of destruction that has killed millions, and will likely kill billions more (not to mention the thousands of species extinct, priceless waterways despoiled, mountains detonated, etc.).

No, instead, a systems view asks: what is the most opportune point of intervention? Where can I (and we, because it is always a we, this I) most skillfully intervene now? What is the first step? And then: what is the next step after that?

Having a goal is important. We don’t want to make great time in the wrong direction, to paraphrase Yogi Berra. But, planning without action does little good to soothe our own anxieties, nor to shine as an examples. Nor does it form good habits, to think without acting, for we shall too soon grow content with such a pattern, forgetting the thrill of satisfaction when we follow through with a dedicated plan.

Paul Hawkins’ new book and ground-restoring Project Drawdown has made this plan, indicating the best points for intervention in our anthropo-patriarchal-colonialist-scene. This blueprint shows the problem, in its glorious complexity, and details what interventions will produce what results. México, the first developing country to take the lead in reducing emissions through a carbon trading plan, is working on an important component of drawing down CO2 from industrial producers. Of course, a carbon tax is much smarter policy than a cap-and-trade system, as most climate policy scientists agree. Nonetheless, such leadership as México’s will no doubt have a cascading effect on other developing and BRIC countries, as the rest of the world gains more power as climate leaders in the vacuum left by the Trump presidency. Brazil and China are already stepping up, in various ways, and the US may soon be an island, exceptional only because no other country wants to trade with it until it institutes strong sustainability policies.

Understanding the changing dynamics of international politics through US abdication of responsibility despite its role as the world’s largest economy, and 2nd largest polluter (likely first largest, when we include Chinese imports), helps contextualize the contemporary situation. While from a media-saturated point-of-view, Trump and co. are dead-set on bringing about the apocalypse, from an international perspective, the long-overdue transfer of power to Europe, Asia, Africa, and Latin America is simply being accomplished as these areas reduce trade with the US and stop looking to the US for guidance. What emerges from this transition will be exciting to watch. Perhaps an improved UN? Perhaps planetary citizenship, doing away with the need for climate refugees, instead implementing climate justice? Perhaps a new healthy form of regionalism? Perhaps reduced consumption? These exciting times promise nothing, but offer many exciting paths.


Database of Industry Documents Databases

In an ongoing effort to compile the corruption of science and politics by short-sighted, manipulative industries, I am beginning to list the sites that document industrial epidemics. Enjoy!










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A good friend of mine, from Austria of all places, found herself in Miami amongst the evacuations.

She posted to Facebook:

Thank you everyone for your sweet messages! Yes – I am still in Miami and not sure if I have a chance to leave before the hurricane hits Florida…All flights are sold out and no gas for cars…I trust that things will turn out the way they should and staying like the hurricane in the centre where its calm and safe. LOVE YOU ALL 

What is striking to me is the ordinariness of the disaster paradigm in an anarcho-capitalist country: I’ll take care of me, if you can’t take care of you, too bad, you may die.

This logic of individual privilege is about as far from “civilized” as I can imagine. It’s the Mad Max world many fear. But the future is here. It’s been here for a long time. Comparing Hiroshima and Nagasaki’s victims, and the response to that of Fukushima Daichi shows that in both cases, those exposed to radiation and surviving, me(e)t ostracization, fear, and pariahdom. Also, after the Fukushima disaster, women, the poor, the disabled, and the old, often had less ability to immediately flee the area than their male, rich, abled, younger counterparts.

So, it seems that willy-nilly, and against the very basis of the US Constitutional Rights, in times of crisis, we have created a system that disadvantages and leaves behind those most vulnerable. In this case of my friend, foreigners.

Of course, this is already a tired story. Hurricane Katrina neatly showed us the racism of America, before the Tea Party and the boogieman threat of an African-American president.

But when I hear from a good friend “all flights are sold out and [there is] no gas for cars,”  it somehow drives home the point of the systematicity of the problem, causing me to balk at the possibility for democracy, equity, and solidarity in a future of empty supermarkets and broken water infrastructure.

Just as our streets are unsafe, and those differently abled, slower, or less normatively predictable (the elderly and children especially), are especially at danger to the road rage that has infected virtually every driver. The barriers of separation have been expertly erected, from cars to climate-conditioned bubbles, have over the generations done their work, seeping into a generalized disconnection from others we don’t know and who we don’t identify as our tribe. Cheered on by the feedback loop of narcissistic social media advertising, our biases get entrenched rather than checked in a predatory advertising free-for-all.

What still amazes me, is the fact that human survival has turned into this constructed Social Darwinism, that shrinks our circle of concern in the face of crisis. Those without family, or broadcast ability, are simply forgotten and left behind.

As it turns out, Lisa found a way out of Miami, on the very last climate-changing flight out of Miami before Irma hit. But I cannot help but wonder about all of those who were left behind, to rot in the rush of countless souls attempting to save their own.


Upcoming UCSF Cancer Center talk




Does the Tobacco Industry have its own Endgame?

The pharmaceuticalization of the tobacco industry and implications for public health


Yogi Hale Hendlin, PhD

Tuesday, September 26, 2017, 3:00 – 4:30 pm

CTCRE, Kalmanovitz Library, Room 366


Yogi Hale Hendlin, PhD, is a Postdoctoral Research Fellow at the Center for Tobacco Control Research and Education working on inter-industry epidemics and industry subversion of science. His recent first-authored publication in the Annals of Internal Medicine titled “The Pharmaceuticalization of the Tobacco Industry” (reviewed by Reuters) demonstrates that in the face of declining cigarette volumes, the tobacco industry has been actively pursuing alternative forms of “medicinal” nicotine delivery to maintain profits. Hendlin is also currently working on a systematic review of tobacco harm reduction, analyzing the role of industry-funded scientists on the prominence of product substitution rather than cessation and public health measures in the tobacco harm reduction debate. At the intersection of environmental politics, the social determinants of health, and critical public health, Hendlin’s research addresses corporate harms to the health of society and the environment.


UCSF Kalmanovitz Library

530 Parnassus Ave., #366

San Francisco, CA 94143-1390