Senior author Eleni Linos, as well as CTCRE director Stan Glantz and myself discuss our recent paper in the BMJ and the paper’s origins.
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.
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.
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.
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.
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)
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!
GENERAL CORPORATE CRIME
Today, with co-authors Pamela M. Ling and Jesse Elias, our paper “The Pharmaceuticalization of the Tobacco Industry” appears in the Annals of Internal Medicine.
Our interview with Reuters is available here.
This work contributes to the study of industrial epidemics, and how corporations, instead of dying a quiet death as the world wakes up to the inutility of their products for life, metastasize into other structures to clean up the messes they continue to create–and to charge taxpayers for it (in this case, by getting government health care like the NHS in the UK, to pay for their so-called reduced-harm nicotine products).
In case you missed it, a chapter in Michael Marder’s Minnesota Press book Grafts on plant philosophy contains a short piece we wrote together.
For those in the San Francisco bay area, I will be giving a 15-minute presentation Thursday April 27th 7:30-9:30pm at the TechShop on “The effects of pollution on organism signaling and human health.”
926 Howard Street
San Francisco California 94103
Taste of Science is a public outreach forum for scientists to interact with the public on topics that impact us all, and to make complex concepts and processes intelligible to interested folks.
Today at UCSF, I had the chance to hear Michael Specter deliver the 2017 Chauncey D. Leake Lecture: “Do Facts Still Matter? And What Does It Mean If They Don’t?” It brought out all of San Francisco’s good liberals, concerned about Trump’s anti-science anti-fact Administration. Specter, a decorated journalist for some of my favorite rags, certainly has the credentials to to kvetch at the poor state of US politics.
And yet, he missed an opportunity to channel the despair, rage, and motivation of hundreds of UCSF faculty and students. Cavalierly bashing the science-bashing while not seeing that he was engaging in the same sort of zealotry the room despised, there was a fundamental disconnect in his talk. Instead of understanding the pragmatic even democratic way in which consensus and dissensus coexist in science to push it forward, or acknowledging the unscientific politicization of science which occurs when funding derives from self-interested strings-attached corporations rather than from and for the public good, Specter pontificated about the horror of Trump and basic science communication.
He emphasized how The New Yorker has sold more subscriptions since November 8th than in the past three years, and that this holds for The New York Times as well–as if the raison d’etat of the Fourth Estate is to greedily prey off people’s fears. Perhaps because of his embedded status, Specter can’t see the forest of civilization through the trees of simplistic versions of science as a monolith, failing to crucially discriminate between different motivators for science, let alone including systems thinking perspectives, prevention, or noticing that all of this stuff that medicine and scientific experimentation in the 21st century is based on draws on a dwindling supply of natural capital.
What was most revealing, however, is how his internal logic fell apart. One story he told described how his mother wouldn’t let him eat butter, and fed him only margarine, because it was better for him. She also would give him antibiotics every time he sneezed. Of course, he commented, she didn’t hate him, she loved him, and while today we know both of these “facts” to be totally wrong and harmful to health, she was doing the best she could based on the current state of science in the 1950’s. Specter went on to speak about GMOs and vaccines, and how harmless they are, and that anyone who thinks otherwise is ignorant or worse. Clearly, this narrative hangs together rather than apart.
Yet, the logical tensions of the acknowledged “whoops!” factor of the science of Specter’s youth and the total confidence he held towards the complete safety of these biochemical and genetic interventions was glaring. Like geoengineering, certain types of science are deus ex machina solutions–problems that create more problems for the future. Such science passes the buck to future generations, leaving them the bill when things don’t turn out the way we imagined. Nuclear waste is a good example of this: in the 1960’s when nuclear power generation was first really going online, there was the open question of What are we going to do with the waste? The answer, at the time was that By the time we need to dispose of nuclear waste in 20 or 30 years, our ingenuity will have long since figured out what to do with that! Here we are in 2017, and no one has a clue what to do with nuclear waste so that we don’t have to guard it for the next 10,000+ years.
There is a second type of science, however, a less glamorous, less funded, but ultimately life affording rather than killing type of science; and that is precautionary science. Precautionary science is very poorly funded because there’s no money in it. Instead of aiming to commodify more of the world, and to sink its claws into the last remaining realms that haven’t been privatized, it looks at systems-level solutions that save time and money, and hence puts dozens of obsolete cannibalistic industries out of business. Precautionary science aims at getting at the root of problems, rather than dressing up sickly symptoms with increasingly technicolor gauze.
As an example, Specter talked about a rich, liberal Florida community that plagued with dengue fever mosquitos. When presented with the option of importing genetically-engineered mosquitos (for a plump price) to breed with the dengue mosquitos, hopefully killing them off, the locals swore off any sort of genetic engineered organisms, fearing the technology and not knowing how these genetically-engineered mosquitos might actually change their ecology. Instead, Specter alleges, they deal with the mosquito problem by spraying massive amounts of toxic Dow Chemical insecticide all over their city–clearly not a desirable outcome.
The GMO-chemical dichotomy that Specter presents us with is the fallacy of the excluded middle. The options are all predicated on deus ex machina science rather than precautionary science. Systems science would look at the underlying factors of dengue mosquito inhabitation. They include climate change, urbanization, increased travel and lax controls over shipments of goods, etc. Why a vaccine wouldn’t work in this case (although one exists) is that the serotypes keep on expanding and changing, and that like the futility of the flue vaccine, any vaccine is already based on old biological versions of the virus, bacteria, or disease. Meanwhile, the disease has been evolving, and many pathogens are very adept at overcoming the hurdles we throw at them. Instead of doing the hard trench work of making progress against raising climate temperatures by stopping factory farms, war, and fossil fuels production while planting trees and reforesting using restorative conservation ecology Green Corps, its all too easy to attempt to address the symptoms (the mosquitos with dengue fever that have “invaded” Florida) rather than the cause. Yet, if we got to the cause of things, and actually acknowledged that our current way of life–including our science–is out of sync with natural processes and must be restored, then we’d have a fighting chance at creating healthier lives for all.
Otherwise, we’re involved in a shotgun approach making a holistic problem piecemeal. But if we do this, today it’s dengue fever, tomorrow it will be another one. Are we really so stubborn as a species that instead of resigning ourselves to a little epistemological humility we’d rather mow down the rest of creation because we’ve created such a destructive ecology that we have no other choice?