Release of A2 Milk Summary Welcomed... But
Release of A2 Milk Summary Welcomed... But
Ron
Law
Risk and Policy Analyst
Beyond Alternative
Solutions
"The posting of the censored Lay Summary on
the government's Food Safety Authority website is a welcome
move and vindicates calls for an inquiry into why the NZFSA
falsified Professor Swinburn's report in the first place,"
says Ron Law [09-832 4773], an independent risk and policy
analyst.
The surfacing of the missing Lay Summary confirms the fact that the NZFSA not only mislead the public of New Zealand by removing the lay summary from the report in the first place, but that they deliberately reformatted the report to keep the pagination the same as the original and then falsely claimed that they had released the full report.
The NZFSA also made totally false statements in various press releases and comments to the media.
For example;
The Media release: A1/A2 milk review released dated 3 August 2004 started by saying;
"Consumers are advised to keep drinking milk as a nutritious food, no matter whether it’s A1 or A2, as there is no food safety issue with either type of milk, says NZFSA Director of Food Standards, Carole Inkster."
This is a totally false
statement -- there is a MAJOR safety issue regarding the
consumption of A1 milk. There is also a major economic
issue.
Professor Swinburn's report said,
"Those countries with the highest consumption of A1 b -casein had the highest rates of type 1 diabetes and heart disease. The relationship was very strong indeed, but these types of comparisons between countries can be difficult to interpret... [but that] Further research, especially involving human trials, is needed before it can be said with confidence that the A1/A2 composition of milk is important in human health."
In effect, Professor Swinburn concluded that whilst there was plenty of smoke, and the smoke alarm was ringing, further investigation was required to determine if there was a real fire or not. He never once said in his report that there was no safety issue; in fact, all the evidence suggests quite clearly that there is a major safety issue with A1 milk, but not A2 milk.
Further, the lay report clearly spells out to the government agency that it should tell consumers about the smoke alarm so that they could apply the precautionary principle if they wanted to avoid potential harm.
The NZFSA claims that Swinburn had concluded that the A1/A2 hypothesis was a false alarm when he didn't.
There is also major concern that the NZFSA advised Professor Swinburn by email not to discuss the precautionary principle in his report; this is a classic case when it should have been applied and Swinburn does his best to convey that message; the evidence suggests strongly that there COULD be a problem, and sensible and honest risk communication strategies required that both the dairy industry and consumers should have been advised that, despite the uncertainties, there are simple risk management options available to reduce potential harm. Farmers could be reducing their risks by using A2 bulls in the upcoming breeding season, and consumers could be reducing their risks by consuming A2 milk.
The economic risk is especially significant as the market place responds to both perception and reality... human health is only affected by reality. As Swinburn said, " Changing dairy herds to more A2 producing cows may significantly improve public health, if the A1/A2 hypothesis is proved correct, and it is highly unlikely to do harm."
To appease the NZFSA's concerns about the 'baggage' associated with the term 'precautionary principle,' Swinburn used the terms precautionary approach or precautionary measure four times in his report instead.
Swinburn said, "As a matter of individual choice, people may wish to reduce or remove A1 b-casein from their diet (or their children’s diet) as a precautionary measure. This may be particularly relevant for those individuals who have or are at risk of the diseases mentioned (type 1 diabetes, coronary heart disease, autism and schizophrenia). However, they should do so knowing that there is substantial uncertainty about the benefits of such an approach."
Why wasn't that precautionary message conveyed to the consumer? Especially those at high risk as advised by Professor Swinburn.
Need for full inquiry:
In order to restore public confidence in the Food Safety Authority a full independent inquiry is required into the agenda behind the falsification of the report and the false media spin that occurred.
Swinburn quite rightly concluded that the A1/A2 hypothesis should be taken seriously -- an inquiry should explore why the NZFSA failed to do so.
Was the NZFSA trying to protect existing commercial interests rather than keeping an open mind?
An inquiry might also consider whether the NZFSA was compromised by the fact that it chairs and provides the secretariat to the WHO/UN Codex Committee on Milk and Milk Products which sets standards for milk and milk products in order to enable large corporate companies to trade their products globally.
In the meantime, the
FULL uncensored report should replace the adulterated
version on the NZFSA website to ensure the integrity of
Swinburn's report .
The Lay Summary can be found at
http://www.nzfsa.govt.nz/policy-law/projects/a1-a2-milk/lay-summary.pdf
It reads
Beta casein A1 and A2 in milk and human health: Lay Summary
About 25-30% of the protein in cows’ milk is
b-casein and it comes in several
forms depending on the
genetic make up of the cows. One of the forms is
called
A1 b-casein and it has been suggested that it might cause or
aggravate
one type 1 diabetes (which is the type seen
most commonly in children), heart
disease, schizophrenia,
and autism. The other main form of b-casein is called
A2
and it has not been not been implicated in these diseases.
The evidence
to support the hypothesis that the A1/A2
composition of milk is a causative or
protective factor
in these diseases is reviewed in the report.
The
strongest evidence is for type 1 diabetes and heart disease.
The main
study supporting a relationship with the type of
milk consumed was a
comparison of 20 countries. Those
countries with the highest consumption of
A1 b-casein had
the highest rates of type 1 diabetes and heart disease.
The
relationship was very strong indeed, but these types
of comparisons between
countries can be difficult to
interpret. There are many other factors that
contribute
to these diseases and the information is only averaged for
the
whole country’s population. There have been a few
other human and animal
studies which provide some limited
support for the hypothesis. Further
research, especially
involving human trials, is needed before it can be
said
with confidence that the A1/A2 composition of milk
is important in human
health.
The evidence in
relation to an effect of A1 b-casein on schizophrenia
or
autism is much less. Some individuals with autism seem
to improve on
special diets that are free of both casein
and gluten.
The A1/A2hypothesis is both intriguing and
potentially very important for
population health if it is
proved correct. It should be taken seriously and
further
research is needed. In addition, the appropriate government
agencies
have a responsibility to communicate the current
state of evidence to the
public, including the
uncertainty about the evidence. Further public
health
actions, such as changing dietary advice or
requiring labelling of milk
products, are not considered
to be warranted at this stage. Monitoring is
also
required to ensure that any claims made for A2 milk
fall within the regulations
for food
claims.
Changing the dairy herds to more A2 producing
cows is an option for the dairy
and associated industries
and these decisions will undoubtedly be made on
a
commercial basis. Changing dairy herds to more A2
producing cows may
significantly improve public health,
if the A1/A2 hypothesis is proved correct,
and it is
highly unlikely to do harm.
As a matter of individual
choice, people may wish to reduce or remove A1
b-casein
from their diet (or their children’s diet) as a
precautionary measure.
This may be particularly relevant
for those individuals who have or are at risk
of the
diseases mentioned (type 1 diabetes, coronary heart disease,
autism
and schizophrenia). However, they should do so
knowing that there is
substantial uncertainty about the
benefits of such an approach.