Trump’s New CDC Pick Boosts Agency’s Ties To Coca Cola

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See also:

  • New York Times, by Sheila Kaplan, 7/22/2017: “New C.D.C. Chief Saw Coca-Cola as Ally in Obesity Fight”
  • Forbes, Part 2 by Rob Waters, “The Coca-Cola Network: Soda Giant Mines Connections with Officials and Scientists to Wield Influence”

By Rob Waters

Part 1 of 2 stories 

For many years, The Coca-Cola Company, the world’s largest seller of sugary drinks, has sought to influence health policy and public opinion by forging ties with influential scientists and officials, including at the nation’s top public health agency, the Centers for Disease Control and Prevention (CDC).

Now the Trump administration has appointed a new CDC chief, Dr. Brenda Fitzgerald, who, as Georgia public health commissioner for the past six years, partnered with Coke to run a program against child obesity. Coca-Cola KO +0.00% gave $1 million to Georgia SHAPE, which seeks to increase physical activity in schools but is silent about reducing soda consumption, even though studies have found that high sugar intake, especially in liquid form, is a driver of obesity and diabetes, as well as cancer and heart disease.

In a 2013 press conference, Fitzgerald praised Coke for its “generous award.” She wrote a commentary about the obesity epidemic for Coca-Cola’s website declaring the need to “get our students moving.” And in an interview with a local TV station, she made clear her priorities. Georgia SHAPE, she said, is “going to concentrate on what you should eat”—while saying nothing about what you shouldn’t.

The agency Fitzgerald will now run already had cozy relationships with Coca-Cola. These connections can be seen in emails that circulated between Coke executives, CDC officials and a network of people from universities and industry-backed organizations funded by companies including Coke, Nestlé, Mars Inc. and Mondelez, formerly known as Kraft. The emails, released by the CDC in response to public records requests submitted by U.S. Right to Know, are chatty, sometimes plaintive, often affectionate and occasionally angry and urgent.

In an October 2015 email, Barbara Bowman, a CDC official who has since resigned, offers her appreciation to former Coca-Cola executive Alex Malaspina for a recent dinner. “What a lovely time we had on Saturday nights, many thanks, Alex, for your hospitality.”

In another 2015 email to a group of scientists, all of whom have received research funding from Coca-Cola or other industry-backed organizations, Malaspina asks for “any ideas on how we can counteract” recommendations from a committee of experts advising the U.S. government. The committee wants the government to urge Americans to reduce their consumption of sugar, meat and sodium. In his email, Malaspina dismisses these suggestions as “not based on science.”

And in another note, Coca-Cola executive Rhona Applebaum writes to a CDC official and a Louisiana State University researcher who is leading a large study on child obesity. She has just learned that Mexico is declining to participate in the study because Coke is funding it, and she’s peeved. “So if good scientists take $$$ from Coke–what–they’re corrupted?” she writes.

‘Why is Coke talking to CDC?’

The emails provide a glimpse of the ways that Coca-Cola use connections forged with health officials and scientists to influence policy-makers and journalists. The efforts come at the expense of public health, according to academic researchers who questioned the appropriateness of contacts between Coke and CDC.

“Why is Coke talking to CDC at all? Why is there any line of communication?” asked Robert Lustig, a pediatric endocrinologist at the University of California San Francisco who researches the effects of sugar consumption on children and adults. “The contact is completely inappropriate and they’re obviously trying to use it to exert influence on a government agency.”

Many of the emails were not directly addressed to anyone at CDC, yet were turned over by the agency to comply with public records requests. This suggests some CDC officials were sent bcc:’s or blind copies.

The emails offer a look at the global network created by Malaspina, a former senior vice president of external affairs at Coca-Cola. The network includes:

  • The International Life Sciences Institute (ILSI), a global organization whose members, according to its website “are companies from the food, agricultural, chemical, pharmaceutical, and biotechnology and supporting industries.” Coca-Cola was among ILSI’s original funders and Malaspina was its founding president. A budget document obtained by US Right to Know suggests that Coca-Cola gave ILSI $167,000 in 2012 and 2013.
  • The International Food Information Council (IFIC), a Washington-based nonprofit supported by food companies and trade associations including Coca-Cola, the American Beverage Association, the Hershey Company and Cargill Inc. According to its website, IFIC works to “effectively communicate science-based information” about food and “helps journalists and bloggers writing about health, nutrition and food safety.”
  • An assortment of academic scientists with a history of conducting research sponsored by Coca-Cola or ILSI.

Malaspina, who remained involved with Coca-Cola and ILSI after leaving the soda company, emerges in the emails as a principal connecting node in the network. For example, after asking for advice on how to discredit the 2015 recommendations of the Dietary Guidelines Advisory Committee, he praises the Food Council’s efforts to influence reporters writing about them.

‘Coming Through for Industry’

The Council has just held a media call with 40 reporters to criticize the committee’s recommendations, which IFIC viewed as “demonizing” sugar, meat and potatoes. After the media call, IFIC representatives boasted in an internal memo that they’d influenced the coverage of a number of reporters. Malaspina receives a copy of the memo and forwards it to his colleagues at Coke and his contacts at the CDC.

“IFIC is coming through for industry,” Malaspina writes.

A spokeswoman for the CDC, Kathy Harben, said in an email that her agency “works with the private sector because public-private partnerships advance CDC’s mission of protecting Americans. CDC ensures that, when we engage with the private sector, we are good stewards of the funds entrusted to us and maintain our scientific integrity by participating in a conflict of interest review process that is intended to be both rigorous and transparent.”

Financial ties and questionable contacts between Coca-Cola, academic researchers and the CDC have been exposed in several reports in the past two years.

‘Energy Balance Network’

In 2015, the New York Times and later the Associated Press reported that Rhona Applebaum, Coke’s chief health and science officer, had orchestrated grants to the University of Colorado and the University of South Carolina to start a nonprofit group, the Global Energy Balance Network, that would “inject sanity and reason” into discussions about obesity.

The goal was to push the idea that weight gain is as much related to people’s inadequate physical activity as to their consumption of sugar and calories. After Coca-Cola’s funding was exposed, the energy balance network was disbanded and the University of Colorado announced it would return $1 million to Coke. Applebaum retired three months after the Times story.

Last year, Barbara Bowman announced her retirementfrom the CDC two days after US Right to Know reported that she had advised Malaspina on ways to influence the World Health Organization and its Director-General Margaret Chan. The WHO had just issued guidelinesrecommending greatly reduced consumption of sugar, and Malaspina considered these a “threat to our business.”

Other records obtained last year by US Right to Know show that Michael Pratt, senior advisor for global health in the CDC’s National Center for Chronic Disease Prevention and Health Promotion, had conducted research funded by Coca-Cola and been an advisor to ILSI.

‘We’ll Do Better’

In August 2015, two weeks after the Times story, Coca-Cola Chairman and Chief Executive Officer Muhtar Kent acknowledged in a Wall Street Journal op-ed titled “We’ll Do Better” that the company’s funding of scientific research had, in many cases, “served only to create more confusion and mistrust.” The company later disclosed that from 2010 to the end of last year, it had spent $138 million funding outside researchers and health programs and created a “transparency” website listing recipients of its funding.

Coca-Cola says it now supports the WHO recommendations that Malaspina wanted to discredit — that people limit their sugar intake to 10% of the calories they consume each day. “We’ve begun our journey towards that goal as we evolve our business strategy to become a total beverage company,” Coca-Cola spokeswoman Katherine Schermerhorn said in an email.

Coca-Cola also pledged to provide no more than 50% of the cost of any scientific research. Will that make a difference in the outcome of the studies? Coca-Cola critics are skeptical, noting that previous studies funded by Coke minimized the negative health impacts of sugar-sweetened or diet beverages. I’ll take a closer look tomorrow at some of the studies that Coke funded – and then passed on to its contacts at the CDC.

Rob Waters is a health and science writer based in Berkeley, California and an investigative reporter for US Right to Know. This story originally appeared in Forbes on July 10.

CDC Official Exits Agency After Coca-Cola Connections Come to Light

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Barbara bio pic (1)

By Carey Gillam

A veteran leader within the Centers for Disease Control and Prevention announced her immediate departure from the agency on Thursday, two days after it came to light that she had been offering guidance to a leading Coca-Cola advocate who was seeking to influence world health authorities on sugar and beverage policy matters.

In her role at CDC, Dr. Barbara Bowman, director of CDC’s Division for Heart Disease and Stroke Prevention, has been involved in a range of health policy initiatives for the division charged with providing “public health leadership.” She began her career at the CDC in 1992.

Bowman’s boss, Ursula Bauer, Director, National Center for Chronic Disease Prevention and Health Promotion, sent an email to staff members after my June 28 story in this blog revealed the Coca-Cola connections. In that email, she confirmed the accuracy of the report, and while she defended Bowman’s actions, she said the “perception that some readers may take from the article is not ideal.” She also warned employees to avoid similar actions, saying the situation “serves as an important reminder of the old adage that if we don’t want to see it on the front page of the newspaper then we shouldn’t do it.”

Bowman’s exit was announced through internal emails. Bowman told colleagues in a CDC email sent Thursday that she had decided to retire “late last month.” She made no reference to the revelations about her connections with Coca-Cola or any other concerns.

Bauer sent a separate email applauding Bowman’s work with CDC. “Barbara has served with distinction and has been a strong, innovative, dedicated and supportive colleague. She will be greatly missed by our center and CDC,” Bauer said in the email.

Bowman’s departure comes at a time when several questions about Bowman and her department are dogging the agency, according to sources inside the CDC. In addition to the questions about ties to Coca-Cola, which is actively trying to push back on policies regulating or reining in soft drinks, there are questions about the efficacy and transparency of a program known as WiseWoman, which provides low-income, under-insured or uninsured women with chronic disease risk factor screening, lifestyle programs, and referral services in an effort to prevent cardiovascular disease. The departure also comes a day after the organization I work for – U.S. Right to Know – filed another FOIA seeking additional communications.

The Coca-Cola connections date back decades for Bowman, and tie her to former top Coca-Cola executive and strategist Alex Malaspina. Malaspina, with Coca-Cola’s help, founded the controversial industry group International Life Sciences Institute (ILSI). Bowman also worked early in her career as a senior nutritionist for Coca-Cola, according to sources, and she co-authored an edition of a book called Present Knowledge in Nutrition as “a publication of the International Life Sciences Institute.”

ILSI’s reputation has been called into question several times for the strategies it has employed to try to sway public policy on health-related issues.

Email communications obtained by U.S. Right to Know through state Freedom of Information requests revealed that Bowman appeared happy to help Malaspina, who formerly was Coca-Cola’s top scientific and regulatory affairs leader, and the beverage industry cultivate political sway with the World Health Organization. The emails showed Malaspina, representing the interests of Coca-Cola and ISLI, complaining that the World Health Organization was giving a cold shoulder ILSI. The email strings include reports of concerns about Coca-Cola’s new Coca-Cola Life, sweetened with stevia, and criticisms that it still contained more sugar than daily limit recommended by WHO.

The communications came as the beverage industry has been reeling from a series of actions around the world to rein in consumption of sugary soft drinks due to concerns about links to obesity and type 2 diabetes.

A critical blow came last June when World Health Organization (WHO) Director General Margaret Chan said the marketing of full-sugar soft drinks was a key contributor to rising child obesity around the world, especially in developing countries. WHO published a new sugar guideline in March 2015, and Chan suggested restrictions on sugar-rich beverage consumption.

Mexico already implemented its own soda tax in 2014, and many cities in the U.S. and around the world are currently considering such restrictions or disincentives, like added taxes, while others have already done so. The Mexican soda tax has correlated with a drop in soda purchases, according to research published earlier this year.

CDC spokeswoman Kathy Harben said earlier this week that the emails did not necessarily represent a conflict or problem. But Robert Lustig, Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco, said ILSI is a known “front group for the food industry.” And he pointed out that the CDC has yet to take a stance on limiting sugar consumption, despite the WHO concerns about links to disease.

The email exchanges show that Bowman did more than simply respond to questions from Malaspina. She also initiated emails and forwarded information she received from other organizations. Many of Bowman’s emails with Malaspina were received and sent through her personal email account, though in at least one of the communications, Bowman forwarded information from her CDC email address to her personal email account before sharing it with Malaspina.

ILSI has had a long and checkered relationship with the World Health Organization, working at one time closely with its Food and Agricultural Organization (FAO) and with WHO’s International Agency for Research on Cancer and the International Programme on Chemical Safety.

But a report by a consultant to WHO found that ILSI was infiltrating WHO and FAO with scientists, money and research to garner favor for industry products and strategies. ILSI was also accused of attempting to undermine WHO tobacco control efforts on behalf of the tobacco industry.

WHO eventually distanced itself from ILSI. But questions about ILSI influence erupted again this spring when scientists affiliated with ILSI participated in an evaluation of the controversial herbicide glyphosate, issuing a decision favorable to Monsanto Co. and the pesticide industry.

Follow Carey Gillam on Twitter: www.twitter.com/careygillam

(This article first appeared in The Huffington Post http://www.huffingtonpost.com/carey-gillam/cdc-official-exits-agency_b_10760490.html)

Beverage Industry Finds Friend Inside U.S. Health Agency

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This article was first published by Huffington Post

By Carey Gillam 

It’s been a rough year for Big Soda, sellers of those sugary soft drinks that kids (and adults) love to chug.

A June 16 decision by city leaders in Philadelphia to impose a “soda tax” as a means to discourage consumption of beverages seen as unhealthy is only the latest in a string of bad news for companies like Coca-Cola and PepsiCo, which have seen soft drink sales steadily declining. Nervous investors drove shares in those companies lower after the Philadelphia move in recognition of what is but the latest evidence that consumers, lawmakers and health experts are connecting sweetened beverages to a range of health problems, including obesity and type 2 diabetes.

Last year San Francisco passed a law requiring ads for sugary drinks to include warnings about the possible negative health effects associated with the products.

A critical blow came last June when World Health Organization (WHO) Director General Margaret Chan said the marketing of full-sugar soft drinks was a key contributor to rising child obesity around the world, especially in developing countries. WHO published a new sugar guideline in March 2015, and Chan suggested restrictions on sugar-rich beverage consumption.

Mexico already implemented its own soda tax in 2014, and many cities in the U.S. and around the world are currently considering such restrictions or disincentives, like added taxes, while others have already done so. The Mexican soda tax has correlated with a drop in soda purchases, according to research published earlier this year.

It’s no surprise that the beverage industry, which reaps billions of dollars annually from soft drink sales, has been fearing – and fighting against – this shifting sentiment.

But what is surprising is one of the places where the beverage industry has sought, and apparently garnered, some help —- from a top official with the Centers for Disease Control and Prevention, whose mission in part is to prevent obesity, diabetes, and other health problems.

Email communications obtained by U.S. Right to Know through state Freedom of Information requests detail how a leading beverage and food industry advocate last year was able to ask for and input and guidance from Dr. Barbara Bowman, director of CDC’s Division for Heart Disease and Stroke Prevention, on how to address World Health Organization actions that were hurting the beverage industry.

Bowman leads a CDC division charged with providing “public health leadership” and works with states to promote research and grants to prevent and manage risk factors that include obesity, diabetes, heart disease and stroke. 

But the emails between Bowman and Alex Malaspina, a former Coca-Cola scientific and regulatory affairs leader and founder of the industry-funded International Life Sciences Institute (ILSI), show that Bowman also appeared happy to help the beverage industry cultivate political sway with the World Health Organization.

Emails from 2015 detail how Malaspina, representing the interests of Coca-Cola and the food industry, reached out to Bowman to complain that the World Health Organization was giving a cold shoulder to the chemical and food industry-funded group known as ILSI, which Malaspina founded in 1978. The email strings include reports of concerns about Coca-Cola’s new Coca-Cola Life, sweetened with stevia, and criticisms that it still contained more sugar than daily limit recommended by WHO.

The emails include reference to the WHO’s call for more regulation on sugary soft drinks, saying they were contributing to rising obesity rates among children, and complain about Chan’s comments.

“Any ideas how we can have a conversation with WHO?” Malaspina writes in a June 26, 2015 email to Bowman. He forwards her an email string that includes top executives from Coca-Cola and ILSI and expresses worry about negative reports about products with high sugar content, and sugary soda tax plans in Europe. In the email string, Malaspina says the WHO actions can have “significant negative consequences on a global basis.”

“The threat to our business is serious,” Malaspina writes in the email chain he sends to Bowman. On the email chain are Coca-Cola Chief Public Affairs and Communications Officer Clyde Tuggle as well as Coca-Cola’s Chief Technical Officer Ed Hays.

Directly he tells Bowman that officials at WHO “do not want to work with industry. And says: “Something must be done.”

Bowman replies that someone with Gates or “Bloomberg people” may have close connections that could open a door at WHO. She also suggests he try someone at PEPFAR program, a U.S. government-backed program that makes HIV/AIDS drugs available through the sub-Saharan Africa. She tells him that “WHO is key to the network.” She writes that she “will be in touch about getting together.”

In a subsequent June 27, 2015 email, Malaspina thanks her for the “very good leads” and says “we would want WHO to start working with ILSI again… and for WHO to not only consider sugary foods as the only cause of obesity but to consider also the life style changes that have been occurring throughout the Universe.” He then suggests he and Bowman meet for dinner soon.

The fact that a high-level U.S. health official is communicating in this way with a beverage industry leader appears improper, according to Marion Nestle, author of the book “Soda Politics” and a professor of nutrition, food studies, and public health at New York University.

“These emails suggest that ILSI, Coca-Cola, and researchers funded by Coca-Cola have an ‘in’ with a prominent CDC official,” Nestle said. “The official appears to be interested in helping these groups organize opposition to “eat less sugar” and “disclose industry funding” recommendations. The invitation to dinner suggests a cozy relationship… This appearance of conflict of interest is precisely why policies for engagement with industry are needed for federal officials.”

But CDC spokeswoman Kathy Harben said the emails do not necessarily represent a conflict or problem.

“It is not unusual for CDC to be in touch with people on all sides of an issue.” Harben said.

Robert Lustig, Professor of Pediatrics in the Division of Endocrinology at the University of California, San Francisco, said ILSI is a known “front group for the food industry.” Lustig said he finds it “interesting” that the CDC has yet to take a stance on limiting sugar consumption, despite the WHO concerns about links to disease. Lustig directs UCSF’s WATCH program (Weight Assessment for Teen and Child Health), and is co-founder of the non-profit Institute for Responsible Nutrition.

Neither Bowman nor Malaspina responded to requests for comment.

The email exchanges show that Bowman did more than simply respond to questions from Malaspina. She also initiated emails and forwarded information she received from other organizations. Many of Bowman’s emails with Malaspina were received and sent through her personal email account, though in at least one of the communications, Bowman forwarded information from her CDC email address to her personal email account before sharing it with Malaspina.

In a February 2015 email from Bowman to Malaspina she shared an email she had received from a USDA official with the subject line “FOR YOUR REVIEW: Draft Principles from Dec 8 Public Private Partnerships Meeting.” The email from David Klurfeld, national program leader for human nutrition at the USDA’s Agricultural Research Service, quoted an article from the BMJ medical journal stressing a need for public/private partnerships, and included a quote about a “strong tide of sanctimony in British public health.” Bowman tells Malaspina: “This may be of interest. Check out the BMJ correspondence especially.”

In a March 18, 2015 email from Bowman to Malaspina she forwarded an email regarding the new policy brief to curb global sugar consumption she received from the World Cancer Research Fund International. Malaspina then shared the communications with Coca-Cola officials and others.

In a separate March 2015 email, Bowman sent Malaspina some CDC summaries of reports and says she would appreciate his “thoughts and comments.”

Bowman, who holds a PhD in human nutrition and nutritional biology, has worked at the CDC since 1992, and has held several senior leadership positions there. She was appointed director of the Division for Heart Disease and Stroke Prevention in the National Center for Chronic Disease Prevention and Health Promotion at CDC in February 2013.

Malaspina has also had a long career in his field of expertise. The veteran Coca-Cola executive founded ILSI in 1978 with help from Coca-Cola, Pepsi and other food industry players and ran it until 1991. ILSI has had a long and checkered relationship with the World Health Organization, working at one time closely with its Food and Agricultural Organization (FAO) and with WHO’s International Agency for Research on Cancer and the International Programme on Chemical Safety.

But a report by a consultant to WHO found that ILSI was infiltrating WHO and FAO with scientists, money and research to garner favor for industry products and strategies. ILSI was also accused of  attempting to undermine WHO tobacco control efforts on behalf of the tobacco industry.

WHO eventually distanced itself from ILSI. But questions about ILSI influence erupted again this spring when scientists affiliated with ILSI participated in an evaluation of the controversial herbicide glyphosate, issuing a decision favorable to Monsanto Co. and the pesticide industry.

Carey Gillam is a veteran journalist and research director for U.S. Right to Know, a non-profit consumer education group. Follow her on Twitter @CareyGillam