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Good Medicine ®

PUBLISHED BY THE PHYSICIANS COMMITTEE FOR RESPONSIBLE MEDICINE | SUMMER 2017 | VOL.XXVI, NO. 3

Healthier Food, Healthier People Russell Simmons’ Prescription for the SNAP Program


EDITORIAL

The Potential of SNAP

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here was a time when being poor meant being thin. Obesity—and the diabetes and heart disease that go along with it—were “diseases of affluence.” Nowadays, things are reversed: The poorest people are at the greatest risk. The solution should come from the Supplemental Nutrition Assistance Program (SNAP), formerly called Food Stamps. One in seven Americans participates in SNAP, and if the program were to fill their grocery carts with vegetables, fruits, grains, and legumes, it would go a long way for health. SNAP does provide some of these foods. However, every year, SNAP retailers unload about 25 billion dollars’ worth of meat and dairy products, and billions more for candy, energy drinks, and other products no one needs. The government pays them to do it. The same government pays for the diabetes medications, cholesterol-lowering drugs, hospitalizations, amputations, and other high-dollar items related to unhealthful foods. One in seven Americans As we explore in this issue, SNAP participants have worse diets and participates in SNAP, and worse health than nonparticipants. Some advocates have tried to sweep if the program were to fill these unsettling facts under the rug, fearing that exposing SNAP’s faults their grocery carts with will play into the hands of those seeking to slash its budget. But a better vegetables, fruits, grains, answer is to fix SNAP. Some have already proposed that SNAP retailers not be reimbursed for and legumes, it would go sodas. But soda consumption has been falling for nearly 20 years anyway. a long way for health. We need to go further. In a recent commentary, Russell Simmons presented his prescription: Why not have all the foods in the program be those we are proud to provide? If retailers provided vegetables, fruits, grains, and legumes, and no meat, dairy products, candy, or sodas at all, SNAP participants would be healthier. And the program would be cheaper; it could deliver far more food to far more people. This simple, wise approach will allow this program to do what it set out to do, improving the health of economically disadvantaged people. Neal Barnard, M.D., F.A.C.C. President of the Physicians Committee 2

SUMMER 2017 | GOOD MEDICINE


CONTENTS

SUMMER 2017

Good Medicine® FROM THE PHYSICIANS COMMITTEE FOR RESPONSIBLE MEDICINE SUMMER 2017 | VOL. XXVI, NO. 3 Editor in Chief Neal D. Barnard, M.D., F.A.C.C. Managing Editor/Designer Doug Hall Editor Michael Keevican Production Manager Lynne Crane Senior Web Designer Lisa Schulz SCIENTIFIC ADVISORY BOARD Ron R. Allison, M.D., 21st Century Oncology Ted Barnett, M.D., Rochester Lifestyle Medicine, PLLC; Borg & Ide Imaging, P.C. T. Colin Campbell, Ph.D., Cornell University Neil Cooper, M.D., M.H.A., M.Sc., Kaiser Permanente Brenda Davis, R.D. Garth Davis, M.D., The Davis Clinic Caldwell Esselstyn, Jr., M.D., The Cleveland Clinic Wellness Institute Joanne Evans, A.P.R.N., Healthy Nurses…Healthy Communities, LLC Joel Fuhrman, M.D., Nutritional Research Foundation Roberta Gray, M.D., Pediatric Nephrology Consultant Daran Haber, M.D., Riverview Medical Center David J.A. Jenkins, M.D., Ph.D., D.Sc., St. Michael’s Hospital, Toronto Lawrence H. Kushi, Sc.D., Division of Research, Kaiser Permanente John McDougall, M.D., Dr. McDougall’s Health & Medical Center Jeffrey I. Mechanick, M.D., Mount Sinai Hospital Baxter Montgomery, M.D., Montgomery Heart and Wellness Carl Myers, M.D., Switch Healthcare Ana Negrón, M.D. Robert Ostfeld, M.D., M.Sc., F.A.C.C., Montefiore Medical Center Affiliations are listed for identification only. Physicians Committee for Responsible Medicine Staff | Nabila Abdulwahab Data Processor | Zeeshan Ali, Ph.D. Program Specialist | Laura Anderson Communications Specialist | Court Anker Research Policy and Toxicology Assistant | Kyle Ash Director of Government Affairs | Elizabeth Baker, Esq. Senior Science Policy Specialist | Neal Barnard, M.D. President | William Brown Senior Director of Philanthropy | Melissa Busta, R.N. Clinical Research Coordinator | Andrea Cimino Human Resources Specialist | Sierra Coppage, M.S. Communications Coordinator | Deniz Corcoran Data Entry Manager | Lynne Crane Production Manager | Cael Croft Associate Designer | Sossena Dagne Data Processor | Dania DePas, M.A. Director of Communications | Paula Diaz Leite Human Resources and Office Services Assistant | Jill Eckart, C.H.H.C. Managing Director of Nutrition | Rosendo Flores Nutrition and Clinical Research Coordinator | Carolyn Forte Project Manager | Jessica Frost Public Relations Manager | Noah Gittell Director of Philanthropy, Eastern Region | Stacey Glaeser, S.P.H.R. Vice President of Human Resources | Doug Hall Vice President of Publications | Esther Haugabrooks, Ph.D. Toxicologist | Jodie Hayward Accounts Payable Coordinator | Meghan Jardine, M.S., M.B.A., R.D., L.D., C.D.E. Associate Director of Diabetes Nutrition Education | Eric Jonas, Ph.D. Development and Advocacy Specialist | Hana Kahleova, M.D., Ph.D. Director of Clinical Research | Stephen Kane, C.P.A. Vice President of Finance | Christine Kauffman Research and Education Programs Specialist | Noah Kauffman,Communications Assistant | Michael Keevican Managing Editor | Jessica Kelly Project Manager | Mark Kennedy, Esq. Vice President of Legal Affairs | Ann Lam, Ph.D. Senior Medical Research Specialist | Susan Levin, M.S., R.D. Director of Nutrition Education | Feng-Yen Li, Ph.D. Medical Research Specialist | Bonnie MacLeod Director of Institutional Giving | Elizabeth Mader Senior Corporate Liaison | Lynn Maurer Associate Designer | Jeanne Stuart McVey Media Relations Manager | Ryan Merkley Director of Research Advocacy | Margaret Neola, R.D. Dietitian | Josh Oviatt Food for Life Program Manager | Brandalyn Patton Fundraising Program Manager | John Pippin, M.D. Director of Academic Affairs | Reina Pohl, M.P.H. Communications Coordinator | Dawnyel Pryor Educational Programs and Marketing Director | Cindy Ripley Human Resources Specialist | Leslie Rudloff, Esq. Senior Counsel | Rose Saltalamacchia Assistant to the Preside and Nutrition Project Coordinator | Alyssa Schaefer Development Coordinator | Lisa Schulz Web Designer | Karen Smith, R.D. Senior Manager of Clinical Dietetics | Krisie Southern Membership Assistant | Erica Springer Director of Philanthropy, Western Region | Kristie Sullivan, M.P.H. Vice President of Research Policy | Jeff Surak Senior Digital Strategist | Kalpesh Suthar Senior Accountant | Caroline Trapp, M.S.N., A.P.R.N., B.C.-A.D.M., C.D.E. Director of Diabetes Education and Care | Anne Marie Vastano Special Events Manager | Ashley Waddell Director of Philanthropy, Western Region | Betsy Wason, C.F.R.E. Vice President of Development | Rod Weaver Data Manager | Christopher Wright Staff Accountant | Jia Xu, Ph.D. Program Specialist | Craig Ziskin Director of Annual Giving | Barnard Medical Center Staff | Ginnette Badran Medical Assistant | Brenda Brown-Igboegwu Medical Office Assistant | Manuel Calcagno, R.M.A. Medical Assistant | Mandy Gleason Medical Office Coordinator | Mellissa Gohacki Medical Practice Manager | Gretchen Housel, N.P. Nurse Practitioner | Emily Kasmar, M.S., A.G.P.C.N.P.- B.C. Nurse Practitioner | James Loomis, M.D., M.B.A. Medical Director | Nilufa Mahbuba Patient Care Coordinator | Stephen Neabore, M.D. Medical Doctor | Dominica Roberts, R.N. Medical Assistant

PREVENTION AND NUTRITION 6 Healthier Food, Healthier People 9 Billboards Confront McDonald’s at Ben Taub Hospital 6

Welcome New Food for Life Instructors!

10 Building a Healthy India Tour

Dr. Ana Negrón’s Plant-Based Rx

11 Defeating Diabetes in Native American Communities 9

Nurses Experience Benefits of Plant-Based Diets

12 Register Now for the International Conference on Nutrition in Medicine 13 MIND Your Diet: Diet and Alzheimer’s Disease RESEARCH ISSUES 15 Animal Welfare Act Fails to Prevent Needless Animal Use, Suffering, Death

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Government Toxicologists Trained on Replacing Animal Tests

16 Doctors Call for End to Live Animal Use in North Dakota Medical Training Billboard, Petition Target Last Canadian Pediatrics Training Center Using Live Animals 13

17 Dartmouth’s Live Animal Use for Medical Training Violates Law

Take Action: Ask Vanderbilt University to Modernize Medical Training

DEPARTMENTS 4 THE LATEST IN... 16

14 MEDIA What’s Trending? 18 MEMBER SUPPORT 20 PCRM MARKETPLACE 23 INFOGRAPHIC How Legumes Keep Us Healthy 24 PHYSICIAN PROFILE Michael Greger, M.D., F.A.C.L.M.: Preventing Our Top 15 Killers

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PhysiciansCommittee.org Good Medicine is published by the Physicians Committee for Responsible Medicine, 5100 Wisconsin Ave., NW, Suite 400, Washington, DC 20016, tel 202-686-2210, fax 202-686-2216. It is distributed as a membership benefit to Physicians Committee members. Basic annual membership is $20 (tax-deductible). The Physicians Committee promotes good nutrition, preventive medicine, ethical research practices, and compassionate medical policy. Readers are welcome to reprint articles without additional permission. Please include the credit line: Reprinted from Good Medicine, Summer 2017, Physicians Committee for Responsible Medicine. Articles may not be reprinted for resale. Please contact the Physicians Committee at permissions@pcrm.org regarding other permissions. ©Physicians Committee 2017. Good Medicine is not intended as individual medical advice. Persons with medical conditions or who are taking medications should discuss any diet and lifestyle changes with their health professional. “Good Medicine”, “Physicians Committee for Responsible Medicine,” “PCRM,” “The Cancer Project,” “Humane Charity Seal,” and “The Gold Plan” are registered trademarks of The PCRM Foundation.

PCRM Phone Extensions 202-686-2210 Research Issues..........................ext. 336 Literature Requests......................ext. 306 Media........................................ext. 316 Membership (change of address, duplicate mailings, renewal questions).......ext. 304 Nutrition.....................................ext. 395

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THE LATEST IN‌

RESEARCH Stem Cell Model Identifies Eating Disorder Gene

STEM CELLS

Brains in Dish Used to Study Brain Development

urprisingly, cellular models have also been applied to anorexia nervosa. Using skin cells isolated from patients with the eating disorder, researchers created a new stem cell model of the condition and identified a novel gene, tachykinin 1 receptor, involved in this disorder. The study provides a new human-based research tool allowing scientists to further investigate the underlying molecular and cellular mechanisms involved in anorexia nervosa.

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Negraes PD, Cugola FR, Herai RH, et al. Modeling anorexia nervosa: transcriptional insights from human iPSC-derived neurons. Transl Psychiatry. 2017;7:e1060.

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esearchers converted skin cells from patients with Miller-Dieker disorder, a rare brain development condition, into stem cells which were then grown in a dish to form 3-D brain tissues. Using this method, the researchers were able to learn why brain cells from these patients do not form the normal structures seen in developing brains. They also identified a developmental defect in Miller-Dieker not observable in animal models or 2-D cell cultures.

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Iefremova V, Manikakis G, Krefft O, et al. An organoid-based model of cortical development identifies non-cell-autonomous defects in Wnt signaling contributing to Miller-Dieker syndrome. Cell Reports. 2017;19:50-59.

ORGANS-ON-CHIPS

Organ-on-a-Chip Offers Insight for Aging Blood Vessels

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Ribas J, Zhang YS, Pitrez PR, et al. Biomechanical strain exacerbates inflammation on a progeria-on-a-chip model. Small. 2017. doi: 10.1002/ smll.201603737.

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JOAO RIBAS

sing stem cells derived from healthy donors and patients with Hutchinson-Gilford progeria syndrome (a rare disease characterized by premature aging of the blood vessels and heart attacks in childhood), researchers created a new miniature device to mimic the stretching and straining that occurs in the smooth muscle cells of blood vessels during blood flow. They found that the models derived from the patients induced much higher levels of inflammation and DNA damage with strain, unlike those from healthy donors. The researchers were able to use the model to test a drug treatment that can limit the inflammation induced by the strain in the blood vessels.


THE LATEST IN…

NUTRITION CANCER

Healthy Gut Protects Against Colorectal Cancer

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igh-fiber diets that include whole grains influence gut bacteria and lower risk for colorectal cancer, according to a study published in JAMA Oncology. Researchers followed diets and cancer rates in more than 170,000 participants from the Nurses’ Health Study and the Health Professionals Follow-up Study. Those who consumed highfiber diets lowered the presence of specific disease-causing bacteria in their guts and lowered their cancer risk as a result, compared with those who did not follow the same type of diet. Mehta RS, Nishihara R, Cao Y. Association of dietary patterns with risk of colorectal cancer subtypes classified by Fusobacterium Nucleatum in tumor tissue. JAMA Oncol. Published online January 26, 2017.

Diet Outweighs Genes for Colorectal Cancer

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ietary choices contribute to colorectal cancer risk more than genetic factors, according to a study published in Scientific Reports. Researchers followed 4,080 participants from the MCCSpain case-control study and analyzed risk factors, including red meat and vegetable intake and cancer rates. Changes in lifestyle, such as achieving a healthful weight or consuming less meat and more vegetables, influence cancer risk more than genetics. Ibáñez-Sanz G, Díez-Villanueva A, Alonso MH, et al. Risk model for colorectal cancer in Spanish population using environmental and genetic factors: results from the MCC-Spain study. Sci Rep. Published online February 24, 2017.

Antioxidants Protect Against Lung Cancer

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ntioxidants found in fruits and vegetables protect against lung cancer, according to a study published online in Frontiers in Oncology. Researchers monitored carotenoid intake from several fruits and vegetables for 2,554 participants and compared smokers and nonsmokers to cancer incidence rates. Those who consumed more beta-carotene, lycopene, vitamin C, and other antioxidants lowered their risk for cancer when compared to those who consumed lower intakes of those nutrients. Researchers note these data suggest antioxidants offer protective effects for heavy smokers as well. Shareck M, Rousseau MC, Koushik A, Siemiatycki J, Parent ME. Inverse association between dietary intake of selected carotenoids and vitamin C and risk of lung cancer. Front Oncol. Published online February 28, 2017.

DIABETES

Legumes Lower Diabetes Risk

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egumes help lower risk for type 2 diabetes, according to a study published in Clinical Nutrition. Researchers followed the consumption of various legumes for 3,349 participants from the PREvención con DIeta MEDiterránea (PREDIMED) study and recorded diabetes incidence rates. Those who consumed the most legumes, including lentils, chickpeas, and peas, had a lower risk for diabetes, compared with those who consumed the least amounts of legumes.

Becerra-Tomás N, Díaz-López A, Rosique-Esteban N, et al. Legume consumption is inversely associated with type 2 diabetes incidence in adults: a prospective assessment from the PREDIMED study. Clin Nutr. 2017;pii: S0261-5614:30106-30111.

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PREVENTION & NUTRITION

Healthier Food, Healthier People USDA

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f SNAP focused solely on healthful vegetables, fruits, grains, and beans—not giving a penny for candy, meat, cheese, and greasy snack foods—retailers would have a huge incentive to stock healthful foods in every neighborhood in America. We’d have a shot at ending food deserts and ending the health inequities that are taking so many lives today.” That’s what Russell Simmons—Physicians Committee supporter, wellness enthusiast, and the mastermind behind Def Jam and Rush Communications—recently said about the Supplemental Nutrition Assistance Program, formerly known as Food Stamps, in a commentary for U.S. News & World Report titled “SNAP Is Hurting the Poor.” The Physicians Committee has been working for years on a plan to do exactly what Simmons suggested. Unveiled in a special supplement of the American Journal of Preventive Medicine, edited by Physicians Committee president

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Neal Barnard, M.D., and Yale University’s David Katz, M.D., the Healthy Staples program would give the 43 million Americans who rely on SNAP greater access to healthful plant-based foods that can help them fight the diet-related diseases—such as obesity, diabetes, and heart disease—that disproportionately affect them. SNAP Snapshot

The SNAP program, which is administered by the U.S. Department of Agriculture, uses about $70 million annually to provide 43 million Americans living at or below 130 percent of the poverty level with electronic benefits to purchase food. Half of SNAP recipients are children and teens. SNAP benefits can be used to purchase any food item, except for hot and prepared entrées, alcoholic beverages, and vitamins. Fifty-five percent of SNAP benefits are used for meats, sweetened beverages, prepared foods and


PREVENTION & NUTRITION

desserts, cheese, salty snacks, candy, and sugar, while just 24 percent are spent on fruits, vegetables, grains, nuts, beans, seeds, and spices. The remainder is spent on other miscellaneous items. Poorer Overall Diet Quality

A diet high in meat and dairy products and other junk foods and low in fruits, vegetables, grains, and legumes— like the diet suggested by these SNAP purchases—contributes to the obesity, diabetes, and heart disease epidemics that plague all Americans—and take an even greater toll on SNAP participants. A 2015 USDA study compared SNAP participants with income-eligible nonparticipants and found that SNAP participants had poorer overall diet quality and consumed more calories from solid fats, added sugars, soda, and alcohol and consumed fewer vegetables and fruits. These nutritional differences were deemed responsible for the higher obesity rates among SNAP participants. Economically disadvantaged people, like SNAP recipients, are also 70 percent more likely to have type 2 diabetes and 19 percent more likely to have high blood pressure, compared to higher-income peers. Another study in the American Journal of Public Health found that SNAP participants have an increased risk of death from heart disease and three times the diabetes mortality rate when compared to income-ineligible nonparticipants. Researchers also observed an increased risk for SNAP participants when compared to income-eligible nonparticipants. Healthy Staples

ALAMY

Why are SNAP participants at greater risk for these diseases? “Walk through any poor neighborhood, and you’ll see the reason,” says Simmons in U.S News & World Report. “Grocery stores are few and far between. Food is sold at convenience shops and as a sideline in liquor stores and smoke shops. They sell plenty of the wrong kind of food and precious little healthful food.”

“What’s patronizing is to think that poor people are somehow tantrum-prone children who can’t handle a program focused on nutritious and healthful foods.” –Russell Simmons Dr. Barnard and Physicians Committee director of nutrition education Susan Levin, M.S., R.D., C.S.S.D., recently described a possible solution for this problem in “The Supplemental Nutrition Assistance Program’s Role in Addressing Nutrition-Related Health Issues,” the supplement published in the American Journal of Preventive Medicine. Through their proposed Health Staples program, SNAP would only reimburse retailers for selling healthful foods. They would stop profiting from selling their customers disease-causing junk foods like beef jerky, Velveeta, and candy bars. SNAP retailers would instead offer a range of healthful plant-based foods (with preparation tips and easy meal ideas): grains such as oatmeal, whole-grain bread, pasta, and tortillas; fresh, frozen, or low-sodium canned vegetables; dry or low-sodium canned beans; fresh, frozen, or canned fruit, and basic multiple vitamins. If SNAP benefits were to continue at current levels, the Healthy Staples program could provide complete nutrition and considerably more abundant food, compared with the current system. The difference in costs between the current SNAP system and a program based on Healthy Staples would have been approximately $26 billion in 2015. The extra savings could be used to expand the program or as incentives for purchasing disease-fighting foods.

“Walk through any poor neighborhood. Grocery stores are few and far between. Food is sold at convenience shops and as a sideline in liquor stores and smoke shops. They sell plenty of the wrong kind of food and precious little healthful food.” GOOD MEDICINE | SUMMER 2017

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PREVENTION & NUTRITION

Support for Healthy Staples

Some have suggested that limiting SNAP to healthful foods is “patronizing”—essentially “telling people what to eat.” Simmons responds, “What’s patronizing is to think that poor people are somehow tantrum-prone children who can’t handle a program focused on nutritious and healthful foods.” A recent survey of SNAP participants and food-insufficient nonparticipants found that a majority support policies that facilitate purchases of healthful foods and limit purchases of unhealthful foods. In the American Journal of Preventive Medicine supplement, Physicians Committee supporter Robin D. Everson shared her thoughts as SNAP recipient who reversed her diabetes with a vegan diet. “It is my opinion that sugar-sweetened beverages (soda, highly processed beverages); animal-based products (meat, milk, eggs, butter, yogurt); candy; chips; and other junk foods should be eliminated from the program or at least greatly reduced,” Everson wrote. “These foods have been linked to a host of health problems in 8

SUMMER 2017 | GOOD MEDICINE

well-conducted studies. The current dietary guidelines point to limiting the consumption of food items that increase risk for cardiovascular disease, high blood pressure, and type 2 diabetes, and SNAP should be in sync with these guidelines.” The public agrees. In a nationwide survey recently conducted by the University of Maryland, the majority of respondents agreed that “we should not encourage people to waste money on food that can damage their health. The rise in obesity and diabetes from eating fatty and sugary foods is a serious strain on America’s healthcare system.” Nine in 10 respondents also favored providing discounts on fruits and vegetables bought with SNAP benefits. Aligning SNAP with Federal Nutrition Policy

As the U.S. government works on revising the upcoming Farm Bill—which SNAP is part of—Physicians Committee director of government affairs Kyle Ash will be working on Capitol Hill to urge lawmakers to better align SNAP with the healthful eating recommendations outlined in the 2015-2020 Dietary Guidelines for Americans.


PREVENTION & NUTRITION

Billboards Confront McDonald’s at Ben Taub Hospital

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logged Arteries? Your Heart’s Not Lovin’ the Burgers and Shakes. Ask your local hospital to go #FastFoodFree!” read Physicians Committee billboards posted this spring near Ben Taub Hospital in Houston, Texas, which hosts a McDonald’s. The first of two five-year extensions on the hospital’s contract with the fast-food chain expires on Sept. 24, 2017. The billboards were timed to get the attention of the board of trustees for Ben Taub Hospital’s parent company, Harris Health System, ahead of the trustees’ meeting on April 27. The Physicians Committee also filed a complaint with the Houston Health Authority.

“It just seems to be so counterintuitive to me that a place that’s here to provide health care to people is offering the worst food possible for them and making money off of it,” said Bandana Chawla, M.D., a Houston-area Physicians Committee member who spoke at the meeting, to the Houston Press. Houston-area Physicians Committee member Garth Davis, M.D., also supported the campaign. A study published in the journal Circulation found that people who eat fast food once a week increase their risk of dying from heart disease by 20 percent. Two to three fast-food meals a week increases the risk of death by 50 percent. Four or more fast-food meals a week increases the risk of dying from heart disease by nearly 80 percent. The problem is not that it is fast. The problem is that what passes for food is made from meat and dairy products, which contain saturated fat Bandana Chawla, M.D., and Garth Davis, M.D. and cholesterol and are devoid of the fiber and antioxidants that are essential for protecting the heart. TAKE ACTION > MakeHospitalsHealthy.org

Welcome New Food for Life Instructors!

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ongratulations to the Physicians Committee’s 26 new Food for Life instructors and Educational Alliance Partners from China, Ireland, Hawaii, and beyond, who completed an intensive three-day training program at the Physicians Committee’s Washington, D.C., headquarters in May. The Food for Life program now has 245 instructors in 43 states, 19 instructors in 11 countries outside the United States, and 27 Educational Alliance Partners (plus 67 certified through our Saladmaster Partnership).

The Food for Life program—designed by physicians, nurses, and registered dietitians—offers cancer, diabetes, weight management, employee wellness, and children’s nutrition classes that focus on the lifesaving effects of healthful eating. Each class includes information about how foods and nutrients work to promote health, along with cooking demonstrations of simple and nutritious recipes that can be recreated easily at home. FFLClasses.org

GOOD MEDICINE | SUMMER 2017

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PREVENTION & NUTRITION

Building a Healthy India Tour I n May, the Physicians Committee’s Building a Healthy India tour, led by Zeeshan Ali, Ph.D., empowered residents of Chennai, Hyderabad, Pune, Mumbai, and Bangalore with nutrition and cooking classes aimed at fighting diabetes with low-fat, dairy-free, plantbased staples of a traditional Indian diet. According to the World Health Organization, India has 69.2 million people living with diabetes. Of these, it remains undiagnosed in more than 36 million people. Although a vegetarian diet is traditional for many Indians, the exuberant

use of dairy products and oils has greatly limited its healthfulness. And for many Indians, growing wealth has meant abandoning traditional vegetarian foods in favor of meaty diets.

Fast-food restaurant chains like Domino’s, KFC, McDonald’s, and Pizza Hut are expanding, selling meat- and dairybased meals. According to a study published in the Indian Journal of Applied Research, the Indian fast-food market is growing at the rate of 30 to 35 percent per year. A plant-based diet, rich in vegetables, leafy greens, fruits, and legumes, or lentils, beans, and peas, is associated with a 62 percent reduced risk of type 2 diabetes. PCRM.org/India

Dr. Ana Negrón’s Plant-Based Rx P

hysicians Committee member Ana Negrón, M.D., will travel with a mobile food market to eight towns in Chester County, Pa., this summer to provide economically disadvantaged citizens prescriptions for plant-based foods to help them fight heart disease and diabetes. “All the food pantries and free food places are loaded with fat and sugar and processed meats,” Dr. Negrón told the Philadelphia Inquirer in a recent article about her idea for the mobile food market. “Diseases melt away when people are eating right with a plant-based diet.” Once a week, Dr. Negrón also cooks plant-based foods with her patients at a nearby church. To learn more about Dr. Negrón and other Physicians Committee member doctors who provide plant-based prescriptions, read the summer 2016 issue of Good Medicine available at PCRM.org/ GoodMedicine.

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PREVENTION & NUTRITION

Defeating Diabetes in Native American Communities

Physicians Committtee staff and Navajo Nation volunteers at the Gathering of Nations

Native Food for Life Diabetes Prevention Leadership Workshop, held in partnership with the Institute of American Indian Arts. March 22-24, 2017, Santa Fe, N.M.

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ative Americans have the highest prevalence of diabetes among all U.S. racial and ethnic groups. This spring, Caroline Trapp, D.N.P., A.N.P.BC, C.D.E., director of diabetes education and care for the Physicians Committee, continued her outreach helping Native American communities fight diabetes with a plant-based diet. On March 22-24, 2017, the Physicians Committee hosted the Native Food for Life Diabetes Prevention Program Leadership Academy in partnership with the Institute of American Indian Arts in Santa Fe, N.M. The program was provided to diabetes educators of the Navajo Nation and the Eight Northern Pueblos

of New Mexico. This year’s workshop expanded the diabetes educators’ previous training on helping patients eat more plant-based foods and avoid unhealthful animal products. Physicians Committee staff and Navajo Nation volunteers also distributed Power Plate literature at the Gathering of Nations on April 27-29. And on May 1820, the Navajo Nation collaborated on the Plant-based Prevention Of Disease (P-POD) conference, which the Physicians Committee co-sponsors. Navajo Nation Vice President Jonathan Nez gave opening remarks at P-POD after leading a preconference 5K run with vegan ultramarathon champion Scott Jurek.

Vegan food at the Native Food for Life Diabetes Prevention Leadership Workshop

Navajo Nation Vice President Jonathan Nez, Miss Navajo Nation 2017 Ronda Joe, and vegan ultramarathoner Scott Jurek

Nurses Experience Benefits of Plant-Based Diets

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hen Physicians Committee member Joanne Evans, M.Ed., R.N., gave a presentation to colleagues at George Mason University in Fairfax, Va., about the health benefits of a plant-based diet, she soon had 19 nurses eager to test out the science firsthand. Nurses at three clinics adopted a plant-based diet with the Physician Committee’s 21-Day Kickstart program, supplemented with nutrition education that reviewed the health implications of the diet, and tracked their weight and cholesterol levels. The results were published in the American Journal of Nursing.

The average participant lost 4.5 pounds in the three-week program, and the average cholesterol level dropped from 203 mg/dL to 185 mg/ dL. Participants reported increased energy and overall satisfaction with the program. The authors note the participants—all nurses—now view plant-based diets as a practical treatment for disease prevention.

Joanne Evans, M.Ed., R.N.

21DayKickstart.org GOOD MEDICINE | SUMMER 2017

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Cutting-Edge Research:

Practical:

New insights on Alzheimer’s disease Nutrition essentials Science of telomeres Shared medical visits, easier billing, and more Foods and heart failure Preventing and reversing the top 15 killers Insights from a nutrition-based practice Changing food policy

GI:

Evaluating the problem gut Gut permeability and autoimmune disease The microbiome and TMAO

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Metabolism: High-fat diets The thermic effect of food Breaking through the weight plateau


PREVENTION & NUTRITION

MIND Your Diet:

Diet and Alzheimer’s Disease

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artha Clare Morris, Sc.D., a nutritional epidemiologist from Rush University who co-created the MIND Diet, will present Diet and Alzheimer’s Disease at the Physicians Committee’s International Conference on Nutrition in Medicine on July 28-29, 2017, in Washington, D.C. Below she answers questions about diet and Alzheimer’s disease. Visit ICNM17.org to learn more about the conference and register. Describe the MIND Diet. The MIND diet is a hybrid of the Mediterranean and DASH diets but with modifications based on the best scientific evidence of the foods and nutrients that are important to the brain. Why do fruits and vegetables seem to have such a protective effect?

Vegetables are a rich source for a number of nutrients that have been shown to protect the brain with aging including folate, lutein, beta-carotene, and certain flavonoids. Fruits as a general category have not been associated with neuroprotection; however, berry consumption has been found to protect the brain against cognitive decline. Berries, particularly blueberries, contain anthocyanins, a type of flavonoid that may protect the neurons in the hippocampus. Are there certain foods we should avoid? Fried foods, whole fat cheese, red meats and red meat products, pastries, and sweets should be avoided. The MIND Diet is based on diets known to reduce cardiovascular disease risk. Is there a connection? There is definitely a link between heart health and brain health. Many of the risk factors for Alzheimer’s disease are also risk factors for cardiovascular diseases

and conditions including hypertension, hypercholesterolemia, stroke, obesity, and low physical activity to name a few besides diet. What results have you seen in patients? The MIND diet was developed in 2015. In two observational studies, participants’ diets were scored by how closely they matched up with recommendations for MIND eating patterns. The MIND diet reduced the risk of developing Alzheimer’s disease by 53 percent among study participants in the top third of MIND scores and by 35 percent in those with scores in the middle third. The rate of cognitive decline among the top third of MIND scores was significantly slowed compared with those in the lowest third of scores. A randomized trial to test the effects of the MIND diet on brain neurodegeneration is currently underway in cognitively unimpaired older adults. MEMBER SUPPORT

What’s the Big Deal with Cheese?

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eople who want to break their addiction to cheese are coming out in droves to hear Dr. Neal Barnard speak about his new book, The Cheese Trap. In the spring, stops on the book tour brought Dr. Barnard from the East to West Coast, speaking to crowds in New York, Dallas, Los Angeles, Santa Barbara, San Jose, Seattle, and Port Townsend! Check the Physicians Committee’s website for updated event listings at PCRM. org/Events, and you can get your own copy of The Cheese Trap at PCRM.org/ TheCheeseTrap.

(L to R): Event organizers: Bill Ferguson, Neal Barnard, M.D., Midge Steuber, Food for Life instructor Phil Eherenman, Dave Holland, and Annie Clark in beautiful Port Townsend, Wash.

Dr. Barnard at UC Santa Barbara with Kay Sommer, Veganish author Kathy Freston, and Blue Zone expert Dan Buettner. Michael Schwarz, founder of Treeline Cheese, with Dr. Barnard. Treeline Cheese provided guests in New York with a buffet of delicious nut cheeses. GOOD MEDICINE | SUMMER 2017

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MEDIA

“No one needs dairy. What will really happen if young people avoid milk? They might just avoid major health problems as they get older.

(The Physicians Committee, of course!)

THINKSTOCK

WHAT'S TRENDING?

—Physicians Committee president Neal Barnard, M.D., in Does Milk Still Do a Body Good?

“It just seems so counterintuitive to me that a place that’s here to provide health care to people is offering the worst food possible for them and making money off of it.” —Physicians Committee doctor member Bandana Chawla, M.D., in Local Physicians Really Want McDonald’s Out of Ben Taub Hospital

“The best way to teach emergency procedures is with human-relevant methods, not animals.” —Physicians Committee director of academic affairs John Pippin, M.D., in Group Asks University to Stop Using Pigs in Trauma Training

USDA: Keep Chocolate Milk Out of School Lunches Dairy milk doesn’t do a body good—no matter the flavor or fat content—and shouldn’t be served in school lunches.

CONNECT Facebook.com/PCRM.org • Facebook.com/NealBarnardMD • Facebook.com/21DayKickstart Twitter.com/PCRM • Pinterest.com/PCRMorg • Instagram.com/PhysiciansCommittee Youtube.com/PCRM • PCRM.org/NBBlog

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RESEARCH ISSUES

Leslie Rudloff, Esq.

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he Animal Welfare Act, passed more than 50 years ago, has not matured past its infancy in terms of effectively preventing unnecessary and inhumane animal experiments, says Physicians Committee senior counsel Leslie Rudloff, Esq., in an article published in the Syracuse Law Review’s Symposium on Animal Law. In “Failure to Launch: The Lack of Implementation and Enforcement of the Animal Welfare Act,” Rudloff explores the failures of Congress, the U.S. Department of Agriculture (USDA), Institutional Animal Care and Use Committees (IACUCs), research facilities, and funding agencies to implement and enforce the Animal Welfare Act. Rudloff describes how Congress passed the Animal Welfare Act of 1966 following a Life magazine article on animal dealers who stole family companion animals—like Lucky, an English pointer—and forced them to live in deplorable conditions until they were sold to

Animal Welfare Act Fails to Prevent Needless Animal Use, Suffering, Death research facilities. Lucky was described as “a pathetic, emaciated horror” when she was rescued from a research facility. The Animal Welfare Act was originally passed to prohibit the use of stolen animals in research experiments and to insure that the “animals intended for use in research facilities [were] provided humane care and treatment.” It defined “animal” as “dogs, cats, monkeys (nonhuman primate mammals), guinea pigs, hamsters, and rabbits.” In 1970, Congress expanded that definition to include all warm-blooded animals except for farmed animals, and required the “use of anesthetic, analgesic or tranquilizing drugs” during experimentation. In 1985, Congress passed the Improved Standards for Laboratory Animals Act, requiring that alternatives be considered for any procedure likely to “produce pain to or distress in an experimental animal.” It also established the IACUCs at research facilities to “assess animal care, treatment, and practices in experimental research as determined by the needs of the research facility.” In 2002, Congress passed a Farm Bill that amended the Animal Welfare Act to exclude birds, rats, and mice bred for use

in research from the definition of “animal.” It is estimated that 93 to 97 percent of all animals used in research are mice and rats. In her paper, Rudloff provides evidence that the USDA has failed to, as instructed by Congress, promote “standards to govern the humane handling, care, treatment, and transportation of animals by dealers, research facilities, and exhibitors.” It has also failed to enforce these regulations. Her research also reveals that a 2014 government report found that some of the IACUCs “did not adequately approve, monitor, or report on experimental procedures on animals.” The IACUCs have also failed to effectively suggest or consider alternatives, such as simulators, in medical training procedures. The paper was written prior the USDA’s Feb. 3 shutdown of the Animal Care Information System, a website that included a searchable database of reports on how animals are used in laboratories and whether those facilities are complying with the federal Animal Welfare Act. The Physicians Committee is a plaintiff in a lawsuit that requires the USDA to immediately restore the website.

Government Toxicologists Trained on Replacing Animal Tests

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hysicians Committee scientists recently trained 70 U.S. government toxicologists on a software program that quickly and accurately predicts chemical toxicity without the use of animals. The OECD Quantitative Structure Activity Relationship (QSAR) Toolbox is computer software that gives scientists access to an ever-evolving database of toxicity data in order to calculate the anticipated health risks associated with exposure to a specific chemical. It

is designed on the principle that chemicals that are molecularly similar can be expected to affect biology in the same manner. By matching a chemical under review with those that are similar, the software can predict its toxicity. Physicians Committee scientists have been closely involved in the development, refinement, and promotion of the QSAR Toolbox and have previously provided courses for the EPA’s Office of Pollution Prevention and Toxics and the California

Environmental Protection Agency. “The importance of the QSAR Toolbox cannot be overstated,” says Kristie Sullivan, M.P.H., Physicians Committee vice president of research policy. “It is an essential step in modernizing toxicity testing and eliminating the use of animals.” GOOD MEDICINE | SUMMER 2017

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RESEARCH ISSUES

Doctors Call for End to Live Animal Use in North Dakota Medical Training

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hysicians Committee members Matthew Clayton, M.D., and Marjorie Cramer, M.D., led Fargo-area residents carrying signs reading “Modernize Medical Training” and “End Animal Labs” in a demonstration calling for an end to live animal use in Advanced Trauma Life Support training at North Dakota State University. In addition to local coverage in The Forum of Fargo-Moorhead and the local CBS and NBC stations, an Associated Press article on the protest received coverage in newspapers across the country including U.S. News & World Report and The New York Times. The NDSU training involves cutting into pigs. Trainees are instructed to insert tubes and needles into an animal’s chest

Matthew Clayton, M.D., speaks to the press

cavity, abdomen, and the sac surrounding the heart. At this point, the pig is killed, and participants make an incision in the animal’s throat to insert a breathing tube. Ninety-nine percent of surveyed ATLS programs in the United States and Canada (291 of 293) do not use animals,

opting instead for human-relevant teaching methods. More than 15,000 Physicians Committee supporters have signed a petition asking NDSU to end the use of live pigs for ATLS training. TAKE ACTION > PCRM.org/NDSU

Billboard, Petition Target Last Canadian Pediatrics Training Center Using Live Animals

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French-language Physicians Committee billboard recently urged Laval University in Quebec, Canada, to end the use of live animals for pediatrics training and “switch to simulation.” A legal petition also called on the government to intervene and ensure that public funds are no longer wasted on the animal-based training program. Canadian Physicians Committee members Jonathan Grill, Esq., a third-year medical student at McGill University, Sophie Gosselin, M.D., who graduated from Laval in 1997, Jérémie Cadet, M.D., and Joanie Faust, M.D., all signed the petition. Canadian media including Le Soleil and The Canadian Press, as well as Impact Campus, one of Laval University’s student newspapers, covered the campaign. 16 16

| GOODMEDICINE SUMMER2017 2017| GOOD MEDICINE SUMMER

Of 221 surveyed pediatrics programs in the United States and Canada, Laval University is the only program known to use live animals for training. Trainees insert tubes into piglets’ chest cavities, cut open their veins, and insert a needle into the sac surrounding the animals’ hearts. The animals are then killed, and trainees cut into the animals’ throats to insert breathing tubes. All of these procedures can be taught on simulators, which match human anatomy and allow for repetition, something that is not possible in animal laboratories. More than 72,000 Physicians Committee supporters have signed a petition asking Laval to switch to simulation. TAKE ACTION > PCRM.org/Laval


RESEARCH ISSUES

Dartmouth’s Live Animal Use for Medical Training Violates Law

KEN GALLAGER AT ENGLISH WIKIPEDIA

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ollowing a complaint filed by the Physicians Committee in March, an April inspection by the U.S. Department of Agriculture revealed inadequate oversight of animal training protocols by Dartmouth College’s Institutional Animal Care and Use Committee. Dartmouth’s training of emergency medicine residents currently involves cutting into live sheep to practice procedural skills, but the Animal Welfare Act’s implementing regulations require that a principal investigator—including course instructors—consider alternatives to procedures that may cause more than momentary or slight pain or distress to any animal used for research or training purposes. The USDA’s inspection report cited Dartmouth’s IACUC for failing to

require investigators to consider alternatives to using animals, to provide justification for animal use, and to provide a complete description of how the animals would be used. The report also cited Dartmouth for failing to provide basic animal care, which resulted in the deaths of 13 animals in 2016.

Dartmouth-Hitchcock Medical Center, where the emergency medicine residency training lab takes place, already has a state-of-the-art simulation center, which could provide the technology to replace this use of animals. TAKE ACTION > PCRM.org/ Dartmouth

TAKE ACTION

Ask Vanderbilt University to Modernize Medical Training

THINKSTOCK

P

lease ask Vanderbilt University School of Medicine to immediately end the use of live goats and pigs in its emergency medicine residency. Ninetyone percent of surveyed emergency medicine residency programs in the United States use human-based methods to train students. In fact, Vanderbilt already has a state-of-the-art simulation center that could easily replace the use of animals with modern medical simulation. To ensure that our future emergency care physicians are receiving educationally and ethically superior training methods, please ask Vanderbilt to end the use of animals immediately. www.NashvilleDeservesBetter.org GOOD MEDICINE | SUMMER 2017

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MEMBER SUPPORT

Bringing Passion and Action Together in Washington

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eadership Summit is an event where we bring together leaders in our movement to meet each other and the Physician Committee leadership, and to share ideas that will strengthen our efforts in the year ahead. On April 22, we held the event in Washington, D.C., and it was a unique and action-packed day filled with campaign updates, breakout sessions, and lots of terrific exchanges for moving our work forward. Attendees left with a better understanding of our program issues and challenges and many new friendships were forged with others who share a desire to create a more compassionate world. And we all enjoyed delicious food, of course! Guardian Circle members are guaranteed an invitation to our 2018 Leadership Summits. If you are interested in learning more, please contact Anne Marie Vastano, special event

Dr. Neal Barnard presents Leadership Summit attendees with a roadmap for future success.

manager, at 202-717-8762 or avastano@ pcrm.org.

Physicians Committee scientists Ann Lam, Ph.D., senior medical research specialist, and Kristie Sullivan, M.P.H., vice president of research policy, show their support for compassionate research.

Dania DePas, Physicians Committee director of communications, and Dr. Milton Berkman spread the word about the power of prevention.

Expanding Support for Our Work

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any celebrities are using their public platform to help us amplify our voice and reach more people. Special

Thanks to Moby, Harley Quinn Smith, Marilu Henner, and Mayim Bialik for such enthusiastic support!

Marilu Henner, Dr. Barnard, and Mayim Bialik

Harley Quinn Smith and Dr. Barnard

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SUMMER 2017 | GOOD MEDICINE


MEMBER SUPPORT

Member Profile: Moby Why did you go vegan? I’ve been vegan now for 29 years. Hopefully by the time someone sees this, it will be 30 years. I grew up like most of us with the sort of paradoxical western human approach to animals. Which is, I loved animals, but I also ate them. And then when I was 19, I was petting a rescue cat that I had named Tucker. And all of a sudden a switch got thrown on in my brain. And I realized that Tucker, this rescue cat, had a profound emotional life and a deep desire to avoid pain and suffering. I sort of extrapolated and realized every creature has an emotional life and a desire to avoid pain and suffering. And I became a vegetarian and a few years after that became vegan. So it was Tucker who saved you? I just suddenly realized, and it’s so self-evident, that it’s inconceivable—it’s impossible—to love animals and be involved in anything that contributes to or causes their suffering. It’s so odd that we live in this culture where a majority of the people on the planet claim to love animals but day in and day out pay for animals to be tortured and killed. But you’re helping them to see a better way and to see something else to put on their plate. Hopefully. I really believe that animal agriculture will soon

Planning for the Future

W

What made you get involved with the Physicians Committee? The Physicians Committee for me is so unique in that it’s smart and it’s data driven. Because it’s run by doctors, it’s not anecdotal. It’s nice to have objectively supported metrics and data. And the Physicians Committee for me is the champion of that. Well thank you. For some of us, we reach people through their minds, sometimes in their heart, sometimes through their taste buds, sometimes through their gut, and you’ve been reaching people through all of those. So thank you, Moby. My pleasure.

for creating a better future for all. Learn how to easily create a will, put your retirement account to work and avoid income tax, and learn whether a charitable

gift annuity may be right for you. Discover the benefits of giving wisely at PCRM.plannedgiving.org or call us anytime at 202-527-7318.

Leave a Legacy of Compassion  Please send me information about becoming a Lifetime Partner.  Please send me “10 Simple Steps for Creating a Will.”  I have already named the Physicians Committee in my will or trust or as a beneficiary of a retirement account or life insurance. Please activate my Lifetime Partner status! NAME

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Please mail to Physicians Committee, Attn: Brandalyn Patton, 5100 Wisconsin Ave., NW, Ste. 400, Washington, DC 20016 or e-mail bpatton@pcrm.org. | SUMMER2017 GOODMEDICINE MEDICINE| SUMMER 2017 GOOD

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hen we leave a legacy of compassion we think about what matters most in our lives and the organizations that are building the kind of world we would like to see. As a supporter of the Physicians Committee, the plans you make today can have an enormous benefit long into the future. Did you know there are creative ways to support the Physicians Committee? Ways in which the Physicians Committee, you, and your loved ones all benefit? Such giving techniques are called “planned gifts,” because with thoughtful planning, you create win-win solutions for you and the Physicians Committee. We’ve created an easy-to-understand website to tell you about creative giving strategies that can support your passion

be seen in the same light as lead paint, DDT, children working in factories, and cigarette smoking. I feel like animal agriculture is one of those things that will fall by the wayside, assuming it doesn’t kill us first.

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Resources for Physicians

You already know diet is a major factor in chronic disease prevention. Help your patients make the connection with our Waiting Room Literature Kits. Add our award winning educational literature to your office to start the conversation and help your patients make diet and lifestyle change a practical reality.

PhysiciansCommittee.org/LitStore

From the Physicians Committee Nutrition Guide for Clinicians, second edition Physicians Committee for Responsible Medicine

This comprehensive medical reference manual covers nearly 100 diseases and conditions, including risk factors, diagnoses, and typical treatments. Most importantly, it provides Many Physicians Committee fact sheets and booklets are downloadable without charge or available in print at minimal cost at PhysiciansCommittee.org/Lit The Nutrition Rainbow Poster The more naturally colorful your meal, the more likely it is to have an abundance of cancer-fighting nutrients. Pigments that give fruits and vegetables their bright colors represent a variety of protective compounds. The Nutrition Rainbow poster shows the cancer-fighting and immune-boosting power of different-hued foods. 18"x24", $6.00

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the latest evidence-based information on nutrition’s role in prevention and treatment. Includes an in-depth examination of general nutrition, macronutrients, micronutrients, and nutritional requirements for all stages of life. 745 pgs, $19.95 Special Discount $17.95

A Waiting Room Starter Kit A Waiting Room Starter Kit contains everything you need to start talking prevention with your patients. You will get samples of our most popular literature to share in your practice. $25.00, Free Shipping on this item!

Power Plate Poster These healthful food groups help you live longer, stay slimmer, and cut your risk of heart disease, diabetes, and high blood pressure.18"x 24", $6.00

Nutrition Education Curriculum DVD PCRM’s Nutrition Education Curriculum is designed for use in medical offices, worksites, and anywhere people will benefit from learning about the lifesaving effects of healthful eating. Please use the DVDs in this package where indicated on the curriculum found at pcrm.org/ curriculum. $8.00.Free Shipping on this item! Prescription for Health poster Finally, a prescription with side effects you want. This colorful 18"x24" poster is great for advertising the benefits of a plant-based diet. Encourage your patients to try food as their medicine with this Prescription for Health poster. $6.00


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From the Physicians Committee

From Neal D. Barnard, Physicians Committee President

The Best in the World, Volumes I-IV Boxed Set Healthful Recipes from Exclusive and Out-of-the-Way Restaurants

The Cheese Trap How Breaking a Surprising Addiction Will Help You Lose Weight, Gain Energy, and Get Healthy

Neal D. Barnard, M.D., Editor

Since 1998, the Physicians Committee has collected healthy, exotic recipes from distinctive restaurants around the globe. Now you can own all four hardcover The Best in the World cookbooks in one beautifully boxed set. 284 pgs, $40.00, Special Discount $37.95 The Best in the World Fast, Healthful Recipes from Exclusive and Out-of-the-Way Restaurants Neal D. Barnard, M.D., Editor

This popular collection of wonderfully healthy recipes comes from the world’s best and most unusual restaurants. Enjoy these vegan delicacies at home. Hardcover, 71 pgs, $11.95 The Best in the World II Healthful Recipes from Exclusive and Out-of-the-Way Restaurants Jennifer L. Keller, R.D., Editor

Travel around the world to discover treasures from side-street cafes and elegant hotel dining rooms. Attractively illustrated. Hardcover, 71 pgs, $11.95 The Best in the World III Healthful Recipes from Exclusive and Out-ofthe-Way Restaurants Neal D. Barnard, M.D., Editor

Discover delicious and unique recipes from restaurants across the globe. Join monks in a temple courtyard in the Far East, passengers on a French luxury yacht, or even a rock star in Akron, Ohio, for an unforgettable culinary adventure. Hardcover, 71 pgs, $11.95 The Best in the World IV Healthful Recipes from Exclusive and Out-ofthe-Way Restaurants Neal D. Barnard, M.D., Editor

Find delicious and healthful recipes from unique restaurants all around the globe. Visit a rustic hotel in England’s Lake District, enjoy a friendly street side cafe in Rome, and dine on a terrace overlooking black volcanic beaches. Recipes are designed to be within the abilities of any amateur chef. Hardcover, 71 pgs, $11.95

NEW!

The Cheese Trap is a fascinating tour though all the things you never knew about America’s favorite addiction—and how to break free. If you’ve been looking to lose weight, tackle cholesterol, skin problems, headaches, joint pains, or respiratory troubles, or you just wanted to take an important step for the animals and the Earth, this is the place to begin. 320 pgs, $14.00

For additional health tips, tune in to Dr. Barnard’s new PBS special, the “Energy Weight Loss Solution.” Power Foods for the Brain An Effective 3-Step Plan to Protect Your Mind and Strengthen Your Memory In Power Foods for the Brain, Dr. Barnard has gathered the most important research and studies to deliver a program that can boost brain health and reduce the risk of Alzheimer’s disease, stroke, and other less serious problems, including low energy, poor sleep patterns, irritability, and lack of focus. 320 pgs, $16.00 21-Day Weight Loss Kickstart Boost Metabolism, Lower Cholesterol, and Dramatically Improve Your Health

Dr. Neal Barnard’s Program for Reversing Diabetes If you have diabetes or are concerned about developing it, this program could change the course of your life. Dr. Barnard’s groundbreaking clinical studies, the latest funded by the National Institutes of Health, show that diabetes responds dramatically to a low-fat, vegetarian diet. Rather than just compensating for malfunctioning insulin like other treatment plans, Dr. Barnard’s program helps repair how the body uses insulin. Includes 50 delicious recipes. 288 pgs, $15.99 Breaking the Food Seduction

Based on the Physicians Committee’s popular online Kickstart program, Dr. Barnard’s 21-Day Weight Loss Kickstart will help you get fast results: drop pounds, lower cholesterol and blood pressure, improve blood sugar, and more. With more than 60 recipes, daily meal plans, and tips for grocery shopping, this book will get you on the fast track to better health. 368 pgs, $15.99

We all have foods we can’t resist, foods that sabotage our health. But banishing those cravings for chocolate, cookies, cheese, or burgers isn’t a question of willpower; it’s a matter of biochemistry. Drawing on his own research and that of other leading institutions, Dr. Barnard reveals how diet and lifestyle changes can break the craving cycle. 324 pgs, $16.99

Foods That Fight Pain

Genes, including those that shape our bodies, actually adapt to outside influences. Dr. Barnard explains the process and provides a three-week gene-control program complete with menus and recipes by Jennifer Raymond. Here are powerful tools for achieving long-term weight loss and better health. 350 pgs, $16.00

Did you know that ginger can prevent migraines and that coffee sometimes cures them? Drawing on new research, Dr. Barnard shows readers how to soothe everyday ailments and cure chronic pain with common foods. 348 pgs, $14.95

Turn Off the Fat Genes

GOOD MEDICINE | SUMMER 2017

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The Cancer Survivor’s Guide

The Get Healthy, Go Vegan Cookbook

Eating Right for Cancer Survival dvd

Neal Barnard, M.D., Jennifer Reilly, R.D.

Find out how foods fight cancer and the advantages of a high-fiber, low-fat, dairy- and meat-free diet. Includes updates from the latest research, special prostate and breast cancer sections, tips for making the dietary transition, and more than 130 recipes. 245 pgs, $19.95

Neal Barnard, M.D., Chef Sualua Tupolo, Stephanie Beine, R.D.

This exciting two-disc set is designed to work hand in hand with the companion book, The Cancer Survivor’s Guide. Nine nutrition presentations and nine cooking lessons provide powerful tools for making changes in health and well-being. 270 mins, $19.95

125 Easy and Delicious Recipes to Jump-Start Weight Loss and Help You Feel Great Neal Barnard, M.D., Robyn Webb

These recipes are based on Dr. Neal Barnard’s landmark twoyear study, which shows that a vegan diet effectively controls type 2 diabetes. 248 pgs, $18.95

DVDs from PBS Tackling Diabetes with Dr. Neal Barnard

Kickstart Your Health with Dr. Neal Barnard

Protect Your Memory with Dr. Neal Barnard

Drawing on the latest scientific research, Dr. Barnard explains how a low-fat vegan diet can fight diabetes by controlling blood glucose, weight, and heart disease risk. In many cases, it will even eliminate the need for some medications. 60 mins, $9.95

More than 400,000 people have participated in the Physicians Committee’s Kickstart program. Here Dr. Barnard describes the 21-day plan for a smarter, slimmer, and healthier you. Achieve lifelong results with this quick and easy approach. 60 mins, $9.95

Dr. Neal Barnard confronts yet another debilitating disease—memory loss. Through proven research, Dr. Barnard provides vital steps to boosting cognitive function along with valuable insight on how to protect your memory. $9.95

Power Plate Tote Bag Share the Physicians Committee’s revolutionary Power Plate with this 10"x13"x15" polypropylene bag (20% post-industrial recycled content) with reinforced handles and plastic bottom insert. Black, $5.00

Unlocking the Power of Plant-based Nutrition dvd series

You can buy all three Unlocking the Power of Plant-based Nutrition DVDs–Food for Life, Weight Control, and Heart Health–for $29.95. That’s a savings of nearly $15. Each disc features the segments “Getting Started” with Neal Barnard, M.D., and “In the Kitchen” with TV’s Totally Vegetarian chef Toni Fiore. Discs average 58 minutes in length. $29.95 Find more healthful resources at PCRM Marketplace Online PhysiciansCommittee.org/Shop

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PHYSICIAN PROFILE

Preventing Our Top 15 Killers

Michael Greger, M.D., F.A.C.L.M.

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ichael Greger, M.D., F.A.C.L.M., president of NutritionFacts.org and author of How Not to Die, will present The Role of Preventing, Arresting, and Reversing Our Top 15 Killers at the Physicians Committee’s International Conference on Nutrition in Medicine on July 28-29, 2017, in Washington, D.C. Below he answers a few questions. Visit ICNM17.org to learn more about the conference and register. How big is nutrition’s role in the top causes of death? According to the largest study of risk factors in human history (the Global Burden of Disease study funded by the Bill and Melinda Gates Foundation), the No. 1 cause of death and disability in the United States is our diet. Cigarettes now only kill about a half million Americans every year, whereas our diet kills hundreds of thousands more. There is only one diet that’s ever been proven to reverse heart disease in the majority of patients, and that is a plant-based diet. If that’s all a plant-based diet could do—reverse our No. 1 killer, then shouldn’t that be

the default diet until proven otherwise? And the fact that it can also be effective in treating, arresting, and reversing other leading killers like high blood pressure and type 2 diabetes makes the case for plant-based eating overwhelming. Why do you think this isn’t betterknown? Thanks to the hard work of the Physicians Committee and other evidence-based institutions around the globe, I think the word is starting to get out. Still, doctors have a severe nutrition deficiency—in education. Most doctors are just never taught the impact healthy nutrition can have on the course of illness and so they graduate without this powerful tool in their medical toolbox. Of course the drug companies also play a role in influencing medical education and practice. Ask your doctor when’s the last time they were taken out to dinner by Big Broccoli! It’s like smoking in the 1950s. We already had decades of science linking smoking with lung cancer, but it was ignored because smoking was “normal.”

address has changed, please let Please keep Ifusyour know promptly. AddressChanges@ in touch. PCRM.org or 202-686-2210, ext. 304. 24 SUMMER 2017 | GOOD MEDICINE

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Many doctors smoked. The American Medical Association was reassuring everyone that smoking—in moderation— was A-OK. There was a disconnect between science and public policy. It took more than 25 years and 7,000 studies before the first surgeon general report against smoking came out in the 1960s. Until the system changes, we have to take personal responsibility for our own health and for our family’s health. We can’t wait until society catches up to the science, because it’s a matter of life and death. What foods do you think should be a part of everyone’s daily menu? One of the big takeaways from How Not to Die is the surprising benefits of beans and other legumes. The American Institute for Cancer Research suggests three servings a day—beans, split peas, chickpeas, or lentils with every meal. Who eats beans for breakfast? Lots of people around the world, from baked beans in traditional English breakfasts to miso soup in Japan and idli—a type of steamed lentil cake—in India. Legume intake may be the most important dietary predictor of survival in older people from around the globe, with an 8 percent reduction in risk of premature death associated with every 1-ounce increase in daily intake. @PCRM

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Healthier Food, Healthier People Russell Simmons' Prescription for the SNAP Program

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