Animal Antibiotic Sales Finally Drop, But Much Work Remains
By Avinash Kar and Eili Klein
The world's leading authorities on public health—from the Centers for Disease Control and Prevention (CDC) to the World Health Organization (WHO)—have been warning us loud and clear: we must stop taking life-saving antibiotics for granted or else they will continue to fail us when sick people and animals need them. A new report from the U.S. Food and Drug Administration (FDA) shows that consumer demand for better practices might finally be having an effect.
In 2015, more than 75 percent of U.S. sales of antibiotics important to human medicine were sold for use on livestock, not for the treatment of sick people. Sales of those drugs increased 26 percent from 2009 to 2015. Often, these drugs are not used to treat sick animals, but are distributed en masse to animals, a practice closely linked to use of antibiotics to promote faster growth and compensate for stressful and unsanitary living conditions on industrial farms.
For the first time in many years, livestock sales of antibiotics important to human medicine have dropped—down 14 percent from 2015 to 2016 according to new data released today by the FDA.
These developments are encouraging, showing that meat can be produced with fewer antibiotics in the U.S. But more work remains if we are to make a real dent in the problem. Though an improvement, the 2016 sales figures remain significantly above 2009 levels.
This welcome news follows a series of food industry commitments to reduce antibiotic use in chicken production, which started with an announcement by Perdue Foods in the fall of 2014. Since then fourteen of the top 25 U.S. restaurant chains (and approximately 50 percent of the chicken industry) have made some level of commitment to curb unnecessary antibiotics used in chicken—following increasing demand from customers and advocacy and research from groups like ours. (Note that while an FDA ban on the use of medically important antibiotics for growth promotion went into effect earlier this year, the most recent data precedes the ban).
But further change can't come soon enough. Each year in the U.S., at least 2 million people become sick and at least 23,000 people die from antibiotic-resistant infections. This crisis is fueled by the overuse of these drugs when they are not needed to treat sick people or animals. It threatens the health of every single one of us by making once manageable infections much harder or even impossible to treat. It also means that procedures we have come to rely upon—such as joint replacements, transplants, caesarian sections, or dialysis—may soon become untenable, due to the elevated risk of untreatable infection.
A. FDA, Center for Veterinary Medicine, FDA Annual Summary Reports on Antimicrobials Sold or Distributed for Use in Food-Producing Animals. B. Center for Disease Dynamics, Economic & Policy, IQVIA MIDAS. * Data on human use in 2016 is not yet available
Unfortunately, federal policy to date has fallen short in addressing the problem. While FDA finally enacted a ban on the sales of medically important antibiotics for growth promotion in January 2017, the regulations allow these drugs to continue to be used on animals that are not sick to compensate for the crowded, unsanitary, or stressful conditions found on many livestock operations, under the guise of "disease prevention." As a result, representatives of the animal drug industry have estimated that the ban on growth promotion affects no more than 10-15 percent of antibiotic use in the livestock sector. The WHO recently released recommendations that medically important antibiotics should not be used for disease prevention in healthy animals—and the FDA should heed that call and close this loophole.
In the meantime, industry, states, cities and consumers must keep leading the way. The chicken industry has reached a tipping point. And giants of the industry—from Tyson and Perdue on the producer side, to McDonald's and Subway on the restaurant side—are responding to consumer demand and helping lead the way. But we need to see the same kind of action in the pork and beef industries, which lag far behind. FDA's reported estimates of the breakdown of the sales of these drugs by animal species show beef and pork accounting for about 43 percent and 37 percent of the total, respectively, whereas chicken only accounts for 6 percent. Similarly, based on the 2016 FDA estimates and USDA production data, the beef industry used 314 milligrams of medically important antibiotics per kilogram of meat produced (mg/kg), the pork industry 273 mg/kg and chicken 27 mg/kg.
States and cities too can help fill the gaps in federal action. States can follow the lead of California and Maryland, which have fully banned the routine use of antibiotics in healthy livestock and poultry. Cities, meanwhile, can look to San Francisco's new antibiotics use disclosure ordinance, which requires large grocery chains to report the antibiotic use associated with the raw meat and poultry sold in their stores, empowering customers to make informed decisions on the meat they buy.
The growing spread of drug-resistant bacteria and infections affects anyone who may ever need antibiotics—or cares about someone who might. That's all of us. And so action is needed from all of us—consumers, companies, states, cities and especially FDA—to extend this progress and help save these miracle drugs before it's too late.
Dr. David Wallinga and Abby Zlotnick of NRDC contributed to this blog.
Eili Klein has been associated with the Center for Disease Dynamics, Economics & Policy since its founding and is currently a fellow. Dr. Klein is a mathematical ecologist and epidemiologist whose research focuses on the role of behavior in the spread of infectious diseases.
This blog provides general information, not legal advice. If you need legal help, please consult a lawyer in your state.
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By Sara Lindberg
Whether you've hit a workout plateau or you're just ready to turn things up a notch, adding more strenuous exercise — also known as high-intensity exercise — to your overall fitness routine is one way to increase your calorie burn, improve your heart health, and boost your metabolism.
However, to do it safely and effectively, there are some guidelines you should follow. Keep reading to learn more about the benefits of vigorous exercise and how to safely dial up the intensity of your workouts.
What Is Considered Strenuous Exercise?<p>When it comes to exercise, the intensity of how hard you work out is just as important as the duration of your exercise session. In general, exercise intensity is divided into three categories:</p><ul><li>low</li><li>moderate</li><li>vigorous or strenuous</li></ul><p>For an activity to be vigorous, you need to work at 70 to 85 percent of your maximum heart rate, according to the<a href="https://www.heart.org/en/healthy-living/fitness/fitness-basics/target-heart-rates" target="_blank"> American Heart Association</a>. Examples of vigorous exercise include:</p><ul><li>running</li><li>cycling at 10 mph or faster</li><li>walking briskly uphill with a heavy backpack</li><li>jumping rope</li></ul><p>Low to moderate exercise is easier to sustain for longer periods since you work below 70 percent of your maximum heart rate and, sometimes, well below that level.</p><p>To reap health benefits, the <a href="https://www.hhs.gov/fitness/be-active/physical-activity-guidelines-for-americans/index.html" target="_blank">Physical Activity Guidelines for Americans</a> recommends that people age 18 and older get one of the following:</p><ul><li><strong>150 minutes</strong> of moderate-intensity aerobic activity per week</li><li><strong>75 minutes</strong> of vigorous aerobic activity per week</li><li><strong>combination of both types</strong> of activity spread throughout the week</li></ul>
Strenuous Exercise Vs. Moderate Exercise<p>Increasing your exercise intensity is fairly simple to do. You can still participate in your favorite activities — just at a more vigorous pace.</p><p>One of the benefits of more strenuous exercise is that you can reap the same rewards as moderate-intensity exercise but in less time. So, if time is of the essence, doing a more strenuous 20-minute workout can be just as beneficial as doing a slower 40-minute workout session.</p><p>Here are some examples of <a href="https://www.cdc.gov/nccdphp/dnpa/physical/pdf/pa_intensity_table_2_1.pdf" target="_blank">strenuous vs. moderate exercise<span></span></a>.</p><table><tbody><tr><th>Moderate intensity</th><th>Strenuous intensity</th></tr><tr><td>bicycling at less than 10 mph</td><td>bicycling at more than 10 mph</td></tr><tr><td>walking briskly</td><td>running, or hiking uphill at a steady pace</td></tr><tr><td>jog-walk intervals</td><td>water jogging/running</td></tr><tr><td>shooting baskets in basketball</td><td>playing a basketball game</td></tr><tr><td>playing doubles tennis</td><td>playing singles tennis</td></tr><tr><td>raking leaves or mowing the lawn</td><td>shoveling more than 10 lbs. per minute, digging ditches</td></tr><tr><td>walking stairs</td><td>running stairs</td></tr></tbody></table>
Benefits of Vigorous Exercise<p>Besides being more efficient, turning up the heat on your fitness sessions can benefit your health in a variety of ways. Let's take a closer look at some of the evidence-based benefits of a higher intensity workout.</p><ul><li><strong>Higher calorie burn.</strong> According to the <a href="https://www.acefitness.org/education-and-resources/professional/expert-articles/5008/7-things-to-know-about-excess-post-exercise-oxygen-consumption-epoc/?utm_source=Rakuten&utm_medium=10&ranMID=42334&ranEAID=TnL5HPStwNw&ranSiteID=TnL5HPStwNw-hYlKnAcfzfixAUsvnO6Ubw" target="_blank">American Council on Exercise</a>, working out at a higher intensity requires more oxygen, which burns more calories. It also contributes to excess post-exercise oxygen consumption (EPOC) or the "afterburn effect" that allows you to continue burning calories even after you finish working out. This means your metabolism will stay elevated for longer after a vigorous exercise session.</li><li><strong>More weight loss.</strong> A <a href="https://www.healthline.com/health-news/interval-workouts-will-help-you-lose-weight-more-quickly" target="_blank">higher calorie burn</a> and an elevated metabolism will help you lose weight more quickly than doing low- or moderate-intensity exercise.</li><li><strong>Improved heart health.</strong> According to a <a href="https://www.ncbi.nlm.nih.gov/pubmed/16377300" target="_blank">2012 study</a>, high- and moderate-intensity exercise appears to offer low chance of cardiovascular events, even in those with heart disease. Cardiovascular benefits may include improvements in:<ul><li><a href="https://www.healthline.com/health/diastole-vs-systole" target="_blank">diastolic blood pressure</a></li><li><a href="https://www.healthline.com/nutrition/15-ways-to-lower-blood-sugar#TOC_TITLE_HDR_1" target="_blank">blood sugar control</a></li><li>aerobic capacity</li></ul></li><li><strong>Improved mood.</strong> High-intensity exercise may also boost your mood. According to a large <a href="https://www.jstage.jst.go.jp/article/jpts/27/4/27_jpts-2014-736/_article" target="_blank">2015 study</a> that analyzed the data of more than 12,000 participants, researchers found a significant link between strenuous exercise and fewer depressive symptoms.</li><li><strong>Lower risk of mortality.</strong> According to a 2015 <a href="https://www.ncbi.nlm.nih.gov/pubmed/25844882" target="_blank">study</a>, researchers found that vigorous activity may be key to avoiding an early death. The study, which followed 204,542 people for more than 6 years, reported a 9 to 13 percent decrease in mortality for those who increased the intensity of their exercise sessions.</li></ul>
How to Measure Exercise Intensity<p>So, how do you know for sure that you're exercising at a strenuous level? Let's look at three ways to measure the intensity of your physical activity.</p><h3>1. Your heart rate</h3><p>Monitoring your heart rate is one of the most reliable methods for measuring exercise intensity. Exercising at 70 to 85 percent of your maximum heart rate qualifies as vigorous exercise intensity.</p><blockquote><strong><strong>WHAT IS YOUR MAXIMUM HEART RATE?</strong></strong>Your maximum heart rate is the fastest your heart can safely beat. To find out what your maximum heart rate is you need to subtract your age from 220. For example, for a 40-year-old person: <ul><li>220 bpm (beats per minute) minus age</li><li>220 – 40 = 180 bpm</li></ul>To work out at a vigorous pace, you'll want to exercise within 70 to 85 percent of your maximum heart rate. For example: <ul><li>180 x 0.70 (70 percent) = 126</li><li>180 x 0.85 (85 percent) = 153</li></ul>For a 40-year-old person, a vigorous training range is 126 to 153 bpm.<br></blockquote><p>You can check your heart rate while you're working out by wearing a heart rate monitor or <a href="https://www.healthline.com/health/how-to-check-heart-rate" target="_blank">taking your pulse</a>.</p>
How to Add Vigorous Activity to Your Workout<p>Adding strenuous activity to your weekly workout routine requires some careful planning. Fortunately, many of the activities that you do at a moderate level can easily be performed at a higher intensity.</p><p>One way of incorporating vigorous aerobic activity into your routine is to do a <a href="https://www.healthline.com/nutrition/benefits-of-hiit" target="_blank">high-intensity interval training (HIIT)</a> workout. This type of workout combines short bursts of intense activity — typically performed at 80 to 95 percent of your maximum heart rate — with recovery periods at 40 to 50 percent maximum heart rate.</p><p>To sustain this level of training, consider following a 2:1 work to rest ratio. For example, a <a href="https://www.healthline.com/health/treadmill-weight-loss#hiit" target="_blank">treadmill workout </a>or outdoor running session could include:</p><ul><li>running at 9 to 10 mph for 30 seconds</li><li>followed by walking at 3 to 4 mph for 60 seconds</li><li>alternating this work-to-rest ratio for 20 to 30 minutes</li></ul><p>Playing a fast-paced sport like soccer, basketball, or racquetball is another effective way to add strenuous activity to your fitness routine. Participating in <a href="https://www.healthline.com/health/benefits-of-a-spin-class" target="_blank">cycling classes</a> or swimming laps are other ways to build more strenuous exercise into your workouts.</p>
Safety Tips<p>Before you turn up the intensity on your workouts, it's important to keep the following safety tips in mind.</p><h3>Check with your doctor</h3><p>If you have a health condition or you haven't been active in a while, make sure you talk to your doctor before you start a high-intensity exercise routine. Your doctor can advise you on a safe level of exercise or how to become more active in the safest way possible.</p><h3>Build up the intensity slowly</h3><p>Going from low- or moderate-intensity workouts to vigorous exercise requires time and patience. While you may be ready to jump in with both feet, the safest way to add more vigorous exercise is to do it in bite-size increments. Pushing yourself too quickly can result in injuries and burnout.</p><p>For example:</p><ul><li><strong>Week 1:</strong> Swap out one moderate-paced cardio session for a HIIT workout.</li><li><strong>Week 2:</strong> Swap one moderate-paced session with a HIIT workout, and also add a circuit strength training session to your weekly routine.</li><li><strong>Week 3 and 4: </strong>Repeat weeks 1 and 2 before you start adding more high-intensity exercise to your weekly routine.</li></ul><p>It's also a good idea to space out your vigorous workouts throughout the week. Try not to do two strenuous sessions back-to-back.</p><h3>Don't forget the recovery time</h3><p>Your body requires more time to recover from a vigorous workout compared to a low- or moderate-intensity session.</p><p>To help your body recover, make sure to always include a cooldown and <a href="https://www.healthline.com/health/exercise-fitness/static-stretching" target="_blank">stretch routine</a> after strenuous physical activity.</p><h3>Stay hydrated</h3><p><a href="https://www.healthline.com/nutrition/7-health-benefits-of-water" target="_blank">Staying hydrated</a> is especially important when you're exercising hard. Not drinking enough fluids can affect the quality of your workout and make you feel tired, lethargic, or dizzy. It may even lead to <a href="https://www.healthline.com/health/dehydration-headache" target="_blank">headaches</a> and <a href="https://www.healthline.com/health/pain-relief/how-to-stop-leg-muscle-cramps" target="_blank">cramps</a>.</p>
The Bottom Line<p>Turning up the intensity of your workout sessions can be an effective way of boosting your overall health and fitness. It's also an easy way to save time when trying to fit a workout into your day.</p><p>To play it safe, always start slow and pay attention to how your body feels.</p><p>While vigorous exercise offers many health benefits, it's not appropriate for everyone. If you have a health condition or you haven't been active in a while, make sure to talk with your doctor before working out at a more strenuous level.</p>
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By Jeffrey Miller
In January 2015, food sales at restaurants overtook those at grocery stores for the first time. Most thought this marked a permanent shift in the American meal.
Solving the Age-Old Problem of Spoiled Cheese<p>People have eaten pasta and cheese together for hundreds of years. Clifford Wright, the doyen of Mediterranean food history, says <a href="http://www.cliffordawright.com/caw/food/entries/display.php/topic_id/16/id/105/" target="_blank">the first written recipe</a> for macaroni and cheese was created in the court of the king of Naples in the 13th century, while <a href="https://food52.com/blog/9916-the-history-of-macaroni-and-cheese" target="_blank">the first reference</a> in an English language cookbook likely appeared in Elizabeth Raffald's 1769 book "The Experienced English Housekeeper."</p><p><span></span>An internet search for macaroni and cheese recipes will turn up over 5 million hits, but many still prefer to get theirs in a box – the kind with pasta that comes in shapes ranging from shells to Pokemon characters, accompanied by a packet of powdered cheese sauce.</p><p>Boxed macaroni and cheese was one outcome of the quest for ways to keep cheese longer. Some cheese gets better as it ages – a well-aged cheddar is one of life's delights – but once most cheeses hit their prime, <a href="https://www.dairyfoods.com/articles/91548-how-to-maximize-cheese-shelf-life" target="_blank">they tend to quickly go bad</a>. Before household refrigeration became common, many retailers wouldn't even stock cheese in the summer because it spoiled so quickly.</p><p>Processed cheese solved this age-old problem.</p>
When Natural Was Nasty<p>Today, food that's simple, pure and natural is <a href="https://theconversation.com/how-was-french-cuisine-toppled-as-the-king-of-fine-dining-66667" target="_blank">all the craze</a>, while <a href="https://apnews.com/c06a1200807c4b82a03452d08d480692" target="_blank">disdain for processed foods</a> is practically a credo among sophisticated consumers.</p><p>But when Kraft's different forms of processed cheese came out, they found widespread acceptance despite their strange textures. The fact that it wasn't natural didn't seem to bother consumers at all. In fact, as international food historian Rachel Laudan <a href="https://online.ucpress.edu/gastronomica/article/1/1/36/93394/A-Plea-for-Culinary-Modernism-Why-We-Should-Love" target="_blank">has noted</a>, back then, "natural was something quite nasty." She describes fresh milk as warm and "unmistakably a bodily secretion." Throughout the history of cookery, most recipes aimed to transform an unappetizing raw product into something delightful and delectable.</p><p>So for most consumers, processed foods were a godsend. They kept well, tended to be easily digestible and, most importantly, they tasted good. Many of them could be easily prepared, freeing women from spending entire days cooking and giving them more time to pursue professions and avocations.</p><p>In some ways, processed foods were also healthier. They could be fortified with vitamins and minerals, and, in an era before everyone had access to mechanical refrigeration, the fact that they kept well meant consumers were less likely to contract diseases from spoiled, rotten foods. Pasteurization of dairy products virtually <a href="https://www.the-scientist.com/foundations/rethinking-raw-milk--1918-65126" target="_blank">eliminated diseases like undulant fever</a>, while foods processed and canned in large factories were less likely to harbor food-borne illnesses that could crop up due to faulty or improperly sanitized equipment used by home canners.</p>
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Some fires won't die.
They survive underground during the winter and then reemerge the following spring, as documented in places like Alaska. They're called "overwintering," "holdover," or "zombie" fires, and they may have now awoken in the Arctic Circle — a fast-warming region that experienced unprecedented fires in 2019. The European Union's Copernicus Atmosphere Monitoring Service is now watching these fires, via satellite.