Influential Science Nonprofit ILSI Exposed as a Food Industry Lobby Group
By Stacy Malkan
The International Life Sciences Institute (ILSI) is a corporate-funded nonprofit group with chapters around the world that claim to conduct "science for the public good," but documents released in a new study reveal that the influential ILSI science group is a actually a lobby group that protects the interests of the food industry, not public health.
The June 2019 paper in Globalization and Health describes internal emails that were obtained by the public interest group U.S. Right to Know via state public records laws. The documents reveal clear examples of how ILSI advances the interests of the food industry, especially by promoting industry-friendly science and arguments to policymakers. "Researchers have labelled the International Life Sciences Institute an industry front group, after studying thousands of documents," reported the BMJ.
As one example, the paper quotes an email from Alex Malaspina, the former Coca-Cola executive who founded ILSI, lamenting the failure of ILSI Mexico to follow the industry position on soda taxes. Malaspina describes "the mess ILSI Mexico is in because they sponsored in September a sweeteners conference when the subject of soft drinks taxation was discussed. ILSI is now suspending ILSI Mexico, until they correct their ways. A real mess."
2015 email from Alex Malaspina, founder of ILSI.
Malaspina, a former senior vice president at Coca-Cola from 1969-2001, founded ILSI in 1978. Coca-Cola has kept close ties with ILSI ever since. From 2009-2011, the president of ILSI was Michael Ernest Knowles, who was also Coca-Cola's VP of global scientific and regulatory affairs from 2008–2013. In 2015, ILSI's president was Rhona Applebaum, who retired from her job as Coca-Cola's chief health and science officer (and from ILSI) in 2015 after the New York Times and Associated Press reported that Coke funded the nonprofit Global Energy Balance Network to help shift blame for obesity away from sugary drinks.
Emails obtained by U.S. Right to Know and reported in a 2016 study revealed that Coke proposed and financed the Global Energy Balance Network as a "weapon" in the "growing war between the pubic health community and private industry" over obesity and the obesity epidemic.
ILSI is funded by its corporate members and company supporters, including leading food and chemical companies such as Coca-Cola, BASF, Bayer, DuPont, Syngenta, Mars, McDonalds, chemical industry trade groups, and many others. In its annual report, ILSI and its branches reported $17,481,251 in expenses for 2017 but did not disclose specific donor information. A document obtained via a state freedom of information request shows corporate contributions to ILSI Global amounting to $2.4 million in 2012. The largest donations were $500,000 from Monsanto and over $500,000 from the pesticide industry trade group, Crop Life International. ILSI's draft 2013 IRS tax returns show $337,000 in donations from Coca-Cola and over $650,000 from six agrichemical companies, BASF, Bayer, Dow, Monsanto, Pioneer Hi Bred and Syngenta.
ILSI Undermined Obesity Fight in China
In January 2019, two papers by Harvard Prof. Susan Greenhalgh revealed ILSI's powerful influence on the Chinese government on issues related to obesity. Prof. Geenhalgh's articles in the Journal of Public Health Policy and the BMJ document how Coca-Cola and other corporations worked through the China branch of ILSI to influence decades of Chinese science and public policy on obesity and diet-related illnesses such as Type 2 diabetes and hypertension.
Jan. 9 article in New York Times.
ILSI is so well-placed in China that it operates from inside the government's Centre for Disease Control and Prevention in Beijing. Dr. Greenhalgh's papers document how Coca-Cola and other Western food and beverage giants "helped shape decades of Chinese science and public policy on obesity and diet-related diseases" by operating through ILSI to cultivate key Chinese officials "in an effort to stave off the growing movement for food regulation and soda taxes that has been sweeping the west," reported Andrew Jacobs in the New York Times.
ILSI Sugar Study “Right Out of the Tobacco Industry’s Playbook”
In 2016, public health experts denounced an ILSI-funded sugar study published in a prominent medical journal that presented a "scathing attack on global health advice to eat less sugar," reported Anahad O'Connor in The New York Times. The ILSI-funded study argued that warnings to cut sugar are based on weak evidence and cannot be trusted.
The Times story quoted Marion Nestle, a professor at New York University who studies conflicts of interest in nutrition research, on the ILSI study: "This comes right out of the tobacco industry's playbook: cast doubt on the science," Nestle said. "This is a classic example of how industry funding biases opinion. It's shameful."
ILSI has also been accused of working directly on the tobacco industry playbook to thwart public safety measures to reduce smoking. A July 2000 report by an independent committee of the World Health Organization outlined a number of ways in which the tobacco industry attempted to undermine WHO tobacco control efforts, including using scientific groups to influence WHO's decision-making and to manipulate scientific debate surrounding the health effects of tobacco. ILSI played a key role in these efforts, according to a case study about ILSI from the WHO Tobacco Free Initiative. "Findings indicate that ILSI was used by certain tobacco companies to thwart tobacco control policies. Senior office bearers in ILSI were directly involved in these actions," according to the case study.
ILSI Leaders Played Key Role in Defending Glyphosate as Chairs of WHO Panel
In May 2016, ILSI was caught "in a conflict of interest row over glyphosate cancer risk," reported Arthur Neslen in the Guardian, after revelations that the vice president of ILSI Europe, Prof. Alan Boobis, was also chairman of the UN Joint Meeting on Pesticide Residues (JMPR) panel that found Monsanto's chemical glyphosate was unlikely to pose a cancer risk through diet. The co-chair of the JMPR panel, Prof. Angelo Moretto, was a board member of ILSI's Health and Environment Services Institute. Neither of the chairs declared their ILSI leadership roles as conflicts of interest, despite the significant financial contributions ILSI has received from Monsanto and the pesticide industry trade group.
ILSI’s Cozy Ties at U.S. CDC
In June 2016, U.S. Right to Know reported that Dr. Barbara Bowman, director of a U.S. Centers for Disease Control division charged with preventing heart disease and stroke, tried to help ILSI's founder Alex Malaspina influence World Health Organization officials to back off policies to reduce sugar consumption. Bowman suggested people and groups for Malaspina to talk to, and solicited his comments on some CDC summaries of reports, the emails show. (Bowman stepped down after our first article was published reporting on these ties.)
A January 2019 study in the Milbank Quarterly describes key emails of Malaspina cozying up to Dr. Bowman.
ILSI Influence in India
ILSI has close ties to some Indian government officials and, as in China, the nonprofit has pushed similar messaging and policy proposals as Coca-Cola — downplaying the role of sugar and diet as a cause of obesity, and promoting increased physical activity as the solution, according to the India Resource Center. Members of ILSI India's board of trustees include Coca-Cola India's director of regulatory affairs and representatives from Nestlé and Ajinomoto, a food additive company, along with government officials who serve on scientific panels that are tasked with deciding about food safety issues.
Longstanding Concerns About ILSI
ILSI insists it is not an industry lobby group, but concerns and complaints are longstanding about the group's pro-industry stances and conflicts of interest among the organization's leaders.
In 2010, Nature reported on concerns about conflicts of interest between ILSI and the European Food Safety Authority, and noted that the industry ties may taint the reputation of the European regulatory body.
A 2019 book by Dr. Tim Noakes and Marika Sboros, Real Food on Trial (Columbus Publishing), recounts the "unprecedented prosecution" of Dr. Noakes "in a multimillion rand case that stretched over more than four years. All for a single tweet giving his opinion on nutrition." Russ Greene reported on the controversy in a 2017 article for Keep Fitness Legal. "The Food Industry is attempting to use Dr. Noakes in order to set an example to anyone who dares challenge its authority in nutrition," Greene wrote.
Stacy Malkan is co-director of U.S. Right to Know, a nonprofit investigative research group focused on the food industry. She is author of the book, "Not Just a Pretty Face: The Ugly Side of the Beauty Industry" (New Society 2007).
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They also encounter what some call an "infodemic," an outbreak of misinformation that's making it more difficult to treat patients.
When Leaders and Doctors Spread Misinformation<p>When people in charge of towns, cities, states, and countries spread misinformation, the potential for belief in misinformation to result in policies can have harmful effects.</p><p><a href="https://www.northwell.edu/find-care/find-a-doctor?q=Bruce+E.+Hirsch%2C+MD&insurance=&location=&query_type=provider&physician_partners=false&default_view=list&gender=&language=&sort=relevancy" target="_blank">Dr. Bruce E. Hirsch</a>, attending physician and assistant professor in the infectious disease division of Northwell Health in Manhasset, New York, says an example of this is when President Trump informed the public he was taking hydroxychloroquine as a preventive measure.</p><p>"To approach this enormous challenge, we need some intellectual honesty and clarity, and to disregard expertise and to make decisions and model decisions based on hunches is inviting us to handle challenges on the basis of rumor and uninformed opinion. The magnitude of that error is epic," Hirsch told Healthline.</p><p>Stukus agrees, noting that the harm of this proclamation is documented.</p><p>"Early on when the president touted the benefits of hydroxychloroquine and azithromycin, people started to hoard this medicine, and state boards had to shut it down because they were getting so many prescriptions for this unproven therapy that it was not available for those who truly needed it, such as those who have lupus and autoimmune conditions," Stukus said.</p><p>He adds that calls to poison control centers increased after the president suggested using disinfectant to prevent contracting the new coronavirus.</p>
Listen to Science, Even When it Changes<p>When recommendations change or evidence flip-flops, skepticism may arise. However, Stukus says change is the beauty of science.</p><p>"That shows us that we can evolve, and if the evidence shows that our prior thoughts were incorrect, we need to be able to change our recommendations and advice based upon the best quality of evidence at the time," he said.</p><p>Pierre agrees.</p><p>"Science is an iterative process, whereby we arrive at facts and truth through repeated and controlled observations. That means that it's inherently self-correcting as we revise conclusions based on ongoing research. Scientific facts aren't immutable dogma chiseled on a tablet. They change based on the best available evidence we have at a given point in time," he said.</p><p>Because research of COVID-19 has only been underway for 6 months, information is evolving rapidly, and new information may contradict old.</p><p>"There's still much we don't know about exactly how [COVID-19] spreads, what effects it has on the body, or how to best treat it. That means that the best available evidence is preliminary, but that doesn't mean that we should ignore it or turn to other sources of information or opinion as if they're just as valid," Pierre said.</p><p>He explains that conspiracy theories based on mistrust lead to vulnerability to misinformation.</p><p>If people mistrust science because it sometimes "changes its mind," Pierre said, "that shouldn't be used to embrace other opinions based on no evidence at all, which are typically selected based on confirmation bias: what we want to believe rather than what the objective evidence supports."</p>
Where to Find the Best Information<p>Stukus says to start with the <a href="https://www.cdc.gov/coronavirus/2019-nCoV/index.html" target="_blank">CDC</a> and <a href="https://www.nih.gov/health-information/coronavirus" target="_blank">NIH</a>. Then check with your local health officials, because COVID-19 guidelines may vary depending on where you live.</p><p>If you can't find information you need or have questions specifically related to you, call your primary care doctor.</p><p>"Your personal doctor should always be a resource for individual specific questions because they know best how to apply all the nuances retaining to your health, and how to incorporate all the other general [COVID-19] recommendations," Stukus said.</p><p><a href="https://www.eehealth.org/find-a-doctor/b/boyd-laura-b/" target="_blank">Dr. Laura Boyd</a>, primary care physician at Edward-Elmhurst Health Center in Elmhurst, Illinois, says her clinic receives a lot of calls about COVID-19.</p><p>"Most doctors' offices are receiving calls and answering questions, and doing phone or video visits to help clarify and/or order testing over the phone based on patients' symptoms. It is always best to call your doctor's office first instead of worrying about symptoms and waiting too long to seek treatment," she told Healthline.</p><p>If your primary care doctor has limited testing, she suggests looking on your state's public health website for available testing sites.</p><p>With a lot of unknowns related to this virus and disease, Boyd says many patients are feeling overwhelmed and anxious for a treatment.</p><p>"Unfortunately, there is no specific medication recommended for COVID for outpatient. There are a lot of ongoing studies with various drugs going on within the hospital setting. Patients should always contact their doctors about their specific symptoms as they can treat the symptoms that go along with COVID, but there is no cure," Boyd said.</p><p>While we wait for treatment and a vaccine, Hirsch, who treats patients hospitalized for COVID-19 complications on a daily basis, says everyone can do their part by washing hands, wearing a mask, and staying 6 feet apart.</p><p>"As an infectious disease doctor working in the hospital, I see the damage of the pandemic and the worst cases of what's happening. We are trying to get the best possible outcome and confronting this overwhelming biologic reality of this terrible epidemic the best we can," Hirsch said.</p><p>Everyone at home can help in the fight too, he adds.</p><p>"Follow information that is science- and evidence-based, and avoid that which is not," he said.</p>
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