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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After sustained declines in the number of COVID-19 cases over recent months, restrictions are starting to ease across the United States. Numbers of new cases are falling or stable at low numbers in some states, but they are surging in many others. Overall, the U.S. is experiencing a sharp increase in the number of new cases a day, and by late June, had surpassed the peak rate of spread in early April.
Seven day rolling average of number of people confirmed to have COVID-19, per day (not including today). This chart gets updated once per day with data by Johns Hopkins. Johns Hopkins university doesn't provide reliable data for March 12 and March 13. Johns Hopkins CSSE Get the data
To Have a Second Wave, the First Wave Needs to End.<p>A wave of an infection describes a large rise and fall in the number of cases. There isn't a precise epidemiological definition of when a wave begins or ends.</p><p>But with talk of a <a href="https://www.theguardian.com/world/2020/jun/27/new-covid-19-clusters-across-world-spark-fear-of-second-wave" target="_blank">second wave in the news</a>, as an <a href="https://www.american.edu/cas/faculty/mhawkins.cfm" target="_blank">epidemiologist and public health researcher</a>, I think there are two necessary factors that must be met before we can colloquially declare a second wave.</p><p>First, the virus would have to be controlled and transmission brought down to a very low level. That would be the end of the first wave. Then, the virus would need to reappear and result in a large increase in cases and hospitalizations.</p><p>Many countries in <a href="https://doi.org/10.1038/s41562-020-0908-8" target="_blank">Europe and Asia have successfully ended the first wave</a>. <a href="https://www.theguardian.com/world/2020/jun/08/new-zealand-abandons-covid-19-restrictions-after-nation-declared-no-cases" target="_blank">New Zealand</a> and <a href="https://www.newyorker.com/magazine/2020/06/08/how-iceland-beat-the-coronavirus" target="_blank">Iceland</a> have also made it through their first waves and are now essentially coronavirus-free, with very low levels of community transmission and only a handful of active cases currently.</p>
Different States, Different Trends<p>Looking at U.S. numbers as a whole hides what is really going on. Different states are in <a href="https://www.nytimes.com/interactive/2020/us/coronavirus-us-cases.html" target="_blank">vastly different situations right now</a> and when you look at states individually, four major categories emerge.</p><ol><li>Places where the first wave is ending: States in the Northeast and a few scattered elsewhere experienced large initial spikes but were able to mostly contain the virus and substantially brought down new infections. <a href="https://www.nytimes.com/interactive/2020/us/new-york-coronavirus-cases.html" target="_blank">New York</a> is a good example of this.</li><li>Places still in the first wave: Several states in the South and West – see <a href="https://www.nytimes.com/interactive/2020/us/texas-coronavirus-cases.html" target="_blank">Texas</a> and <a href="https://www.nytimes.com/interactive/2020/us/california-coronavirus-cases.html" target="_blank">California</a> – had some cases early on, but are now seeing massive surges with no sign of slowing down.</li><li>Places in between: Many states were hit early in the first wave, managed to slow it down, but are either at a plateau – like <a href="https://www.nytimes.com/interactive/2020/us/north-dakota-coronavirus-cases.html" target="_blank">North Dakota</a> – or are now seeing steep increases – like <a href="https://www.nytimes.com/interactive/2020/us/oklahoma-coronavirus-cases.html" target="_blank">Oklahoma</a>.</li><li>Places experiencing local second waves: Looking only at a state level, <a href="https://www.nytimes.com/interactive/2020/us/hawaii-coronavirus-cases.html" target="_blank">Hawaii</a>, <a href="https://www.nytimes.com/interactive/2020/us/montana-coronavirus-cases.html" target="_blank">Montana</a> and <a href="https://www.nytimes.com/interactive/2020/us/alaska-coronavirus-cases.html" target="_blank">Alaska</a> could be said to be experiencing second waves. Each state experienced relatively small initial outbreaks and was able to reduce spread to single digits of daily new confirmed cases, but are now all seeing spikes again.</li></ol><p>The trends aren't surprising based on how states have been dealing with reopening. The virus will go wherever there are susceptible people and until the U.S. stops community spread across the entire country, the first wave isn't over.</p>
What Could a Second Wave Look Like?<p>It is possible – though at this point it seems unlikely – that the U.S. could control the virus before a vaccine is developed. If that happens, it would be time to start thinking about a second wave. The question of what it might look like depends in large part on everyone's actions.</p><p>The <a href="https://dx.doi.org/10.1086%2F592454" target="_blank">1918 flu pandemic</a> was characterized by a mild first wave in the winter of 1917-1918 that went away in summer. After restrictions were lifted, people very quickly went back to pre-pandemic life. But a second, deadlier strain came back in fall of 1918 and third in spring of 1919. In total, <a href="https://www.cdc.gov/flu/pandemic-resources/1918-commemoration/1918-pandemic-history.htm" target="_blank">more than 500 million people were infected</a> worldwide and upwards of <a href="https://theconversation.com/compare-the-flu-pandemic-of-1918-and-covid-19-with-caution-the-past-is-not-a-prediction-138895" target="_blank">50 million died</a> over the course of three waves.</p><p>It was the combination of a quick return to normal life and a mutation in the flu's genome that made it more deadly that led to the horrific second and third waves.</p><p>Thankfully, the coronavirus appears to be much more <a href="https://doi.org/10.1016/j.meegid.2020.104351" target="_blank">genetically stable</a> than the influenza virus, and thus less likely to mutate into a more deadly variant. That leaves human behavior as the main risk factor.</p><p>Until a <a href="https://theconversation.com/what-needs-to-go-right-to-get-a-coronavirus-vaccine-in-12-18-months-136816" target="_blank">vaccine or effective treatment is developed</a>, the tried-and-true public health measures of the last months – <a href="https://theconversation.com/this-simple-model-shows-the-importance-of-wearing-masks-and-social-distancing-140423" target="_blank">social distancing,</a> <a href="https://theconversation.com/masks-help-stop-the-spread-of-coronavirus-the-science-is-simple-and-im-one-of-100-experts-urging-governors-to-require-public-mask-wearing-138507" target="_blank">universal mask wearing</a>, frequent hand-washing and avoiding crowded indoor spaces – are the ways to stop the first wave and thwart a second one. And when there are surges like what is happening now in the U.S., further reopening plans need to be put on hold.</p>
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Gluts of food left to rot as a consequence of coronavirus aren't just wasteful – they're also likely to damage the environment.
Methane on the Rise<p>Not only is this a tragic waste of food at a time when many are going hungry, it is also an <a href="https://donatedontdump.net/2014/07/07/the-effects-of-food-waste-on-the-environment-by-junemy-pantig/" target="_blank">environmental hazard</a> and could contribute to global warming. Landfill gas – <a href="https://www.epa.gov/lmop/basic-information-about-landfill-gas" target="_blank">roughly half methane and half carbon dioxide (CO2)</a> – is a natural byproduct of the decomposition of organic material.</p>
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