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Public health implications of meat production and consumption

  • Polly Walker (a1), Pamela Rhubart-Berg (a1), Shawn McKenzie (a1), Kristin Kelling (a2) and Robert S Lawrence (a1)...

The high level of meat and saturated fat consumption in the USA and other high-income countries exceeds nutritional needs and contributes to high rates of chronic diseases such as cardiovascular disease, diabetes mellitus and some cancers. Affluent citizens in middle- and low-income countries are adopting similar high-meat diets and experiencing increased rates of these same chronic diseases. The industrial agricultural system, now the predominant form of agriculture in the USA and increasingly world-wide, has consequences for public health owing to its extensive use of fertilisers and pesticides, unsustainable use of resources and environmental pollution. In industrial animal production there are public health concerns surrounding feed formulations that include animal tissues, arsenic and antibiotics as well as occupational health risks and risks for nearby communities. It is of paramount importance for public health professionals to become aware of and involved in how our food is produced.

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1Kendall HW, Arrow KJ, Borlaug NE, Ehrlich PR, Lederberg J, Vargas JI, et al. Meeting the Challenges of Population, Environment, and Resources: The Cost of Inaction, Washington, DC: World Bank, 1996.
2Smil V. Food production. In: Caballero B, Popkin BM, eds. The Nutrition Transition: Diet and Disease in the Developing World, New York, NY: 1st ed. San Diego, CA: Academic Press, 2002; 2550.
3Myers N, Kent J. New consumers: the influence of affluence on the environment. Proceedings of the National Academy of Sciences of the USA 2003; 100(8): 4963–8.
4United Nations (UN). World Population to 2300. ST/ESA/ SER.A/236. New York, NY: UN, 2004.
5Pimentel D, Wilson A. World population, agriculture and malnutrition. WorldWatch 2004; (09/10): 22–5.
6Mann JI. Diet and risk of coronary heart disease and type 2 diabetes. Lancet. 2002; 360(9335): 783–9.
7Key TJ, Schatzkin A, Willett WC, Allen NE, Spencer EA, Travis RC. Diet, nutrition and the prevention of cancer. Public Health Nutrition. 2004; 7(1A): 187200.
8Hu FB, Willett WC. Optimal diets for prevention of coronary heart disease. Journal of the American Medical Association. 2002; 288(20): 2569–78.
9Chao A, Thun MJ, Connell CJ, McCullough ML, Jacobs EJ, Flanders WD, et al. . Meat consumption and risk of colorectal cancer. Journal of the American Medical Association. 2005; 293(2): 172–82.
10Van Horn L. Fiber, lipids, and coronary heart disease. A statement for healthcare professionals from the Nutrition Committee, American Heart Association. Circulation. 1997; 95(12): 2701–4.
11van Dam RM, Rimm EB, Willett WC, Stampfer MJ, Hu FB. Dietary patterns and risk for type 2 diabetes mellitus in US men. Annals of Internal Medicine. 2002; 136(3): 201–9.
12Fung TT, Schulze M, Manson JE, Willett WC, Hu FB. Dietary patterns, meat intake, and the risk of type 2 diabetes in women. Archives of Internal Medicine. 2004; 164(20): 2235–40.
13Speedy AW. Global production and consumption of animal source foods. Journal of Nutrition. 2003; 133(Suppl.): 4048S–53S.
14McMichael A. Planetary Overload: Global Environmental Change and the Health of the Human Species. Cambridge: Cambridge University Press, 1993.
15Frazao E. High costs of poor eating patterns in the United States. In: Frazao E, ed. America's Eating Habits: Changes and Consequences. Agriculture Information Bulletin No. 750. Washington, DC: Economic Research Service, US Department of Agriculture, 1999; 532.
16Schroder H, Marrugat J, Vila J, Covas MI, Elosua R. Adherence to the traditional Mediterranean diet is inversely associated with body mass index and obesity in a Spanish population. Journal of Nutrition. 2004; 134(12): 3355–61.
17 Produce for Better Health Foundation. State of the Plate Research Report 2002. Wilmington, DE: Produce for Better Health Foundation, 2002.
18Liu S, Willett WC, Manson JE, Hu FB, Rosner B, Colditz G. Relation between changes in intakes of dietary fiber and grain products and changes in weight and development of obesity among middle-aged women. American Journal of Clinical Nutrition. 2003; 78(5): 920–7.
19Panagiotakos DB, Pitsavos C, Chrysohoou C, Stefanadis C, Toutouzas P. Primary prevention of acute coronary events through the adoption of a Mediterranean-style diet. Eastern Mediterranean Health Journal. 2002; 8(4–5): 593602.
20Davis MS, Miller CK, Mitchell DC. More favorable dietary patterns are associated with lower glycemic load in older adults. Journal of the American Dietetic Association. 2004; 104(12): 1828–35.
21Hu FB, Willett WC. Optimal diets for prevention of coronary heart disease. Journal of the American Medical Association. 2002; 288(20): 2569–78.
22Bender A. Meat and Meat Products in Human Nutrition in the Developing World. Food and Nutrition paper No. 53. Rome: Food and Agriculture organization of the United Nations, 1992; 53.
23National Research Council. Dietary Reference Intakes for Energy, Carbohydrates, Fiber, Fat, Protein, and Amino Acids (Macronutrients). Washington, DC: National Academies Press, 2003.
24Popkin BM, Du S. Dynamics of the nutrition transition toward the animal foods sector in China and its implications: a worried perspective. Journal of Nutrition 2003; 133(Suppl. 2): 3898S–906S.
25American Dietetic Association. Vegetarian diets – position of the American Dietetic Association. Journal of the American Dietetic Association. 1997; 97: 1317–21.
26Singh PN, Sabate J, Fraser GE. Does low meat consumption increase life expectancy in humans? American Journal of Clinical Nutrition 2003; 78(Suppl. 3): 526S–32S.
27Kelemen LE, Kushi LH, Jacobs DR Jr, Cerhan JR. Associations of dietary protein with disease and mortality in a prospective study of postmenopausal women. American Journal of Epidemiology. 2005; 161(3): 239–49.
28US Department of Agriculture. USDA Agricultural Baseline Projections to 2014 [online], 2005. Baseline Report OCE-2005-1, 116 pp. Available at Accessed 17 March 2005.
29Beef Promotion and Research Board. Beef demand climbs nearly eight percent in 2004 [online], 2005. Available at Accessed 16 February 2005.
30Economic Research Service, US Department of Agriculture. Livestock, Dairy, and Poultry Outlook [online], 11 and 12 2004. Available at Accessed 27 April 2005.
31American Heart Association. An Eating Plan for Healthy Americans [online], 2005. Available at Accessed 5 January 2005.
32United Nations Food and Agriculture Organization. FAOSTAT Database [online], 2004. Available at Accessed 8 January 2004.
33Horrigan L, Lawrence RS, Walker P. How sustainable agriculture can address the environmental and human health harms of industrial agriculture. Environmental Health Perspectives. 2002; 110(5): 445–56.
34Caballero B, Popkin BM. The Nutrition Transition: Diet and Disease in the Developing World. San Diego, CA: Academic Press, 2002.
35World Health Organization (WHO). Diet, Nutrition, and the Prevention of Chronic Disease. WHO Technical Report Series No. 913. Geneva: WHO, 2003.
36Kitalyi AJ. Village Chicken Production Systems in Rural Africa: Household Food Security and Gender Issues. Rome: Food and Agricultural Organization of the United Nations, 1998.
37Pimentel D, Berger B, Filiberto D, Newton M, Wolfe B, Karabinakis E, et al. Water resources: agricultural and environmental issues. BioScience. 2004; 54(10): 909–18.
38Aron JL, Patz J. Ecosystem Change and Public Health: A Global Perspective. Baltimore, MD: Johns Hopkins University Press, 2001.
39Stockholm International Water Institute (SIWI) and International Water Management Institute. Water – More Nutrition per Drop. Towards Sustainable Food Production and Consumption Patterns in a Rapidly Changing World. Stockholm: SIWI, 2004.
40Cook M. Reducing water pollution from animal feeding operations. Testimony before Subcommittee on Forestry, Resource Conservation, and Research of the Committee on Agriculture, US House of Representatives, 13 05 1998. Available at Accessed 17 March 2005.
41Food and Nutrition Board, Institute of Medicine. Dioxins and Dioxin-like Compounds in the Food Supply: Strategies to Decrease Exposure. Washington, DC: Nationaly Academies Press 2003.
42Brown LR. Who Will Feed China? Wake-up Call for a Small Planet, 1st ed. New York: WW Norton, 1995.
43Brown LR. Running on empty. Forum for Applied Research and Public Policy. 2001; 16(1): 68.
44Black KD. Environmental Impacts of Aquaculture. Sheffield: Sheffield Academic, 2001.
45Gewin V. Troubled waters: the future of global fisheries. PLoS Biology 2004; 2(4): E113 Available at http://biology.–7885.
46Clarkson TW, Strain JJ. Nutritional factors may modify the toxic action of methyl mercury in fish-eating populations. Journal of Nutrition 2003; 133(Suppl. 1): 1539S–43S.
47Stokstad E. Salmon survey stokes debate about farmed fish. Science. 2004; 303(5655): 154–5.
48US Environmental Protection Agency. Regulatory Definitions of Large CAFOs, Medium CAFOs, and Small CAFOs [online], 2004. Available at Accessed 8 January 2005.
49Osterberg D, Wallinga D. Addressing externalities from swine production to reduce public health and environmental impacts. American Journal of Public Health. 2004; 94(10): 1703–8.
50American Public Health Association. Resolution 2003–7, Precautionary Moratorium on New Concentrated Animal Feed Operations [online], 2004. Available at Accessed 25 October 2004.
51Fleming R, Ford M. Humans versus Animals – Comparison of Waste Properties [online], 2004. Available at Accessed 14 December 2004.
52Wing S, Wolf S. Intensive livestock operations, health, and quality of life among eastern North Carolina residents. Environmental Health Perspectives. 2000; 108(3): 233–8.
53Hamscher G, Pawelzick HT, Sczesny S, Nau H, Hartung J. Antibiotics in dust originating from a pig-fattening farm: a new source of health hazard for farmers? Environmental Health Perspectives. 2003; 111(13): 1590–4.
54Wing S, Freedman S, Band L. The potential impact of flooding on confined animal feeding operations in eastern North Carolina. Environmental Health Perspectives. 2002; 110(4): 387–91.
55Arai Y, Lanzirotti A, Sutton S, Davis JA, Sparks DL. Arsenic speciation and reactivity in poultry litter. Environmental Science & Technology. 2003; 37(18): 4083–90.
56Lasky T, Sun W, Kadry A, Hoffman MK. Mean total arsenic concentrations in chicken 1989–2000 and estimated exposures for consumers of chicken. Environmental Health Perspectives. 2004; 112(1): 1821.
57Silbergeld EK. Arsenic in food. Environmental Health Perspectives. 2004; 112(6): A338–9.
58Flora JL, Hodne CJ, Goudy W, Osterberg D, Kliebenstein J, Thu KM, et al. Social and community impacts. In: Iowa State University and University of Iowa Study Group, ed. Iowa Concentrated Animal Feeding Operations Air Quality Study. Iowa City Ames, IA: Iowa State University The University of Iowa Study Group, 2002; 147–63.
59Mellon M, Benbrook C, Benbrook KL. Hogging It: Estimates of Antimicrobial Abuse in Livestock, 1st ed. Cambridge, MA: Union of Concerned Scientists, 2001.
60Chee-Sanford JC, Aminov RI, Krapac IJ, Garrigues-Jeanjean N, Mackie RI. Occurrence and diversity of tetracycline resistance genes in lagoons and groundwater underlying two swine production facilities. Applied and Environmental Microbiology. 2001; 67(4): 1494–502.
61World Health Organization (WHO). Antibiotic use in food-producing animals must be curtailed to prevent increased resistance in humans. Press Release WHO/73. Geneva: WHO, 1997.
62American Public Health Association. Resolution 2004–13, Helping Preserve Antibiotic Effectiveness by Stimulating Demand for Meats Produced Without Excessive Antibiotics [online], 2004. Available at Accessed 6 January 2005.
63American Academy of Microbiology. Antimicrobial Resistance: An Ecological Perspective. Washington, DC: American Academy of Microbiology, 1999; 114.
64Schiffman SS, Bennett JL, Raymer JH. Quantification of odors and odorants from swine operations in North Carolina. Agricultural and Forest Meteorology. 2001; 108: 213–40.
65Chapin A, Rule A, Gibson K, Buckley T, Schwab K. Airborne multidrug-resistant bacteria isolated from a concentrated swine feeding operation. Environmental Health Perspectives. 2005; 113(2): 137–42.
66Cole D, Todd L, Wing S. Concentrated swine feeding operations and public health: a review of occupational and community health effects. Environmental Health Perspectives. 2000; 108(8): 685–99.
67Merchant JA, Naleway AL, Svendsen ER, Kelly KM, Burmeister LF, Stromquist AM, et al. . Asthma and farm exposures in a cohort of rural Iowa children. Environmental Health Perspectives. 2005; 113(3): 350–6.
68Striffler S. Inside a poultry processing plant: an ethnographic portrait. Labor History. 2002; 43(3): 305–13.
69Green JJ, Barham E. Globalization and Latino Labor: Labor Advocates' Accounts of Meatpacking in Rural Missouri. Latinos in Missouri Occasional Paper series, No. 1. Columbia, Mo: University of Missouri, Department of Rural Sociology, 2002; 114.
70Stull DD, Broadway MJ. Slaughterhouse Blues: The Meat and Poultry Industry in North America. Belmont, CA: Thomson/Wadsworth, 2004.
71Thu K, Donham K, Ziegenhorn R, Reynolds S, Thorne P, Subramanian P, et al. A control study of the physical and mental health of residents living near a large-scale swine operation. Journal of Agricultural Safety and Health. 1997; 3(1): 1326.
72Branfman F. Living in shimmering disequilibrium [online], 2000. Available at Accessed 17 March 2005.
73Food and Agriculture Organization of the United Nations (FAO). Rome Declaration on Food Security. World Food Summit, 13–16 November 1996. Rome: FAO, 1997.
74US Department of Health and Human Services, US Department of Agriculture. Dietary Guidelines for Americans 2005 [online], 2005. Available at Accessed 12 February 2005.
75Berry W. Sex, Economy, Freedom & Community: Eight Essays, 1st ed. New York: Pantheon Books, 1993.
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Public Health Nutrition
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