In a recent article for the
Sunday Business Post (14th Dec
2014), the science writer David Robert
Grimes advises us not to be taken in by simple answers to cancer. In
particular, he argues we should be highly sceptical of those who claim there’s
evidence a plant based diet cures patients from the disease. “Simplistic narratives may be alluring,” he
says, “but when we seek simple answers to complex conditions like cancer, we
run a serious risk of detrimental self-delusion.”
Grimes’ piece was
largely in response to a new book—Stop
Feeding Your Cancer—by Dr John Kelly, a Dublin based GP, who claims that the
consumption of animal protein exacerbates cancer. Kelly’s evidence, according
to a book
review that appeared in the Irish
Independent, was derived from the testimonies of over half a dozen cases—nothing,
to be sure, that resembles a clinical trial. Also in response, Grimes, rightly,
said that “a physician may attribute patient recovery to a special diet while
underestimating or ignoring the conventional medical treatment which is the
most likely cause of their recovery. To avoid this, large trials with adequate
controls and robust statistical analysis are required.”
He goes on to discuss
some of the flaws with T. Colin Campbell’s The China Study, the book that inspired Kelly to carry out his
research in the area. The conclusions drawn from the China Study, Grimes
argues, “are scientifically contentious, with commentators pointing out
instances of data cherry-picking and questionable statistical inference.” Whatever
the merits or otherwise of Cambell’s study, I’m not going to make any comments
on it here as I’m not over familiar with his work, nor the other scientists in
the field who have commented on it.
What I find
interesting, however, is that Grimes’ account, as we can see from the following,
leaves the impression that there isn’t much, if indeed any, evidence of a relationship
between animal protein and cancer: “It is a dramatic misunderstanding of the
limited evidence available to us to imply that ceasing to eat animal protein
will haul cancer, or whether there’s even a relationship between the two.” Adding
to this point, Grimes goes on to quote the Harvard School of Public Health: “There’s
no good evidence that eating a little protein or a lot of it influences cancer
risk.” Rather curiously, though, he omits the next line: “Eating a lot of red
meat is linked to an increased risk
of colon cancer, however, as is
eating processed meat.” [Emphasis added]. (You can read the full quote here).
Furthermore, a World Cancer Research Fund report claims “the
evidence that red meat is a cause of colorectal cancer is convincing.” In Britain both Cancer Research UK and the NHS agree with
these conclusions.
Grimes not only fails
to mention this important detail, he also doesn’t mention anything about other several
high-quality,
carefully controlled and prospective cohort studies that have frequently found
relationships between red meat and processed meat consumption and risks of breast cancer, colorectal cancer, and overall risk of death. The relationships in these studies, it
should also be noted, were independent of major dietary and lifestyle risk
factors. Moreover, another
major study, which was published in the Archives
of Internal Medicine in 2012, and included more than 121,000 subjects followed
for an average of 24 years, concluded that “[r]ed meat consumption is
associated with an increased risk of total, CVD, and cancer mortality.” The Harvard
Health Publications said that “[b]ecause this was the largest, longest
study to date on the connection between eating red meat and survival, the
findings are worth paying attention to.” One is tempted to say Grimes himself
is also guilty of cherry-picking the evidence to support his own sentiments.
Now, it’s important to note many of the recommendations
merely request people to limit red meat intake and avoid processed meats. Also
it would be stretching the evidence to say there is the same level of connection
with other kinds of meat and animal products—although admittedly there is some
limited evident to suggest this as well. Additionally, we can take nothing from
these studies to suggest that avoiding red meat or other forms of animal
protein will cure cancer patients. Nevertheless,
the association between meat consumption and cancer, taken as a whole, appears
to be more widely accepted within the scientific community than Grimes’ article
suggests.
Vegetarian and vegan campaigners, at the same time,
should not willingly entertain every study which says meat increases the risk
of cancer. And, moreover, merely wanting something to be true does not make it
true. Therefore I believe it’s important for campaigners not to uncritically champion studies which are highly contentious,
tentative, or are predicated on outdated pseudoscience. In short, bad science equates to
bad advocacy.
*****
However, I don’t think this is where the debate
should end. It’s all well and good to question and challenge those who perform or
refer to poor quality research, but then to ignore or downplay the more
fundamental issue—namely, the ethics of eating meat. Despite being happy to
recommend animal protein, not once in his article did Grimes consider any of
the ethical implications of consuming animal flesh. I don’t want to single him
out, as animal food products are part of the everyday public and media
discourse and are rarely questioned; it is generally assumed to be a relatively
benign practice.
Nevertheless, I did try and raise the issue with
Grimes on Twitter a couple of weeks ago: I suggested that our widespread
consumption of meat is a more fundamental ethical concern than someone recommending a vegan diet to cure cancer. He said there’s no comparison between the two, and for me to take my ideas elsewhere, as there's no debate on the issue. Clearly, in Grimes’ view, my question was
preposterous. Needless to say, the
discussion didn’t go far beyond this point. On reflection, I find it puzzling that
a scientist and sceptic could respond so dogmatically to a seemingly reasonable
question.
Non-human animals on intensive factory farms lead
truly horrible lives—they experience considerable pain, fear, boredom and
anxiety. The practice
is undeniably cruel. Suffering is thrust
upon sows that spend their entire lives in crates that are too small for them
to turn around. Hens are kept in sheds,
which become increasingly crowded as the birds grow, and are then transported
and killed in dreadful conditions. Dairy cows are regularly impregnated
(usually by artificial insemination) to produce milk and also are separated
from their young sometime after birth. And, of course, the moment of slaughter,
for all these animals, is likely to also include suffering. These practices will
exist as long as we continue buying animal products from the farms they are
produced on. In terms of the scale, the UN Food and Agriculture Organisation
(FAO) estimates that around 60 billion land animals are killed annually in food production—a large proportion of these come from intensive factory farms—and they calculate this figure
could rise to 120 billion by 2050.
You might say, in response, that animal suffering
is regrettable, and isn’t really that significant—certainly not as significant
or as bad as human suffering anyway. In contrast to the animals we use for food, humans
are psychologically more complex; they can reason, and have the ability to use
language. But why should any of these
qualities be worthy of moral consideration? The capacity to suffer, surely, is
a more morally relevant criterion. As Peter Singer put it:
“All the arguments to
prove man's superiority cannot shatter this hard fact: in suffering the animals
are our equals.” However, if we insist that more complex qualities is what is essential
for moral consideration, we will then have to concede that there wouldn’t be
any moral objection to inflicting harm, in the same way, on young children or
those with profound intellectual disabilities.
And even if animal suffering is completely
discounted from our moral concern, there are several other ethical problems
with eating meat. The FAO livestock
report in 2006 found that raising animals for food was responsible for 18 percent
of global greenhouse gas emissions—more than the emissions that come from the entire global transport sector each year. Another study
earlier this year found that the dietary green house gas emissions of the
average meat eater are almost twice that of the average vegan.
The use of antibiotics in animal agriculture is also
widespread: despite the fact the EU banned antibiotics for enhancing the growth
of animals around nine years ago, their use probably remains high; in the US, also, it’s
estimated that around 80 percent of the antibiotics
sold are used in 'livestock'. A consequence of this is our growing
immunity to antibiotics, and, according to a recent
report, the prospect of 300 million premature deaths by 2050. We also know of
other public health concerns surrounding animal agriculture:
mad cow disease eliminated the notion of beef production as a safe and healthy operation.
Finally, farm animals consume about one
third of global cereal production and 90 percent of soya meal. If we didn’t
have to feed animals on farms, the grains could be reserved for an additional
1.3 billion people—enough to feed everyone in the world. Just last week, George
Monbiot in
the Guardian said “[m]eat is bad news, in almost all circumstances.”
We ought to question
and challenge those who put forward simple answers to conditions like cancer,
no doubt. But when we compare it with the broader concerns of meat consumption,
it’s only the sideshow.
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