I believe the template for the diseases that confound us now at epidemic proportions had their origins in the early Neolithic period, when we appeared to consciously plant and harvest seed grains. The evolution of this concept we call agriculture now, that culminated in the processed food industry today, I have given interpretation of in my posts on coronary heart disease. We identify these as over-weight, obesity(OWOBS), diabetes, atheromatous vascular disease(CHD), hypertension and with increasing evidence many cancers like breast, bowel, prostate and most likely Alzhiemers Disease..
The world is slowly and too often reluctantly accommodating, to the reality that saturated fat and cholesterol does not kill you. Or is it the doubt, that official health bodies and government agencies could be so wrong for so long? Its the syndrome that arises when brain washing is intense enough, often enough, official enough, that even if you have doubts, you are reluctant to experience the sensation of opposition in any aspect of your life. All political colours use it, business, commerce, finance, advertising.Yes, it was a massive ‘con’ and inflicted massively, more morbidity and mortality than believing in WOMDS in Iraq.It was the best example I am aware of, where too many who had not graduated in medicine, persistently pursued positions of power and self interest, with no regard or expertise to recognise the consequences. I refer to it as the ‘Dumbing Down of Medicine’, that arose from faulty concepts that emenated from the commercial and financial hierachy and corporatisation. Its a ‘dud’ in medicine well observed, measured, analysed and concluded, but the politicians are still stooges of ‘big business’ and the public are exposed to another type of ‘doctor’, the spin doctor. They chose the name not medicine.
Tabacco smoking has a much larger morbidity and mortality load, with the consequences of respiratory and cardiovascular disease, than with the cancer it specifically causes in the lung. But it was the fear of contracting cancer that largely drove the ‘Anti-smoking’ campaign in the affluent world. Will that have the same impact in populations with shorter life expectancy in the non-affluent world, where smoking promotion amongst children is extensive?I believe medicine has a moral and professional obligation always to act in the known interests of the patient, not the state, because the later is influenced by lobbyists, and pressure groups, self interests, psuedo-democracy, not knowledge or expertise.This applies to many areas in our society.
Governments, health agencies, official health bodies have committed to preventing and treating OWOB in the affluent world. As a disease and cardiac professional, to eliminate OWOB is very desirable, as OWOB is an important risk factor for diabetes and lastly CHD, the latter the leading cause of death on the planet. Very few patients die due purely to OWOB, its the complications of OWOB. That is the case with diabetes also. There are unpleasant complications of diabetes, end stage renal failure, blindness, amputations, but 80-90 % of diabetic deaths are due to CHD. Will the public see this campaign as a ‘fashion type statement’ from the Government?They have been ‘mislead’, ‘lied’ to over the consumption of saturated fat and cholesterol, why should they believe the dogma of this program?Many in medicine would say that the Lipid Hypothesis effected a bias to CHO consumption, then diabetes and OWOB exploded. The processed food industry contributed hugely to that.
The cracks and confusion have emerged from the begining. There is no unanimity on how reduction of OWOB is to be effected! Weight reduction has been poorly researched by medicine or effected and I believe as a cardiologist, it has contributed to the epidemic of CHD and diabetes. And yet perfectly rational succesful medical studies 5-6 decades ago, gaining text book status, were ignored by the ignorant. The Lipid Hypothesis eliminating fat from the diet, lead to an increased consumption of CHO and sugar. Corn syrup with fructose was introduced to the processed food and beverage market in the 1980’s ,who needed no encouragement to flood the food market with products laden with CHO’s.Its a ‘free world’, whats wrong with that?No one was ‘poisoned’. No the consequences of the poisoning are silent for too long, before the illness presents clinically, extensively and expensively.The war on OWOB will be long and bloody(Lab) and I am unaware what will be acceptable as an end result. I do know in cardiology we can change the CVD risk status of the patient, their morbidity and mortality and that is not soley reliant on OWOB reduction. Actually I can remember not that long ago, when medicine and cardiology was not totally convinced that OWOB was a risk factor for CHD. It was a risk factor for diabetes but OWOB patients did not automatically become diabetic. They may have been insulin resistant, experiencing a chronic inflammatory state which is a recent finding, a prediabetic situation.
The Lipid Hypothesis and the explosive consumption of CHO’s are two deadly examples of where increasingly in the affluent world, too many without the expertise, are affecting our survival and existence with their ignorance. It has been operating in medicine too long and survives under the guise of ‘democracy’ and ‘public interest’, when it does neither. Its known in the industry as the “Dumbing down of Medicine’. It operates where ever expertise is needed, education, science etc., You are told authoritatively you are living longer. What does that mean?
I have suggested else-where, that screening for CHD in women from their teenage years, has the potential to be more effective than pursuing OWOBs, because it is a program to help prevent premature death and functional disability in the woman and that of her future progeny, by creating a satisfactory epigenetic enviroment.I believe now medicine and cardiology can change the CHD risk status of the woman as a patient and that of future progeny, without the cocophony of advice ‘noise’, from so called ‘experts’ or anyone who allowed food to enter their mouth.
Improving the status of women and their progeny for avoiding CHD and diabetes is going to have a massive medical and personal impact on women and the population at large.It will eliminate, modify, the contribution of the Pharmaceutial industry in this area and be very cost effective for the insurers, Governments and patients. Remember I have stated previous, these diseases are self inflicted, food born illnesses, where you don’t need to wash your hands!
Dr.Lindsay.A.Green FRACP. FCSANZ.