Codex Nutrition Committee Chooses MalnutritionScott C. Tips, Contributor The Codex Committee on Nutrition and Foods for Special Dietary Uses (CCNFSDU) just finished meeting all last week (December 3-7) in Bad Soden, a small German city near Frankfurt am Main. Nearly 300 delegates were in attendance, comprised of government functionaries and international non-governmental organizations (INGOs) representatives. So, for one week, the assembled delegates including the INGO delegation of the National Health Federation (NHF)[1] met, discussed, and debated a wide number of food and food-supplement issues, including the controversial draft Nutrient Reference Values (NRVs) for vitamins and minerals. Remember, the food guidelines and standards adopted by this Committee, and approved by the Codex Alimentarius Commission, are important because they are then used domestically by numerous countries worldwide and by virtually all countries in international food trade. Australia and its supporters had wrongly proposed that lower NRVs be adopted for certain important vitamins and minerals, including Vitamin C. For example, the Proposed Draft Additional or Revised NRVs for Labelling Purposes in the Codex Guidelines on Nutrition Labelling suggested reducing the Vitamin A NRV from 800 micrograms down to 550 micrograms, Vitamin C down from an already-abysmally-low 60 milligrams to 45 milligrams, Thiamin down from 1.4 milligrams to 1.2 milligrams, Niacin from 18 milligrams down to 15 milligrams, Magnesium down from 300 milligrams to 240 milligrams, and so forth.[3] Fortunately, thanks to NHF and its key supporters India and Iraq at the 2009 meeting, the Committee wisely chose not to move forward with any of those proposed NRVs and instead held the work back for further review and study. Three years have passed since we first stopped these NRVs from being adopted, and each year of non-adoption has been a victory for NHF, and for you. The Electronic Working Group Last year, the Committee created an electronic Working Group (eWG) chaired by ever-present Australia to look at the hard numbers for each of the vitamins and minerals under consideration. NHF was a member of that group along with twenty other delegations. Working through e-mails, the Australian-led eWG gradually prepared a report; and the NHF and other delegations submitted comments throughout 2012, to be included in that report. Unfortunately, the United States seemed to have had more of Australias ear than anyone else; and the eWG accordingly submitted to this years Committee a Final Report (over NHFs objections) that essentially split the vitamins and minerals into two groups: One that the eWG (read here, Australia and the United States) considered suitable for adoption; and a second group that was considered unsuitable and would need further work.[4] Strangely enough, this was exactly the approach pushed by the United States at the 2010 CCNFSDU meeting held in Santiago, Chile, but which NHF, the European Union, and others had opposed and defeated back then. Resurrected from its vampire grave just in time for this 2012 meeting, this plan found support with both Australia and the United States working hard to ensure that, this time, at least half of the dumbed-down nutrient values could be pushed forward towards adoption. The 2012 Meeting As planned, the Committee once again took up discussion of the appropriate NRVs for Codex to adopt, using the eWG Report as its starting point. Of course, the Committee covered other topics, such as draft guidelines on the addition of essential nutrients to foods and formulated supplementary foods for older infants and children. The latter was as hotly-debated a topic as the NRVs. The Chairwoman was once again Dr. Pia Noble, appointed by the German Health Ministry. Co-NHF delegate, Katherine Carroll, spent time during breaks speaking with Dr. Noble to advance NHF, but it is clear that Dr. Noble has little regard for the INGOs, who are just nuisances getting in the way of pushing her agenda forward. Not surprisingly, Dr. Noble is popular with some of the delegates because, as they put it, she moves things along. Well, moving things along like Fly Me To The Moon has become something of a theme song for this Codex Committee. Real nutritional science is trampled into the mud as the Committee rushes pell-mell to adopt guidelines and standards without considering the consequences of what it is doing. Unfortunately only a few delegates realize what is happening, the majority are content to drift along in concert with and at the direction of the few leaders. On the second day of the meeting, just before the lunch break, the Australian delegate, Janine Lewis, read through her eWG Final Report while we all listened. I knew what was coming because I had spoken with her before the meeting had started, asking her to, at the very least, withhold calcium from her suitable list of nutrients that she would advance for adoption.[5] When she asked and heard in response that I had only spoken with her and the U.S. delegate about that, her position visibly hardened and she told me simply, Lets see what the Committee does. It became obvious soon enough what the Committee would do, as I pushed the button on my microphone to speak when the meeting resumed after the lunch break. As in 2009, I was the second person to speak! This is highly unusual since the Codex procedure is to let all of the country delegations speak first, and only then allow the INGOs to speak. Being second meant that there were few who wanted to speak out on this issue. Barbara Schneeman, the U.S. delegate, had spoken immediately before me and said the U.S. liked these [NRV] figures and thus liked the idea of advancing the suitable nutrients[6] to the Commission for adoption. With that, my microphone illuminated red and it was my turn to speak. I told the Committee that, except for calcium (whose value had been increased while magnesiums had been decreased, the exact opposite of what should happen with these twin minerals), the Australian figures were all too low, that the NRVs were being reduced by anywhere from 15% to 25%, and questioned why Australia was always choosing the lowest values it could find, even lower than what the guidelines would call for. The safety of vitamins and minerals, I argued, was unparalleled, so that there could be no problem with having higher levels of these nutrients. Moreover, lowering the NRVs was inconsistent with Codexs announced goal of preventing malnutrition. The International Alliance of Dietary Food Supplements Associations (IADSA) and the International Dairy Federation (IDF) spoke up after NHF, both attacking the proposed values of a specific nutrient IADSA advocating a higher value for Biotin and IDF a lower value for Calcium (because the higher value would mean that milk could no longer be considered a rich source of calcium). The Council for Responsible Nutrition (CRN), to the confusion of many, simply said We would like to stress the scientific underpinnings of these numbers. Did that mean they supported the values, or opposed them? It sounded more like the former, but we could not tell. As expected, Australia responded in defense of the dumbed-down NRVs; and NHF then challenged those numbers yet again. But this time, the Malaysian, Iranian, and South African delegates spoke up one right after another in strong support of NHF and in favor of more sensible NRVs. It was heartening to hear these three women speak out for sensible nutrition based upon real science.[7] NHF and IADSA spoke up again, respectively opposing the adoption of any of these values and, in the case of IADSA, the Biotin value. The European Union (EU) delegate, Basil Mathioudakis, quite sensibly asked the Chairwoman what logic did it make to advance some and not all of the NRVs at the same time. Switzerland disagreed with the EU, but NHF spoke up in support of the EUs question and suggested that the so-called suitable NRVs be held back, or at the very least some of the more questionable ones such as Calcium and Vitamin K. IADSA, in turn, pointed out that the Committee was going against its own guidelines by not selecting the proper value, a higher value, for Biotin. But the Chairwoman, Pia Noble, was having none of that and insisted that these suitable NRVs were going forward despite the substantial opposition. In a last-ditch effort, I asked the Chairwoman to at least move the Vitamin K, Biotin, and Calcium from the suitable Table to the unsuitable category. Not only was the answer no, but Dr. Noble decided that since opposition might grow against these so-called suitable NRVs, then they should be advanced along the path of adoption as quickly as possible. So, she unilaterally undertook to advance them along the 8-Step adoption process to Step 5/8, where they now hover on the edge of full adoption by the Commission itself next year. As an added insult, the following day, the Committee discussed another Agenda Item, that is, revisions to the Codex General Principles for the Addition of Essential Nutrients to Foods, which in small but important part dealt with the question of whether Codex should or could state that nutrients can prevent or reduce the risk of disease. Amazingly enough, many delegations spoke out against such language. Only the U.S. delegation and two INGOs (NHF and GAIN) defended this statement. Post-Script The Troika of Pia Noble, Janine Lewis, and Barbara Schneeman succeeded in finally pushing forward eleven of the nineteen vitamins and minerals further along the road to adoption. At the Codex Alimentarius Commission meeting next July there will be a further push to adopt these eleven vitamins and minerals and set their low (except for Calcium) values in stone. Barbara Schneeman, the U.S. delegate, will not be there as her retirement was announced at the CCNFSDU meeting. Fortunately, there is still an opportunity to derail this effort to steam-roller consumers into ill-health and NHF intends to make the most of it. In addition, the Chairwoman reauthorized the eWG to continue its work on the unsuitable nutrient values and the NHF is taking an active part in that working groups activities. The eWG will report back to the CCNFSDU when it meets again next Fall in Germany. Legacy Barbara Schneemans legacy at Codex has been an unfortunate one of pushing big corporate interests while thumbing her nose at consumers. Whether it was her obstinate opposition to adopting a guideline for labeling GMO foods (at the Codex Committee on Food Labelling) or her questionable support for dumbing-down NRVs (at CCNFSDU), she has unfortunately been too often on the wrong side of the issues. Perhaps, in the interests of better health for consumers worldwide, her retirement from Codex could have happened a few years earlier. While this might sound uncharitable, inflicting ill-health upon billions of humans is far less charitable still. Final Thoughts The Troika has cleverly pushed forward some of the nutrient NRVs in the hope that the others must inevitably follow along. Whatever their agenda might truly be, the sad fact is that consumer health will suffer from their thoughtless and stercoraceous actions. The problem facing consumers is not vitamin-and-mineral toxicity, it is widespread deficiencies of those nutrients. Too many Codex delegates are stuck in the mindset that human populations only need bare subsistence nutrition; that is, that nutrition that merely keeps them breathing and their feet moving one step at a time. The concept that there is a greater level of nutrition of optimal nutrition is as foreign to them as space flight would be to Stone Age people. They fail to comprehend that nutrients at proper levels can actually enable individuals to function at more proficient levels and without those diseases that afflict sub-optimally fed populations. The disservice done to Humanity by those too lazy to think and then act is so profound as to be disheartening to many others. Many among us question the motivations of those who want to only push a guideline or standard forward to final adoption simply to get it done and out of the way. Is their thinking really as shallow as that? Maybe we better hope it is, as that is an easier mindset to deal with than one of active malevolence. [1] The National Health Federation delegation consisted of Scott Tips and Katherine A. Carroll. The NHF-Germany Executive Director, Petra Weiss, took ill and could not attend this year. Attorney Jeannine Stewart and others helped Scott Tips draft the NHFs submission paper arguing for higher levels of NRVs. This NHF paper was published by the German Codex Secretariat as Conference Room Document 13 (CRD 13) and made available to all of the CCNFSDU delegates at the meeting and can be found on-line atwww.thenhf.com/codex/. All photographs in this article were taken by Katherine Carroll. [2] Not to be confused with Maximum Upper Permitted Limits, NRVs are nothing more than souped-up RDAs. These are numerical values assigned to specified nutrients that will supposedly cover 98% of the populations nutritional needs for that nutrient. By referring to the NRV for a vitamin or mineral, the consumer is supposed to know whether he or she is getting an adequate intake of that nutrient, even if, as in the case of Vitamin C, 100% of the NRV is defined as 45 milligrams! These values are claimed to be set according to rigorous scientific evidence; but, in reality, science at Codex levels is often nothing more than a flimsy set of assumptions and erroneous conclusions cobbled together to justify keeping consumers safe from dangerous vitamins and minerals. [3] The proposed Codex NRVs are: Vitamin A (dropped from 800 mcg to 550 mcg); Vitamin D (5 mcg or 200 IUs); Vitamin E (8.8 mg); Vitamin K (60 mcg); Vitamin C (dropped from 60 mg to 45 mg); Thiamin (dropped from 1.4 to 1.2 mg); Riboflavin (dropped from 1.6 mg to 1.2 mg); Niacin (dropped from 18 mg to 15 mg); Vitamin B6 (dropped from 2 mg to 1.3 mg); Folate (raised to 400 mcg); Vitamin B12 (2.4 mcg); Pantothenate (5 mg); Biotin (30 mcg); Calcium (raised from 800 mg to 1000 mg); Magnesium (dropped from 300 mg to 240 mg); Iodine (150 mcg); Iron (14.3-43.1 mg depending upon bioavailability); Zinc (dropped from 15 mg to 3.6-11.9, depending upon bioavailability); Selenium (30 mcg); Phosphorus (700 mg); Chloride (2.3 grams); Copper (900 mcg); Fluoride (3.5 mg); Manganese (2.1 mg); Chromium (30 mcg); and Molybdenum (45 mcg). [4] See CCNFSDU document number CX/NFSDU 12/34/8. [5] NHF has been opposed to Australias desire to raise the Calcium NRV from 800 mg to 1000 mg for several reasons. First of all, it is infantile nutritional science to think that health can be improved by raising Calcium intake while simultaneously lowering Magnesium intake (here, from 300 mg to 240 mg!). Magnesium and Calcium are twin minerals and raising Calcium intake while lowering Magnesium intake is a certain recipe for disaster, as it invites the calcium to settle into the soft tissue like the skin and arteries and not go to where it properly belongs, in the bones and teeth. Secondly, by fixing the NRV for Calcium, the Committee has limited the range in which the Committee may now set the NRV for Magnesium. If the Committee is to follow sound nutritional science, then the Magnesium NRV cannot now be set any lower than 500 mg. That is a great distance from the measly 240 mg value that the Chairwoman and Australia would like to establish. [6] Vitamin K, Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenate, Biotin, Calcium, and Iodine. [7] These three strong-willed delegates are: Fatima Sulong (Malaysia), Atefeh Fooladi Moghaddam (Iran), and Andiswa Ngqaka (South Africa), who resisted the strong urgings of the Chairwoman to simply look the other way and advance the dumbed-down NRVs. The three women took an unpopular stand and are true heroines, and to be much commended for speaking out for health. RELATED ACTIVIST POST SERIES: Scott C. Tips is the President of the National Health Federation. You can read more of his work at his site here:http://www.thenhf.com/page.php?id=140 linkwithin_text=Related Articles: 