I read all 288 pages @food_strategy, and this is what I learnt

🧵 THREAD

1/

TL;DR - our food system needs multi-level intervention to improve our health, healthcare systems, biodiversity and climate emergency

14 recommendations and the govt has 6 mths to respond.
2/

Deforestation, climate change and overfishing is all linked...to food production.

Food production contributes to 33% and 20% of UK of global greenhouse gas emissions.

(air travel = 3.5% global emissions)

There is a huge biomass of farm animals for food production.
3/

Diet has huge implications for human health.

In 1980, on average, 57% of a household’s grocery budget was spent on ingredients for home-cooked food.

By 2000, this had fallen to 35%, while the share of processed foods which required little preparation rose from 26% to 45%.
4/

The food system is really complex - a truly 'wicked' problem and needs multi-system change.
5/

Unhealthy foods cheaper, and marketed more.

Limited evidence that you can outrun a bad diet

➡️ Sitting more does not necessary mean less calories burnt - may be used in other places, e.g. immunity

➡️ As conscious exercise ⬆️, we may unconsciously move less rest of the day
6/

Junk food cycle:

Our willpower has not changed in 50 yrs
Our appetite craves calorie dense food
Food companies create these unhealthy foods - that are inherently addictive
These foods stimulates our appetite...

@DoctorChrisVT @ProfBatterhamMD : bbc.co.uk/iplayer/episod…
7/

The 'ultra-processed food' classification is not recognised by food companies at the moment:

cambridge.org/core/journals/…
8/

Eating vegetables has a much lower carbon footprint.

BUT this could have huge implications for our farmers who make massive sacrifices already with very thin or no profit margins.
9/

However mandatory meat taxation may not be the best way to make this change overall

Other ways

➡️ Cattle that produce less methane
➡️ Lab grown meat, or soy or yeast protein
➡️ Challenging government institutions, e.g. school cc @jamieoliver
10/

The report suggests a change in farming from intensive farm to 'regenerative' or mixed 3-compartment model for farming.

But again could have implications for farmers and their yields.
11/

Where is most of the food waste after it has left the farm?

In our houses!
12/

Changing climates could worsen crop yields in the Southern Hemisphere.

The pursuit for food security, risks greater environmental harm which risk further food security.

Higher demand risks climate change, and demand for animal foods resulting in crop failures and migration
13/

Trade plays a role in the national environmental impact of food.

The UK has the highest food welfare standards in the world.
14/

14 recommendations for change from taxation, food company reporting, work in schools, the healthcare system and GPs, changes in farming practices and law.

These changes would cost £1.4 billion per year but have long term benefits of £126 billion.
15/

Lastly with headlines about GPs prescribing vegetables...

Based on a planned wider "Community EatWell Programme" based on @dc_greens

It would work via PCNs - GPs would refer to a link worker who would direct to community kitchens...

I think the £2 million is not enough.
16/

Does doctors prescribing fruit and vegetables work?

Well maybe from a systematic review - lots of different studies, inconsistent outcomes and studies at quite a high risk of bias.

academic.oup.com/advances/advan…

ENDS
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More from @DipeshGopal

21 Jul
🧵 THREAD on @TheBMA report on medical staffing in England which did not get much airtime last week:

bma.org.uk/advice-and-sup…

Whilst the numbers are increasing, we just don't have enough doctors, esp GPs. #NHS #medtwitter

Here's the evidence:

@sbattrawden
@ShaunLintern
2/

We have some the lowest number of doctors per population in Europe. Image
3/

Whilst the number of hospital doctors is rising, the numbers of GPs has not despite record numbers of new trainees.

With more and more work being diverted to primary care without resourcing and funding, can we be surprised? Image
Read 18 tweets
2 May
1/

🧵 THREAD on critiquing lifestyle medicine from

article from @dnunan79 @dnblane @mgtmccartney just published in @BJGPjournal: bjgp.org/content/71/706…
2/

🗣️ "... we focus on the unintended consequences of uncritical endorsement and application of lifestyle medicine including the infiltration of pseudoscience, profiteering, and the potential for widening health inequalities by a continued focus on the ‘individual’."
3/

🗣️ "We have two main concerns here:

1⃣ the opportunity taken by some to link alternative medicine practices to lifestyle medicine

2⃣ the association of some ‘lifestyle medicine practitioners’ with commercial opportunities" Image
Read 11 tweets
21 Mar
🧵 THREAD on BIAS in MEDICINE #MedTwitter #FOAMed

1a/

BIAS:

➡️ is integral to how we see people/make diagnoses: can't be removed

➡️ affects research questions that get asked, who gets funded, what gets published and in which journal

@FutureHealthJ: rcpjournals.org/content/future…
1b/

Bias training:

➡️ increases bias awareness

➡️ doesn't decrease biases (no evidence base)

➡️ bias training ignores communication, provides no debiasing interventions, doesn't measure motivation

➡️ doesn't address structural problems

Read: ncbi.nlm.nih.gov/pmc/articles/P…
2/

Shoutout to the amazing team:

@UlaChetty

@patrickod9

@returnofcam

@jodieblackadder

And Prof @damienridge who shaped the manuscript.

Hundreds of papers, hours of lectures/books, many drafts to get here.

Thank you 🙏🏽
Read 26 tweets
20 Mar
🧵 on #COVID19 in Pregnancy / Breastfeeding

1/

Prof @thangaratinam:

Pregnant women at increased risk of severe COVID (ITU admission), thus earlier delivery

Risk factors: obesity, advancing maternal age, non-white ethnic origin #GlobalPregCov

🔗: bmj.com/content/372/bm…
2/

Animation here:

Read more about the research here: birmingham.ac.uk/research/who-c…

#GlobalPregCov
3/

Prof Paul Heath @StGeorgesUni

Efficacy in slide in general population:

Pfizer/Moderna/AstraZeneca/Gamaleya from clinical studies.

Novovax, Janssen, Sinovac, Bharat Biotech from press release.

#GlobalPregCov
Read 12 tweets
19 Mar
🧵 THREAD on "good men" #NotAllMen #MeToo

🗣️ What is the pass we give ourselves when we call ourselves "good men"?

Full video from @wayfarerstudios @justinbaldoni:

feat. @TonyPorterACTM @acalltomen @jameyjaz
🗣️ The language used to objectify women is problematic.

Full video from @wayfarerstudios @justinbaldoni:

featuring @TonyPorterACTM @acalltomen
🗣️ What should men do? (watch from 56 mins)

Listen
Believe women
Don't use assumptions
Interject in the locker/boardroom

Be intentional about educating boys/young men

Set an example

Look inwards

Full video from @wayfarerstudios @justinbaldoni:
Read 4 tweets
3 Mar
🧵

1/

THREAD on @BMJLeader study: bmjleader.bmj.com/content/early/…

➡️ Gender and racial CONFERENCE PANEL KEYNOTE SPEAKER representation at Royal College conferences 2015-2019

➡️ Publicly available data: 20 of the 70 conferences
2/

At 60% (n=12) of conferences in our sample, there
was a predominance of male speakers.

Median percentage of female speakers: 35 - 46%.

In 15% (n=3) of conferences, there were an equal number of male and female keynote speakers.

No #manels detected! 🤯 @medicalwomenuk
3/

At 20% (n=4) of conferences examined, none of the keynote speakers were from ethnic minorities.

Median % ethnic minority speakers 9 - 18%.
No increase from 2015 to 2019.

@crageshri @RammyaMathew @Dr2NisreenAlwan @DrRakN @DrJessPotter
Read 10 tweets

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