Eating Dirt and Staying Healthy

Last summer I spent a week in the hospital after developing a severe staph infection on my lower belly. I drove myself to the emergency room one Sunday evening after having reached the conclusion there was something seriously wrong – this wasn’t just a heat rash. The doctor’s reaction on examining me was (“Holey Moley!!”).

Perhaps I have a sensitivity to staph. I’ve had three staph infections in my life (although this was by far the worse), but I don’t have much sensitivity to anything else infectious – or autoimmune either.

I had asthma as child but outgrew it. For about five years I had something cold-like every fall when the weather first turned cold – but that’s been over 20 years ago. I had the flu when I was 18 and a strep throat when I was 26. Aside from these events I don’t catch diseases. Oh, there have been days when I snuffled a bit or had an upset stomach and may have been fighting off an infection, but it was always gone in a day.

I’m not alone. My parents seldom get colds, don’t have allergies, and aside from the inevitable effects of aging are hale and hearty. Same with my siblings. Sure, you can argue good genes, but I’ve long had another theory about this, one I was reminded of by an article published by Jane E. Brody in the New York Times: “Babies Know: A Little Dirt is Good for You.”

My parents grew up in the 20s and 30s before our culture became terrified of germs while my siblings and I grew up on a farm eating food and drinking water that wasn’t perfectly clean. As children we were all exposed to a broad spectrum of bacteria at low levels and our bodies simply developed the ability to kill the unfriendly ones. Our immune systems were regularly exercised and, as a result, became strong and discriminating.

We’ve seen a huge increase in allergies here in the West and there’s evidence this may be a result of immune systems that “panic.” They have not learned to distinguish between organisms and chemicals that threaten the body and those that don’t. Consequently anytime these immune systems see something odd they attack – even if it’s you they’re attacking.

In another couple of examples, some current research points to potential links between celiac disease and lactose intolerance and the lack of microorganisms in the gut that can break down gluten and lactose. A decrease in breast-feeding may well contribute to this. The placenta isn’t a perfect filter, but it’s pretty good. So breast feeding not only passes on the mother’s existing antibodies to her children, but also passes on some useful bacteria. Ultra-sterilized infant formula doesn’t.

We have become a germophobic nation. The supermarket hands out wipes to disinfect buggies, we buy anti-bacterial soap for our kitchens and bathrooms, we expect our doctors to give us antibiotics whenever we get a runny nose or our child has an earache, we shoot our industrially raised cattle and chickens with drugs to prevent illness – not cure it.

This is silly. We live in – and surround – a sea of bacteria. In fact, aside from physically breaking down the food you eat by chewing and the application of some acids and enzymes, you do relatively little to digest your food. Instead a host of microorganisms living in your gut extract and then excrete the nutrients that keep you alive. If your intestine ruptures many of these bacteria can quickly kill you, but in their place they’re not only harmless but positively beneficial.

Besides, anti-bacterial soaps don’t work any better than ordinary soap, but they do enable bacteria to evolve their own immunity to the anti-bacterial agents. Our over-reliance on drugs whenever we don’t feel well combined with the additional drugs we get in every bite of chicken or drink of milk we eat is breeding a new group of super bugs – and making us less able to defend ourselves.

I don’t really advocate eating dirt, although eating a bit is unlikely to kill you. Washing your hands regularly – but not obsessively – is wise. And washing fruits and vegetables is a good idea, but the most effective way is to disinfect them is by briefly soaking in a vinegar solution. And the next time you feel bad, instead of going to the doctor, just take the day off and relax. Give your immune system a chance to do it’s job – and get a little exercise.

Milk: The Raw Deal

A few days ago I received an offer to purchase unpasteurized milk for my pets from a local organic farm. For $103 I’d receive a gallon of raw milk once a week for 12 weeks. I’ll save you the trouble of doing the math: that’s $8.58 a gallon. I’m really fond of my cat, but not $8.58-a-week fond. Which is why I’m pretty sure this offer is an end-run around Tennessee’s laws preventing the sale of raw milk for human consumption.

It’s still very much on the fringes, but there’s a growing movement in this country promoting the health benefits of raw milk. But a little history first.

When our country was largely rural, raw milk was a common beverage, often produced by your own cows, but sometimes purchased from a neighbor. There were no mortality and morbidity survey from public health departments or the Center for Disease Control to track illness from raw milk but it’s certain no one thought twice about drinking it. Both of my parents, who were born in 1920, regularly drank raw milk as children.

But as our society became more urban, providing truly fresh raw milk became more and more difficult. Transportation was slow and there was no effective refrigeration. Perhaps worse, because the milk producers weren’t the friends and neighbors of the people buying the milk they were less inclined to be scrupulous about the quality. And even for well-intentioned milk producers, the inability to easily test for contaminants like campylobactor, salmonella, and e-Coli meant problems could arise. And, given all these factors, they did.

Food poisoning from raw milk sky-rocketed in the first half of the 20th century. In 1938 25 percent of all cases of food poisoning were associated with dairy products. In 1924 the federal Public Health Service began mandating pasteurization for milk sold across state lines. With the passage of this ordinance (and subsequent legislation in most states) incidents of poisoning dropped dramatically (although they still haven’t disappeared, as we’ll see) and the program was deemed a complete success.

Jump ahead to today. Transportation is an order (or two) of magnitude faster and everything is refrigerated. Testing for bacterial contamination is easy, cheap, and highly effective. And these days, even living in a metropolis such as New York City, you can know and learn to trust a milk producer if you take the trouble to do so.

Still federal and state governments remain strongly antagonistic to raw milk sales (22 states absolutely prohibit it and where it’s permitted sales are discouraged in various ways) and they are quick to point fingers at raw milk as a source of food poisoning. In 2008 three cases of campylobacter poisoning were blamed on raw milk from Hendricks Farms near Franconia, Pa. A single sample of the milk did turn up the bacteria – at the purchaser’s home. Additionally, two of those sickened had just returned from travels abroad. No other samples tested positive and thorough testing at the dairy failed to find the bacteria. I happen to have a friend (a professional chef) who works at that dairy and he tells me the food processing areas are as clean or cleaner than any restaurant where he’s worked.

In 2004 FDA Consumer published an article warning against drinking raw milk. Ironically, that same year 38 cases of salmonella poisoning in several states were traced to pasteurized milk but FDA Consumer didn’t publish a subsequent article warning of the dangers of pasteurized milk.

Raw milk advocates argue that raw milk is healthier and tastes better than pasteurized milk because the pasteurization process kills helpful bacteria (probiotics) as well as harmful bacteria and that the process also destroys helpful enzymes. True or not, there are people who want to drink raw milk. Presumably they’re aware of the risks – it takes some research to even find a source. And clearly pasteurized milk presents a risk as well.

Raw milk does taste better, but not so much so that I’m willing to pay $8.58 a gallon for it. But it’s ridiculous that in order to sell raw milk here in Tennessee, the farm near me has to emphasize that it’s for pets, not humans. As I said, I’m fond of my cat, as most people are of their pets, and if I thought raw milk was unsafe for me I certainly wouldn’t feed it to my cat. But at that price neither of us are going to be drinking it.

Efficiencies of Scale

“Nationwide panic from a 50-acre field.”
This was a recent headline on a blog named The Ethicurean that I regularly read and, although hyperbolic (I’m not sure “panic,” is the most accurate term), the headline nevertheless makes its point. What isn’t hyperbole is that a single 50-acre field resulted in deaths and illnesses in 26 states.
Think about that for a moment while you look at this map of validated outbreaks of e-coli related illnesses spread by the spinach grown on the field in question.
Now imagine 50 acres — an area not quite a mile in circumference. An area most of us could walk all the way around in about an hour — I know that because I grew up on a 43-acre farm. It is a tiny piece of land (unless you’re digging post holes) and yet it affected people in over 50 percent of the American landscape. How does this happen?
I read the just-published, 50-page report produced by the California Food Emergency Response Team under the aegis of the California Department of Health Services and the U.S. Food and Drug Administration. Assuming the report is accurate, and I have no reason to think otherwise, it appears that the packer has good to excellent procedures in place for sanitation and for identifying and correcting most potential problems in the greens it processes.
Ah! Must be the grower’s fault.
Well, no. Cattle were fenced out, although wild animals (including pigs) had access, but this isn’t generally a problem. After all, most crops are exposed to wild animals unless they’re grown in a green house. And it turns out the cattle in the immediate area were actually feeding on pasture, not confined to the cesspools called feedlots (a problem I suspected was the root cause when I wrote The GAPs Gap). The grower was seeking “organic” certification and so chicken manure was used for fertilizer instead of petroleum-based products, but it was properly sterilized.
In short, everyone from the packager down through the grower, to the company producing the grower’s fertilizer, appears to have done as good a job as one could hope for when humans are involved. There are some elements that need to be addressed. For instance, the packager only samples for bacterial contamination once a month, and daily would have been better. But the reality is you can’t sample every leaf.

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