Salt in the American Diet (Part 2)

  • Health professionals often work to reduce their patients salt intake to reduce high blood pressure. Should the government get involved too? (Photo by James Gathany for the US CDC)

New research shows that Americans’ health
would benefit dramatically if we ate less
salt. But some people say it’s not the
salt in the saltshaker that’s the
problem. Julie Grant reports:

Transcript

New research shows that Americans health would benefit dramatically if we ate less salt. But some people say it’s not the salt in the saltshaker that’s the problem. Julie Grant reports:

Darryl Bosshardt comes from a salt family. His grandfather started mining salt on their farm in central Utah. When Bosshardt hears about a new study that shows 100-thousand American lives could be saved each year if everyone reduced their salt intake by just a half teaspoon – he cringes.
He says salt is being given a bad name.

“And the challenge is, how we define salt.”

Most of the salt today all looks the same – perfectly pour-able, uniform bright white grains. It’s pure sodium and chloride, but Bosshardt, whose family owns the Real Salt Company, says it’s not the same as naturally occurring sea salt.

“Sea water occurs with many trace minerals. Over 50 to 60 trace minerals. It doesn’t occur, the salt in sea water doesn’t occur, as pure sodium and chloride.”

Bosshardt says those trace minerals help the body to process sodium, but most salt today looks perfect because the trace minerals have been taken out. He says when our bodies lack the minerals needed to process sodium; it raises blood pressure, which can lead to heart problems.

There are some books by holistic doctors that make these kinds of claims,but there’s not much science to prove this.

Most doctors today say salt is salt; sodium chloride. Our bodies need it, but not as much as much as most Americans are eating.

Dr. Kirsten Bibbins-Domingo is a professor of medicine and epidemiology at the University of California in San Francisco. She’s lead author of that new study on salt – the one that finds Americans could reduce deaths from heart disease by 100-thousand just by slightly reducing salt consumption:

“I don’t think we’re saying salt is bad and one of these other types of salt would be good. I think the newer types of salt that are on the market might have a lower sodium content for the taste that they have and so that would certainly be potentially beneficial.”

But Bibbins-Domingo says most Americans only get 6-percent of their sodium from their own saltshakers. The rest comes from processed foods and restaurants. So buying expensive sea salts with those trace minerals isn’t going to make much difference to most people. She says the problem is that salt is ubiquitous – people don’t even realize they’re eating it:

“If you start out with a healthy bowl of cereal with some milk, you’ve already consumed quite a bit of salt right there. If you have that healthy turkey sandwich or tuna sandwich, you have a bit of salt right there. If you have the marinara sauce with the pasta, you have salt there. So you realize that there are so many different ways, without you choosing items that we might clearly associate with a high sodium content, that there are a lot of places that we’re all consuming salt.”

Bibbins-Domingo supports efforts like the one in New York City. There Mayor Michael Bloomburg is urging food manufacturers to reduce the salt in their foods by 25% over the next five years.

Mark Kurlansky thinks it’s a terrible idea. He wrote a book called “Salt.” When laws curb smoking – that’s one thing. But salt is something different:

“You have to deal with the fact that people like salt. There isn’t the moral imperative of cigarettes because there isn’t a problem of second hand salt. If you don’t want to eat salt and the guy at the next table wants to eat it, it’s not going to affect you. It becomes an issue of government messing around with individual choice.”

But most people don’t realize they’re making that choice – there’s just so much salt in all the foods they buy. Other countries, such Finland and England, have worked with food manufacturers to lower salt content. In the UK, they cut sodium in foods by 10-percent. And researchers say the public didn’t even notice. They’re still studying to see if it’s actually improved health.

For The Environment Report, I’m Julie Grant.

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Salt in the American Diet (Part 1)

  • Dr. Bibbins-Domingo says the health savings of reducing salt are comparable to cutting the number of smokers in half. (Photo by Paul Goyette)

If you read nutrition labels on food packages, you might be surprised by how much sodium there is in a lot of foods.
Some researchers say all that salt is causing a plethora of health problems – and they want the government to force food manufacturers to lower the salt content. Julie Grant reports.

Transcript

If you read nutrition labels on food packages, you might be surprised by how much sodium there is in a lot of foods.
Some researchers say all that salt is causing a plethora of health problems – and they want the government to force food manufacturers to lower the salt content. Julie Grant reports.

When Dr. Kirsten Bibbins-Domingo sees patients with high blood pressure, she advises them to cut back the on the salt.

She says they often return to the office – happy to announce that they’ve cut out fast food and processed snacks.

“AND THEN I ASK THEM TO TELL ME WHAT THEY’RE EATING AND I AM AWAYS BLOWN AWAY WHEN THEY COME BACK WITH THESE NICE HEALTHY VEGETABLE SOUPS THAT ARE CHOCKED FULL OF SALT. AND SO ALL THE THINGS THAT THEY DON’T REALIZE ARE HIGH IN SALT ARE ACTUALLY STILL THERE IN THEIR DIET.”

Bibbins Domingo is associate professor of medicine and epidemiology at the University of California in San Francisco. She’s also lead author of a recent study published in the New England Journal of Medicine.

Researchers at Stanford and Columbia University Medical Centers co-authored the study.

They did a computer simulation – to see what would happen if every American reduced their salt intake by a half teaspoon a day. That’s 3 grams.

“WHAT WE FOUND THAT IS IF WE WERE ABLE TO REDUCE SALT IN THE U-S DIET BY 3 GRAMS PER DAY, WE WOULD ANTICIPATE 100-THOUSAND FEWER DEATHS EACH YEAR, 100-THOUSAND FEWER HEART ATTACKS, AND MORE THAN 100-THOUSAND FEWER CASES OF NEW HEART DISEASE.”

Bibbins-Domingo says the health savings of reducing salt are comparable to cutting the number of smokers in half.

But not everybody puts that much stock in the new study.

Michael Alderman is a professor of medicine and epidemiology at the Albert Einstein College of Medicine. He says the government shouldn’t act so quickly based on this new study:

“WELL, IT’S INTERESTING THAT IT’S CALLED A STUDY, WHICH I THINK SORT OF SUGGESTS THAT THERE ARE REAL OUTCOMES AND REAL PEOPLE THAT WERE STUDIED. IN FACT, OF COURSE, WHAT IT IS A SIMULATION, A MATHEMATICAL MODELING.”

Alderman says there are lots of different findings when it comes to sodium consumption. And some show reducing salt intake could have actually have negative health effects:

“WE KNOW THAT REDUCING SODIUM INTAKE, BY AN AMOUNT SUFFICIENT TO REDUCE BLOOD PRESSURE, ALSO INCREASES SYMPATHETIC NERVE ACTIVITY, IT INCREASES RESISTANCE TO INSULIN…”

If we already ate low salt diets, the researchers in this latest salt study say those concerns might be valid. But Dr. Bibbins-Domingo says salt consumption in the U.S. is higher than is recommended, and it’s on the rise.

But she says there are high levels of salt in so many foods, it’s hard to avoid. Cereal. Bread. Lunch meat. Pasta Sauce.

And she says consumers can’t really reduce salt consumption without some changes by food manufacturers.

“RIGHT NOW THERE ARE NO CHOICES THAT ARE REALLY AVAILABLE THAT MIGHT BE LOWER IN SALT. I THINK THAT’S WHERE THE EFFORTS WITH THE FOOD MANUFACTURERS ARE ABOUT REALLY MAKING A RANGE OF CHOICES SO WE CAN EAT LOWER SALT, WHICH IS VIRTUALLY IMPOSSIBLE RIGHT NOW.”

Some governments are responding. New York City has already started urging food manufacturers and restaurant chains to lower the salt in their foods by 25-percent over the next five years. Bibbins-Domingo says California is considering salt limits in foods the state buys for schools, prisons and other public institutions.

She also wants the Food and Drug Administration to require food makers to alert consumers when foods are high in salt.

In the meantime, Bibbins-Domingo advises her patients to look at food labels – and really look at the sodium content – so they know what they’re getting.

For The Environment Report, I’m Julie Grant.

Related Links

Chlorine Carted Out of Canada

  • A Canadian chemical manufacturer shipped rail cars of toxic chlorine away from Vancouver and is storing them in rural Washington State. (Photo source: Wikimedia Commons)

Environmental groups suspect tight
security at the Vancouver Olympics
has shifted an environmental risk
from Canada to the US. Shawn Allee reports:

Transcript

Environmental groups suspect tight
security at the Vancouver Olympics
has shifted an environmental risk
from Canada to the US. Shawn Allee reports:

A Canadian chemical manufacturer shipped rail cars of toxic chlorine away from Vancouver and is storing them in rural Washington State.

The company says it’s part of a long-planned renovation of the chemical plant. Environmental groups suspect the rail shipments were timed to move tanks away from the Olympics.

Fred Millar is watching this development for Friends of the Earth. Millar says terrorists have shown interest in rail cars filled with chlorine gas.

“And that’s what people are mostly worried about because just one chlorine tank car could put out a cloud over any city at a lethal level that’s 15 miles long by 4 miles wide.”

US rail companies make 100,000 shipments of chlorine and similar toxic chemicals per year. Their safety record has largely been good, but accidents have released deadly chlorine gas.

One derailment in South Carolina killed nine people.

For The Environment Report, I’m Shawn Allee.

Related Links

Homeland Security to Remove Hazmat Placards?

Officials at the Department of Homeland Security are considering removing hazardous material placards from freight trains. They say doing so will help protect people from terrorists. The Great Lakes Radio Consortium’s Mark Brush has more:

Transcript

Officials at the Department of Homeland Security are considering removing
hazardous material placards from freight trains. They say doing so would help
protect people from terrorists. The Great Lakes Radio Consortium’s Mark Brush has more:


Because of the September 11th terrorist attacks, officials see the potential for a
lot of things to be used as weapons. One of their latest fears is that shipments of
hazardous materials could be used by terrorists. In order to protect people from this
threat, the Department of Homeland Security says it might require the removal of the
diamond shaped placards from rail cars. Emergency workers use the placards to quickly
identify a hazard after an accident.


Richard Powell is the Executive Director of the Michigan Association of Fire Chiefs.
He says while the Department of Homeland Security is well-intentioned, removal of the
placards would put more people at risk:


“We need to protect our citizens. We need to keep that system in place. If we don’t know something is there, our people could not evacuate perhaps, as quick as we normally would.”


Homeland Security officials say they’ll consider other options that would help disguise the rail cars, but would still allow emergency workers to know what’s inside.


For the Great Lakes Radio Consortium, I’m Mark Brush.

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Not Quite Ready for Bioterrorist Attack

  • Mock evidence of radiological material to make a dirty bomb gives trainees an idea of the kind of materials they might find in a terrorist operation. (Photo by Lester Graham)

Since 9/11, emergency responders have been practicing for new kinds of emergencies. In addition to fires and hazardous materials spills, emergency personnel have been training to deal with terrorist attacks. Recently, the Great Lakes Radio Consortium’s Lester Graham was allowed behind the scenes in a terrorism attack training exercise:

Transcript

Since 9/11, emergency responders have been practicing for new kinds of emergencies. In
addition to fires and hazardous materials spills, emergency personnel have been training
to deal with terrorist attacks. Recently, the Great Lakes Radio Consortium’s Lester
Graham was allowed behind the scenes in a terrorism attack training exercise:


(coughing)


These two men are the victims of some kind of biological toxin. They were investigating
an abandoned rental truck and now they’re writhing on the ground after a package
spewed some kind of liquid.


(chatter between mock victims) “You alright, man?” “What was that?” “I don’t know
what that was. It hurts.”


These guys are acting. They’re part of a huge training exercise put on by the
Environmental Protection Agency. Dozens of firefighters, emergency medical personnel,
EPA investigators, the FBI and people in t-shirts identifying themselves with acronyms
for agencies most of us have never heard of. They’re all working through a couple of
scenarios. So far today, they’ve discovered radioactive material to make dirty bombs and
some kind of lab set up to make a chemical like sarin nerve gas… and then there’s the
rental truck which is loaded with nasty chemicals.


Mark Durno is the U.S. EPA’s On-Scene Coordinator…


“We have some very distinct objectives with this exercise. One is to practice responding
to unusual situations that might involve weapons of mass destruction. In this particular
exercise, we’re practicing chemical agent and radiological agent response.”


There are lots of new things to learn. Coordination between agencies… and new
techniques. In this exercise, Detroit city departments are learning to work with federal
agencies. Melvin Green is with the Fire Department’s Emergency Medical Services. He
says this exercise is good. He’d rather see his medical technicians make mistakes here
than during a real emergency… where his worst fears might be realized.


“I would have to say that, you know, them become casualties, that’s probably my biggest
fear. This is why we want to educate them on—and this is why the exercise is so
important. We want to educate them on the possibilities. Keeping our people safe
reduces casualties.”


That’s because if the emergency medical personnel are hurt… fewer people will be
treated.


The idea of a terrorist attack with radiological or biological agents is the kind of
nightmarish scenario that no one really wants to think about… but it’s something
emergency responders HAVE to think about.


During this day-long exercise… these trainees are upbeat, they’re confident in their
response. They feel they’ve come a long way in the nearly three years since 9/11.


But other emergency service experts are not quite as upbeat. Just 40 miles from this
training exercise… at the University of Michigan Hospital’s Department of Emergency
Medicine, Administrator Peter Forster says there are weaknesses in preparedness for
terrorist attacks.


“We’ve made a lot of progress from where we were, but we’ve got a long ways to go.”


Forster says when victims start showing up at the hospital emergency rooms…. there will
be bottle-necks…


“Most emergency preparedness activities have been geared toward local events with
relatively small numbers of victims. When we start talking about hundreds of people or
thousands of people injured or hurt, or exposed to some toxic or contagious substance,
then I think the health system would have a significantly difficult time expanding to meet
that requirement, regardless of how much, uh, how well we’re trained or how prepared
we are. We don’t really have the capacity on the health care side to manage a significant
influx of patients.”


Forster says plans to set up emergency medical facilities in auditoriums, school gyms,
and maybe even hotel rooms need to be completed… arrangements made… and supplies
stockpiled.


(sound up of training exercise, generators, etc.)


Meanwhile, back in Detroit… investigators are putting on bulky chemical protection
suits—the ones that look like big space suits…blue, yellow, olive, with teal-colored
gloves and orange boots… you’d think of circus colors if the subject matter weren’t so
serious. After examining the mock lab, spending about an hour in the sweltering suits,
they come out for decontamination before their air tanks run out. The local agencies help
with decontamination… spraying and scrubbing the suits down.


(sound: beeping, scrubbing)


The training site has all the sights and sounds of a real emergency. Lots of emergency
vehicles… the noise of generators and the smell of diesel. But it’s fairly relaxed. There’s
none of the tension, none of the urgency of a real emergency.


The U.S. EPA’s On-Scene Coordinator, Mark Durno, says there are some things you
can’t bring to a drill…


“You can never simulate the adrenaline and the potential panic that’s associated with a
real event, especially when you hear the words ‘chemical’ and ‘radiological’ agent.
However, we can practice those little tools that we’re going to need to be absolutely
proficient at to ensure that when the panic hits, we’re ready to roll without any
hesitation.”


The days’ training has turned up a few glitches. Communication between agencies is
still a problem. Emergency radio frequencies need to be sorted out and coordinated. And
there are still some major gaps in preparedness that are not part of this training… such as
the emergency room capacity problem. But one of the bigger issues is money. Federal
money has been promised to local governments… but it’s been very slow in coming.


For the Great Lakes Radio Consortium, this is Lester Graham.

Related Links

Study Finds Website Info Not a Threat

Federal officials began taking information off government websites after the September 11th attacks. They feared terrorists would use the information to plan future attacks. Now, a new study says much of that information wouldn’t be useful to terrorists. The Great Lakes Radio Consortium’s Mark Brush explains:

Transcript

Federal officials began taking information off government websites after the
September 11th attacks. They feared terrorists would use the information to
plan future attacks. Now a new study says much of that information wouldn’t
be useful to terrorists. The Great Lakes Radio Consortium’s Mark Brush has
explains:


Researchers at the Rand Corporation spent a year analyzing 629 federal
websites. They looked at sites that had information about things such as
bridges, power plants, transit systems, and chemical factories. They found
that less than one percent of the websites they analyzed had information that
would be useful for a terrorist to mount an attack.


Beth Lachman co-authored the study. She says agencies need to develop
better methods before pulling information off of their websites:


“Stuff that we think may be very sensitive may not be quite as sensitive as
you thought. Just because you have to really analyze, ‘Well how useful is
this? How unique is it? Is it out there in a lot of different sources? What
are the cost and benefits associated with putting it out there and
potentially restricting it from being out there.'”


Lachman and the other researchers say if the information isn’t useful to a
terrorist, it should be made available to the public. They say people have
the right to know about information such as what chemicals are stored
in their neighborhoods.


For the Great Lakes Radio Consortium, I’m Mark Brush.

Related Links

Sadness on the Peace Train

The terrible events in New York City and Washington have left a legacy of personal tragedies. For Great Lakes Radio Consortium commentator Suzanne Elston, the story of September 11th began as a journey of peace:

Transcript

The terrible events in New York City and Washington D.C. have left a legacy of personal tragedies. For Great Lakes Radio Consortium commentator, Suzanne Elston, the story of September 11th, began as a journey of peace.


I’ve never been to New York City. So when we got an invitation to visit the Big Apple and participate in a children’s peace festival, we jumped at the chance. My husband Brian and two of our kids, Peter and Sarah, were going to be part of a church service marking the opening of the 56th session of the United Nations General Assembly.
Sarah was going to carry the Canadian flag and Peter was going to give a reading. The kids were wired and so were we.


Our plan was to leave Toronto Tuesday morning by train. The daylong trip would take us to New York City. We’d have all day Wednesday to do touristy things before the service on Thursday. We’d even managed to get tickets to a Broadway play. It all sounded so exciting that I couldn’t believe that it was actually going to happen.


We’d been on the train for about an hour when we first heard the news. Our traveling companions were 18 members of the Toronto Children’s Peace Theatre, also en route to the peace festival. The director of the company received a cell phone call that gave us sketchy details of the initial attack on the World Trade Center.


At first I refused to believe it. Here we were heading for an international children’s peace festival.


It felt like we were on the voyage of the damned. We continued on our journey, barreling down the tracks to a destination that we knew we would never reach. We heard rumors – the border was closed, there was shooting in the streets. People with cell phones were frantically trying to get a hold of somebody they knew who could give us an update.


The children from the theatre group were particularly upset. For most of them it was their first time away from home, and they were scared. As we discussed the latest details that we’d heard, one of the kids started to throw-up.


We moved to another car and tried to explain to a group of university students from England that they wouldn’t be flying home the next day from New York. As the news continued to filter in, we soon realized that they wouldn’t be flying home from anywhere. An elderly couple at the back of the car sat in stony silence. Their daughter worked at the World Trade Center and they were frozen in fear.


The conductor was stuck like a moose in headlights. Most of the passengers still didn’t know what was going on. My husband finally took him aside and explained that he had to make an announcement. People needed to make arrangements, to talk to their families. But he was just a kid and as scared as the rest of us. He wanted to wait until he had something official from Amtrak’s head office.


Finally, at 11:00 a.m., he made a formal announcement. The border was closed and we all would be disembarking at Niagara Falls. It was Tuesday evening by the time we got home and saw the horrific images of what had happened.


It wasn’t until then, when we were safe and home and together that we had a shocking revelation. The first stop on our sightseeing trip was going to be the World Trade Center. For the sake of a mere 24 hours we could have been buried at the bottom of that rubble like so many others.


Our great journey of peace ended with many prayers. We prayed for the victims and their families, we prayed for peace. Finally, we gave a prayer of thanks that we’d all made it home safely. After witnessing Tuesday’s horror – that was a gift beyond measure.

Sub to Be Tourist Site?

A Lake Superior-based yacht company is selling a Soviet attack
submarine… and it might make some community the proud owner of a
unique tourist attraction. The Great Lakes Radio Consortium’s Mike
Simonson has more:

Transcript

A Lake Superior-Based yacht company is sellin a Soviet attack submarine. And it might

make some community the proud owner of a unique tourist attraction. The Great Lakes

Radio Consortium’s Mike Simonson reports:


Not surprisingly, this is probably the only Soviet “whisky-class” attack submarine on

the market. A steal at $495,000, says Richard Rose-Oleck of Owen’s Yacht in Duluth.

The 250 foot sub is docked in Sweden, where it’s used as a mueseum. but Rose-Oleck

would like to see soemone or some community in this region buy it and move it for

display.


“I would love to see it in the Great Lakes. Number one, it would last longer, and I

think it would be an interesting exhibit.”


The fresh water in the Great Lakes would help preserve the diesel-powered sub. It no

longer has any of its twelve torpedoes, but the engines work, and the 1955 vintage

craft has been restored.


The submarine has been on the market since December. There’ve been serious inquiries,

including one from Duluth-Superior, the only one from the Great Lakes region. Another

offer is from a private company which would use it as a corporate boat, giving new

meaning to the term, “hostile takeover.”


For the Great Lakes Radio Consortium, I’m Mike Simonson in Superior, Wisconsin.

African-American Hypertension Study

High blood pressure is called ‘the silent killer’ because – if leftuntreated – it can lead to heart attack or stroke.The condition is also linked to kidney disease…and African-Americansare at a very high risk. Now, a study is underway to figure out thebest way to manage high blood pressure and kidney disease in thisparticularly sensitive group. The Great Lakes Radio Consortium’s JoanSiefert Rose reports: