Tuesday 15 February 2011

Shocking accounts of poor patient care released-Helpline appeal launched

Shocking accounts of poor patient care released-Helpline appeal launched

Today the patients association publishes Listen to patients, Speak up for change, a collection of 17 firsthand accounts of hospital care of older patients from across the NHS. All told by people that had contacted our Helpline in the past year, these stories highlight serious failings in standards of nursing care, poor communication with relatives and an ineffective complaints handling system.
A follow up to last year’s Patients not numbers, People not statistics it’s publication marks the launch of a fundraising drive (supported by the Daily Mail) for the Patients Association Helpline as we try to deliver a more active support service. We are seeking to raise £100,000.
Find out what we will do with the money raised HERE
Patients Association President Claire Rayner, who passed away earlier this year, wrote the foreword for last years report and her son Jay Rayner writes the foreword this year in memory of Claire. Commenting on the launch of the report her husband, Des Rayner, said
“Let the haunting begin”
in reference to Claire’s famous last words ("Tell David Cameron that if he screws up my beloved NHS I'll come back and bloody haunt him!").
Chief Executive Katherine Murphy said:
'Surely the essentials of nursing care are what every patient deserves and should get? The NHS should get this right all of the time. Lack of help with eating and drinking. Lack of help with personal hygiene. Lack of help with toileting needs. It is clear from the stories we hear on our Helpline that too many patients are being badly let down. It’s a scandal and it’s outrageous that has been persisting for years. Families are left with a life sentence of grief, with no lessons learnt and the same failings continuing.'
‘The fact this problem hasn’t been properly addressed before is a sad indictment of our society. If we continue to ignore the problem, then many millions of us will end up in a similar position in the years to come. We will regret not having spoken out. Every single one of us needs to say enough is enough.’
‘The people who wrote these stories were not asking for the earth. They just wanted their relatives to be cared for, to have their basic needs met, for staff to show their loved ones kindness and compassion. I think we’d all want that if we were in their shoes.’
'The NHS has tried to bring back matron, but is hasn't worked. That absolute commitment to patient care seems to get sidelined by targets, finances and bureaucracy. What we need is a matron who can ignore all of that. They can tell Trust managers, ‘forget your strategic framework and middle manager initiatives, it is meaningless if patients are not getting the vital nursing care they are entitled to.'
'We've been told for years that the NHS is listening to patients, but where is the proof? Complaints are not being listened to. That is a fundamental thing that needs to be put right. The whole complaints system needs to be reviewed urgently starting with surveys for complainants so we can find out where the really poor performers are.'
'Patients and carers need to be able to call on a real advocate when they complain, someone to fight their corner.'
‘When we published our report in 2009 we were inundated and ever since we have heard story after story after story. Our calls are going up and with the help of the Daily Mail readers we will try to make sure everyone who contacts us gets the help they need.’
Kieran Mullan from the Patients Association supported the story tellers during the difficult process of producing their accounts and commented:
'Their grief is palpable. Many of them feel guilty that the system disempowered them so thoroughly. Taking part in the report reminds them they are not alone, that it was not their fault. It is the system they were up against that is at fault.'
'It is vital that other people show the courage these people have shown because unless people speak out the problems will continue. It was a privilege to help them do this. We can't publish everyone's story, but everyone's story helps us to shout from the roof tops as loud as we possibly can.'
'When I took the stories and showed them to Claire last year she was upset and then she was angry. We know she would have been even more angry that these things are still happening. We should all be angry. This is our NHS run by our Government. The NHS exists to meet our needs and the needs of our families and friends. We shouldn't tolerate such abysmal failings. Our story tellers are speaking out. They are saying enough is enough. We all need to get behind them.’
On the plans for the Helpline, Michael Watson Helpline Manager said
‘We want the resources to help more individuals to make their voices heard locally. Whether that be writing letters to Trusts and MPs, putting them in touch with local patient groups, getting them expert advice. Anything we can do to help. At the moment we are limited to sign posting, helping people to help themselves. The need is just so great that we are determined to do more and we hope people can support us and donate to the appeal.’
To make a donation by cheque please send cheques to The Patients Association, PO Box 935, Harrow, Middlsex, HA1 3YJ.
To make a donation online please visi

NHS 'failing to treat elderly with care and respect'

NHS 'failing to treat elderly with care and respect'

Elderly patient The elderly population is set to double over the next 25 years

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The NHS is failing to treat elderly patients in England with care, dignity and respect, an official report says.

The Health Service Ombudsman came to the conclusion after carrying out an in-depth review of 10 cases.

The ombudsman, which deals with serious complaints against the NHS, said the patients - aged over 65 - suffered unnecessary pain, neglect and distress.

Charities said the findings were "sickening", while the government admitted improvement was needed.

While the report is only based on 10 cases, the ombudsman said they were far from isolated examples.

Of nearly 9,000 complaints made to the ombudsman last year, 18% were about the care of older people. In total, it accepted 226 cases for investigation - twice as many as for all the other age groups combined.

Ageing population

The report concluded there was a gulf between the principles and values of the NHS and the reality being experienced by older patients.

And the ombudsman, which is called in once a complaint cannot be resolved by individual NHS trusts, said the fact there was an ageing population made it even more essential that the concerns were dealt with.

Several themes became clear from the ombudsman's analysis. Half the people featured did not consume adequate food or water during their time in hospital.

Case study

After being admitted to hospital with severe abdominal and back pains, Mr D was diagnosed with advanced stomach cancer.

He asked to be discharged so he could die at home. But when his daughter arrived to collect him, she found him sitting behind a closed curtain in distress.

He had been left for several hours, was in pain, desperate to go to the toilet and unable to ask for help because he was so dehydrated that he could not speak or swallow.

The emergency button had been placed out of his reach, his drip had been removed, fallen and had leaked all over the floor.

At home, his family discovered Mr D had not been given the right pain relief.

His daughter said later: "It was as if he didn't exist." After investigating the case, the ombudsman found the trust had failed on a number of grounds.

Some were left in soiled or dirty clothes. One woman told the ombudsman how her aunt was taken on a long journey to a care home by ambulance.

She arrived strapped to a stretcher and soaked with urine, dressed in unfamiliar clothing held up by paper clips, accompanied by bags of dirty laundry, much of which was not her own.

Communication was also highlighted as a problem with one 82-year-old woman recalling how, on being discharged from hospital after minor surgery, she was frightened and unsure of how to get home.

She asked the nurse to phone her daughter, but was told "this is not my job".

In another case, a cancer patient wanted to be discharged to die at home. When his daughter arrived to collect him, she found him sitting behind a closed curtain in distress.

He had been left for several hours in pain and desperate to go to the toilet. He was unable to ask for help because he was so dehydrated that he could not speak or swallow.

'Harrowing'

Ann Abraham, the Health Service Ombudsman, said the accounts painted a picture of NHS provision that was "failing to meet even the most basic standards of care".

"These often harrowing accounts should cause every member of staff who reads this report to pause and ask themselves if any of their patients could suffer in the same way."

Michelle Mitchell, of Age UK, said: "The inhumane treatment of older people described in this report is sickening and should send shockwaves through the NHS and government."

And Katherine Murphy, chief executive of the Patients Association, added the report echoed the findings of research her group had done.

"How many reports do we have to have before anything will change and patients will stop suffering?"

Nigel Edwards, chief executive of the NHS Confederation, which represents NHS trusts, said the cases highlighted were "completely unacceptable".

But he added: "It is of course important to put these 10 examples in perspective. The NHS sees over a million people every 36 hours and the overwhelming majority say they receive good care."

Care services minister Paul Burstow agreed, but acknowledged standards still needed to improve.

"We need a culture where poor practice is challenged and quality is the watchword. The dignity of frail older people should never be sidelined."

He said the government's reforms of the NHS would strengthen the voice of patients.

Have you or your family been affected by any of the issues raised in this article? Send us your comments and experiences using the form below.

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Thursday 10 February 2011

Swine flu narcolepsy 'link' probed by WHO

H1N1 virus More than 30 million doses of swine flu vaccine have been given in Europe

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At least 12 countries have reported a possible link between a swine flu jab and a rare sleeping disorder, the World Health Organization has confirmed.

It said "further investigation was warranted" following reports of 52 cases of narcolepsy linked to the Pandemrix jab in Finland.

Cases have also been reported in Sweden, Iceland and the UK.

The government agency which regulates medicines in the UK said a link had not been confirmed.

The Medicines and Healthcare products Regulatory Agency (MHRA) said: "The Pandemrix vaccine remains available and should continue to be used as recommended.

"The benefits of vaccination outweigh any risk of a possible side effect."

Narcolepsy is a rare condition where a person falls asleep suddenly and unexpectedly.

A possible connection between the swine flu vaccine and the illness first came to light in Finland.

Finland and other Scandinavian countries have reported a general rise in cases of narcolepsy - in both vaccinated and unvaccinated people - but the cause has not been established.

UK cases

A recent investigation by Finnish authorities found children given the swine flu jab Pandemrix were about nine times more likely to develop narcolepsy than those who had not been vaccinated.

The WHO's global advisory committee on vaccine safety reviewed this, and other data, last week.

Narcolepsy

  • Narcolepsy is a rare illness, with around 10 new cases per million people every year
  • The main symptom is falling asleep suddenly
  • The cause of narcolepsy remains unclear
  • Some people may be predisposed to the condition by their genetics
  • Suggested initial triggers include infections such as measles or mumps, accidents and the hormonal changes that take place in puberty
  • It most often begins between the ages of 15 and 30

It said the committee would continue to monitor the situation and agrees that "further investigation is warranted concerning narcolepsy and vaccination against influenza (H1N1) 2009 with Pandemrix and other pandemic H1N1 vaccines".

The WHO said an increased risk of narcolepsy had not been observed with any other vaccines - for flu or other diseases - in the past.

It said: "Even at this stage, it does not appear that narcolepsy following vaccination against pandemic influenza is a general worldwide phenomenon and this complicates interpretation of the findings in Finland."

The Pandemrix vaccine, made by Glaxo Smith Kline, has been used in 47 countries following the swine flu outbreak last year.

More than six million doses of the H1N1 vaccine have been given in the UK, with more than 30 million given across Europe.

The MHRA said it had received four unconfirmed reports of narcolepsy following vaccination.

It said the reports so far in the UK "are no more than we would expect to see by coincidence after vaccination".

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Wednesday 9 February 2011

Chinese New Year...marks the beginning of the Year of the Rabbit

Chinese New Year, marks the beginning of the Year of the Rabbit. But for the millions of individual rabbits and other animals suffering on Chinese fur farms, today is a day like any other.

These gentle animals spend nearly their entire lives crammed in filthy wire cages that are so small the animals are often unable to move more than a few tiny steps. They are born and raised to die at the hands of workers who kill them using methods — such as neck-breaking, suffocation, poisoning, and electrocution — that keep the rabbits' skin intact so that it can be sold. The skin of rabbits who are not fortunate enough to die instantly is often ripped from their bodies while they are still conscious.


Why are these animals subjected to such cruelty and abuse? It's all done in the name of fashion!

Millions of individual animals are killed each year for the clothing industry — and more than half the fur used in the U.S. comes from China. PETA is convincing leading retailers and designers around the world to eliminate fur and exotic-animal skins from their clothing lines, and top designers — including Stella McCartney, Tommy Hilfiger, Calvin Klein, Ralph Lauren, and Liz Claiborne — are setting fashion trends without using any skins.

Even though she knows about the suffering that's behind every fur-trimmed coat, hat, and bag, Donna Karan continues to use fur in her collections. Even footage like petas has failed to convince her to remove fur from her clothing lines.

PETA is leading the fight to save animals through our eye-opening campaigns against retailers and designers — such as Donna Karan — who still use animal skins. We are on the front lines in the fight to convince the fashion industry that compassion is the fashion — and we're winning! Our affiliate PETA Asia is also on the ground fighting in China. But our work would not be possible without the support of members like you.



With kind regards,

Ingrid E. Newkirk
President

Sunday 6 February 2011

Amazon drought 'severe' in 2010, raising warming fears

Amazon drought 'severe' in 2010, raising warming fears

Both droughts had a major impact on people living in the Amazon basin, as well as the forest
Last year's drought in the Amazon raises concerns about the region's capacity to continue absorbing carbon dioxide, scientists say.
Researchers report in the journal Science that the 2010 drought was more widespead than in 2005 - the last big one - with more trees probably lost.
The 2005 drought had been termed a "one in a century" event.
In drought years, the Amazon region changes from being a net absorber of carbon dioxide into a net emitter.
Man carring basket across dry groundThe scientists, from the UK and Brazil, suggest this is further evidence of the Amazon's vulnerability to rising global temperatures.
They also suggest the days of the Amazon forest curbing the impact of rising greenhouse gas emissions may be coming to an end.
The 2010 drought saw the Amazon River at its lowest levels for half a century, with several tributaries completely dry and more than 20 municipalities declaring a state of emergency.
Research leader Simon Lewis, from the University of Leeds, is the scientist who gained an apology from the Sunday Times newspaper last year over the so-called "AmazonGate" affair.
"It's difficult to detect patterns from just two observed droughts, but to have them close together is concerning," he told BBC News.
Both droughts were associated with unusually warm seas in the Atlantic Ocean off the Brazilian coast.
"If that turns out to be driven by escalating greenhouse gas concentrations in the atmosphere, it could imply that we'll see more drought years in the near future," said Dr Lewis.


“Start Quote

Current emissions pathways risk playing Russian roulette with the world's largest rainforest”
End Quote Dr Simon Lewis Leeds University
"If events like this do happen more often, the Amazon rainforest would reach a point where it shifts from being a valuable carbon sink slowing climate change to a major source of greenhouse gases."
Some computer models of climate change - in particular, the one developed at the UK's Hadley Centre - project more droughts across the region as the planet warms, and a diminishing capacity to absorb CO2.
There are several ways in which warming can turn greenhouse gas-absorbing forests into emitters.
In the Amazon, the principal mechanism is simply that trees die and then rot; in addition, those trees are then not available to absorb CO2 from the air.
Eye in the sky
For this research, scientists used data from the Tropical Rainfall Measuring Mission (TRMM), a US/Japanese satellite that monitors rainfall in a belt extending either side of the Equator.
Its observation showed that whereas the 2005 drought covered an area of nearly two million sq km, in 2010 it stretched for three million sq km.
TRMM satellite Data came from the US/Japanese TRMM satellite, a window on tropical rainfall
Following the 2005 drought, scientists were able to study the impact on trees and work out the relationship between the rainfall loss and the release of carbon.
In an average year, the basin absorbs about 1.5 billion tonnes of CO2 from the atmosphere.
By contrast, the impact of the 2005 drought, spread over a number of years, was calculated as a release of five billion tonnes.
The new paper calculates the figure for 2010 as about eight billion tonnes, as much as the annual emissions of China and Russia combined; but this, the researchers acknowledge, is a first estimate.
"It could be that many of the susceptible trees were killed off in 2005, which would reduce the number killed last year," said Paulo Brando from the Amazon Institute of Environmental Research (IPAM) in Belem, Brazil.
"On the other hand, the first drought may have weakened a large number of trees, so increasing the number dying in the 2010 dry season."
Leeds University is part of a research group that maintains about 130 land stations across the Amazon region.
If funds are forthcoming, the team will visit them all in the coming months to gather first-hand data on tree deaths.
This should provide for a more accurate estimate of the 2010 drought's contribution to global emissions.
Closing the gate
The likely fate of the Amazon under climate change came under focus early last year when, as one of a series of attacks on the Intergovernmental Panel on Climate Change (IPCC), the Sunday Times newspaper accused the panel of having included an unsubstantiated claim that up to 40% of the forest could be affected by climate change in future.
Two fishermen on a boat on the dried bed of the Negro river, 120km from Manaus Some Amazon rivers saw their lowest level for decades in 2010
It used quotes from Dr Lewis in support of its claim.
In fact, Dr Lewis was concerned about the region's vulnerability and had sent the newspaper a sheaf of scientific papers to back the case.
He told the newspaper that the IPCC had sourced its statement to a report from environmental group WWF, when it should have referenced the scientific papers WWF had used in its report.
"In fact, the IPCC's Amazon statement is supported by peer-reviewed scientific evidence," the Sunday Times acknowledged in its apology.
Commenting on that so-called "AmazonGate" episode from the perspective of the new research, Dr Lewis noted:
"The notion that the Amazon is potentially very vulnerable to droughts linked to climate change was reasonable and defensible at the time, and is consistent with the new findings.
"If greenhouse gas emissions contribute to Amazon droughts that in turn cause forests to release carbon, this feedback loop would be extremely concerning.
"Put more starkly, current emissions pathways risk playing Russian roulette with the world's largest rainforest."


Amazon drought 'severe' in 2010, raising warming fears



Amazon drought 'severe' in 2010, raising warming fears


Man carring basket across dry ground Both droughts had a major impact on people living in the Amazon basin, as well as the forest

Related Stories

Last year's drought in the Amazon raises concerns about the region's capacity to continue absorbing carbon dioxide, scientists say.
Researchers report in the journal Science that the 2010 drought was more widespead than in 2005 - the last big one - with more trees probably lost.
The 2005 drought had been termed a "one in a century" event.
In drought years, the Amazon region changes from being a net absorber of carbon dioxide into a net emitter.
The scientists, from the UK and Brazil, suggest this is further evidence of the Amazon's vulnerability to rising global temperatures.
They also suggest the days of the Amazon forest curbing the impact of rising greenhouse gas emissions may be coming to an end.
The 2010 drought saw the Amazon River at its lowest levels for half a century, with several tributaries completely dry and more than 20 municipalities declaring a state of emergency.
Research leader Simon Lewis, from the University of Leeds, is the scientist who gained an apology from the Sunday Times newspaper last year over the so-called "AmazonGate" affair.
"It's difficult to detect patterns from just two observed droughts, but to have them close together is concerning," he told BBC News.
Both droughts were associated with unusually warm seas in the Atlantic Ocean off the Brazilian coast.
"If that turns out to be driven by escalating greenhouse gas concentrations in the atmosphere, it could imply that we'll see more drought years in the near future," said Dr Lewis.

“Start Quote

Current emissions pathways risk playing Russian roulette with the world's largest rainforest”
End Quote Dr Simon Lewis Leeds University
"If events like this do happen more often, the Amazon rainforest would reach a point where it shifts from being a valuable carbon sink slowing climate change to a major source of greenhouse gases."
Some computer models of climate change - in particular, the one developed at the UK's Hadley Centre - project more droughts across the region as the planet warms, and a diminishing capacity to absorb CO2.
There are several ways in which warming can turn greenhouse gas-absorbing forests into emitters.
In the Amazon, the principal mechanism is simply that trees die and then rot; in addition, those trees are then not available to absorb CO2 from the air.
Eye in the sky
For this research, scientists used data from the Tropical Rainfall Measuring Mission (TRMM), a US/Japanese satellite that monitors rainfall in a belt extending either side of the Equator.
Its observation showed that whereas the 2005 drought covered an area of nearly two million sq km, in 2010 it stretched for three million sq km.
TRMM satellite Data came from the US/Japanese TRMM satellite, a window on tropical rainfall
Following the 2005 drought, scientists were able to study the impact on trees and work out the relationship between the rainfall loss and the release of carbon.
In an average year, the basin absorbs about 1.5 billion tonnes of CO2 from the atmosphere.
By contrast, the impact of the 2005 drought, spread over a number of years, was calculated as a release of five billion tonnes.
The new paper calculates the figure for 2010 as about eight billion tonnes, as much as the annual emissions of China and Russia combined; but this, the researchers acknowledge, is a first estimate.
"It could be that many of the susceptible trees were killed off in 2005, which would reduce the number killed last year," said Paulo Brando from the Amazon Institute of Environmental Research (IPAM) in Belem, Brazil.
"On the other hand, the first drought may have weakened a large number of trees, so increasing the number dying in the 2010 dry season."
Leeds University is part of a research group that maintains about 130 land stations across the Amazon region.
If funds are forthcoming, the team will visit them all in the coming months to gather first-hand data on tree deaths.
This should provide for a more accurate estimate of the 2010 drought's contribution to global emissions.
Closing the gate
The likely fate of the Amazon under climate change came under focus early last year when, as one of a series of attacks on the Intergovernmental Panel on Climate Change (IPCC), the Sunday Times newspaper accused the panel of having included an unsubstantiated claim that up to 40% of the forest could be affected by climate change in future.
Two fishermen on a boat on the dried bed of the Negro river, 120km from Manaus Some Amazon rivers saw their lowest level for decades in 2010
It used quotes from Dr Lewis in support of its claim.
In fact, Dr Lewis was concerned about the region's vulnerability and had sent the newspaper a sheaf of scientific papers to back the case.
He told the newspaper that the IPCC had sourced its statement to a report from environmental group WWF, when it should have referenced the scientific papers WWF had used in its report.
"In fact, the IPCC's Amazon statement is supported by peer-reviewed scientific evidence," the Sunday Times acknowledged in its apology.
Commenting on that so-called "AmazonGate" episode from the perspective of the new research, Dr Lewis noted:
"The notion that the Amazon is potentially very vulnerable to droughts linked to climate change was reasonable and defensible at the time, and is consistent with the new findings.
"If greenhouse gas emissions contribute to Amazon droughts that in turn cause forests to release carbon, this feedback loop would be extremely concerning.
"Put more starkly, current emissions pathways risk playing Russian roulette with the world's largest rainforest."

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Saturday 5 February 2011

Brain scan of a patient with variant CJD

Blood test for vCJD 'could identify carriers'


MRI of CJD brain scan Brain scan of a patient with variant CJD, the yellow areas are diseased


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A blood test for variant CJD has been developed by British scientists.
Currently patients suspected of having the human form of BSE have to undergo a series of tests, including a brain biopsy, to confirm a diagnosis.
The new test, reported in The Lancet, offers the chance of earlier diagnosis and potentially the ability to screen donor blood.
But further studies are needed before it can be widely used to screen healthy people who may be silent carriers.
Variant CJD or vCJD is the human form of BSE - "mad cow" disease. It affects the brain and is believed to have passed from cattle to humans through infected food.
There have been 170 confirmed deaths from vCJD in the UK, but a previous study suggested one in 4,000 Britons could be incubating the incurable degenerative disorder without symptoms.
CJD causes the brain to develop a spongy texture known as spongiform encephalopathy.
Early symptoms include anxiety, depression and tingling pains. Doctors often do not realise that a patient has the brain condition until other features occur, such as difficulty with movement, or loss of mental abilities.
At present, there is no treatment for variant CJD and the diagnosis is often made when patients are terminally ill.
The new test was tried on 190 blood samples, of which 21 had variant CJD. The test picked up 15 of the samples with variant CJD - a 71% success rate.
It did not produce any "false positives" - showing that someone had CJD, when they did not.
Early diagnosis
Professor John Collinge of the Medical Research Council is one of the doctors involved in the research. He said that he would begin using the new test on patients in his clinic straight away.
He said: "An earlier diagnosis will give patients and their families more time to plan what they would like to do in the time left available to them."

“Start Quote

This lifts us into the next stage and takes us to a position of hope”
End Quote Peter Mills Father of vCJD patient
Professor Collinge is currently working on research to treat the disease with antibodies.
He told the BBC that the first clinical studies involving patients could be carried out as early as next year.
A test that provides an early diagnosis will become even more significant if treatments for the disease become available.
The development was welcomed by Peter Mills, whose daughter Holly was diagnosed with variant CJD in 2003.
He described the test as milestone, saying: "This lifts us into the next stage and takes us to a position of hope. It gives us great confidence that therapies to treat the disease are a realistic prospect - but this test has to come first."
Silent carriers
The new test could provide more information on how many people have variant CJD and be used to screen for the disease.
However, further large scale studies on populations where the disease is not present would be needed before it could be used as a screening test.
The lead author of the research, Dr Graham Jackson of the Medical Research Council's Prion Unit, said: "This test could potentially go on to allow blood services to screen the population for vCJD infection, assess how many people in the UK are silent carriers and prevent onward transmission of the disease."
Patients and their families can find out more about the new development by looking at the National Prion Clinic website.
Chris James, from the Haemophilia Society said they would push for the test to be used as soon as it is clinically available: "The Haemophilia Society has long called for tests to be offered, in combination with pre and post-test counselling, to people with bleeding disorders who have been told they are at risk for public health purposes in relation to vCJD."

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Tuesday 1 February 2011

surge of interest in foreign investment in agricultural land

the challenge
The recent surge of interest in foreign investment in agricultural land has aroused substantial international concern. Certainly, complex and controversial economic, political, institutional, legal and ethical issues are raised in relation to property rights, food security, poverty reduction, rural development, technology and access to land and water. On the other hand, lack of investment in agriculture over decades has meant continuing low productivity and stagnant production in many developing countries. Lack of investment has been
identifed as an underlying cause of the recent food crisis and the diffculties
developing countries encountered in dealing with it. FAO estimates that gross annual investments of USD 209 billion are needed in primary agriculture and downstream services in developing countries (this in addition to public investment needs in research, infrastructure and safety nets) to meet global food needs in 2050. Developing countries’ own capacity to
fll that gap is limited. The share of public
spending on agriculture in developing countries has fallen to around 7 percent,
even less in Africa, and the share of offcial
development assistance going to agriculture has fallen to as little as 3.8 percent in 2006. Commercial bank lending going to agriculture in developing countries is also small – less than 10 percent in sub-Saharan
Africa and microfnance loans, while indispensable, have not proved suffcient
to agricultural investment needs. Private
investment funds targeting particularly African agriculture are an interesting recent development but actual investments are
still small. Given the limitations of alternative sources of investment fnance, foreign direct
investment in developing country agriculture could make a contribution to bridging the investment gap and realizing the hunger and poverty eradication goals. The question therefore is not whether foreign direct investment should contribute to meeting investment needs but how its impact can
be optimized to maximize the benefts
and to minimize the inherent risks for all involved. To answer that question we need to understand what is happening in foreign investment and why.
What do We knoW about reCent foreign investments in developing Country agriCulture?
Unfortunately, there are no detailed data on the extent, nature and impacts of these investments: international investment statistics are too aggregated and little is
divulged by those involved in specifc cases.
Much information is anecdotal, probably
exaggerated and diffcult to verify. However,
from what limited information is available, a number of observations can be made:
Foreign direct investment (FDI) in developing country agriculture does appear to have increased in the last two years, although the number of projects actually implemented is less than the number being planned or reported in the
media. Inward FDI stock in agriculture in 2007 stood at some USD 32 billion, four times higher than in 1990.
The infow of FDI into agriculture amounted
to more than USD 3 billion per year by 2007, compared to USD 1 billion in 2000. If food and beverages are included, the
fow rises to USD 7 billion in 2007.
The main form of recent investments is purchase or long-term leasing of agricultural land for food production. The area of land acquired in Africa by foreign interests in the last three years is estimated at up to 20 million hectares.
The major current investors are the Gulf
States but also China and South Korea. The main targets for recent investment are countries in Africa but there are also investments in Southeast Asia and South America.
Investors are primarily private sector but governments and sovereign wealth funds
are also involved in providing fnance and
other support to private investors or directly.
Private sector investors are often investment or holding companies rather than agro-food specialists, which means that necessary expertise for managing complex large-scale agricultural investments needs to be acquired.
In host countries it is governments who are engaged in negotiating investment deals.
foreign direct investment – win-win or land grab?Some baSic factS
Current investments differ from the recent pattern of foreign direct investment in several respects: they are resource-seeking (land and water) rather than
market-seeking; they emphasize
production of basic foods, including for animal feed, for repatriation rather than
tropical crops for commercial export;
they involve acquisition of land and actual production rather than looser forms of joint venture.
Key issues
Why foreign investment?
A major underlying driver of the recent upturn in investments, which perhaps differentiates it from the normal run of foreign investments, is food security. This
refects a fear arising from the recent high
food prices and policy-induced supply shocks, notably the result of export controls, that dependence on world markets for food supplies has become questionable. For those countries facing worsening land and water constraints
but with increasing populations, incomes and urbanization, and hence increasingly dependent on imported food, these fears provoked a serious reassessment of their food security strategies. Investing in producing food in countries where the land, water and labour constraints faced domestically are not present is seen as one viable strategic response. This offered investment opportunities to the private sector that governments have been willing to support. Some developing countries are making strenuous efforts to attract and facilitate foreign investment into their agricultural sectors. For them, foreign direct investment is seen as a
potentially important contributor to flling
the investment gap and stimulating domestic economic growth. However, how far these investments go towards meeting their real investments needs is
uncertain. The fnancial benefts to host
countries of asset transfers appear to be small, but foreign investments are seen as
potentially providing developmental benefts
through, for example, technology transfer,
employment creation, income generation and infrastructural developments. Whether
these potential developmental benefts will
actually be realized is a key concern.
the “land grab”
The much-publicised “land grab” involving the purchase or leasing of agricultural land in developing countries for food production is just one form of investment and one which arguably is least likely to
deliver signifcant developmental benefts
to the host country. Some countries are seeking foreign investments to exploit “surplus” land currently unused or underutilized. One reason land may not be used to its full potential is that the infrastructural investments needed to
bring it into production are so signifcant
as to be beyond the budgetary resources of the country. International investments might bring much needed infrastructural
investments from which all can beneft.
However, selling, leasing or providing concessional access to land raises the questions of how the land concerned was
figure 1: investor and target regions/countries in land investment for agriculture, 2006-2009
Source: UNCTAD
investor country target countrypreviously being utilized, by whom and on what tenurial basis. In many cases,
the situation is unclear due to ill-defned
property rights, with informal land rights based on tradition and local culture. While much land in sub-Saharan Africa may currently not be utilized to its full potential, apparently “surplus” land overall does not mean land is unused, unoccupied or unclaimed. Its exploitation under new investments involves reconciling different claims. Change of use and access may involve potentially negative effects on local food security and raise complex economic,
social and cultural issues. Such diffculties
at least demand consultation with those with traditional rights to land, and favour alternative mutual arrangements for investments.
alternatives to land aCquisition
It is also not clear that land acquisition is necessary or desirable even for investors. Acquisition of land does not necessarily provide immunity to sovereign risk and can provoke political, social and economic
conficts. Other forms of investment
such as contract farming and outgrower schemes can offer just as much security of supply. It is interesting to note that in other contexts, vertical coordination tends to be based much more on such non-equity arrangements than on the traditional acquisition of upstream or downstream stages. The development of East African horticultural production for export by European supermarket chains is a case in point. Such looser arrangements may be more conducive to the interests of the receiving country. However, even here there are likely to be questions as to the compatibility of the needs of investors with smallholder agriculture, and this in turn raises questions about poverty reduction potential. Nevertheless, joint
ventures might offer more spillover benefts
for the host country smallholders. Under contract farming or outgrower schemes,
smallholders can be offered inputs including credit, technical advice and a guaranteed
market, although they do sacrifce some
freedom of choice over crops to be grown. Mixed models are also possible with investments in a large-scale enterprise at the centre but also involving outgrowers under contracts to supplement production. What business model is most appropriate
will depend on the specifc circumstances
and the commodity concerned.
What are the developmental benefits of foreign investment?
The key issue is the extent to which
benefts from foreign investments spill
over into the domestic sector in a synergistic and catalytic relationship with existing smallholder production systems.
Benefts should arise from capital infows,
technology transfer leading to innovation and productivity increases, upgrading domestic production, quality improvement, employment creation, backward and forward linkages and multiplier effects through local sourcing of labour and other inputs and processing of outputs and possibly an increase in food supplies for the domestic market and for export. However,
these benefts will not fow if investment
results in the creation of an enclave of
advanced agriculture in a dualistic system with traditional smallholder agriculture, which smallholders cannot emulate. The historical evidence on the effects of foreign direct investment in agriculture suggests
that the claimed or intended benefts do not
always materialize and catalogue concerns over highly mechanized production technologies with limited employment
creation effects; dependence on imported
inputs and hence limited domestic multiplier
effects; adverse environmental impacts
of production practices such as chemical contamination, land degradation and
depletion of water resources; and limited
labour rights and poor working conditions. At the same time, however, there is also
evidence of longer-run benefts in terms of
improved technology, upgrading of local suppliers, better marketing systems and improved product quality and sanitary and phytosanitary standards, for example.Additional political, social and ethical concerns are raised where the receiving country is itself food insecure. While there is a presumption that investments will increase aggregate food supplies this does not imply that domestic food availability will increase, notably where food produced is exported to the investing country. It
figure 2: fdi in agriculture, food and beverages 1990-2007, billions of dollars
Source: UNCTAD
Food and beverages Agriculture, forestry and fshing
6050403020100
billion
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 could even decrease where land and water resources are commandeered by the international investment project at the expense of domestic smallholders. Extensive control of land by other countries can also raise questions of political
interference and infuence.
Code of ConduCt
Fears that local concerns are not emphasized in investment contracts and international investment agreements, that foreign investments in land acquisition do not always lead to local long-term
developmental benefts and that domestic
law is inadequate have prompted calls for an international code of conduct or guidelines to promote responsible investment in agriculture. In fact many countries lack the necessary legal or procedural mechanisms to protect local rights and take account of local interests, livelihoods and welfare.FAO, UNCTAD, IFAD and the World Bank are collaborating to develop a voluntary code of conduct highlighting the need for transparency, predictability, sustainability and stakeholder involvement and including domestic food security and rural development concerns. Such a code of conduct, based on detailed joint research concerning the nature, extent and impacts of foreign investment and best practices in law and policy, could provide a framework to which national regulations, international investment agreements, global corporate social responsibility initiatives and individual investment contracts might refer.
FAO is also developing voluntary guidelines on responsible governance of tenure of land and other natural resources in collaboration with other international organizations including UN-Habitat and the World Bank. The rationale for a code of conduct includes the considerations that: foreign investment has a great potential to help meet the investment needs of developing countries and provide
broader long-term developmental benefts;
international concern has been raised over the impacts on small farmers and food security of recent large-scale foreign land
acquisitions and leasing; there are fears that local concerns may not be suffciently
taken into account in investment contracts and international investment agreements, and that sometimes domestic law provides
inadequate safeguards; and international
guidelines might promote responsible
agriculture investments that would beneft
all stakeholders.
Questions for policy consideration
for developing Countries:
What policy and legal frameworks are
needed to maximize benefts, particularly
for local populations?
How can targeted inward investment be encouraged? How can a receptive domestic sector be created?
How can a positive investment climate be created?
How can consistency be achieved between encouraging inward investment
and existing food security and rural development strategies?
What safeguards are required regarding land-use rights and the involvement and compensation of stakeholders?
for investors:
Why focus on acquisition? What alternatives are there to equity investment?
How can outward investment be encouraged? What information and incentives are required?
How can private sector fnance be
mobilized?
What kind of national code of conduct is needed?
for the international Community:
How can investment programmes be devised to meet investment needs – matching capital to opportunities?
Is there a need for an international mechanism to cover covering investment agreements and dispute settlement?
How can global corporate social responsibility initiatives be brought into the process?
for further information
Wsfs secretariat
Offce of the Assistant Director-General
Natural Resources Management and Environment DepartmentFood and Agriculture Organization of the United NationsViale delle Terme di Caracalla, 00153 Rome, Italy
Tel: (+39) 06 570 53101Fax: (+39) 06 570 56172Email: wsfs2009-secretariat@fao.org
World summit on food security
Rome 16–18 November 2009

Food needs 'fundamental rethink'

Food needs 'fundamental rethink'

Vegetables (Getty Images)
Food crops, agriculture and biodiversity cannot be separated from one another
A sustainable global food system in the 21st Century needs to be built on a series of "new fundamentals", according to a leading food expert.
Tim Lang warned that the current system, designed in the 1940s, was showing "structural failures", such as "astronomic" environmental costs.
The new approach needed to address key fundamentals like biodiversity, energy, water and urbanisation, he added.
Professor Lang is a member of the UK government's newly formed Food Council.
"Essentially, what we are dealing with at the moment is a food system that was laid down in the 1940s," he told BBC News.
"It followed on from the dust bowl in the US, the collapse of food production in Europe and starvation in Asia.
"At the time, there was clear evidence showing that there was a mismatch between producers and the need of consumers."
Professor Lang, from City University, London, added that during the post-war period, food scientists and policymakers also thought increasing production would reduce the cost of food, while improving people's diets and public health.
We all know that waste is everywhere; it is immoral what is happening in the world of food
Raymond Blanc,
Chef and food campaigner
"But by the 1970s, evidence was beginning to emerge that the public health outcomes were not quite as expected," he explained.
"Secondly, there were a whole new set of problems associated with the environment."
Thirty years on and the world was now facing an even more complex situation, he added.
"The level of growth in food production per capita is dropping off, even dropping, and we have got huge problems ahead with an explosion in human population."
Fussy eaters
Professor Lang lists a series of "new fundamentals", which he outlined during a speech he made as the president-elect of charity Garden Organic, which will shape future food production, including:
  • Oil and energy: "We have an entirely oil-based food economy, and yet oil is running out. The impact of that on agriculture is one of the drivers of the volatility in the world food commodity markets."
  • Water scarcity: "One of the key things that I have been pushing is to get the UK government to start auditing food by water," Professor Lang said, adding that 50% of the UK's vegetables are imported, many from water-stressed nations.
  • Biodiversity: "Biodiversity must not just be protected, it must be replaced and enhanced; but that is going to require a very different way growing food and using the land."
  • Urbanisation: "Probably the most important thing within the social sphere. More people now live in towns than in the countryside. In which case, where do they get their food?"
Professor Lang said that in order to feed a projected nine billion people by 2050, policymakers and scientists face a fundamental challenge: how can food systems work with the planet and biodiversity, rather than raiding and pillaging it?
The UK's Environment Secretary, Hilary Benn, recently set up a Council of Food Policy Advisers in order to address the growing concern of food security and rising prices.
Farm working cutting kale (Getty Images)
The 21st Century is going to have to produce a new diet for people, more sustainably, and in a way that feeds more people more equitably using less land
Professor Tim Lang
Mr Benn, speaking at the council's launch, warned: "Global food production will need to double just to meet demand.
"We have the knowledge and the technology to do this, as things stand, but the perfect storm of climate change, environmental degradation and water and oil scarcity, threatens our ability to succeed."
Professor Lang, who is a member of the council, offered a suggestion: "We are going to have to get biodiversity into gardens and fields, and then eat it.
"We have to do this rather than saying that biodiversity is what is on the edge of the field or just outside my garden."
Michelin-starred chef and long-time food campaigner Raymond Blanc agrees with Professor Lang, adding that there is a need for people, especially in the UK, to reconnect with their food.
He is heading a campaign called Dig for Your Dinner, which he hopes will help people reconnect with their food and how, where and when it is grown.
"Food culture is a whole series of steps," he told BBC News.
"Whatever amount of space you have in your backyard, it is possible to create a fantastic little garden that will allow you to reconnect with the real value of gardening, which is knowing how to grow food.
"And once you know how to grow food, it would be very nice to be able to cook it. If you are growing food, then it only makes sense that you know how to cook it as well.
"And cooking food will introduce you to the basic knowledge of nutrition. So you can see how this can slowly reintroduce food back into our culture."
Waste not...
Mr Blanc warned that food prices were likely to continue to rise in the future, which was likely to prompt more people to start growing their own food.
Norfolk black turkey (Getty Images)
Sustainable food helps protect rare breeds and varieties
Raymond Blanc on good food
He was also hopeful that the food sector would become less wasteful.
"We all know that waste is everywhere; it is immoral what is happening in the world of food.
"In Europe, 30% of the food grown did not appear on the shelves of the retailers because it was a funny shape or odd colour.
"At least the amendment to European rules means that we can now have some odd-shaped carrots on our shelves. This is fantastic news, but why was it not done before?"
He suggested that the problem was down to people choosing food based on sight alone, not smell and touch.
"The way that seeds are selected is about immunity to any known disease; they have also got to grow big and fast, and have a fantastic shelf life.
"Never mind taste, texture or nutrition, it is all about how it looks.
"The British consumer today has got to understand that when they make a choice, let's say an apple - either Chinese, French or English one - they are making a political choice, a socio-economic choice, as well as an environmental one.
"They are making a statement about what sort of society and farming they are supporting."
Growing appetite
The latest estimates from the UN Food and Agriculture Organization (FAO) show that another 40 million people have been pushed into hunger in 2008 as a result of higher food prices.
This brings the overall number of undernourished people in the world to 963 million, compared to 923 million in 2007.
The FAO warned that the ongoing financial and economic crisis could tip even more people into hunger and poverty.
"World food prices have dropped since early 2008, but lower prices have not ended the food crisis in many poor countries," said FAO assistant director-general Hafez Ghanem at the launch of the agency's State of Food Insecurity in the World 2008 report.
"The structural problems of hunger, like the lack of access to land, credit and employment, combined with high food prices remain a dire reality," he added.
Professor Lang outlined the challenges facing the global food supply system: "The 21st Century is going to have to produce a new diet for people, more sustainably, and in a way that feeds more people more equitably using less land."

Food figures need a pinch of salt

Food figures need a pinch of salt

Isobel Tomlinson
VIEWPOINT
Isobel Tomlinson
The idea that the world needs to double its food production by 2050 in order to feed a growing population is wrong, says Isobel Tomlinson from the Soil Association. In this week's Green Room, she says the misuse of data could be used to allow even greater intensification of the global agricultural industry.
Vegetables (Getty Images)
It is important that scientific research is now done to show how a better future is possible
In the last couple of years, scientists, politicians and agricultural industry representatives around the globe have been using two statistics: the need to increase global food production by 50% by 2030, and for food production to double by 2050 to meet future demand.
These figures have come to play a significant role in framing current international policy debates about the future direction of global agriculture.
These apparently scientific statistics have been dominating the policy and media discourse about food and farming, leading almost everyone to assume we need vast increases in agricultural production to feed a population of nine billion people by the middle of this century.
While ensuring an equitable and sufficient future food supply is of critical importance, many commentators are using this to justify the need for more intensive agricultural practices and, in particular, the need for further expansion of GM crops.
Cooking the books
When the Soil Association, in its report Telling Porkies, looked into the reported sources for these figures, none of the sources actually stated that global food production needs to increase by 50% by 2030, or to double by 2050.
Spider's web covered in frost
The food web is complex and tough to break down into simple soundbites
What the reports on which the claims are based do say is that certain sectors, in certain parts of the world, may have to increase food production by significant amounts.
For example, for cereals, there is a projected increase of one billion tonnes annually beyond the two billion tonnes produced in 2005.
For meat, in developing countries only (except China), the reports say that some of the growth potential (for increased per capita meat consumption) will materialise as effective demand, and their per capita consumption could double by 2050.
So this is a projected doubling of meat consumption in some developing countries - not a doubling of global food production.
Indeed, recent calculations show that the key source for the "doubling" claim - a 2006 report from the UN Food and Agriculture Organization (FAO) - implies that global food production for 2006-2050 would need to increase by around 70%, not 100%; a difference that is equivalent to the entire food production of the continent of America.
But while a re-evaluation of the veracity of the claim that food production needs to double by 2050 is to be welcomed, simply switching to the figure of 70% does not solve the problem.
Food for thought
The statistic of a 70% increase is still predicted on the same "business as usual" model as the "doubling" figure and that is problematic for several reasons:
Rice cultivation
Some region will have to produce considerably more food
Food push urged to avoid hunger
First of all, the projections reflect a continuing pattern of structural change in the diets of people in developing countries with a rapid increase in livestock products (meat, milk, eggs) as a source of food calories.
However, the continuation of dietary transition in developing countries, as assumed by the modelling work, is likely to cause worsening health problems as such diets are a leading cause of non-communicable diseases including cardiovascular disease, some cancers and Type 2 diabetes.
Secondly, the data used to measure food security focuses attention on the level of agricultural production without considering access to food, distribution, and affordability which are all important in ensuring that people do not go hungry.
Thirdly, the projections assume that the developing world continues to import growing quantities of staple food stuffs when, in fact, increasing local production of staple foods is vital in ensuring food security.
Finally, according to these scientists, meeting these projected food demand targets will not solve food insecurity anyway. Indeed it is predicted that there will still be 290 million under-nourished people worldwide in 2050.
The assumptions and projections in this modelling reflect the authors' vision of the "most likely future" but not necessarily the most desirable one.
At the Soil Association, we now want to have an honest debate about how we can feed the world in 2050 in a way that doesn't lead to the further increases in obesity and diet related diseases, ensures that the global environment is protected, and that puts an end to hunger and starvation.
The misuse of the doubling statistic, based as it supposedly is on just one particular forecast of future demand for food, has prevented alternative visions of food and farming in 2050, which do not rely on the further intensification of farming and use of GM technologies, from being taken seriously in food security policy circles.
It is important that scientific research is now done to show how a better future is possible.
One recent scientific study has examined how we can feed and fuel the world sustainably, fairly and humanely. It explored the feasibility of feeding nine billion people in 2050 under different diet scenarios and agricultural systems.
The study showed that for a Western high-meat-diet to be "probably feasible" would require a combination of massive land use change, intensive livestock production and intensive use of arable land.
This would have negative impacts for animal welfare and lead to further destruction of natural habitats like rainforests.
However, the study also provides evidence "that organic agriculture can probably feed the world population of 9.2 billion in 2050, if relatively modest diets are adopted, where a low level of inequality in food distribution is required to avoid malnutrition".
Isobel Tomlinson is the policy and campaigns officer for the Soil Association, the UK's leading organic organisation
The Green Room is a series of opinion articles on environmental topics running weekly on the BBC News website


Do you agree with Isobel Tomlinson? Is it wrong to suggest that the world needs to double its food production by 2050? Will it lead to the intensification of the globe's agricultural industry? Or do we just have to accept that there is never going to be universal food security, and develop ways to help as many people has possible with the resources we have?
We have to plan infinite things to satisfy one unplanned thing i.e. Growth of human population. Either, there are 'without power' powerful leaders, who can not speak on the most basic issue or there are 'genuine' powerful leaders who are wasting their power in neutralizing the frivolous issues raised by their opposition and media. Most of the places, we are handling the results of the problem. Why do not we hit at the source? Why do not we raise the most basic issue? Why not this issue is getting importance in my own country? Not a single political leader is realizing the abnormal growth of human population.
Sanjay Singh Thakur, Indore,India
If more were done to encourage people to have fewer babies, then, whatever the statistics, less food would be needed to feed the global population.
Venetia Caine, Poitiers, France
The FAO was very quick to adjust their projection to a 70 per cent increase after the initial quote got out and most commentators adjusted accordingly long ago, so it's a bit disingenuous to extend the critique of an estimate that has already been refined and will continue to be. To quibble about how big an increase will be required diminishes the matter at stake, but of course that's the objective of the article. To sum it up: FAO has made a credible forecast; we'll never know for certain until it's all over and we certainly can't wait till then to do something about it. It's our food supply after all. Whether we need to increase production by 50 or 70 or 100 percent is not the point. What's really important is that the population of Europe and the world will continue to increase and food supplies will have to be boosted in the face of critical challenges (climate change, availability of water, environmental protection, biodiversity, distribution, affordability etc). The big question is whether we are going to increase the agricultural land base (and cut down more forests to grow food) or become more productive in a sustainable way on existing farmland. Deforestation is agriculture's single biggest contribution to greenhouse gas emissions and the destruction of biodiversity. It's a fact that organic methods require more land to grow the same amount of food (up to three times) and the crops are by far more susceptible to the pests and disease that have plagued food production throughout human history when the whole of agriculture was "organic". Organic is fine in some circumstances and not in others, but it's not the answer to the food supply challenge, which is very likely the biggest we face. It would be very helpful if every stakeholder in the agricultural and food policy community accepted this cold, hard fact as soon as possible. It's not a matter of the right or wrong ideology of farming. It's about resisting the age-old human solution to hunger which is to expand farmland. It's about efficiency and productivity, quality and affordability, and the full and rational application of science and technology to sustaining the our food supply sustainably. Phil Newton, ECPA (European Crop Protection Association)
Phil Newton, Brussels
One would hope that long before 2050 or even 2030, we in the so-called Developed World will have realised that we are eating far too much. I was born in 1969, and everyone I grew up with was slim during the 1970s and 80s. Now 1 in 3 are overweight or obese. And guess what, our calorie intake is much higher. The answer is to drop back down to a more reasonable level of personal consumption - which will also overcome many of the diseases of excess such as heart disease and tumours. Then make projections on what is likely. The fact is that, much as advertisers would like us to, we don't need to all eat a burger and chips and chocolate diet.
Andrew Smith, Milton Keynes, UK
You can't believe anything when it comes to food. We're all on a healthy eating kick now. Due to the large number of centenarians in the Mediterranean countries, we've been coerced and bullied into changing our diet. Now we find that most of these 104 year olds have been dead for decades while their families continued to claim their pensions.
Alan, UK
Food equality is the key issue. Global production of food in vegetable form is twice what is needed to feed the world's population - 4,200 calories per person per day. But it's not so unequally distributed, and much is wasted. E.g. about 40% of global food production is fed to animals not people, and the meat produced contains less than a third of the calories of the animal feed. So I think we urgently need an open debate on alternatives to "business as usual". We don't need high-tech, but we do need high-ethic.
Phil Entwistle, Beverley
Nobody should take any prediction that far into the future seriously. On the other hand, the Soil Association wants to move the world backwards in agriculture, not forwards. They and the rest of the anti-technology anti-GM comfortable middle class (i.e. rich) are part of the problem, not part of the solution.
W Boucher, Cambridge, UK
It's certainly a question of how food is produced, rather than just focusing on how much is produced. As mentioned recently on BBC News - looking at bees shows a clear indication of increasing broad scale mono-culture is unhealthy, and ultimately unsustainable. Here in Australia, there are many examples of farmers applying ecological perspectives in land management, utilising natural services and producing greater yields more "naturally".I also agree that much of the western diet and food management creates both needless health problems and excessive waste. Isobel is correct in saying that we need to "have an honest debate about how we can feed the world in 2050 in a way that doesn't lead to the further increases in obesity and diet related diseases, ensures that the global environment is protected, and that puts an end to hunger and starvation." There is great potential for improvement which should lead to greater efficiency (and ultimately reduction in cost of food, plus health related issues). However, the problem is as much social - where it's cheaper to grow (often with transport being cheap, this leads to what seems odd choices), what is culturally desired etc. Eventually you'll find that you're no longer looking at food production, but how we choose to live. Asking questions here will lead to even greater resistance. But again - real debate and discussion, based on solid evidence, is the only way forward. I also feel it premature to rule out GM as playing any role - not that I'm advocating GM over all else, but I do feel that it must play an important role in some way.
Tim Lubcke, Adelaide
I think the most important thing is to tell some countries and people stopping produce more human beings, slowing down the depletion our limited resources, recycling everthing as much as we can. Don't chase the luxury life, have a comfortable and happy life.
Caren Wang, China
I have mixed feelings,it is very essential to explore how globalization, broadly conceived to include international human rights norms, humanitarianism, and alternative trade, might influence peaceful and food secure outlooks and outcomes. It should review studies on the relationships between (1) conflict and food insecurity, (2) conflict and globalization, and (3) globalization and food insecurity. Next, it would be analyzed country level, historical contexts where export crops, such as coffee and cotton, have been implicated in triggering and perpetuating conflict. It suggest that it is not export cropping per Se, but production and trade structures and food and financial policy contexts that determine peaceful or belligerent outcomes. Export cropping appears to contribute to conflict when fluctuating prices destabilize household and national incomes and when revenues fund hostilities.
Engr Salam, LGED, Bangladesh

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