This commentary — The Sterile Nutrition Debate — has been sitting in my in tray for a couple of months because I really didn’t know what to do with it. In it an industrial chemist called Basil Kransdorff argues that the medical establishment and policy makers have consistently failed to take good nutrition seriously. They either regard it as a panacea or as useless, neither of which sees it as an essential component both of good health and of the ability to fight disease.
Confront most doctors on this issue and they will agree that nutrition is key. But getting doctors to engage with nutrition as a science and to implement it in patient management is another issue. They become confused. Where they accept that nutrients are not medicines, even when they bring health to a diseased body, they cannot bring themselves to dispense appropriate nutrients, arguing either that this will encourage dependence, or that food and nutrition are a private issue, and if handed out, should be cheap. Ironically, where doctors believe that nutrients are in fact treatments, there are incessant demands for clinical trials, designed around drug trial protocols, to prove the obvious that nutrition is good for you.
Drum Beat aims to generate discussion, and there has certainly been plenty of that. Most of it is focussed on HIV/AIDS, but there does seem to be a recognition that good nutrition is good for people, and good nutrition requires agricultural biodiversity: end of story.