Genetically modified foods
Although the long term risks are unknown, says Ketaki Bhate, consumers should have a choice
The rapid acceleration of technology combined with intense business rivalry has improved the lifestyles of consumers tremendously.
But the introduction of genetic modification in the food industry has raised serious political, social, economic, and ethical
questions. And having been brought up with the notion that an apple a day keeps the doctor away, I find myself wondering if
this is still the case.
Worldwide food shortage
As the current global shortage of maize and wheat causes prices to soar, food manufacturers are turning to genetically modified
crops. The price of maize, for example, has tripled in the past two years. The rises have provoked riots in countries including
Cameroon, Egypt, Haiti, and Thailand. The shortage is caused by growers switching to more profitable crops for biofuels, growing
populations, extreme weather, and ecological stress.
Previously manufacturers paid a premium for conventionally grown staples to avoid consumers’ backlash but cannot now afford
to be so choosey. Acceptance of genetically modified foods by consumers may accelerate their development, which might bring
benefits to poor countries.
Genetic modification
The transfer of genetic information from one organism, such as a plant, to another is called genetic modification, and this
can lead to plants with more vitamins or plants that are more resistant to herbicides. Initially, genetic manipulation enabled
farmers to use alternative solutions to pesticides and to delay ripening.
In subsequent years the technology enabled foods with lower fat content to be produced. The nutritional value and the absence
of potentially toxic herbicides, in the short term, is perceived to be beneficial to the consumer.w1 The technology for genetic modification is evolving, and it will become used more in animals and fish.w2 w3
The importance of agriculture
Arguably, the economic benefits offered by pursuing such technologies are tremendous: genetic modification “could determine
the competitiveness of Europe in agricultural and food processing,” said Philippe Busquin, the European commissioner for research.w4 The agriculture and the food industry is Europe’s leading industry and has an annual turnover of €600bn (£480bn; $950bn).
It is also Europe’s third largest employer, providing 2.6 million jobs.
“Holding back the use of genetic modification could have massive economical implications as other parts of the world are investing
heavily in it,” Mr Busquin thinks.w4 Politically, “the science of biotechnology” is “likely to be to the first half of the 21st century what the computer was
to the second half of the 20th century.”w5 The UK government has pledged more investment.
The UK legislation that governs genetic modification, regulated by the Food Standards Authority, ensures that before foods
are marketed they are subject to a rigorous risk assessment determined by the Codex Alimentarius Commission.w6 This framework involves a risk analysis of the safety and nutritional aspects of foods.
The market
Genetic modification has been readily adopted by organisations in mainstream markets because it provides them with several
opportunities, such as longer shelf lives. Puree made from tomatoes genetically modified to delay ripening was introduced
in UK supermarkets in 1996.w8 This has since been withdrawn because of consumer pressure.w9
But the technology is still widely used. For instance, some products, such as chocolate, mayonnaise, tomato sauce, and bread,
may contain genetically modified vegetable oils, soya, and maize derivatives.w10 Also widespread is the application of technology in the form of chemical manipulation, in which fresh fruit such as apples
can be stored for a year before they reach the supermarket shelves.w11 After a year in storage the term “fresh” seems inappropriate.
Consumer choice
The benefits of genetic modification are apparent for some groups—for example, farmers. But what about its impact on consumers?
Thirty years ago going to your local supermarket or greengrocer with the intention of buying an apple involved a simple decision.
The choice was either a red or a green apple, which were mostly home grown produce. Nowadays consumers may have far more questions
to consider, from the basic, to buy a granny smith or a pink lady variety, to the more complex, perhaps involving a consideration
of the genetic make up of the apple, something only scientifically trained people can fully comprehend.
What about value for money? Consumers need to decide whether to pay an extra £1.50 for funny looking organic oranges from
a different section of the supermarket or to save a bit of money by sticking to the rounder and tastier looking ones in the
main aisles. Environmentalists also highlight the global environmental cost in terms of the transporting of food, referred
to as “food miles.”w14 w23 Local produce may cost less to transport.
Inadequate labelling
Today’s consumers value being able to evaluate accurate and appropriate product information. The prime function of labelling,
therefore, is to provide factual information to consumers. However, evidence indicates that from the consumers’ point of view,
there are gaps in their understanding about genetically modified foods and the technology behind it.w13 As a result of which consumers have misperceptions about genetically modified foods, particularly in terms of possible associated
health risks.w14
The UK government and businesses that have been quick to adopt and promote genetically modified foods also bear responsibility
for the dissemination of information relating to this science, which is new to consumers. As of 2004 mandatory labelling has
been introduced on all foods that have been genetically modified, with the exception of those that contain very small amounts
of genetically modified ingredients (0.09%) in the approved varieties and 0.05% in the foods where it is inadvertently present.w1 w7 But determining the most effective labelling system has been contentiousw15 because neither the government nor businesses are fully trusted by the average citizen.w16 w17
Prioritising profit?
It is impossible for businesses to be categorical about the extent of contamination of the non-genetically modified foods,
referred to as “outcrossing,” as acknowledged by the Food Standards Agency. Businesses have only made mediocre attempts to
modify their labels. For instance, a study shows that organisations use misleading labels, and as a result consumers make
inappropriate choices.w18 w19
Inconsistencies in existing labelling procedures may exist. Many supermarkets have entire aisles dedicated to heavily labelled
organic foods. The cynic wonders whether all foods sold in other aisles have elements of genetic modification. If so, why
aren’t they as clearly labelled as the organic foods? Research commissioned on behalf of the consumer magazine Which? found that of 32 everyday products investigated only eight could be categorically considered to be free from genetic modification.
The rest may have contained genetically modified ingredients but were not labelled accordingly.w20 w21
The government needs to proactively communicate published research on the potential harm associated with genetically modified
foods to customers. The point of purchase may be appropriate for this, enabling us to make informed decisions. The Foods Standards
Agency is moving in this direction in considering an improved signposting system to provide information “at a glance.”w22
Health effects
The debate as to whether genetically modified foods are healthy and good for us in the short term is relevant, but more crucial
are the longer term effects, of which as yet there are few data to study. The long term effect of genetically modified foods
needs further research to identify consumer groups for which it may hold a greater risk to health.
Investigations show that a host of demographic variables play important roles in the decision to buy genetically modified
foods. Among other factors, age and college education are highly related to the level of acceptance of genetically modified
foods.w24 w25 Arguably, young college educated people are capable of comprehending the debate surrounding genetic modification and evaluating
relevant information. So why are they buying genetically modified food? Another study indicates that young people are less
health conscious than people older than 35, who are more likely to opt for organic alternatives?w26 This explanation may be too simplistic.
Some views forwarded by students at Durham in the debate led by the Food Standards Agency may be indicative of the reason
for their ready acceptance of genetically modified food. They cited, for example, that the lack of evidence of harm attributable
to the consumption of genetically modified foods; that the advantages outweigh disadvantages; that the non-use of pesticides
makes genetically modified food more environmentally friendly; and that they are inexpensive alternatives to organic produce.w27
Consumer no longer king
Are we unknowingly exposing ourselves to potentially harmful substances? We do not know. Until longer term research into the
impact of genetically modified food on the younger generation is conducted, the adage ought to read “a genetically modified
apple a day might bring the doctor your way.” The increasing prevalence of genetically modified foods means that consumers
may soon have less choice. But improving the availability of information will at least enable consumers to make the most of
the choice that remains.
Ketaki Bhate fifth year medical student Imperial College London, London SW7 2AZ
ketaki.bhate@ic.ac.uk
Student BMJ 2008;16:188-189 | 17
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