Remaining Vital in a Pandemic Prone World€¦ · Wild Animal Wet Markets and Factory Farms. ......

Remaining Vital in aPandemic Prone World

Robert Breakey, M.D.June 14, 2020

Disclosure:

I have no actual or potential conflict of interest in relation to this

program/presentation

The Spanish Flu: 1918 = 500M infected, 50+M died…

Notable Epidemics and Pandemics in History:

430 BC Plague of Athens

541 Plague of Justinian

1346 The Black Death

1918 Spanish Flu (H1N1)

Notable Epidemics and Pandemics in History:

430 BC Plague of Athens

541 Plague of Justinian 971 years

1346 The Black Death 805 years

1918 Spanish Flu (H1N1) 572 years

1957 Asian Flu (H2N2)

1968 Hong Kong flu

1981 AIDS

2002 SARS

Notable Epidemics and Pandemics in History:

1957 Asian Flu (H2N2) 39 years

1968 Hong Kong flu 11 years

1981 AIDS 13 years

2002 SARS 21 years

Notable Epidemics and Pandemics in History:

Notable Epidemics and Pandemics in History:

2004 Avian Flu

2009 Swine flu (H1N1)

2011 MERS

2014 Ebola

2015 Zika

2020 COVID-19

Notable Epidemics and Pandemics in History:

2004 Avian Flu 2 years

2009 Swine flu (H1N1) 5 years

2011 MERS 2 years

2014 Ebola 3 years

2015 Zika 1 year

2020 COVID-19 5 years

So WHY are we now in a “Pandemic-Prone World”?

By all accounts, things should be Better as we have:

Sanitation services

Water chlorination

Sewage treatment plants

Understanding of the “Germ Theory”

Vaccines

Antibiotics

Modern medical care

Public Health Departments

So WHY are we now in a “Pandemic-Prone World”?

So WHY are we now in a “Pandemic-Prone World”?

Instead, things are worse as we have:

So WHY are we now in a “Pandemic-Prone World”?

Instead, things are worse as we have:

Jets

So WHY are we now in a “Pandemic-Prone World”?

Instead, things are worse as we have:

Jets

Wild Animal Wet Markets

and Factory Farms

So WHY are we now in a “Pandemic-Prone World”?

Instead, things are worse as we have:

Jets

Wild Animal Wet Markets

and Factory Farms

Chronic Disease Epidemics

So WHY are we now in a “Pandemic-Prone World”?

Instead, things are worse as we have:

Jets

So WHY are we now in a “Pandemic-Prone World”?

Instead, things are worse as we have:

Wild Animal Wet Markets

and Overcrowded Factory Farms

“Human Diseases” Originate in Animals

Tuberculosis - Goats

Measles, Smallpox – Cows

Whooping cough – Pigs

Typhoid Fever – Chickens

Ducks – Influenza

AIDS - Chimpanzees

“How Not to Die”: M. Greger, M.D., p. 79

Corona Virus Origin…

Corona Virus Origin…

Bats

.

.

4 of 7 Cause the Common Cold

Corona Virus Origin…

Bats

Civet Cats

SARS - 2002 .

.

HUMANS

Corona Virus Origin…

Bats

Civet Cats

SARS - 2002MERS - 2012

.

.

HUMANS

Camels

Corona Virus Origin…

Bats

Civet Cats

SARS - 2002MERS - 2012

.

.

COVID -19

HUMANS

PangolinCamels

Corona Virus Origin…

Corona Virus Origin…

Corona Virus Origin…

Our “Corona Virus Equivalent”breeding ground:

Our “Corona Virus Equivalent”breeding ground:

2009 Swine Flu 1.6M Confirmed cases700M to 1.4B likely infectedWith ~300,000 deaths

Our “Corona Virus Equivalent”breeding ground:

Mad Cow diseaseFrom Cannibalistic Feeding Practices

Our “Corona Virus Equivalent”breeding ground:

Avian Influenza H5N1• Rare but deadly Strains• 50% Fatal• 50 Billion+ Chicken

“incubators”

Our “Corona Virus Equivalent”breeding ground:

Bovine Leukemia Virus

Lab Invest. 1994 Sept;71(3):359-65

BLV and Breast Cancer

PLoS One, 2015, Sept 2;10(9) eo34304

National FDA Retail MeatSurvey 2011…

National FDA Retail MeatSurvey 2011…

“90% of retail chickenshowed evidence of contamination with fecal matter…

How Not to Die; Michael Greger, MD, 2015 p. 93

Animal Foods and Infections:Contaminated with Animal Fecal Matter:• Chicken = 90%•Ground Turkey = 91%•Ground Beef = 88%• Pork Chops = 80%

USDA. NARMS 2011 retail meat annual report

CDC 2015 report

Animal Foods and Infections:Contaminated with Animal Fecal Matter:• Chicken = 90%•Ground Turkey = 91%•Ground Beef = 88%• Pork Chops = 80%

USDA. NARMS 2011 retail meat annual report

48+ Million Sickened AnnuallyCDC 2015 report

Animal Foods and Infections:And to make things worse…Many of these bacteria are resistant to antibiotics since 80% of allantibiotics in America are fed to farmanimals…

In the Event of a Nuclear Attack:Duck And Cover!

The largest and oldest association of public health professionals in the world, the American Public Health Association, has called for a moratorium on factory farming for nearly two decades. Its journal published an editorial entitled “The Chickens Come Home to Roost” that went beyond calling for a deintensification of the pork and poultry industries:

Michael Greger: nutritionfacts.org

“It is curious, therefore, given the pandemic threat, that changing the way humans treat animals, most basically ceasing to eat them, or at the very least, radically limiting the quantity of them that are eaten—is largely off the radar as a significant preventive measure. …

Michael Greger: nutritionfacts.org

… Such a change, if sufficiently adopted or imposed, could still reduce the chances of the much-feared influenza epidemic. It would be even more likely to prevent unknown future diseases that, in the absence of this change, may result from farming animals intensively and killing them for food. Yet humanity doesn’t even consider this option.”

Michael Greger: nutritionfacts.org

Example for Coronary Artery Disease:

Primary - Healthy DietSecondary – Low dose Aspirin after MITertiary – Cardiac Rehab

And for Pandemics:

Primary - Factory Farms / Wet MarketsSecondary – Chronic DiseaseTertiary – Jets

First Line of Defense:Prevent Exposure- CDC Guidelines:

• Wash your hands often• Avoid touching your eyes, nose, and mouth• Avoid close contact• Cover your mouth and nose with a cloth

face cover when around others• Cover coughs and sneezes• Clean and disinfect

2nd Line of Defense:A Strong Immune System

Basic Logic:

If A and B Then CCOVID Exposure High Risk of Severe

Chronic Disease

Basic Logic:

If A and B Then CCOVID Exposure High Risk of Severe

Chronic Disease

Basic Logic:

If A and B Then CCOVID Exposure High Risk of Severe

Chronic Disease

Death Certificates List“Co-Morbidities”

3rd Line of Defense:Avoid Obesity, Diabetes, CAD, HTN:

Just like to:Avoid Lung Cancer and COPD:

Leading cause of death and disability in the US:

The Standard American Diet1993:1. Tobacco2. Diet and Activity 3. Alcohol

JAMA. 1993;270:2207-12

2018:1.Dietary Risk2.Tobacco3.Chronic Diseases

JAMA. 2018;319(14):1444-1472

ANIMAL PLANT P

RO

CES

SED

UN

PR

OC

ESSE

D

These processedFAT / SALT / SUGAR

“foods” designed by “food chemists” to addict us are not really

food at all…

ANIMAL PLANT P

RO

CES

SED

UN

PR

OC

ESSE

D

What is “Food”?

Functional Nutrient ResearchTens of Thousands of Studies Document

that Optimal Diet Can…

Improve Performance

Heal Injuries

Increase Health

Increase Vitality

Improve Well-Being

Increase Longevity

What makes a food “Health Supporting”?

DesirableCharacteristics:

Plant Foods Animal Foods

Anti Oxidant Rich

High Fiber

Alkaline

Cholesterol Free

Anti Inflammatory

Phytonutrient Rich

Balanced /HealthyMacronutrients

Michael Greger, MD www.nutritionfacts.org

Michael Greger, MD www.nutritionfacts.org

The process of extracting

Energy from food is “messy”…

Free Radicals are formed…

Cellular Damage

Rapid Cell Aging

Organ Dysfunction

Proteins Denatured

Immune Response

Inflammation

DNA Damage

Mutations

Cancer

Endothelial Damage

Atheroma

CAD/Stroke

Free Radicals are highly reactive

Antioxidant Examples:

• Vitamin E

• Vitamin C

• Beta-carotene

• Lutein

• Lycopene

• Selenium

• Vitamin A

• 1000s of others

DesirableCharacteristics:

Plant Foods Animal Foods

Anti Oxidant Rich

High Fiber

Alkaline

Cholesterol Free

Anti Inflammatory

Phytonutrient Rich

Balanced /HealthyMacronutrients

Feed them Well and they Will: Support Immune function Support Hormone Balance Manage Toxins Nourish Your Colon Lower Inflammation Produce Nutrients Signal Satiety Aid Nutrient Absorption

Starve them and they Will: Inflame Colon Produce Toxins Increase Estrogens Increase Serum Cholesterol Induce Inflammation Create “Leaky Gut” Increase Autoimmune Disease Risk

And what do they eat?

How much fiber do we need?

Average American intake = 15 gm

Dietary Guidelines = 30 gm

Minimum Goal = 60 gm

Optimal = 100+ gm/ day

020406080

100120140160

Fiber (gm) / 2000 calories

Fiber (gm) / 2000 calories

Fiber (gm) / 2000 calories

Egg = 0

Cheese = 0

Olive Oil = 0

Chicken = 0

White Bread = 17

Walnut = 20

Minimum Goal = >30

Barley = 62

Blueberry = 84

Pinto Beans = 144

Broccoli = 152

Kale = 227

Starvation

Nourishment

Dietary Fiber and Risk of Disease David Donohue, MD

DesirableCharacteristics:

Plant Foods Animal Foods

Anti Oxidant Rich

High Fiber

Alkaline

Cholesterol Free

Anti Inflammatory

Phytonutrient Rich

Balanced /HealthyMacronutrients

Michael Greger: www.nutritionfacts.org

DesirableCharacteristics:

Plant Foods Animal Foods

Anti Oxidant Rich

High Fiber

Alkaline

Cholesterol Free

Anti Inflammatory

Phytonutrient Rich

Balanced /HealthyMacronutrients

AVERAGE CHOLESTEROL LEVELS

150

100

50

200

Pygmy Rural Rural AmericansChina Africa

GOAL

DesirableCharacteristics:

Plant Foods Animal Foods

Anti Oxidant Rich

High Fiber

Alkaline

Cholesterol Free

Anti Inflammatory

Phytonutrient Rich

Balanced /HealthyMacronutrients

Plant Foods: Anti-Inflammatory

• Anti-Oxidant Rich

• Support Healthy Microbiome

• Phytonutrient Rich

Animal Foods: Pro-Inflammatory

• Bacterial Endotoxins

• Heme Iron

• Aracidonic Acid

• Carnitine and Choline TMAO

Heme Iron Linked with: Diabetes -- Up 16% per mg Heart Disease -- Up 27% per mg Stroke – Up 16% high vs. low

quintile Cancer – Colon (12%), Breast (3%),

Lung (12%) per mg1) BMC Medicine, 2012; 10:119 2) Eur. J. Nutr. (2014) 53:395-400 3) Stroke, 2013; 44: 334-334 4) Cancer Eipidemiol Biomarkers Prev. 23(1) January, 2014

Heme Iron per 3 oz. Portion:

Clams – 23.8Oysters – 7.8Muscles – 5.7Venison – 2.8Ground Beef – 2.5Lamb Chop -- 2.1

https://hemochromatosishelp.com/heme-iron-vs-non-heme-iron/

INFLAMMATION

Diabetes

Heart Disease

Alzheimer’s

Neuro Degenerative

Auto Immune

Arthritis

Kidney Disease

Cancer

DesirableCharacteristics:

Plant Foods Animal Foods

Anti Oxidant Rich

High Fiber

Alkaline

Cholesterol Free

Anti Inflammatory

Phytonutrient Rich

Balanced /HealthyMacronutrients

Plants Contain Over 30,000 Disease Preventing “Phytonutrients”

Bioflavonoids

Lycopene

Polyphenols

Phytates

Isoflavones

Carotenoids

Retinols

Genistein

Sulphanes

Etc.

DesirableCharacteristics:

Plant Foods Animal Foods

Anti Oxidant Rich

High Fiber

Alkaline

Cholesterol Free

Anti Inflammatory

Phytonutrient Rich

Balanced /HealthyMacronutrients

Animal Foods Unbalanced

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Optimal Beef Chicken Mackeral

Fats

Protein

CHO

Macronutrient Source: PROTEIN

Animal

• Acidic

• Allergenic

• Pro-Inflammatory:

Interleukins, CRP, Inflammatory Cytokines

• Stimulate IGF-1

Plant

• Alkaline

• Less Allergy

• Anti-Inflammatory

• No IGF-1 Stimulation

Macronutrient Source: FATS

Animal

• Cholesterol

• Saturated

• Trans Fats

• Heavy Metals & Contaminants

Plant

• No Cholesterol

• Less Saturated

• None

• Low Contaminants

Macronutrient Source: CARBS

Animal

• None or Sugar

• No Fiber

• Milk = Lactose / Galactose

Plant

• Rich in Complex

• High in Fiber

• No Lactose, small Galactose

Macronutrient Source

Plant Animal

Protein

Fats

Carbs

DesirableCharacteristics:

Plant Foods Animal Foods

Anti Oxidant Rich

High Fiber

Alkaline

Cholesterol Free

Anti Inflammatory

Phytonutrient Rich

Balanced /HealthyMacronutrients

Plant Foods: Animal Foods:

Health Supporting?

ANIMAL PLANT P

RO

CES

SED

UN

PR

OC

ESSE

D

The “New 4 Food Groups”

Vegetables

Fruits

Whole Grains

Beans

Heart Disease

Diabetes

Stroke

Hypertension

Arthritis

Osteoporosis

Obesity

Chronic Kidney Disease

Breast Cancer

Colon Cancer

Prostate Cancer

Arthritis

Gall Stones

Kidney Stones

Alzheimer's

Diverticulosis

Etc.

“Diseases of Affluence”

“Food Borne Chronic Disease” Heart Disease

Diabetes

Stroke

Hypertension

Arthritis

Osteoporosis

Obesity

Chronic Kidney Disease

Breast Cancer

Colon Cancer

Prostate Cancer

Arthritis

Gall Stones

Kidney Stones

Alzheimer's

Diverticulosis

Etc.

“An Ounce of

Prevention…

Is worth much more

than a Pound of Cure”

Prevention Pays: Seat Belts

COVID-19 as of 5/17/20

World USA Percent of Total

ConfirmedPositive

4.7 Million 1.5 Million 32%

Deaths 312 Thousand 90 Thousand 29%

Population 7.8 Billion 331 Million 4%

“Food Borne Chronic Disease”

Cardiovascular Disease – 1/3 of all US deaths

Diabetes (30M) / Pre-Diabetes (84M)

Approaching 50% of the population

Hypertension -- 1 in 3 adults

Obesity -- 41% with BMI 28 or greater

= 6x increase risk of severe COVID-19

57%32%

11%

% of Calories

Processed Animal WFPB

Standard American Diet (SAD)

PCRM: www.pcrm.org

% of Calories WFPB

10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95100

RED = Incite and AccelerateOrange = Later, Slower Progression

Yellow = Mitigate and ArrestGreen = Prevent and Reverse

Chronic Disease Risk- Diet

% WFPB

10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95100

Diabetes Reversal – Lab Results

12/8/15

HbA1c 11.7

Fasting Glucose 287

Cholesterol 258

Triglycerides 843

Microalbumen 39

Diabetes Reversal – Lab Results

12/8/15 4/19/16

HbA1c 11.7

Fasting Glucose 287

Cholesterol 258

Triglycerides 843

Microalbumins 39

4/19/16

5.6

4/19/16

5.6

102

4/19/16

5.6

102

161

4/19/16

5.6

102

161

262

4/19/16

5.6

102

161

262

16

Type 2 Diabetes

Insulin ineffective

Sugar builds up in blood

Cells are starving…in the face of plenty

Type 2 Diabetes

What is Gumming up the locks?

Intramyocellular Lipid

Chicken

CAUTION…Lifestyle changes can work so well

that you may need to quickly lower your medications to prevent low blood pressure or low blood sugar. Work closely with your doctor as you proceed on this journey.

Dr Neal Barnard: PCRM, 2018

Dr Neal Barnard: PCRM, 2018

US Adults With Diabetes

Key Take Home Point:

Key Take Home Point:Chicken and Cheese arekey drivers of our

Diabetes Epidemic

+ =

Plaque in

Arteries

Reversing Heart Disease…

J Fam Pract. 2014 Jul;63(7):356-364b

Paul Chatlin…

Dr. Kim Williams:Chair of Cardiology,Rush Universityand Immediatepast president ACC

“There are two kinds of Cardiologists in the world: Those who are vegan, and those who haven’t read the data…”

Not “All or Nothing”

No “Threshold Effect”

The more you do – the greater your gain

The earlier you start the better

But it’s NEVER TOO LATE

General Principles:

Kaiser:“Physicians should consider recommending a plant-based diet to all their patients, especially those patients with high blood pressure, diabetes, cardiovascular disease, or obesity.”

When people nourish their mind and body with health supporting Whole Plant Based foods… and avoid toxic animal and processed foods…

They Feel, Look and Perform Better!

Every Day Eating WFPB Saves:

• 1100 Gallons of Water• 45 pounds of Grain• 30 sq. ft. of Forest• 10 pounds of CO2• 1 Animal’s Life

SummaryKey Take Home Points:

3 Stages of a Cancer:

• Incite

• Promote

• Metastasis

3 Stages of a Pandemic:

• Incite – Viral MutationNo Factory Farms

• Promote – Chronic DiseaseWFPB Lifestyle + No Smoke

• Metastasis – Social SpreadStay Home

Additional Resources: PBNSG.org NutritionFacts.org PCRM.org ForksOverKnives.com ChickpeaAndBean.com VegMichigan.org FoodRevolution.org PlantricianProject.org P-POD.org

www.PBNSG.org

Dr. Michael Greger

www.nutritionfacts.org

July 24-26, 2020

www.P-POD.org

Has been in Raleigh, NC

Virtual in 2020!

When you have your Health

you have 1,000 dreams…

And when you don’t, you have one...

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