Tag Archive: health


Fifty years ago the first plastic wrapped sandwich loaf was created in Chorleywood. Since then it has spread across the world; David Sillito is now asking if this was a design classic or a crime against bread.gn classic or a crime against bread, asks David Sillito.

It is estimated that more than 80% of all loaves in Britain are now made the Chorleywood way. The work of the scientists at the Chorleywood Flour Milling and Bakery Research Association laboratories in 1961 led to a new way of producing bread, making the average loaf in Britain 40% softer, reducing its cost and more than doubling its life. The bread scientist, Stan Cauvain, who worked with the original inventors and has written the definitive work on the Chorleywood Process says they knew from the beginning they had changed baking forever.

Its origins lay in the late 1950s and the need to try to find a way for small bakers to compete with new industrial bakeries. The light brown “national loaf” during the long years of rationing had, for many consumers, outstayed its welcome. Soft, springy, white bread – that did not go stale quickly – was what the public wanted.

Already, thanks to the Chorleywood process, nearly half the wheat in our bread is British. The industry’s current development programme could bring about a situation where British bread is made from an even higher proportion of British wheat – thus making the British loaf even better value for money in relation to world bread prices.

The research bakers at Chorleywood discovered that by adding hard fats, extra yeast and a number of chemicals and then mixing at high speed you got a dough that was ready to bake in a fraction of the time it normally took. It allowed bread to be made easily and economically with low protein British wheat.
But with industrial bakers quickly adopting the process, rather than helping small bakeries, the research at Chorleywood helped put thousands of them out of business. For some bread lovers, particularly the “artisan bread movement” anything Chorleywood is simply not real bread. “This stuff is like cotton wool,” says Paul Barker, who himself used to work as an industrial baker and sold the emulsifiers, enzymes and other chemicals used in modern baking.

The classic white loaf – how it is made and what people think of it

The issue he says is about both taste and digestion. “Modern bread doesn’t taste of bread,” he says. “If it’s not allowed to rise and prove naturally then it doesn’t develop the proper taste.” There is also the matter of health. The Chorleywood loaf has twice the amount of yeast of a traditional loaf, it has enzymes and oxidants added and while certain chemical additives such as potassium bromate have been banned, Paul Barker and other bread campaigners believe it is behind the growth in the number of people who struggle to digest bread.

“Every day I have people who say they have given up eating bread and then find they don’t have a problem with bread that’s been allowed to develop slowly. My sourdough takes more than 70 hours to make.” Proving this, however, is another matter. Prof John Warner at Imperial College in London says there has been a marked increase in allergies and intolerance of wheat and bread over the last 50 years, just as there has been an increase in allergies to dust, nuts and dozens of other items.

  • 1928: First bread slicing machine, invented by Otto Rohwedder, exhibited at a bakery trade fair in the US
  • 1930: Large UK bakeries take commercial slicers and sliced bread first appears in shops
  • 1933: Around 80% of US bread is pre-sliced and wrapped. The phrase “the best thing since sliced bread” coined
  • 1941: Calcium added to UK flour to prevent rickets
  • 1942: The national loaf – much like today’s brown loaf – introduced to combat shortage of white flour
  • 1954: Conditions in bakeries regulated by the Night Baking Act
  • 1956: National loaf abolished
  • 1961: The Chorleywood Bread Process introduced
  • However, three-quarters of people who believe they have an allergy or medical intolerance to bread show no signs of any symptoms in blind testing. He, himself, though is wary of what sort of bread he eats. “We have several pounds of bacteria in our guts and there have been marked changes in this gut flora in affluent societies over the last 50 years.” While producers are not obliged to say what enzymes are added to the bread, Polson says there is no evidence that it is any harder to digest. “There are some additional additives to give it a bit more shelf life, a bit of extra softness – but all it’s doing is augmenting what is happening in the natural process.” So, the Chorleywood process has its critics but its success with consumers is undeniable. Even in France some stick loaves are now made the Chorleywood way, although not the classic “baguette”.

    The process is now used in more than 30 countries with Colombia and Ecuador taking it on in the last few years. Britain’s white bread market is worth about £1bn a year, and most of that is Chorleywood bread. It’s cheap, filling, soft, long-lasting and, because it can turn low-protein British wheat in to palatable bread, a boon to British farmers. While it’s considered by researchers at the food technology research institute in Chipping Campden to be a marvel of food engineering – the public does not seem to value it too highly.

    Almost a third of the bread bought in Britain – 680,000 tonnes a year – is thrown away.

Smoking damages the body in minutes rather than years, according to research in the US. A report, published in Chemical Research in Toxicology, shows that chemicals which cause cancer form rapidly after smoking. Scientists involved in the small-scale study described the results as a stark warning to people considering smoking. Anti-smoking charity Ash described the research as “chilling” and as a warning that it is never too early to quit.

The long term impact of smoking, from heart disease to a range of cancers, is well known. This study suggests the damage begins just moments after the first cigarette is smoked.The researchers looked at the level of chemicals linked with cancer, polycyclic aromatic hydrocarbons (PAH), in 12 patients after smoking. A PAH was added to the subject’s cigarettes, which was then modified by the body and turned into another chemical which damages DNA and has been linked with cancer.

The research shows this process only took between 15 and 30 minutes to take place. Professor Stephen Hecht, from the University of Minnesota, said: “This study is unique, it is the first to investigate human metabolism of a PAH specifically delivered by inhalation in cigarette smoke, without interference by other sources of exposure such as air pollution or the diet. The results reported here should serve as a stark warning to those who are considering starting to smoke cigarettes. Martin Dockrell, director of policy and research at Ash (Action on Smoking and Health), said: “Almost everybody knows that smoking can cause lung cancer.

“The chilling thing about this research is that it shows just how early the very first stages of that process begin – not in 30 years but within 30 minutes of a single cigarette for every subject in the study. “The process starts early but it is never too late to quit and the sooner you quit the sooner you start to reduce the harm.”

Hospitals are fiddling a four-hour A&E wait target by using other wards as dumping grounds, the Conservatives say. Data from 114 NHS trusts in England found many patients faced long waits in assessment units which did not count towards the waiting time. Over a fifth of units reported keeping patients longer than the recommended 24 hours with the average wait being 17. Doctors agreed the system was being abused in places, but the government said the research was “misleading”.

The Conservatives asked hospitals to provide data on their use of these wards under the Freedom of Information Act.We expect assessment units to be used to improve patient care, not as a ‘holding area’ or to avoid breaching the A&E four-hour standard. The units are commonly known as emergency assessment or clinical decision units. They effectively act as a half-way house between A&E and hospital to allow patients to continue to be monitored before a decision is taken to continue treating them or discharge them.

Many are mixed-sex and do not have proper beds, leaving patients to rest on trolleys. Shadow health secretary Andrew Lansley said: “Labour complacently claim that they have abolished long waits for patients being admitted to hospitals, but these figures show that all they have really done is fiddle the figures.

It is not the first time the way the target is being met has been criticised. Both the British Medical Association and academics at London’s City University have raised concerns over the last few years about the use of assessment units. John Heyworth, from the College of Emergency Medicine, said the four-hour target, introduced in 2004, was not working as well as people believed it was. “There is a continuing amount of gaming going on,” he said. “We know these areas are being used frequently purely to admit patients to meet the target and quite often they are not properly equipped or staffed.” He adds doctors would like to see more flexibility in the target to allow them to continue monitoring patients for longer than four hours when appropriate.

Nigel Edwards, policy director of the NHS Confederation, which represents hospital trusts, said it was likely patients were being moved to provide more time for tests, as the four-hour target did not give medical staff “very much leeway”.

Health minister Gillian Merron pointed out before Labour came to power patients were facing long waits. She said the Tory figures were “misleading” as some of the units were observational wards which had been designed and equipped to care for patients for a while. But she added: “We expect assessment units to be used to improve patient care, not as a ‘holding area’ or to avoid breaching the A&E four-hour standard.”

It would seem that the NHS is under so much pressure to change to many things at once, no wonder they are overstretched due to the sheer number of people they have to see when they have a mountain of paperwork to complete. So we shouldn’t blame them for attempting to modify procedure so that they appear to conform to the standards set by the government as they are aware that they risk funding being reduced if they don’t conform.

Research carried out by a Swedish research team suggests that well-educated woman have a positive influence on both their own and their partner’s chances of a long life. The statistics showed that a if the woman only has a school education then her partner had 25% greater chance of dying earlier than the man whose partner had a university education. It is thought that the reason for this is that educatated women are more likely to understand the health messages their family needs. When the roles are reversed it is the male’s income and social status that affect women’s lifespan.

One theory put forward is that women tend to take on the responsibility of feeding the family so a more educated woman will be more aware of better eating habits. It is also is thought women who are better educated tend to receive better healthcare and their partner benefits from this.

I don’t know if this is purely the case in Sweden where the research involved 1.5 million participants all of which were swedish; but I don’t really agree that the better educated women increase the life of the male. I think that it is simply a case of common sense that if you eat well and have an active lifestyle then you will in theory live longer. Plus is some scenarios due to having a high powered job I would have thought that their life may be shortened due to stress related illnesses.

The Government say that swine flu vaccinations will begin in the UK next week (21/10/2009).

The first group to be vaccinated is those in hospital, pregnant women and those with existing health problems. After these people have been vaccinated GPs will start to call in patients from priority groups.

There are four priority groups:

  • 1. Individuals aged six months to 65 years with underlying health problems and the immuno-supressed, which includes chemotherapy patients.
  • 2. Pregnant women
  • 3. Household contacts of people with compromised immune systems
  • 4. Individuals aged over 65 with health problems

If their mothers are obese the statistics show that the daughters are 10 times more likely to be overweight; with sons the chance is 6 times more likely that they will be overweight if their father is overweight.

These results came from a study into whether childhood obesity was linked to environmental influences instead of genetic ones. The study involved looking at BMI’s for 226 five-year-olds and their parents. The researchers noted a relationship between the BMI of the children and the same sex parent. However no link was found between the children and the parent of the opposite sex. This suggests that the link is environmental as if it was genetic it would be unlikely to be gender selective.

These findings are not really surprising as it is a logical step that the parents eating habits and lifestyle would influence the child but what is surprising is that it seems to be gender specific. One possible explanation for the relationship between children and same sex parents is that the children use their parents as role models and so model their behaviour on the parent of the same sex.

If this is the case you would have thought that the parents would ensure that they are a positive role model for their children. Also they should take into consideration that the “fat kids” are usually singled out by bullies and are more prone to health problems such as diabetes and heart problems, add into the mix the psychological problems such as low self esteem. It is also worth pointing out that your eating habits can be passed down through the generations so not only are your children affected but your grandkids and great….grandkids.

According to Action for Blind People more people could end up going blind as they avoid getting their eyes tested. This is because the majority of people have to pay to get their eyes tested so when money becomes tight people are reluctant to pay for things like that instead they focus on ensuring that they keep up with the payment of bills and mortgages instead. Other things that have seen a decline is people taking time off work to have treatments such as those to remove cataracts; it is assumed that the reason for this is that during times when businesses are making cut backs of staff people are becoming scared to take time off for whatever reason as they feel that when deciding who to “get rid of” any time off will count against them.

Dental care has also seen a decline in the number of people getting regular check ups and then the subsequent treatment that may follow. It would seem that treatments that are not deemed to be essential are being ignored by people as they worry about the cost and the issues previously mentioned about having time off.

The number of people purchasing condoms has declined as people are trying to save money which is ultimately resulting in more people putting themselves at risk. One particular clinic noted an increase on the number of patients presenting at the clinic with severe cases of various STIs as people aren’t taking precautions and then ignore the problem until it becomes a severe problem.
It may be worth reminding people that condoms are free from family planning clinics and your GP. Also if you end up pregnant as a result of not using a condom it will ultimately cost you more and may go against you when employers are making staff cut backs.

In summary whilst I can appreciate that money is tight at the moment the cost of the basic check ups and contraceptives it is worth it because it detects problems earlier on therefore means less time off work and treatment may be cheaper and to some extent cheaper.

The credit crunch has hit private healthcare organisations, pretty hard as it has forced alot of people to return to the NHS for treatment; as they can’t afford to pay to receive the treatment privately. It is estimated that the 25% of the population who paid for private healthcare has declined to approximately 16% and experts estimate that this will continue to decline in the current economic crisis. The number of cosmetic procedures carried out has fallen as the banks are refusing loans, so people are unable to raise substantial funds to cover the cost of the procedures. To give you some idea of the scale of the problem in 2008, 215,000 self-pay customers spent £515million on private treatments, of which £170million went on cosmetic surgery. A fifth of bank loans are taken out to fund cosmetic surgery and experts said that they were now much harder to get.

Private healthcare professionals blame not only the credit crunch but also the reduction in NHS waiting times for a decline in their business. According to Spire Healthcare, one of the UKs biggest private providers, those who would normally pay for procedures were delaying treatment. Another private organisation BMI Healthcare, noted demand had fallen, particularly for operations such as hip and knee replacements.

So after an increase in the privatisation of healthcare it seems that the situation is being reversed as a result of the credit crunch, however it is possible that after the credit crunch has been resolved that the situation may revert back to private healthcare becoming more popular again.

Healthcare in Europe is run through a variety of systems which operate on a national level, in Germany it is a mix of public and private funded healthcare; although throughout Europe it is predominately funded by private health insurance Although their are government alternatives such as the EHIC which has replaced the E111.

Here is a list published by the World Health Organisation which shows the top European countries ranking both within Europe and also in terms of the whole world:

  • 1st France
  • 2nd Italy
  • 3rd San Marino (its at the top of Italy)
  • 4th Andorra (its between France and Spain)
  • 5th Malta

In France people earning less than 6,600 euros per year do not have to contribute to the cost of their healthcare; but due to the fact that it is largely privatised there is a high quality service without the waiting times of the NHS. Apart from those mentioned above people pay a premium for their healthcare which is approximately 20% of their payroll (employers paid 12.8% and employees 6.8%) this however caused problems with employers complaining that they were meeting too much of the burden…probably because it meant less profit for them; anyway this led to reform. The insurers are non-government, non-profit agencies, which owe allegiance to employers and employees. As well as their compulsory contribution most employees pay an additional voluntary 2.5% of their salary to a mutual insurer.

The French are able to enjoy freedom of choice when choosing their medical practioner, whether GP or specialist, and typically pay their doctor’s fee and then claim back 75-80%. Payment may deter the poorest people from seeking care and so when this was recognised legislations were introduced to help these people so about 6 million people are not expected to pay. All patients, may go directly to a specialist either outside or within a hospital.

The evidence suggests that French Healthcare is considerably better than that provided by the NHS, but as the saying goes “the grass is always greener on the other side”. If you weigh up the merits of both systems they probably work out about the same

Health care in the United States is provided by several separate legal entities it is estimated that the U.S. spends more on health care than any other nation in the world. In 2007, the U.S. spent a projected $2.26 trillion on health care, or $7,439 per person. In the U.K that would equate to approximately £3,700 per person. This is due to the sheer size of the U.S.A and the fact that it is divided into many states therefore a system such as the NHS would be impractical.

According to the Institute of Medicine, the U.S. is the only wealthy, industrialized nation that does not have a universal health care system. Around 84.7% of U.S citizens have some form of health insurance; either through their employer, purchased individually or provided by government programs. There are a few publicly-funded health care programs to provide for the elderly, disabled, children, veterans, and the poor. There is a federal law in place that basically states that the public are entitled to emergency treatment regardless of their ability to pay.

As with any system the U.S healthcare system is not without problems. For example it is estimated that 47 million U.S citizens, 8.7 million of which are children, are without any health insurance with this figure rapidly increasing as employers are shifting the cost to employees who are unable to meet the cost of the premiums. The costs of healthcare are rising at 5 times the rate of inflation. As a result of employers shifting the cost to employees there are strikes taking place all over the U.S such as the Southern California grocery workers’ strike and lockout in which nearly 60,000 workers saved health care benefits and beat back employer demands to freeze pension funds after holding strong on the picket line for five months. Under grocery management’s original proposals, a worker making slightly less than $20,000 a year would have had to pay nearly $5,000 to maintain the same level of benefits they had in the previous contract. Other cost increases hitting workers include larger hikes in the cost of family coverage, less access to needed prescription drugs through stricter HMO formularies and higher prices for more comprehensive coverage. According to the statistics consumers are using more prescriptions, at younger ages and for more conditions, and substituting newer, more expensive medications for established products.

In the U.K on the other hand healthcare is provided by the central government and is mostly free but there a few areas where costs apply; although there are private practices within the healthcare sector. Forming the basis of healthcare in the United Kingdom, each system—National Health Service, NHS Scotland, NHS Wales and the Health and Social Care in Northern Ireland—operates independently, and is politically accountable to the relevant devolved government of Scotland (Scottish Government), Wales (Welsh Assembly Government) and Northern Ireland (Northern Ireland Executive), and to the UK government for England.

The NHS is divided into two sectors the primary sector which includes the following:

  • NHS Direct
  • NHS walk in centres
  • GP practices
  • Dentists
  • Opticians
  • Pharmacists

The secondary sector includes the following:

  • Emergency and urgent care
  • Ambulance Trusts
  • NHS Trusts
  • Mental Health Trusts
  • Care Trusts

The NHS is also not without problems for a start the NHS is over budget in several areas by as much as £105 billion. It is also understaffed. As a result waiting times are at an all time high, although some argue that it is due to the credit crunch and the growing immigration to the U.K. As previously mentioned in the article “The privatization of the NHS” the government’s idea to resolve some of the problems with the NHS is to privatise healthcare; the question is will this actually help or is just a social construction created to justify increasing taxes to make more money for the government?