2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in...

60
Essential Roles of Agricultural Technology & International Trade in Future Food Security Robert L. Thompson Professor Emeritus of Agricultural Policy University of Illinois at Urbana-Champaign 21 September 2015

Transcript of 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in...

Page 1: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Essential Roles of Agricultural

Technology & International Trade

in Future Food Security

Robert L. Thompson Professor Emeritus of Agricultural Policy

University of Illinois at Urbana-Champaign

21 September 2015

Page 2: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Outline

• Dimensions of Food ecurity

• Drivers of Global Demand for Food

• Global Agricultural Supply Potential and

International Investment Opportunities

• Future Prospects

Page 3: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Dimensions of Food Security • Global Food Security

– Can the world’s farmers feed its larger population better than today at reasonable cost without damaging the environment?

• National Food Security – Potential for self-sufficiency that is economically

efficient and environmentally sustainable

– Every country has to ensure that it has a reliable,

safe and nutritious, reasonably priced supply of

food from a combination of domestic production

and imports.

• Household Food Security – Hunger caused mainly by lack of purchasing power

– The rich in no country go hungry, except in times of war, natural disaster or politically-imposed famine.

Page 4: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Global Demand for Food

Page 5: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Projected Population Growth to 2030 (millions)

Region 2015 2030 Change Percent

World 7,336 8,505 + 1,169 + 16

High Income 1,254 1,295 + 41* + 3

Developing 5,144 5,910 + 766 + 15

Least developed 938 1,300 + 362 + 30

Source: Population Reference Bureau. 2015 World Population Data Sheet.

*Of the 1.2 billion additional mouths to be fed in the next 15 years, only 3.5% of

them will be in the high income countries. The potential growth markets of the

future are in the lower income countries.

-Of the projected 41 million increase in the population of high income countries, 38

million will be in the United States. The populations of most of the other high

income countries are declining. When the aging of their populations is also

considered, these are shrinking markets of the past.

Page 6: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Projected Population Growth to 2050 (millions)

Region 2015 2050 Change Percent

World 7,336 9,804 +2,468 + 34

High Income 1,254 1,310 + 56 + 4

Low Income 6,082 8,495 +2,413 + 40

East & S.E. Asia 2,237 2,411 + 174 + 8

South Central Asia 1,903 2,526 + 623 + 33

Sub-Saharan Africa 949 2,081 +1,132 +119

Latin America/Carib 630 776 + 146 + 23

N. Africa & W. Asia 479 779 + 300 + 63

Source: Population Reference Bureau. 2015 World Population Data Sheet.

Page 7: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

10 Largest Countries (millions)

2015 2050 1. China 1,372

2. India 1,314

3. United States 321

4. Indonesia 256

5. Brazil 205

6. Pakistan 199

7. Nigeria 182

8. Bangladesh 160

9. Russia 144

10. Japan 127

1. India 1,660

2. China 1,366

3. United States 398

4. Nigeria 397

5. Indonesia 366

6. Pakistan 344

7. Brazil 226

8. Bangladesh 202

9. Congo D.R. 194

10. Ethiopia 165 Source: Population Reference Bureau. 2015 World Population Data Sheet.

Page 8: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Urbanization Changes Diets:

How to Provision Megacities?

Source:http://web.worldbank.org/WBSITE/EXTERNAL/NEWS/0,,contentMDK%3A20149913~menuPK%3A34457~pagePK%3A64003015~piPK%

3A64003012~theSitePK%3A4607,00.html

The U.N.

projects that

60% of world

population will

live in cities by

2030; 70% by

2050.

Page 9: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Hunger & Food Insecurity Widespread

• Of the world’s 7.3 billion people, 1.2 billion

live on less that $1.25 per day*.

– 780 million people (1 out of every 9 people in

the world) cannot afford 1,800 calories per

day, not enough to put in even a medium level

of physical activity.

• 2.4 billion (35% of the world population)

live on <$2.00 per day*.

– By $2.00 per day most hunger (calorie)

problems solved, but 2 billion still suffer

nutritional deficiencies.

• 2008 estimate; income corrected for differences in purchasing power

across countries. Source: World Bank Povcal database.

Page 10: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Dynamics of Food Demand Growth

• As their incomes rise from about $2 to $10

per day, people can afford a more

balanced diet and eat more meat, dairy

products, eggs, edible oils, fruits &

vegetables causing rapid growth in raw

agricultural commodity demand.

• After people’s incomes reach about $10/

day, the small part of each increment that

gets spent on food is spent on conveni-

ence, packaging, processing, variety, and

luxury forms, not more raw commodities.

Page 11: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Meat Consumption Dynamics

Page 12: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Population Living on <1.25/Day

Page 13: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security
Page 14: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Projected World Food Demand

• World food demand is projected to grow about two-thirds between now and 2050: – 33% increase from world population growth – from

7.3 to 9.7 billion – almost all in developing countries

– 33% increase from broad-based economic growth and urbanization in low income countries

• How many presently low income consumers, who spend the largest fraction of their incomes on food, escape from poverty is the most important uncertainty concerning future global demand for food.

• With the growing use of agricultural commodities as raw materials in the of the bio-based economy, including biofuels, world demand for grain and oilseeds could double by 2050.

Page 15: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

The world’s arable land is not

distributed around in the world in the same

proportions as is population.

Distribution of Arable Land Distribution of World Population

East and South Asia have more than twice as much of the

world’s population than of the arable land, and virtually all of

their arable land is already in production. The Middle East &

North Africa have land, but not water.

Page 16: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Growing Agricultural Trade

• With population growth, urbanization and broad-

based economic development, growth in many

low-income countries’ food consumption will

outstrip their production capacity.

• No matter how much they invest in developing

their agriculture, many will become larger net

importers—on either commercial or

concessional terms.

• A larger fraction of world agricultural production

is expected to move through world trade.

Page 17: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Global Supply Potential

Page 18: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Croplands of the Earth

Interpretation: The darker the shading, the larger the percent of the land under that pixel that is in crops.

Source: Center for Sustainability and the Global Environment (SAGE), University of Wisconsin.

Page 19: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

The Land Constraint

• There is at most 12% more arable land available

worldwide that isn’t presently forested or subject

to erosion or desertification, and…

• Loss and degradation of many soils continues:

– Urbanization & infrastructure construction

– Nutrient mining

– Erosion

– Desertification

– Natural reserves

– Reforestation

Page 20: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

The Land Constraint (cont’d.)

• The area of land in farm production could be

doubled…

– But only by massive destruction of forests and loss of

wildlife habitat, biodiversity and carbon sequestration

capacity

• The only environmentally sustainable alternative

is to double productivity on the fertile, non-

erodible soils already in crop production.

• Most available cropland is in remote areas of

South America and Sub-Saharan Africa where

infrastructure is minimal and soils are inferior in

quality to many already in production.

Page 21: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Inherent Land Quality

Page 22: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Climate Constraints Changing

• Warming greater over land than over water and greatest

at higher latitudes.

• Changing spatial distribution of precipitation

• Increased frequency of extreme climatic events Source: International Institute for Applied Systems Analysis, Laxenburg, Austria.

Page 23: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Source: IPCC 4 Working Group 1. Summary for Policymakers, p . 15.

Page 24: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Source: IPCC 4 Working Group 1. Summary for Policymakers, p. 16.

Page 25: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Agriculturally Important Effects

of Climate Change

• More carbon dioxide enhances plant growth

• Higher temperature extends growing season in

high latitudes, but likely detrimental in low

latitudes

• Available water (increase demand for irrigation?)

• Increased risk from greater climatic variability

and more frequent extreme events

• Proliferation of pests and diseases further north

• Sea-level rise causes loss of cropland

• Loss of soil fertility and increased erosion

Page 26: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Adaptations Will be Required

Due to Global Climate Change

• As all agro-ecosystems shift with climate

change, need larger investments (public

and private) in adaptive plant and animal

breeding just to sustain present

productivity levels.

– e.g. introduce more drought or heat tolerance.

• Change the mix of what crops are

produced in a some geographic locations.

• Rely more on international trade.

Page 27: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Water--A Growing Constraint • Farmers account for 70% of the world’s fresh

water use.

• With the rapid urbanization underway, cities will outbid agriculture for available fresh water.

• The world’s farmers, who are being called on to double food production, will have to do it using less fresh water than they are using today. – i.e., they will have to more than double the “crop per

drop,” the average productivity of the water they use.

• This will require investments in research to develop water saving technologies and to increase the drought tolerance and water use efficiency of the crop varieties being grown.

Page 28: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Solving the Water Constraint • There is one source of optimism that the

productivity of the water used in agriculture can be increased. Water is priced at zero to most of the world’s farmers, signaling that it is much more abundant than it is in reality. – Anything priced at zero will be wasted.

• There are better technologies available today to

increase water use efficiency than farmers are

using in many parts of the world, but with water

priced at zero, it doesn’t pay to adopt them.

• If the politically difficult hurdle of charging

farmers for water can be overcome, this would

stimulate adoption of the available technologies.

Page 29: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Sustainability Will Require Increased

Global Food System Productivity

• Make presently unusable soils productive

• Increase genetic potential (of individual crops

and/or farming system) (ditto for farm animals)

• Achieve as much of that potential as possible by:

– Improving nutrition of that crop

– Increasing water availability and control

– Reducing competition from weeds for water, nutrients

and sunlight

– Reducing losses from disease and insects

• Reduce post-harvest losses

Page 30: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Post-Harvest Losses

• It is estimated that one third* of world food

production is lost between farmers’ fields and

the consumer.

– In low income countries this occurs principally

between the field and retail.

– In high income countries this occurs principally

between retail and the garbage pail.

• In a resource-constrained world, isn’t it immoral

to use so many resources--land, water, energy,

and fertilizer--to produce so much food that

never gets from farmers’ fields to consumers?

*There are no very good data on the magnitude of post-harvest losses. All

published numbers are crude estimates.

Page 31: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Grain Yields Around the World

Interpretation: Grain yields (in metric tons per hectare) rise from lowest (dark blue) to highest (dark red)

Source: Center for Sustainability and the Global Environment (SAGE), University of Wisconsin.

Page 32: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Crop

Yield

Gap

Sources: Center for Sustainability and the Global Environment (SAGE), University of Wisconsin, and FAO. State of

Food an Agriculture 2012, p. 106

Page 33: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Sources of Observed Differences

in Crop Yields in Different Locations

- Genetic potential embodied in the seeds of the crop being grown.

- Climatic conditions (level and variation in temperature and precipitation)

- Quality of soil (fertility, water holding capacity; resilience)

- Supplementation of soil fertility and precipitation with fertilizer and irrigation.

- Losses of yield potential from disease and insect infestations and competition from weeds.

Page 34: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Need to Exploit Irrigation Potential

Page 35: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Fertilizer Use by Region 1961-71 to 2001-2011

Source: FAO data

Page 36: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

More Sources of Observed Differences

in Grain Yield in Different Locations

- Existence of markets to supply farmers inputs that embody improved technologies (and available credit) and buy their outputs

- Requires a business friendly investment climate

- Remunerative input and output prices

- Reflect public policy and state of transport and communications infrastructure.

- Knowledge and skill of farmers.

Page 37: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Efficiency in Livestock and

Poultry Production Must Increase • Continue to increase potential feed conversion

rates through improved genetics, nutrition and

herd/flock health.

• Reduce the gap between actual feed conversion

rates and what is possible with present state of

nutrition knowledge (balance rations).

• Increase fraction of world meat and milk

production from species with highest feed

conversion rates.

• Reduce methane production per unit of milk and

meat produced by ruminants.

Page 38: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Agricultural Research Potential

• There remains more productivity enhancement

potential from classical plant and animal

breeding, especially with modern genomics, and

genetic engineering opens new frontiers:, e.g.

– Improve nutritional content of grains, etc.

– Increase tolerance to drought, wetness, temperature,

salt, aluminum toxicity, …. (to increase yields and/or

planted area under adverse or variable conditions)

– Increase resistance to certain diseases; viruses

– Reduce pesticide use, especially insecticides

– Herbicide-resistant varieties

– Slow down product deterioration

Page 39: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Agriculture Has Been Off the

Global Development Agenda • Agricultural and rural development were priorities for

foreign aid and international development bank lending

up until the mid-1980s, but:

– Between 1980 to 2005, foreign aid to low income countries for

agricultural development dropped from $8 billion to $3.4 bill./yr

(from 17 to 3% of the whole)

– In the 1980s, 25% of U.S. foreign aid went to agriculture; dropped

to 6% by 1990 and 1% by 2008.

– Share of World Bank lending going to agriculture fell from 30% in

1978 to 16% in 1988 to 8% in 2006.

• The share of foreign aid and development bank

lending invested in agricultural research fell by an

even larger percentage during this period.

Page 40: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

*ARD = Agriculture and rural development

Source: OECD DAC.

Page 41: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Long-Run Prospects

• The world’s farmers need to almost double agricultural production in the next 35 years using less water and little more land than today.

• Malthus has been wrong for more than two centuries, and there is no more reason for him to be right in the 21st century than in the 19th and 20th.

• However he will continue to be wrong only if investments in agricultural research increase global agricultural productivity faster than demand grows.

Page 42: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Long-Run Prospects

• Whether world market prices trend upwards, downwards or sideways in the 21st century will depend on whether agricultural research increases land and water productivity faster, slower or at the same speed as world demand for food grows.

• The drop in public sector investments in agricultural development (and ag research in particular) must be reversed if there is to be any chance of avoiding an upward trend in prices, which would be devastating to low income consumers who spend a large fraction of their incomes on food.

Page 43: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Thank You.

[email protected]

Page 44: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Household Food Security

• Availability: Is there a safe, reliable, and reasonably priced supply of all essential nutrients available from local production or the market year around? Food processing has an essential role in making this possible.

• Access: Does a household have the purchasing power to access a nutritionally balanced diet from home grown sources or the marketplace?

– To solve the world’s chronic hunger problem, you have to solve the world’s poverty problem.

– Low income people spend the largest fraction of their income on food, so they are particularly vulnerable to increases in the price of food.

Page 45: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Long-Run Prospects

• Since Malthus, many prophets of doom have argued population growth will increase food demand faster than agricultural production and food availability can grow.

• Public and private sector investments in agricultural and food science research have increased productivity of the food system faster than food demand has grown, resulting in a 150- year downward trend in real price of food.

• Now demand for food is projected to grow by 67% more by 2050, but there is little more land and less fresh water available with which to grow the additional production. Can productivity grow so much sustainably?

Page 46: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security
Page 47: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Two Essential Facts

• All food is “organic.”

• No one alive today has ever eaten a

mouthful of food that has not been

genetically modified.

Page 48: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Advantage of Genetic Engineering

over Classical Plant Breeding

Source: Cornell University College of Agricultural and Life Sciences Source: College of Agriculture and Life Sciences. “Agricultural Biotechnology—Informing the Dialogue,” Cornell University, 2002

Page 49: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Two Separable Issues

• The biological research tool of genetic

engineering

– Every national academy of science that has looked at

it says biotech plants are neither safer nor less safe

than the products of classical plant breeding.

• Who does the research (public vs. private)? Is it

patented? Do farmers have to buy inputs (every

year) to access the improved technology?

• Failure to recognize that these are completely

separate issues confuses a great deal of the

debate concerning GMOs.

Page 50: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Academies of Science, International

Organizations and Government Agencies

Acknowledge Safety of Biotechnology

Academies of Science • Brazil

• China

• France (both Science and

Medicine)

• India

• Italy

• Mexico

• Morocco

• Philippines

• Third World

• United Kingdom (Royal

Society)

• United States

Government Agencies

• WHO

• FAO

• AMA

• IFT

• FDA

• EPA

• USDA

• EU Joint Research Council

• EU Food Safety Authority

• AAAS

Page 51: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Public vs. Private Biotech Research

• Private sector role in biological ag research only

took off after late 1970s when Congress and

European parliaments cut appropriations and

encouraged private sector to take on this role

• As tools of biotechnology were being developed,

governments were reducing investments in ag

research – both at home and in their foreign aid

– The latter often due to strong lobbying by transna-

tional NGOs which now demonize the private sector

for controlling most of the biotech-based technology.

• There is nothing inherent in biotechnology that

says it must be done by private sector.

Page 52: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Intellectual Property Protection

• To satisfy their shareholders, the private sector has to be able to internalize return on its investment in ag research

• If public sector doesn’t pay for the agricultural research, farmers must pay for it (both successes and failures) in the price of the inputs they buy each year

• The challenge is how to serve low income farmers’ needs in foreign-exchange constrained countries.

Page 53: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Is GMO Food Safe to Eat?

• Over 300 million Americans and millions more in

Canada, Argentina and Australia have been

eating GMO foods for a decade with NOT ONE

illness attributable to GMOs.

• Most beer and cheese consumed in the world is

produced with GMOs already (as are

innumerable pharmaceuticals, e.g.

immunizations against Hepatitis A and B).

• GMO foods are subjected to an unprecedented

amount of testing before being put on the market

Page 54: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Environmental Benefits

• Large reduction in insecticide use

• More effective weed control using less

energy

• Natural resistance to diseases

• Increase water use efficiency

• Preserve hundreds of millions of hectares

of forests

• Reduce pressure on fragile lands

Page 55: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security
Page 56: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Hunger & Food Insecurity Widespread

• Of the world’s 7.3 billion people, 1.2 billion

live on less that $1.25 per day*.

– 780 million people (1 out of every 9 people in

the world) cannot afford 1,800 calories per

day, not enough to put in even a medium level

of physical activity.

• 2.4 billion (35% of the world population)

live on <$2.00 per day*.

– By $2.00 per day most hunger (calorie)

problems solved, but 2 billion still suffer

nutritional deficiencies.

• 2008 estimate; income corrected for differences in purchasing power

across countries. Source: World Bank Povcal database.

Page 57: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

People Living in Extreme

Poverty (<$1.25/day*), 2010

Region Millions Percent

South Asia 507 31.0

Sub-Saharan Africa 414 48.5

East Asia & Pacific 251 12.5

Latin America & Carib 32 5.5

E. Europe & Central Asia 3 0.7

Middle East & N. Africa 8 2.4

Total 1,215 20.6

*Income corrected for differences in purchasing power across countries.

Source: World Bank. World Development Indicators, 2014..

Page 58: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Malnutrition Has a High Cost

• While 780 million people suffer calorie deficit,

over 2 billion suffer nutritional deficiencies.

– Most common: vitamin A, iron, iodine, zinc

• Malnutrition from -9 to +24 months can cause

permanent stunting of a child’s mental and

physical development.

• Malnutrition reduces the learning capacity of

school-age children and adults’ labor

productivity and earning potential.

• Malnutrition increases people’s susceptibility to

diseases caused by pathogens.

Page 59: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Global Prevalence of Micronutrient

Malnutrition, Percent of Population

Region* Vit. A Iodine Iron Zinc

South & East Asia 69 41 99 71

E. Asia & Oceania 27 31 72 19

Sub-Saharan Africa 49 48 73 68

Middle East/N. Africa 22 74 72 74

The Americas 20 25 34 46

Europe & Russia -- 32 17 8

*WHO regions. They do not strictly match World Bank regions used elsewhere.

Source: Usha Ramakrishnan. “Prevalence of Micronutrient Malnutrition

Worldwide,” Nutrition Reviews, vol. 60, no. 5, May 2002, page S47.

Page 60: 2015. Robert L Thompson. Essential Roles of Agricultural Technology and International trade in future food security

Mortality from Nutritional Deficiencies

• More people die each year from starvation

and other nutritional deficiencies than from

HIV/AIDS, malaria and tuberculosis

combined—yet nutritional deficiency

diseases (from insufficient energy, protein,

vitamins and/or minerals in the diet) hardly

get a mention in discussions of non-

communicable diseases, which focus

exclusively on problems associated with

over-nutrition (obesity).