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Food Sickens Millions Each Year and More News

Food Sickens Millions Each Year and More News


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In today's Media Mix, Wendy's gets a new look, plus chocolate lovers win Nobel Prizes

Arthur Bovino

The Daily Meal brings you the biggest news from the food world.

New Food Safety Stats: Forty-eight million Americans get sick every year from food, say new FDA stats, even as third-party auditors give the OK for certain foods. [Businessweek]

Wendy's Premieres New Logo: The red-headed Wendy is getting her first makeover since 1983. [USA Today]

Chocolate Consumption = Nobel Peace Prize: A study showing a correlation between chocolate consumption and Nobel Prizes (yes, really) highlights the brain power of chocolate. [Huffington Post]

Fast-Food Chains Aim for Casual Eateries: Taco Bell and Arby's are trying to replicate the success of more upscale fast-food chains, like Chipotle and Panera. [WSJ]

Bar Removes Offensive Urinals: A French restaurant is taking out the urinals shaped like a woman's lips, for obvious reasons. [Daily Mail]


United Way San Antonio has a new way to dole out millions

The Children's Bereavement Center of South Texas, which provides services to children and families who’ve lost loved ones, is one of a dozen area nonprofits that became new United Way recipients under the agency’s new funding guidelines.

Children's Bereavement Center of South Texas

About four years ago, the United Way of San Antonio and Bexar County decided it needed to change the way it doles out millions each year to area nonprofit organizations.

The goal? Make those dollars more explicitly address problems that plague the city, and make partner agencies better account for the impact of their work.

This week, nonprofits learned how they fared under United Way&rsquos new &ldquostrategic realignment,&rdquo in which $15 million will flow to 50 groups during fiscal year 2020.

The funding targets three specific areas &mdash early childhood education, student success, and adults and families. The latter broad category focuses on family violence, economic mobility for low- and moderate-income adults, and adults with disabilities and their caregivers.

Some nonprofits got more money than last year under the new funding model. Some got less. Some got no funding at all, although a dozen new organizations have joined the partner roster under the improved guidelines.

New recipients include the Children&rsquos Bereavement Center, $125,000 American Indians in Texas, $81,250 and Restore Education, $447,791.

Gen. Ed Rice, a member of the board of trustees, said the funding change aims to make the United Way and its partners more effective in the community.

&ldquoAlso, the world is changing, and our donors expect to see greater tangible impact from the dollars they donate,&rdquo he said.

The shift comes as the United Way has seen its annual campaign donations decline over the last three years, with the most recent drive netting $46 million.

The United Way committee that developed the new funding structure began its work in earnest two years ago, said chair Jonathan Gurwitz. It soon landed on the idea of &ldquoresults-based accountability,&rdquo in which partner agencies must share their data on a monthly basis &mdash as opposed to once a year, as had been the practice.

&ldquoWe want to make sure we&rsquore gathering the right information and asking the right questions,&rdquo he said.

Even more important than the added accountability, though, is the agency&rsquos new &ldquostrategy-driven approach,&rdquo said Rice.

&ldquoBefore, we funded 69 agencies that largely operated independently of one another,&rdquo he said. &ldquoThey were doing good work but weren&rsquot connected in any way. What we&rsquove done now is connect them. All the programs we&rsquore funding are directly connected to strategies that will attack root causes of the problems we face in our community.&rdquo

Take early childhood education, said Lady Ray Romano, senior vice president of community impact at United Way. Under that specific rubric are three goals, each with specific strategies.

&ldquoOne goal is to ensure all children are curious learners and progressing toward their full potential,&rdquo she said. &ldquoThe strategies include increasing the availability of quality early childhood education and making sure kids are ready for kindergarten. So when agencies applied for the funding, they had to articulate specifically how they would address those goals.&rdquo

The other two goals are reducing the incidence of child abuse and increasing access to prenatal care.

Nonprofits that receive money had to agree to measure results in similar ways, adding consistency to the process, she said. And, most importantly, they had to agree to collaborate with each other: No more operating in silos.

&ldquoSome groups even submitted joint proposals,&rdquo she said.

In the next funding cycle, which begins on July 1, each of the three targeted areas will receive $5 million, for a total of $15 million, Gurwitz said.

Another $5 million will go toward emergency services, with an additional $2 million going to various other charity expenditures. The rest of the $46 million raised in the most recent drive is used for operating costs and other expenses, such as the Combined Federal Campaign, the 2-1-1 Help Line and the State Employees Charitable campaign

To create the new funding protocols, United Way brought together subject matter experts, community leaders, various philanthropic groups and others to identify the most pressing problems in San Antonio. By last summer, the group of more than 90 individuals had decided on the three priority areas, the desired results and how they would be measured.

Last summer, requests for proposals went out to the nonprofit community, which resulted in 138 requests for a total of $35 million. The proposals were studied over the winter, with the United Way board voting on the winners on Tuesday. The agencies were notified at the end of the week.

The agency offered technical assistance and other help to the nonprofits so that they could better craft proposals in line with the new focus, Rice said. It&rsquos also helping groups that were passed over, to &ldquosoften&rdquo the impact. For example, those groups will still get funds that donors specifically designated for them.

Also new this year, Gurwitz said: Nonprofits had to agree to match at least half of the amount the United Way bestowed with funding from other sources.

The strategic realignment is in line with what other United Ways are doing across the country , Rice said. More than anything, it&rsquos fueled by a sense of urgency to address seemingly intractable problems in the city.

&ldquoSan Antonio is an outlier on child abuse and spousal abuse,&rdquo Gurwitz said. &ldquoWe have fundamental challenges on education attainment and workforce development. If we really want to see the city grow and improve, we have to make this change, to focus on these issues, bring our partners together and encourage collaboration.&rdquo


One of Government’s Largest Landlords, Vornado, Pays Millions Each Year to Trump Company

The Trump Organization’s stake in 1290 Sixth Avenue in Manhattan is worth $428.9 million, according to an analysis. The skyscraper is controlled by Vornado.

Alexandra Berzon

President Donald Trump’s company receives tens of millions of dollars a year from Vornado Realty Trust , which relies on the federal government for a significant portion of its revenue and is vying for new work from Mr. Trump’s administration.

Mr. Trump and Vornado’s founder and chairman, Steven Roth, have forged a yearslong relationship, with Mr. Trump’s family company a minority owner of two skyscrapers controlled by Vornado. Messrs. Trump and Roth are friends, and Mr. Trump said in January that he had appointed Mr. Roth as co-chairman of a council charged with overseeing the president’s potential $1 trillion infrastructure-spending plan.

Mr. Trump has said that while he is in the White House, he won’t personally be involved in his real-estate business, which is being run by his sons. He has rejected calls to sell his assets or put them in a blind trust, and he remains the assets’ owner.

Two of the most valuable real-estate assets in Mr. Trump’s company, the Trump Organization, are 30% stakes in a pair of office buildings controlled by Vornado.

The Trump Organization’s stake in 1290 Sixth Avenue in Manhattan is worth $428.9 million, according to an analysis for The Wall Street Journal by a financial-services firm that provided the data on the condition it not be named. The 43-story skyscraper generates about $14.7 million in annual cash flow for Mr. Trump’s company, according to the analysis.


Senate Becomes O.K. Corral For a Surgeon and a Lawyer

Now that the Senate has blocked President Bush's plan to cap jury awards in medical malpractice cases, the battle will only intensify during next year's elections. At its essence, the fight comes down to doctors versus lawyers.

In Washington politics, that means Bill Frist versus John Edwards.

Dr. Frist, a heart-lung transplant surgeon who relishes his role as the Senate's only physician, has deftly used his new job as Republican leader to press Mr. Bush's case that frivolous lawsuits are driving up malpractice premiums, putting doctors out of business and patients at risk. The quashing of the bill Wednesday by Democrats was expected, but now Republicans plan to take their argument on the road, especially in states like Pennsylvania, Nevada, Florida and West Virginia, where the malpractice crisis is acute.

Senator Edwards, a Democratic presidential contender, is precisely the kind of man Mr. Bush and Dr. Frist rail against: a plaintiff's lawyer who has made millions representing victims of malpractice. Following Wednesday's Senate vote, Republicans in his home state, North Carolina, are already attacking him as a ''lackey for trial lawyers'' -- a message Bill McInturff, a Republican pollster, calls ''the political subtext'' of the malpractice debate.

Republicans, who have been pressing for tort law changes since long before Dr. Frist and Mr. Edwards joined the Senate, are now using the malpractice debate to stake a claim to voters' concerns about rising health care costs. But with the debate intensifying, these two men stand as convenient symbols, almost as if the conflict has come to life inside the Capitol in the person of the senators from North Carolina and Tennessee.

''It's like that movie �/Off,' '' said Jamie Court, executive director of the Foundation for Taxpayer and Consumer Rights, an advocacy group that opposes changes in malpractice law. ''They're alter egos, and each is pursuing a course that sets him up as the antithesis of the other. It is literally giving voters a very clear choice between the two sides of the spectrum.''

Some say the face-off is really between Mr. Edwards -- as a surrogate for the Democratic presidential field -- and President Bush, with Dr. Frist, himself a potential presidential candidate in 2008, serving as a stand-in for the president. When Mr. Bush first announced his initiative to change malpractice law, he did so in High Point, N.C., squarely on Mr. Edwards's home turf. The senator's aides still derisively refer to the president's event as ''Whack John Edwards Day.''

Some Democrats, though, insist this strategy will backfire. 'ɾvery time Bush attacks trial lawyers,'' said Mark Mellman, a Democratic consultant, ''John Edwards rings his cash register for a couple hundred thousand more dollars.''

On the surface, at least, Dr. Frist and Mr. Edwards would seem to have much in common. Both are baby boomers Dr. Frist is 51, Mr. Edwards, 50. Both are southerners. Both have children who attend Princeton University. Both are runners, and turned up in the same race -- the Marine Corps Marathon -- a few years ago. (No word from their aides on which senator had the better time.)

Both were elected to the Senate having never before held public office, and are regarded as fresh faces in their respective parties -- and political opponents, perhaps, at some later day. Neither shies away from carrying the political agenda of his profession.

Dr. Frist, who can seem almost robotic when handling the mundane parliamentary business of the Senate, lights up when he talks about medicine. He keeps a doctor's black bag in his Senate office, and uses his medical skills whenever he can, both in real life and the political theater. In January, while on a family vacation in Florida, the senator came to the aid of five people who were critically injured in a car crash.

A few months later, Dr. Frist recounted the story in a speech to the American Medical Association, which has made malpractice law change its No. 1 legislative priority. ''What was remarkable to me,'' Dr. Frist said then, ''were the e-mails I got afterward from the medical community, saying ɺre you crazy? Why would you stop if you know you are going to be sued?' ''

Though there have been 46 doctor-senators in the Republic's history, Dr. Frist is the Senate's first practicing physician since 1938 -- a fact that has not escaped the notice of the A.M.A., which counts him as a member. ''He sees the consequences of the broken medical liability system,'' said Dr. Donald J. Palmisano, the association's president. ''He has that additional perspective because he's been in the trenches.''

The number of lawyers who have served in the Senate are, by contrast, far too numerous to count. But Senator Edwards is clearly the Senate's best-known trial lawyer, a distinction he seems to embrace. Where Dr. Frist often begins sentences with the words, 'ɺs a physician. . .,'' Mr. Edwards portrays himself as a fighter for the underdog.

''I see myself as somebody who stood up for kids and families,'' he said in an interview the other day.

That theme has worked as well for the North Carolina senator as being a physician has for Dr. Frist, said Donna Brazile, a Democratic strategist. ''Trial lawyers fight for ordinary people,'' she said, 'ɺnd that's part of Edwards' message.''

On the Senate floor this week, Dr. Frist and Mr. Edwards did not face each other. ''I'm running for president,'' Mr. Edwards said, explaining that he was too busy campaigning to participate in the Senate debate.

But he did return to the Capitol on Wednesday to vote, and even from afar his presence was felt. The Democratic alternative to the Republican measure, which would offer tax relief to doctors, strip the insurance industry of its longstanding exemption to federal antitrust law and create a commission to study the cause of high malpractice premiums, draws on some ideas Mr. Edwards laid out in May in an opinion article published in The Washington Post. ''These are ideas that I've been working on for a long time,'' he said.

At a time when voters are concerned about the rising cost of health care, both parties are trying to make the issue their own, and both are laying blame. ''Part of the question,'' said Mr. Mellman, the Democratic consultant, ''is who is the bigger villain?'' While Republicans blame trial lawyers, Democrats like Mr. Edwards blame insurance companies, drawing on public mistrust of health maintenance organizations. But Mr. McInturff, the Republican pollster, says the malpractice issue is allowing Republicans to claim a piece of the health care debate as their own.

''If the public is concerned about the rising cost of health care,'' he said, ''this is a Republican way to talk about what we would do to get at the root cause.''

As the symbols of this debate, both Dr. Frist and Mr. Edwards have been vilified. The American Tort Law Association, a nonprofit group that advocates tort law changes, is creating a new Web site, www.ed wardswatch.com, to track trial lawyers' campaign contributions, including to Mr. Edwards.

Dr. Frist, meanwhile, has been accused of having a conflict of interest because his father is the founder of HCA, a giant hospital corporation. The company pays out millions each year in malpractice claims, and owns a subsidiary that writes malpractice insurance policies. Asked about his critics' contentions that he should recuse himself, Dr. Frist paused for a moment before responding in careful, measured tones.

'ɺs a physician,'' he said, ''I will participate actively in the debate in response to the national crisis.''


Trieste Is a Busy Crossroads and East‐to‐West Escape Hatch

TRIESTE, Italy, Jan. 16—The camp high in the hills above this Italian border city is only half full these days, but that is because it's winter. “Next summer it will probably be full again,” the portly director says. “It is full every summer.”

The camp, called Padriciano, holds vacationers, but of a special type. They are Eastern Europeans, most of whom received permission to spend their holidays in Yugoslavia and then slipped across the border around Trieste.

Mario Desiderato, the director, said: “The toughest part for them is getting the travel documents to Yugoslavia. Getting to Trieste is easy. Some come in dramatic ways — swimming or hidden under cars — but mostly they just walk across the fields north of here, near Gorizia.”

Although officials from the Soviet bloc have approached the Italian and Yugoslav authorities to tighten what has become an established escape hatch, officials here have other interests. They focus on Trieste's changing role.

Millions Cross Legally

Italians and Yugoslays cross the Trieste border legally by the millions each year. The Italians, mostly Triestinis, return with food and gasoline, the Yugoslays with clothing, hard goods and auto parts. “This must be one of the most open borders in Europe,” a diplomat said.

Trieste's role as a conduit for East‐West traffic, both official and unofficial, fits the city's historic position. “Our golden age was as the port of an empire,” said Mayor Marcello Spaccini, referring to the AustroHungarian Empire. He speaks now of a new golden age.

Trieste has initiated a major development program that put it at the center of an integrated northern Adriatic industrial, commercial and resort region. Both, east‐west, and north‐south trade flow through the port, Milking it one of Europe's major access routes. We could surpass Marseilles and rival some of the more established Northern European ports,” Mayor Spaccini remarked.

The city's preoccupation with its future, which includes increased business with the Soviet bloc, tends to surprise a visitor from Eastern Europe, where Trieste has an entirely different significance.

There the city represents the narrow end of the funnel for those who want to leave for the West and must do so illegally. The traffic is fairly steady, running 2,500 to 3,500 a year.

The Czechoslovaks and, more recently, the Poles are cutting the flow by limiting visits to Yugoslavia. A third of the nearly 3,000 refugees last year came from Hungary, an ironic reflection of her liberal policy on ravel to Yugoslavia.

Roughly 600 or the 1971 population at the camp came from Yugoslavia—largely from Istria, the peninsula southeast of Trieste taken from Italy after World War II. They are a vestige of a once‐heavy postwar flow that filled half a dozen temporary camps with Italians who did not want to remain under Yugoslav control.

There were also 400 Polish refugees in Padriciano last year, 300 Rumanians, 200 Bulgarians, 100 Czechs, several Russians and a few Albanians.

“Most of the refugees ask to go to the United States, and maybe two‐thirds go there,” the camp director said, “but many also go to Canada and Australia. Few stay in Italy.”

The camp, an imposing place with facilities for 850 people, is surrounded by a high wall topped with spikes. Access is tightly controlled an Italian looking for a “a girl with long brown hair whose name might be Erica” was sent away.

The refugees live in functional two‐story and three‐story brick buildings, receive free meals and other necessities, can stay out until 11 oɼlock and may work in the camp for spending money. Most are in their 20's and a majority are men.

Costs seem to be shared by the Italian Government and a host of relief, volunteer and governmental agencies, including Caritas, the Catholic welfare organization, whose local director, Msgr. Alfredo Bottizer, said he assisted half to three‐quarters of the refugees.

Caritas runs a training program for single girls, the majority from Yugoslavia. Some stay in Italy and a few in Trieste, but they are the exception. The steady, organized outward flow is matched by a less visible flow from Trieste itself. It is one of the Mayor's major concerns.

“We are only 273,000 here, and last year we had a net loss of 1,000,” he explained. “I just came back from Australia, where there are 25,000 former Triestinis. They left during the difficult period after the war. The parents are established there now and the sons are Australians, so it is hard to lure them back,”

A conference table in the Mayor's office was piled high with maps, charts, studies and reports. “It's not a Mayor's table, it's an engineer's table,” said Mr. Spaccini, who was a building engineer and who, at the end of a two‐hour talk, was on the floor with his guest, unrolling schematic maps.

“We are a strange city,” he said. “Our location makes us so. Local industries suffer because of the distance from Italian markets”—he spoke as if Italy were a foreign country —“and our postwar border, putting us at the end of a narrow corridor, gave us little room for development.”

Natural Advantages Stressed

“But we have advantages too,” he went on. “We are the most northern of Mediterranean ports and therefore closer to European markets. We are also astride several natural trading routes. Our development is based on what we hope to make of our natural advantages.”

Trieste, he said, is building seventh pier and a rail tunnel under the city connecting the old and new ports. There are plans for superhighways looping around the city and linking it to an artery connecting Zagreb and Ljubljana in Yugoslavia with industrial northern Italy.

The Mayor said that Trieste was facing competition from Yugoslav ports, especially in their ability to keep wages low, but the Italian port benefits from the obligation imposed on shippers to use European Common Market ports for goods for members of the trade bloc.

The port's main business is handling oil for Austria and West Germany through a major pipeline soon to be doubled in capacity. Three refineries are being planned or built. The city has good warehouse facilities and plans to develop drydocks and the production of huge marine engines for 200,000‐ton tankers.

An American hotel chain is seeking the right to build a badly needed luxury hotel with space for major conferences. There are also plans to build a “third world” university, initially proposed by U Thant, former United Nations Secretary General, to educate students from underdeveloped nations.

Though Trieste remains sensitive to the political winds, little seems to change on a dayto‐day basis. Yugoslays mingle easily with Italians, buying goods as easily with dinars as with Lire and using broken Italian laced with Slavic phrases that are easily understood.

Piazza Liberta, near the railroad terminal, is ringed with stalls catering exclusively to the Yugoslav trade. A tall, mustached shopper tries on a jacket tagged: “Ufficial for U. S. Air Force.” The misspelling does riot seem to hinder the sale.

Among the shoppers are two young Poles from the camp at Padriciano who will soon be moving on. The Yugoslays, with bulging plastic bags, stroll out of the square to buses marked Zagreb and Novi Sad for their long journey home. They all pass freely through Trieste, but few stay.


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Reduce inflammatory process in cells, tissues, and blood vessels, helping to slow aging and reduce risk of long-term disease.

Prevents and repairs oxidative damage to cells caused by free radicals.

Support the body’s resistance to infection and strengthen immune vigilance and response.

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Reduce inflammatory process in cells, tissues, and blood vessels, helping to slow aging and reduce risk of long-term disease.

Prevents and repairs oxidative damage to cells caused by free radicals.

Reduces risk factors for common degenerative and age-related diseases.

Support the body’s resistance to infection and strengthen immune vigilance and response.

Improves mood, memory, and focus.

Promotes vibrant skin and hair and helps keep eyes healthy

Builds strength for bones, muscles and joints. Increases bone density, builds and repairs tissue.

Encourages improved metabolism and digestion.

Reduce inflammatory process in cells, tissues, and blood vessels, helping to slow aging and reduce risk of long-term disease.

Prevents and repairs oxidative damage to cells caused by free radicals.

Support the body’s resistance to infection and strengthen immune vigilance and response.

Improves mood, memory, and focus.

Reduces risk factors for common degenerative and age-related diseases.

FoodTrients Trademark and copyright © 2011-2021 Triple G Enterprises. This website is for informational and entertainment purposes only and is not a substitute for medical advice, diagnosis or treatment. FoodTrients – A Recipe for Aging Beautifully Grace O, author and creator of FoodTrients® -- a philosophy, a cookbook and a resource -- has a new cookbook dedicated to age-defying and delicious recipes, The Age Beautifully Cookbook: Easy and Exotic Longevity Secrets from Around the World, which provides one hundred-plus recipes that promote health and well-being. The recipes are built on foundations of modern scientific research and ancient knowledge of medicinal herbs and natural ingredients from around the world. Since the publication of her first anti-aging book, The Age GRACEfully Cookbook, Grace O has identified eight categories of FoodTrients benefits (Anti-inflammatory, Antioxidant, Immune Booster, Disease Prevention, Beauty, Strength, Mind, and Weight Loss) that are essential to fighting aging, which show how specific foods, herbs, and spices in the recipes help keep skin looking younger, prevent the diseases of aging, and increase energy and vitality. Grace O combines more exotic ingredients that add age-fighting benefits to familiar recipe favorites. Terms and Conditions


written by Anna L. Lyall, PharmD, Clinical Health Coach

Springtime is almost here, so get ready to replace those old winter coats with short sleeve shirts because outdoor activities are on the rise! Recreational activities like walking, running, hiking, and gardening are enjoyed by millions each year. Meanwhile sports like baseball, softball, soccer, track, and tennis are also in full swing. An increase in activity may also mean an increase in possibility for injury. March was deemed Brain Injury Awareness Month approximately three decades ago therefore, it is vital you know common methods of precaution, prevention, detection, and response in order to protect loved ones and yourself.

What is a Traumatic Brain Injury?
A Traumatic Brain Injury (TBI) is caused by a bump, blow, or jolt to the head that disrupts the normal function of the brain. Not all blows or jolts to the head result in a TBI. Injury may range from mild to severe a brief change in mental status or consciousness to an extended period of unconsciousness or amnesia after the injury. While many causes contribute to Traumatic Brain Injury nearly half (49%) of TBI-related emergency department visits among children 0 to 17 years were caused by falls, and 81% of TBI-related emergency department visits among those aged 65 years and older were caused by falls. If you or your loved one is at risk for a fall this spring, assess the risk and prepare an emergency plan.

Fall Risk:
Recreation and sports can be the result of many falls for both children and adults. Exercise caution and remember the rules of protective equipment when engaging in these activities. For older adults, medications can also have an impact on fall risk.

What Medications Increase Fall Risk?
Conditions associated with medications that increase fall risk include: Pain, Seizure, Anxiety, Depression, Insomnia (Sleep Disorder), Mental Disorder, Psychological Disorder, Fluid Retention, Hypertension (High Blood Pressure), or Constipation

Tips of Precaution:
Individuals aged 65 years of age and older should discuss all medications in detail with their primary care provider or Food City Pharmacist. Knowing your medications can help you better manage your health and wellbeing. Discussing your medications with a health care professional can also help target areas of concern or improvement.

Consider protective gear for your child, spouse, or grandparent. Items like helmets, non-slip shoes, elbow/knee pads, protective eyewear, and mouth pieces can easily help protect against injury. Athletic children and individuals who work in areas like construction, mechanics, or fabrication may benefit from added protection. For older adults, protective equipment may mean utilization of items like canes, walkers, wheelchairs, hearing aids, or life alert necklaces. Whatever adds protection to your activities, consider their benefit. While these precautionary measures may help, it is important to know the symptoms if you suspect a traumatic brain injury.


Why A Vaccine That Works Only A Third Of The Time Is Still A Good Deal

A baby helps make history. The Kenyan child is receiving the new malaria vaccine — the first ever that can wipe out a parasite — as part of a clinical trial.

Malaria sickens tens of millions each year and kills roughly 500,000, mainly in Africa. A vaccine has been seen as the holy grail in global efforts against the disease.

Today, the European Medicines Agency recommended for approval a malaria vaccine. It's been in the works for three decades. It's called RTS,S — the initials stand for the component parts of the vaccine it's also known as Mosquirix. And it's noteworthy for being the first human vaccine ever against a parasite, targeting Plasmodium falciparum.

The recommendation for approval paves the way for its use in the developing world. Unfortunately, the vaccine turns out to have more than a few limitations. Yet scientists are confident it can still make a huge difference in the fight against malaria.

Unlike vaccines for measles or polio that work more than 90 percent of the time, this new vaccine has an efficacy rate between 26 and 36 percent.

"I think from an objective level most are disappointed that it wasn't more effective. But this is what we have," says Nobel laureate Peter Agre, head of the Johns Hopkins Malaria Research Institute.

Then there's the matter of dosage. In a study of 15,000 infants and young children in Africa, RTS,S showed only a statistically significant benefit against severe malaria in kids who were injected with four doses over the course of 18 months.

The places that need this vaccine the most — the countries with the highest rates of malaria — tend to be the places with the most dysfunctional health systems.

"Currently most countries across sub-Saharan Africa, where the malaria burden is the greatest, do not have a mechanism for delivering three or four doses of a vaccine in the second year of life," says William Moss, a professor of epidemiology at Johns Hopkins. The timing of those shots is out of synch with the delivery of other vaccines.

One more thing. Even though Glaxo Smith Kline has pledged to sell the vaccine at manufacturing costs plus 5 percent, that's still an additional financial burden for already impoverished nations.

But despite the vaccine's drawbacks, Moss believes it is still important.


Forgetting to See the Customers Smile Costs McDonald's Millions Each Year

Rude employees in its restaurants are costing McDonald's Corp. millions of dollars in lost sales each year, according to company documents.

The problem has become so serious that the fast-food company plans to create what it calls "customer recovery teams" to combat it.

Earlier this year, a University of Michigan study on customer satisfaction ranked the world's largest fast-food chain among the poorest-performing retailers. At the time, the Oak Brook, Ill., company disputed the results, contending that they "don't track with the facts about our business."

But internal documents obtained by Dow Jones Newswires and posted on McDonald's in-house company Web site suggest unhappy patrons are a major headache for senior management. "On any given day, 11% of McDonald's customers are dissatisfied with their visit and take the time to share their complaint with the restaurant," the materials said.

Slow service, wrong orders, dirty stores and employees who seem to have forgotten the company's slogan, "We love to see you smile," could be making an even greater impact than that 11% may indicate, however. That is because "most customers who have complaints do not share it with the restaurants -- they just don't come back," attendees at a recent McDonald's conference on the subject were told.


Response Loses Its Urgency

FOOD. Like the weather, which affects it so much, everybody talks about it. Some people, who lack it, agonize over it and die from its absence. Starvation and malnutrition still kill millions each year. Others, who may possess it in abundance but foresee its absence on an immense scale, perhaps within a decade, theorize about it.

And in 1975, amid the customary reports of surpluses and failures and efforts to redress imbalances that typify the world food picture, some theorists continued to address themselves wholeheartedly to the problems of scarcity.

But even as one‐third of the world's population suffered from malnutrition and as hundreds of thousands starved, others gave evidence of having misplaced the sense urgency that characterized the response only a year earlier to the long‐range problem of feeding a global population approaching 4 billion,

So, while some scientists did indeed press forward pondering the technology of providing more for all and while some domestic planners focused on the narrower question of providing more for some and while some nations addressed themselves to the problem of obtaining more now, the awareness and immediacy generated by the United Nations World Food Conference held in 1974 in Rome gave evidence of degenerating in an atmosphere of hostile politics.

True, the nascent World Food Council of 36 nations began operations by taking steps toward a fund for agricultural development and a three‐year plan of aid for hungry nations.

But in late November, a three‐week conference of the Food and Agricultural Organization of the United Nations closed in Rome amid political conflict.

Said one delegate: “It looks like this organization is becoming more and more politicized. There were too many attempts in the last three weeks to make this more like the United Nations General Assembly than an organization devoted to helping feed hungry people.”

Some analysts, nevertheless, would contradict the view that the world faces a Malthusian crisis in which population growth outstrips the ability of nations to provide enough food. Despite the depletion of world food reserves between 1972 and 1974, they maintain that the real problem is poor distribution and management of the available food. And, they point out, there is plenty of land for farming—about twice as much as is now being used.

But the problem of climate remains. Only a few days after the F.A.O. meeting ended in Rome, the effect of drought on the Soviet harvest became widely apparent.

Reports indicated that the grain yield would be some million tons below the target of 215 million tons, a figure that on a per capita basis worked out to a yield comparable to that of the mediocre Czarist year 1913. Drought also affected the sugar beet harvest.

And the crop failures, which had already prompted the Soviet Union to shop heavily abroad—with major purchases In the United States—also had other repercussions. An Immediate one was the slaughter of livestock for lack of fodder. On a longer range basis, the failure raised the question: Could the Soviet Union feed itself?

Increased domestic production was the main advice experts in the aftermath of the 1974 World Food Conference. Scientists continued to look for ways to increase crop yields and for sources of cheap protein as an ingredient a siasic life‐sustaining diet.

In many countries—among them Britain, India and Canada‐the approach was more direct: incentives to farmers. an Britain, for example, where both the Government and the farmers agreed that the best fertilizer for increased producduction is money, the Labor Government says that farm supports must be sufficiently high to enable farmers to

“plan ahead with confidence.” India provided” incentives through assurances of minimum prices and thus an assured return for crops. Canada sought to relieve farmers of the fear of investing in expanded output. The Government authorized price supports and exemptions under the prices and incomes controls introduced in 1975. In France, however, farm1976 budget, which allows almost no credits for the purchase of new equipment In France, and to a large extent in other Common Market countries, about 80 percent of farm production is controlled by about 15 percent of the producers.

But there are various Incentives, in the form of state improvement grants and loans, for small farmers to wotk their lands. And for 1976, although the Common Market has earmarked $6 billion for price supports, only $350 million has been allocated for farm modernization.

In Italy, although some experts are wary of facile explanations for the country's decline from its position in the past as the ‘'Garden of Europe,” they do place much blame on the Government's policy of favoring industrial development over agriculture. One result was to encourage peasants to abandon the fields and to work in factories.

The Japanese are making some of the most serious end determined efforts in the world to cope with the problem of developing the food self‐sufficiency of a population of 110 million confined to a small land area in an industrialized country that is heavily dependent upon imports.

Japan's self‐ufficiency rates of all food items but rice have been slipping downward as a result of shrinking acreage and growing demand. Shocked by soaring grain prices in the aftermath of the huge Soviet purchases from the United States in 1972 and then by American restrictions in 1973 on soybean exports, the Japanese Government began a program to increase domestic food production, add to stockpiles and diversify overseas suppliers.

Incentives were provided to farmers for growing wheat, soybeans or fged instead of adding to the stockpile of rice, of which it already has a 20‐year supply. In the fiscal year ended last March, wheat and soybean production showed their first upward trends. But stockpiles remained the same, leaving Japan the least advanced among the advanced nations in terms of self‐sufficiency.

The National Food Council, an advisory organ to Prime Minister Takeo Miki of Japan, has repeatedly advised on the necessity of inducing the sons of farmers and fishermen to succeed their fathers. Among the proposed incentives are a stable, prosperous income and medical and leisure facilities.

And in another effort to increase the food supply, the Government next April begins a seven‐year project to raise fish in the open sea. Also under study is a project involving another protein source, the shrimp‐like plankton called krill.

Whatever may be the case in the rest of the world, Japan, at least, has not lost sight of the urgency of its food‐supply problem. Despite all efforts undertaken or proposed, Shintaro Abe, Japan's Minister of Agriculture and Forestry, did not hesitate to warn a gathering of Japanese and foreign businessmen that there is “no room for optimism in the future for Japan, the world's largest food importer.”

The greatest progress toward increasing food production has been achieved by China in recent years. Not only have its more than 800 million people eliminated hunger, but they have also increased food production to the point of building surpluses against poor crops.

Peking's leaders acciomplished this by assuring more equitable distribution of foodstuffs, using available funds to import grains rather than consumer luxuries and better utilizing of arable land.

Another Important factor has been to keep 80 percent of the population intensively working the 15 percent of the land that is arable, instead of permitting China's cities to swell further with food consumers.

However, the increasing Industrialization of China will in time expand urban populations. Whether the widening use of irrigation systems, fertilizers and mass labor will keep pace with the urban growth remains to be seem