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Dr. Paul Winchester is the director of the Neonatal Intensive Care Unit at Franciscan Health Hospital in Indianapolis, IN and a Co-Principal Investigator of HHRA’s flagship project The Heartland Study.

Archived Blog Posts
  • A man spraying pesticides California’s Bold Plan to Transform Pest Management Systems is Long on Ambition and Light on Details

    By: Chuck Benbrook, HHRA ED By: Mark Lipson, HHRA Director of Policy and Regulatory Engagement We welcomed the invitation from California’s Department of Pesticide Regulation for members of the public to offer comments and guidance as the State begins to take concrete actions needed to achieve the goals set forth in the new report Sustainable Pest Management: A Roadmap for California. Reviewing the 94-page Roadmap report reminded us how many constituencies, forces, and factors are pushing and pulling farmers, pest managers, and government agencies in multiple directions that are rarely aligned. This Roadmap document describes a very different pest management future that will hopefully become the “de facto” way pests are managed on and off the farm by 2050. If successful by 2050, prevention-based biointensive Integrated Pest Management (bioIPM) will be the norm and there will be minimal if any use of high-risk “Priority Pesticides”. Some thirty-two years ago, DPR hired Chuck Benbrook to carry out a comprehensive evaluation of DPR’s programs and policies to assist in the integration of DPR into the newly-formed Cal-EPA. The resulting report, Challenge and Change: A Progressive Approach to Pesticide Regulation in California, came out in March of 1993. It provides dozens of recommendations intended to do many of the same things that the 2023 Roadmap report hopes to bring within reach. The fact that most pest management systems in California have become more, not less reliant on pesticides over the last 30 years suggests that DPR’s and CDFA’s efforts to achieve Roadmap goals are going to entail heavy lifting, mostly uphill. For this reason in HHRA’s comments, Mark and Chuck describe the nature and substantial scope of changes in laws and policy that will be required to track progress toward Roadmap goals and hopefully, someday, achieve them.

  • Europe is Growing Organic Production, Will the US Follow Suit?

    Advocates calling for change in US Ag Inc often struggle to point to successful models through which farming and food chains have evolved toward safer and more sustainable production systems. The surest way to largely eliminate the impacts of prenatal pesticide exposure on birth outcomes and children’s development – HHRA’s foundational goals – is converting US farmland to organic production. We are often asked how such change can come about. Convincing answers to this key and important question are few and far between in the US, but some key lessons are emerging from efforts in Europe to expand organic farming and food supply chains. The Cilento organic food bio-district in Italy was established in 2009 and is thought to be the first-ever in the world. Overcoming challenges faced by organic farmers in marketing their produce was a primary driver. Municipal actions expanded demand for organic food and ingredients via public food-purchasing programs. The lure of scenic rural landscapes and strong support from the agrotourism industry for organic food and farming created new market demand. Today, organic farming is thriving in the Cilento district, profit margins have expanded, and enhanced soil health is supporting higher yields at lower costs on many farms. An action by a city council led to the formation of the Södertälje organic food system in east-central Sweden, some 35 kilometers from Stockholm. The goal was to expand the supply of organic products for public food-procurement programs as a way to advance health and environmental quality. The municipality’s Diet Union developed new food products and recipes in the context of a “Diet for a clean Baltic” to promote health and reduce food waste. Restaurants and cafeterias began using smaller plates to cut down on waste, an intervention that has proven to be surprisingly effective. In south-eastern France the mad cow disease outbreak across Europe was the trigger of action leading to the Mouans-Sartoux organic food system. The initial focus was on supplying organic beef to school canteens, coupled with municipal government support for regional sustainable farm research and food education programs. A multi-faceted effort to provide organic food to children led to greater awareness of the diversity of benefits arising from organic farming. New efforts emerged to reach other vulnerable segments of the population with organic food (e.g. the elderly, pregnant women). These three region-based organic food systems in Europe are case studies in a just-published paper by Lilliana Stefanovic (2020), a scientist in the Department of Organic Food Quality and Food Culture at the University of Kessel in Germany. Imagine that. An academic department focused on organic food quality and culture. How long might it take for such a department to take hold at Iowa State University, in the heart of American farm country? The Stefanovic paper addresses how local organic food systems in Europe can contribute in achieving the Sustainable Development Goals (SDG) set forth by the United Nations, and especially SDG 12, “responsible consumption and production.” Her analysis concludes that local and place-based organic food and farming districts can make important contributions in transforming food and farming systems to promote human and animal health, and soil health and environmental quality. Two drivers played key roles in all three case studies: relatively short distances to population centers, and significant support for organic supply chains from public food-procurement programs, and especially those feeding children. And just a few months ago, the Italian government pledged to invest 3 billion euros (about $3 billion US) to convert at least 25% of the country’s farmland to organic systems by 2027. The funds will come from Common Agricultural Policy payments supported in part by a tax on pesticide sales. There are about 16.6 million acres of arable land in Italy. Reaching the 25% organic goal would entail the transition of around 2 million more acres to organic, given that a little over 15% of Italian farmland is already managed organically. If $3 billion in transition payments were spread over 2 million acres, average payments would be around $1,500 per acre. A multi-pronged effort in Italy is planned to simultaneously grow the supply of organic foods and demand for them. Investments will be made in the infrastructure needed to support profitable regional organic food supply chains, while increasing the supply of value-added, premium foods for sale throughout Italy, Europe, and for a few commodities (especially olive oil), the world. Such bold pledges and audacious goals have come and gone in many countries with little concrete and sustained change to show for the resources invested. But perhaps the time is right in Italy for acceleration in the transition to organic farming in light of the many scientific studies showing that organic farming can both slow global warming and render farms more resilient in the face of drought and flooding. What about here in the USA? The USDA has recently pledged to invest $300 million in a new Organic Transition Initiative. This program will provide new funding via many USDA-program channels to encourage the transition of farms to organic production. While a major increase in USDA funding dedicated to expanding organic production, $300 million over several years is a small share of the approximate $20 billion in annual federal spending on farm commodity and crop insurance programs. It is also instructive to compare the $3 billion investment in Italy to reach their goal of 25% of farmland in organic by 2027 to the $300 million investment just announced by USDA. The Italian program, if it actually happens, would provide about $1,500 per acre transitioned to organic. The USDA’s investment of $300 million translates into about $4.30 per acre across the approximate 70 million newly transitioned acres necessary for 25% of the US cropland base to be managed organically. Current disparity in public support for and investment in the transition to organic farming in the US versus Europe arises from vastly different public awareness of the benefits likely to stem from the transition of more farmland to organic production. Many public and private institutions […]

A Worried Doctor Takes Action for Our Babies

Apr 22nd, 2021
Dr. Paul Winchester is the director of the Neonatal Intensive Care Unit at Franciscan Health Hospital in Indianapolis, IN and a Co-Principal Investigator of HHRA’s flagship project The Heartland Study.

There seemed to be too many sick babies in the hospital.

That’s what Dr. Paul Winchester observed when he started working as the director of the Neonatal Intensive Care Unit (NICU) at Franciscan Health in Indianapolis in 2001.

Dr. Paul Winchester, Heartland Study Co-PI

Winchester had overseen hospital nurseries in many regions of the country before moving to Indiana. He had a good sense of how many troubled pregnancies and birth defects to expect in a given month in a community hospital.

But there in a hospital in the Heartland, he was overwhelmed at the numbers of babies needing medical care. And he was curious: Did Indiana have more birth defects than other states outside the Midwest?

The answer, he learned, was yes, some birth defect rates were higher in Indiana. His next question was why?

The answer to that question led Winchester to the many farms that sprawl across Indiana and the larger region of the U.S. Midwest. Several published scientific studies have demonstrated that women who conceive their children during the months in which agricultural chemicals are in high use are more likely to experience shorter pregnancies or give birth to smaller babies. A few studies have also detected a correlation between exposure to pesticides such as those used in agriculture and higher rates of some birth defects. (See this White Paper for a more detailed discussion of the trail of science Dr. Winchester followed.)

There is also evidence that exposure to these pesticides may carry forward across generations because of a biological process known as transgenerational epigenetic inheritance.

Winchester’s concerns and questions led him to join The Heartland Study team and its scientists and clinicians, working to determine whether or not rising use of herbicides negatively affects the health and development of children, possibly for generations to come.

At The Heartland Study team meeting in Indianapolis in 2019, Winchester gave The Heartland Study team a tour of the NICU at Franciscan Health Hospital, which was at capacity with babies needing intensive medical care. Seeing those little bodies fighting for a healthy start was an impactful moment.

Knowing that Dr. Winchester is there every day, walking those halls, keeps us humbled, driven and grounded in the roots of what The Heartland Study is about: protecting the health of families in the Midwest and beyond.

About The Heartland Study

HHRA’s flagship project, The Heartland Study, is the first-ever study to track heritable, epigenetic changes resulting from herbicide exposure in a human population. In our research, we will pioneer new, critically-needed methods to identify the impacts of prenatal and early life herbicide exposures.

Our hope is that we can generate knowledge that guides changes in the ways farmers control weeds by focusing new science on the most important outcome: healthy babies that develop normally and retain their full potential for productive and healthy lives. Learn more about our efforts and how you can support our mother-infant enrollments.

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