Processed Meats in Schools: Putting Children at Risk for Cancer
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1 5100 Wisconsin Ave., n.w., Suite 400 Washington, DC Phone: Fax: Advancing cancer prevention and survival through nutrition education and research. Processed Meats in Schools: Putting Children at Risk for Cancer A Report from The Cancer Project Summer 2008 Summary Approximately 150,000 Americans will develop colon cancer or rectal cancer in 2008, according to the National Cancer Institute. Colorectal cancer, the fourth most common cancer, will kill nearly 50,000 people this year in the United States. Consuming processed meats including hot dogs, pepperoni, bacon, and deli meats is a key risk factor for this disease, according to a comprehensive report released late last year by the American Institute for Cancer Research (AICR) and the World Cancer Research Fund. After reviewing all existing data on nutrition and cancer risk, AICR scientists concluded that processed meats increase one s risk of colorectal cancer by an average of 21 percent for every 50 grams of processed meat consumed daily. A 50-gram serving is approximately the size of a typical hot dog. Because research on processed meats shows cancer risk starts to increase with any portion, the AICR recommends avoiding such products. As children return to school this fall, how many will be served processed meat products that increase their risk of colorectal cancer later in life? To determine the prevalence of processed meats in school meals, nutritionists with the Cancer Project analyzed lunch and breakfast menus at 29 large school districts in 23 states and the District of Columbia. Nutritionists evaluated one month s worth of menus from each district. Menus were taken from the spring semester of Findings The Cancer Project s analysis revealed that processed meats were served to children in every school district. However, considerable variation exists. Processed meats were relatively rare on menus in Denver and San Francisco. In other districts, processed meats were much more common. In Chicago, Columbus, and Clark County (Las Vegas), processed meats were found in a high percentage of school lunches. In Chicago, 30 percent of the regular lunches served to high school students included processed meats, and 58 percent of Chicago s cold lunches served to elementary, middle, and high school students contained processed meats. Breakfast menus also vary greatly. In San Francisco, the breakfast menu examined for this survey included no processed meats. In Austin, on the other hand, 45 percent of elementary school breakfasts contained processed meats, including chicken sausage patties and link sausage. And in Minneapolis, 100 percent of the breakfasts served in elementary, middle, and high school included processed meats. Menus from Los Angeles, Chicago, Philadelphia, and Washington, D.C., also indicated frequent use of processed meats in their school breakfasts.
2 Processed Meat Report Card SCHOOL DISTRICT Denver County Schools San Francisco Unified Schools Gwinnett County Public Schools Jefferson County Public Schools Mesa Public Schools Miami-Dade County Public Schools Milwaukee Public Schools Seattle Public Schools Detroit Public Schools Fairfax County Public School District Memphis City School District Omaha Public Schools Prince George s County Public Schools Atlanta Public Schools Austin Independent School District Charlotte-Mecklenburg Schools Chicago Public Schools Clark County Public Schools Columbus City Schools District of Columbia Public Schools Hancock County Schools Hillsborough County Public Schools Houston Independent School District Los Angeles Unified School District Minneapolis Public Schools Montgomery County Public Schools New York City Department of Education Portland Public Schools School District of Philadelphia GRADE Satisfactory Satisfactory Fair Fair Fair Fair Fair Fair Poor Poor Poor Poor Poor Details about the percentage of meals containing processed meats served in each district can be found starting on page 4.
3 Grading Criteria Grades were based on the highest percentage of meals containing processed meats on any lunch or breakfast menu in the district. GRADE Excellent Satisfactory Fair Poor CRITERIA District served no processed meats on the menus surveyed. No menu had more than 10 percent of meals containing processed meats. At least one menu had more than 10 percent of meals containing processed meats, but not more than 15. At least one menu had more than 15 percent of meals containing processed meats, but not more than 20. At least one menu had more than 20 percent of meals containing processed meats. Background In 2007, the World Cancer Research Fund and the American Institute for Cancer Research released a landmark report, Food, Nutrition, Physical Activity and the Prevention of Cancer: a Global Perspective, providing an up-todate and comprehensive summary of evidence on cancer prevention. This report summarized the evidence on processed meats and cancer risk and concluded that Processed meat is a convincing cause of colorectal cancer. This conclusion was based on a review of 44 case-control studies (in which the diets of individuals with cancer were compared to those of individuals who did not have cancer, but who were similar in other respects) and 14 cohort studies (in which the diets of individuals were assessed before cancer onset, and the individuals were followed over time to assess relationships between diet patterns and cancer risk). These studies show that individuals who consume processed meats are at significantly increased risk of developing colorectal cancer later in life, compared with those who avoid these products. Risk increases with increasing consumption. According to the World Cancer Research Fund and the American Institute for Cancer Research, risk of colorectal cancer increases, on average, by 21 percent for every 50 grams of processed meat consumed daily. Some studies have also suggested that processed meats may contribute to risk of cancer of the esophagus, lung, stomach, and prostate, but evidence is more limited than for colorectal cancer. Despite the scientific consensus on colorectal cancer risk, processed meat products are still widely consumed, particularly by children. Americans ate more than 1.5 billion pounds of hot dogs in A 2005 report from the U.S. Department of Agriculture showed that, based on the most recent available figures, average per capita consumption of processed pork products (lunch meat, bacon, sausage, and smoked ham) was 31.8 pounds.
4 Detailed Results Denver County Schools Colorado Grade: Satisfactory Elementary School 6% 6% 6% 0% 0% San Francisco Unified Schools California Grade: Satisfactory Elementary School 10% 10% 10% 0% 0% Gwinnett County Public Schools Georgia Grade: Fair 15% 3% Breakfast Menus Elementary School % of days when processed meats are offered
5 Jefferson County Public Schools Kentucky Grade: Fair 13% 13% 13% 13% Mesa Public Schools Arizona Grade: Fair Elementary School 14% 6% 0% Miami-Dade County Public Schools Florida Grade: Fair Elementary School 10% Elementary School 14%
6 Milwaukee Public Schools Wisconsin Grade: Fair Elementary School 14% 14% 14% Breakfast Menus % days when processed meats are offered 0% 0% Seattle Public Schools Washington Grade: Fair Elementary School 11% 5% 5% Elementary School 14% Detroit Public Schools Michigan Grade: Poor Elementary School 19% 19% 19% 0% 0%
7 Fairfax County Public School District Virginia Grade: Poor Elementary School 7% 17% 17% Memphis City School District Tennessee Grade: Poor 5% 5% Elementary School 20% 20% 20% Omaha Public Schools Nebraska Grade: Poor Elementary School 17% 14% 14% Breakfast Menus % days when processed meats are offered Elementary School 10% 10% 10%
8 Prince George s County Public Schools Maryland Grade: Poor Elementary School 20% 6% 5% 0% 0% Atlanta Public Schools Georgia Grade: 15% 11% Elementary School 20% Secondary School 60% Austin Independent School District Texas Grade: Elementary School 17% 10% 12% Elementary School 45%
9 Charlotte-Mecklenburg Schools North Carolina Grade: Elementary School 12% 15% 2% Elementary School 23% 62% 69% Chicago Public Schools Illinois Grade: Elementary School, Cold Menu 58% Elementary School, 2 Entrée 21% Elementary School, 3 Entrée 28% Elementary School, 4 Entrée 23%, Cold Menu 58%, 2 Entrée 21%, 3 Entrée 28%, 4 Entrée 23%, Cold Lunch 58%, Regular Lunch 30% Breakfast Menus % of days when processed meats are offered Elementary School 50% 50% 100%
10 Clark County Public Schools (Las Vegas) Nevada Grade: Elementary School, 29% Regular Menu Elementary School, 17% Satellite Menu 9% 16% Columbus City Schools Ohio Grade: Elementary School 32% 2% 2% Breakfast Menus % days when processed meats are offered Elementary School 40% 40% 40% District of Columbia Public Schools Washington, DC Grade: Elementary School 5% 14% 14% Breakfast Menus % days when processed meats are offered Elementary School 30% 88% 88% 10
11 Hancock County Schools West Virginia Grade: Elementary School 25% 15% 15% Elementary School 16% Hillsborough County Public Schools Florida Grade: Elementary School 15% 5% 5% Elementary School 25% 65% 65% Houston Independent School District Texas Grade: Elementary School 60% 11
12 Los Angeles Unified School District California Grade: Elementary School, 13% District 1 & 2 Elementary School, 13% District 3 & 4 Elementary School, 13% District 5, 6, & 7 11% 11% Elementary, 60% Districts 1 & 2 Elementary, 60% Districts 3 & 4 Elementary, 60% Districts 5, 6, & 7 80% 80% Minneapolis Public Schools Minnesota Grade: Elementary School, 1% Full Prep Elementary School, 10% Prepack, Full Prep 1%, Prepack 10%, Full Prep 1%, Prepack 10% Elementary School, 100% Full Prep Elementary School, 100% Prepack, Full Prep 100%, Prepack 100%, Full Prep 100%, Prepack 100% 12
13 Montgomery County Public Schools Maryland Grade: 8% 2% Elementary School 40% 40% 40% New York City Department of Education New York Grade: 1% 1% Cold Satellite Menu 59% Hot Satellite Menu 0% Elementary School 27% 27% 27% Portland Public Schools Oregon Grade: Elementary School 1% 1% Elementary School 29% 29% 13
14 School District of Philadelphia Pennsylvania Grade: Elementary School, 15% Regular Menu, 15% Regular Menu, 15% Regular Menu Elementary School, 18% Satellite Menu, 18% Satellite Menu, 18% Satellite Menu Breakfast Menus Elementary School, Regular Menu, Regular Menu, Regular Menu Elementary School, Satellite Menu, Satellite Menu, Satellite Menu % of days when processed meats are offered 100% 100% 100% 14% 14% 14% 14
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