Just Read and adding comments from our experience: “We Just Got 230 New Emojis, But Still No Trans Flag” – VICE

On this day after World Emoji Day, thanks to Anna Iovine (@AnnaRoseIovine) and @Vice for publishing this story on the transgender pride flag emoji.

I’m adding commentary, background, and a not-yet published quote from one of our global collaborators, the awesome Tea Uglow (@teaelleu).

The following quote from the piece is correct (and thanks for the link to our work):

I’m definitely not the first person to point out this lack of representation. Trans activists Bianca Rey and Ted Eytan began a campaign to get the trans flag added in 2017. And activist Charlie Craggs created a Change.org petition that has amassed thousands of signatures. In response to their efforts, Unicode co-founder and president Mark Davis has said, “We can’t have an emoji to represent every single possible group of people in the world. We have to make some choices.”Source: We Just Got 230 New Emojis, But Still No Trans Flag – VICE

This statement is also correct:

There is one glimmer of hope here: the trans flag is on the “short list” for possible 2020 emojis. That doesn’t mean it will be included…Source: We Just Got 230 New Emojis, But Still No Trans Flag – VICE

I actually believe in its draft candidate state that the symbol will be included, however, it’s not included until it’s included.

Even though Twitter, Facebook, and Whatsapp have gone ahead and added the symbol to parts of their platforms, this is not the same as the symbol being included in the Unicode defined character set.

Comments on Emojis and representing all groups of humans

I have a difference of opinion with regard to Mark Davis’ statement above. It was said to me by an individual that we’re witnessing the evolution of human language in emoji. I agree, and with that frame, the idea that language should be inclusive of some humans and exclusive of others is a difficult one to accept in 2019.

At the same time, I feel as a constituent of @Unicode’s work* that we are all served by a robust proposal process with transparency and integrity.

With that in mind, I’m sharing commentary from Tea that she offered to Unicode about our experience, with her permission to share:

…this is a really positive letter for us to receive at an incredibly taxing time for the community. Thank you.

It has, if anything, turned more political and darker since we first got in touch with Mark Davis & Unicode in 2016 (what feels like forever ago).

For comedy value more than anything, I am attaching the proposal that we first put to Google’s leadership that later became the initial ‘unfinished’ proposal – so you can see we’ve come along way! – it’s been a difficult journey. Ted has been the most extraordinary ally in keeping this moving and pushing – and I am not sure we thank him regularly enough. Bianca and Vigdis worked so hard for so long. Olly and the Nailit crew have also lit a fire under the issue with their populist approach in the UK – but we have repeatedly fallen short without explanation.

So it is wonderful to hear that you haven’t actually found dissenting voices within Unicode Emoji Committee. Likewise I agree that having Google and Microsoft showing real commitment will help.

We do understand that it is actually easier to agree on an otter than a symbol for a marginalised community – and that Unicode may be wary of raising the hopes of other marginalised communities.

The only feedback would be that when those communities come with their proposal that they are treated distinctly from corporation-sponsored groups or individuals requesting less emotive emoji. The issue for us has been that the symbol proposed is our only visual representation in the world – and it has not really been afforded much dignity. We’re not asking for a pizza slice or a fire hydrant.

We are probably not the last community in the world who will request this sort of representation – and it might be worth Unicode considering a protocol for ‘minority’ concerns wherein there is a more consistent and transparent chain of communication. Even when the communication is one of regret.

That doesn’t seem to be an active process and it would make a huge difference for future petitioners.

Best wishes and HUGE thank you’s.Tea Uglow, email communication, Feb 13, 2019

Come on, we’ve even got a banjo.Source: We Just Got 230 New Emojis, But Still No Trans Flag – VICE

  • I am not in any way affiiliated with the Unicode consortium, its member companies, and have been involved in this work representing myself, using my own personal resources

Transgender Pride Flag Emoji (History, Updates, Draft Candidate Emoji for 2020, Beginning Worldwide Adoption)

Because humans spend 90% of their time in buildings, where their health and lives are shaped – my year as a concept advisor for the WELL Building Standard

2019.05.09 International Well Building Institute, New York, NY USA 134 12019
With Rose Winer, WELL Faculty Director, Community Concept Lead, Standard Development, International WELL Building Institute, New York, NY USA 134 12019 (View on Flickr.com)

I am in a group of doctors that I’d say practice “boundless medicine,” meaning, we go to the places where health is produced.

My rationale for joining the International WELL Building Institute (IWBI) (@WELLCertified) Global Network of Concept Advisors is laid out in this blog post I wrote when I joined.

See: Joining the IWBI Global Network of Concept Advisories | International WELL Building Institute – WELL Community Concept advisory – Ted Eytan, MD

Joining the IWBI Global Network of Concept Advisories | International WELL Building Institute – WELL Community Concept advisory

Because,

  • An architect or designer may have as much impact on health, if not more than a physician, and for this reason
  • Doctors love designers

I completed my service as a (volunteer) WELL Community Concept advisor at the end of June, 2019 and saw great movement forward in the standard during my tenure that I’m sharing here 🙂 🙂 🙂

Universal Design and access to public facilities for all humans, specifically transgender people

The standard now includes provisions for accommodation of people of all genders.

CONCEPTS / COMMUNITY / FEATURE C14 OPTIMIZATION
Bathroom Accommodations

* Provide bathrooms that support the needs of all individuals.
* For All Spaces except Dwelling Units
* Single-user bathrooms meet the following requirements:
* Meet local accessibility code without exclusions or exemptions.
* Meet occupant demand in quantity and location based on size of project (to ensure bathrooms are conveniently located for all occupants).
* Includes sign or label with text and/or symbols to indicate that the room is a bathroom and that it is inclusive of all genders.

* Provide the following:
* Toilet paper.
* Trash receptacle.
* Sanitary pads and/or tampons at no cost or subsidized by at least 50%.

Standard – WELL V2 – Community Feature C14 – Accessed 7/17/19

This is especially heartening given that WELL is a global standard. In addition to consulting our advisory, the IWBI team also consulted several other national/international experts in the field.

I tell people I will never ever know what it’s like to be transgender, therefore the best source of information is from people with lived experience. Kudos to IWBI from going to, and respecting the best source(s).

I don’t know that we’ll see signs like this everywhere (it’s my favorite of all), however, the message is the same, all genders respected and represented.

Transgender Bathroom Awareness Poster lgbtplusbristol 50079
Transgender Bathroom Awareness Poster lgbtplusbristol 50079 (View on Flickr.com)

As an aside, and separately from my service here, a global team of collaborators came together to successfully (I think, cross fingers) add the transgender pride flag symbol to the global emoji character set. It’s all the same idea – go to where health is influenced and design a 🌎 that learns to ❤️ better. Boundless.

Transgender Pride Flag Emoji (History, Updates, Draft Candidate Emoji for 2020, Beginning Worldwide Adoption)

Metabolic Health – Food environment, access to nutrient dense, unprocessed food

The standard, in my opinion, has evolved in a good way, promoting sound principles around the food environment. This is super challenging given that the standard is global and the the principles are changing…

It’s interesting to me to compare what I said my interest was a year ago to now. Insulin resistance is still a problem, however/and, there has been much more dialogue about the causes, such as the role of processed food, as well as data that shows how poor the metabolic health of Americans is.

2018.05 Low Carb and Low Carbon - Ted Eytan MD-1001-620
2018.05 Low Carb and Low Carbon – Ted Eytan MD-1001-620 (View on Flickr.com)

WELL supports healthy eating patterns by increasing access to healthier food and beverage choices, limiting access to highly processed foods and ingredients and designing environments that nudge individuals toward healthier choices.

Standard – WELL V2 – Community Feature C14 – Accessed 7/17/19

The standard also does a good job of not promoting what is unsupported by science, the low fat diet. In the last year, the most notable international experts in the field, some of them academic rivals, have pronounced this diet dead, multiple times. Here’s their latest writing on the topic.

Not a product endorsement

My relevant disclaimers/disclosures are here. No promotion of third party products or services, no ties (financial or otherwise) to industry. Look me up in the database(s) of your choice.

I enjoyed working with the other volunteer advisors, on my own time, using my own resources, with the understanding that the standard is a product that’s sold in the real estate market, as many well known standards are, e.g. LEED.

When I was in New York recently (also on my own time, using my own resources, it’s a theme), I got to visit the IWBI offices, because if they’re developing the standard, they should be a best practice… my photos are below.

Product or not, the science behind the concepts are publicly available on the IWBI site, and I recommend a review to anyone who wants to learn more about healthy environment / culture of health. Beyond the two areas I focused on, the standard covers a wide swath of behaviors and elements inside of buildings and the communities around them.

Aren’t we lucky as health professionals to have so many individuals and organizations around us leveraging their talents to help our patients and communities succeed in health and life?

For these times I say, “the future arrived and it’s as awesome as I thought it would be.”

Slide Update: If you’re tied to dogma, what’s your interest in data?

2019.07.15 Low Carb and Low Carbon, Washington, DC USA 196 040122019.07.15 Low Carb and Low Carbon, Washington, DC USA 196 04012 (View on Flickr.com)

Time for another slide update….

We now live in an era where there is more disclosure of conflicts of interest, without necessarily more controls.

These are some examples, along with advice from Salim Yusuf, OC FRSC, Distinguished University Professor of Medicine, McMaster University, lead investigator of the PURE study.

1: “Ketogenic Diet, Enthusiasm Outpaces Evidence”

(image at the top of this post)

Joshi S, Ostfeld RJ, McMacken M. The Ketogenic Diet for Obesity and Diabetes—Enthusiasm Outpaces Evidence. JAMA Intern Med [Internet]. 2019 Jul 15 [cited 2019 Jul 15];

This article, has incomplete references and factual errors, including the discussions of “blue zones,” fiber intake, and selenium cardiomyopathy just to mention a few. The piece also incorrectly assumes that the opposite of the ketogenic diet is a vegan diet.

The alternative is the low fat, high carbohydrate diet, now regularly eulogized/abandoned by even its most prominent supporters (see this recent paper as an example).

A low-carbohydrate or ketogenic diet can be vegan – ask Carrie Diulus, MD (@cadiulus) – about that.

2: Soho Forum Debate, Nina Teicholz and David Katz, MD

2019.07.15 Low Carb and Low Carbon, Washington, DC USA 196 04013See: My Debate with David Katz | Nina Teicholz (view on flickr.com)

I happened to be in the audience for this debate. I recommend watching it.

2019.05.13 The Soho Forum Debate, New York City, NY, USA 025082019.05.13 The Soho Forum Debate, New York City, NY, USA 02508 (View on Flickr.com)

Could this approach be driven by financial interest in numerous businesses?

4: A favorite – “Resist Agra-Food Industries, brought to you by certain other Agra-Food Industries”

2018.05.29 Low Carbohydrate Meetup, Washington, DC USA 441Grant JD, Jenkins DJA. Resisting influence from agri-food industries on Canada’s new food guide. Can Med Assoc J [Internet]. CMAJ; 2018 Apr 16 [cited 2018 Apr 25];190(15):E451–2.

Brands mentioned in competing interests include Unilever, Barilla, Almond Board, Kellogg’s, Proctor and Gamble, Bayer, Pepsi/Quaker, Soy Foods Association, Coca-Cola, Canola Council, Walnut Council, Dean Foods, California Strawberry Commission, and more…

These are funny, and at the same time they’re not. Many physicians don’t have time to read the disclosures, and they don’t see the impact of not reading them.

5: Comment from Salim Yusuf, OC, FRSC

2019.07.15 Low Carb and Low Carbon, Washington, DC USA 196 04011Source: Food for Thought: the science and politics of nutrition – Day 2 – June 15, 2018’ – https://youtu.be/Yyhx3C1paA0?t=23130

Most people don’t read the whole paper, they read the abstract …(When I was at the NIH) … anything that came in that contradicted (low fat) was poo-poo’d.

I believe the biggest conflict of interest is your inherent belief system –Salim Yusuf, OC, FRSC, Food for Thought: the science and politics of nutrition – Day 2 – June 15, 2018’ – https://youtu.be/Yyhx3C1paA0?t=23130

Dr. Yusuf and the PURE study team are unconflicted (“we have no disclosures”). In comparison to the examples above, there’s a greater sense of credibility and interest in embracing their curiosity when they present.

I also recommend viewing his comments in context (link to time code here).

This has been going on for a long time

2018.02.11 Pharmaceutical Ads, New York State Journal of Medicine, 1957 310
2018.02.11 Pharmaceutical Ads, New York State Journal of Medicine, 1957 310 (View on Flickr.com)

See: Physicians’ 20th Century Nutrition Education: via Medical Journal Advertisements (Food Has Always Been Medicine).

Physicians’ 20th Century Nutrition Education: via Medical Journal Advertisements (Food Has Always Been Medicine)

There’s a cohort of journalists, scientists, physicians, who are changing their views

2018.04.14 Science March, Washington, DC USA 01289
2018.04.14 Science March, Washington, DC USA 01289 (View on Flickr.com)

Interestingly, Nina and a cohort of scientists and physicians around her have histories of dramatically changing their points of view after reviewing the data.

I’d call this the oppositite of dogma over data, hence the hashtag/protest sign, #DataOverDogma / #DataNotDogma.

It’s possible to be conflict free

2018.11.07 Low Carb and Low Carbon 5832018.11.07 Low Carb and Low Carbon 583 (View on Flickr.com)
2018.11.07 Low Carb and Low Carbon 5842018.11.07 Low Carb and Low Carbon 584 (View on Flickr.com)

I’ve linked to many other exmaples off of my official Disclosures page.

In terms of my inherent beliefs and makeup, I am

2019.07.15 Low Carb and Low Carbon, Washington, DC USA 196 010102019.07.15 Low Carb and Low Carbon, Washington, DC USA 196 01010 (View on Flickr.com)

As usual, I welcome any comments.

Photo Friday: USDA Dietary Guidelines Advisory Committee Public Comments Meeting, Washington, DC USA

2019.07.11 DGAC USDA, Washington, DC USA 192 32016
2019.07.11 DGAC USDA, Washington, DC USA 192 32016 (View on Flickr.com)
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2019.07.11 USDA DGAC, Washington, DC USA 09609 (View on Flickr.com)

This week’s photos were taken in Washington, DC (of course), at the second public meeting of the Dietary Guidelines Advisory Committee, held at the US Department of Agriculture (@USDA).

I was impressed with the passion and interest of clinicians across the diet diplomacy spectrum who came to Washington to share their experience and some science.

2019.07.11 DGAC USDA, Washington, DC USA 192 10014
2019.07.11 DGAC USDA, Washington, DC USA 192 10014 (View on Flickr.com)

I’ve been in a lot of social movements before (topic for another post, or read more of the posts on this blog) & this one also has the characteristic leadership of people who don’t accept the status quo.

2019.07.11 DGAC USDA, Washington, DC USA 192 32014
2019.07.11 DGAC USDA, Washington, DC USA 192 32014 (View on Flickr.com)

I was particularly drawn to the comments made by Pirianka Wali, MD (@WaliPriyanka), which you can view on YouTube here.

See what you think, and enjoy the photos.

2019.07.11 DGAC USDA, Washington, DC USA 191 32017
2019.07.11 DGAC USDA, Washington, DC USA 191 32017 (View on Flickr.com)

Reminder, my disclosures

I have a page with my disclosures and conflicts of interest which you can review (I have none). I attended the meeting on my own time, using my own resources, representing myself as an observer.

2018.11.07 Low Carb and Low Carbon 584
2018.11.07 Low Carb and Low Carbon 584 (View on Flickr.com)

Photo Friday/Recipe: Broccoli and Bacon Stir Fry – Plants, an ideal vehicle for fat

2019.07.07 Broccoli with Bacon, LCHF, Washington, DC USA 18305
2019.07.07 Broccoli with Bacon, LCHF, Washington, DC USA 18305 (View on Flickr.com)

This week’s Photo Friday is also a recipe, for Broccoli and Bacon stir fry. This one is pretty easy and there are multiple versions of it online, I chose this version to share:

See: Broccoli and Bacon Stir Fry Recipe – Todd Porter and Diane Cu | Food & Wine

I would omit the worcestershire sauce, however, since it’s almost pure sugar, defeating the purpose of healthy fat/carbohydrate ingestion.

As expected, there was no blood glucose excursion, as measured by a continuous glucose monitor:

2019.07.07 Low Carb and Low Carbon 1830001
2019.07.07 Low Carb and Low Carbon 1830001 (View on Flickr.com)

The topic of saturated fat in the diet has been discussed extensively, and will be discussed extensively soon as the USDA prepares for 2020 nutritional guidelines:

In addition, these are the current sources of saturated fat in the Standard American Diet (SAD), making it hard for epidemiologists to tease out whether saturated fat is a nutrient of concern or not:

Department of Health and Human Services (HHS). Dietary guidelines for Americans. Department of Health and Human Services (HHS), 2010.

More sophisticated meta-analyses and prospective cohort studies are showing that it is probably not a nutrient of concern.

2018.05 Low Carb and Low Carbon - Ted Eytan MD-1001 701
2018.05 Low Carb and Low Carbon – Ted Eytan MD-1001 701 (View on Flickr.com)

I would now caveat the above with a new paper written by @DavidLudwigMD et. al, commenting on the role of ultra-processed foods and metabolic disease:

Ludwig DS, Astrup A, Bazzano LA, Ebbeling CB, Heymsfield SB, King JC, et al. Ultra-Processed Food and Obesity: The Pitfalls of Extrapolation from Short Studies. Cell Metab [Internet]. 2019 Jun; Available from: https://linkinghub.elsevier.com/retrieve/pii/S1550413119303079

Regardless, there isn’t going to be much/any science supporting refined carbohydrates as an ideal vehicle for saturated fat compared to plants. If there is any, feel free to pass it my way 🙂 .

2018.05 Low Carb and Low Carbon - Ted Eytan MD-1001 702
2018.05 Low Carb and Low Carbon – Ted Eytan MD-1001 702 (View on Flickr.com)

Enjoy the recipe.

Thanks for Publishing my Photo, in The Washington region remains one of the most walkable in the country – Greater Greater Washington

2018.07.19 DC People and Places w Sony AIII, Washington, DC USA 04817
2018.07.19 DC People and Places w Sony AIII, Washington, DC USA 04817 (View on Flickr.com)

Thanks again for publishing my photograph, @ggwash.

Another solid report on our region’s walkability, and a great platform to show how beautiful Washington, DC is.

Enjoy.

Overall, city and suburb, the Washington region remains one of the most walkable in the nation, although it may be losing ground against other urban areas. That’s one of the findings from a new report, “Foot Traffic Ahead: Ranking Walkable Urbanism in America’s largest Metros 2019.”

Source: The Washington region remains one of the most walkable in the country – Greater Greater Washington

Just Read: Guidelines for Creating Guidelines: Dissecting American Diabetes Association Nutrition and Eating Pattern Guidelines

2018.05 Low Carb and Low Carbon - Ted Eytan MD-1001-699
2018.05 Low Carb and Low Carbon – Ted Eytan MD-1001-699 (View on Flickr.com)

For as long as I’ve been following Dr. Sarah Hallberg’s (@DrSarahHallberg) work, she’s been following the progression of American Diabetes Association (@AmDiabetesAssociation) guidelines for nutrition therapy and eating guidelines in diabetes.

I give her credit for turning my attention toward metabolic health instead of obesity, and toward an interest in the ADA’s work.

Guidelines for Guidelines

This paper, co-written with additional experts in diabetes management (including reversal, including Type 1 – @JakeKushnerMD) looks at the way the guidelines have been developed and their evidence base. Even I, as a much more casual observer, have noticed:

  • Tendencies to include and exclude studies with a hint of bias (“cherry picking”)

The authors of the ADA guideline documents, in their evaluation of a low-carbohydrate eating pattern, raise concerns about the quality of evidence that they do not apply to other dietary patterns. For example, regarding low-carbohydrate diets, the 2014 recommenda- tions state, “many of the studies were small, were of short duration, and/or had low retention rates.” However, these issues could apply to plant-based and DASH eating patterns as well.Hallberg SJ, Dockter NE, Kushner JA, Athinarayanan SJ. Improving the scientific rigour of nutritional recommendations for adults with type 2 diabetes: A comprehensive review of the American Diabetes Association guideline‐recommended eating patterns. Diabetes, Obes Metab [Internet]. 2019 May 9;dom.13736. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/dom.13736

  • Substantial conflicts of interest disclosed on the part of guideline authors (they refer to it as “duality” nowadays, can there be such a thing?)

Most members of PPC were conflicted: Only 3/14 on SOC committee had no COI, and only 5/11 on Nutrition Therapy Panel had no COI.Hallberg SJ, Dockter NE, Kushner JA, Athinarayanan SJ. Improving the scientific rigour of nutritional recommendations for adults with type 2 diabetes: A comprehensive review of the American Diabetes Association guideline‐recommended eating patterns. Diabetes, Obes Metab [Internet]. 2019 May 9;dom.13736. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/dom.13736

2019.06.27 Low Carb and Low Carbon, Washington DC USA 1780004
2019.06.27 Low Carb and Low Carbon, Washington DC USA 1780004 (View on Flickr.com)
  • Significant transformation of the recommendations in the last 2 years, in a more science based way. The recommendations now cover prediabetes as well as diabetes, and specifically include low carbohydrate and very low carbohydrate eating patterns, therefore making them applicable to over 50% of the American population instead of about 12 – 14 % previously.
2019.06.27 Low Carb and Low Carbon, Washington DC USA 1780001
2019.06.27 Low Carb and Low Carbon, Washington DC USA 1780001 (View on Flickr.com)

Evidence base for the guidelines themselves

The authors reviewed the studies included in the ADA guidelines and did their own search and evaluation of these studies plus studies that were not included. One of the critiques of the guideline process is that there is no external review, confidential or not, and there is no participation of patients and the public. In a sense, this is an external review and should be welcomed by the medical community – our interest is having the information needed to support the people we serve. If there were 100 of these reviews published, we would be even better served, especially for a population affected being so large.

I hope the ADA will consider including patients/the public in future guideline production. It’s the right thing to do, it’s been protoyped successfully in every corner of medicine, and there’s already a bright spot in the organization with it having its first ever CEO who has diabetes herself, Tracey Brown, with the most appropriate twitter handle: @Type2CEO.

I predict that the ADA will one day thank Sarah, Jake, and a global movement of physicians at their side for engaging the medical profession in their work. They’ve put the spotlight on diabetes and prediabetes like the medical profession has never been able to do. We should rally together to see a world without both in our lifetimes.

Reference

Content in slides above used under @CreativeCommons license

Hallberg SJ, Dockter NE, Kushner JA, Athinarayanan SJ. Improving the scientific rigour of nutritional recommendations for adults with type 2 diabetes: A comprehensive review of the American Diabetes Association guideline‐recommended eating patterns. Diabetes, Obes Metab [Internet]. 2019 May 9;dom.13736. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/dom.13736

My Disclosures

Of course I have them – disclosures, yes, conflicts, no 🙂 . Check out my disclosures page. I’m here because have a desire to know, it’s why we came to health care, for the people we serve.

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2018.11.07 Low Carb and Low Carbon 583 (View on Flickr.com)

Photo Friday: Finding the real Mediterranean Diet, Tel Aviv, Israel

2019.06.20 Tel Aviv People and Places, Tel Aviv, Israel 1660006
2019.06.20 Tel Aviv People and Places, Tel Aviv, Israel 1660006 (View on Flickr.com)

This week’s photos were taken in Tel Aviv, Israel, which, incidentally is where I discovered low carbohydrate nutrition and concepts of metabolic health.

I continued my exploration, including the finding that what is now the so-called “Mediterranean Diet” actually is a creation of American scientists, not an actual eating pattern in the wild.

See: Is the Mediterranean Diet Healthful? – Diet Doctor

With that in mind, I indulged in regional foods in support of my metabolic health. Enjoy the photos.

2019.06.20 Tel Aviv People and Places, Tel Aviv, Israel 1700094
2019.06.20 Tel Aviv People and Places, Tel Aviv, Israel 1700094 (View on Flickr.com)
2019.06.20 Tel Aviv People and Places, Tel Aviv, Israel 1690077
2019.06.20 Tel Aviv People and Places, Tel Aviv, Israel 1690077 (View on Flickr.com)
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2579ca0f84412ca8bde2e3461c400823 (View on Flickr.com)

Here are some additional photos.

Slide Update: American Diabetes Association New Nutrition Approach, Heart-Check Still Awarded for Sugar Sweetened Cereals

I’ve updated my slide repository as I track the interesting behavior of various national organizations with regard to nutrition.

Click through to each image to read the caption and access linked references.

I’ll write about the positive/science-based change at American Diabetes Association separately.

My disclosures and potential conficts of interest (I have none to declare) can always be found here.

Comments welcome.

2019.06.27 Low Carb and Low Carbon, Washington DC USA 1780001
2019.06.27 Low Carb and Low Carbon, Washington DC USA 1780001 (View on Flickr.com)
2019.06.27 Low Carb and Low Carbon, Washington DC USA 1780002
2019.06.27 Low Carb and Low Carbon, Washington DC USA 1780002 (View on Flickr.com)
2019.06.27 Low Carb and Low Carbon, Washington DC USA 1780003
2019.06.27 Low Carb and Low Carbon, Washington DC USA 1780003 (View on Flickr.com)
2019.06.27 Low Carb and Low Carbon, Washington DC USA 1780004
2019.06.27 Low Carb and Low Carbon, Washington DC USA 1780004 (View on Flickr.com)
2019.06.27 Low Carb and Low Carbon, Washington DC USA 1780005
2019.06.27 Low Carb and Low Carbon, Washington DC USA 1780005 (View on Flickr.com)

Thank you for Publishing my Photo, in Growing labor demand in D.C. is driving up wages – D.C. Policy Center

2019.03.30 DC People and Places, Washington, DC USA 8272
2019.03.30 DC People and Places, Washington, DC USA 8272 (View on Flickr.com)

Thanks again for using one of my photographs in another excellent analysis, @DCPolicyCenter.

It shows that Washington, DC is now the leader in private sector employment in the metropolitan region:

The District has always been the center of employment in the region, but this was largely due to the presence of a large federal workforce. For the first time in 2016, the District also became the top private sector employment center, with employment exceeding that of the previous leader: Fairfax County

The photograph was taken near Farragut Square in Washington, DC, in what looks to be a modern energy efficient building. Looks like there’s a lot of work to be done…

Growing labor demand in D.C. is driving up wages – D.C. Policy Center

Source: Growing labor demand in D.C. is driving up wages – D.C. Policy Center