What you don't know
can hurt you
 

by Francine Schwartz

On July 30, 1985 Ann Weltman, 30 years old, walked into a Los Angeles delicatessen. Aware of her sensitivity to sulfites, she took the precaution before ordering to ask the deli manager if sulfites were used in any of the restaurant's food, specifically potatoes. After checking the plastic bag in which the potatoes were delivered, the manager assured Weltman she had nothing to worry about. He was wrong. She died.

The amount of sulfites later found in Weltman's fatal dose of hash browns were within allowable federal limits (242 parts per million). No problem there. But the package label which the deli manager had obligingly checked didn't list any sulfites and that little omission cost Weltman her life.

The FDA estimates that half the people
who consume sulfites are actually
exceeding the recommended
upper level.

Weltman brought to 15 the number of fatalities associated with sulfites since 1983. To date 500 reports of illness have been attributed to sulfite sensitivity. And it's been estimated that as many as 10 percent of the nation's 10 million asthma sufferers could be sulfite sensitive.

SULFITES ARE USED as antimicrobials (to keep food from spoiling) and antioxidants (to prevent rancidity) as well as anti-browning agents (to make the food look pretty). They're used in dozens of foods and drugs, from raisins to flour to Bronkosol (used in the treatment of asthma). In the spotlight for the last few years is their use in cut vegetables and potatoes in salad bars. But they're also used in dried fruits, seafood, many packaged, processed foods, and especially wine, where the highest levels of sulfites are found. The FDA estimates that half the people who consume sulfites are actually exceeding the recommended upper level.

But action by the FDA to regulate the use of sulfites has been agonizingly slow. The Washington D.C.-based Center for Science in the Public Interest (CSPI), a non-profit consumer protection agency, blames the Reagan Administration. Specifically it points to the philosophy that currently prevails in Washington which gives equal "if not overriding" weight to economic considerations.

. . . while questionable additives on the GRAS list (such as BHA, BHT, and
sulfites) remain under evaluation,
substances continue to be used.

Back in 1939 the Food and Drug Cosmetic Act gave the FDA authority to move against any chemicals in food that were found to be unsafe for human consumption. Twenty years later came the Food Additive Amendment. This required that additives have a demonstrated safety record. The amendment was on the right track, but it applied only to "new" additives. The hundreds already in common use were automatically swept into the FDA's shelter from the storm - the "generally recognized as safe" (GRAS) list. In the early seventies the FDA reviewed a list of more than two dozen antimicrobials and antioxidants. Only six were reaffirmed as safe. The FDA either had not yet taken a final stand or was still evaluating data on the rest. And while questionable additives on the GRAS list (such as BHA, BHT, and sulfites) remain under evaluation, substances continue to be used. What this means is that the agency hasn't said they're not okay, but they haven't said they are, either.

Years of dogged sleuthing by the CSPI unearthed a pile of case reports and other medical evidence that linked health problems to sulfites. In October of 1982 the CSPI petitioned the FDA to ban or severely restrict the use of sulfites in foods and drugs. The FDA - after conceding that sulfites were indeed a threat to public health and that some action was needed - took the mild mannered approach: The agency "recommended" that states require restaurants to use "conspicuous and easily readable labels, signs, placards and menu statements" to inform the public of any sulfites in their food. The National Restaurant Association reported that restaurant owners resisted complying because they felt such warnings were bad for business. But word was out. Many restaurants, rather than post warnings of sulfites use, simply stopped using sulfites altogether - without any government ruling. On August 9 this year the federal government moved to ban the use of all six sulfite preservatives (sulfur dioxide, sodium bisulfite, sodium and potassium metabisulfite, sodium sulfite and potassium bisulfite) from use in fresh vegetables and fruits. Moving from proposal stage to law could take as long as a year, according to the Consumer Affairs office of the FDA's San Francisco branch.

Physicians have found the lack of
sulfite labelling an intolerable
situation.

On November 19 this year the FDA proposed to list the presence of sulfites on prescription drugs, except those for oral use. Among these drugs are several used in the treatment of asthma. Physicians have found the lack of sulfite labelling an intolerable situation But when their patients react badly to certain drugs, they have no way of knowing if the negative reaction was to the medication or to sulfites present in the drug.

As for the legal process in moving a proposal to law - once a proposal is out, the consumer can particpate in the rulemaking process during the "commentary period." But even FDA officials admidst that although industry is well aware of this opportunity provided for consumer comment, the average consumer isn't.

LAST JULY 11TH, DANIEL TSEVAT, 33, drank from a bottle of 1983 German white moselle wine in Dallas. He died shortly after. Cause of death, according to the medical examiner's office, was acute asthma. Tsevat, a diagnosed asthmatic, had been warned to stay away from sulfites. When tested laster the wine showed a sulfite content of 92 parts per million - again, within allowable federal limits.

On June 23 the Bureau of Alcohol, Tobacco and Firearms (BATF) proposed that the amount of sulfur dioxide or other sulfites in alcoholic beverages be shown on the label if the amount exceeds 10 parts per million. In addition they proposed to substantially lower the allowable limit from the current 350 parts per million. The issue is still in the proposal stage.

But an even bigger issue is breathing down the neck of the BATF these days. On October 31 Judge John H. Pratt, a U.S. District Courth judge, ruled that the BATF will have to require a complete ingredient list on all alcoholic beverage labels starting April 30, 1986. Although the BATF's own labeling proposal concerns sulfites, it is the only ingredient they require listed, other than FDA yellow #5. The BATF had already rescinded similar legal rulings twice, contending that the cost of the rule far outweighed any possible health benefits But the CSPI called the rescissions illegal and the judge agreed - twice. At press time the agency had obtained a legal stay, so once again the matter is on hold.

. . . sulfites are sprinkled on fresh and
processed clams, lobster, crab,
scallops, dried cod, and
most notably, shrimp.

Not affected by these proposed preservative regulations is the fishing industry. According to a list provided by the CSPI, sulfites are sprinkled on fresh and processed clams, lobster, crab, scallops, dried cod, and most notably, shrimp. And sulfites aren't the only additives used on fish. Commonly used are polytrisorbates (to control yeast and mold), sodium benzoates (to kill bacteria), and polyphosphates (to keep the fish from "dripping"). All three chemicals are on the FDA's GRAS list. According to Michael Smith, the fish buyer at San Anselmo Living Foods, chemicals are not used on live animals like mussels and clams, nor on whole fish. Smith, who refuses to buy chemically treated fish, and other Marin wholesales and retailers, say local fish is untouched. But fish brought in from the East Coast, Washington, Oregon, and more distant places like Australia or Chile, are chemically treated to better survive the transport process. According to the FDA, the chemicals are all harmless if used within prescribed amounts:

  • Polytrisorbates are broken down in the body like a fatty acid, says the FDA. Its limitation is imposed because the additive affects flavor, not health.
  • Sodium benzoate is abosrbed by the bloodstream and goes directly to the liver. If used unsparingly, it makes the body work harder, much like alcohol. Some tests have shown unpleasant physiological effects on animals, but other studies indicate that animals live longer if they have benzoates.
  • When digested, polyphosphates change the mineral balance in the body, but researchers seem to agree that the change is insignificant.

Another method for prolonging shelf life in fish is vacuum packing. In this provess, hydrogen is shot into the packgage when it is being sealed. Detroyed in great part by this procedure are the bacteria that cause offensive odors. No odors means longer shelf life, as much as two weeks longer. But proper handling of vacuum packed fish is crucial. They spoil extra-quickly if left unrefrigerated for even a brief period, but - unlike untreated fish - they don't produce the odor that would normally warn the consumer away.

A more expensive and more recent procedure for preserving fish is shipping it in nitrogen cans. Nitrogen replaces oxygen and cuts down on normal spoilage. Again - proper refrigeration is essential.

At this point no definitive research has pointed to a problem with the chemicals used on fish, as long as they're used in accordance with FDA restrictions. Nevertheless a growing number of retailers, consumers and even wholesalers have begun asking questions, in anticipation of possible problems. One handicap to this effort is current FDA policy regarding labeling. For example, since polyphosphates are used to reduce "drip" they're not considered preservatives by the FDA - so they don't have to be listed.

This kind of fine differentiation makes it tough for the consumer to know exactly what is or what isn't contained in a product. As can be seen in the sulfite issue, changes in labeling laws and regulations concerning the use of chemicals do occur. But progress is slow and in the meantime chemicals continue to be used - often without our knowing about it.

Pacific Sun 1986