How Public Health England pulled ‘dirty tricks’ on my dietary advice

Food pyramid showing groups of food in order on white back

Is Public Health England (PHE) a front for the food industry?

Earlier this month, I delivered the keynote lecture to an audience of 250 GPs and other healthcare professionals at the UK’s first medical educational-accredited lifestyle medicine conference in Leeds.

Much of the day focused on the root causes behind the public health crisis of type 2 diabetes and obesity, and what we can do to fix it. One of the biggest challenges is improving the message to the public on healthy eating.

For decades, powerful food companies have profited from promoting misleading health information and aggressively marketing junk food to children and the most vulnerable members of society. Public Health England is charged with help to protect and improve the nation’s health. My experience is that its officials undermine public debate and behave more like a front group for the processed food industry rather than an independent and trustworthy body that welcomes public debate.

In an effort to combat the epidemic of health misinformation I co-wrote a book, The Pioppi Diet, which brings together the evidence on what individuals and policy-makers can do to rapidly improve health and reverse the twin epidemics of obesity and type 2 diabetes. I was pleasantly surprised when the deputy leader of the Labour Party, Tom Watson, contacted me a few months ago to let me know he had “relatively easily” lost 94 lbs (43 kg) and improved his health by specifically following the diet.

The most important message in the book — which recommends a Mediterranean-style diet low in refined carbohydrate — is how lifestyle changes are more powerful than any drug in preventing and treating heart disease; these also come without side effects.

For inexplicable reasons, according to one prominent healthcare leader (who has asked not to be identified), Public Health England tried to “sabotage” the launch and press coverage of the book last year. I was told by one eminent doctor that he had been contacted by a senior official from the body and warned from attending the launch in London, to be held at the headquarters of Penguin Random House. To his credit, he did attend.

The Times: Public Health England is out to ‘sabotage’ my Pioppi Diet advice (Paywall)

The Times: Tom Watson’s diet doctor hit by government ‘dirty tricks’ (Paywall)

Another health leader, who heads a national charity, did not attend, and said he had been “poisoned” against the book. Andy Burnham, the mayor of Manchester and a former health secretary, endorsed the book and attended a launch in Manchester. His office also received a call from Public Health England, warning him against showing public support of the diet.

I was shocked by these attempts to try and undermine a healthy eating plan, to stifle debate and to damage my credibility.

My campaign is to try and improve the nation’s health with a plan endorsed by several leading scientists and dietitians. Public Health England’s own recommendations for healthy eating — which are promoted by the Eatwell Plate, a diet guide backed by the Department of Health, which includes chocolate, crisps, and cakes to eat “less often” — was drawn up in consultation with the food industry. I have not seen any statements from the organization’s health officials saying we should be eating less of the sort of ultra-processed food that now makes up half of the British diet.

Public Health England makes different dietary recommendations to the Pioppi diet. It recommends placing starchy carbohydrates, such as bread, pasta, rice and potatoes, at the base of the diet, and to reduce consumption of saturated fats. I have published evidence reviews showing no association between consumption of saturated fat and a heightened risk of cardiovascular disease, diabetes, and death, but Public Health England doesn’t want to debate the issues.

We want to trust government dietary guidelines, but Public Health England must give a clear commitment to systematic reviews of the evidence. It must stop engaging in dirty tricks to try and censor and silence those who want to engage in legitimate debate.

Dr. Aseem Malhotra, MD


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  1. Veronica
    Wow, that's kind of depressing (and frankly horrifying), yet ... not really surprising. All the more reason to keep up the good fight, Dr Malhotra!
  2. 1 comment removed
  3. TONY
    Shocking. Reads like a movie script! I bet PHE looked at costs involved in a million or more people switching to this WOE vs their current advice.
  4. Stella
    Did anyone else notice how the Tom Watson story sank without trace hours after it was announced?
  5. Elizabeth F
    Elizabeth F
    The power of making a dollar is so great that even those who ‘pretend’ to care about public health do not want to shift in the direction of change supported by research. How incredibly arrogant! What a tragic state of affairs we have in this world where the dollar sings louder than the voices of people who are sick and suffering! In every walk of life we are finding this to be more and more true. Keep up your excellent work Dr Malhotra – keep being strong, like Dr Tim Noakes and all those, who like him and you, know what really is the truth! Keep encouraging us with your wonderful research and work so those of us, whose experiences of improved health, will help be the influences that make a difference so desperately needed by so many.
  6. Eva
    They will not win. Evidence based for the public.
  7. Y Gordon
    I have your book and have read it from cover to cover. It’s brilliant!
    Sadly the dietary advice sheets given out by my GP are sponsored by Flora, says it all really.
  8. Christine
    Well done for standing up to them, the public are so misinformed.
  9. Susan Hogan
    Ah don’t we love the Brits attitude to change. Makes me proud to be one! Let me know if you need a possy to come along and give moral support at any time! I am just down the road 😁
  10. Gato
    My results:

    Test - - - - - - - - - - -Sep - - - Dec
    Lipid (mg/dL) - - 2018 - - - 2017 - - Std
    Cholesterol - - - - 204 - - - 196 - - <200
    Triglyceride - - - 114 - - - 170 - - 39
    LDL - - - - - - - - - - 131 - - - -120 - - <130
    NonHDL - - - - - - 154 - - - -154 - - 0-159
    Glucose - - - - - - 100 - - - -150 - - 63-123
    Ratio - - - - - - - - - - 4.1 - - - - 4.7
    Weight (lbs) - - - 175 - - - -200 - - - 170
    A1C (%) - - - - - - - -5.7 - - - - 7.7 - 4.0-6.0

  11. sus
    Is your book available in Canada, Dr. Malhotra?
  12. ModMom
    I just saw a "documentary " last night on PTV about the proven science of how being vegan will extend your life 25% longer . They calculated this by sending out a questionnaire to 95,000 7th day Adventists. They said even just a small amount of meat in the diet will shorten your life. No mention of sugars!!
    I hope Dr Malhotra keeps up all his good work. And DietDoctor. Its apparent that our governments are persuaded by industry money. Very destructive and upsetting.
  13. Alysa
    Debatable....I've heard that the calorie restricted diets of 7th day adventists plus their decreased stress level due to practicing their faith has a HUGE impact on their longevity. Factoring meat into it is wrong. Humans should eat meat. Problem is modern day meat processing and nutritional quality of the meat

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