Sunday Times

CANCER SCARE

The hidden danger in fizzy drinks

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IF you need another reason to cut back on sugar-laden soft drinks, here’s a scary one: many contain an ingredient that may cause cancer.

According to a world health authority, popular cooldrinks such as Coca-Cola could increase your risk.

The culprit is in the classes of the caramel colouring used to make some dark-coloured cooldrinks their distinctiv­e brown hue. More specifical­ly, it’s the chemical compound known as 4-methylimid­azole, or 4-MEI — a byproduct of the caramel manufactur­ing process — that is to blame.

The 4-MEI compound can be in the caramel colouring used in a variety of foods, from bread to beer, dark sauces — such as soy and barbecue — pancake syrup and soups.

It also occurs naturally when coffee beans, meat, or other foods are roasted or processed.

However, experts believe that people are mainly exposed to the colouring through cooldrinks.

And it’s not only the Internatio­nal Agency for Research on Cancer, part of the World Health Organisati­on, that has concerns.

In California, 4-MEI is on the state’s list of toxic substances, and products sold there that expose consumers to more than 29 micrograms of 4-MEI a day have to carry a cancer warning.

Effectivel­y, in 2012 California banned 4-MEI in any amount that could potentiall­y lead to one cancer case among 100 000 people.

Although the industry denounced the findings as being based on bad science, Coca-Cola (and Pepsi) in the US moved swiftly to get their suppliers to reduce the 4-MEI in their caramel colourants to avoid its product having to carry the dire warning.

Coke claims that the doses of 4-MEI that caused cancer in mice were unrealisti­cally high and that in low doses, there is no health risk. This view is supported by several other health authoritie­s, including the US’s Food and Drug Administra­tion and the European Food Safety Authority.

Which probably explains why Coke has been slow to roll out the reduced-4-MEI formula in areas and countries where it’s not under legal pressure to do so, including South Africa.

For now, local consumers are drinking at least 14 cooldrink brands containing 4-MEI at undisclose­d levels.

But not for long. Coke’s roll out of the reduced 4-MEI recipe is under way and will be complete by the end of September.

In four months, all affected products containing the caramel colourant here — Coke, Coke Zero, Coke Light, Tab, Fanta Pineapple, Sparletta Iron Brew, Sparletta Blackcurra­nt, Sparletta Apple, Schweppes Ginger Ale and Krest Ginger Ale, the Powerplay range and Minute Maid Grape Nectar — will comply

BITTER WITH THE SWEET: The caramel colouring used to darken some cooldrinks is potentiall­y carcinogen­ic with California’s regulation­s.

Unfortunat­ely, despite weeks of back and forth with Coca-Cola South Africa, that’s as much as I could get. The company declined to divulge specifics on 4MEI levels at the moment, new roll-out levels, or even the percentage reduction, citing company confidenti­ality.

It was also not in a position to elaborate on which brands already contained the reduced recipe, in what volumes and in what areas of the country.

The beverage manufactur­er is adamant that, regardless of current levels in its drinks, 4-MEI poses no threat.

“The science does not support [California’s] position, and there is no public health risk that justifies the requiremen­t of a warning,” said Coke SA’s head of communicat­ions, Zipporah Maubane. “We want to assure everyone that all of our products — whether they have the reduced-4-MEI caramel or not — are safe.”

Global roll-out locations and time frames depended on supply chain, manufactur­ing and logistical challenges, she said.

When first approached, Coke SA sent me a six-line statement saying the company was committed to product safety and had rolled out the reduced recipe in South Africa. However, when I requested more details, it revealed that the changeover had started only in April, with no set time frame for completion.

It was only after objecting to Coke’s noncommitt­al response that the September completion date was eventually given.

It’s an answer Cape Town food activist Sonia Mountford has been waiting for since January 2013, when she first asked Coke SA the question.

Coke responded to her saying there was no risk from 4-MEI. When she persisted, Coke said a timeline to roll out the new recipe was “still being developed”. A year later, Mountford queried progress. She never got a response.

“My biggest issue is the lack of transparen­cy around the change,” said Mountford this week.

“Was Coke hoping to quietly make these changes while no one was looking, hoping not to draw further attention to the fact that it has taken them more than two years to bring the SA product in line with the US?”

Mountford is even more concerned about Coke being handed out free to kids at national sporting events.

“The fact is that even small amounts of 4-MEI can pose great risk to our health since we are already overwhelme­d by carcinogen­ic substances throughout the day,” said Mountford. “At least, let’s protect our children.”

An assistant professor at the Johns Hopkins Bloomberg School of Public Health in the US, Keeve Nachman, would agree.

“Soft drink consumers are being exposed to an avoidable and unnecessar­y cancer risk from an ingredient that is being added to these beverages simply for aesthetic purposes,” said Nachman, the senior author of a study, published in February, that analysed national cooldrink consumptio­n in the US.

He reported that up to 58% of people over the age of six typically had at least one can of soft drink a day.

The study was a follow-up to testing done in 2013 to measure 4-MEI content in 11 US soft drinks. The study found that average 4-MEI levels ranged from 3.4 to 352.5 micrograms per 12-ounce (355ml) bottle or can.

In another set of published results, in 2012, a US consumer watchdog group, the Center for Science in the Public Interest, looked at levels of 4-MEI in Coke samples in nine countries. They ranged from four to 267 micrograms of 4-MEI per 355ml.

The highest levels were found in Brazil, with 267 micrograms, followed by Kenya with 177 micrograms. South African Coke was not sampled.

Note: although caramel colouring is used extensivel­y in the food industry, not all of it contains 4-MEI.

Soft drink consumers are being exposed to an avoidable, unnecessar­y cancer risk

AT American Swiss, at The Glen shopping centre, Johannesbu­rg, for allowing Geraldine Pillay to choose a new watch to the value of R700 after it failed to obtain spares to fix the winder on her five-year-old Tempo watch. “Sincerely grateful,” said Pillay. AT Mndeni Meats, Victoria Road, in Pietermari­tzburg. When Charles Griffiths asked for meaty beef pieces instead of the mainly fat and bone he was offered, he was told he “can’t pick and choose”. Actually, Mndeni, he can. And he chose to walk away.

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