Thursday, August 31, 2006

Bad science affects Brussels



It is the big asbestos racket, with customers paying millions of pounds or euros for unnecessary removal of the banned material, and European Union legislation is party to it.
Asbestos has been called the leading occupational-related disease killer in the western world by the Health Protection Agency, and there is no doubt that some varieties of the substance the Greeks called unquenchable fire is responsible for lung cancer, asbestosis and mesothelioma, cancer of the lining that surrounds the heart, and one of the most painful and aggressive forms of illness known to man: it is almost invariably fatal and caused solely by asbestos exposure.
But the main, once most frequently mined variety of asbestos, Chrysotile, is almost completely harmless; this banned – but useful material – which sits in millions of homes and offices, is at the centre of a great swindle involving lawsuits, trumped up survey dangers, expensive removal palaver.
It is, as campaigner John Bridle, of Asbestos Watchdog UK, whose advice has saved dozens of companies – including Anglican churches - from asbestos ruin , the greatest swindle of our time.
But why was chrysotile banned in Europe in the first place? The answer in two words: bad science.

David Bernstein, a soft-spoken American ticologist living in Switzerland, was first asked to look into the real science behind chrysotile back in the late nineties, when it was already becoming apparent that chrysotile was on its way out. He had had a life time in toxicology, with several achievements.
And this issue piqued his interest:
“The reputation of asbestos couldn’t get any worse; so it was a challenge to my professional curiosity. Were all asbestos varieties – specifically chrysotile - really as bad as it was made out?”
Asbestos is a commercially convenient way of grouping together the only naturally occurring mineral fibres, magnesium silicates; there are three main varieties, of which chrysotile, white asbestos, is one, the other two are amosite, brown asbestos, and crocidotile, or blue asbestos,, these two have more “Powerful” properties – the fibres are longer and tougher - , but all three have the same uses, and their appearance when extracted from the rock of the colours of the names is similar. Mineralogically, they are distinguished by the principal metal in the silicate, magnesium and iron respectively,
Asbestos is a naturally occurring, stringy minerable fibre “angels’ hair” which occurs naturally in seams of rock; when rocks are broken out, pulverised and filtered away with meshes, you get the fibres. The stuff has been known since antiquity for its magic combination of properties: tensile, heat and acid resistant, incredibly strong, yet as weavable,
The ancient Greeks and Romans used it in lamp wicks of the “eternal flames of the vestial virgins”, funeral dress from the cremation of kings and in napkins that could be cleaned by being thrown into the fire; its fibres were used to strengthen clay pots and insulate suits of armour. Charlemagne had asbestos table cloths. After visiting a mine in the 13th century, Marci Polo was able to report that the fibres came from stone, not the wool from lizards as previously believed. But already Pliny the Elder warned of its health risks of the slaves who had sickness of the lungs, but they were in such awe of the asbestos’s seemingly magical properties that they ignored its symptoms.
Commercial manufacturing began in the 1880s with the creation of open pits in Canada and Russia, and elsewhere: Reports of its dangers in antiquity had been forgotten. As the material began to on an industrial scale, its insulating, heat resistant, incredibly strong properties made it become appreciated as indispensable acoustic and thermal insulator – in fire curtains in theatres to roofing felt; added to caulking, adhesives, acoustical plaster, ceiling tiles, cement and electric wire insulation, sprayed fire-proofing products.
In all it is estimated that it was used in over 3,000 products; production peaked in the 1960s and 70s, when millions of tonnes were imported into Europe. But soon the alarm bells started to ring. As early as 1897, an Austrian physician was convinced that dust inhalation was the cause of "emaciation and pulmonary problems in asbestos weavers and their families." At about the same time, the Lady Inspector of Factories in Great Britain recommended the installation of "a scheme of applied ventilation" to minimise the accumulation of dust.
An article in The Lancet in 1934 presented evidence of a link between asbestos and lung cancer. Dr. Richard Doll's landmark paper: Mortality from Lung Cancer in Asbestos Workers (1955) found that the incidence of lung cancer among men at a Turner & Newall asbestos factory in Rochdale was ten times the national norm. Rates of mesotheliomia, an irreversible and rare cancer of the linings of the lung which results from the inhalation of asbestos fibres over an extended period, grew rapidly and asbestos was discovered to be the only known culprit.
Estimates from deaths from asbestos related disease in the UK – which has a population of 60 million – vary from anything between 90,000 and 500,000 people over the next thirty years. To make a comparison, the lower range estimate is equivalent to the number of people who die in traffic accidents every year. The health and safety executive estimates it is the single greatest cause of work-related deaths in the UK.

As awareness of the harm caused by asbestos has risen, measures have started to be taken.
First of all, there were strict health and safety rules introduced for workers; maximum exposure levels were set and controlled. And the stuff has been phased out. New production, import and the use of Crocidolite, or blue asbestos, whose needle-like fibres were the strongest and most acid resistant of all, was used in yarn and rope lagging and its high bulk density made it suitable as spray-on insulation; imports peaked in 1950; restrictions governed its use from 1969; it was banned in 1985. Then there was amosite, or brown asbestos, whose harsh, spiky fibres had good tensile strength and were resistant to heat. It was banned in 1986. Then chrysotile, the most flexible fibre, as weavable as cotton, often used as reinforcement in asbestos cement, responsible for ninety percent of historical production – though much smaller proportion of the asbestos in the ground – was banned in several European countries before receiving a Europe-wide ban by EU directive in 1999, to which all members had to and did comply by 1 January 2005, including the new member states. Chrysotile is still in use for new applications outside Europe, notably the US and Asia – although the EU has pushed for a global ban. It is to the ban on chrysotile that we will return.
There is a vast amount of asbestos about – in the housing and business premise stock; and the current situation in the UK is that, left undisturbed, the asbestos causes minimal harm. It is only when torn up that the fibres enter the air passages that it can be dangerous – according to the Health and Safety Executive. With homes it is up the owner what he wants to do – though you might be sitting just metres away from a source. Since 2004, all business premises have to undergo an asbestos survey; this can cost hundreds of pounds. And then, if the surveyors estimate the asbestos poses a risk to health, likely to come loose, it may have to be removed,, at a cost of millions.
This, according to John Bridle, is where the corruption starts.

Ninety percent of all asbestos in use is chrysotile. Early surveys estimated it as dangerous as the other two. For instance, Davis (1978) exposed rats to a rather harsh regime: he took compacted blocks of asbestos, ground them with a so-called hurricane grinder, for days at a time, then, aerosolized it by blowing a fan through a passage past the noses of caged rats. He did this with all the major asbestos types and the results were similar. After a seven hour, five day a week, 12 month a year regime, between 25 and fifty percent of the rates had developed lung tumours – all this at exposures very much higher than a human being would endure. Bit still, indicative, no?.
But this science is flawed says Bernstein. Nothing was known then about the importance of fibre length, and fibre length distribution, and how to set up the experiment to avoid contamination. Microscopes were less advanced then. There was less concern about contamination – all asbestos types were assumed to have the same carcinogenic properties; they were likely to be contaminated with each other. And then there was the problem: the danger of science of putting the cart before the horse; the conclusion, the thing that was supposed to be proved, was worked into the experiment.. It had been observed from any number of people that asbestos was carcinogenic, and so the experiments just increased doses until there was cancer in rats.
“It was early days, people did not know what they were looking for,” says Bernstein. “You can’t blame them.”
These early findings, along with the infamous South Carolina epidemiological study, which – erroneously – showed that workers exposed only to white asbestos had elevated rates of cancer and mesothelioma – form the scientific bedrock for those in the European commission and the World health Organisation who refuse to re-open the dossier on Chrysotile ban.
Bernstein and colleagues carried out their own experiments. By drawing on his own colleagues, and of research published elsewhere in the 1990s, he found the following:
The mineralogical differences between chrysotile – its calcium component – and the amphiboles, as blue and brown asbestos are called, with their metallic component, iron, did not make a difference in its interaction once inside the lung. But bio-persistence and length of the fibre did.
The unique awfulness of asbestos is the fact that they are fibres, longer than they are thin, and that that they are extraordinarily bio persistent. The lung is equipped with filters that keep out spherical particles of a certain size; smaller particles that slips through are cleared away by so-called macrophages, a kind of white blood cell that digests foreign debris. Fibres can slip in through the filters because they are thin; but once inside, the longer fibres are too large to be removed by the macrophages; they eventually decay by other means, but in the meantime they irritate the lung cells. The smaller ones are nothing to worry about: they are treated as particles and removed by the macrophages. According to Berman (1995) fibres shorter than 10 micrometres do not contribute to rats’ cancer risk; and the measure most highly correlated with tumour incidence was the concentration of fibres greater than or equal to 20 micrometres in length. Potency appears to increase with increasing length, with s longer than 40 micrometres being about 500 times more potent than structures between 5 and 40 micrometres in length

What was the bio-persistence of chrysotile? Earlier this year, Bernstein and colleagues used Wistar male rats and exposed these to an air control group and to two chrysotile exposure groups at mean fibre aerosol concentrations of 76 fibres longer than 20 micrometres for 5 days/wk, 6 h/day, during 13 consecutive weeks followed by a non-exposure period lasting for 92 days. Animals were sacrificed after cessation of exposure and after 50 and 92 days of non-exposure recovery. At each sacrifice, subgroups of rats were assessed for the determination of the lung burden.
What they found was, first of all, no damage even at high concentrations of chrysotile – five thousand times higher than found in the work place, no lung scarring, no granuloma; and almost no long fibres; in fact there was a very short half life for chrysotile – equal to that in fact of vitreous synthetic fibres, glass fibres, which remain legal but regulated throughout the EU. In contrast an amphibole, tremolite, of the same family as brown and blue asbestos, showed lung damage. Why does chrysotile have such a short half-life? Because its fibre structure is that of a rolled up carpet, with its magnesium ions on the outside, due to the different bond lengths between the silicon hydroxide but and the longer oxygen bonds in the magnesium bit; this exposes the brucite magnesium to the lung liquid, which dissolves the so called brucite and which leaves the silicate bit vulnerable to the acid action of the rest of the lung. Amphiboles are made of sterner stuff, forming long horizontal rods, and a half life tens of times longer than that of chrysotile. “Chryostile quickly dissolves into what is basically talcum power,” says Bridle. Chrysotile’s half life for long fibres is one day for some varieties; for crocidolite is almost two years.
So why did early studies show that chrysotile caused lung cancer in rats? Because of overload of the system; in early experiments, including Davis 1978 and Coin 1992, when chrysotile was milled, for days at a time, using the hurricane grinder, not the best equipment for the purpose, because its metal scythes contaminated the samples, and changed them chemically, it produced an enormous number of microscopic particles that could not be detected by the phase contrast microscopes in use at the time; when rats breathed these in over a year at a concentration much higher than any man would endure, the particles – as diesel or even talcum powder particles would do – overloaded the rat’s lung system, clogging it up and reducing the ability of the macrophages either to deal with the small particles are break down the larger ones, which remained as carcinogenic fibres. The fact that chrysotile is unusually brittle, breaking under lung fluid into ever smaller pieces, also plays a part.
This did cause tumours; but it was not its asbestos fibre quality that did this – unlike ; it could be by particulate matter at enormous exposure. As a reference point, Bernstein used a synthetic fibre permitted by the EU called CMS – calcium magnesium silicate – with a large number of added particulate matter, which showed the same tumour creations as chrysotile ; another fibre, X607, similar to CMS but without particles added, showed no damage. In other words, scientific methods picked up on the wrong thing – the residues produced by a flaw in the equipment, and would have done so with any synthetic fibre;
Chrysotile is no more harmless than synthetic fibres – and these are permitted by the EU.

What about the epidemiological studies? There have been many, but they have suffered from methodological problems – more bad science. There was more dust in the air there is today; there was contamination of different kinds of asbestos at plants; workers’ histories and confounding factors such as their smoking habits were not scientifically gathered. .
A recent analysis by Hodgson et al, last year, fitted two models to the data of the male mesothelioma deaths in the UK between 1968 and 2001 , and predicted exposure patterns compared to the actual exposure patterns depending on importance of amosite and crocidolite. Chrysotile had no weight in either model. Another Survey showed that while South Africa is noted for amphibole mining it has also mined about 100,000 tons of chrysotile per year. Cases of mesothelioma have not been
found in the South African chrysotile miners and millers despite decades of production. The authors suggest one possible explanation for the scarcity or absence of the cancer may be the relative lack of fibrous tremolite, an amphibole that may occur with chrysotile ore elsewhere – and which distorts findings. A much bigger survey of surveys, published this year by a scientist called Charles Yarborough in the international Journal of Toxicology, shows similar resulrs.

Irrationality about asbestos defies any attempts to relegalise it. Legislation on synthetic fibres went to DG enterprise, that on chrysotile to DG Health, who have their own agenda; it is a political issue. The world health organisation, when conducting trials on synthetic substitutes for chrysotile, refused to open the dossier on chrysotile itself – apparently on direct, supervening orders from WHO’s director general.
There is a big industry involved here. Both Bridle – who runs asbestos watchdog, devoted to reducing unremoval and litigation costs to British firms – and Bernstein went to Bangkok recently on a mission: to get invited to an asbestos conference, organised by their nemesis, Laurie Kazan Allan, who runs an asbestos newsletter, rather triumphalist in tone, that notes each victory for the asbestos ban lobby.
“I could come, but I had to make some adjustments, but Bridle wasn’t welcome at all,” says Bernstein. Bridles added: “Kazan’s brother runs the largest firm of layers dealing with asbestos compensation.” There are tales of crooked experts on the payrolls of law firms, ready to tell lies in court, exploiting fears about chrysotile which, when locked into asbestos cement which forms much of the survey work of the “salesman for removals firm” that the “averagely ill trained survey firm now is.”
The Berlaymont was closed in 1991 to remove white asbestos costing millions and has been replaced with rock wool, which if anything is more harmful. Businesses with embedded and harmless white asbestos in the UK are paying huge fees to decontaminations firms to clear out tonnes of rubble which turns out only to be harmless white asbestos in two tiny insulation boards. There is a lot of ignorance, a lot of council inspection zealotry, a licence for cowboys, and a lot of money changing hands. Bridle, who worked in the cement industry, set up asbestos watchdog to advise on small firms facing ruin. While there are of course thousands who face cancer from the dangerous varieties of asbestos, up to a million households face the chrysotile survey problem. Dead people – who have breathed in naturally occurring asbestos all their lives – now cannot be buried because it would contravene, in theory, the EU’s laws on hazardous waste.
Bernstein has lobbied Ispra, the EU’s technical standards research unit, based in Italy.
“Why don’t you take another look at white asbestos. They never did.”
“The European Union won’t change the law on chrysotile,” says John Bridle. “Because the trade unions stand a lot to gain from the law suits, and they put pressure on the Labour party, who resist a change in Brussels.”
So the chrysotile issue joins the annals of bad European science, whose previous chapters include the Y2K problem, hostility to GM crops and aversion to nuclear power.


Monday, August 28, 2006

Sweden's election




New Leader and policies

Labour can take a modest consolation from the fact that “Yo Blair”, who, in the words of Maureen Dowd, hovers around Bush with the eager-to-please manner of oan abused wife, at least appears as a kind of JFK figure for one electorate, that of Sweden. As a small country, Sweden is ahead of the UK in the policy innovation curve, but the system does not appear to throw up great leaders.
Swedish social democracy is widely admired without the movement having any globally famous figureheads since Olof Palme was assassinated 20 years ago – which is a reason why Europe’s most hegemonic ruling movement, is facing its closest contest in a generation in Septeber’s general election: the latest polls put the opposition Alliance bloc, consisting of agrarians, conservatives, Christian democrats and liberals, at 52-48.
Goran Persson, the social democrats’ prime minister since 1996, is regarded as competent but not very charismatic. An excellent orator, a big man in all senses, he has been in power for a long time, 11 years.
Opinion formers haven’t talked of a successor to Perssion, this might be thought strange. Type in “departure” and “Persson” into the biggest newspaper archives and you get about three articles in the last 18months that even address the question. Perhaps it is
because the alternatives are so unappealing that no commentator wants to bring the events to pass by starting a debate on the succession question. Margot Wallstrom, the communications commissioner, is by far the most popular candidate but she has said no: she is on the right wing of the party, and doesn’t want to face media scrutiny of her Euro-federalism.
e alternatives are: the finance minister, Par Nuder, who is on top of his brief, but regarded as an egocentric, competent technocrat. Thomas Bodstrom, the justice minister, is regarded as opportunist eye candy
Vote one, get another – get one of these guys. No thanks. Few think Persson will serve another full term.
So what about Fredrik Reinfeldt, 41, leader of the biggest opposition bloc party, the moderates – formerly the Right party
One rare Q&A reveals that Reinfeldt likes Lord of the Rings; One Flew Over a Cuckoo’s Nest, Swedish country music. He collects stamps. In the photo he is pear-shaped, dumpy, has cocker spaniel eyes, sits on his children’s swing, fashionably shaven headed which makes him look a bit younger than he is. Could have been a male nurse; probably bullied as a child; everyone’s designated driver, everyone’s Bob.

Policywise, he has turned the party more leftwards than it was under the great Carl Bildt, his predecessor.In fact with two centrist parties standing foursquare, commentators have list each leader’s policy strengths. .
Persson is regarded as stronger on healthcare; health outcomes remain the best in the world; and a new care guarantee has just been introduced to allow treatment anywhere in the country or even abroad if it cannot be done locally in three months.
Persson also leads on foreign policy. The Swedish papers make much of the fact that he often pops over to Downing Street to administer TLC to Tony. He is one of the EU’s longest serving leaders, and knows the Brussels process inside out
Reinfeldt is not conspicuously international. He comes across as a bit eurosceptic – unlike Carl Bildt, the previous moderate PM and second most famous Swede on the Brussels scene. This gives him a certain appeal with the electorate, who feel Bildt sold them a bum deal on the EU. But among those in the know there is the fear he won’t improve Sweden’s low profile in Brussels to compensate for the fact that Persson offers expertise here and now. Even if his euroscepticism is just a show, it will take him a while to build contacts; he doesn’t know anyone in Labour, no equivalent relationship between Swedish moderates and the Tories; since Swedes don’t develop contacts in Europe outside Scandinavia and the British isles this is a bit of problem.
Reinfeldt’s relationship with Bildt would make an interesting study. Bildt was a strong, internationalist leader; his big achievement was to bring Sweden into Europe; after losing power he threw himself into the Balkan situation as the EU’s peace representative; he lost interest in domestic politics, and didn’t fight very hard and lost the 1998 election, On his departure, he left behind a grouping of callow market fundamentalist dauphins, little baby Bildts, no one really connected to the Swedish population; and it was not surprising that it scored its worst ever result in 2002 under its equivalent of Duncan Smith, Bosse Lundgren. Reinfeldt has done a lot by bringing the moderates from a 15 percent party back to a 30 percent party. It is well known he feels that Bildt turned into a vehicle for pushing Sweden into Europe; and that the party was centred too much on himself.
Part of his efforts to change the party’s austere neo-liberal image, as a party full of people with Asperger’s syndrome, was to say that no one should root around in the moderate party “box” for their favourite tax cuts. But it will always struggle to shake off the image as the party of business; Sweden has the heaviest unionisation rates in the world. Tax is another tick for Persson.

Reinfeldt has some nice proposals for schools; but then there is a trio is linked issues where he really scores over Persson, according to Expressen’s political editor Anders Jonsson. Persson has really failed on criminality. Rapes in certain parts of the country are up 40 percent on the last year alone; violent crime is about 30 percent on the last five years. Although Sweden’s economy has not done so well since the IT bubble six years ago, with low interest rates and low inflation, hidden unemployment could be as much as 12 – 13% if you include those on study schemes and those who don’t have the energy to sign up according to political journalist Anders Jonsson. Both these issues are discussed and connected to the third big issue, which is barely mentioned: immigration.
Sweden is now the great immigrant country of Europe – 13 percent foreign born, far more than the UK, Finland or Denmark on par with France. About a quarter of the population is of foreign, usually Muslim, stock. And it never had any colonies.
How is Reinfeldt dealing with this? This is very interesting, because it could be the clincher in the election. No doubt the Swedish right has looked at neighbouring Norway and Denmark, where only those parties that have trimmed their sails to the pervasive sense of threat from the Muslim world have flourished. An astonishing fifty percent of the Danish electorate voted for parties hostile to immigration; Sweden’s different political culture, which places less importance on liberal openness to discuss solutions without fear of censorship; more on woolly elitist tolerance. But there are signs that the white working class are every bit as fed up with the lack of integration – the soaring social security bills and crime rates – as their Danish counterparts. The working class are the key social democratic constituency.
Expect them to tougher then, on this issue, than the social democrats.
So here we are, let's see how the election pans out.

Saturday, August 19, 2006

Here's a cigar to Cuban health


SO what will Fidel’s biggest positive legacy be? Surely the fact that his country has achieved European life spans and the western hemispheres second best child mortality rates on an annual health budget per capita of $251.
European countries spend ten or fifteen times as much for no better result. In fact, because of their more developed health systems with expensive medicines and gadgets that keep unhealthy people alive, the equal level of lifespan gives a misleading picture. There are fewer respirator years included in the Cuban figure.
Part of DG Health’s remit is sharing best practice between European countries, the Cuban example shows the limitations of such a narrow approach, since their commonality is greater than their system differences. Health budgets are high, and growing, everywhere in Europe. So what can Cuba teach us?
Forget expensive treatments that chisel away a few extra weeks or months at the wroing bookend of life; Public health is the big battleground today; for Europeans are as bloated as their health budgets.
The fact that today’s young obese generation will be the first in history to die earlier than their parents is relatively well known in Europe, but nothing from the various seminars and conferences on this evergreen issue that I have attended at least has suggested an insight. .
Cuba’s situation – partly involuntary - does. Fidel’s kingdom has been under a US embargo for 40 years, so doesn’t have any McDonalds; the fast food revolution has passed it by. There are petrol shortages, so people walk everywhere. Doctors are poorly paid – pay is a big slice of health budgets – and the country trains the best doctors in Latin America in return for which they have to do three years in the Cuban provinces. A lot of US citizens, mostly black, also attend the Pan-American medical school for an apparently free education at the Cuban state’s expense; in the US med school costs $20,000.
There are also exercise groups for the elderly – every morning, iun the subtropical breezes of the parks near the Malecon; and 24-hour policlinics that take the pressure off hospitals. As a middle income country in the 21st century, the country has benefited from the vaccine revolution, and the elimination of childhood diseases; it doesn’t have the ghastly ailments of the tropics; and yet also avoids the tip-over into degeneration suffered by the modern west. Lifestyle wise, the country is stuck in the 1940s and 1950s, in a kind of permanent wartime of rationing and moderation: Brits for their part never ate so well as during the Blitz. A recent Newsnight film showed a lot of old people on porches looking youthful and content; and I am sure the occasional cigar and more rum won’t alter their positive health picture.
Meanwhile, over in America, the average citizen has 14 drugs prescriptions and people tell jokes – ie metaphorical truths – about having medicine cabinets the size of walk-in freezers The news comes out the average American is 50 pounds heavier than his grandfather – though, interestingly, no taller. Here, the Europeans have more than caught up.
We are all adult enough to be able to separate Castro’s one party politics, his round up of journalists and imprisonment of dissidents, to the positive benefits of Cuba, some of them accidental. European health ministers should make a study trip without prejudice, to the land of nutritiously but excessively fed black kids kicking ball or old people doing stretch exercises in Havana. There are two bearded icons whose faces sell T-shirts in the developing world today; Che is the other, better, one; for he began as a doctor.

Thursday, August 17, 2006

EU Wine lobby's health claims questioned


As reports filter out that the commission’s DG Sanco is going to be targeting alcohol consumption next, there are rumours that the Brussels wine lobby is distancing itself from the beer and spirits lobby – that they want to place clear blue water between them and the other drinks, which do not have wine’s “glass-a-day-keeps-the-doctor-away” reputation. Presumably because they want to escape the legislation predicted for the drinks industry. There is no honour among thieves!
But is the wine producers’ snobbishness justified? Not if a recent study by Danish researchers is anything to go by. Ditte Johansen and Morten Gronbek of the Danish National Institute for Public Health wanted to find out whether the wine is healthier than beer or whether it just that those who tend to buy wine tended to live healthier lives.
Data were taken from 3.5 million transactions at 98 Danish supermarkets over six months. – the modern supermarket data collection system gives gives a sample base that is unusually large for science, and indeed one wonders whether it can be used elsewhere. The authors noted that purchase records are a more reliable indicator of consumption than self reporting, which understate the quantities for heavy drinkers for reasons that do not take a genius to fathom.
The findings were as follows: “Wine buyers bought more olives, fruit or vegetables, poultry, cooking oil, and low fat products than people who bought beer. Beer buyers bought more ready cooked dishes, sugar, cold cuts, chips, pork, butter, sausages, lamb, and soft drinks than people who bought wine. Wine buyers were more likely to buy Mediterranean food items, whereas beer buyers tended to buy traditional food items.”
In other words wine itself is not necessarily healthier than booze; it could be merely that those who consume wine lead healthier lives (as well as being more educated, better off, etc). This backs up numerous scientigic surveys which haven’t penetrated the public consciousness
That small amounts of any alcohol are good for you. More investigations are clearly needed; but it could be that you might have to get back in the boat, wine lobbyists.