DEAR READERS: Per a recent model, cuts to global development funding could lead to 9.4 million additional deaths in the next four years -- with about 2.5 million of those being children under age 5 -- than if funding had been maintained at 2023 levels. The study comes roughly one year after the U.S. Agency for International Development was wiped out by the Trump administration, compounded by cuts made by other top funders such as the United Kingdom, Germany and Canada.
"We should take the precise numbers with caution, but I think the overall conclusion is likely correct," said global-development researcher Lee Crawfurd. "People will die in large numbers." See "Impact of two decades of humanitarian and development assistance and the projected mortality consequences of current defunding to 2030" by A.F. da Silva et al., published in Lancet Global Health in February.
From a One Health perspective, it would be enlightened self-interest for more affluent countries to provide medical aid, food and fuel to poor communities, coupled with family planning resources. Doing so would not only prevent much human suffering, but also decrease the spread of communicable diseases. Some of these can come from wildlife being killed for food, and may pose a potential pandemic threat. For details, see my 2025 book "One Health: Veterinary, Ethical and Environmental Perspectives."
DEAR DR. FOX: When my dog Garbo was around 7 years old, blood tests showed he had elevated lipid levels. I was told that this was dangerous, and was advised to switch him to a prescription diet. However, I was also informed that this diet would likely disrupt the function of a different organ, and that it was essentially a matter of choosing which risk to accept.
I could not fully accept this explanation, and instead sought advice from a specialized pet food store. There, I was told that, given his lipid levels and other numbers, a prescription diet was not necessary. They said that simply improving and adjusting his diet would be sufficient.
Before all this, I was feeding Garbo the Potato and Fish formula from Japanese company Morinaga Milk Industry. I then transitioned him to a diet combining dry food with canned food, focusing on high-quality protein sources and rotating between fish and different meats -- an approach that closely reflects what you describe in your writing.
The result was striking: His blood values improved significantly. This experience made me acutely aware of how the authority of something being "veterinarian-prescribed" or labeled as a "therapeutic diet" can obscure the underlying issue. Rather than addressing the root causes or viewing the animal's health holistically, the focus often shifts too quickly to managing individual numbers through products.
In Japan, this problem is compounded by the fact that many pet owners judge food primarily by marketing phrases such as "made in Japan" or "breed-specific," without questioning the underlying formulation or philosophy. I strongly feel that this mindset -- and the structure behind it -- needs to be discussed more openly.
I appreciate your writings on this issue in your book "Not Fit for a Dog: The Truth About Manufactured Cat and Dog Foods," which helped me through this issue for my beloved dog. -- S.K., Tokyo, Japan
DEAR S.K.: I am glad that you received good advice on your dog's diet and that the book, which I co-authored with two other veterinarians, was helpful. In her contribution to this book, the late Marion E. Smart, DVM, Ph.D., exposed the scam behind many special prescription diets -- namely, that they would not be needed if dogs and cats were fed wholesome food from the start. Several recipes for in-home preparation are provided in this book for dogs and cats.
Taking a closer look at the Morinaga Fish and Potato Diet: It is billed as a premium, low-allergen food for dogs with food sensitivities. As the name suggests, key ingredients include potato, salmon meal, whitefish meal, cellulose and "fish digest," the latter being sprayed on the dry kibble to enhance palatability.
Potatoes may not be ideal for diabetic dogs due to potential blood sugar spikes. And in my opinion, we must reduce our consumption of fish to counter the over-harvesting of ocean resources, and to avoid ingesting (or feeding our animals) contaminants like PFAS ("forever chemicals"), mercury, microplastics and other pollutants.
Cat owners, take note: The most common food allergen for cats is fish!
OCEAN LIFE ENDANGERED EVEN MORE
A 5,000-square-mile ocean preserve east of Cape Cod -- the Northeast Canyons and Seamounts Marine National Monument, established by former President Barack Obama -- has been opened to commercial fishing under proclamation by President Trump. He reportedly sees its former restriction as "an unfair penalty on commercial fishermen."
Ocean life around the world is rapidly diminishing, calling for greater international collaboration to protect and restore it. This ill-advised proclamation is yet another crime against nature, and should be rescinded.
(Send all mail to animaldocfox@gmail.com or to Dr. Michael Fox in care of Andrews McMeel Syndication, 1130 Walnut St., Kansas City, MO 64106. The volume of mail received prohibits personal replies, but questions and comments of general interest will be discussed in future columns.
Visit Dr. Fox’s website at DrFoxOneHealth.com.)