Pharmaceutical and food industry influence is a leading cause behind the rise in childhood chronic diseases, from obesity and cancer to ADHD and autism, according to President Donald Trump’s Make America Healthy Again Commission.

The 70-page MAHA Commission Assessment on the childhood chronic disease epidemic, mandated by Trump’s February executive order and published Thursday, pinned much of the chronic disease burden on large food corporations and the pharmaceutical industry for their role in determining science and safety standards for chemical exposures.