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out of the fire and into the frying pantry

I am not new to this rodeo. For about 40 years, in many ways, I have provided opportunities for people stripped of the usual means, to get some good food. Addressing the nutritional mishaps associated with prevailing health issues–in which I have been long engaged–generally requires food to achieve improved outcomes. Procuring such food, especially with a dearth of necessary currency, begs some creativity and much activity.

Some of my activities involved people coming to me for a few healthy and tasty nibbles, but mainly they required me to send them scurrying off to another program or service; or sometimes more directly to grocery stores, farmers’ markets, veggie mobiles, and food pantries with some voucher, coupon or referral form in hand. While glad to have some options to feed the malnourished cells of chronic disease and to stave off the hungry wolf knocking at the door, I always did so with a sigh. Scurrying is not an easy form of ambulation, especially for those whose bodies are worn down by the toll of strained lives and the lack of quality food. This would not be easy one-stop shopping.

Food coming in

For many years I listened to the sensitive stories of many hundreds of individuals striving toward some recapture of wellness. In exchange, I offered education and support, and guided people as best I could to obtain the remedy of good food. While I would hear of the relief that receiving SNAP benefits (or having them restored) instilled; or the thrill of being able to get fresh fruits and vegetables, only occasionally was I witness to the experience of having a grocery bag in hand and heading to the comfort of one’s home.

This however changed for me a year ago when I took the position of running a Food Farmacy. It is a small food pantry nestled within a medical facility. Its mission (and thus its name) fits into the growing Food As Medicine model of programs by providing health-supporting and enhancing foods–and the services of a Registered Dietitian. As we may look similar to other pantries, distinguishing ourselves and reinforcing messaging about food as a pathway to healing is important. Clients in the pantry community are referred to as guests. At my pantry, guests are those with nutritional risk factors for chronic disease or compromised well-being, and without enough–or enough good–food to eat. They are referred by a medical or behavioral health provider.

Our main model is to provide an order of client-chosen food, generally on a monthly basis. We strive to serve everyone regularly for some number of consecutive months–with a focus on healthy offerings. (But, with other funding streams we operate a little differently.) When I started in December 2021, Covid still dictated our practices. We took all food orders by phone and gave the packed bags out at curbside or by delivery. While this allowed for some interpersonal contact, it was somewhat limited. This changed in September 2022, when we became able to fully open our doors and welcome guests back into the pantry, by appointment. We now serve many in person, enabled some by a limited grant-funded ride service, though a fair number still require delivery–and support by phone. Limited access to transportation is a profound contributor to not having food.

Being able to develop relationships with our guests is certainly facilitated by being able to do so in person, as is deepening the conversation about food while standing amidst it. Discussing the intimate topic of our eating behaviors and revealing how full or empty the larder is, is harder to do on the telephone with a stranger than in the presence of someone greeting you at the door with a warm welcome. Still, we need to do both.

Ready to provide

In my role, I carry food out to cars and sometimes, when my volunteer drivers are not available, I do the deliveries. This means schlepping bags into trunks and back seats; or, in my urban locale, involves driving down alleys, circling through subsidized-housing neighborhoods, climbing steep stairs, and occasionally riding elevators to knock on a door. I gain entry to the threshold of someone’s personal space and transfer the goods. And, while it is usually a quick transaction, that is a powerful exchange. The expressions of gratitude are deep, as the most basic human need–food–is made available.

Then there are connections that take place in the Farmacy. Here things go from soup to nuts, so to speak. The welcome, the conversation, entering the pantry space, being up close and personal with each item, the decision-making, and the often mutual act of the ‘filling of the bags’. I am out constantly hunting and gathering for as much fresh produce and meaty morsels as I can–largely aided and abetted by my regional Food Bank–currently overly strained, as are most–and Nourish New York dollars. To procure some particular healthy items, and enough food, I also have to purchase retail food and rely on some other food donations as well. It is a weekly dance of food in and food out, dictated by availability and price and how many we are serving. Though fresh is always celebrated, I have seen even a can of asparagus, beets, collard greens, olives, pineapple –or salmon make a heart happily flutter. Many a floppy tote bag turns upright, stuffed with victuals, fulfilling its duty to help folk carry out and carry on. Right then and there, some magic happens. Food has appeared. While not as surprising as pulling a rabbit out of a hat, or a quarter from behind the ear, there is often some degree of awe. Here, I witness most directly, more than with any of my other experiences, how much this matters. Here is whispered, ‘This is a lifesaver’ or, ‘I can’t believe this’.

Ready to nourish

For many of our guests, making way to this little, simple food sanctuary–if I may call it that–is like a pilgrimage. Some arrive limping, others in wheelchairs, on crutches–this week, a man with a cane, due to a bullet lodged somewhere in his body. A chair stands waiting in the pantry for those who need to sit. Pain accompanies many, hiding in backs, hips, knees, and feet. Rarely, but not never, in a missing toe or limb. It hobbles in and hobbles out. Sadly though, we can’t perform miracles. We can only provide food, some education, lists of other resources, and an ounce of love.

As big as my work seems to me, this Food Farmacy operates at the tiniest of scale–a staff of three and the few lovelies who lend their helping hands. Out in the big wide world, big programs, projects and pantries with similar intentions are hard at work, day and night. They employ many, yet largely rely on scores of volunteers with the gathering capacity of mice and squirrels; and a skillset that surpasses those of Santa’s elves. A huge invisible army gathers, transports, warehouses, organizes, packs, cooks, distributes, educates, and delivers sustenance to millions. All are starved for dollars and crave legislation that will subsidize their efforts. Wow. Time for a group pulse check.

Ostensibly, there are two intentions of these programs–to decrease nutrition insecurity (and hunger), and to ameliorate–if not heal–illness of such magnitude that should have been prevented in the first place– predominantly diabetes, heart disease, and obesity. Unfortunately, these diagnosis-limited programs exclude so many other conditions that are exacerbated by poor nutrition. There are many different types of program design, though they generally fall into the categories of Medically Tailored Meals, Healthy Groceries, and Produce Prescriptions. While some great initiatives are underway, and some good food medicine is going down, they often lack sustainability, sufficient dose, reach, and duration; and additionally, adequate targeted nutritional sophistication to address the profound problems largely related to the long-term metabolic dysfunction at hand.

At the end of my day, I can find myself collapsed on the couch–sometimes with my head hanging over the edge, below my heart. In its usual dog-like apparition, my dilemma wanders over and licks my face. It takes a seat, quietly nearby. It knows what I will ask, but I ask it anyway. Does this really have to be so hard? Is it too little too late, and, are we really making even a dent in the problem at large? Not only do the little mice, squirrels and elves have to do the hard lifting, they are also expected to measure the impact–to prove to the big guys that they should care and maybe invest. Maybe they will after many more short-term pilot programs are implemented; and while they limit dollars, access, and impose restrictions on and to programs that are known to provide benefits. How’s that for passing the buck? Lots of little mammals have now been left to shoulder the burden of the collective failure of many entities to prioritize the proper nourishment of the populace.

I’ve had my eyes on this work for a long time, since the early years of these efforts, and have shared my thoughts about my own Veggie Rx program in Inventive Incentive. When you peek at the research literature, what you mainly find is mention of increased fruit and vegetable consumption of about a quarter to a half-cup or so per day–which is considered significant. Or, sometimes a small decrease in diabetes markers or pounds. Less easy to measure, but occasionally found, is a documented decrease in hospital admissions–which is what the big insurance companies care about for cost containment. So much wonderful effort for a relatively small return in quantitative terms–though there are other benefits. Our guests report eating better, feeling improved physically and emotionally, being less worried, and trying new foods. Many appreciate being cared for by our program. And while I can see it is very helpful, it is often too little too late.

Lining up for deliveries

When I look both broadly at the societal issues, and intimately at the guests served by my little pantry–I am deeply saddened. How could such injury have been imposed on so many? (Not to mention the insult to dignity that need for such charity can provoke.) Chewed up and discarded by many forces–I wince sometimes at what is required to come find me in some corner of a building, just to get a modicum of food and nutrition education and support–no matter how nice, easy and good we try to make the process.

My dilemma looks at me with those adoring eyes. It knows I have a tendency to be rather grim on these matters. It knows I have bigger thoughts, but it begs for one. So, I tell it something my mother once told me. In the olden days, when my mother was a little girl, the children were given a spoonful of cod liver oil to start their day. Now, maybe that’s where things should start. And, then there are my other ideas about……My dilemma paws at my arm. Oh, what’s that? You were just asking for a dog treat?

Thankfully, there are so many ordinary folks with big hearts that are pumping with generosity. Much gratitude is due to the multitudes who are out there day in and day out, in various capacities (including growing our food and fostering transformation) feeding their neighbors main dish entrees served with a side of love. Or, maybe love is the entree and food the side dish that truly matters. Please check out the organizations, resources, and articles below, consider donations where accepted, and look at the love spread by Alphabet Rockers–a hip-hop children’s music collective based in Oakland, California. Their work is focused on education, diversity, and a healthy lifestyle. 

Thank you for listening, sharing, following, and supporting my writing. Comments and greetings are always welcome.

In health, Elyn

My Plate Rap

Average out what’s heavy

Multiply your veggies

Eliminate the junk food

Simply makes you feel good. By the Alphabet Rockers

Healing Meals Community Project, HEAL Food Alliance (10-point Platform)

Tri-County Services-Ellis Food Farmacy (Agency: Tri-County Services, Option: Ellis Food Farmacy)–my program

Green Bronx Machine; About Fresh/Fresh Connect; Tangelo; Future Farmers of America

Food Bank News: Food Insecurity Isn’t About Food; Here’s What To Do About It

Foodtank: 13 Global Food Banks Reshaping Food Distribution to Address the Root Causes of Hunger

Nutrition Insecurity–What’s In A Name?

I have–in my small circles–laid claim to a few things. These include wearing a lot of black in the 1970s, bridging the gap between the Beats and the Goths. I also take credit for casualizing professional wear, by donning sneakers with skirts and dresses in the 1980s, thus paving the way for working women to be more comfortable. (Boy, did that one take off.) Since then, my trendsetting has leveled off, until a few years ago, when I forwarded the matter of nutrition insecurity back into wider awareness.

Now, that might be the most audacious statement that I have ever made public, or that you have ever heard. But, hear me out. In my recent post, Could Not Afford Balanced Meal, I admitted to being late to the use of the term Food Insecurity and mused over how instead I described that issue. However, once I was brought up to speed, I comfortably integrated the terminology into my work at a national organization dedicated to addressing Food Insecurity by providing its program participants with a small subsidy for a few months to procure fresh fruits and vegetables.

I most certainly appreciated and supported the core of the mission. I enthusiastically imagined the mastication of sweet oranges, bright red peppers, emerald spinach, and juicy black and blue berries releasing their rich phytonutrients and antioxidants down the gullets of a couple of hundred individuals fortunate to be enrolled in one of our funded initiatives. I believed such provisions would bring benefit to those who suffered the indignity of not being able to afford and prioritize the intake of nature’s bounty. I could tout the potential impacts–but wasn’t sure how deep they would reach.

As my tenure at the organization lengthened, I observed its focused messaging around Food Insecurity. I began to wonder if that was what we were actually addressing. Of course, we were adding some dollars to food budgets, and our evaluations indicated that most participants made use of the benefits and claimed increased consumption of fruits and vegetables–albeit small. We highlighted the story of one woman who was thrilled to be able to purchase a fresh pineapple. Some who were surveyed described improved well-being. So, what then was I troubled by?

Perhaps I was just getting caught in the weeds. Maybe we were addressing some of the aspects as defined by Low Food Security–the reduced quality, variety, or desirability of one’s diet. But, I doubted that we were making a dent in the other–being without reliable access to a sufficient quantity of food. In September 2019, a year into this work, I began to wonder if it was more accurate to say that we were addressing Nutrition Insecurity, a term I’d not heard being used at that time. So, I took to Google.

My cursory search for Nutrition Insecurity yielded only links to papers investigating severe micronutrient deficiencies like Vitamin A, zinc, and iodine; and Protein-Energy Malnutrition in remote, from here, pockets of the globe–due to a true lack of food from various causes. This is the malnutrition I learned about in college decades ago. Here, our problems are instead ascribed to Food Insecurity, though this is ironic as certainly there is no actual lack of food. Such emphasis on food rather than nutrition allows for the nutritional consequences of the compromised diets rampant in our society, a different type of malnutrition, to remain ill-defined at best or ignored. This diminishes a focus on nutrition and the need for requisite nutrients to ward off disease and to enhance mental and physical health.

If the good mission of my organization was to provide a modicum of fruits and vegetables, weren’t we trying to address Nutrition Insecurity? I raised the issue with my colleagues. They weren’t sure. I raised it with a group of Yale Public Health students. Their ears perked up and they expressed interest in further consideration of the distinction. My Dilemma roused itself from a long hibernation and asked, “What’s up with you, girl? Does it matter?”

Shortly thereafter, my work at the organization ended. And then, a pandemic ensued. With a vengeance, all of our insecurities came bursting out onto the scene. Food Insecurity, came center stage. It hit the big time. Suddenly, food was being flung everywhere, from wherever it had been withheld or going to waste. I surrendered my query, accepting that the nuance I was trying to suss out was irrelevant. Food was food, and it was going to do its function of providing basic nourishment and keeping bellies full. Good enough. It was time to get to work to get people fed, no matter what. Food Insecurity was running amok. No one needed a fussy Nutritionist in times like these.

Feeling useless, I took myself to the streets a couple of times, volunteering at food drives. I stood in parking lots, with a few dozen others, filling the trunks of hundreds of cars with food. Some of it was good, while other was of a dubious nature. (I did pull the nutrition label from an unappealing package of a meat product to keep for my own edification.) And, where did those few little pretty, purple heads of radicchio come from, I wondered? My Dilemma, who always seems to present itself as a dog–like a big Yellow Lab–growled lowly for only me to hear and obey. It grabbed my chain, holding my vicious little whole foods, vegetarian, junk-food judgmental self back. I said, “You’re welcome,” and wished well the multitude of thankful drivers. I crawled back home with a little more humility.

And then a funny thing happened. One day, I found my Dilemma under the table, about to eat my homework. “Drop!”, I commanded. I unfurled the only slightly chewed pages. It was a paper entitled, Time to shift from ‘food security’ to ‘nutrition security’ to increase health and well-being. Dated April 1, 2021, it argues that this shift enables a more inclusive perspective, one necessary to ‘catalyze appropriate focus and policies on access not just to food but to healthy, nourishing food.’ It promotes ‘consistent access to and availability and affordability of food and beverages that promote well-being, while preventing–and if needed, treating disease.’ It was authored by Public Health leaders, Dariush Mozaffarian (Tufts University), Sheila Fleischhacker (Georgetown University), and one of my personal heroes, Chef José Andrés, the founder of World Central Kitchen.

I suspect that those Yale students chatted up my question with their friends at these other institutions, word got out and it floated up to the top. Thanks to them for picking up on my idea and growing this trend. One might still wonder, what’s in a name? Haven’t we already acknowledged that our current healthcare crisis is largely due to diet-related causes? Yes, but it is bigger and broader than that. Adding Nutrition Insecurity to the headlines and to healthcare policy may promote further change and accelerate solutions. Instilling it into our language and infusing it into a wider consciousness may remind us how much it matters. If Chef Andrés can accomplish what he is doing by deploying food and nutrition around the world at a moment’s notice, then we can certainly do better. (Let’s utilize school cafeterias as community meal preparation sites, staffed by a cadre of trained community members–so that everyone can have a warm, nutrient-rich meal to bring to their dinner table.)

Thank you for listening, sharing, following, and supporting my writing. Please subscribe in the sidebar to receive notice of new posts. Comments and greetings always welcome.

Be well. Take care. Stay safe. Let’s heal.

In health, Elyn

Reference: JAMA. 2021;325(16):1605-1606. doi:10.1001/jama.2021.1915

Update March 17, 2022: It seems that Nutrition Insecurity has now taken hold at the USDA. See this.

My Plate Haiku

Every day, I see hunger

But the hunger I see is not only for calories

But for nourishing meals. Chef Andrés,

Right now the people of Ukraine a facing a humanitarian and food crisis. Please click this link to see Chef Andrés’ work feeding people in multiple locations in Ukraine and in the adjoining countries accepting refugees, and to make a donation.

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Oh, Some of the Things I Have Done

A few years ago, while serving as a resource person for a national food security organization, I responded to an inquiry. It was from a woman doing related work for a small non-profit. Though I was then staying and working out of state, she was from a community very close to my home–so there was a welcomed familiarity in connecting with her.

When I returned home, I made the lovely thirty-five minute drive down beautiful back roads to meet with her. Sitting together in her office–a large warehouse space–she described her programs related to food access, nutrition education, and Produce Prescription Programs. Having done the same work myself, I was impressed with her sophisticated and creative approach, and the success of her efforts. She had been in this job for four years and had accomplished a lot in a rural area with limited resources. And, though her face was largely hidden behind a Covid mask, I realized that she had obtained this professional maturity by, at best, her mid-thirties.

We stayed in touch, and a few months later she informed me she was moving on to pursue an unrelated opportunity, and I wished her well. Having become linked on LinkedIn, I noticed that she identified herself as a Public Health Innovator. This intrigued me. While I did not doubt her right to ascribe that title to herself, I wondered what being such an innovator would entail, and might I, with a few decades on her, have any claim as such. And so, I began an inventory of my own path.

Let me acknowledge that by all measures, and certainly by today’s standards, my efforts were itsy-bitsy, teeny-weeny, tiny. I have been a very small fish, in a very small pond, with little personal agency to swim out into larger waters. I had no funds, grants, or extra supports. Maybe just some supervisors who let me do some things–or didn’t stop me. I just wanted to help those I was serving. My reach was small, and the sustainability of my projects limited, but I did possess some type of fins and gills, impelled to create something to fill a need that had lacked attention or address in its time.

What turned into my career began in the early 1980s, a period when the government, still in the wake of the ‘War on Poverty’, was crafting its national nutrition programs to bluntly address abject hunger, the effects of a few decades of corporate interests controlling the American diet were seriously taking their toll but had not yet reached full crisis level, and the folks in the natural foods movement were making the connection between diet quality and personal and societal health–but they were quite marginalized.

Margarine was still cool, soda drinks were just starting to supersize, the term ‘wellness’ was not yet coined, and no one knew were were a mere decade away from an obesity and chronic disease red-alert. Likewise, mimeograph machines were just surrendering to Xerox, typewriters to word processors, and print materials knew not of the worldwide web.

Arriving at this cusp of nutritional awakening, I began to work my way through a number of different community and clinical settings, propelled by geographic moves related to early adulthood and marriage. At each stop, I was witness to emerging issues, and being in unchartered waters I had a modicum of freedom to make things up–or should I say, find some innovative solutions.

I first stepped out of the box in 1980, when as a WIC Nutritionist in the federal program that was then only about five years old, I arranged to walk a group of moms down the street from the WIC clinic site to a little whole-grain bakery for a tour–certainly this was not within normal operating procedures. This was before there was any widespread, soon-to-be earth shattering news about the ills of Wonder Bread. But I had gotten the memo, and I guess thought this was an opportunity for an interesting, educational outing. Though my intention seemed rather innocent or naive, I guess something deeper was rising within me that would inform my future endeavors.

And so I swam forth through the next four decades, trying some innovative things largely within various work settings but beyond the requisite duties of my role. Here are just some of them:

The Nineteen Eighties

Presented a paper I had written entitled, The Role of Nutritional Services in Prenatal Care, to the medical team in the Department of Obstetrics & Gynecology at a large, prestigious university medical center. (Yes, young me!). This forwarded the integration of nutritional assessment and counseling into prenatal care within that practice and enabled me to later provide specialized nutrition support to pregnant women in other settings. (1984)

Presented workshops on nutritional approaches to women’s health concerns in various workshop settings. Many of these concerns had not been properly understood until the mid-1900s and were only gaining wider recognition and support around the 1970s due to the visionaries and feminists of that period. (1985-1987)

The Nineteen Nineties

Developed a cooking class for pregnant teenagers while working for another WIC Program and observing the demise of home-prepared meals in a peak period of teen pregnancies. I enjoined the collaboration of a local Cornell Cooperative Extension agency and a community food pantry. Participants received a free bag of groceries at each class. (1994)

Implemented the following at a Community Health Center to provide greater options for well being to a low-resourced community: (1997-2001)

Physician-Nurse Team-led walking program and nutrition classes for staff and patients

Center-based Yoga Class Series taught by certified Yoga Teachers–there was a waiting list for the class

Coupon Program and Cooking Demonstrations with the local food-coop

The Two Thousand Aughts

Invited one of the nation’s first mobile produce vans intended to bring quality, discount-priced produce to underserved neighborhoods to make a weekly stop at a Community Health Center to reinforce the notion of ‘food as medicine’. This popular stop served a wide-range of clients, staff, and medical providers and raised awareness about food insecurity. (2008)

Provided to my clients (on a very small scale) low-cost, non-perishable nutritious food samples boxed in cardboard Chinese Food containers. They included sardines, beans, oatmeal, teas, spices–along with cooking instructions. These were essentially a precursor to healthy meal boxes available today. (Back then I wished I had a way to get funding to expand that idea.) (2010)

Expanded eating disorder services and resources at a college. Also, helped initiate changes to support more sustainable practices and local food sourcing for the college’s Dining Services. (2007)

The Twenty Teens

Developed and administered the clinical component of one of the nation’s earliest Produce Prescription Programs. Conducted a Program Evaluation and the Program’s results were published in a Public Health Journal. (2011-2013)

Designed a Diabetes Education Program that had included a diabetes-friendly meal that was prepared together by some of my patients in the Program who were experienced cooks–mainly elderly black ladies who had each fed countless mouths and who could serve an army or at least a filled church. The program also included a dance segment led by a local Latin Dance teacher. (One of the program attendees became a member of the teacher’s traveling dance troupe.) (2012)

Solicited local businesses to donate breastfeeding supplies to a Community Health Center for nursing mothers in honor of National Breastfeeding Month. (2013)

In the mid-Twenty Teens my work took me out of direct care environments and into more Program Management roles. By this point, innovation was largely being measured by technology-based advances where I was less well-equipped–though I still pushed my grassroots efforts where I could. My inspirations and innovations grew out of having sat with thousands of eaters from around the globe and from all walks of life, a plethora of pregnant moms, a couple of hundred college students eating their way from adolescence to adulthood, and a few dozen elementary-aged school children who knew more about food and life than you might think. I looked for every available resource to support them all as best I could, created partnerships when possible, and came up with new solutions when necessary.

Surreptitiously I removed infant formula promotional materials from the ‘free’ gift bags and magazines targeted to pregnant women and quietly encouraged vending machine vendors to replace the most nefarious offerings with others less harmful to the human organism. I produced lots of nutrition education materials and wrote many newsletter articles. And then, I embarked on documenting in 125+ blog posts ‘the intimate art of eating in response to the personal and cultural milieu’. From my work chairs to my pitter-patterings about, I bore witness to much of the difficulties we are now experiencing in even more extreme ways–demanding a more robust and urgent response. My writings presaged much of what we are confronting and I invite you to to search my site for my insights on any number of nutritional matters including breastfeeding, eating disorders, toxic food systems, child health, obesity, racism, health inequities, nutrition insecurity and food marketing. Gosh, things got a lot more complicated than just whole wheat bread.

Looking back, I acknowledge that I did a lot for a small fish. I used to say that one thing I would not do was to dress up like a fruit or vegetable, but I will don the Public Health Innovator Hat, at least for a moment. I still have a list of things that I would love to see be done, so as I ease out of this work, I’d be glad to share my ideas. Also, feel free to build upon my efforts if you can appreciate their value. Finally, fellow innovators, keep up the good work. If I catch sight of your schemes, I will be glad to celebrate them.

Thank you for listening, sharing, following, and supporting my writing. Please subscribe in the sidebar to receive notice of new posts. Comments and greetings always welcome.

Be well. Take care. Stay safe. Let’s heal.

In health, Elyn

P.S. OK. Here is one of my ideas. Let’s implement a program for vulnerable senior citizens similar to the Women, Infant and Children (WIC) Program. Maybe just an add-on program called WICS.

And, here are some other important insights and innovative ideas shared by Food Bank News regarding collaborative efforts working with underserved populations with globally-based examples.

My Plate Haiku

Craving for pickles

And German Chocolate Cake

My friend is pregnant. by Gretchen

Could Not Afford Balanced Meal

I am a little embarrassed to admit this. Here it goes. I came late to the term Food Insecurity. This term is so ubiquitous now in the light of the tragic consequences of the Covid-19 pandemic. Everyday, reports about food insecurity are rolling off the presses and plastered everywhere, shocking us into disbelief as we equate it with images of endless lines of cars and people awaiting offerings of food donations. Though the immensity of the problem came on with a vengeance, we seem to have assumed that describing it in this way long had a place and an understanding of meaning among the general populace. The experience is not new.

I am always late to catch on to new trends, including those in our vocabulary. When I do eventually gain awareness, sometimes by use of blunt force, the new words or phrases do not roll easily off my tongue or out through my typing fingers. So, while I may have lagged behind on ‘cancel culture’ or ‘on fleek’–but, food insecurity? C’mon. Really?

Percentage of households reporting indicators of adult food insecurity in 2019
Indicators of Adult Food Insecurity–2019 USDA

Actually, the definition of food insecurity has many variations. These include: the lack of consistent access to sufficient food for an active healthy life; a lack of available financial resources for food at the household level; a lack of access by all household members at all times to enough food for an active, healthy life, which includes as a minimum the ready availability of nutritionally adequate and safe foods–and assured ability to acquire acceptable foods in socially acceptable ways (without resorting to emergency food supplies, scavenging, stealing, or other coping strategies); and, the state of being without reliable access to a sufficient quantity of nutritious food. While similar, the nuanced differences may contain some significance.

In an attempt to capture the degree of food insecurity and ideally, but imprecisely, the extent of hunger, the USDA established two sub-categories: Low food security–the reduced quality, variety, or desirability of diet with little or no indication of reduced food intake; and, Very low food security–multiple indications of disrupted eating patterns and reduced food intake. (See chart.) (Hmm, ‘Gained weight’ should also be listed.) However one wishes to slice it, it is not pretty. In 2018, an estimated 1 in 9 Americans were food insecure, equating to over 37 million Americans, including more than 11 million children.[1] It is a lot worse now. Feeding America, the nation’s largest hunger relief organization, tracks this data, with information on current impacts documented here.

As a Nutritionist who has concerned herself with food insecurity issues for almost half a century, not only should I have been hip to the term sooner, I should have been way ahead of the curve–like one of the first to know. Apparently, which means I just learned, the USDA began collecting and measuring data on food insecure households in 1995. That year, I was working for the Special Supplemental Nutrition Program for Women, Infants and Children or WIC-administered by the USDA. Clearly, I missed the internal memo of what they were up to.

My own ignorance came to stare at me with incredulity when in late 2018 my work found me supporting recipients of FINI Program Grants. I understood the program, and it was easy to casually throw around the acronym, but I would hesitate each time I had to recall what FINI stood for. FINI was shorthand for the Food Insecurity Nutrition Incentive Program. FINI Grants were established and written into the 2014 Farm Bill to ‘incentivize’ the purchase of fruits and vegetables by Supplemental Nutrition Assistance Program (SNAP) recipients.

In 2019, just as I had cemented the name of the program into my prefrontal cortex, it was changed to the Gus Schumacher Nutrition Incentive Program or GusNIP, in memory of the former Undersecretary of Agriculture. He was instrumental in visioning and implementing early models of expanding produce purchasing power through vouchers for low-income consumers, and advancing the legislation that authorized the Farm Bill funding. The new name retained the nutrition incentive part but snipped away the food insecurity part. I appreciate the intention of the program, and have championed its cause and those who lovingly administer it, but I’d prefer the use of the word ‘support’ rather than ‘incentive’. And, I think “Nutrition Security Support’ better encourages the matter.

I also came to learn that there was a Food Insecurity Screening Tool. Developed by the USDA’s Economic Research Service when they began measuring such things, the original version contained 18 questions. That has had different iterations through the years with variations of ten, six and even down to the Hunger Vital Sign’s apparently validated, yet oddly crafted, two questions which are:

“Within the past 12 months, we worried whether our food would run out before we had money to buy more.”

“Within the past 12 months, the food we bought just didn’t last and we didn’t have money to get more.” 

Yikes, how did I miss that? How had it taken me so long, just a mere year or two before the pandemic flashed Food Insecurity before us all like a neon sign, to find familiarity with these terms? Was insecurity a word I used only in describing myself? What had I been doing with my many hundreds of clients to ascertain someone’s vulnerabilities in order to know how to help them? Had I missed something big?

To make sure I hadn’t just forgotten, I searched all of my 125 blog posts dating from 2010 to check. Before 2018, I used the term twice. I am pretty sure that means that a year ago, when I did a big blog cleanup, I inserted it to make it appear that I was appropriately informed back then. But, this has made me really stop to wonder–how had I functioned without the use of the term and the screening tool?

The answer may be relatively simple. With my work in low-income communities, there was not usually much to discern in the way of food insecurity–it was the norm. Regarding distinctions between low or very low levels, I definitely saw both–though I rarely encountered abject hunger as one might in other environments. Hunger in its most pure form is sadly more prevalent now in the wake of Covid-19. Most of the folx who had the capacity to find their way to a nutrition appointment, had at least some resources. Once there with me, I had the time to sit and have real conversations about the intimate details of their feeding lives. And, I employed my own screening tools to glean what I needed to know. Any nutrition consult necessitates some vague calculation of financial means and available food dollars. There is a big chunky space between peanut butter and almond butter.

Nonetheless, I know that many details of people’s circumstances have slipped through my cracks. I have discussed my limitations here. However, I think my assessments regarding my clients’ food resources were somewhat near the mark, though I still feel badly about the time I recommended wild rice to a man who expressed to me his dismay due to the price.

That misstep highlights a distinction between nourishment for the still generally well, and the oh-not-so-good. This marks how the differences mentioned above in defining food insecurity in relation to ‘nutritious’ may matter. Also, if active lifestyle means caring for families, young children, elders, the ill or disabled–one’s own or other’s–or doing low wage service work or manual labor, then my clients were quite active. Healthy was often not up for debate. Through it all, my office desk drawer was well stocked with referrals to every food and health support resource and program around–including some I created. Yet, my efforts could not surmount the magnitude of the underlying problems.

So then, what terms were I using if not food insecurity? A whole bunch, including: poverty, exhaustion, trauma, nutritional violence, food deserts, malnutrition, restrictive and confusing SNAP regulations and bureaucracy, social services system overload, toxic food culture, exclusions for immigrants, disparities, inequality, high food costs, inadequate wages and a sad story to name a few. I guess I got by.

In closing, I share this telling by Jadon-Maurice Forbes, I Didn’t Drink Water At Dinner as a Poor, Black Kid. Start here. You may then be able to skip all the above.

Thank you for listening, sharing, following, and supporting my writing. Please subscribe in the sidebar to receive notice of new posts. Comments and greetings always welcome.

Be well. Take care. Stay safe. Let’s heal.

In health, Elyn

My Plate Haiku

Food bought did not last

Could not afford balanced meal

Food Insecurity

by 37 million Americans

What to Eat in Still Troubled Times

June 2020. This is a revision of a blog I posted on February 9, 2017. Though the struggles don’t seem to cease, this year, our experience during the Covid-19 Pandemic and the fight for Black lives, racial justice and an end to police brutality, demands some extra nutritional fortification and strengthened immunity.

A friend, an indefatigable defender of human rights and environmental causes, writes to me and asks what to eat in troubled times. I reply,

You should eat the foods of the people from around the world who now need your strength of resistance

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Beans, collard greens,

Tzimmes, hummus, dahl,

Fatteh, dolma, kibbeh,

Chicken soup with tortilla or matzoh ball.

Figs, plantains, chiles, dates,

Guacamole, and holy mole, spooned upon the plates.

Of course, some xocolati, I mean chocolate, dark,
Lots of tea, a handful of nuts 

All strengthening for the heart.

And, don’t forget the grits. (Basic or Savory) You will need them for the soul.

The concurrence of both the Covid-19 pandemic and the Black Lives Matter movement has shone a bright light on the social and health disparities in our country, and the dire consequences for black and brown communities of color. As such, the topics of diet, nutrition, food systems, and food access, which I have previously written about, have been reverberating more loudly of late.

An appreciation of the factors which have contributed to this maleficent situation need include an understanding of the history of the African-American diet–from its African continent roots, the insults of slavery and oppression, to the implications of its modern-day corruption. A discussion of this can be found in An Illustrated History of Soul Food, by Adrian Miller.

Along the continuum from past to present, through the generations, are two African-American women notable for their contributions to the food, nutrition, culture, and community narrative. One is chef, teacher, political activist, and author, Edna Lewis, (1916-2006). “Lewis cooked and Picture 1 of 1wrote as a means to explore her memories of childhood on a farm in Freetown, Virginia founded by her grandfather and other black families freed from slavery. Long before the natural-food movement gained popularity, Edna Lewis championed purity of ingredients, regional cuisine and farm-to-table eating.”

“She was a chef when female chefs–let alone African American female chefs working in restaurants–were few and far between. She authored what are considered some of America’s most resonant, lyrical and significant cookbooks” including The Taste of Country Cooking*, The Edna Lewis Cookbook*, and, In Pursuit of Flavor*. Bring Me Some Apples and I’ll Make You A Pie*, is a children’s book/cookbook about Ms. Lewis by Robbin Gourley; and, At the Table with an American Original*, is a collection of others’ essays about her life, edited by Sara B. Franklin.

The other is Haile Thomas. At just 19 years of age, this remarkable young woman is a “youth health activist, vegan food and lifestyle influencer, cookbook author, speaker, founder/CEO of the nonprofit organization HAPPY-Healthy Active Positive Purposeful Youth, and a Wellness and Compassion Activist”. A Wellness and Compassion Activist–so needed. I will let her own words speak for her.

Questlove and Haile Thomas Bring Nutrition Activism to All Communities

Haile Thomas: The Happy Organization/Keynote Speaker–FoodTank

Haile Thomas: Living Lively: 80 Plant-Based Recipes to Activate Your Power and Feed Your Potential (due to be released end of July 2020)*

* Please check out these black-owned bookstores for purchase of any of these books: @marcus.books@esowonbooks@peoplegetreadybooks, and @unclebobbies.

Thank you for listening, sharing, following, and supporting my writing. Please subscribe in the sidebar to receive notice of new posts. Comments and greetings always welcome.

Be well. Take care. Stay safe. Let’s heal.

In health, Elyn

Related Posts: Morose Meals and Human Bites; Of Poverty and Light; A Cinderella Story; Love Is Love

Living Lively

Haile’s My Plate

My Plate Reflection-The American Stew of Privilege 

Every immigrant group could look down on them. There was always a bottom that you could be hostile to and that was useful in bringing the country together into the melting pot. What was the basis, the cauldron, the pot? Well, Black people were the pot. Everyone else was melted together, and American.

by Toni (Morrison)

Photo Credit: Grits and Collard Greens–Kim Daniels on Upsplash

heart beets

The excerpts below are taken from, Our daily lives have to be a satisfaction in themselves; 40 Years of Bloodroot, a collection of essays from the writings of Selma Miriam & Noel Furie, published by Emily Larned.

Bloodroot. Each flower and each leaf of this plant grow separately from the others. But the leaves touch and the roots are interconnected. Individual yet interconnected (p.35). A perennial which dies down to the ground each winter and then returns to life in the spring, the roots being the maintaining force of life (p.91). When cut, the root and stem of this plant, native to eastern North America, seep a bright red substance.

Bloodroot. A feminist, lesbian, collectively-run restaurant and bookstore ‘with a seasonal vegetarian menu’ that sits unassumingly by the Long Island Sound in the Black Rock section of Bridgeport, CT. The name inspired by the qualities of the plant. Has survived…winters (since 1977), sustaining her owners’ feminist vision as well as keeping minds and bodies fed (p.91).

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Bloodroot Restaurant Bridgeport, Connecticut

Bloodroot would have to be vegetarian. Only by refusing to use the flesh of other creatures and therefore economizing on the earth’s riches so that more might eat could we call our food feminist (p.92). It is important to explain once again why we, as feminists, are ethical vegetarians. It is amazing to us that so many human animals don’t want to know that other thinking and feeling creatures (the overwhelming majority of them female–poultry) are tortured and killed so that we may eat meat or consume “safely” tested drugs and cosmetics (p.62).

Our vegetarianism stems from a broader base of reasoning than that of personal health. It comes from a foundation of thoughts based on feminist ethics: a consciousness of our connection with other species and with the survival of the earth. Of course, we know that a diet based on grains and legumes, vegetables and fruits is personally healthy. But regardless of how much is learned about food combining, vitamins, basic food group needs, or about problems with pollution or chemical additives to meat, the fact remains that dependence on a meat and poultry diet is cruel and destructive to creatures more like ourselves than we are willing to admit–whether we mean turkeys and cows or the humans starved by land wasted for animal farming purposes to feed the privileged few (p.65).

Bloodroot. The beautiful red-orange color of my dear friend Jodi’s tresses. Jodi was an ethical vegetarian in the deepest sense. She not only expressed her compassion for animals by not eating them, but by loving them, watching out for them and by advocating for them.

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Jodi was an ardent supporter and defender of all the feathered and furry. Every living thing, the cats in her home, the birds in her yard, all the plants in her garden, or on her table, she so cherished and protected. Profoundly pained by cruelty, she scanned the news to inform others of injustices against wildlife around the globe or of lost dogs in the neighborhood.

Sadly, Jodi passed away this summer. Her last labor of love was holding a large garage sale to benefit her local animal rescue shelter.

Jodi was the caring mother, wife, sister, daughter, and friend; the one who fed everyone with nourishing meals; and provided the safe harbor for lost waifs and little kitties. She was warm-hearted and light-spirited, though she could be fierce in defense of those more vulnerable. Like the women at Bloodroot, Jodi also served in both formal (and informal) collective restaurants for many years of her life–and too, was an insatiable lover of books. A community of hearts has been broken by the loss of this caring, compassionate, wise, witty, unique and elegant woman–with a twinkle in her beautiful eyes.

I wish I could have taken Jodi to eat at Bloodroot. She would have loved it and felt right at home–though perhaps best if she could be in the kitchen. Not to mention the resident cats who comfortably contribute to and partake in the local ecology. One of them took the empty seat at the table I shared there in the beautiful garden with my co-workers just last week.

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Bloodroot Cat

Everything alive changes. It either grows or fades. Perennials spread; sometimes they die out in the center and need to be divided. Sometimes they die and their seeds continue their race. …Those of us who treasure diversity try to keep as many kinds of life going as possible, and that is how we try to live our lives: encouraging growth and life, a spirit and way of living that is perennial life (p.114).       

To have known Jodi, was to be touched by her grace and her gifts. Those of us who did, know we are each a little better because of her, her spirit and her way of living. And, for exemplifying that a vegetarian way of life does not reside in its potential capacity to protect our own lives, but the lives of many others.

For those who may be interested, it is worth learning more about the living her-story and radical feminist foundations of Bloodroot. It is quite fascinating and has been captured by the collective’s various cookbooks and prolific writings. Its papers are archived within Manuscripts & Archives at the Yale University Library. Emily Larned’s beautiful hand-stitched book that I have used for my references is also a great resource. And incidentally, a documentary about its founders, Selma and Noel, has just been newly released.

Lastly, if so inspired, please consider a donation in Jodi’s memory to her local animal shelter, Free to Be Me Animal Rescue.

Thank you for listening, sharing, following and supporting my writing. Please subscribe in the sidebar to receive notice of new posts. Comments and greetings always welcome.

Peace and Blessings, Elyn (Yes, it has been a long while.)

Original sources: Bloodroot: Brewing Visions, Lesbian Ethics Vol. 3 No.1 (Albuquerque, NM, edited by Jeanette Silviera)
The Bloodroot Collective. The Second Seasonal Political Palate. (Bridgeport, CT: Sanguinaria Press, 1984)
The Bloodroot Collective. Perennial Political Palate. (Bridgeport, CT,: Sanguinaria Press, 1993)

Bloodroot

Bloodroot My Plate

My Plate Song                                                                             

Call any vegetable Pick up your phone Think of a vegetable Lonely at home / Call any vegetable And the chances are good / That a vegetable will respond to you.

Call and they’ll come to you Covered with dew / Vegetables dream of responding to you / Standing there shiny and proud by your side / Holding your hand while the neighbors decide / Why is a vegetable something to hide?

by Frank (Zappa)

Love Is Love

The dog days of summer barked outside, but inside was chill at Juices for Life, in the Bronx, where Love is Love.

Yes, it was hot. The day when summer first reminds us what really hot is after initially just gloriously warming us up. But, I was on a mission and was not to be deterred. It had already been a year or more since I learned that two hip-hop musicians had opened some juice bars in low-resourced neighborhoods–in Yonkers, the Bronx, and most recently in Brooklyn.

Music coupled with a healthy eating initiative ignited by love sings to my soul. So when this came to my awareness, I was determined to pay a visit to one of their Juices for Life businesses, and an opportunity had finally presented itself.

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Juices for Life

Styles P with Jada’s Kiss, cool inflammation’s heat with nature’s nectars. 

To start with, I had to know who were these guys, Styles P, and Jadakiss? To find out meant calling my son. Once again, he would need to rescue his unhip mother. Apparently, these two Yonker’s natives were founding bandmembers of The Lox. Their hip-hop careers began back in 1994–who knew–while they were still in their teens. Along the way, Styles P abandoned the smoked salmon with a bagel and cream cheese and ascribed to a vegan lifestyle–including the preparation of vegetable juices. This he credits for a transformative change in his health and mindset. Jada Kiss was thus also inspired.

In this must-see video, the artists explain that they are constantly asked to invest in various ventures and why they chose to bring healthy food to the hood, committing themselves to access and education. In other interviews, Style P’s message is also infused with his concern for families–with an emphasis on children and elders. And, he urges people to begin finding ways to juice and blend at home.

Finally, the time had come. In the video, a man says that if you don’t know who Styles P and Jadakiss are, then you must be living under a rock. So, a few weeks ago I shoved my rock aside and headed down to Manhattan to visit my son. I’d forewarned him that on the agenda was an outing to the juice bar in the Castle Hill neighborhood in the Bronx. While we’d discussed this before, he was a little surprised that I was really serious.

Off we went and headed deep into the subterranean underbelly of the sweltering city to catch the first subway. Whatever air there was down there was thick and heavy, and the wait for the train on the crowded platform was trying. But things got better as we transferred to the Uptown 6, which would carry us to our destination. Miraculously, it was an express train, adequately air-conditioned and without too many passengers. The train streamed along, and at the far reaches of its tentacled line, it emerged from underground and rose to its elevated height. I looked out the windows as we crossed the Bronx River and was afforded wide views of the urban industrial landscape.

Exiting the station, we found ourselves in the glaring light and searing heat of the early afternoon. As we walked the few blocks down a commercial corridor, the streets were pretty deserted either due to the heat, or that it was a Sunday and many of the businesses were closed.

Filling the cracks of lack, helping people to feel good.

However, once we found ourselves inside Juices for Life things were chill and there was some good energy. The set up was simple. A counter, a cooler filled with produce, shelves filled with protein and nutritional powders, and some stool seating. Initially, there were just a handful of customers, so we were able to take our time reviewing the varied menu of juice, smoothie, and shot options and placing our order. The counter person, Akil, was very friendly, and gladly abided my many questions. I was pretty hip to everything on the menu except for its offerings of sea moss and bark.

Our juices came quickly, and we sat to sip. Suddenly the place filled with a wave of people, including a street detective. There were obvious regulars and newbies alike. A woman told us that the place is usually busy and attributed the lull to the heat. I watched as the juicing staff of three plus the veggie prepper who kept the cooler stocked, choreographed their steps, spinning, and dosey-doeing with each other. They moved quickly to fill the orders, loading the whirring juicer and blenders, and gracefully catching and pouring the colorful elixirs. Their Juices for Life company T-shirts reminded that Love Is Love. img_4404.jpg

We stayed for about an hour talking with both staff and customers and sampling some shot concoctions. We learned that both rappers visit the store, but Styles P is there more regularly. A wall plaque honors him for his contribution to the community. The Juices for Life website explains its mission of bringing health to ‘poorer communities’ by ‘letting food be its medicine and medicine be its food’. This is a worthy and deeply profound mission. Freshly prepared juices from a bounty of different vegetables and fruits provide our bodies with an easily assimilated and powerful source of essential nutrients. They are a balm to the nutritional needs of our cells required for optimal health, and a salve to the nutritional abuse and violence these cells have been prey to. It was really beautiful to witness the communal toast of good health that each cup of juice provided to all who were there that day.

Training back, I wondered how viable could such enterprises be. Could juice bars become as ubiquitous as the fast-food joints, liquor stores and bodegas that are known to populate such communities? Is the five to six dollar price per glass–which is cheaper than at many similar places–still too much for many to make for a sustainable habit? Or is that cost actually cheaper than many other commonly purchased unhealthy products?

I believe that such initiatives contribute to sowing the seeds of change. And, that education and empowerment will promote changes in disease prevention and the delivery of healthcare. For now, I would love for there to be the opportunity to allow persons who receive SNAP Benefits to be able to redeem them for juices, similar to their expanded acceptance at Farmer’s Markets. Next, I’d like to see juicing kiosks in more places–such as community markets, health clinics, and hospitals. And, and for more cultural icons to use their celebrity to endorse and support health-promoting activities.

To Styles P, Jadakiss, and all those who are making this happen, I thank you. Just one thing, if I may–it looks like you could use an additional juice machine.

And stay posted, my next trip to the city may include a visit to Brooklyn, to check out Francesca Chaney’s Sol Sips.

Thank you for listening, sharing, following and supporting my writing. Please subscribe in the sidebar to receive notice of new posts. Comments and greetings always welcome.

Love Is Love, Elyn

Related Posts: Nutritional Violins, Dance of Diabetes, Where Has All The Produce Gone?

Related Song: Jadakiss–Why

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M & E’s My Plate

My Plate Rap

The dog days of summer barked outside, But inside was chill at Juices for Life, in the Bronx where Love is Love.

And Styles P with Jada’s Kiss, Cool inflammation’s heat with Nature’s nectars, Filling the cracks of lack, Helping people to feel good.

by Elyn

 

 

 

 

 

 

 

 

is that an experience you’re drinking?

My dilemma and I were minding our own business at home, when suddenly an image of a Coca-Cola bottle, or what I thought was a Coca-Cola bottle appeared in the sidebar on my computer.

The accompanying words said, “This is not a Coca-Cola. It is an experience.” Really? It certainly looked like a Coca-Cola. While still confused, I was also informed that for Coca-Cola, experience goes far beyond the first sip and that I should make ‘experience’ my business.

With a little click, I found myself face-to-face with Coca-Cola’s VP of Global Design. He told me that they sell almost two billion, (2,000,000,000) servings, excuse me, ‘experiences’ a day. And thus, on a digital platform, he would like to have two billion conversations a day, because brands need to listen to their consumers who are all apparently craving choice and innovation.

If so, I hope he is fluent in Twi, one of the Kwa sub-groups of Niger-Congo languages, spoken in Ghana. In 2016, Coca-Cola launched a major initiative in Accra, called Taste the Feeling. It seems they were feeling bad for the millions there who had maybe not been privileged to enjoy the ‘experience’. Interestingly, a group of public health researchers has already done a little study accessing the marketing of non-alcoholic beverages in outdoor ads (visible signs) in a small section of Accra. Of seventy-seven ads, sixty percent featured sugar-sweetened Coca-Cola products–some fraction of which are near schools and feature children–I mean consumers, or soon-to-be ones–begging for conversation.

My dilemma caught my eye, knowing that this Mr. James Sommerville, would most likely not wish to hear from me. Given that it has been about forty-something years since my last sip, I could certainly not claim to be a consumer, thus depriving the company of that 2,000,000,001 serving. Ah, but he had certainly provoked my ire with this seductive, manipulative, alluring message about the right friends, the right time, the right glass–and the tingle.

Might I suggest that he is high fructose corn syrup coating the ‘experience’ or seeing it through caramel-colored glasses–with a blast of phosphoric acid and caffeine. Or, that he has drunk too much of the figurative Koolaid– aka the company’s addictive secret syrupy recipe.

While it is certainly possible he may have already seen my anti-Sugar Sweetened Beverages (SSBs) rants, it is not likely. If not, maybe, because like me, he’s recently been watching the 9-Part Docuseries, iThrive, Rising from the Depths of Diabetes and Obesity. But, I don’t think so.

If anything, back when I was writing more about this topic, he may have been concerned with the efforts of the Global Energy Balance Network (GEBN), a Coca-Cola-funded non-profit, engaging scientists in the promotion of energy balance and exercise as the solution to obesity, thus underplaying the evidence on the impact of SSB’s. While founded in 2014, the GEBN was disbanded by the end of 2015, after a New York Times article brought attention to public health authorities’ concerns about its corporate influence. A recently published essay provides some greater insight into the company’s intentions by shedding light on some of its internal documents.

Or, I don’t know. Maybe lately he’s just been busy globally designing alcopop drinks in Japan. (My dilemma, just gave me its you’ve got to be kidding me look. No, I am not kidding.) But, whatever, he is up to something–and I don’t get it. Even though he was looking right at me, he lost me at “physical analog world” and “push work out to the market”. I know this is nothing new, but call me naive. What’s up here? Does Coca-Cola have to weasel its way into every mouth on the planet–ruining perfectly good teeth, or worsening not-so-great ones? Not to mention incurring potentially more harm. Why such deliberate cunning? Is this not loca?

A few years ago, I wrote about my dismay regarding Coca-Cola’s marketing ploy of placing common names on their labels. Interestingly, as I was delving into the Ghana campaign, I came upon a story that there was a proposed boycott of the brand in the country. I had a touch of health promotion optimism upon seeing the headline. But, apparently, the boycott was due to the fact that the names that the company had placed on the labels in Ghana, were names more predominantly found in the southern part of the country, and did not include the more common (and Muslim) names of its northern reaches. Oh, dear lord.

Well, here is my solution to that problem. Why not put only the names of the executives, such as James, on the labels? This way, consumers will know whom to contact directly should they need any assistance with their health or dental issues or geopolitical concerns.

It may be tempting to say, for god’s sake, it is just a soda! Let us just ‘experience’ that feeling of happiness, let us ‘taste the feeling’ if nothing else–is a soft drink in hard times asking too much? But unfortunately, it is far from that simple. I ponder these matters about profound insults to population health and where lies responsibility. Coca-Cola and its products are certainly not only to blame, but considering their tactics, neither are they blameless. To say they are a big player is a big understatement.

It is most obvious to look at the rapid increases in the prevalence of obesity and diabetes around the globe as indicators of our health crises influenced by our dietary behaviors. And, yes, according to the latest survey data (published just last week), here in the US, we are still getting fatter, while the food industry giants continue to fight hard against public health measures.

But, there are also other implications of the manipulations of our dietary environment by corporate interests. In recognition of this weekend’s global marches against gun violence in our society, I had wanted to explore the topic of nutritional violence, but this guy cut into the front of the line. Bully. But, I will get to that next. They may be related.

Thank you for listening, sharing, following, and supporting my writing. Please subscribe in the sidebar to receive notice of new posts. Comments and greetings always welcome.

Most sincerely yours, Elyn

Update July 2018: In Town with Little Water, Coca-Cola is Everywhere

Related Posts: Reporting from the Rim of the Sinkhole; So-duh; Brought to Tears; Nutritional Violence

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The Lives Taken Broken My Plates

My Plate Haiku

In school, I should be concerned

About my Health Class topics

Serving life not death.

by Elyn

I hope someday

Well, the storm that prevented my presenting on the panel as described in A Meteorological Change of Plans has moved out to sea–not without causing some serious ruckus. But another strong one is moving in right now, rerouting regular daily trajectories, thus providing me another opportunity to curl up and explore the thorny business of eating disorders on college campuses.

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Campus Eating Disorder Notebook

Eating disorders are very complicated–and at their crux, are not about food. They have long been, and continue to be, the cornerstone of study for many a scientist and mental health clinician, in terms of the identification of their etiologies and appropriate treatment. Underlying biological genetic-based factors seem to seed the predisposition for the development of one of these conditions that take root by substituting out healthy development and replacing it with one which has a laser-like focus on the control of body weight and shape–and the feeding behaviors that determine such. While advances are being made, these are hard nuts to crack from a mechanistic standpoint.

However, this should not mean that we ignore the evidence that socio-cultural and psycho-social variables also play a causal, and not merely triggering role in eating disorders, and thus should be considered as potent avenues of prevention. And while each and every person exists in relationship to the social and cultural environments with which they interact, college campuses constitute a unique microcosm providing a unique breeding ground for the germination of these disorders. (Today, I discovered the term ‘culture-reactive’ which I think is relevant to this issue.)

I worked at a small liberal arts, predominantly white, self-contained campus in a non-urban community. While there, I would remind my students that this 4-year college experience was just a stage they were going through. It is temporary and somewhat illusionary. Even working there only part-time, I could get sucked into seeing life through a campus-view lens and would have to remind myself that this was not ‘the real world’.

Within this world, everyone is–well, young, with all the usual archetypes that youth is associated with. Like some mythical island, it seems like all the inhabitants possess beauty, vigor, vitality–and unbridled brilliance and talent. Each attribute is defined by the normative cultural standard (including thinness) established by no fault of one’s own. Such concentrated energy is pulsating, exhilarating, intoxicating–as well as deceiving, and potentially health diminishing or downright dangerous. Here, often impossible standards present themselves as expectations that should be assumed with ease–forcing any self-perceived failure or deviation from the norm to greatly magnify.

The maintenance or pursuit of this idealized persona and its requisite body weight and shape are challenged on college campuses by a few particulars. Firstly, there are the potent triggers that come from living day-by-day, night-by-night in close proximity to only one’s peers. At this vulnerable developmental stage there is much peer pressure, exposure to all types of media–including unregulated body-focused content, vocalized body shaming of self and others, unending body comparison opportunities, and a multitude of ways to feel “different than”.

Then, there are the academic, social (and athletic) pressures that college students have and the hungers such pressures activate. The non-stop studying, paper writing, exam-taking (and sports training)–and attendant lack of sleep, make for long days and extra hungry brains and bodies. These hungers may be physical, “emotional” or stress-related. But even stress-related hunger is physiologically driven. This hunger is powerful and real and involves late-night eating associated with studying or socializing. Stir this together with the stress of high personal standards, perfectionism, and anxiety and you have all that contribute to uncontrolled feeding impulses, or to advancing control behaviors and starvation.

The college eating experience is also an exception. Many colleges now market their dining venues and meal plans to lure students their way. Access to a college dining hall is like being on a never-ending cruise. Loads of offerings served from different specialty sections available from early morning to late into the evening. Standard meal plans may limit access to three meals a day, while premium ones allow unlimited visits. Many plans also allow for use at other campus food venues.

Being exposed to so much food with no limits, and having to make so many choices at every meal, can be very overwhelming with various responses. Eating (or not eating) amid the clamor of hundreds of other students also makes for challenging circumstances. Enticements also seem to be everywhere on campus. Various clubs and campus activities promise candy, pizza, or doughnuts in exchange for attendance–all within walking distance. Food, its embrace or avoidance, becomes a constant obsession.

On the flip side, students living on or off-campus without a meal plan often have difficulty accessing food or preparing meals. This precipitates and perpetuates other unhealthy feeding behaviors. Students in these settings can isolate themselves more easily, and can both yield to or hide their behaviors more–but students on campus can do so as well.

Finally, I might add the lack of parental/familial supports and/or constraints; heightened attention on ‘healthy’ foods; and increased alcohol or drug use behaviors are additional contributors to the development, unleashing or exacerbation of eating disorders in the college setting. Oh, maybe I will also include easy unlimited access to an indoor gym as another risk factor.

Given the high prevalence of such disorders on campuses, I will assume that most colleges have charged themselves with developing or strengthening approaches to care–though perhaps with continued difficulty. But, it has also been ten years since I worked on campus. Is there new information or have there been shifts in paradigms that have infiltrated and influenced changed consciousness and constructive activity on campuses? Is the explosion of people sharing photos of thinning bodies on social media exacerbating the problem or are movements like Body Positive finally exposing and mitigating this insidious epidemic of body-hating? I suspect the former and am aware that men and certain minority groups are becoming increasingly affected.

Still, I believe something is changing and that we can begin to shapeshift our perceptions of beauty. And, I believe the collective wisdom of dedicated activists and this current generation of emerging and young adults are going to demand and provide the solutions. They have already witnessed enough in too many ways. The statistics are staggering, sickening and sobering.

My humble little suggestions for colleges (and every place) include the following: create Body Shame Free Campuses; further media literacy as a prevention tool; include and support the parents/families of college-age students with eating disorders and provide resources;  stop the demonizing of all dietary fats as agents of weight gain, and appreciate their vital importance in maintaining body functions; and, educate and inform all campus personnel about eating disorders and maintain trained staff to help students.

And, I strongly invite you to read the article, A Generation of Shrinking Girls by Laurie Penny, that my dear friend Chris just happened to send me this morning, that defines Eating Disorders as a social crisis and political issue–and explains why we really must care.

What might you add?

Thank you for listening, sharing, following and supporting my writing. Please subscribe in the sidebar to receive notice of new posts. Comments and greetings always welcome.

Most Sincerely Yours, Elyn

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John Lennon’s My Plate

 

My Plate Expression

I hope someday to look back on this time in our history and only read about the curious phenomenon of anorexia and bulimia to be touched by it, not have to witness its destruction and ruin on the bodies and faces I pass on the street. 

Excerpted from individuals’ stories of recovery from the book, The Secret Language of Eating Disorders by Peggy Claude-Pierre.

 

 

 

a meteorological change of plans

A few weeks ago, I received a call from a student at the college where I had once worked. I had been referred to her as a possible presenter for one of the college’s Eating Disorder Awareness Week activities that the campus group Active Minds was organizing. They asked if I would sit on a panel of professionals on the topic.                                                                                      Butterflies, Tree, Colorful, Color, Ease

I reacted with hesitancy. This stemmed from both my reluctance at public speaking and the fact that I had not done much eating disorder counseling in recent years. And besides, it had been a decade since I served as the Campus Nutritionist.

Still, the chance to participate did call to me. I had dedicated much energy to eating disorder support and other nutritional matters while I was there and still was invested in the cause. After clearing a few details, I offered and agreed to come to the front of the room, not to proffer any specific nutritional strategies, but rather to share my perspectives gleaned from my particular role during four years at this small liberal arts college. I still cherish the time I spent there holding space with so many impressive young adults as they figuratively shifted their seats from the kids’ table to the grown-ups’ one–some more easily than others. The college years are a very vulnerable time for many who pass through them–and, not coincidentally, span the ages when most eating disorders begin.

In preparation for the event, I gathered my thoughts and made some notes for my talking points. Various students I worked with came to mind. They represented the collective of all the forms of eating disorders and disordered types of eating–anorexia nervosa, bulimia nervosa, exercise bulimia, binge eating disorders, stress-induced eating, and orthorexia–an obsession with healthy eating. I tried to recall if orthorexia had even been recognized by the early 2000’s–apparently, it was only coined in 1998–but I encountered it frequently.

I remembered the athletes, the dancers, the student leaders, the artists, and the none of the above. Mainly they were female, with just a handful of males seeking help. Many, ready for graduation while I was there, graduated–and I attended a number of end of year ceremonies. Some did not. There were those who required leaves of absence–from which a few did not return. And, if they did, a close eye on their progress was necessary. Though no cases of eating disorders are easy to manage, I recalled the “really difficult” ones–those which forced immediate hospitalization, panicked roommates and friends, and challenged the health providers (and administrators) trying to keep a declining student on campus so they could just finish their education. This was messy. And, the more remote campus bathrooms known to be frequented by those that purged were messy too.

While it was presumed that students would stay active in their physical and emotional care by making and keeping appointments, there was sometimes little to prevent them from elusively slipping out of reach. And, with the prevalence of eating disorders on college campuses estimated to be between about 10-20% for females and 4-10% for males (if not higher), it was certain that there were many who did have disorders that were not receiving any treatment. Eating disorders are masters of disguise.

Despite a significant degree of infirmity, I was continuously amazed at how these high achieving students pushed through at high levels of academic, athletic and/or creative performance. Such success did not equate with health. While everyone does their best, and there are models of care, colleges are not fully equipped to handle these serious disorders, medical illnesses, which breed on their campuses–the mental health conditions with the highest level of mortality.

Remembering both the intensity and tenderness of my time with these students helped me to shape what I would want to share with this current cohort, this next in line generation capable of making some serious change in our world. Nothing necessarily earth-shaking or profoundly professional–just the observations of someone who was up close and personal. Could I possibly impart some, dare I say, wisdom or reflection that might resonate or maybe have some impact on this vulnerable cohort? Well, I was prepared to give it a shot and looked forward to the event.

However, first thing yesterday morning, the day of the event, my phone rang. A monster nor’easter was pummeling the East Coast, dropping a fair amount of snow in our area. The panel would be canceled. Though there was a small touch of relief that I would not have to contend with treacherous roads, I had to process the loss of this opportunity. Not only had I readied myself, but I was eager to hear what the other professionals–mental health clinicians–had to say, and what the audience of students, and possibly faculty or other staff members, wished to ask, as well as to expose or express.

Left alone with my floating ideas, I realized I could deposit them here in my little blog which has been suffering its own neglect. And, I will do so, in a follow-up post. (In the meantime you can visit my previous related posts: Stopping Traffic, Dolls with Faith, Muse of the Girl and Nourish Thyself Well Day.)

In reminiscing, I realized that those who I strove to help nourish during my years at the college, would now be in their early to mid-thirties. Recovery from eating disorders is definitely achievable, and relative to various factors, but not all who suffer are successful. I hope those whose lives touched mine, and who that campus had nurtured in various ways, did emerge from their chrysalis to become the beautiful butterflies they were meant to be. I pray they are doing OK.

Thanks to those who continue to carry the flame.

Thank you for listening, sharing, following and supporting my writing. Please subscribe in the sidebar to receive notice of new posts. Comments and greetings always welcome.

Most sincerely yours, Elyn

my plate

My Plate Plate

My Plate Expression

My great fortune was in meeting people who understood my strange interior life, without judgment and who, at a time when I didn’t feel there was anything to live for, were there to lend me their vision and pull me through the grueling journey of recovery. I’d never been afraid of hard work and perhaps it’s that work ethic that finally worked for me rather than against me.

Excerpted from individuals’ stories of recovery from the book, The Secret Language of Eating Disorders by Peggy Claude-Pierre.