Food | HealthyCal
 

Posts Tagged food

  

Grassroots programs transform the corner market despite stalled legislation

By Megan Burks

A stark contrast from his imaginative storefront—painted cobalt blue with yellow smiley-faces—convenience store owner Joseph Attiq described his role in the San Diego community of City Heights with quick realism:

“I’m here when someone needs a pack of smokes. If they need a light, I’m their guy.”

But in areas like City Heights, where corner markets seem to outnumber car owners and where grocery stores are sparse, businesses like Attiq’s El Super Market often serve double duty, filling the cupboards of nearby residents no matter their limited selection. Now, community efforts to bolster such stores with healthy food are cropping up across the country as national and state initiatives on the matter stall.

President Obama’s healthy food finance initiative, which would appropriate $340 million in grants to large and small markets that stock fresh foods in food deserts, remains in limbo with the federal budget. Similarly, a California measure sponsored by Assembly Speaker John Perez set out guidelines for distributing and growing that seed money, but was vetoed in September because the federal dollars weren’t certain.

Still, advocates say they remain dedicated to the approach. In communities like City Heights, financial and cultural barriers often mean behaviors can’t change, but stock can. Residents in City Heights, many who are refugees, often can’t drive to the grocery store. If they can, they don’t have the money or knowledge of U.S. foods to make nutritious purchases, said Mallory Cochrane, a coordinator with the International Rescue Committee. The corner market is often more accessible and a comforting fixture in the community.

Indeed, Attiq doles out more than a nicotine high from his market on Euclid and Orange Avenues. On a slow Saturday morning, he offered advice on remedying a traffic ticket and navigating the courts to one of his regulars, a woman dressed in traditional Somali clothing. He said he’d love to offer her avocados, too, but the exotics—what he calls produce other than apples, oranges and tomatoes—are just too much of a gamble when he’s already taking the fruits he can’t sell home to his kids. Anything more would need an open refrigerator, which means electricity costs he can’t carry.

“I’m a small guy. I can’t compete with Ralph’s,” Attiq said. “If I got another refrigerator, I’d have to stock it with energy drinks and coffee just to make it worthwhile.”

This seems to be the crux of food insecurity in City Heights. It doesn’t look like a food desert. Its geography is dotted with food retail options, but they aren’t necessarily nutritious. A recent community survey found that nearly 85 percent of City Heights residents live within a quarter mile of a market; citywide, only about 40 percent live as close to food retail. However, when tracked by The Reinvestment Fund, a community investment group, much of the same area was considered a “low access area” because there are few full-service grocery stores. In fact, the local survey shows that 85 percent of the food retail locations in City Heights are small markets and convenience stores.

A 2008 study by California Center for Public Health Advocacy, University of California, Los Angeles and PolicyLink shows that residents in communities with a high ratio of convenience stores and fast food outlets to grocery stores were about 20 percent more likely to be obese or have diabetes. Although a 2009 US Department of Agriculture report to Congress on food deserts cautioned that studies haven’t yet established a strong connection between food access and obesity, many neighborhood advocates insist that the link is clear.

According to Dawn Kamali, a specialist with SAY San Diego who works with liquor store owners and their neighbors, the majority of market owners are responsible operators who provide what they can for the community, but “the few bad operators tend to be really bad.” She said she’s found recalled baby formula and expired food on shelves.

“They don’t always care about the food because their bread and butter is the liquor,” Kamali said.

Rather than work with these merchants, most of the progress in City Heights has focused on developing farmers markets and community gardens. The International Rescue Committee has grown a robust program that matches food stamp funds at the local farmers market. The program recently expanded to a new farmers market just south of City Heights near Chollas View. The New Roots Farm and several smaller community gardens allow immigrants and refugees to grow their own food, and have been touted as a model for healthy living by Michelle Obama and others.

But little has been done to improve the food sources closest to homes and apartment buildings in the neighborhood. According to advocates, the closest model for such work is in Los Angeles. There, Community Health Councils, Inc., sponsors the Food Policy Roundtable and Neighborhood Food Watch. Community organizers and participating residents created a “Standards of Quality” agreement that store owners can sign and display; among its principles are placing healthy, organic products in high visibility locations and supplying quality produce and whole grains.

The group also created a standardized checklist that it uses to sweep area markets and report negligent operators to the county department of public heath. What’s more, vigorous communication efforts tell residents how to report expired foods in local markets themselves and how to petition or support proposals for new stores in the area.

Another group in Los Angeles aims to educate as well, only it does so with a little more flash. Market Makeovers, a project sponsored by the California Endowment’s Healthy Eating, Active Communities initiative, enlisted local high school students to perform a television-style makeover on three corner stores. Walls were painted and junk food was moved away from the point of sale in favor of produce. The result was a new orientation toward health in the markets and a colorful, multimedia website that acts as a toolkit for others to do the same.

Similarly, teens in Baldwin Park, Calif., worked with HEAC to help eight corner stores create “Healthy Selection” aisles where nutritious options were prominently displayed with signage that rivaled those for beer and snacks. The program included free marketing and advertisements in newspapers for business owners who adopted the new business strategy. Students in Santa Cruz County also succeeded in getting five Watsonville, Calif., markets to sign agreements similar to the standards of quality developed in Los Angeles and participate in monthly follow-ups.

Finally, middle school students in Shasta County asked the Wal-Mart manager in Anderson, Calif., to reconsider its displays at check-out aisles, convincing him to replace sweets with dried fruit and granola bars in several of the aisles.

In City Heights, moves toward improving access to healthy food retail have started largely with the store owners themselves. Mark Kassab, a longtime resident who owns a grocery store, corner market and gas station, has set up a shuttle service that helps seniors get to and from Supermercado Murphy’s. Attiq, too, seems as energetic about securing funds to improve access to healthy foods as the bright smiley-faces that adorn his storefront.

“I would love to sell that stuff—to have a full-fledged produce section,” Attiq said. “Tell me where to sign up.”

This sort of reception to healthy food retail among business owners is just one reason advocates like Rebecca Flournoy of PolicyLink say they’re hopeful lawmakers will move forward with healthy food financing. Their support bolsters a funding model that’s proven sustainable, according to Flournoy. The Pennsylvania initiative from which President Obama and Speaker Perez’s plans were modeled took just $30 million in state seed money and resulted in a $190 million investment.

“That’s the beauty of it,” Flournoy said. “You provide the start-up costs, but it really becomes a public-private partnership. It’s an investment but not an ongoing drain.”

A bipartisan committee in the Senate and House introduced healthy food financing bills late last month, suggesting the cause is still at the forefront as lawmakers craft a 2011 national budget. A source in Speaker Perez’s office said the speaker will reintroduce a California financing initiative during the next legislation cycle.

“The timing is right for a healthy food financing initiative,” Flournoy said. “The motivation is there, but there are a lot of questions still about how the politics will play out.”

 

You are what you eat…if you can find it.

ashby wolfe

Ashby Wolfe MD, MPP, MPH

By Ashby Wolfe

This past week, I was listening to National Public Radio during a rare lunch break. I was pleasantly surprised to catch a 20-minute segment discussing child nutrition and the fact that nearly 17 million children struggle with hunger on a daily basis.

Several guests were invited to offer their perspective about hunger, nutrition and healthy eating during the NPR program. What interested me most, however, was the discussion about food deserts. This phrase was coined to describe a community or district with little or no access to the kind of foods needed to maintain a healthy diet. Often, these areas are served by plenty of fast food restaurants, but offer little or no access to fresh fruits, vegetables, or healthy grains. This concept has been gaining ground and is becoming more familiar in daily vocabulary. It has also become a real issue during my daily work as a doctor.

That same afternoon I listened to the NPR program, a woman came into my office for a follow-up visit about her diabetes. Although she is currently on medication to help control her blood sugar, part of our plan to help improve her long term health has been to begin weekly exercise, and to eat a healthier diet. As we discussed her current weight loss plans, she told me how she struggled to prepare healthy meals each day. She described making the difficult choice between buying more expensive fresh spinach compared to the frozen variety, and how she alternated weeks driving to the farmer’s market across town to buy fruits, vegetables and whole grains. The rest of the month she would save gas and money buying the cheaper microwave meals in order to meet her budget. It seems that despite her best efforts, she was constantly struggling to make the healthy choice which could improve her health.

This story is a familiar one, to health professionals, teachers and social service workers nationwide. As a doctor, a lot of my work is focused on helping my patients manage their own expectations and their activities where healthy living is concerned. As the medical community continues to develop treatments for chronic diseases like diabetes and heart disease, I am finding that access to healthy foods is a necessary complement to the care I give my patients.

Several efforts are in progress to address this issue, but in my opinion, the most important and real change is within local communities. Eliminating food deserts can be a struggle for inner city communities, or in districts where local public transportation is sparse. However, knowing where the healthy food is sold is a good first step. If you are interested in finding local farmer’s markets, or alternative sites to buying healthy foods, check out Local Harvest, a site that enables you to locate fresh food in your community. Sites like this one also offer recipes, meal plan suggestions, and additional links to help you take advantage of local farmer’s offerings.

You can catch the NPR program mentioned above, or read the transcript yourself, at NPR’s website.

Ashby Wolfe is a resident physician in the Department of Family and Community Medicine at the UC Davis Medical Center in Sacramento. She holds an MD as well as masters degrees in public policy and public health. She blogs at www.ashbywolfe.com and is a guest blogger for HealthyCal.org on issues of family medicine and community health. Her opinions are her own and do not necessarily represent the views of UC Davis or HealthyCal.org

 

Fresh food scarce in South Sacramento

Nik Bonovich

By Nik Bonovich
Five years after the Sacramento Hunger Commission targeted the South Sacramento neighborhoods of Avondale and Glen Elder in an effort to improve access to fresh fruits and vegetables, the community’s food resources remain scarce. There is no major grocery store in the neighborhood, farmers markets are too few and far between, and community gardens have failed to catch on as a viable alternative for residents.

Community garden at Kennedy Estates in South Sacramento.

But neighborhood organizers have not given up. They continue to push to improve conditions in one of the Sacramento region’s poorer communities, an area plagued with problems from education to the environment and crime to nutrition.

They continue Glen Elder was one of the first neighborhoods in Sacramento that African Americans were allowed to move into more than 50 years ago. Today, the community is a diverse blend of Asians, Latinos and African Americans. In 2004, members of the Hunger Commission went to different organizations and churches in the community, talking to residents about food security.

“The process of the food assessment builds capacity in the community to make positive changes,” said Jake Salcone, who authored a report on the problem for the commission. “It’s teaches them about their community and where they should direct their energy.”

Salcone was assigned to the project as part of VISTA/Americorp program. As part of the project he had to come up with a definition for food security and what it meant in South Sacramento. He looked at the neighborhood’s access to food that is nutritious, affordable and “culturally appropriate.

Unfinished Business
Five years ago, a study by the Sacramento Hunger Commission recommended steps to increase access to fresh foods in the South Sacramento neighborhoods of Avondale and Glen Elder. They included:

• Opening a new full-service grocery store
• Creation of a community garden
• Improved public transportation
• A carpool service to grocery stores and farmers markets
• The use of food stamps at farmers markets
• Health education, longer lunches and healthier food at the schools

Of these recommendations, only the community garden exists today, and it is lightly used.

“We did a few studies about how much the prices for food were in the neighborhood, distance to grocery stores, distance to farmers markets, community gardens, and a bunch of focus groups,” said Salcone. “We also looked at what was provided by school meals and it exploded to a larger topic because most children ate food from the school everyday. And school food is more difficult to affect change, because they have to follow federal and state guidelines. “

But one thing stood out, something specific that residents believed was essential.

“One of the biggest things was a grocery store, because we didn’t have a grocery store in the neighborhood or public transportation to take them to grocery stores,” said Jermaine Gill, President of the Avondale-Glen Elder Neighborhood Association. A grocery store within walking distance would provide fresh fruits, vegetables and meats available to residents from morning to night.

“There used to be a big grocery store called Elder Creek Market,” said Constance Slider, a community activist. “It opened in the 50’s I would guess. I guess it closed in the early 80’s. Ever since it left, the community has sorely needed a grocery store.”

Vacant lot in South Sacramento where community hoped a grocery store would be built. Photo by Nik Bonovich.

But no large grocery store chain was interested in moving into this lot, on Elder Creek Road and Power Inn Road, even with the combined efforts of the Hunger Coalition, city officials and neighborhood activists. The Avondale and Glen Elder communities lie to the west of the lot, but to the east it is an industrial area, which does not provide a 5-mile residential radius around the site, something developers wanted.

There was talk of an independent store going in, but that plan floundered for the same reason. Without a full service grocery store within walking distance, and inadequate public transportation, a simple trip to the market can turn into an all-day adventure.

“I see the problems in the report and they continue to be there,” said Slider.

Among other things, the experience shows that community assessments and written reports don’t always produce results.

“Going into the reports, they are focused to raise awareness and develop ideas for community and policy makers,” said Alan Lange, of the Community Services Planning Council, of which the Hunger Commission is a part.

“You present a lot of ideas and concepts which might make a difference. There is always more that can be done by one single entity. Unfortunately it cannot be up to the Hunger Commission to accomplish them all.”

According to Lange, many different people and organizations need to work together, including the residents, neighborhood associations, faith based organizations, non-profits and government organizations to accomplish many of the goals. It can be very hard to pull all these people together, but once together they can establish relationships by working on a continuing basis, and they can reach past, present and future goals.

“I don’t think you get involved in this type of community service work if you need immediate results to get it taken care of,” said Salcone. “There are a lot of people working to get these things solved. Food security is a big issue in Avondale-Glen Elder and I am sure they have a litany of things they need to solved. If they can get a group to solve one of these recommendations and if they can solve one in a year, then that is a step.”

The assessment recommended an improved shuttle bus connection and a carpool system to reach a grocery store. The carpool never took off, and shuttle bus route 37 is at its closest point still more than a mile from the Bel Air market located on Fruitridge Road.

The main accomplishment of the food security effort was the installation of a community garden at Kennedy Estates, a low-income apartment complex.

“The community gardens are a really popular alternative to grocery stores,” said Bill Maynard, of the Sacramento Area Community Garden Coalition. “They had talked about putting in a store, but it never really took off.”

Every year, plots are doled out to families that want to use them. There are always more plots than families, so some families get a larger area. Almost half of the residents of Avondale/Glen Elder are Asian. Many of the Southeast Asian immigrants have agricultural backgrounds and make up the majority of families in the garden.

Kennedy Estates was also given fruit trees distributed around the property as a small orchard, and in the preschool they teach nutritional education to students.

But it’s a grocery store that most people in the neighborhood feel they sorely need. A farmer’s market located at the Florin Mall once a week and community gardens do not provide the same convenience as a grocery store.

“I used to go the farmers market, but it’s far and not the most convenient and it’s on Thursdays between 9 or 10 to 12 or 1 in the afternoon,” said Slider.

A community park in Elder Creek is being remodeled and will contain a small community garden. Faye Kennedy, President of the Southeast Neighborhood Association, hopes the garden will bring people together so neighbors can meet each other.

“I think a community garden can help a community,” said Kennedy, “but this garden is relatively small so I don’t think it will take the place of a grocery store with fresh fruits and vegetables.”

Slider is looking at the bigger picture.

“The fact that there is not a grocery store in the community is not an accident. There is a way we build our environment,” said Slider. “There used to be a grocery store in that community. What happened to make that grocery store shut down? Part of what happened is places like Elk Grove (are built) and resources pick up and leave and go to these other areas.”

 
 
 

Home | Cal Health Report | Community Report | Legislation | Ideas | Forums | About Us

©2013 HealthyCal.org