School Food Programming across Canada during the COVID 19 Pandemic: Program Reach and Modalities

In 2020, after the COVID-19 pandemic resulted in widespread school closures and a consequent pause in school food programs (SFP), stakeholder groups soon found alternate methods for delivering meals and snacks to students. This paper examines the breadth of school food programming in Canada during the pandemic. SFPs collectively offered meals (breakfast was most frequent), food boxes, and gift cards and average weekly distributions were over 10,000 meals. In most cases, the programs provided enough food/coupons to feed multiple or all household members. Almost half the programs received funding from provincial/territorial governments and around two-thirds received charitable contributions.Copyright © 2022 Taylor & Francis Group, LLC.

Change and innovation in food aid provision in Sussex and Southwest London during the COVID-19 pandemic

PurposeThe purpose of this paper is to examine how food aid providers in Sussex and Southwest London responded and managed during the pandemic.Design/methodology/approachThe methodological approach consists of three inter-related layers. A qualitative description research approach based on naturalistic inquiry, supplemented by site visits and personal observations was used.FindingsThe pandemic catalysed dramatic, often positive, changes to the provision of food aid, with a move away from the traditional food bank model. It brought about increased coordination and oversight, as well as the upscaling of capabilities, infrastructure and provisions.Originality/valueThe paper contributes to the literature on food aid in the UK It provides evidence for how providers are transforming the sector for the better and potentially helping to deal with the cost-of-living crisis.

Food insecurity and severe mental illness: understanding the hidden problem and how to ask about food access during routine healthcare

SUMMARYFood insecurity occurs when an individual lacks the financial resources to ensure reliable access to sufficient food to meet their dietary, nutritional and social needs. Adults living with mental ill health, particularly severe mental illness, are more likely to experience food insecurity than the general adult population. Despite this, most interventions and policy reforms in recent years have been aimed at children and families, with little regard for other vulnerable groups. Initiating a conversation about access to food can be tricky and assessing for food insecurity does not happen in mental health settings. This article provides an overview of food insecurity and how it relates to mental ill health. With reference to research evidence, the reader will gain an understanding of food insecurity, how it can be assessed and how food-insecure individuals with severe mental illness can be supported. Finally, we make policy recommendations to truly address this driver of health inequality.

The impact of COVID-19 on food rescue organisations in Aotearoa New Zealand and future crisis management

PurposeThe study analyses the resilience of food rescue organisations' operating as "essential services” in response to the COVID-19 pandemic (March 2020) in Aotearoa New Zealand. It explores the impact of COVID-19 on the organisations' operation, preparedness, and potential positive impacts.Design/methodology/approachThe study employed a qualitative approach based on semi-structured interviews with 19 out of 23 active food rescue organisations across the country. Interview participants included CEOs, founders, managers, and coordinators.FindingsThe study identifies six impact areas experienced by food rescue organisations during COVID-19, policy and preparedness, funding, operation - logistics and personnel, supply continuity, food security and sector collaboration. Despite these impacts, the organisations showcased admirable resilience through innovation, adaptability, and collaborative practices, enabling the continuation of their services during the crisis.Practical implicationsThe paper provides a three-stage crisis management framework to guide the development and implementation of a crisis management plan to improve the resilience and preparedness of food rescue organisations' response to future crises. The framework is flexible and adaptable to each food rescue organisation's unique operation and capacity.Originality/valueThis paper offers a retrospective analysis of the impact of the COVID-19 pandemic in 2020 on 83% of food rescue organisations in Aotearoa New Zealand. It is the first paper to study the impact of COVID-19 on food rescue organisations.

Pandemia, ibridazione e il ruolo del Terzo settore. Un'analisi sul caso del Banco Alimentare

The objective of this paper is to investigate the hybridization dynamics of the Third sector at the time of the Covid-19 pandemic. The progressive contamination between the State, market, family and Third sector spheres has long been subject of interest of the scholars. This paper aim at analysing these dynamics through the case study of Fondazione Banco Alimentare (Italian Food Bank Foundation). The case helps in investigating the impact of the pandemic on the role, logics and actors that make up the Third sector (both organizations and people) and its relation with the other subsystems. The empirical analysis shows that the pandemic and its consequences has enhanced the role of Fondazione Banco Alimentare, thanks to its relevance during the food emergency that also increased its visibility in the media. There are more institutional and non-institutional donors, more beneficiaries and help requests that resulted also in an accelerated professionalization and training of volunteers and employers. In conclusion, the Italian Food Bank and its network dealt with processes of digitalization, institutionalization and professionalization. These transformations resulted in a new positioning of the organization in the public sphere and redefined its relationship between local, national and European institutions.

Public food policies of different levels of government during the COVID-19 pandemic: the case of Bahia Blanca

This article analyses food policies implemented during the COVID-19 pandemic in Bahia Blanca, Buenos Aires, based on legislation, budgetary data and official statistics on poverty and indigence. During the pandemic, different levels of government increased the scope of most social programs and, in particular, those aimed at guaranteeing access to food directly or indirectly became of vital importance. In Bahia Blanca, most of the public investment allocated to the health emergency was directed to the purchase and distribution of food, which reflects an important role of the local level in food assistance programs. However, despite the initiatives of the different levels of government, these were not enough to address the increase in the potential need for food assistance in the population.

Biting the Bullet: A Call for Action on Lead-Contaminated Meat in Food Banks

Even though the presence of ammunition-derived metallic lead fragments in donated firearms-hunted meat has been recognized for more than a decade, the vast majority of donated hunted meat is not inspected to discard meat containing lead fragments.1 An underlying lack of food safety standards for adulterated donated food increases risks to lowincome recipients, who are already disproportionately affected by elevated blood lead levels (BLLs).2 Primary prevention is needed for this overlooked source of lead exposure. LOW-LEVEL LEAD Primary prevention is recognized as the most effective way to address the epidemic of lead poisoning in the United States.3 The current blood lead reference level recognized by the Centers for Disease Control and Prevention is 3.5 micrograms per deciliter (mg/dL). A strong body of scientific research demonstrates that leadbased ammunition frequently contaminates hunted meat and increases BLLs of humans and animals who consume it.1,7-9 Lead-contaminated hunted meat has been identified as the most poorly acknowledged and addressed example of food lead contamination, and scientists have called for this source of lead exposure to be acknowledged and addressed with health-protective measures.8,9 A 2013 consensus statement of experts in human, environmental, and wildlife toxicology supports reducing and eventually eliminating the introduction of lead into the environment from lead-based ammunition, emphasizing that shooting lead ammunition into the environment poses significant risks of lead exposure to humans and wildlife.10 In 2016, Arnemo et al. found that more than 99% of 570 scientific articles about environmental and health consequences of lead in ammunition raised concerns about lead toxicity.7 The authors highlighted that nonlead ammunition is as effective as lead-based ammunition and is comparably priced. Despite the well-established scientific basis for regulation of lead ammunition for hunting, the topic has been politicized by misinformation campaigns portraying concerns about ingesting lead ammunition as a product of antihunting agendas.11 Lead Contamination in Donated Hunted Meat Donated hunted meat is a vital source of protein distributed by food banks at a time when food bank use remains far above pre-COVID-19 pandemic levels.12 Published evidence of leadcontaminated meat in food banks has existed for more than a decade (Figure A, available as a supplement to the online version of this article at https://www.ajph.org).13 Investigations in multiple states have confirmed the presence of lead in donated meat.

The Role of Community Food Services in Reducing US Food Insufficiency in the COVID-19 Pandemic

(p. 2 2016) suggest that "both public and private food assistance programs serve as important mechanisms to tackle the problem of hunger and food insecurity in the United States." Using the HPS data, Bauer (2020) shows that low-income households with children are more likely to suffer food insufficiency and enroll in food assistance programs (e.g., SNAP, WIC, and Pandemic Electronic Benefit Transfer) during the pandemic. Instead of using the free food access variables from the HPS, we therefore draw on the 2019 County Business Patterns data (US Census Bureau, 2019) to shed light on the role of preexisting Community Food Services (CFS) in mitigating food vulnerability in the states during the current pandemic. [...]while the number of such establishments per 10,000 persons may have changed between 2019 (the most recent year for which data are available at the time of this writing) and March 2020, we suggest that once we control for the main driving forces, such as the spread of the disease and unemployment, which can affect both food insufficiency and CFS capacity, the 2019 CFS establishments per 10,000 persons variable is a reasonable proxy for the amount of experience a given state has with CFS and related establishments and its capacity to deliver free food through such a venue.

Older Adults Share Their Pandemic Experiences

When older adults came together in focus groups to share their experiences during the first 18 months of the COVID-19 pandemic, they told of loneliness, anxiety, and depression;physical and cognitive decline;and heartbreak over losing family members and friends with no chance to say goodbye. This article focuses on ways they coped and their recommendations and hopes for the future. The 17 participants represented a mix of races, geographic locations, living situations, and health issues. In addition to their own experiences, several worked with low-income and homeless individuals and shared insights into how those socioeconomic groups fared.

Challenges and Solutions to Change of Operations in Nutrition- and Health-Related Community Programs, Cooperative Extension, and Teaching During COVID-19

The Extension and community programs that support the agricultural economy and rural society are incredibly important because they assist thousands of residents every year with the management of chronic disease and prevention of obesity and nutrition-related problems (Pehr, 2018). Limited resources, including poverty, financial constraints, cultural differences and lack of support systems often play a role in post-secondary success (Byun, Meece, & Irvin, 2012). The university also provided laptops for them to check out, wireless internet hotspots, and limited computer lab access-with protocols in place for social distancing and sanitizing-at the main and branch campuses throughout the state. Challenges and Solutions in Nutrition- and Health-Related Extension Programs Funding, technology, and human resources are typically limited in rural communities;geography also influences a number of factors such as transportation.

Open social innovation for surplus food recovery and aid during COVID-19 crisis: the case of Fondazione Banco Alimentare Onlus

Purpose>The study analyses the role that open social innovation (OSI) perspective played for Fondazione Banco Alimentare Onlus (FBAO), a food bank in Italy, in responding to the COVID-19 crisis. It answers the following research question: how does a crisis, such as the COVID-19 pandemic, stimulate the adoption of OSI practices to revamp the activities of FBAO and facilitate appropriate solutions to carry out its social mission?Design/methodology/approach>This study employs a qualitative approach. It is based on a single case study.Findings>The study shows how COVID-19 has stimulated the adoption of OSI practices to continue to meet the social mission, creating innovative projects or finding new ways to do the same things.Research limitations/implications>The study is based on a single case study.Practical implications>The paper contributes insights into the literature on OSI, examining how inbound and outbound OSI mechanisms can modify business models and increase the adaptation capacity of food banks and their effectiveness. In addition, it provides a rich context in which the social value drivers provided by OSI are studied.Originality/value>This paper applies the OSI to a food bank to evaluate what this action mode produces for the food bank during a health crisis. Specifically, this is the first paper that studies the COVID-19 crisis response of a food bank from the OSI perspective, focusing on the inbound and outbound OSI processes that characterized the entire network of relationships.

Rural Food Insecurity: A Longitudinal Analysis of Low-Income Rural Households with Children in the South

Researchers have noted large spatial variations in rates of food insecurity. But little research exists on why this is so and the impacts it has on rural families. Drawing on a mixed-methods longitudinal study with 124 poor and working-class households in North Carolina, we analyze the processes that shape lower-income rural families’ access to food. We trace the narratives of three families whose stories are emblematic of themes from the larger data set to illumine how space and context influence families’ experiences across the life course. As the caregivers in our study navigated how to feed their families, living in a rural area shaped the resources and often precarious forms of support that they drew on from their social networks, local communities, and the state.

CPAs' Role in Food Relief Organizations after COVID-19: Certified Public Accountant

According to the National Council of Nonprofits, the sector employs approximately 12.3 million people and spends more than $826 billion on salaries, benefits, and payroll taxes annually [National Council of Nonprofits (NCN), 2021. "Economic Impact," February 2, 2021, https://bit.ly/3wjgVnT]. [...]these nonprofits create many opportunities to fuel the United States' economic engine: nonprofits consume a wide range of goods and services, ranging from immediate needs (e.g., food, utilities, office supplies, rent) to larger expenses (e.g., computer and medical equipment). According to the Independent Sector survey (2020), only 23% of food pantries were operational during the height of the pandemic and they struggled to survive, leading to profound adverse financial and social implications. NBC News, April 8, 2020, https://nbcnews.to/3tpaspU). Since 2020, food pantries have had to adjust to this new environment with new strategies and activities, focusing on urgent needs and direct emergency assistance.

Addressing Health Disparities through an Innovative University-Community Vaccination and Food Access Model

OBJECTIVES/GOALS: To describe and evaluate an innovative university-community vaccination and food access model for minority, immigrant, and underserved individuals experiencing food insecurity during a global pandemic. METHODS/STUDY POPULATION: The Purdue University Center for Health Equity and Innovation (CHEqI) partnered with the two largest food banks in the Midwest and Walgreens to offer free COVID-19 and Flu vaccinations alongside food distribution. Goals included addressing food insecurity, increasing vaccine access, and decreasing vaccine hesitancy. CHEqI acquired funding, recruited volunteers and interpreters, assessed interest and addressed vaccine hesitancy. Food bank/pantry partners distributed food and provided access to clientele and marketing assistance. Walgreens procured, administered, and documented vaccinations. The Model accommodated drive-through and indoor processes. Unidentifiable observational and self-report data were collected. Descriptive statistics were computed to characterize program outcomes. RESULTS/ANTICIPATED RESULTS: A total of 11 vaccination events occurred between June and October 2021 at three food bank/pantry locations. Of these 11 events, nine (82%) were drive-through and two (18%) took place indoors, eight (72%) offered COVID-19 vaccinations only, and three (27%) offered both COVID-19 and Flu vaccinations. Food was distributed to a total of 5,108 families and 416 vaccines (314 COVID, 102 Flu) were administered. Of the 396 individuals who received at least one vaccine, 20 (5%) received both a COVID and Flu vaccine. Of the 386 individuals who received at least one vaccine and reported their sex, 194 (50%) identified as female and the average age of those who received at least one vaccine was 45 years old. Of those who reported race (N = 228) or ethnicity (N = 253), 43% identified as Black or African American and 53% identified as LatinX. DISCUSSION/SIGNIFICANCE: Findings offer an innovative vaccination and food access model for diverse individuals experiencing food insecurity during a global pandemic. By drawing on cost effective, accessible, and culturally contextualized practices to optimize the reach and quality of vaccination services we can improve access barriers and mitigate health disparities.

Proxy longitudinal indicators of household food insecurity in the UK: [version 1;peer review: 1 approved]

Background: Rising food bank usage in the UK suggests a growing prevalence of food insecurity. However, a formalised, representative measure of food insecurity was not collected in the UK until 2019, over a decade after the initial proliferation of food bank demand. In the absence of a direct measure of food insecurity, this article identifies and summarises longitudinal proxy indicators of UK food insecurity to gain insight into the growth of insecure access to food in the 21st century. Methods: A rapid evidence synthesis of academic and grey literature (2005–present) identified candidate proxy longitudinal markers of food insecurity. These were assessed to gain insight into the prevalence of, or conditions associated with, food insecurity. Results: Food bank data clearly demonstrates increased food insecurity. However, this data reflects an unrepresentative, fractional proportion of the food insecure population without accounting for mild/moderate insecurity, or those in need not accessing provision. Economic indicators demonstrate that a period of poor overall UK growth since 2005 has disproportionately impacted the poorest households, likely increasing vulnerability and incidence of food insecurity. This vulnerability has been exacerbated by welfare reform for some households. The COVID-19 pandemic has dramatically intensified vulnerabilities and food insecurity. Diet-related health outcomes suggest a reduction in diet quantity/quality. The causes of diet-related disease are complex and diverse;however, evidence of socio-economic inequalities in their incidence suggests poverty, and by extension, food insecurity, as key determinants. Conclusion: Proxy measures of food insecurity suggest a significant increase since 2005, particularly for severe food insecurity. Proxy measures are inadequate to robustly assess the prevalence of food insecurity in the UK. Failure to collect standardised, representative data at the point at which food bank usage increased significantly impairs attempts to determine the full prevalence of food insecurity, understand the causes, and identify those most at risk.

Examining stakeholder’s contribution and developing a framework for food banking implementation in Ghana

PurposeThis paper aims to ascertain stakeholder’s willingness to contribute towards food banking implementation and further develops a framework for implementing food banks in developing country, Ghana.Design/methodology/approachStructured questionnaire was used to obtain response from 385 respondents using multistage sampling technique. Descriptive statistics was used to determine frameworks for food banking, whereas Heckman two-stage regression was used to analyse factors influencing stakeholder’s willingness to contribute towards food banking.FindingsThe results revealed that respondents preferred food banking with pantry, which is similar to the American model. Respondents were willing to contribute a minimum of (GH₵1–200, US$ ¢ 0.17-34.12) cedis and a maximum of GH₵ (400–600, US$ 68.23-102.35) monthly towards food bank implementation. Age, marital status and household head had a negative influence on stakeholders’ willingness to contribute towards food banking implementation, whereas income level and food bank awareness influenced willingness to contribute towards food bank implementation positively.Practical implicationsThe study gives insight on stakeholder’s willingness to contribute towards food banking via cash or kind and further develops a framework for implementing food banking in Ghana.Social implicationsThis study provides empirical contributions and vital information about stakeholders preferred food banking models and framework for implementing food banking, which Government can use as a social intervention policy to help vulnerable Ghanaians. In addition, findings from the study can enlighten and guide non-governmental organizations, individual philanthropists and other corporate bodies who want to contribute to food security, food poverty, hunger alleviation and development through food banking implementation.Originality/valueIn a developing country such as Ghana where there remains a paucity of food banking research, this study adds to existing literature by providing vital information of stakeholders preferred food banking models and frameworks for implementing food banking.

The Good Food for Learning Universal Curriculum-Integrated Healthy School Lunch Intervention: Protocol for a Two-Year Matched Control Pre-Post and Case Study.

BACKGROUND: Good nutrition affects children's health, well-being, and learning, and schools offer an important setting to promote healthy behaviors that can last a lifetime. Once children reach school age, they spend more of their waking hours in school than in any other environment. Children's eating habits may be easier to influence than those of adults. In Canada, households with children are more likely to experience food insecurity, and school food programs that are universally available to all children can support the development of healthy eating patterns across groups of varying socioeconomic status. There is a significant gap in the rigorous community-engaged academic research on the impact of school meal programs, especially universal ones. OBJECTIVE: The aim of this population health intervention research is to study the impact of a 2-year universal, curriculum-integrated healthy school lunch program in elementary schools in Saskatoon, Saskatchewan, Canada, on food consumption, dietary quality and food and nutrition-related knowledge, attitudes, and practices. METHODS: This population health intervention study will be conducted in 2 intervention elementary schools matched with 2 control schools. We will collect preintervention data, including objective measurements of food eaten at school and food-related knowledge, attitudes, and behaviors. This will be followed by the intervention itself, along with qualitative case studies of the intervention process in the 2 intervention schools. Then, we will collect postintervention data similar to the preintervention data. Finally, we will finish the data analysis and complete the ongoing sharing of learning from the project. RESULTS: This study was funded in April 2020 but because of the COVID-19 pandemic, data collection did not begin until May 2021. The intervention will begin in September 2021 and end in June 2023, with end point data collection occurring in May and June 2023. The case study research will begin in September 2021 and will be ongoing for the duration of the intervention. CONCLUSIONS: The opportunity we have to systematically and comprehensively study a curriculum-integrated school lunch program, as well as the promising practices for school food programs across Canada, is without precedent. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/30899.