Showing posts with label obesity. Show all posts
Showing posts with label obesity. Show all posts

Saturday, January 27, 2018

Water and Health in the Bronx: Protecting the Sacred

It is hard to not be awed by the scale and tremendous care that goes into supporting the gigantic system bringing water to New York City and the surrounding counties. Flowing from the Catskill/Delaware Watersheds and the Croton Watershed, approximately one billion gallons of water are consumed in New York City every day, serving 8.5 million residents as well as millions of tourists each year. In all, the New York City Water Supply System provides nearly half the population of New York State with high-quality drinking water.
It is humbling to realize just how dependent all these millions of people are on the water supply functioning the way it is supposed to. Water constitutes about 50-70% of our bodies as human beings. Water from the reservoirs, aqueducts, and street-side sampling stations is quality tested by the Department of Environmental Protection’s scientists, with nearly 630,000 analyses performed on the samples in four state-of-the art laboratories (NYC DEP).

Photo © Kelly Moltzen, NYC Watershed Tour

In my own tradition of Franciscan Catholicism, we are called to protect water as a component of creation care, protecting the Earth and our bodies as temples of God. Saint Francis of Assisi heard a call from God to “repair my house, which…is falling utterly into ruin.” While initially he took this as a call to repair a physical church, he eventually came to understand it as a call to repair the institutional Church and the universal house of God, the common home that we all share here on Earth. His spirituality grew to such depths that he came to regard Earth as Mother Earth, and water as Sister Water. By protecting water, we are protecting our health and that of our fellow sisters and brothers with whom we share the Earth. Unfortunately, in many places in the United States and across the world, oil spills from pipelines, contamination from hydraulic fracturing, and runoff from nuclear power plants and industrial agriculture threaten water supplies. Thus, I see the call to watershed discipleship as extremely important for people of faith.

Photo © Kelly Moltzen, NYC Watershed Tour

Pope Francis explained the risks of water pollution in his 2015 encyclical, Laudato Si’, which many people of faith are using to make the case for why we should care for our common home. He dedicates a whole section of the encyclical to the issue of water – noting the importance of fresh water for healthcare, agriculture and industry; the prevalence of droughts and water poverty; the outbreak of water-related diseases among the poor; water pollution resulting from certain mining, farming and industrial activities; the phenomenon of water privatization by large multinational businesses; and the link between water scarcity and the cost of food and various products which depend on its use. He also notes, “access to safe drinkable water is a basic and universal human right.”

Photo © Kelly Moltzen, NYC Watershed Tour

Yet, my concern about water quality and safety stems not just from the threats modern society and corporate greed pose to water safety. I am also concerned because water is the healthiest drink. I work at Bronx Health REACH, which partners with school districts and a number of faith-based and community organizations to promote water as the best alternative to beverages of poor nutritional quality. In this work, it is necessary to make sure we can point to sources of safe drinking water if we want people to switch away from unhealthy drinks like sodas and drinks high in sugar.
First, I’ll share a little bit about why we are advocating for people to drink more water, and then share about other environmental and health concerns related to our water system. Finally, I’ll mention the work of a number of faith-based and community organizations in and around New York City that work to ensure there is safe drinking water, and that people are accessing it in healthy amounts.

Photo © Kelly Moltzen, NYC Watershed Tour

Soda, sports drinks, fruit-flavored drinks, and other sugar-sweetened beverages may sound appealing and some drinks (such as sweetened teas) sometimes get marketed as “natural” and healthy. Society is swamped with marketing campaigns that make these consumer products sound appealing thanks to billion-dollar advertising budgets, but these products are contributing to high rates of diabetes, obesity, and other chronic diseases, with higher and higher rates of these diseases showing up in young children. In turn, this causes rising healthcare costs for dealing with these diseases.

Photo © Kelly Moltzen, NYC Watershed Tour

In the Bronx, a third of adults consume at least one sugar-sweetened beverage per day, and over half of children do. A third of Bronx children are overweight or obese, as are two thirds of adults (NYC DOHMH).
Not only do sugar-sweetened beverages contribute to the desecration of our own bodies, but often the industrial processes used to create unhealthy beverages also place undue harm on the environment and make public water sources less and less accessible to the people who need them most. None of this is healthy for people or the economy, but these practices line the pockets of corporate executives. By infusing a sense of value on drinking water, Bronx Health REACH is working to ensure the continued safety of our water supplies.

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Photo © Kelly Moltzen, NYC Watershed Tour

In addition to drinking water directly, water is also used to grow food for our local food system. Some of us in the watershed are teaching children about growing food and getting local food into schools, restaurants, and churches. There is even a farm run by Catholic sisters who sell the produce to local parishes for use in farm shares, food pantries and soup kitchens. Bronx Health REACH has been instrumental in developing a “Bronx Salad” that encourages consumption of culturally relevant foods while also encouraging community members to grow some of the produce locally, such as in community gardens. A feature of this salad is the dressing made from the Bronx Hot Sauce, which is made by a local chef with peppers grown in the Bronx. A version of this salad is becoming increasingly available in NYC school cafeterias, thanks to a partnership between school gardening and Farm to School efforts in NYC. As we seek to develop a regional food system and reduce the environmental impact of our food system, we must also seek to protect the water supplies that nourish the crops.

Photo © Kelly Moltzen, NYC Watershed Tour

While the water delivered to NYC is pristine and high quality, many New Yorkers remain skeptical of its safety. Therefore, I recently took a tour of the watershed that supplies water to NYC to learn just how safe the water is to drink. The watershed tour guide was immensely knowledgeable, and I became even more deeply aware of the tremendous gratitude and respect we owe to those who work around the clock to make sure that our water is safe. I gained an even greater understanding of the importance of ecology when learning about how the Department of Environmental Protection plants trees upstream from a river to help keep the water pure by filtering out toxins and impurities.
Despite the fact that high-quality water is delivered to NYC, I hear a lot of anecdotal concerns about water safety, at least in the Bronx. Legitimate concerns have been raised since water testing in NYC was examined more critically after the Flint water crisis. It turns out that the pipes bringing water into homes and schools are often old and made of lead, increasing the likelihood of lead leaching into our drinking water. Water samples from 2016-2017 found high levels of lead in some samples of NYC water delivered to schools, leading to outcries about the water’s safety. Even though the NYC Health Department affirms that no cases of lead poisoning have resulted from the high lead levels found in water, any level of lead that makes its way into our bodies is too much. We can reduce the likelihood of lead leaching into our water supply at the individual level by letting the water run before drinking it, only drinking water that comes out of the tap cold (since lead dissolves in hot water), or using special filters that remove lead.
Ideally, we could have well-funded public education campaigns about how to drink water safely, and to replace old pipes with non-lead pipes. But in order to get government and funders to prioritize water safety and public health, we need to tap into our internal spiritual wells, which drive us to improve the quality of life for all, and build increased momentum for the needed changes through advocacy and organizing.

Photo © Kelly Moltzen, NYC Watershed Tour

A loose coalition of organizations in the New York City area partner to ensure a safe water supply and to encourage water consumption. Food & Water Watch has policy campaigns to improve pipe infrastructure. The New York City Health Department and Bronx Health REACH have campaigns to encourage water consumption and educate people about the health risks of sugar-sweetened beverages. Water2Kids is a business started by twin children in the Bronx (with the support of their mother) who wanted to see water — instead of sugar-sweetened beverages — marketed to their age group. Groups like Religious Organizations Along the River (ROAR), the Metro New York Catholic Climate Movement (a chapter of the Global Catholic Climate Movement), and the Center for Earth Ethics of Union Theological Seminary work to protect the New York water supply from projects that could threaten the safety of our water. Churches, including Franciscan and other Catholic parishes in NYC, organize film screenings about water and other environmental issues.
As interdependent creatures, human beings must rely on one another and our ecosystems in order to access the most basic of necessities required to sustain life on Earth. Because of our reliance on our watershed and other natural resources, ensuring our water sources remain uncontaminated is vitally essential and part of the call for us to steward creation. As we are interdependent with the Earth to meet our physical human needs, so the parts of the body of Christ are also interdependent with one another. We all need one another in order to make the impacts we want to make.
It can often feel overwhelming to try and address all of the overlapping and interconnected issues related to ensuring safe and healthy water and food supplies. However, as Wendell Berry says in the documentary Look and See: A Portrait of Wendell Berry, we must work on putting the pieces together one at a time, rather than all at once — such as starting with our own watershed. By taking bite-sized steps to address our ecological crisis while continuing to recognize the interconnectedness of issues and our interdependence with the local ecosystem, we can put faith in action by creating a livable, sustainable future for current and future generations.

Wednesday, July 10, 2013

Creation Care and Public Health - Same thing, different terms?

Over 200 scientists identifying as evangelical Christians signed a letter that was released today calling on Congress to pass meaningful legislation to address climate change. This is remarkable evidence that science and religion should be seen as complementary. As Dr. John Roe and others have pointed out, "many see science itself as an integral part of God's plan for the world." The evangelical climate change letter is part of Sojourners' creation care campaign, which calls on our moral obligation to care for God's creation.

I've been thinking more and more about the term "creation care" since I attended the National Mobilizing Circle training at Sojourners last summer where we had invigorating discussions about climate change and environmental justice. More recently, I've started thinking about creation care from a Franciscan perspective. Through the eyes of St. Francis of Assisi, the divine is found in all of creation, and we all exist in interdependence with the rest of creation.  Using this rationale, human beings not above or below the other parts of creation - the land, the oceans, the plants, and the animals.  And as Lisa Sharon Harper has pointed out, the Hebrew words of Genesis 1 tell us that it is the ties between things that are "forcefully good." If we live in right relationship with the rest of creation, there is justice and peace in the world.  But when we don't live in right relationship with the world, injustices abound, and the health of people and the earth suffers.

If you're not yet completely sold on the idea of our absolute interdependence with the rest of creation, perhaps some discussion would help.  Through the leadership of 200 evangelical scientists, we've established the scientific underpinnings of climate change are real and this constitutes a moral imperative to care for creation.  And the industrial food system is intricately connected with climate change, as I've demonstrated here.  The industrial food system is also connected to such injustices as hunger and health issues, with a billion hungry and a billion overweight people in the world.  Most of these people suffer because they can't afford healthy food to nourish their bodies.  This results from economic injustices such as a failure to pay workers living wages which would allow them to afford the food they need to live a healthy lifestyle. Plus, many of the world's hungry are actually the farmers who grow our food; because of corrupt governments and corporate agreements, land is pulled out from under people all the time through land grabs, thereby exacerbating food security issues. And when people can't afford food and don't have access to the land and water needed to grow food, turmoil and war often results, leading to more unnecessary casualties.  On the flipside, people who only have access to nutrient-poor, calorie-dense foods tend to develop diet-related diseases which wind up costing us billions of dollars in healthcare - unnecessary costs which drain our wallets and exhaust our economy.

So when it comes down to it, when we don't care for the earth and each other and nourish ourselves with the exquisite bounty that our Creator has provided for us, we destroy our health and the earth's health, and it leads to a mess of social injustices which exacerbate the health issues.  But when we learn to see ourselves as part of creation that needs to be cared for and create the conditions and supportive environments in which people can lead healthy lives, we can impact the social determinants of health and improve the health of all of creation.

Thursday, December 27, 2012

Food justice in 2012

It's been an busy, exciting past couple of months in the world of nutrition, food justice, and food system advocacy. The Hunger & Environmental Nutrition (HEN) Dietetic Practice Group of the newly re-named Academy of Nutrition and Dietetics (formerly the American Dietetic Association) finalized a new set of Corporate Sponsorship Guidelines to guide the sponsorship activities not only of HEN, but also to serve as an example of what many Academy members, Registered Dietitians, and other nutritionists would like to see as the guidelines adopted by the Academy at large.

The Environmental Working Group launched the "Good Food on a Tight Budget" shopping guide, and HEN held a webinar to give an overview.  (Info from this webinar, as well as other HEN webinars on GMOs and "Healthy Institutions: Strategies for Farm to Tray," are on the HEN website).

The HEN delegation at the Academy of Nutrition & Dietetics 2012 FNCE conference held in Philadelphia, organized several exciting events, including a Spotlight session entitled "Systems Approach to Ending Hunger: Exposing the Origin, Uncovering Solutions," which included a talk by Dr. Hans Herren, co-chair of the International Assessment of Agricultural Knowledge, Science and Technology for Development (IAASTD) study, the world's premiere study of agriculture in relation to hunger, poverty, nutrition, human health, and environmental and social sustainability (here's a similar talk to the one he gave at FNCE).

In honor of CSPI's second annual Food Day, Anna Lappe launched "Food Mythbusters" ("Do we really need industrial agriculture to feed the world?"):


Oxfam continued spreading awareness about its GROW Food Justice Campaign "to build a better food system: one that sustainably feeds a growing population (estimated to reach nine billion by 2050) and empowers poor people to earn a living, feed their families, and thrive." To do this, they launched this video (also embedded below), launched the Future of Agriculture video and had an online discussion, and spearheaded the consumer-friendly "GROW Method" of eating in such a way that promotes environmental sustainability, supports small-scale farmers, reduces hunger and food waste, and promotes health. They even launched a Facebook app and have tons of GROW Method-friendly recipes on Pinterest.  Here's a nice infographic from Oxfam about what's wrong with our food system.

Another great video, along the same lines of describing the global food crisis & how to fix it, is "Feeding Nine Billion":


The Institute for Agriculture and Trade Policy shared their Draft Principles of Food Justice, created after the Food + Justice = Democracy conference in September.

Ellen Gustafson and Danielle Nierenberg are launching "Food Tank: The Food Think Tank" in early 2013, which with their combined experience in navigating the food system should be an exciting initiative. Here's an article by Danielle in the Huffington Post, "13 Resolutions to Change the Food System in 2013."

Christina Schiavoni, food sovereignty advocate and moderator of Oxfam Action Corps NYC's International Women's Day event in March, moved on from her position at WHY Hunger to focus more intensively on food sovereignty from abroad, but not before imparting the wisdom about the film "Growing Change" about food sovereignty in Venezuela, which I am hoping we can organize a screening of in the coming year.

When Hurricane Sandy hit, Occupy Faith NYC made the connections between those hardest hit in Rockaway and Cuba:  climate change inevitably has a greater impact on the poor.

Locally:  The NYC Nutrition Education Network held a "Sustainability in the Food System" event in March (here's a resource list from the event).  Bronx Health REACH held a Bronx School Health & Wellness Conference in May, and published a newsletter documenting this and much of our other nutrition and fitness work.  The "Just in the Bronx: Our Voice, Our Choice" Summit was in September, where Professor Mark Naison from Fordham University gave the keynote address (which you can read on the Bronx Health REACH blog).  At the Summit, there was a Call to Action for both community members and elected officials, in regards to how we can improve the health of the Bronx.  Bronx Health REACH also became the borough-lead for the Community Transformation Grant in NYC - focused on improving healthy eating, active living, and reducing alcohol and tobacco - which is being overseen by the Partnership for a Healthier NYC.

I learned about the Ironwill Foundation, a great organization that does nutrition education classes for parents at the Mercy Center in the Bronx, and numerous middle schools throughout NYC and Newark, NJ with the Ironwill Kids PowerUp! curriculum. (video!).  I also got to see the premiere of the film "Soul Food Junkies" at Lincoln Center, which will be broadcast nationally on PBS on January 14, 2013 at 10pm.

Since seeing the film Forks Over Knives over a year ago (which does a good job promoting a plant-based diet), I heard some critiques about its subjectivity and even had doubts about a few things myself. Then I read some of this critique of The China Study, which delves deep into the scientific literature and should keep any scientist, doctor, or dietitian busy for a while.  Suffice it to say, I still believe the Oxfam GROW Method is the ideal way to eat to support health and environmental sustainability.

If you learn nothing else from reading this post, you should know that the food system is broken.  There are many contributing factors to this, but a considerable portion can be traced back to the actions of a few multinational food conglomerates and governments which support these corporations.  This happened with NAFTA, which favors the US in trade agreements and basically dumps overly subsidized grain products onto other countries, driving the price of these commodities down so low that many farmers in the developing countries receiving the grains can't make a living farming anymore, thereby becoming economic refugees, fleeing to the US (how ironic) as immigrants, trying to make a new life for themselves. This is what The Other Side of Immigration looks like and is the irony of the Harvest of Empire.  The impact of corporations and their ability to undermine communities (and even governments) has the potential to become exponentially worse if we don't pay attention to the Trans-Pacific Partnership, a new free trade agreement that has been questioned — if not outright opposed — by environmental, consumer, indigenous, family  farm, labor and other social justice groups on four continents.  We must plead that governments don't blindly sign on to this, especially without the text being made public.

As food justice advocates, we can spread the messages about the food system and those working to change it for the better (documented here and on the Food for Thought and Action Facebook page!).  We can choose food that's healthier and better for the environment, abiding by Oxfam's GROW Method. We can teach kids about nutrition, growing food, and environmental sustainability - which Leave It Better does quite well. We can demand that companies uphold the principles of promoting health and sustainability, as outlined in HEN's Guidelines. We can also organize together with faith communities, such as the Federation of Protestant Welfare Agencies Jeremiah Leadership Council / NY Faith & Justice's Food Justice Working Group in NYC, to make changes personally and organizationally, and advocate for changes to the food system at large.  (twitter: @foodfaithhealth)

It would not be possible to make this post completely comprehensive of all the great work of food justice advocates or even all of the initiatives I've learned about this year, but hopefully this provides you with some good food for thought and action :)  And just for kicks, here's some more good info not mentioned above.  Happy 2013!


Friday, February 24, 2012

New York City’s FreshDirect Deal – Just Doesn’t Go Far Enough

A Bad Deal from the Start
On February 7th, Mayor Bloomberg, Governor Cuomo, and Bronx Borough President Diaz announced a deal that provides FreshDirect with $127.8 million in taxpayer money to subsidize a relocation of FreshDirect’s headquarters from Long Island City to the Harlem Rail Yard on the South Bronx waterfront.  Two days later, the NYC Industrial Development Agency (IDA) held a hearing on the FreshDirect deal to give provide community members with an opportunity to voice their opinions before the deal was sealed.   South Bronx residents have real concerns about the impact of the FreshDirect deal on the environment, promised job creation, living wages, acceptance of EBT (food stamps), and the inaccessibility of FreshDirect services to South Bronx residents.  Residents came together under the title of “South Bronx Unite: Stop FreshDirect” to speak out against the deal.  South Bronx Unite members have created quite a buzz within the city, raising awareness about the city’s failure to provide community members with a real opportunity to voice their opinions before the deal was decided upon.  South Bronx Unite members have created social media outlets (blog, facebook and twitter) to get the word out about their disapproval of the FreshDirect deal.  There has even been a Change.org petition created to stop FreshDirect from building its new headquarters in the South Bronx. 
The opposition to the FreshDirect deal has been covered in media outlets all over the city, from El Diario to the New York Times.  New York City Council member Melissa Mark-Viverito and NYC Comptroller John Liu have both publicly expressed their disapproval of the FreshDirect.  Despite the opposition to the deal, the IDA held its board meeting on February 14th – which was attended by members of South Bronx Unite – and the FreshDirect subsidy deal was voted on in the affirmative by all parties present except Comptroller Liu.  South Bronx Unite members are demanding to see the Environmental Impact Assessment conducted on the Harlem Rail Yards; for the City Council to demand oversight hearings of the NYC Economic Development Corporation; and for NYS Attorney General Eric Schneiderman to audit the Harlem River Rail Yards deal.  South Bronx Unite members would also like to see Bronx Borough President Ruben Diaz hold a public meeting where all South Bronx residents would be invited to express their concerns. 
These concerns are real ones, too. While the Bronx Borough President put together a Memorandum of Understanding to try and address the concerns of South Bronx residents, the MOU is non-binding and does not adequately address the concerns:
·    Lack of democracy: Since the very beginning, there was a lack of a true democratic process that would provide community members with enough time to express their opinions before the decision was made. 
·    Environmental Impact:  There has not been an adequate environmental impact assessment conducted on the site, nor has any environmental impact analysis been provided to members of South Bronx Unite.  The promise of using a small number of alternative fuel vehicles doesn’t adequately address the concerns of having an additional 130 trucks per day on the road in the South Bronx – already home to highest asthma rates in the country – nor the increased truck emissions that would come from the removal of more than 380 tons of solid waste per month.
·    Job creation:  FreshDirect is promising that almost 1000 jobs will be created over the next 10 years, which may sound like good news to Bronx county with some of the highest poverty rates in the nation.  But there are no written guarantees to ensure that a certain number of these jobs will be provided to South Bronx residents.  Further, past recipients of IDA subsidies have not have a good track record of holding true to promised job creation:  ALIGN – the Alliance for a Greater New York – has reviewed the State Comptroller’s data and found that for the NYC IDA: “Only eight of the 23 IDA subsidized projects that ended in 2009 met or exceeded their job creation promises.”  In addition, the amount of money being provided through the subsidy deal is out of proportion compared to the amount of money given for job creation in previous deals. According to Comptroller John C. Liu’s office, “A few months ago, the EDC attracted a world-class university by promising $100 million in capital for a project that by their own estimate will generate 30,000 jobs. Now the EDC is giving close to $100 million to create 962 jobs.  The cost to the City is $93,000 for each new job.” 
·    Living Wages: While nearly 40% of current FreshDirect employees make less than $25,000/year, FreshDirect would be exempted from any local living wage mandates adopted by the city.   According to the New York Times – City Room, “As it stands, the city will pour about $130 million into a modestly profitable company over a decade without requiring that it pay more than $9 an hour to workers who labor in frigid warehouses hauling 50-pound boxes. The workers get less than two weeks off a year, and that includes sick, personal and vacation days.”
·    Labor Practices:  As described in South Bronx Unite’s message to the NYS Attorney General, NYC Comptroller, Bronx Borough President, NYC Economic Development Corporation, Empire State Development, and NYS Energy Research and Development Authority: “Numerous complaints have been filed with city, state and federal agencies regarding FreshDirect’s labor practices, including 27 discrimination and nine unfair labor claims against FreshDirect in the last four years alone.  The description of wages and employment in FreshDirect’s NYCIDA application fails to provide taxpayers with enough information to gauge the quality of jobs, including with respect to salary or how many jobs are part-time or full-time.”  
·    Acceptance of EBT: As pointed out by Joel Berg of the NYC Coalition Against Hunger, the MOU does not identify FreshDirect as officially agreeing to accept food stamps: “Fresh Direct previously sought to accept food stamps, had been prevented by doing do by "the State", and that Fresh Direct and the Bronx BP would work together to ‘continue these efforts’ to try to get accept food stamps through EBT.  Unfortunately, Fresh Direct's story that they were prevented from accepting food stamps by "the State" is likely untrue. Under federal law, only USDA, not any state, has the power to decide which retailers can or cannot accept food stamps.”
·    Servicing the South Bronx:   FreshDirect has never and currently does not serve the South Bronx – only the wealthier areas of the Bronx such as Riverdale.  FreshDirect has only discussed expanding to “new Bronx neighborhoods.”  The Bronx Borough President’s office created a facebook page to “illustrate to the company just how many Bronx residents are willing to not only use their service, but have the technical capabilities to do so.” (FreshDirect is an entirely online grocery ordering and delivery system. As the Bronx includes one of the poorest Congressional districts in the nation, many residents do not have readily available Internet access.)  So far, the Borough President’s facebook page has accumulated more opposition than support for the FreshDirect deal.  So has a Crain’s poll.
·    Misuse of public land: As described by South Bronx Unite, “The proposed site at the Harlem River Yards in The Bronx is owned by New York State Department of Transportation and has been leased for 99 years to Harlem River Yard Ventures II (HRYV), which is 95% owned by the Galesi Group.  The purpose of the Harlem River Yards project (together with its partner project, the Oak Point Link) was to reduce air pollution by decreasing truck traffic and to help avoid $500 million in public road improvements through development of a Full Freight Access Program, which has not been developed in the more than 20 years that HRYV has held the lease.  Instead, the Bronx community has had 1.9 miles of waterfront made inaccessible to the public.”
·    Greenway and Waterfront Access:  As described in South Bronx Unite’s message to the Borough President, “Harlem River Yards is essential to a Harlem River Greenway as a necessary Bronx West - East connection from High Bridge and the Harlem River Greenway to the South Bronx Greenway and Randall’s Island.  The New York City Economic Development Corporation (EDC) has been negotiating for some time with HRYV to create access to a pedestrian bridge, currently under construction, that will link the South Bronx Greenway to Randall’s Island and then to Queens and Manhattan (the “Connector”).  The Connector will provide a safe and legal means to cross an important waterway that unites the Bronx with the open space and green playing fields of Randall’s Island.  EDC is now granting more than $100 million in public subsidies to FreshDirect, some of which will be allocated to Harlem River Yards, when HRVY has so far refused to grant an easement to complete the vital Connector project through the Harlem River Yards.  Equitable land use, in accordance with the public trust doctrine, includes meaningful waterfront access and recreational opportunities in addition to the swift completion of the Connector.” 
With all of these concerns, members of “South Bronx Unite” would prefer “a community-led development plan that makes efficient use of nearly 100 acres of public waterfront land and incorporates sustainable development, living wage jobs, clean air and waterfront access for South Bronx residents.”  
A Better Solution
As for improving access to healthy food, landlord and developer Steve Smith has crafted a vision for a regional food campus at Oak Point in the South Bronx, that would provide access to “locally grown, locally raised, locally made” food for South Bronx residents and the larger NYC area.  While the plans are still under development, Paul Lipson, consultant to the project, presented at Bronx Health REACH’s February 2012 Nutrition and Fitness Workgroup meeting. Here's the story: 
A 2003 study gauged the unmet demand for local and regional agricultural products at upwards of $1 billion in the New York metropolitan areas.  The proposed 130,000 sq ft regional food hub would house GrowNYC’s Wholesale Farmers Market and would serve as a non-profit aggregator of growers so upstate and regional growers can have a space to access markets.  There would be an opportunity for store owners and community members to access produce directly. Co-located next to the largest wholesale grocery and restaurant supplier in the New York metro area, it would be convenient for middlemen and store and restaurant owners to do all their shopping in one location. The operation could include a “market within a market” allowing products to be sold directly to Jetro and Restaurant Depo, as well as bodegas, small to medium-sized grocery stores, and small (10-20 table) restaurants.
Plans include a kitchen on the second floor, which would create many jobs for artisanal food manufacturing.  They would also like to create a wash and chop facility – something sorely needed in the city – which would allow everyone – from bodegas to institutions such as the NYC Department of Education Office of SchoolFood – to make more direct use of local produce.
Smith hopes to add a rooftop hydroponic greenhouse operation serving grocery and grocery delivery chains in the New York metro area; an agricultural cooperative aggregating over 60 regional growers and producers; a borough-based brewer of beers and ales (the Bronx Brewery currently brews in Connecticut); a Bronx-based caterer and institutional food service providing meals for charter schools and senior centers; and a produce distributor serving NY metro area.
Moreover, this project would save a lot on carbon emissions, fuel and transportation costs due to streamlining of operations and logistics. Individual farmers would not have to send their trucks to the city, but rather the Oak Point facility could send its trucks to them to pick up their produce and then deliver “tropicals” and other items available only in the city to them on the return trip. 
Located on 9.6 waterfront acres, a ½ mile east of the Triborough Bridge and ½ west of the Hunts Point Food Distribution Center, there would be rail and deep water access, thus creating a means for a true regional food hub. 
This whole project is dependent on subsidies – albeit, a tenth of the price of the subsidies the City is planning on giving to FreshDirect.  While it may not “promise” as many jobs as the FreshDirect deal, the jobs would provide workers with living wages, and the regional food campus would have many benefits and implication for public health, including air quality benefits, improvements to institutional food, etc.
Steve Smith and Paul Lipson are currently looking to connect with small food businesses and growers cooperatives that would like to share a food kitchen.  They are seeking support from the City Council and other elected officials to provide public subsidies for the project.  Paul can be reached at paul (at) barrettobay (dot) com

Thursday, August 18, 2011

If only all bodegas looked like the one on the northwest corner of 96th & Lex...

Promoting healthy items in corner stores is one of those hot topics in public health right now.


(Market Makeovers video)

Yet, this fad is only beginning to take off in places like the Bronx. I've been working at Bronx Health REACH for the past year, where several years ago the staff were involved in a campaign to promote healthy snacks in bodegas. Well, now it's time to actually encourage community members to advocate for changes to the bodegas themselves, such as through the city Department of Health's Adopt a Bodega initiative.

If community members in schools and churches are educated about the importance of consuming healthy foods, provided some instruction as to how to prepare said healthy foods, and empowered to work towards changing the food environment, would this be enough to actually create lasting change?  I can't say for sure, but I'm excited to find out.

The city's Adopt a Bodega program encourages people to talk to their bodega owners about possible changes they could make to the bodega to promote consumption of healthier foods. They could work towards changing the store inventory, marketing / advertising practices, and/or do a store cleanup, improving the overall look and cleanliness of the store.  Partnerships may be with local schools, churches, or other community-based organizations such as community centers.  (More information available in the toolkit here.)
I think a particularly interesting Adopt a Bodega / community food assessment project could be worked through Citizen Schools, an expanded learning day program in some middle schools in low-income neighborhoods across the country.  The students would get to work on the project 90 minutes per week for 10 weeks, and then present their work to peers and parents. Who knows how many ripple effects this could have.

In my quest to figure out how to get fresh, local produce from the Wholesale Market at Hunt's Point (the largest food distribution center in the country, located in the Bronx) into Bronx bodegas, I found out about a bodega on the border of Harlem & the Upper East Side that judging by its inventory, seems more like a health food store you would find in Brooklyn than a bodega. But I think if folks from the Bronx were exposed to the items sold in this healthy bodega, mixed with some nutrition education information about the foods sold at that store, they would be more engaged in looking to make some of those healthy changes to the bodegas in their own neighborhoods than if they hadn't seen the healthier version.  First-hand experience in visually seeing / learning about alternatives to the status quo can speak volumes.

Here are some photos I snapped of the bodega at the northwest corner of 96th & Lexington:

Lots of produce
Unsalted, raw nuts that you package yourself!
Apples from New York State
Good, healthy staples available: almond milk, vegetable broth, organic tomato sauce...heck they even have the BPA-free Eden Foods canned beans

And some good, quality grains.

Aside from Bronx Health REACH, one of the NY Faith and Justice food justice working groups is also working on an outreach plan to encourage more churches to Adopt a Bodega. You can access the page here: http://nyc.changeby.us/project/451 or email the group at business.outreach@nyfaithjustice.org,

Friday, January 8, 2010

Re-evaluating Obesity

I saw an open heart surgery a few weeks ago. And I never want to see another one in my life.

What the food industry has done to us is very disturbing. It's messed with people's minds and mouths. It's made our country and much of the world obese. And we can't stand for it any more.

CBS gets this message: they aired Where Americans Stand on Obesity yesterday and pointed out that the American Dietetic Association is sponsored by companies such as Coca Cola, PepsiCo, and Mars.

But luckily, the Hunger & Environmental Nutrition (HEN) Dietetic Practice Group of the American Dietetic Association also gets this message. We have an ADA Corporate Relations Sponsors Review Task Force and are developing a survey that will go out to HEN members (and other registered dietitians eventually) to obtain data we can present to ADA so that this organization can start to change its practices.

This is one of the things that has to happen if we are ever to solve the obesity crisis in this country. Another thing we have to do is reexamine our practices, see if they're aligned with our morals, and most importantly rethink the questions we're asking so that we can learn from our mistakes (as Jim Wallis argues in his new book Rediscovering Values on Wall Street, Main Street, and Your Street: A Moral Compass for the New Economy). And don't ever forget, everything's related: the rise in obesity and chronic disease is related to the economy - it has drastically increased the amount of money being spent in our sickcare system...billions of dollars are being spent treating chronic diseases. What did centenarians do centuries ago?? Not spend billions of dollars on a sickcare system, that's for sure.

Let's start with a few new questions, then. First off: What guidelines should we be using to determine the food we put into our bodies? In Michael Pollan's new book Food Rules, he lays out 64 simply put guidelines for what foods to eat, such as "don't eat anything your great-grandmother wouldn't recognize as food," "avoid foods you see advertised on television," and "don't eat breakfast cereals that change the color of the milk." For the reader who wants a bit more detail, check out Marion Nestle's book What to Eat.

Here's another question: What's the root cause of the obesity epidemic? My answer: agricultural policy. Corn and soy subsidies and a Farm Bill limitation on growing fruits and vegetables, supported by no other than the specialty crop growers who don't want the prices of fruits and vegetables to go down because then they will lose money. That's why I wrote an independent study paper for Marion Nestle last semester on the corn and soy subsidies. (Which, by the way, I'm going to revise and revise until it's good enough to be taken seriously by people with power. So if you want to contribute to the conversation, by all means share your thoughts with me.)

Let's do this. Growing our own food is so much better than open heart surgeries.

Wednesday, October 28, 2009

Hello, world

Apologies for not posting in quite a while, this semester hasn't allowed much time for blogging due to the time constraints of a dietetic internship and classes at NYU. I have, however, continued to post interesting links and events on my twitter page, twitter.com/kellymoltzen.

Aside from everyday clinical dietetics, other activities I am currently undertaking:
-Working on a green foodservice project for the national VA - we are surveying foodservice directors and providing resources for them to green their foodservice production systems
-Learning about the awesome cultural transformation program of the VA
-Attempting to write a paper on the commodity system as an independent study with Marion Nestle (corn and soy subsidies lead to increased production of unhealthy foods by the food industry which leads to obesity)
-Taking an International Nutrition course
-Taking a course on Assessing Community Health Needs. Our group is looking at the issue of tobacco smoking within the Mexican immigrant community of Jackson Heights, Queens
-Trying to stay updated on all the other sustainability and food happenings of NYC (including with Oxfam Action Corps NYC, the NYC Foodprint Alliance, etc)
-Planning the beginnings of a student group of the DIFM DPG (Dietitians in Integrative and Functional Medicine Dietetic Practice Group of the American Dietetic Association) (twitter: @adadifm) (facebook: ADA Dietitians in Integrative and Functional Medicine (DIFM))
-Trying to keep up with emails including the HEN DPG list-serve
-Co-chairing a task force on the issue of ADA sponsorship with the HEN DPG (should've seen that one coming)
-Attempting to plan an event with charity:water at NYU for the spring through the NYU Steinhardt Public Health Student Group

So, sorry I have not had time to post more often. Just wanted to update this blog during the month of October :)

Sunday, August 30, 2009

No more of this sick-care system; we need a public option plan

The healthcare debates have gotten more intense since my last post. It seems as though most of the politicians want to pass a healthcare bill that doesn't have a public option; but as I've heard multiple times, if it doesn't include a public option, it's not healthcare reform.

Why do we need a public option in healthcare reform? Well, there are many issues with our healthcare system as it now stands. We spend more on healthcare than any other country yet don't rank nearly as high in terms of life expectancy and overall quality of life as some other countries which have more of a public option plan in their healthcare system. Maggie Mahar, author of the book Money-Driven Medicine that got made into a documentary, explains that three decades of research at Dartmouth University show that this is due to the fact that there is a great amount of waste in the system - nearly one third of the more than $2 trillion spent on healthcare is spent on "ineffective, often unproven procedures, overpriced drugs and devices, that are no better than the drugs and devices they are replacing... unnecessary hospitalizations, unnecessary tests." There is no limit on spending for healthcare in the US, and it has gotten out of control. Another point made in the documentary is that our system is based on physicians "doing" things (tests, procedures, appointments) instead of being focused on improving the health of the patient. We don't have a patient-centered model anymore, even though medical students take the Hippocratic Oath to put the patients first. Why is this? Because medicine and healthcare have become intertwined with the free market economy of the US. Hospitals took a corporate model when they began to hire MBA professionals as CEOs of hospitals instead of MDs. Doctors are influenced by the pharmaceutical industry and product makers who are trying to sell items to them, and the patient-centered model takes the back burner because doctors are getting paid based on the most expensive tests they can conduct, not on the most efficient way they can instill positive healthy change in their patients. This corporate model has its foundations in being legally bound to put its shareholders first (i.e. in front of the patients). Maggie Mahar says that in healthcare, this is akin to the Swahili saying that "'when the elephants fight, the grass is trampled'; - the patients are essentially the grass."

Concerned citizens and patients are not the only ones who have an issue with our sick-care system (as that's what it really is). Many physicians have expressed frustration with not having enough time to spend with patients, and feeling that they are being told what to do although that may not necessarily be the right thing to do. They fear that the quality of care they are providing for their patients is diminishing. There's not just one blameworthy party here - the failing system is a product of the clash between the free market economy and the need to provide healthcare. It's a shame we let it get this far, with nutrition-related healthcare issues spiraling out of control and doctors not even being taught sufficiently about nutrition during medical school. I often wonder why med students take the Hippocratic Oath to help their patients, and yet don't follow Hippocrates' mantra "let food by thy medicine and let thy medicine be thy food." At least physicians are starting to band together for Physicians for a National Health Program and the Physicians Committee for Responsible Medicine. Given the incredible debt most medical students find themselves in due to med school tuition and malpractice insurance costs, in addition to an institutional emphasis on "more, more, more" tests and procedures, many med students are taking the more lucrative path of specialties, instead of the much more needed, much less respected and underpaid primary care physicians - but not all of them. One medical student at SUNY Downstate Medical College who has not yet been discouraged from primary care has started a blog and Primary Healthcare Discussion Group. He understands that doctors need to focus more on preventive strategies such as nutritional interventions. In regards to our healthcare system, he says we must hope that "US health care gets some form of huge overhaul for the better in the next year(s), otherwise Healthcare itself may become the cause of morbidity and mortality not only on the growing uninsured, but also on all other sectors of American society." According to the Money-Driven Medicine documentary, the corporate healthcare model cannot be sustained because eventually, only the extremely well-to-do patients will have access to it.

We also need a more patient-centered model - and I believe we should use the model that Dr. Neil Calman, the President of the Institute for Family Health, has been using since 2002. He uses EPIC, a Health Information Technology (HIT) system that involves the patient in every step of treatment, from the physician going over charts with a patient and determining a present state of illness, to deciding what the plan of treatment will be and ensuring the information is easily understandable and accessible for the patient to take home after the appointment is over. Dr. Calman explains that the HIT he is such a proponent of (he's on President Obama's HIT advisory board) is that of a "myChart" system where the patient records are available to the patient, and the patient is able to access their medical records online from home as well as send secure emais to their provider. HIT does not refer to a network of information to be shared in between different healthcare institutions for the case of patients who move from one hospital to another - that he refers to as Health Information Exchange (HIE).

I had the opportunity to attend the healthcare rally in Times Square on Saturday Aug. 29, where three thousand people showed up to express their desire for a public option in healthcare reform. There's a lot of confusion as to what a single-payer healthcare system or public option would entail, and if it would cut benefits etc etc. But as discussed in my last post, there's no need to worry about what would happen if (God willing) we can pass a public option plan. There are several really good resources you can check out for more information - "Reality Check" put out by the White House, Tim Foley's change.org healthcare blog, and the House Committee on Education and Labor's website on America's Affordable Health Choices Act.

It doesn't end here, though. Corporations such as the pharmaceutical industry and medical product makers aren't the only ones influencing the healthcare industry. Corporate sponsorship is a huge issue for many organizations, and one I have struggled with as a member of the American Dietetic Association. ADA corporate sponsorship has led to many dubious nutrition recommendations and there are many people who do not respect dietitians and the ADA because of this influence. The ADA supports the use of the USDA's food guide pyramid recommendations, which is influenced to a large extent by lobbying from the dairy and beef industries, according to Marion Nestle's book Food Politics. This understandably has led to a lot of confusion among the general public as to what should be regarded as a healthy diet, which logically is a partial contributor to the upsurge of obesity, diabetes, and heart disease epidemics. (There are other issues, of course - such as corporate advertising of unhealthy food, as well as unsanitary and dangerous chemical treatment of foods - but you can read about these elsewhere on this blog.)

Fortunately, there is a progressive group of dietitians that belong to a subgroup called the Hunger and Environmental Nutrition Dietetic Practice Group, which has some pretty strong advocates who are on the verge of making a taskforce to take on the corporate sponsorship issue within the ADA. The importance of changing to sponsors who are more concerned about public health should not be underestimated. It's embarrassing that I have a bag from an ADA conference that has a logo proudly announcing its sponsorship by PepsiCo.