New food systems partnership to aid disaster response in Del Norte, Humboldt, Mendocino, Sonoma, Napa and Marin counties

To improve people's access to food during disasters, University of California Cooperative Extension advisors Dorina Espinoza and Julia Van Soelen Kim received a combined $1.5 million from the USDA Agricultural Marketing Service Regional Food Systems Partnership Program and crucial matching contributions from local government, nonprofits and foundations. Over a three-year period, they will create a California North Coast Emergency Food System Partnership across six counties – Del Norte, Humboldt, Mendocino, Sonoma, Napa and Marin – to strengthen local and regional food systems and build community resilience.

“We wouldn't have been able to access these funds without UC providing the backbone,” said project partner Suzi Grady of Petaluma Bounty, an urban farm and food security project. “The trusted relationship with UC allows us to broaden our reach and scope; the neutrality piece is also really important. It's a natural fit for UC to step in.”

While some organizations are highly visible responding to disasters by feeding, clothing and sheltering people, UC Cooperative Extension coordinates efforts behind the scenes. Acting as the connective tissue, UC Cooperative Extension helps link local response efforts with service providers and local governments to ensure communities get food assistance during disasters and to strengthen food systems resilience.

Grady added, “I'm excited by this opportunity because UC can provide evaluation, reflect back to us what happens in disasters, and help build our collective capacity when those of us who are busy doing are too busy to step back and reflect. Having academic partners helps us retain institutional knowledge, learn from the past and strategize for the future."

Meredith Knowles with the Del Norte and Tribal Lands Food Security Project agreed, “I have seen so many times that the relationship building, coordinating and making space for sharing is so important and the momentum that comes from that is powerful. I'm excited for the space to share that.”

Learning from past disasters

Following earthquakes in Humboldt County last December, UC Cooperative Extension advisor Espinoza took part in the Community Organizations Active in Disaster or “COAD,” collaborating with local government, agencies and organizations to support a Local Assistance Center in Rio Dell, the town hit hardest by the quakes.

Espinoza and partners worked to connect impacted neighbors with local, state and national services, including ensuring community members could access food right in their community through the local food bank and local food trucks, which prepared meals for residents who were unable to use their kitchens.

In January, with storms in the forecast, Mimi Enright, UCCE Sonoma County community food systems program manager, activated the COAD's Emergency Food Group in Sonoma County. She discussed with Van Soelen Kim, UCCE North Bay food systems advisor, as well as local emergency food providers, how their network could respond to food needs that might arise if flooding occurred. 

“Before the storm, we met and asked, ‘What populations might be most impacted? What organizations might be offline because of the storm? Who will be able to deliver groceries and meals to sites in the community?'” Enright explained. 

Further north in Del Norte County along the Oregon border, there are limited entry points and no major highways, leaving the region vulnerable to natural disasters. Road access to and from the county is frequently blocked by landslides, wildfires and floods, resulting in disruptions to food deliveries.

The Del Norte and Tribal Lands Community Food Council – a group that works to build a more local food system by providing healthy, culturally appropriate food to families – learned from past closures and from the pandemic the importance of having local and regional systems in place to better respond to the emergencies that impact the isolated area of the state. Their Choice Pacific Pantry includes local products in its food distribution programs and their Pacific Fresh Mobile Market brings food directly to vulnerable rural communities with limited access to nutritious food.

Over the past five years, Northern California has experienced catastrophic wildfires, floods, landslides, drought, earthquakes and the pandemic, all of which have put increasing pressure on local producers, the local/regional food system and emergency food aid.

“Food is implicated in every disaster,” said Patti D'Angelo Juachon with the Marin Community Foundation.

Through the various challenges to their communities, Espinoza, Enright and Van Soelen Kim have extended their expertise related to emergency food systems. Collectively the UCCE team has gained firsthand knowledge about what works well and what doesn't in getting local food to food-insecure community members. They hope to share this knowledge with partners regionally and expand collaboration at a larger scale.

“Local food production is critical to the resilience of the North Coast,” said Lynda Hopkins, Sonoma County District 5 supervisor. “I'm thrilled that UCCE will be working with our farmers to ensure that we can feed our residents healthy, local food no matter what disaster we're facing – be it future flood, fire or pandemic. This is a huge step towards food security for Northern California!”

Collaborating across the North Coast

The grant-funded North Coast Emergency Food System Partnership brings together a diverse set of partners including food producers, food policy councils, community-based organizations, local and tribal governments, Cooperative Extension, and emergency planners to build on shared experiences from responding to natural disasters and emergencies. The project will assess needs and resources – such as locations of farms and gardens, emergency food providers and evacuation centers – to understand community assets and resources that can be leveraged in disasters.

“The Regional Food Systems Partnership Program will help to build a more resilient and stable food system in times of disaster and in times of stability,” said Heather Irwin, founder of Sonoma Family Meal. “This is very important work for the future of Northern California disaster relief efforts, and we are excited to be part of it. During disasters, Sonoma Family Meal coordinates resources between the restaurant industry and emergency meal providers in order to provide quality emergency meals for those who have been impacted.”

One way the team hopes to strengthen local and regional food systems is by reducing the risk of lost income and creating additional market channels for local food producers in emergency food supply chains. The team also plans to create a network of partners, develop emergency feeding plans, and inventory local emergency food supply chain infrastructure. They also plan to create recommendations for policies and practices that support local/regional emergency food supply chains.

A typical day for Dee Keese starts with a 10-mile walk at 5 a.m. and her morning wraps up with a swim. Although Keese is in her late 70s, her daily routine would not surprise you if you knew what she has been doing for the last 48 years.

For nearly a half-century, Keese has been the 4-H community leader for the Palos Verdes Peninsula (PVP) club in Los Angeles County. A youth development program managed through local University of California Cooperative Extension offices, 4-H uses hands-on learning experiences to empower youth to build self-esteem and connect with their communities as emerging leaders.

“When you're pushing 80, working with young people helps to keep you young,” Keese said.

4-H has been a game changer in many ways

In the 1970s, Keese moved to the Palos Verdes area with her first-born son who had a learning disability. Others treated him differently in school, and it didn't help that he was the new kid in town. A neighbor encouraged Keese to enroll her son in 4-H.

“She told me, ‘You've got to put your son in 4-H so he can feel good about himself,'” explained Keese. “And let me tell you, it changed my life.”

In 1978, two weeks before her fifth child was born, Keese became the 4-H PVP club's community leader and has been in the role ever since.

While reflecting on her earlier days with 4-H, Keese remembered when most members were boys. Girls were not intentionally excluded at the time; clubs just didn't attract them. When girls eventually joined 4-H, it was a game changer.

“All of a sudden, the program shifted focus from solely agriculture and animals to include home economics like cooking and sewing,” Keese said. “Now, all my sons do the cooking in their homes. It's a good thing! Because we're moving away from traditional domestic duties, men and women are sharing roles, as they should be.” 

The PVP 4-H club offers activities like archery, sailing, surfing and geocaching. “Everything we do is to help our youth be better as adults, out in the real world and in the workforce,” said Keese. “We're relying on the internet too much. Kids need to get outside and do things.”

Over the years, Keese has taken members – who range in age from 5 to 19 – on numerous hikes in places like Havasupai Indian Reservation and Mt. Whitney. She's taken them kayaking on the Colorado River and, these days, co-hosts old-fashioned card game nights on the weekends with other community members.

As a lifeguard and water safety instructor, Keese gives free training to interested 4-H members to become lifeguards. Training courses usually cost well over $200 per person. “If they're interested, I train them and they have another skill to use. And it benefits our club,” said Keese. “When we have pool parties or beach days, my kids are prepared to step in and help.”

‘She will help anyone and everyone at any time'

Ace Yeck, former president of the PVP 4-H club, met Keese 12 years ago and decided to become a 4-H member when he was in fourth grade, following a convincing conversation with her. “She just kept giving me opportunities,” said Yeck.

Currently a third-year undergraduate at Loyola Marymount University studying entrepreneurship, Yeck credits 4-H for preparing him for college. “I got all my community service and public speaking practice through 4-H. I remember doing beach clean-ups, feeding the homeless, helping out at the Christmas fair, and all kinds of events,” he shared.

During his years with 4-H, Yeck was elected to the state board as an ambassador before he went on to represent 4-H at the national level. “Dee encouraged me every time, so I kept going,” he said.

Keese admitted that her life is so full and fun because of 4-H. Her motivation stems from the growth and progress that her students experience. “My kids let me know when I've done something to impact their life. It keeps me motivated,” she said.

While thinking about the members she's had over the last 48 years, she couldn't help but stress how important it is that they feel safe. Keese recalls one student who is gay and had a challenging time getting his parents to understand because of religious and cultural barriers. “The family's priest called me and told me that this student felt like I was the only one who loved him,” she said.

“I can talk about Dee forever,” said Yeck. “One of her best qualities is that she will help anyone and everyone at any time. She wakes up at 5 a.m. and goes to bed at, like, 10 p.m. During that time, she's always helping people,” he added. 

Because Keese comes from a different generation compared to the kids in her 4-H club, she attributes her successful impact to her ability to adapt. “If we want to keep kids in this, we've got to be flexible! And you've got to do things they like. We can't do things the way it's always been done before,” said Keese. “We have to be flexible.”

To Keese, 4-H is not just an opportunity to teach life skills or introduce kids to agriculture. It's a chance for them to build community. 

“That's what I think my generation does well, having grown up in the '50s and '60s,” Keese said. “We're all about that communal living.”

Reduction of SNAP benefit deepens crisis of inflation, high cost of living, low wages

Starting this month, many of the estimated 3 million people in the CalFresh program – California's version of SNAP (Supplemental Nutrition Assistance Program) – will be facing hunger and making difficult decisions to meet their most basic needs. In late March, participants received the last of the pandemic-related emergency aid that significantly boosted their monthly benefits. The reduction varies by household size and income; for example, in April a single-person household could see a drop from $281 per month to $23.

“The emergency food allotments had a tremendous impact in our communities and across the nation,” said Shannon Klisch, academic coordinator for the Youth, Families and Communities Program for UC Cooperative Extension in San Luis Obispo and Santa Barbara counties. “One study estimated that these allotments kept more than 4 million people out of poverty across the U.S. in the last quarter of 2021, and reduced child poverty by 14%.”

SNAP increases during the pandemic made many Californians more food-secure, with some participants reporting that their allotments finally had been enough to feed their families for the month, according to Wendi Gosliner, a project scientist at the Nutrition Policy Institute (a program of UC Agriculture and Natural Resources). But, with the benefit reductions, food insecurity is emerging again as a serious concern.

“It is inconceivable that a nation this wealthy should have so many people experiencing hunger,” Gosliner said. “And here in California, with the high cost of living, ongoing inflation and extreme income and wealth disparities, people are being forced to explore every possible avenue just to feed themselves and their families.”

To help ensure they are receiving the maximum allotment, Klisch recommends that CalFresh participants – especially those who applied during the pandemic and are relatively new to the program – double-check their information.

“If the county doesn't have your most up-to-date information, call your county worker if you've changed your address, if you've experienced decreased income, if your housing costs have gone up, or if you have new expenses – like child or dependent care expenses or medical expenses – these can help you qualify for more CalFresh funds,” she explained.

For families with school-aged children, Klisch said they can stretch their food dollars and promote healthy eating by encouraging their children to eat breakfast and lunch at school through California's universal free school meals, and all families with children under 18 can watch for the next issuance of the P-EBT (Pandemic EBT) card, worth potentially hundreds of dollars.

In addition to these options for food assistance, Klisch pointed to programs that can help people save money on other household expenses, such as California Alternate Rates for Energy Programs (CARE) and Affordable Connectivity Program. Local food banks are also gearing up across the state to handle an expected surge in clients in need of emergency food; a list of California food banks can be found at cafoodbanks.org/our-members.

“We ask a lot of low-income families and workers to navigate and piece together various programs, applications, and benefits when we don't commit to a strong safety net,” Klisch said. “On the other hand, when people have enough money for food, everyone benefits through decreased health care costs and increased economic activity.”

Gosliner also said that people should look into their eligibility for WIC (Special Supplemental Nutrition Program for Women, Infants and Children), as well as the federal Earned Income Tax Credit (EITC) and CalEITC, poverty-alleviation benefits underused by Californians.

“People should make sure they are accessing all the safety net benefits for which they are eligible,” Gosliner said.

Market Match, other nutrition incentive programs can help

Through programs like Market Match, available at about 300 farmers markets across California affiliated with the Ecology Center, CalFresh participants can have their EBT benefits “matched” by their local market (usually up to $10 or $15 per visit).

“People are looking to get creative about how to stretch their food dollars, and Market Match is one way to do that,” said Klisch, who has led UCCE efforts to help promote the program along the Central Coast since 2017.

Striving to expand access to fresh fruit and vegetables and to support local farms, UCCE and CalFresh Healthy Living, UC worked with partners to increase CalFresh redemption at farmers markets in San Luis Obispo and northern Santa Barbara counties.

In 2017, about $48,000 in CalFresh and Market Match benefits were redeemed at farmers markets in the area. In 2022, the total was more than $207,000 – a 327% increase. According to Ecology Center figures for the entire state, CalFresh and Market Match spending at farmers markets jumped 161% from 2019 to 2021, up to $13 million.

Gosliner, whose research has shown that these nutrition incentive programs are associated with increased food security, noted that “the people who use Market Match absolutely love the program and feel it is incredibly helpful.” She also added that the California Department of Social Services is developing a pilot program that would offer match incentives for purchasing fruits and vegetables at larger food retailers.

Although the biggest of its kind, Market Match is just one of the programs across California that provide “matches” for healthy food purchases under the California Nutrition Incentive Program, which in turn is primarily funded by GusNIP (the nationwide Gus Schumacher Nutrition Incentive Program).

GusNIP dollars – and SNAP overall – are governed by the federal Farm Bill, typically renewed every five years and currently being negotiated by Congress.

Study finds even fewer screened during virtual appointments

As jobless rates rose during the COVID-19 pandemic, millions more Americans experienced food insecurity because they lacked consistent access to food. National health organizations recommend primary care providers screen patients for food insecurity, since not having access to enough food can lead to chronic diseases. 

But research from the University of California, Davis, finds that only 7% of primary care providers screened patients for food insecurity. If the appointment was virtual or telehealth, only 3% asked patients about their access to food. The American Journal of Preventive Medicine published the research.

“These rates are surprising and seem relatively small in comparison with what seems like a growing awareness of food insecurity during the pandemic,” said lead author Cassandra Nguyen, an assistant professor of Cooperative Extension in the UC Davis Department of Nutrition. 

She said the findings may indicate that health care providers were prioritizing emergency responses to COVID-19. The research showed that once people had access to COVID-19 vaccines, screening for food insecurity increased to 10%.

Barriers to telehealth screenings

Screening for food insecurity at telehealth appointments remained low even after vaccines became available. Nguyen said that may suggest telehealth appointments have unique barriers.

“One of those barriers could be a concern about privacy and whether the patient is alone or feels comfortable discussing a potentially stigmatizing experience such as food insecurity. This may deter a primary care provider from asking about it,” Nguyen said.

Screening might also be more difficult if patients aren't familiar with the technology needed or if there are technological disruptions during telehealth appointments. Nguyen said more study is needed about potential barriers given the increased popularity of telehealth appointments since the pandemic.

The research examined electronic health records and clinic data from a national network of more than 400 community health centers in 16 states. It examined encounters between March 11, 2020, and Dec. 31, 2021. Screening typically involves a primary care provider asking the patient to answer that either or both of the following two statements is often true or sometimes true: 

• Within the past 12 months we worried whether our food would run out before we got money to buy more. 
• Within the past 12 months the food we bought just didn't last and we didn't have money to get more.

Co-authors include Rachel Gold with OCHIN Inc. and Kaiser Permanente Northwest Center for Health Research; Alaa Mohammad, Dedra Buchwald and Clemma Muller with Washington State University; Molly Krancari, Megan Hoopes and Suzanne Morrissey with OCHIN Inc.

The National Center for Advancing Translational Sciences of the National Institutes of Health, and the National Institute of Diabetes and Digestive and Kidney Diseases supported the research.