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Hunger in New Mexico Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

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Page 1: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Hunger in New Mexico

Hunger in New Mexico

Kathy KomollMary Oleske, MS, RDPatty Keane, MS, RD

Page 2: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

http://healthyfoodbankhub.feedingamerica.org

Page 3: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD
Page 4: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Online Givingwww.milklife.com/give

Text to Donate $5Text Milk to 27722, enter zip code

Retailer Events: Albertson’s$1, $3, $5 donations at checkout

Page 5: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

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Hunger in New MexicoKathy Komoll

Director, New Mexico Association of Food Banks

Page 6: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

In 2006, the descriptions of categories were revised to better describe food insecurity. Together, these 2 categories measure food insecurity—

Low Food Security: People who have had to make changes in the quality or quantity of their food in order to deal with a limited budget

Very Low Food Security: People who have struggled with not having enough food for the household, including cutting back or skipping meals on a frequent basis for both adults and children.

Note * While the word hunger has been removed from the descriptions used in these surveys, it should not be interpreted to mean that there has been a major shift in the incidence of hunger.

Since 1995, the USDA has been required by law to release an annual report about food insecurity.

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Page 7: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Chronic illness, disability, low fixed income

Unemploy-ment, underem-

ployment, lack of education

Unexpected crises (medical, financial, etc.)

Rural lack of access to jobs and services

High costs of living

Why New Mexicans are Hungry…

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Page 8: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Total NM Total US 21.5% 15.0%

NM Children US Children 30.7% 21.9%

NM Seniors US Seniors 15.0% 8.7%

Note *Poverty levels for a family of 3: $19,090 (100%)-$24,817 (130%)-$35,317 (185%)

Poverty – New Mexico vs. US

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Page 9: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Total NM Total US 20.1% 16.4%

NM Children US Children 30.6% 22.4%

NM Seniors US Seniors 21.0% 8.4%

Food Insecurity in New Mexico vs. US

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Page 10: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Every week, nearly 40,000 New Mexicans seek food assistance. That’s the equivalent of a city the size of Farmington needing emergency assistance four times every month.

40% of the members of households seeking food assistance are children under the age of 18. 7% of those children are under the age of 5.

13% of the people seeking food assistance in New Mexico are senior citizens.

41% of households needing food assistance report having at least one member in poor health.

70% of food pantry programs in New Mexico rely entirely on volunteers. The average monthly income for a household seeking food assistance is

$900/month.

The face of hunger in New Mexico -

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Page 11: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Map the Meal - 2011

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Page 12: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

For additional information, including Map the Meal data by congressional district or county, please contact

Kathy Komoll, New Mexico Association of Food Banks.

[email protected]

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Map the Meal Data

Page 13: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Accessibility to sources of healthy food, as measured by distance to a store or by the number of stores in an area.

Individual-level resources that may affect accessibility, such as family income or vehicle availability.

Neighborhood-level indicators of resources, such as the average income of the neighborhood and the availability of public transportation.

Many areas of New Mexico are food deserts: Economic Research Service (ERS), U.S. Department of Agriculture

(USDA). Food Access Research Atlas, http://www.ers.usda.gov/data-products/food-access-research-atlas.aspx.

What are food deserts?

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Page 14: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Food Deserts in New Mexico -

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Page 15: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

SNAP – Supplemental Nutrition Assistance Program TEFAP – The Emergency Food Assistance Program Federal/state school breakfast/lunch programs WIC – food assistance for mothers with children Child and Adult Care Food Program Commodity Supplemental Food Program FDPIR –Food Distribution Program on Indian Reservations Summer meal programs (private sector, CYFD/PED) Senior programs – state SNAP supplement, congregate meals,

home delivered meals Homeless shelters Food Banks – statewide network of more than 400 agencies

What programs exist now?

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Page 16: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Examples of program eligibility/service -

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ProgramAdministering

Agency/Funding Source Eligibility Current Served

SNAP HSD/USDA

165% of poverty to apply;100% poverty or below to receive benefits

443,784 individuals in June 2013 (197,621 were children)

TEFAP HSD/USDA 185% of poverty43,643 per month January 2012-December 2012

CSFP 100% Federal Funds185% of poverty (WIC); 130% of poverty (Seniors

16,428 seniors (60+) and women and children (up to age 6)

School Breakfast USDA/PEDFree (130% of poverty); Reduced (185% of poverty) 888 schools

Page 17: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

with all these private and public programs, New Mexico still has one of the highest rates of hunger in the country…..

And yet,

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Page 18: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Increase state SNAP supplement so the elderly and people with disabilities receive additional monthly SNAP benefits

Advocate to protect SNAP from cuts Increase state funding for the Fresh Produce Initiative Increase the minimum wage Encourage economic development that provides well

paying jobs

What can be done to reduce hunger in New Mexico?

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Page 19: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Enact stronger enforcement of the wage theft law Fund the Individual Development Account program to

help low-income families build their financial assets Improve public transportation Implement effective early childhood education Increase Medicaid outreach and facilitate enrollment Increase access to Adult Basic Education, job training

and ESL classes

Actions (continued)

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Page 20: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Increase availability of affordable housing by funding the State Housing Trust Fund and permanent supportive housing services

Fund state child care assistance at 200% of the poverty line

Increase Working Families Tax Credit (at least 5%) Increase the Low Income Comprehensive Tax Rebate Visit a mobile or other food pantry in your district

Actions (continued)

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Page 21: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Every week, 40,000 New Mexicans are faced with the uncertainty of not knowing where their next meal is coming from. The challenge of meeting that need is more than the private sector can handle. The public and private sector must continue to work together to create solutions and build systems that put food on

every table.

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Page 22: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Additional Information

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Page 23: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Who currently receives SNAP?

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Page 24: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

33% of SNAP participants are children, elderly or disabled, people one would not expect to work. The majority of able-bodied adult SNAP participants are working or trying to work.

SNAP program structure provides a strong incentive to work.SNAP program rules place strict time limits on those who are not working.

The House nutrition-only farm bill would eliminate waivers that allow states to provide food assistance when jobs are scarce, shifting burden to charities and state and local governments at a time of high unemployment and historic need.

Facts about SNAP -

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Page 25: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

While we can all agree that jobs are the best solution to hunger and poverty, jobs remain elusive for many low income families.

The SNAP cuts proposed in the House farm bill would lead to 15 billion lost meals for low-income families.

Congress should reject cuts to SNAP. SNAP participation and spending will go down as the economy recovers, without the need to cut food assistance for low-income people.

(For additional information on these points, please refer to SNAP Program Overview, SNAP Facts Myths and Realities, and SNAP and Work Talking Points in your resource guide.)

Facts about SNAP (cont.)

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Page 26: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Map the Meal Gap: Uses Census data from the Current Population Survey (CPS) in which

people are actually surveyed about whether they ran out of food and how much more money they needed to meet their household food needs

CPS Data used to arrive at weekly budget shortfalls Localized (county level) average meal costs calculated from data provided

by Nielsen which collects data about all food items scanned in the country in 26 different food categories by age and gender of purchaser

Food Insecurity determined by complex formula which takes into account poverty, unemployment, median income, home ownership, ethnicity and affirmative answers to certain questions on the CPS

All Feeding America research accompanied by technical briefs that explain methodology and sources of data (see sample attached)

Research on Hunger in New Mexico

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Page 27: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Hunger Study: Conducted nationwide every four years by virtually all Feeding America food

banks in the United States Food banks collect data according to a strict data collection protocol dictated by

the national research firm contracted by Feeding America for the purpose Research firm for data we use now was Mathematica Policy Research One part of the study involved collection detailed surveys from virtually every

emergency food provider (food pantries, shelters and soup kitchens) in the United States; 37,000 surveys were collected in 2009

The second part of the study is random interviews of clients at randomly selected emergency food sites; in 2009 62,000 random, anonymous client interviews were obtained in the U.S.

Data collection for 2013 has been completed working with research firm Westat; results will be released in the spring of 2014 (looks like it will be May)

Hunger Research (continued)

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Page 28: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Notes:

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Page 29: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Hunger in New MexicoMary Oleske, MS, RD

Bureau Chief for Food and Nutrition Services Bureau

Page 30: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Introduction Child Hunger Task Force Food Assistance Programs in New

Mexico Food Program Administration Challenges Constituent Involvement

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Government Food Assistance in New Mexico

Page 31: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Introduction

Although the most effective way to reduce hunger is to reduce poverty, progress against hunger can be accelerated through nutrition programs, such as school meals or food stamps. When people get enough to eat, they are better equipped to deal with the other challenges they face. (Alliance to End Hunger)

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Page 32: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Created by Executive Order in August 2012 Members included the Governor’s Office,

State Agency leadership, School Districts, Appleseed and USDA

Report issued in October 2013 Includes Recommendations

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Child Hunger Task Force

Page 33: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

See brochure Aging and Long Term Services Children, Youth and Families Department of Health Human Services Public Education Tribal

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What are the Programs in NM?

Page 34: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Regulations and Guidance◦ Local◦ State◦ Federal

Funding Compliance Challenges Constituent Concerns

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State Agency Administration

Page 35: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Food Insecurity in New Mexico and the Role of the Registered Dietitian Nutritionist

Patricia C. Keane, MS, RD

New Mexico Academy of Nutrition and Dietetics Annual Meeting April 11, 2014

Page 36: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

OBJECTIVES

• Impact of food insecurity on health, academics and quality of

life across the lifespan

• Risk factors for food insecurity

• The role of the RDN in all areas of practice

Page 37: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

• Financial• Income• Inadequate SNAP allotment

• Senior citizens• Single-parent homes• Drug and alcohol dependency• Uninsured or underinsured with a medical illness

Risk Factors

Page 38: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Early champions….

Deborah Frank, MDShed light on the “heat or

eat” decision faced by low-income people

H. Jack Geiger, MDAfter treating an infant with

failure to thrive, stocked food in the health clinic pharmacy

Page 39: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

• Lower math scores

• Repeated a grade

• Seen a psychologist

• More difficulty getting along with peers

• Been suspended from school

• Absenteeism, tardiness and attention problems

• Higher anxiety and depression

Behavioral Effects in Children

Page 40: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

• Predictive of chronic health and behavior problems

• Iron-deficiency anemia in infants and toddlers

• Greater chance of being hospitalized

• Greater developmental risk

• Low birth weight

Health Effects in Children

Page 41: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

Associated Health Risks in Adults

• Hypertension

• Hyperlipidemia

• Diabetes

• Higher BMI (women)

• Tobacco Use

• Exposure to Violence

Page 42: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

• At the end of the month

• After holiday seasons

• After birthdays

• After life-cycle rituals

• Seasonal bills

• Housing and medical costs directly compete

More Likely…

Page 43: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

• Are you eating smaller meals than usual?

• Skipping meals?

• Eating or serving only a few low-cost foods?

• Reducing culturally-appropriate foods?

• Remember that caregivers often ensure that children are

fed first

• Talking to Patients About Food Insecurity

• Messer E, Ross EM. Nutr Clin Care 2002; 5(4): 168-181

Questions to ask…

Page 44: Hunger in New Mexico Kathy Komoll Mary Oleske, MS, RD Patty Keane, MS, RD

• Education and Practice• Research• Advocacy and Public Policy

Academy Position – Role of the Registered Dietitian