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Food insecurity a BԪַpublic health crisisBԪַ for B.C.BԪַs Indigenous kids

Food costs hurting First Nations children at disproportionately high levels here and across Canada

Family physician Dr. Rebekah Eatmon sees parents in tears, frustrated that they canBԪַt provide enough healthy food for their children.

BԪַIBԪַve never met an Indigenous parent that doesnBԪַt want to do the best for their kids,BԪַ said Eatmon, who works at an Indigenous clinic in Vancouver and in two remote First Nations in B.C.

Rising food prices have put BԪַan even bigger burden on families who were struggling before,BԪַ said the doctor, who is a member of Lax KwBԪַalaams First Nation on her fatherBԪַs side and Métis on her motherBԪַs side.

As families across Canada grapple with the increasing cost of groceries, a new study says First Nations, Métis and Inuit children and youth have been disproportionately affected by food insecurity for years BԪַ to the point that itBԪַs an BԪַurgent public health crisis.BԪַ

BԪַThe seriousness of this in Indigenous communities is unlike any other population,BԪַ said Dr. Anna Banerji, an associate professor of pediatrics at the University of Toronto and lead author of the study, which was recently published in the journal PLOS Global Public Health.

Banerji and her co-authors looked at dozens of peer-reviewed research studies, as well as reports from First Nations, Métis and Inuit organizations, to determine the extent of food insecurity among Indigenous children in Canada.

BԪַModerateBԪַ food insecurity is defined by Statistics Canada as a BԪַcompromise in quality and/or quantity of food consumed.BԪַ

BԪַSevereBԪַ food insecurity is defined as BԪַreduced food intake and disrupted eating patterns.BԪַ

The data show a disproportionately higher rate of moderate to severe food insecurity among Indigenous people living both on and off reserve, the study said, although people living in rural and remote Indigenous communities in the North were at especially high risk, partly because of extremely high food costs.

BԪַ(In) some of these Indigenous communities, it is to the point where some children donBԪַt have food to eat all day long,BԪַ said Banerji.

One study of Inuit children in Nunavik, the northernmost region of Quebec, found that children from food-insecure homes were an average of two centimetres shorter than those from food-secure homes.

BԪַItBԪַs incomprehensible that in a country as rich as Canada that we have kids who are stunted and children who are starving,BԪַ she said.

Moderate to severe food insecurity can lead to malnutrition, which affects the BԪַphysical, intellectual, emotional (and) social development of the child,BԪַ said Dr. Véronique Pelletier, a pediatrician at CHU Sainte-Justine in Montreal and a co-author of the study.

Malnutrition can be caused not only by a lack of food, but by a lack of high-quality, nutritious food, she said.

For example, many Indigenous families who live in remote areas canBԪַt get healthy food, including meats, fish, fruits and vegetables, because they are perishable and wonBԪַt last long after being transported long distances, the study said.

Those types of food are also out of reach for many Indigenous people because they canBԪַt afford to buy them.

That means that many Indigenous children have obesitybut are nutrient-starved, because their diets consist largely of more affordable carbohydrate or fat-heavy food, the study said.

Eatmon, who was not involved in the study, said its findings ring true.

BԪַFamilies know what the best things are for their kids. IBԪַve never chatted with a family that wants to give their kids Eggos over blueberries,BԪַ she said.

BԪַBut the reality is the blueberries will spoil in a couple days and the Eggos will stay for months inside their freezer.BԪַ

The long-lasting effects of colonization are driving factors behind much of the food insecurity Indigenous people face, the study said, because they disrupted sources of healthy food such as traditional hunting, fishing and gathering.

BԪַOver thousands of years, Indigenous populations have adapted to a diet suitable to their environment,BԪַ the study said. That diet included animals and plants harvested locally.

BԪַSome cultural sharing practices involving feasts and ceremonies were outlawed, resulting in loss of intergenerational knowledge of traditional food procurement and preparation,BԪַ it said.

In addition, trauma from residential schools and discrimination has fuelled BԪַunderemployment and poverty for some individuals and communitiesBԪַ BԪַ which in turn leads to a lack of ability to afford nutritious food.

Combating food insecurity requires Indigenous-led solutions that are specific to each communityBԪַs needs, said DeyowidronBԪַt Teri Morrow, a dietitian at Six Nations of the Grand River in southwestern Ontario.

Morrow, who was not involved in the study, pointed to food shortages in grocery stores during the COVID-19 pandemic lockdownas an example of how her First Nation was able to create their own food security.

BԪַWe could still go out and hunt and fish,BԪַ she said, adding that they also picked wild leeks and fiddleheads.

BԪַWe were shipping them within the community here because people couldnBԪַt get to the grocery store,BԪַ said Morrow, who also chairs the Dietitians of Canada Indigenous Nutrition Knowledge Information Network.

Programs that re-establish traditional foods within Indigenous communities are one way of fighting food insecurity, Banerji said. Other examples of success stories include community greenhouses and community freezers.

Banerji and her co-authors are calling for more government support for these types of initiatives, as well as school-based nutrition programs in all Indigenous communities to ensure kids get at least one healthy meal a day.

BԪַIndigenous Peoples must have access to healthy and affordable food and our government is taking the steps necessary to close long-standing socioeconomic gaps,BԪַ said an emailed response from Zeus Eden, press secretary to Minister of Indigenous Services Patty Hajdu, on Thursday.

BԪַWe know that affordability is a top concern for all Canadians, especially those in remote, rural and Indigenous communities who face a higher cost of living,BԪַ Eden said.

He pointed to recently announced funding of $120 million for 24 regional Indigenous governments BԪַto further support traditional hunting, harvesting, and food sharing activities,BԪַ as well as income assistance of BԪַapproximately $300 per month to address urgent financial needsBԪַ for more than 100,000 people in First Nations communities.

The federal government is also working on developing a national school food policy BԪַover the next few years,BԪַ the statement said.

BԪַWe will continue to work with all levels of government and across departments to address food insecurity, reduce poverty, and promote economic reconciliation,BԪַ it said.

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