Who are not eligible. We believe that if it was allowed, and that would be a way of mending that safety net and it would really help the programs like saint anthonies thank you. We have 19 sites for senior meals in San Francisco. And in addition, we have out of about 500 bags of groceries a day, five days a week, with the chronic and critical illness. He touched on the link between hiv and Food Insecurity and i see that is why and the doctor will speak to this in more detail and just to know the studies that are showing the benefits of it and the organizations and that worked with the managed care organization. And they were able to demonstrate that 80 percent reduction in healthcare cost and less than 450 per month, per person. So if we can address the issues of food ensecurity for the people with hiv we have a lot of opportunities to address the healthcare costs. In addition in the program, just to support the discussion by my colleague and acquaintance, providing the meals at 19 sites in the city we are under the continued demand to increase the number of services at those sites and here in i want to thank them for the incredible work that the project does and it has been an honor to work with the meals on wheels and, the work that you do every day but very so much. We appreciate your support. Thank you. Food insecurity is a big problem for people in San Francisco with the People Living with hiv and we found in the studies that over half of the hiv infected individuals in San Francisco are food insecure, in the tender loin, we found three quauters of the people that were getting the form of food assistance, the project open hand and glide and all of the other organizations are doing a phenomenal job of providing the needed aid and all of the funding and increasing the client loads, it has not been enough to take the people out of Food Insecurity and importantly there are costs not only to the Patients Health but also to the city for failing to address this. First, not having the food makes it harder for the people to take their antihiv medications we found that there are up to 50 percent more likely to fail the therapy, and there are 25 percent more likely to progress to aids even on treatment. Twice as likely to be hospitalized and twice as likely in the emergency room. Increased risky sex increases the risks of transmitting hiv to others. We see the impacts to the Food Insecurity in canada and internationally, in vancouver, food insee kualii hiv positive individuals are 50 percent more likely to die than the people who are not food insecure and i want to end by saying that we know that the freedom from hunger is a right, but more than that, tackling the Food Insecurity head on is a practical and Cost Effective approach to improving health and saving lives. Thank you. And the next two speakers are ken, from the Community Services and rama from the community housing, and meals on wheels and kevin, a great leader from the tender loin neighborhood, and the center, and the healthy corn ner historical, and tammy, wo ng, from i cant read it. Ryan from tndc and fred and another in this city we are all connected and the portion of the citizenry is anxious and distressed because they are growing and that effects all of us all across the city, have you heard that this is a city wide issue. And we are here to ask for your support to really support all of the nonprofits represented here, and that provide the food programs. We are celling the people that we care for them and, bruce has done a lot of education to the community, and through the Child Care Program and our family and youth and how do you access the nutrition foods . And he has been the Senior Education to the senior programming and we also, we have three meals a day that we serve so that the people who are or who need food with their medications can get that because we have the Health Services clinic there. Thank you, supervisors for your attention today. And in general. My name is liz. Orlin and i am the chief operating officer of tnbc and i am a member of the tender loin, hunger task force. And the executive director, dan is out of town and otherwise, he would have been here today. And the tender loin is the only neighborhood in San Francisco without a full Service Grocery store. It has been instrumental in creating the Healthy Food Program in the united states, our aim is to support the small Corner Stores to supply the healthy food in the community and for increase the availability and the convenience of the meat and other options with 70 Corner Stores, we believe that this is an important contribution to these much broader Food Security issues. And we appreciate your continued support in this, and in other efforts. Good morning, supervisors, and my fellow concerned san franciscans. Thank you, for hosting this hearing. And i am lucy and i am a pediatrician, and a member of the Child Advocacy committee of the American Academy of pediatrics. We have something called who is hungry you cant tell by looking, we do not have the photographer here today because she is out with the flu but she did get her shot. We they were only two of the 18 with the help of the ucla large study and they were help you in the last 12 months, and ever run out of enough money, to buy groceris for your family, and the other and have you in the last 12 months had the lack of food so that the members of your family went hungry and it is very important to remember nice that children who are hungry, not only have more Health Issues they do not learn as well, i site the st. Paul Minnesota School district provides free meals to all Public School children no child should go hungry and no child should be teased about having to have a free lunch or a breakfast. Thank you. Thank you. Thank you for looking at this issue and my name is robert jones and i am a cook in San Francisco. And i reside in the area, of the city. And i have lived in sros in the city, and i had to use the Free Meals Program in the past and i have been on cal fresh and currently when the time avails me i am able to help out with one of the programs in the cooking classes and one of the points that i would like to reiterate is, the fact of exexpanding the access to publicly available cooking facilities. The programs are being strained for the budget, and this is just as was pointed out, and at one point, however many came to the door. Within the sros we can kind of eliminate that stress. By, having cal fresh utilize more of getting food that you made and in the sros. By people that need it. And the problem is that most sros, have at most, a microwave, it is no nutrition or filling, if you build it they will come, if more are funded and more sros and that sort, were able to have a more fully equipped kitchen that to deliver the nutritional value and would i feed my kids and myself. And you are very limited with the either having the microwave or has to be supplied to you by other people, and i think that the process would be looking at it and cooking facilitis in sros thank you. The next few speakers, i will call the names of the next few speaksers, coline, from the california Hunger Action coalition, and david harness, and kim and brewstre. , tony from senior and disability action, and wendy as well. James from senior disability and peter from the immigrant legal resource center, nancy cross, don nunly from the aims project, coline from the cap pain for a better nutrition and mopsy from the center of health and uc beckerry Public Health next speaker . Good morning, my name is alex and i am a senior disability action. And even though there are meal sites and home delivered meals for seniors and people with disabilities that demand that such meals as stated in the funding can provide. And in 2006, the cap between the number of meals served and the number needed was between 6 and 9 million needs. Annually. And the last three years, the budget for the home delivered meals has been cut and what needs to happen is that the money needs to be increased. And there is a long waiting list and it has to be paid with young people with disabilities and they tend to fall through the cracks, on the list of needs food is on top along with housing more money for food. Thank you. Next speaker. With reference to the sros one of the things ha they are asking for is that there be cooking facility and many of the sros are being brought out by large nonprofit organizations that are painting and making them look pretty but they are not redoing the wiring, so that each room could have a proper electric facilities and the least that they should do is make sure there is a Community Kitchen in every sro that is large enough in capacity that people can cook all day long at 3 or 4 different ovens some sros have Community Kitchens that are only opened part of the time, they should be opened all of the time. And sros in many cases could have Community Gardens on the roof if they would fix the buildings properly. And these are some places where seniors and people with disabilities cannot really afford to live there, but it is the only housing they can find. And half of the income goes for their housing, and they need to have a place where they can have food. Each new sro hire, and should spend the money to fix the wiring and put in the plumbing and so that the rooms could have a sink and a refridge and a small stove and then, the Community Kitchen for the big meals, every sro should have those. And i think that it is time that the city sets in and make sure that it does do that. Thank you. We have 600 people who are in the sros and they go down and they dont have kitchen and we have gone down the road and in the past year it is a longer road than we expected and trying to identify how we can bring them in. And what we found, is that the cost of doing the rewiring within the building, is pretty reasonable, and we are getting estimates of about 50,000 for building, and there is a way to do that and the cost of the appliances, in, and a microwave, which obviously is not the slow cooker. And then a fridge, and that is the reasonable and then we can find a way to do it, and there is a big stumbling block is getting, the juice in to the building. And the transformers, generally in that set up and in that remember that and the cost of doing that, appears to be extremely expensive and that is something that we can take on and solve ourselves and so, we have talked with our public Funding Partners and hsa. And the Community Partners and interest in making it happen and we have absolutely have to get the spgand e involvement in order to deliver at a reasonable cost what is needed in order to make the changes that we are talking about today and we are motivated to do it and we will be motivated to do it, obviously in work with the Food Security task force, and so thanks again for the hearing today. Thank you. And supervisor, yee. Excuse me. And excuse me sir. Supervisor yee has a question . Sure. And in the half i am just curious, since the pg e supplies the electricity here, and have you asked pg e to help out. You know, we have talked and we actually have begun the process of application and what we have found and i hope that i am correct in this, my understanding is that we have to do the application, first, before you go down the road to get those cost back and so we have initially, on this policy, where the initial application and that is going to lead to the further conversation, we have not yet asked them to deliver that product, to us without cost or at the reasonable cost that it should be. But we have begun the conversation to engage with them. Thank you. Thank you. And next speaker. Hi, supervisors, thank you. My name is crystal and i work for meals on wheels. I have the tough job of doing the intake and eligibility for meals on wheels and i just wanted to share, a quick story. And an example of one client. I took a phone call about two months ago of a client who first of all one question that we always ask is how are you now providing for yourself . How are you getting your food now . And when i asked this question, one lady answered that in the days before she called, she had gotten herself to the Grocery Store on muni how she gets everywhere, and after doing light shopping, was not able to carry, the two small bags of groceries on to the bus and so we literally and in order to get herself home. So, she saw meals on wheels bus on the bus and gave us a call. And that is one of the hundreds of phone calls that i have had in the last year and a half that i have been at meals on wheels and one of thousands of stories of over 2,000 clients and 70 percent are living below the poverty line. Thank you. Thank you. If they have the equipment to cook, often times, especially during the peek hours it is impossible to cook because the breakers are going off all of the time because 4 to 6 00 or 7 00 or 8 00, they are constantly going off and so there is no power, and this is during the wintertime, or in the summer times and forget it and this is almost impossible and so with this gentleman that was talking about it was talking about finding the money to rewire the sro and i think that is a fantastic idea because, again, people need to get the food. And they cant cook it because the breakers are going off all of the time if they can even afford, the equipment to be able to cook it. And thank you very much. Thank you. inaudible mr. Deganco . And good morning, supervisors and hello, everyone and my name is inaudible and over for 30 years andvy been suffering with hunger. And because, not enough access to the needy, it is not working and they live up with the only food stamps and it is not enough to feed the whole family, especially while they are going up and they need more than enough to keep them going and i meant to say this because i know how hard it is and how expensive to live with three sisters. My experience in life is i was raised the three sisters, and that being how we have a limited that we want to feed and we cannot eat it. And experience that we had, really had nothing at all. And we run out and when we run out of money or food stamp and to support the lack of food in the resource, program. And the tender loin, thank you so much. Next speaker. Thank you. My name is nancy croft and i have a one page hand out if the people want it and related to the subject of my talk, and i give the copies for the committee but also i have some other copies as the people that like it. And i am going to talk about something that has not been addressed here, that i think that they mitigate, and it is very difficulties in the meeting, and meeting the food needs of the people and that is, the policies of the city that are instituted in the practice that increase the welfare load and the people that are not food insecure needing services from the city that are very expensive. Mental hel and this physical health. How much money comes to the city compared to the welfare costs treating the people that are addicted and are encourage td in the sros and also in the city shelters. And by the policies, of exemptions of the talking about that subject matter to the client and then to the staff. And, they, the center for disease control, has had a report, that shows that it is 7 per pack of cigarettes, and that houses the Economic Cost and half of it is a lowered life exexpectancy and the cost of raising human beings and the life through certain, by ten or 20 years and
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