Central Valley Disconnect: Rich Land, Poor Nutrition

CENTRAL VALLEY DISCONNECT: RICH LAND, POOR NUTRITION

NPR
Morning Edition
July 10, 2009

California’s Central Valley produces many of the fruits and vegetables
consumed in America. It is also one of the poorest areas of the
country. There are high rates of malnutrition and obesity, and
residents have little access to fresh produce themselves.

Environmental conditions such as a lack of sidewalks and streetlights,
and packs of wild dogs that keep parents from letting their children
go outside to play, discourage exercise and healthy living. Constant
gang violence and drugs hamper the efforts of anyone hoping to improve
things, but there are some who are trying.

Fast-Food Culture

Yesenia Ayala, 20, works at Food Link, a program in Kettleman City
that gives free fruits and vegetables to the community.

She says the program starts handing out food at 11 a.m., but people
start lining up at 8.

"Kettleman was real rich for its oil," says Ayala, who was raised
in the city, which is about halfway between Los Angeles and
Sacramento. "Its oil wells were going to bring a lot of people,
but it never happened. We are a rural community surrounded by fields
and crops."

The city of 2,500 has almost no sidewalks, no streetlights and barely
a stop sign.

"We don’t have grocery stores, which is very hard," Ayala says. "We
have to drive 35 miles in order to get to our nearest grocery store."

Kettleman City is on Interstate 5, the north-south corridor straight
through the heart of California’s Central Valley. The Kettleman City
exit is a fast-food mecca.

"Most of the youth in Kettleman work here in the fast-food
restaurants," says Ayala, who worked at a Taco Bell in high
school. "When I was working out there, I was overweight. We would
get our break and we would go eat at Jack in the Box. You see them
before they start working in the fast-food restaurant – how slim –
and then you see them working up there and you say, ‘Whoa, what
happened to her?’ "

An ‘Obesogenic’ Environment

Genoveva Islas-Hooker, the daughter of farm workers in Delano, was
raised working in the fields herself. She is now the regional program
coordinator at the Central California Regional Obesity Prevention
Program in Fresno. The program looks at obesity from an environmental
and policy standpoint.

Central Valley has been described as the new Appalachia. It includes
some of the poorest congressional districts with some of the worst
health disparities in California.

"Poor communities do not have the infrastructure that supports active
lifestyles," Islas-Hooker says. "We don’t have sidewalks, we don’t
have streetlights. There are packs of dogs," which causes many people
to stay inside.

"We don’t have access to stores, to healthy produce," she says. "We’ve
created this very obesogenic environment, and we question why so many
people are obese and overweight and at risk for type 2 diabetes –
well, we’ve engineered it."

Islas-Hooker says her program has tried to create greater access to
fresh food by holding farm stands on school campuses.

"In Fresno, there was actually a zoning ordinance that prohibited
the establishment of farmers markets," she says. "We had to go in
and work at creating a new city ordinance that would allow farmers
markets in the last year."

Mark Arax, a former Los Angeles Times reporter and author of the book
West of the West was born in and lives in Fresno, the grandson of an
Armenian fruit picker.

"We’re living in a region that produces the finest fruits and
vegetables in the world, and yet the children of this valley rarely
taste those fruits and vegetables," he says.

Alongside the most intensive farm belt the world has ever known, he
says, is this stunning poverty. Some neighborhoods in Fresno have
the most concentrated poverty of any city in the country, and all
the pathology that goes along with it: the drugs and the gangs.

"We produce more meth and more milk than any region in the country,"
he says.

A Hidden Kitchen Vision

In Bakersfield, another grassroots kitchen effort sprang up from
a nutrition class that became The Greenfield Walking Group. Made
up mostly of immigrant Latina women, the group is working with the
mayor and city council to rid the neighborhood park of stray dogs,
drugs, gangs and graffiti, and to create walking paths and playground
equipment. The members walk daily, exercise to blaring merengue music,
and share potluck meals of enchiladas, chilaquiles and jicama pico
de gallo.

"When I saw the women walking around the park, I thought, ‘I can do
this,’ " says Beatriz Basulto. "I am in this group because I am obese
and I need to lose weight. When I started, I couldn’t get one turn
around the park; it was too hard for me. Now I am doing more than 80
abdominals every day."

Across the Central Valley, little inroads are being made to improve
public space and the environment that lead to healthier individuals
and healthier communities.

"As long as people are indoors because of their fear, they won’t come
out," Islas-Hooker says. "If we created more forums for neighbors to
meet each other – days in the park, farmers markets, community gardens,
environments that promote a healthy lifestyle – there’s real power
when the community members themselves advocate for these changes."

Recipe: Jicama Pico De Gallo

Enlarge Courtesy of The Kitchen Sisters Courtesy of Maria Velasquez
of The Greenfield Walking Group 1 large jicama 1 pineapple 5 oranges
1 small onion A bit of dried chili pod seeds Some lime juice and salt
Chop the jicama, pineapple, oranges and onion and mix together with
the chili pod seeds, lime juice and salt. Serve.