For Carlos Rodriguez, CEO of the Community FoodBank of New Jersey, the spike in demand has been as dramatic as the arrival of the coronavirus. In a normal year, Rodriguez’s organization provides food for some 50 million meals through a network of 1,000 pantries, food kitchens and other affiliates.

But the pandemic meant that some of his bigger food pantries saw 50% more traffic almost overnight. And people who had previously donated food were now, for the first time in their lives, asking for help feeding their families.

The disaster-like level of need is only one problem. Panic shopping by consumers has left grocery stores with little left over to donate, Rodriguez said, leaving the Community FoodBank without its most reliable supply of provisions. To keep feeding its clients, he said, his organization has been forced to vie with national grocery chains to buy basic items, paying 15% more than only a month or so ago.


Rodriguez estimates the Community FoodBank has clear access to about two and a half weeks of food. “I have to tell you, we are week by week,” he said. “The need keeps compounding.”

Around the country, as more than 16 million people have filed for unemployment in just three weeks, the nation’s emergency assistance food supply chain has come under rapid strain. Food banks are besieged by unprecedented traffic, even as the pandemic reduces the number of volunteers who help staff the operations. Supplies are harder to come by as consumers stock up more and donate less.

The result, in some cases, has been dramatic: hourslong waits for donated food. Images of multi-mile lines of idling cars are becoming the modern equivalent of the Depression-era photos of men in overcoats waiting for bread.

Calls into some food assistance hotlines have increased tenfold, said Katie Fitzgerald, executive vice president and chief operating officer for Feeding America, the nation’s largest food bank organization. Between 30% and 50% of the visitors to food banks in Feeding America’s network since the coronavirus are seeking food assistance for the first time, she said. “There’s a lot of desperation and fear out there.”

Data from state 211 help lines, which help connect Americans with social services, tell a similar story. Researchers at Washington University in St. Louis compared requests for food pantry information on 211 calls between March 12 and 25 to the same period last year. Those requests at least doubled in all 23 states the researchers examined. In New Jersey, 211 food pantry requests jumped 2,200%; in Alabama, 967%; and in Maryland, 963%.

In March, thousands more people than usual called into 211 help lines looking to find local food pantries, according to data from 29 states.

Local food banks are under duress. The United Food Bank in Mesa, Arizona, served roughly four times as many families in the last full week of March compared with the first week, all while battling a 40% reduction in grocery store food donations, said Tyson Nansel, the organization’s spokesperson.

The consequences have been immediate. A fifth of local meal assistance programs in Feeding America’s network have already shuttered at least temporarily, according to a survey of the organization’s food banks.

The overall U.S. food supply, experts say, is plentiful. But a burst in demand because of pandemic fears has led to temporarily empty shelves, said Ananth Iyer, department head of management at Purdue University and an expert on supply-chain management.

That has reduced food bank supplies since unsold food with expired “sell by” or “best by” dates in grocery stores, which can still be safe to eat, is often donated to food banks. Cash donations help food banks, but Fitzgerald said it’s still tough to purchase shelf-stable supplies right now.

In the survey of her 200-bank network, Fitzgerald said, 20% worry they’ll run out of the necessary supplies in the next two to four weeks. “We estimate that there is a $1.4 billion gap in what the emergency food assistance system needs to meet this elevated need,” she said. Without that, Fitzgerald said, the organization may have trouble sustaining operations. “It’s a very big problem.”

Meanwhile applications for the federal government’s largest food-support program, Supplemental Nutrition Assistance Program, or SNAP — colloquially referred to as food stamps — are rising in most states, said Stacy Dean, vice president for food assistance policy at the Center on Budget and Policy Priorities.

The Families First Coronavirus Response Act, signed into law March 18, lets states increase benefits (with approval by the U.S. Department of Agriculture, which oversees the SNAP program and gives guidance to state agencies and local offices administering it) for households not already receiving maximum SNAP benefits.

Pharmacy Workers Are Coming Down With COVID-19. But They Can’t Afford to Stop Working.As prescriptions surge, Walgreens and CVS employees say they need more protective gear, cleaning supplies and sick pay. “Someone will come into work sick and there’s nothing anyone can do about it,” a pharmacist says.

This gives no boost to the poorest families, who already receive maximum benefits, according to Dean. “I’m very disappointed that they locked out the poorest families from emergency allotments,” she said. Dean and other advocates say the USDA could do more.

Under the Families First act, SNAP households are receiving a total of $1.7 billion each month above the previous total, the USDA said in an emailed response. The agency added that it is “leveraging all of our programs’ services, built-in flexibilities, and new flexibilities to ensure people have access to food.”

The USDA estimates that some 37 million Americans were food insecure in 2018. An additional 17 million people are now at risk of going hungry, according to projections by Feeding America.

SNAP applications are rising in states such as Georgia, Utah, Louisiana and Connecticut. In Alabama, online applications for food stamps spiked 155% from February to March. California’s applications more than doubled between the first and fourth weeks of March.

In many states, there are fewer staff processing more applications, because of social distancing and coronavirus-related telework, Dean said. In California, Los Angeles County’s Department of Public and Social Services closed its offices and expanded teleworking, according to spokesperson James Bolden. He said that the department hasn’t heard about issues with its online portal, but that some customers have had longer-than-usual wait times for its telephone Customer Service Center.

The Families First act was intended to be an immediate relief response, the Center on Budget and Policy Priorities wrote in a recent post. The package includes other benefits, like one piece that lets states (with the USDA’s signoff) give meal-replacement benefits to households with children who’d otherwise receive free or reduced-price meals at school. States, including Michigan and Florida, are starting to get approved for this.

On April 6, 140 representatives — all but one a Democrat — signed a letter to House and Senate leaders urging them to increase the maximum SNAP benefit by 15%, bump up the monthly minimum benefit from $16 to $30 and put a hold on Trump administration rules that would weaken benefits and eligibility for food stamps.(The 2009 Recovery Act increased the maximum monthly SNAP benefit by 13.6%.)

Charitable groups like Feeding America have called for a boost to SNAP to aid the millions of newly unemployed Americans, calling it the best short- and long-term solution to help food access.

In most states, SNAP benefits can’t be used to make online food purchases, though a pilot program has opened up this option in a handful of states. It hasn’t yet made it to Virginia, where the roadblock has frustrated recipients of food stamps like Erika Schneider, a 42-year-old in Charlottesville who is unemployed because of a respiratory and neurological condition. Schneider, who doesn’t drive, started a Change.org petition to broaden online grocery delivery and pickup options for SNAP users.

She relied on daily Meals on Wheels food delivery, which stopped daily deliveries a few weeks ago and instead has been dropping off shelf-stable items every two weeks. Schneider is on a special diet and said she couldn’t eat everything that was dropped off recently. She resorted to eating cans of plain tomato sauce and rice. “All of a sudden, I was like, ‘Oh my god, I’m almost out of food,’” Schneider said. “And then I ran out of food and completely panicked.”

She was finally able to restock her cupboards with the help of community donations and organizations, she said, and a few days ago, Meals on Wheels dropped off a box of food.

“I guess I just got lucky this time,” Schneider said. “But we shouldn’t have to get lucky in a crisis. We should have the infrastructure for equal access to food at any time.”

This story was originally published by Pro Publica and was written by Beena Raghavendran and Ryan McCarthy.

  • GLP‑1 drugs may fight addiction across every major substance, according to a study of 600,000 people
    With GLP-1 drugs becoming more accessible and affordable, they could also be within reach for substance use treatment.Photo credit: Michael Siluk/Universal Images Group via Getty Images
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    GLP‑1 drugs may fight addiction across every major substance, according to a study of 600,000 people

    A massive study of veterans suggests these medications may quiet cravings far beyond food.

    A patient of mine, a veteran who had tried to quit smoking for over a decade, told me that after he started a GLP-1 drug for his diabetes, he lost interest in cigarettes. He didn’t use a patch. He didn’t set a quit date. He simply lost interest. It happened without effort.

    Another patient on one of these drugs for weight loss told me that alcohol had lost its pull – after years of failed attempts to quit.

    People struggling with many addictions, ranging from opioids to gambling, are reporting similar experiences in clinics, on social media and around dinner tables. None of them started these drugs to quit. This pattern of people losing their cravings across a broad range of addictive substances has no precedent in medicine.

    But my patients were giving me an important clue. People taking GLP-1 drugs often talk about “food noise” vanishing: the constant mental chatter about food that dominated their days simply goes quiet. But my patients were reporting that it wasn’t just food: They were noticing that the preoccupation with smoking, drinking and using drugs that drives people back despite their best intentions to stop was going quiet too.

    As a physician whose patients are often on GLP-1 drugs, and as a scientist who works on answering pressing public health questions – from long COVID to medication safety – I saw a problem hiding in plain sight: Many addictions have no approved treatment. The few medications that exist are massively underutilized, and none works across all substances. The idea that a drug already taken by millions might do what no addiction treatment has done before was too important to ignore.

    My team and I set out to test whether GLP-1 drugs – medications like semaglutide (Ozempic and Wegovy) and tirzepatide (Mounjaro and Zepbound), originally developed for diabetes and then approved for obesity – could do what no existing addiction treatment does: curb craving itself.

    Our evidence strongly suggests they can.

    Biological basis of cravings

    The hormone that these drugs mimic – GLP-1 – is not only produced in the gut. It is also active in the brain, where the receptors it binds to cluster in regions governing reward, motivation and stress – the same circuitry that gets hijacked by addiction. At therapeutic doses, GLP-1 drugs cross the blood-brain barrier and dampen dopamine signaling in the brain’s core reward center, making addictive substances less rewarding.

    GLP-1 drugs seem to inhibit cravings for several different substances in multiple animal models. For instance, rodents given GLP-1 drugs drink less alcoholself-administer less cocaine and show less interest in nicotine. When researchers gave semaglutide to green vervet monkeys – primates that voluntarily drink alcohol much like humans do – the animals drank less without showing signs of nausea or changes in water intake. This suggests the drug lowered the reward value of alcohol rather than making the animals feel sick.

    From animals to people

    To find out whether these drugs have a similar effect on people, we turned to the electronic health records of more than 600,000 patients with Type 2 diabetes at the U.S. Department of Veterans Affairs – one of the largest health care databases in the world.

    We designed a study that applied the rigor of randomized controlled trials – the gold standard in medicine – to real-world data. We compared people who started GLP-1 drugs to people who did not, adjusting for differences in health history, demographics and other factors, and followed both groups for three years.

    My team and I asked two questions: For people already struggling with addiction, did the drugs reduce overdoses, drug-related hospitalizations and deaths? And for people with no prior substance use disorder, did GLP-1 drugs reduce their risk of developing one across all major addictive substances: alcohol, opioids, cocaine, cannabis and nicotine?

    What we found was striking. In the group already struggling with addiction, there were 50% fewer deaths due to substance use among those taking GLP-1 drugs compared with those who were not. We also found 39% fewer overdoses, 26% fewer drug-related hospitalizations and 25% fewer suicide attempts. Over three years, this translated to roughly 12 fewer serious events in total per 1,000 people using GLP-1 drugs – including two fewer deaths.

    Reductions of this magnitude are rare in addiction medicine – and what’s remarkable is that the finding came from drugs initially designed for diabetes, later repurposed for obesity and never intended to treat addiction.

    The drugs also appeared to prevent addiction from developing in the first place. Among people with no prior substance use disorder, those taking GLP-1 drugs had an 18% lower risk of developing alcohol use disorder, a 25% lower risk of opioid use disorder and an approximately 20% lower risk of cocaine and nicotine dependence. Over three years, this translated to roughly six to seven fewer new diagnoses per 1,000 GLP-1 users.

    With tens of millions of people already using GLP-1 drugs, the reductions in deaths, overdoses, hospitalizations and new diagnoses could translate into thousands of prevented serious events each year.

    Converging evidence

    Our findings align with a growing body of evidence.

    A Swedish nationwide study of 227,000 people with alcohol use disorder found that those taking GLP-1 drugs had 36% lower risk of alcohol-related hospitalizations. This is more than double the 14% reduction that the same study found with naltrexone, which was the best-performing medication approved for treatment of alcohol use disorder in that analysis. Other observational studies have linked GLP-1 drugs to lower rates of new and recurring alcohol use disorderreduced diagnoses and relapse in cannabis use disorderfewer health care visits for nicotine dependence and lower risk of opioid overdose.

    Meanwhile, randomized controlled trials that directly test whether these drugs help people with addiction also show promise. In one trial, semaglutide reduced both craving and alcohol consumption in people with alcohol use disorder. In another, dulaglutide reduced drinking. More than a dozen additional trials are already underway or actively enrolling, and several more are planned.

    The future of addiction treatment

    GLP-1 drugs are the first type of medication to show potential benefit across multiple substance types simultaneously. And unlike existing addiction medications, which are prescribed by specialists and remain vastly underused, GLP-1 drugs are already prescribed at enormous scale by primary care doctors. The delivery system to reach millions of patients already exists.

    The consistency of GLP-1 effectiveness across alcohol, opioids, cocaine, nicotine and cannabis suggests these drugs may act on a shared vulnerability underlying addiction – not on any single substance pathway. If confirmed, that would represent a fundamental shift in how society understands addiction and how doctors treat it.

    Some unanswered questions remain, though, about how these drugs would affect addiction. Many people who take GLP-1 drugs to treat obesity or diabetes discontinue them; afterward, their appetite typically returns and they regain the weight they lost. Whether the same rebound would occur with addiction, and what it would mean for someone in recovery to face the roar of craving again, is unknown. Nor is it clear whether the benefits persist over years of continuous use, or whether the brain adapts in ways that dampen those effects.

    Also, because GLP-1 drugs engage the brain’s reward circuitry – the same system that governs not just craving but everyday motivation – prolonged use could, in theory, dampen motivational drive in some people. Whether that might affect real-world outcomes, such as initiative, competitive drive or performance at work, remains an open question.

    What comes next

    GLP-1 drugs have not been approved for addiction, and there is not yet enough evidence to prescribe them solely for that purpose. But for millions of people already weighing whether to start a GLP-1 drug for diabetes, obesity or another approved indication, it is one more factor worth considering.

    A patient living with diabetes who is also trying to quit smoking might reasonably choose a GLP-1 drug over another glucose-lowering medication, not because it is approved for smoking cessation, but because it may help them quit, a benefit that other diabetes drugs do not offer. Similarly, for people living with obesity who also struggle with alcohol, the potential for benefit beyond weight loss could be one more reason to consider a GLP-1 drug.

    If additional trials confirm that they effectively curb cravings across addictive substances, these drugs could begin to close one of the most consequential treatment gaps in medicine. And the most promising lead in addiction in decades will have come not from a deliberate search but from patients reporting a benefit no one anticipated. Like my patient who quit smoking after a lifetime of trying, it happened without effort.

    This article originally appeared on The Conversation. You can read it here.

  • Expert shares ancient monk’s mindset for keeping your composure when life ‘bumps’ you
    Coffee spill (LEFT). Man upset with shirt stain (RIGHT).Photo credit: Canva

    A snap reaction in a heated moment can be difficult to control. Sometimes an unexpected experience brings out the best in us—or, all too often, the worst. The Mindset Mentor Podcast, hosted by personal coach Rob Dial, explains how cultivating a healthy mindset can help you stay calm and composed when life “bumps” into you.

    Using a story of an ancient monk teaching his students about enlightenment, Dial highlights that whatever we carry within ourselves rises to the surface when life gets hard. Beginning the day with a healthy mindset matters.

    Dial shares a monk’s story about enlightenment

    A monk teaches his students about enlightenment. He asks them to imagine holding a cup of coffee when someone bumps into them, causing it to spill. When he asks why the coffee spilled, the students quickly reply that it was because someone bumped into them.

    The monk responds, “You spilled the coffee because that’s what was in your cup. Had there been water in the cup, you would have spilled water. Had there been tea in the cup, then you would have spilled tea.”

    Dial goes on to explain the impactful meaning behind the monk’s simple philosophy:

    “When life shakes you, which it will, whatever you carry inside of you will spill out. So if you’re carrying anger, or fear, or hatred, or jealousy, then that is what is going to spill out of you in those moments. But, if you’re carrying love and kindness and compassion and empathy, then that is what is going to spill out you.”

    morning practice, mediation, mindset, mental health
    An early morning stretch.
    Photo credit: Canva

    A question to ask before your day

    If this is the challenge we face each day, the real question becomes: how do we prepare ourselves for what life might throw our way? Dial suggests the answer lies in an intentional pause. “Each morning,” he says, “it’s important for you to stop and close your eyes and ask yourself, ‘What am I carrying inside of me today?’”

    That small act of self-awareness can shape everything that follows. If we choose to bring despair, judgment, and negativity, those emotions will most likely surface when things don’t go as planned. But if we choose to center ourselves in kindness and compassion, we’re far more likely to respond with those qualities instead.

    Positive thinking, affirmations, skills,
community
    Good Morning.
    Photo credit: Canva

    The advantages of morning preparation and a healthy mindset

    Significant time and research have gone into understanding the benefits of a morning routine. These practices help build a kind of “spiritual armor” that prepares us to face the day with confidence. Simple habits like getting sunlight, drinking water, moving our bodies, and practicing mindfulness can boost energy and improve mood.

    A 2024 study found that morning activities like loving-kindness meditation can positively affect people’s mental health. Individuals with a regular practice tend to be more positive, mindful, and compassionate. The length or specific details of the practice have little effect on outcomes when compared with one another.

    Another 2024 study found that framing problems in a positive way helps people recover faster from stress. Staying motivated during difficult situations and feeling more emotionally stable are skills that can be built through mindset. The simple fact is that study after study demonstrates that positive thinking directly supports mental health during difficult periods in life.

    Dial offers a simple concept: what we carry within ourselves influences how we respond to life’s challenges. The students say it’s because they were bumped. The monk explains it’s what’s in the cup. The real preparation for the day isn’t just what we do, it’s what we choose to carry. “What am I carrying today?”

    You can watch this short video on starting a morning meditation practice:

  • The Tsimané people of Bolivia have almost no dementia. Scientists say modern life is our problem.
    A tribe sharing a mealPhoto credit: Canva

    Deep in the Bolivian Amazon, researchers studying two indigenous communities have found something that stopped them in their tracks: among older Tsimané adults, the rate of dementia is roughly 1%. In the United States, the figure for the same age group is 11%.

    The finding, published in the journal Alzheimer’s & Dementia, is part of nearly two decades of research on the Tsimané and their sister population the Mosetén, communities who have been recorded as having some of the lowest rates of heart disease, brain atrophy, and cognitive decline ever measured in science. A subsequent study from the University of Southern California and Chapman University, published in the Proceedings of the National Academy of Sciences, used CT scans on 1,165 Tsimané and Mosetén adults to measure how their brains age compared to populations in the US and Europe. The answer was striking: their brains age significantly more slowly.

    The researchers’ explanation centers on what they call a “sweet spot” — a balance between physical exertion and food availability that most people in industrialized countries have drifted far from. “The lives of our pre-industrial ancestors were punctuated by limited food availability,” said Dr. Andrei Irimia, an assistant professor at USC’s Leonard Davis School of Gerontology and co-author of the study. “Humans historically spent a lot of time exercising out of necessity to find food, and their brain aging profiles reflected this lifestyle.”

    The Tsimané people of Bolivia posing for a photograph.
    The Tsimané people of Bolivia posing for a photograph. Photo credit: Canva

    The Tsimané are highly active not because they exercise in any structured sense but because their daily lives demand it. They fish, hunt, farm with hand tools, and forage, averaging around 17,000 steps a day. Their diet is heavy on carbohydrates — plantains, cassava, rice, and corn make up roughly 70% of what they eat, with fats and protein splitting the remaining 30%. It is not a low-carb or protein-heavy regimen. It is, essentially, the diet of people who burn what they consume. CNN’s Dr. Sanjay Gupta, who visited a Tsimané village in 2018 for his series “Chasing Life,” noted that they also sleep around nine hours a night and practice what might be called intermittent fasting — not by choice, but by necessity during lean seasons.

    The research also included the Mosetén, who share the Tsimané’s ancestral history and subsistence lifestyle but have more access to modern technology, medicine, and infrastructure. Their brain health outcomes fell between the Tsimané and industrialized populations, better than Americans and Europeans, but not as strong as the Tsimané. Researchers describe this gradient as especially revealing because it suggests a continuum rather than a binary, and that even partial movement toward a more active, less calorically abundant lifestyle appears to have measurable effects on how the brain ages.

    “During our evolutionary past, more food and less effort spent getting it resulted in improved health,” said Hillard Kaplan, a professor of health economics and anthropology at Chapman University who has studied the Tsimané for nearly 20 years. “With industrialization, those traits lead us to overshoot the mark.”

    The researchers are careful to note that the Tsimané lifestyle is not simply transferable. Their longevity in absolute terms is lower than Americans’ because of deaths from trauma, infection, and complications in childbirth, hazards of living without a healthcare system. The point of the research is not that modern medicine is unnecessary but that the environments it’s embedded in may be undermining the brain health it’s trying to protect.

    “This ideal set of conditions for disease prevention prompts us to consider whether our industrialized lifestyles increase our risk of disease,” Irimia said.

    This article originally appeared earlier this year.

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