looked at where these people are able to obtain food, either from their own income, from things such as cal fresh and school meals and non-profit programs and then, engaged in a sophisticated analysis, to be able to compare those all at equal units to calm pair apple and apple and what you see this. about a third of the meals, that are needed by this population can be covered by income, and what to be expected to be covered by people's own income and this is a striking point, i think. secondly, about a third of the meals are covered by a combination of the government programs and the non-profit network and you can see by looking at this slide that it is about half and half. and the government is about equality matched and the government is higher. and you can see that there is a slight line there, that shows the important of cal fresh about two-thirds of the is from the cal fresh benefits.

and finally you can see that the big white slides there and this is roughly a third of all of the meals, that is needed for the low income population have no identifiable resource. and that does not mean that the people cannot eat those meals, but it does enable to say, that we are a long way from meeting the needs of the low income in our city. and when you total up, to the actual number of meals and what you see, and i am sorry on property jeks is the total missing meals is a total of 74 million meals every single year in san francisco. so can i just ask you, and thank you so much for cheering the task force 74 million meals per year if you calculated a

dollar, 60 per meal that really megar amount that is allocated and about 100 million dollars. that is a good way of asking the question. >> i have to think about that for a little bit. and the researchers calculated it as the used actually the definition, of a cost of the meal at 2 $40. and that is just based on i believe the low cost plan and and we are on the nutritional scale and that, and all of the metrics and so the food and the slice and the government and the value, of the benefits and the other benefits, as well as how far the income goes and equate it also, to dollars, back to the 2 $40 per meal, and it is complicated but i would be happy to talk to you about and share the full report with you. >> and again this four million

is probably in i huge under come. >> if it is 180,000 of federal poverty, according to stanford, but we are saying that 200 percent of poverty is where the people are food insecure, so it is more than 74 million. >> that is what you see in that band, is that the people may be spending more of their own income and they also drop out of the eligibility for the government programs xh is why the researchers cut the line at 185 percent. and the other thing, to say, is that in those upper income levels, and there are a lot of difficult choices being made and so between adequate food or healthy food and you know, the quality child care and the safe housing and reliable transportation and medical bills etc., and so that is partly why, it is as a compass really interesting to look at and because it does not mean necessarily that those meals were not consumed but what it does say is that there is a strain and difficult choices are being made. >> do you have a break down of

how, which populations may be disproportionately impacted by missing the meal? >> not in that study, per se. and fairly, equal across the board. and just looking at, you have to take all of the people living at 145 percent of the popty and they need three meals a day. and just tried to compare across. >> thank you. >> i want to take a minor two to talk about how the missing meals pie and some of the obstruct and applies and you can see that it plays out in some of the typical clients that we see in the service network and acts as our service network all of the time. this is an illustration of a typical low income and what you can see on the box on the left is the very limited income that he is living on, that is ssi and a income of $866.40.

she is not eligible for cal fresh because she is on ssi and so she is limited in her income. but, she needs to eat, she may be can spend a little bit of her income on meals, and that peged at about a meal a day. you can see that she is participating, this is an illustration and not a real person. participating in a group meal site where she is eating today. but unfortunately there are other services that they can take advantage of, so we have her wait listed on the home deliver groceries program. and you can see that she is missing over one meal every single day and meaning that she is making hard choices or skim ping or rationing. and for the family, it is slightly maybe a little more complicate and this is a typical family. we put the family at the top of the income range for cal fresh and that 130 percent gross income of 130 percent of federal poverty every month and

that is 2500. and that is calculates out to 1 and a half, full time jobs at minimum wage in san francisco. and at that income level, family will be eligible for about 200. somewhere in benefits and if you think about your own bills, you know that is not enough to cover the bills for a month, and not for a family. calculated out on the right side, the meals needed and the types of resources that this family and use. >> you can see that they are lacking a little bit, and you can see the importance of having to rely on multiple sources to cover their meals.

and what would happen if one of those things went away in a particular month because let's say that of the higher medical cost and taking together the data and the framework really look away to the priority solutions that wement to talk about today. in conducting our analysis, we really focused echoing what the doctor initiated, those that offer the promise of the greatest impact for san franciscans that are living with risk buzz of the sheer number of people that would be benefited or because of the vonnerbility of the population.

a robust network of food programs that already reaches vulnerable populationwise tailored solutions that meet the people where they are in the cost efficient ways and we have a tremendous agreement on the public health and the implications on food security and that is a real benefit since we are in the city. >> combined, we really believe that san francisco can be a model, for how the food security at the city level. >> i would like to introduce you here to the matrix of

solutions, that have been sorted according to the framework of the food security. and you will see our three columns repeated again, resource and action and consumption and then you see the two rows, the first row are opportunities leverage. >> these are programs that exist and have a strong track record and with additional investment can be expanded to serve the greater need. i am going to go into detail and i am going to run through them right now. >> the first is increase of the cal fresh participation and under the access and expanding the summer and after school sites and expanding the retail, outlet and restaurant available to cal fresh recipients and wic vendors. and under consumption, expanding and coordinating nutrition and education programs including through urban agriculture. the second row that you see, are opportunities for innovation. and these are innovations that address significant elements of the problem but that are

nonetheless not being addressed elsewhere. these include a healthy food purchasing supplement and under the access, expanding the meals, and expanding healthy retail, and under consumption, taking a deep look and improving the availability of the kitchens.

>> i think that the number was about 37,000 at that time, and now, it is 51,000, but could you talk about the increase and i know that it is still 50 percent don't access it, but could you talk about the increase of people that are on cal fresh now? >> i can see a little bit to that and i might want to have leo speak in more detail. but what we do know is that in time frame, we experienced the recession, and the demand on the cal fresh program increased dramatically because of that, we saw through the missing meals work, we are tracking over time, and the demand on the cal fresh, and just actually the demand in that population that would be

eligible, and i believe in san francisco, between 2007 and 2011 this was an increase of 16 over all. and that not due to moebility and it was the population study and these were the people falling under that level of income. thank you. >> and so cal fresh, as we said, we are still in cal fresh if we could increase this considerably, this would be by far and away, the most cost effective and best opportunity to get research into the hands of people that get spent in the local economy and these are federal dollars and they are spent locally and that is a good thing and they are absolutely cal fresh has been shown to improve the food security and health among participants and there is a multiplier effect here, the federal dollars and for each dollar spent in the city, there is an economic multiplier to

the tune of $1.80, it keeps the money in the community and it keeps the people in what we call the normal streams of commerce, which creates a virtal circle. if you thought about a meal being served, you will play that out and broke down and if

you play out the cost of the meal and if that is covered by some from the city and some food at a free or low cost and the program money that organization raises itself and plus the volunteers to carry it out. >> and what are these that are needed to be identify and the partnerships that can grow this capacity most effectively and efficiently to increase the capacity if we increase there will be a difficulty for the people to be food secure with the healthy diets and the need is just too great and as a community, if we are serious about addressing the food security we have to address

this gap.

>> it will be available through the providers and distributed to a broader set of people, not everybody is eligible and if you are eligible, many people are not enrolled and so we don't want that to be a barrier and we could use the existing networks, such as health providers and school counselors and certainly or other agencies like dos and hsa, we want to expand this beyond the farmer's, and beyond farmer's market as much as that provides, an accident source of food in our city. but we want to include the retail as well. we then drive the activity into the community and it benefits all, creating it.

19,000 do not have kitchens and which means that these people have no ability, relatively to little or no ability to actually store the food in the fridge and prepare the food in any way, except in a hot plate or a mike wave and that limits the option to prepare the food and they are certainly more expensive or putting more increased demand on the dining room. and if the people have the kitchens that will be the quality and be able to use the benefits or use a local supplement or even go to the food pantry.

and with that, i would like to go back to dr. jones to talk about the next steps, thank you. >> thank you, terry. so now you have heard some bit about the report, and some of the data, and some of our high priority items. and i really just like to summarize the recommendation from the next steps and first of all it is full utilization of our federal nutrition program and especially cal fresh, which will generate the local economic activity and keep these dollars in the community and support the retail stores also and that is the non-profit partner's ability to meet the growing demand, coming from our

residents. to purchase the food and to be able to increase the amount of housing with the kitchens and the ability to cook and this will reduce the demand of the free dining rooms these reports are available on-line at the address above, and we are available to take questions . >> we have a question by supervisor yee? >> thank you for the presentation. i have a few questions and i see the data in here, and with regard to the cal fresh and the food stamp program, where you are seeing that do you have a

sense of where the people are living if you are going to go to the out reach? >> thank you for that, question. and it is a very good question, and we are fortunate to have our director of cal fresh in the room. and ferrill, and leo has been a family member of the food task force and he is currently the co-chair and i think that he would the best to talk about that. >> yeah. >> great, thank you. >> there are the people that are not accessing cal fresh, it is the food stamp program known nationally as subpoena mental nutrition assistance program. and really, they probably represent, in many ways, the same people who are accessing cal fresh, but they could be immigrants, seniors, homeless,

people, with disabilities, and people who may be don't want to go through the hassle factor of accessing cal fresh and the people who remoteness, and would have been a part of the city where they will have to transfer from one bus line to another bus line to get to the office. >> the people who are unaware of the fact that over 500 new applicants a month are applying on-line, using my benefits cal wynn on-line portal that we introduced here in san francisco. about four years ago. and so there is a lot of ways that people can access cal fresh now and they can go to the office and they can apply on-line, and they can work with the partners at the san francisco food bank who has a monthly cal at ther on the website of different places around san francisco, where the people are going, but really what we are looking at at the department of human services, this winter is taking a fairly deep dive into our current caseload, and saying, which

people are getting medical and getting healthcare benefits that are not accessing cal fresh but have income levels that would qualify them for cal fresh? >> and taking a look at the department of aging and adult services, or doss and saying, which seniors, who are getting benefits or accessing services where there is ihss or meals or other types of services, which of these seniors that we can reach out to? and working with our colleagues, at the cool district, and saying, you know, we have got the kids at the school district who are direct certified because they are getting cal fresh, but there is a bunch more kids at the school district, who their parents or guardians are applying for free meals. so we really need to take this

kind of, comprehensive look, use some business intelligence, and some data, to kind of inform, them, where are the people, and then, where are the best ways, is it a bus advertising? and about cal fresh? is it promoting my benefits cal wynn more broadly, is it going to community-based organizations to churches and to senior center and getting right down into the community, to try to get this message out, and to get more flexion believe ways of people applying for cal fresh, and so we see it as a very important question, we don't really have the answer yet. but we are started to graplle with the way to get an answer and a method to reach those individuals. >> thank you for your answer and it seems like that you are thinking along the same lines as i was thinking in terms of where do we to the extensive out reach. and we will identify where they

are and whether or not you want to go to the office, and apply on-line, and you are missing a lot of people that can't go to the office and can't apply on-line and so, also, thinking once she identifies geographically where they are and maybe we need to make an effort to have some out reach, and station, in those locations. and, as you are promoting it, so that it is easier for the people to get there. >> i agree with you, and i just like to show a chart to just kind of try to respond to supervisor mar's earlier question. and i don't know if you can see that, if the sfgov people can bring up that chart but this chart, is just showing a five year basically snapshot of cal fresh participation in san francisco, and these are cases but, what this chart really

represents, is from september, to 2008 and which is arguably the beginning of the recession, through, september, 2013, we have seen this really incredible growth in our cal fresh caseload, and so some of the methods that we have been using have been successful, and we are looking to amplify on those methods, and i think that there is also the challenge of just, the inequity in our society where more and more people have less and less, and so there are more people maybe who are aging or immigrants or children. families who are going to be eligible. and so the department has been doing a lot of work, and i think that this slide, if there is 50 percent more, shows that there is a lot more work to do and we will be needing some resources to kind of tackle this enormous hunger issue. >> thank you. >> yeah, i just wanted to ask him, i wanted to thank you for

that, aggressive out reach and thanks to supervisor yee for raising those questions, i did want to say that we have tremendous resources of the community based organizations with really cultural sensitivity and i know that one of the solutions proposed was expanding the partnerships that we have, with the seniors and disability and organizations and grassroots and sro. and kind of organizations as well. and i did want to say that i think that for any aggressive out reach, programs that it really does have to be that kind of partnership that builds off of it. and i want to ask, about seniors and disabled folks, and the gaps in nutrition services to them. and i know that and i wanted to thank you from hsa and what types of nutrition services do we need to promote more aging in place programs that will reduce the hospitalizations and readmissions and are there programs in place that we could

expand upon? >> that is something that keeps us up at night, this population and we have an acquaintance from san francisco, for the meals on wheels in san francisco, who is also one of the founding members of the food security task force, she works in this area. and she is also on the long term chair coordinating council and i would like to ask her if she is able to come and speak to this question.

>> there are three main things and i think that we can bring up that would support our seniors and disabled as well as promoting people aging in place. and which is something that most of us want to do, and it is also something that is part of the city's over all effort. and on the long term coordinating council, we did just put out a long term care integrative strategic plan that we will come to the supervisors to share with. just three programs that we could highlight are the hospital transition programs and how critical that is and i think that we have heard a lot about that and as we have through the healthcare reform. and we did start a year ago at san francisco transitional care program and so it is critical that they promote services like that and the nutrition services are included and so for the people transitioning out of the hospital you can get 14 days worth of meals, two meals a day, and meals on wheels is the vendor of that program but i think that is a lot of

opportunity that we have not been able to help people with. and i think that there is also additional nutritional services dollars, and available in the healthcare sector. and another thing that we brought up today is expanding and the non-profit capacity. and so, even the programs of the people that are going to would be lunch sites that we see expanding those. >> there are wait list and we

have made the incredible impact to reduce that wait list and we had a year ago the resources, and the private sector and on the public sector to bring that wait list down to a couple of weeks. >> there was a mention of community gardens but