Food on the Move brings healthy produce to underserved RI communities


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2015-09-11 Food on the Move 006 Food on the Move is a new program that brings fresh produce into underserved communities and doubles the value of SNAP benefits for fresh produce. Right now this is the only mobile produce program in the country.

The federal government is watching with “keen interest,” says Amy Nunn. She and Gemma Gorham are program directors of this new way to bring good food to poor people.

2015-09-11 Food on the Move 002Senator Jack Reed, who secured the initial $100,000 investment in the program, said it is based on very sophisticated academic research showing that bringing fresh produce into communities increases healthy eating.

Reed too hopes Food on the Move, “will be a model for programs across the country.”

And Rhode Island is the perfect testing ground. “Fifteen percent of Rhode islanders experience food insecurity,” said Nunn. “The highest rate in New England.”

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Nicole Alexander-Scott

“How long someone lives should not depend on the zip code they come from” said Nicole Alexander-Scott, executive director of Rhode Island Department of Health. She said 85 percent of those making under $50,000 a year do not eat the recommended servings of fruits and vegetables per day. This program is one way “we are going to [impact] social and environmental determinants of health.”

Towards the end of the presentation Dr. Nunn pointed out that many people only get a small amount of money in their SNAP benefits, and that Food on the Move might not reach them until the second or third week of the month. She hopes that many people will be able to hold onto some of their SNAP money until they can reach a Food on the Move location and double the impact of the benefits.

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Amy Nunn

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Experts agree: Criminalizing HIV transmission a ‘backwards step’


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Robert Nardolillo
Robert Nardolillo

If freshman legislator Robert Nardolillo accomplished anything with the introduction of legislation that seeks to criminalize the transmission of HIV, it was to demonstrate the hard won strength and unity of the LGBTQ and medical community in resisting a return to the ignorance, fear and stigma attached to the disease in the 1980s.

Though Nardolillo, in presenting his bill to the House Judiciary Committee claims to have done research on the issue, it became immediately obvious that he had not talked to any of the assembled experts in public health policy in the room last night. If anything, it looks like Nardolillo’s research amounted to little more than copying section 44-29-140 of a draconian and unhelpful South Carolina law passed in 1988, at the height of AIDS hysteria in the United States.

Nardolillo, who did not respond to my request to answer questions before the hearings, did speak to Zack Ford at ThinkProgress and when confronted with studies demonstrating the dangers of this kind of legislation, showed himself to be impervious to reason, saying,

‘Have I read the research? I did,’ Nardolillo confirmed, saying that he still felt that HIV was too serious not to prosecute in a distinct way.

Stephen Hourahan, Executive Director of AIDS Project RI strongly disagreed. The legislation’s passage, said Hourahan, “would mark a backwards step” in dealing with HIV. Since the bill criminalizes knowingly transmitting HIV, the bill will, “privilege the ignorance of not knowing your status.” We don’t want the mantra to be, “Take the test and risk arrest,” said Hourhan, adding that such a bill would create a “viral underclass” and should be opposed by all.

Paul Fitzgerald, executive director AIDS Care Ocean State, echoed Hourahan’s comments, adding, “I don’t believe that it’s smart” to pass such a bill.

Anthony Maselli, a healthcare worker and LGBTQ activist, said that transmission of HIV with “malicious intent is improbable and rare.” The law, says Maselli, “adds insult to injury” and is “a slap in the face.” At the conclusion of his excellent testimony, Maselli was greeted with applause from those crowded into the room.

Anthony DeRose, representing the Rhode Island Democratic Party LGBTQ Caucus and the Young Democrats of Rhode Island pointed out that as a country, we are in the process of rolling back similar laws. Laws such as the one Nardolillo introduced, said DeRose, are “outdated.”

Dr. Amy Nunn of Brown University, who I featured in a piece back in December during a State House event held for World AIDS Day, said that passage of such a law would set back decades of work here in Rhode Island. She called Dr. Michael Fine of the Rhode Island Department of Health a visionary for suggesting that Rhode island might be the first state to eliminate HIV transmission through sound public policy.

Rounding out the night’s testimony was Miriam Hospital’s Kristen Pfeiffer, chair of the RI HIV Prevention Coalition and Ben Klein, a Senior Attorney at Gay & Lesbian Advocates & Defenders. Both were vociferous and forceful in firmly opposing the legislation.

In the face of such strong opposition, it seems extremely unlikely that this legislation will advance out of committee.

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Online hookup sites key to combatting AIDS in Rhode Island


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Dr. Amy Nunn
Dr. Amy Nunn

Too many of us think of AIDS as something that occurred in the past, and see it as a manageable, if unfortunate disease that is well on its way to being eradicated.

The truth is that as of 2012, over 1591 Rhode Islanders has died because of this epidemic. Though the rate of new infections has decreased over the last 30 years, there were 74 new cases of AIDS in RI in 2013. This is an increase of over 17%, according to Dr. Amy Nunn of Brown University who spoke at the State House yesterday for World AIDS Day. She was joined by Governor Linc Chafee and US Rep. David Cicilline and many public health advocates.

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“Today, over half of the new infections are among men, in Rhode Island, and we know from Dr. Philip Chan’s study that a lot of these people are meeting on line, on the Internet,” says Dr. Nunn, “The problem is that our preventative response hasn’t been as quick as those websites which are making money hand over fist and helping people hook up online.”

Dr. Nunn would like to avoid stigmatizing high risk lifestyles and instead concentrate on education as a means of protection.

The answer is “to get our preventive response aligned with how people are getting infected.” Dr. Nunn sees the answer as partnering with these online hook up sites like Grindr, “I would posit that they do a much better job of reaching the highest risk people than we have done in the public health community, and it’s time for a revolution.”

“I would like to challenge every one in the room that we really need to think about how we can enhance our prevention strategies by working with these companies online and also shaming them into corporate social responsibility. Why aren’t they doing more?”

Dr. Nunn would also like to implement AIDS screening as part of our regular checkups, as routine as blood pressure and temperature checks.

If we do this, says Dr. Nunn, we have a good chance of getting our AIDS infection rates down to zero.



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