Health
Community Seeks Emotional and Physical Wellness
by Sandra Jordan
Special to the NNPA from the St. Louis American
“It’s the stress of what we are going through as a community that is making us unhealthy,” said St. Louis Regional Health Commission CEO Robert Freund.
Through the Gateway to Better Health Program, RHC has connected about half of the St. Louis area’s uninsured population to primary care doctors at Federally Qualified Health Centers.
RHC data indicates about 60 percent of those persons have chronic illnesses. They have diabetes, they have hypertension or both.
“We’re doing a great job of trying to get them into medical care and managing those diseases so they don’t spin out of control and turn into strokes, turn into amputations – diabetes turn into blindness,” Freund said. “The question we started asking was: is there a way we can get the numbers down from 60 percent of those folks having a chronic disease before we get to them – before they hit our health centers?”
And they started thinking about what was really driving the development of those chronic conditions, as well as ways to strengthen community engagement.
Freund said community was telling the RHC that it needed to get back to stressing the importance of mental health. People are stressed-out. And resources to help are scarce.
“A lot of what is driving the poor health …, it’s not necessarily lack of access or not necessarily lack of medicine, it’s stuff that’s going on in our everyday lives,” he said.
And there is scientific data to support it. The Adverse Childhood Experiences Study, conducted by Centers for Disease Control and Prevention in Atlanta and Kaiser Permanente in San Diego, found a direct link between childhood trauma and adult onset of chronic diseases, such as diabetes, heart disease and some types of cancer.
“Your body just gets so worked up until ‘fight or flight response,’ which releases chemicals in your body. And if it’s always in a fight or flight response, it’s going to jack up your blood pressure; it’s going to jack up your blood sugar levels,” Freund said. “And you know what that gives you? Diabetes and hypertension.”
The RHC started a collective conversation about what it takes to become a healthier community through its effort, Alive and Well St. Louis. The first conversations were heard on local radio through a series of health messages based on the commission’s 10-year review health status report and hosted by Integrated Health Network CEO Bethany Johnson Javois (who is currently on hiatus from IHN while she serves as the managing director of the Ferguson Commission).
Conversations expanded from the airwaves to back to grassroots level, where behavioral health professionals are training community members to become ambassadors – who will help others learn how to fight toxic stress in their lives to create a community that is not merely existing – it’s Alive and Well.
There are tools and techniques that individuals can use for personal stress reduction, including talking about it.
“People who are in community with each other and are connected with one another are much more likely to deal with stress better,” Freund said. “If you are isolated or are alone, if you don’t have a natural support group … you won’t get through the stresses as well as others.”
Something as simple as exercising or taking walks help deal with stress levels; making a decision to have a positive attitude; taking a few minutes to reflect; taking a deep breath and meditating are useful tools, Freund said.
“When you really find yourself being anxious and worked up, step back, take deep breaths,” he said. “Sounds easy, but people don’t do it.”
Persons who are profoundly depressed or anxious should seek professional help.
“What we are finding is, it doesn’t take an acute crisis for people to make themselves sick over stress, and that’s where counseling agencies come in handy,” Freund reminded.
Provident Counseling, Hopewell Center and Lutheran Family Services are some of the agencies in the St. Louis area, as well as community health centers.
“Talk to your doctor and say, ‘I need some help.’”
Freund admits there are not enough mental health professionals for the amount of people who are stressed.
“If it reaches a tipping point, we need to get people help,” he said. “Before that, work with each other. Just talking about it with a friend can a lot of times be the thing that is the difference between getting people through it or not.”
The next Alive and Well training is scheduled for March 24. RHC said it will be conducted by the Department of Mental Health.
If you are interested in joining the conversation, download the Bonfyre app and search for Alive and Well, or find out more at http://www.aliveandwellstl.com.
Activism
San Francisco Is Investing Millions to Address Food Insecurity. Is Oakland Doing the Same?
There are over 350 grocery programs across San Francisco. Less than a handful in District 10, a neighborhood classified as a food desert, and includes Hunters Point, one of the lowest income areas in the city.

By Magaly Muñoz
On a Thursday evening in February, Marquez Boyd walked along the aisles of San Francisco’s District 10 Community Market looking for eggs and fresh produce to take home to his children. He has been trying new recipes with ingredients he previously couldn’t afford or access.
“I learned how to cook greens since they got a lot of fresh greens here,” Boyd said. “All that stuff is better and more healthy for my kids because they’re still young.”
Meals filled with fresh produce are now possible for Boyd since the District 10 market in Hunters Point opened in 2024 when Bayview Senior Services, a non-profit running the program, received a $5 million investment from the city of San Francisco.
The market is a twist on a traditional food bank, where people can often wait in long lines for pre-bagged groceries they may not need. Here, the goal is to offer people in need a more traditional grocery store setting, with a bigger range of healthy options and less shame for needing assistance.
It’s a twist that Boyd appreciated. “This set up is way better as opposed to maybe like a food bank line,” he said. “It’s easier and faster.”
Similar models exist in Santa Barbara and Tennessee.
There are over 350 grocery programs across San Francisco. Less than a handful in District 10, a neighborhood classified as a food desert, and includes Hunters Point, one of the lowest income areas in the city.
Census Bureau data show that the median income for households in the 94124 zip code, where Hunters Point is located, is just under $83,000 annually. Black households earn about $46,000, Native Hawaiian or other Pacific Islanders earn almost $41,000, and Hispanic households make just above the median income- an average of $86,000.
Located at 5030 3rd Street, the aisles are lined with fresh produce, canned goods, bread and snacks. While refrigerators and freezers in the back of the market are filled with dairy products and meat.
The best part- everything inside is free for eligible customers.

The San Francisco District 10 Community Market is stocked with fresh produce, dairy, meat and chicken, bread, and cultural food staples. Directors of the market say they pride themselves on providing healthy options for community members. Photo by Magaly Muñoz.
“The interesting thing about this market is that it’s a city-funded effort to create something besides the average food line to give more dignity and choice than is normally given to low-income people,” said Cathy Davis, executive director of Bayview Senior Services.
Davis said people feel more comfortable coming into the market because they can choose the food they want and at a time that’s convenient for them.
Boyd, a single father of two kids, recently lost his job and relied on his sister’s generosity before discovering the market. He comes to market when he gets off of work in the evening.
“It’s a lot of people in these communities that don’t get a chance to eat healthy,” Boyd said. “They don’t have the money to go to grocery stores to buy expensive stuff.”
Another shopper, Rhonda Hudson, said the market helped her meet her grandson’s diet-related health problems. She used to travel outside the neighborhood for affordable groceries, but now she no longer has to.
According to the city’s Human Services Agency, there are no plans to expand the markets in San Francisco due to budget constraints.
But Davis isn’t worried about losing the market funding.
“City leaders were on board with creating it and finding the money to put it together so I would say we didn’t have to advocate because it came through the government. Now it’s our job to keep it going to prove that it’s a pilot worth maintaining,” Davis said.
District 10 Supervisor Shamann Walton, who co-sponsored the ordinance, said that projects like the market are “essential to our neighborhoods,” where access to affordable food has been a challenge.
“Investing in local community markets helps ensure that families have reliable, healthy food options close to home, addressing food insecurity and supporting the well-being of our community regardless of income,” Walton said.

Rhonda Hudson is a shopper of the District 10 Community Market in San Francisco. The fresh produce she gets at the free grocery store program helps her grandson, who has a diet-related illness, stay healthy. Photo by Magaly Muñoz.
Why Not Oakland?
Only slightly larger than San Francisco, Oakland has over 400 food distribution sites. Oakland provides grants to nonprofit-run organizations who run grocery programs. But in recent months, the city has begun to reduce those, forcing some organizations to regroup, and making it challenging to implement a community market similar to San Francisco’s.
The Oakland Post repeatedly reached out to city and county officials for comment on the story but did not receive a response.
At several food banks across West and East Oakland, residents shared their frustrations about long lines, wilting produce, and limited food choices.
At one food bank, located at Christian Tabernacle Church, a young mother, who requested anonymity for privacy reasons, waited in the rain for over three hours for a single bag of groceries.
“I like to get here early because I get better [quality] fruits and vegetables,” she said. She added that it’s not a lot of food that she receives for her family, but it helps close the gap when her budget is tight.
Behind her, several other women waited their turn. Neither the timing of the distribution nor the location of the food bank fit their schedules, the women said, but their choices feel limited.
Only a handful of Oakland food bank sites operate throughout the day, like the San Francisco market. Most food distribution programs are sustained by Alameda County Food Bank, not by city funding. Private grants and donations also help fund the programs.
Securing city funding is increasingly challenging. Oakland faces a $130 million budget shortfall, with a projected $280 million deficit in the next biennial cycle. Citing budget concerns, the city has reduced numerous department budgets and grants. One of those cuts included slashing the longstanding SOS Meals on Wheels grant, which helped provide food to 3,000 seniors.
Charlie Deterline, executive director of Meals on Wheels, said the termination of their $150,000 annual grant could mean that Oakland residents might see a change in the amount of meals they receive. The organization has gone 19 months without funding from that grant, Deterline said, but “continued working on good faith from the city” because they were assured they would be paid out. Now, Deterline is having doubts.
The program also received a grant of more than $125,000 from the Sugar Sweetened Beverage Tax. Yet, on June 12, the city informed grant recipients that the funding could be rescinded in order to balance the budget. That ultimately happened, said Deterline.
“Oakland is by far the most expensive city for us to operate in. It is also where the greatest need is – for us to meet that need, it will take the entire community coming together,” Deterline said.
From the sugar tax, money from that measure is also not being allocated correctly as the majority of the funding has been used to fund government services, said members of the SSB tax advisory board.
The tax generates around $7 million annually. 25% to 40% of the funding goes towards grants for community based organizations instead of the 60% allocation that the SSBT advisory board recommended the city to use for health programs. The rest of the funding goes to the city, according to Oakland’s mid-cycle budget.
Advisory board member Dwayne Aikens said he’s not sure Oakland will ever renew the grants that have been cut from this tax. “I’m looking at the conditions of the city and I’m not optimistic,” Aikens said. “If they don’t have the money now, I don’t think they’ll have the money in the future.”
Aikens said the tax was “kind of a waste.” He’s heard displeasure from the community about the lack of funding into Black and Brown neighborhoods, groups who typically live in areas of Oakland that see health and income disparities.
Meanwhile, the Community Market, which reflects the diversity of the Bayview Hunters Point community, is investing in over 800 of the city’s most vulnerable households. In-store staff and directors speak the languages common to the area and the program provides a culture-of-the week selection of foods for those interested in trying something new.
Davis said it’s up to local municipalities to ensure that residents don’t go to bed hungry, and investments need to be made in order to combat the pockets of neighborhoods who are on the brink of food insecurity.
“That’s just such a core responsibility and a core goal of everyone, to make sure that people are fed and healthy. It’s not a luxury item,” Davis said. “It’s something that needs to happen, whether we’re in a budget crisis or not.”
Reporter Magaly Muñoz produced this story as part of a series as a 2024 USC Annenberg Center for Health Journalism Data Fellow and Engagement Grantee.
Activism
Undocumented Workers Are Struggling to Feed Themselves. Slashed Budgets and New Immigration Policies Bring Fresh Challenges
Founded more than 20 years ago, Street Level Health Project started with a handful of nurses and volunteers visiting day laborer sites in East Oakland to provide medical assistance and other resources to newly arrived immigrants. They quickly spotted symptoms common among day laborers: nausea, fatigue, and headaches. Sitting in the sun for hours waiting for work is typical. Once on a job, some men shared incidents of nearly passing out while working. Volunteer nurses also noticed signs of hunger among the men, with some going days without eating a proper meal.

By Magaly Muñoz
Up and down the streets of the Fruitvale neighborhood in Oakland, immigrant workers head to empty parking lots and street corners waiting for a job. Some are as young as 14 and as old as 60.
Diego, a man in his late thirties, is a construction worker who arrived in the United States nine months ago. He, like many of the men standing beside him at the day laborer site, came to the U.S. in the hopes of providing a new life for his family. Now, Diego and other immigrants are worried as threats of deportation increase from the Trump administration.
Also worried are organizations such as Street Level Health Project, an Oakland-based nonprofit dedicated to providing access to health care and basic services to these laborers.
Street Level Health Project’s funding primarily comes from federal and local grants, These are in jeopardy because of city budget constraints and proposed cuts to federal social service dollars.
Already, the nonprofit’s local funding has been cut. The City of Oakland decreased one of the organization’s grants by $35,000 in one of its latest rounds of budget cuts, with city officials citing a looming budget deficit.
“Our primary day laborer program funding right now is secured, but we do have concerns in this next budget cycle if it will continue to be secured, given [the budget shortfall], and the recent cut to 13 community grants across the city,” said Executive Director Gabriela Galicia.
Founded more than 20 years ago, Street Level Health Project started with a handful of nurses and volunteers visiting day laborer sites in East Oakland to provide medical assistance and other resources to newly arrived immigrants. They quickly spotted symptoms common among day laborers: nausea, fatigue, and headaches. Sitting in the sun for hours waiting for work is typical. Once on a job, some men shared incidents of nearly passing out while working. Volunteer nurses also noticed signs of hunger among the men, with some going days without eating a proper meal.
“We’re the safety net to the safety net,” said Galicia. As Oakland’s sole organization devoted to helping undocumented workers, Street Level is often tasked with “picking up the leftovers” for groups that provide resources to the larger immigrant or underserved communities, she added. Now, that mission is under threat.

Level Health Project is a nonprofit organization in East Oakland that provides health and employment resources for immigrant day laborers and their families. The staff upped their efforts to provide information about immigration rights in the wake of Donald Trump’s presidency. Photo by Magaly Muñoz.
At day laborer sites in East Oakland, several workers said that they often skip buying groceries or meals for themselves in order to save money for rent or other necessities.
Diego, who like others interviewed for this story asked to not share his full name because of his undocumented status, said he’s lucky if he makes $300 a week. He said that is enough to pay for the small room he and his son rent in the Fruitvale – but not enough to feed them both. Diego said that he will sometimes go days without food.
The family Diego rents from is more fortunate, he said, because they’re able to afford meat and rice. At times, Diego said, it’s hard to ignore the savory smell that finds its way to his bedroom. Diego tells his son to look away from his landlord’s table to avoid feeling envious about what they cannot buy themselves.
“It’s hard because I know there’s food at the store, but there’s never enough [money] to buy it,” Diego said. “We barely have enough to pay our rent every month.”
On top of paying for the basics here in the U.S., day laborers also face pressure to support relatives in their home countries.
Pedro, interviewed on his BART ride home after an unsuccessful day of trying to find work in East Oakland, said his family in Guatemala regularly goes days without eating because he can’t make enough money in the Bay Area to send home to them.
“A lot of [day laborers] have their families back in [Latin America], making it harder to keep up with our needs here,” Pedro said. Some days he said the only thing he eats is the fruit that some local organizations hand out to workers like him.

Street Level Health Project is providing weekly grocery bags to immigrant day laborers and their families to address the growing need for food in the community. Photo by Magaly Muñoz.
Bracing for bigger challenges
Before the pandemic, Street Level Health Project had a hot meal lunch program at their central office in the Fruitvale, where the organization provided meals twice a week for over 50 people. The organization also had a hot meal breakfast program where they prepared 50 to 90 meals, three times a week.
Understanding the food insecurity that many day laborers face, the project launched a food distribution program in 2011, distributing nearly 70 bags of groceries weekly. Thanks to additional funding, they were able to increase that to 150 food bags a week during the pandemic.
In recent years, Street Level Health Project reduced its weekly grocery distribution back to 70 bags and cut its hot meal program completely. Galicia, the director, said that’s because of the end of COVID-19 funding and staffing reductions.
Street Level Health Project also receives regular donations from the Alameda County Food Bank, but Galicia said it has not been enough to restore the food distribution program to what it was during the pandemic.
Currently, Street Level has a $100,000 grant from the city of Oakland to provide wrap-around services for day laborers, such as getting jobs for the workers, providing assistance with CalFresh and MediCal applications, and referring people to legal aid or immigration assistance. Galicia said that funding is barely enough to do the amount of work that the city expects.
Meanwhile, the $35,000 cut in funding has impacted the organization’s workers’ rights outreach and education services, she said.
The Oakland Post tried reaching out to city and county officials several times for comment but did not get a response.
Galicia fears city leaders will make even harsher cuts during the upcoming budget cycle this spring to balance a $130 million shortfall. Last year, Oakland cut funding for public safety, arts and culture programs, and 13 other nonprofits that serve the city’s most vulnerable populations.
Yet the budget concerns don’t stop with local government.

In the wake of Trump 2.0, organizations across the country are handing out “red cards” with the rights that immigrants should be aware of when encountering immigration officers. Photo by Magaly Muñoz.
Since President Donald Trump’s second inauguration, immigrant communities and the organizations that serve them have been in crisis mode.
Trump, who ran on a promise to deport millions of immigrants, has signed executive orders to stop birthright citizenship, shipped migrants to Guantanamo Bay, and attempted to freeze federal funding to social programs. Undocumented residents are increasingly anxious that their families might get separated.
Galicia said this is the time for local and state governments to invest in their organizations’ staff and direct resources, not take them away, from the people on the frontlines.
“I think that it’s just as important that funders are able to give to our teams, not just for the community but because the people doing the work have to be well, and we need ample resources to be able to do this work to support our community,” Galicia said.
For Pedro, the day laborer in Oakland, the combination of less support from nonprofits like Street Level Health Project, along with fear raised by the Trump administration’s deportation threats, has left him fearful. He is not alone, he said. He has noticed fewer day laborers showing up to their usual spots. Pedro said he himself fears encountering an immigration officer on his way to work.
“We don’t want to leave our homes, but at the same time, if we don’t go outside, we don’t work,” he said. “If we don’t work, we can’t afford to live.”
Oakland Post reporter Magaly Muñoz produced this story as part of a series as a 2024 USC Annenberg Center for Health Journalism Data Fellow and Engagement Grantee.
Activism
COMMENTARY: Let’s Go to The Doctor. Obesity and Weight Management for Men
Obesity is a chronic disease. According to the Centers for Disease Control and Prevention (CDC), obesity affects 42.8% of middle-aged adults. It is closely related to several other chronic diseases, including heart disease, hypertension, type 2 diabetes, sleep apnea, and certain cancers and joint diseases.

By Clifford L. Williams
Black males, and men in general, it’s time to take our weight seriously. There’s a need to take a hard look at being overweight and address the issue of obesity.
Obesity is a chronic disease. According to the Centers for Disease Control and Prevention (CDC), obesity affects 42.8% of middle-aged adults. It is closely related to several other chronic diseases, including heart disease, hypertension, type 2 diabetes, sleep apnea, and certain cancers and joint diseases.
Being overweight is defined as having a body mass index (BMI) between 25.0 and 29.9; a BMI of 30 or higher is considered obese. Although the disease is chronic, it is treatable. For people living with obesity, weight management is more than just tracking the pounds.
Obesity can negatively impact your health, but the good news is that weight loss may improve some weight-related conditions. Knowing your BMI is a great first step when starting the conversation about weight management with a healthcare provider.
The Harvard T.H. Chan School of Public Health notes obesity is generally caused by overeating and moving too little. Suppose you consume high amounts of energy, particularly fat and sugars, but don’t burn off the energy through exercise and physical activity. In that case, much of the surplus energy will be stored by the body as fat.
Black men have seen the red flags and have chosen to act. You may cut off sugar and drinks, but exercise is what really matters. Long walks are a great place to start, and they may lead to other forms of exercise.
Getting more exercise and moving around may do wonders for your weight. Make a few adjustments occasionally; they might add up over time. Also, watch what you consume. No foods need to be eliminated from your diet, but portions should be reduced and healthy calorie intake increased.
Steps That Help Lead to a Healthier Lifestyle:
Consult Your Healthcare Provider About the Risks. You should talk to your doctor and ask them about creating a personalized strategy for you. Some Black men said they didn’t realize the dangers of being overweight until they were sick with diabetes or heart disease and their doctor brought up the link to their weight, according to research published in the Journal of General Internal Medicine.
Work with a Personal Trainer – Losing weight is a team effort that requires both a nutritious diet and regular physical activity. Like diets, there is no “right” way to exercise. You may get individualized advice on what to eat based on your body type and the recommendations of your nutritionist, in addition to a tailored exercise program to help you attain your objectives.
Set Realistic Goals—Just as you shouldn’t anticipate losing weight overnight, you shouldn’t acquire it overnight either. No weight reduction program that uses microwaves exists, and even if it did, it probably wouldn’t last. If your objectives are too ambitious, you run the danger of being disheartened when you fail to achieve them.
To Our Readers:
For information on other health-related issues regarding men’s health, please share your thoughts and/or concerns with the Post Newspaper Group editorial staff.
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