Eliza W. Kinsey is with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Amelie A. Hecht is with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Caroline Glagola Dunn is with the Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston, MA. Ronli Levi and Hilary K. Seligman are with the Department of Medicine and the Center for Vulnerable Populations, University of California, San Francisco. Margaret A. Read, Courtney Smith, and Pamela Niesen are with Share Our Strength, No Kid Hungry Campaign, Washington, DC. Erin R. Hager is with the Department of Pediatrics and the Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore.
Am J Public Health. 2020 Nov;110(11):1635-1643. doi: 10.2105/AJPH.2020.305875. Epub 2020 Sep 17.
In 2019, the National School Lunch Program and School Breakfast Program served approximately 15 million breakfasts and 30 million lunches daily at low or no cost to students.Access to these meals has been disrupted as a result of long-term school closures related to the COVID-19 pandemic, potentially decreasing both student nutrient intake and household food security. By the week of March 23, 2020, all states had mandated statewide school closures as a result of the pandemic, and the number of weekly missed breakfasts and lunches served at school reached a peak of approximately 169.6 million; this weekly estimate remained steady through the final week of April.We highlight strategies that states and school districts are using to replace these missed meals, including a case study from Maryland and the US Department of Agriculture waivers that, in many cases, have introduced flexibility to allow for innovation. Also, we explore lessons learned from the pandemic with the goal of informing and strengthening future school nutrition policies for out-of-school time, such as over the summer.
2019 年,国家学校午餐计划和学校早餐计划每天以低价或免费为学生提供大约 1500 万份早餐和 3000 万份午餐。由于与 COVID-19 大流行相关的长期学校关闭,学生获得这些膳食的机会受到了干扰,这可能会降低学生的营养摄入量和家庭粮食安全。到 2020 年 3 月 23 日这一周,由于疫情,所有州都强制全州范围的学校关闭,学校每周供应的错过的早餐和午餐数量达到了约 1.696 亿的峰值;这一每周估计值一直保持到 4 月的最后一周。我们重点介绍了各州和学区正在采用的替代这些错过的膳食的策略,包括马里兰州的案例研究和美国农业部的豁免,这些豁免在许多情况下为创新提供了灵活性。此外,我们还探讨了大流行期间的经验教训,以期为未来的校外学校营养政策提供信息和支持,例如在暑假期间。