Abstract

BackgroundNutrition professionals that have menu planning and disaster management responsibilities should consider factors that have transcended from ancient to current times, in addition to recognizing societal trends that have led to our current increased vulnerability in the event of a disaster. Hence, we proceeded to develop a set of “Disaster Response Diets” (DRDs) for use in urban societies inclusive of the aforementioned considerations.MethodsA three-phase multidimensional approach was used to identify food groups suitable for creating a set of DRDs. Phase One consisted of calculating the percent daily nutrient intake and Drewnowski’s naturally nutrient rich (NNR) score for an individual or mean composite for one serving of food from 11 specific food groups. In Phase Two, in addition to nutrient density, the 11 food groups were evaluated and scored based on the following DRD planning criteria: storage and handling properties, preparation ease and, cultural acceptance/individual tolerance. During Phase Three, three DRDs were developed based upon the data retrieved from Phases one and two.ResultsIn Phase One, the NNR scores ranged from 2.1 for fresh fruits to 28.1 for dry cereals, a higher score indicating a higher nutrient density. During Phase Two, a maximum score of 12 was possible based on appropriateness for a disaster situation. Five plant-based food groups (dry cereals, nuts, dried fruits, grains and legumes) achieved a score ranging between 7 and 12, whereas the five fresh food groups were deemed ineligible due to sanitation and perishability concerns. During Phase Three, three DRDs (milk-inclusive, milk-free and Grab-and-Go) were developed as benchmarks for disaster response planning.ConclusionsPlant-based DRDs are universally acceptable and tolerated across cultures and religions. Therefore, we suggest nutrition professionals consider using a plant-based approach for creating DRDs for public health institutions and organizations.

Highlights

  • Nutrition professionals that have menu planning and disaster management responsibilities should consider factors that have transcended from ancient to current times, in addition to recognizing societal trends that have led to our current increased vulnerability in the event of a disaster

  • Limited food storage space pecans and pistachios; the dried fruit group consisted of apricots, figs, raisins, apples and dates; the grains group included white rice, saltine crackers, cream of wheat and enriched pasta; the legumes group included peas, lentils, soybeans, kidney beans and chickpeas; the dried meat/fish group included beef and cod; the fresh vegetables group consisted of carrots, tomato, spinach, celery and bell pepper; the fresh fruit group included apple, orange, banana, seedless grapes and cantaloupe; and, the fresh meat/fish group featured ground beef, pork roast, cod, chicken and salmon

  • The scores for an individual or mean composite for one serving of food were computed for the 11 food groups [dry cereals, nuts, dried fruits, grains, legumes, dried meat/fish, dry nonfat (NF) milk, fresh vegetables, fresh fruits, fresh low fat (LF) milk, eggs and fresh meat/fish] in order to determine their value

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Summary

Introduction

Nutrition professionals that have menu planning and disaster management responsibilities should consider factors that have transcended from ancient to current times, in addition to recognizing societal trends that have led to our current increased vulnerability in the event of a disaster. For centuries individuals residing in rural agricultural communities lived in isolation and had limited food availability. Individuals in these communities or geographic regions were homogeneous in culture and race (e.g., consistent gene pool) and were naturally forced to plan ahead for periods of potential famine caused by natural disasters (e.g., drought, floods, and fires) or erratic weather patterns (e.g., heavy rain or snow). Vast urbanization has created a global melting pot which adds an additional layer of complexity

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