# Lessons on food security from the COVID-19 pandemic in Bermuda

**Authors:** Elisa Pineda, Junhui Li, Danying Li, Todd Brown, Tazeem Bhatia, Ian F. Walker, Jack Olney, Franco Sassi

PMC · DOI: 10.1371/journal.pgph.0002837 · 2024-02-12

## TL;DR

The study explores how the COVID-19 pandemic affected food security in Bermuda, focusing on availability and affordability of food.

## Contribution

The study provides insights into how food insecurity in Bermuda was influenced by income and government aid during the pandemic.

## Key findings

- Food aid beneficiaries consumed fewer fruits, vegetables, and fresh meat/fish compared to non-aid recipients.
- Feeding programs helped prevent food insecurity but lacked nutritional monitoring, affecting low-income populations.
- Food availability in Bermuda remained largely stable during the pandemic despite increased demand for aid.

## Abstract

Compared with other OECD countries, Bermuda ranks third globally in terms of income inequality globally. During the COVID-19 pandemic, anecdotal evidence suggested, significant fluctuations in the food demand and supply. We aimed to examine the impact of the COVID-19 pandemic on food insecurity, with a focus on the availability and affordability of various foods in Bermuda. We utilized a cross-sectional study design to investigate potential drivers of food insecurity within the local population. To gauge the level of household food insecurity we relied on the Bermuda Omnibus survey (N = 400) undertaken by Total Research Associates Ltd via telephone. To assess changes in food availability and affordability we conducted semi-structured interviews with key stakeholders who played pivotal roles in shaping food accessibility availability and affordability of food in Bermuda. These interviews were systematically analysed using the framework method. We performed analyses of food retail and import data to evaluate fluctuations in food prices and their impact on food availability and affordability. We found statistically significant associations between changes in food consumption, household income, and government aid. Food aid beneficiaries ate fewer fruits and vegetables by 50% [95% CI:17%-83%] and less fresh meat and fish by 39% [95 CI:3%-75%] compared with residents who did not receive any aid during the COVID-19 period from March 2020 to March 2021. Although we did not identify statistically significant food price increases feeding programmes played a pivotal role in preventing food insecurity during the pandemic in Bermuda. However, a lack of monitoring regarding the nutritional quality within the programmes, allowed a wide availability of foods high in sugar, salts, and fats, disproportionately affected low-income populations. In conclusion, food availability in Bermuda remained largely unaffected during the pandemic. Nevertheless, the surge in demand for feeding programs underscores underlying food security challenges in Bermuda and warrants further attention.

## Linked entities

- **Diseases:** COVID-19 (MONDO:0100096)

## Full-text entities

- **Diseases:** food insecurity (MESH:D005517), COVID-19 (MESH:D000086382)
- **Chemicals:** fruits and vegetables (-), sugar (MESH:D000073893)

## Figures

8 figures with captions in the complete paper: https://tomesphere.com/paper/PMC10861061/full.md

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Source: https://tomesphere.com/paper/PMC10861061