Taking a wide angle view of food insecurity (see the Ryerson 5As of food security in the Framework section), then most Canadians are currently food insecure or at significant risk of becoming so. When one adds the amount of poverty - related food insecurity (see below) with the levels of food-related chronic disease, food access issues, the difficulties in many parts of the country acquiring culturally and personally appropriate diets, on-going challenges with food safety, and national food supply vulnerabilities associated with market-distortions and environmental degradation (see other parts of this Problem section), then most of us are touched in some way by food insecurity.
But, income-related food insecurity is the most acute and immediate problem and the primary focus of this section. Canada's income security is now described as one of the weakest in the industrial world. Almost 5 million Canadians live in poverty, 1 Canadian in 7 (Canada without Poverty and Citizens for Public Justice, 2016). All these people eat. In 2012, 1 Canadian household in 8 experienced income-related food insecurity at some level, meaning “inadequate or insecure access to food because of financial constraints”, and this involved some 4 million people including over a million children (1 child in 6 lived in a food insecure household) (Tarasuk et al., 2014). According to the Canadian Community Health Survey (CCHS), household food insecurity among First Nations is more than twice the national average (28.2%, excluding First Nations Peoples living on reserve, versus 12.6%). Among First Nations peoples living on reserve (about 43% of the total First Nations population), the levels of food insecurity are even higher, although the data is not as comprehensive. For four provinces, the levels of food insecurity on reserve were: 41% in British Columbia (2008-2009); 38% in Manitoba (2010); 29% in Ontario (2011-2012); 47% in Alberta (2013). Four in ten (41%) Inuit aged 15 and older lived in food insecure households (Dietitians of Canada, 2016).
Food insecure individuals are also more likely to have suboptimal diets and poorer physical and mental health, particularly depression, heart disease and diabetes (Dietitians of Canada, 2016). The food insecure are more likely than those not food insecure to be high cost users of health care services. Food insecurity also compromises disease management. A reduction in food insecurity would reduce health care costs (Fitzgerald et al., 2015; Tarasuk et al., 2016; see also Health problems, this section).
Food banks remain the most visible response to food insecurity. The focus on food relief is part of an historical charity model. With the best of intentions and driven by very capable emergency food professionals, they are unable to tackle the root causes of food insecurity. It is estimated that only about 20% of food insecure households use food banks, and because of supply restrictions, typically only receive 3-5 days of food staples per month (Dieticians of Canada, 2016). All this means that the approach is insufficient to address the scope and depth of the problem.