Great Kanawha food fight

West Virginia is among the top five on just about every national chronic disease list. The state leads the nation in diabetes and obesity, according to the Gallup Healthways poll.

Surveys show that many West Virginians do not realize obesity is a leading cause of many chronic diseases. Many also feel those diseases are hereditary, and there is nothing a person can do to prevent them.

The state's children raise major red flags for the future. West Virginia University screens thousands of schoolchildren every year. In 2010-11, they found that 24 percent of fifth-graders have high blood pressure, 26 percent have high cholesterol, and 29 percent are obese. Eighteen percent of kindergartners and 23 percent of second-graders are obese.

There has been little public discussion of this problem. "The Shape We're In" project aims to stir up that discussion. Written and photographed by Annenberg fellow Kate Long, it will be divided into three parts in The Charleston Gazette, the state's largest newspaper:

• Children at risk
• Programs that work
• Communities making a difference

Some segments will be accompanied by West Virginia Public Radio pieces.

Part 1: "This is a public health emergency"

Part 2: A growing problem

Part 3: Putting the pieces together

Part 4: Health officials say W.Va. can reverse its chronic disease numbers

Part 5: W.Va. man: diabetes programs work

Part 6: "Get kids moving"

Part 7: Daily activity affordable, Department of Education says

Part 8: Wood researchers: Active kids do better academically

Part 9: Rocking the gym at 7:30 a.m.

Part 10: Nebraska school district lowers obesity rate

Part 11: What happened?

Part 12: 'Everyday heroes' saving own lives

Part 13: W.Va. ranks first in heart attack, diabetes, eight other categories

Part 14: Success from scratch

Part 15: Great Kanawha food fight

Part 16: Better focus

Part 17: W. Va. slammed with sugar

Part 18: Glenda and Jill vs. diabetes

Part 19: This is how bad diabetes can be

Part 20: Recognize diabetes before it's too late

Part 21: Logan hardest hit by diabetes

Part 22: Even if your relatives had diabetes, you don't have to

Part 23: Body and spirit

Part 24: American Diabetes Association is MIA in W.Va.

Part 25: Young people contending with diabetes

CHARLESTON, W.Va. -- Last August, all 261 Kanawha County school cooks were abruptly ordered to quit serving prepackaged food and cook instead, from scratch, with fresh ingredients, five days a week.

They were given little warning, and no extra training.

By October, protesting school cooks packed Kanawha school board meetings. They made headlines for weeks. At some schools, students quit eating school meals in droves.

Six months later, the Kanawha County schools superintendent says the county should have trained the cooks first. The school board president blames the cooks, and the interim food service director says some cooks sabotaged the food.

"In retrospect, we were a bit too aggressive," Superintendent Ron Duerring said in March. "We were trying to follow the state's push for healthier meals, but I think maybe we should have tackled it a little more slowly and done a little more training with our cooks on cooking from scratch."

With fewer students eating, Kanawha County's food program is projected to make about $350,000 less than it did the previous year, according to the state Department of Education.

With fixed labor costs, the county must make up part of that shortfall. During the fracas, the county also lost $96,000 in federal revenue because it neglected to send in applications for free and reduced-cost meals in a timely fashion, state records show.

School board President Pete Thaw still blames the cooks. "All that hell-raising at the beginning of the year was caused by the cooks, in my opinion," he told the Gazette in March. "Some of them are lazy, and they didn't want to change the way they were doing things. They'd much rather just unload the truck of processed food, take it out of the freezer, put it in the microwave and serve it."

Cooks reacted in different ways, said Tammy Walker, interim child nutrition director. "We have a lot of wonderful veteran cooks who said, 'OK, I can do this.'"

But Thaw is right about others, she said. "We also had some who realized scratch cooking was more work, and they didn't want to do it, so when they prepared a lot of items, they left ingredients and steps out so it wouldn't taste good.

"At one school, for instance, they served a pizza that's supposed to be finely sliced, sautéed vegetables with melted cheese. Instead, they piled chunks of raw vegetables and cheese on it, about three or four inches high, and called it scratch cooking. Well, no wonder the kids didn't like it. At another school, they left the sugar out of the brownies."

"I don't believe that for one second," said Jackie Long, president of the West Virginia School Service Personnel Association. "These cooks love the students, and they wouldn't do that."

The number of Kanawha students eating school meals is gradually rising, but is not yet back to last year's level. "I'm hopeful that we can make up the [$350,000] over time," Duerring said. "We are backing up and trying again."

The county is hiring a new food service director. "The ideal candidate will be committed to change," the advertisement said.

What can be learned?

To put the Kanawha episode in perspective, it makes sense to go back to 2009, when British celebrity chef Jamie Oliver landed in Huntington with his TV reality show, vowing to whip Cabell County into healthier, skinnier shape.

He set up camp for three months at Central City Elementary School, where he attacked breakfast pizza, processed meat full of chemicals, and high-sugar flavored milk.

One in three West Virginians is already obese, Oliver told his international audience. Obesity leads to diabetes, heart disease, strokes. "If you want to make a difference, start with what the kids are eating," he said.

He did not mention that the Cabell high schools already had salad bars. Soda pop and junk food sales were banned from schools. Cooks were baking with whole-grain flour - but they also used a lot of prepackaged, processed food.

Food service director Rhonda McCoy had a long-term plan to get rid of processed food, she said. "You can't change the menu all at once and expect kids and parents won't revolt."

Oliver stirred up awareness and aggravation and won over Central's hostile cooks. "That meant we could move faster at that school," McCoy said. Central started cooking from scratch five days a week. But Oliver was leaving, and there were 23 other schools.

Enter Kanawha County

Cabell Huntington Hospital stepped in and paid Oliver's behind-the-scenes crew -- three chefs from Connecticut-based Sustainable Food Systems -- $100,000 to stay for the rest of the year. In six months, they trained the cooks at all Cabell County schools. "People called us the reality behind the reality show," head chef John Turenne said.

They spent a week at each school. "We'd walk in the back door of the kitchen on Monday morning, at 4:30 a.m. and face these looks of fear in the cooks' eyes," Turenne said. "But by Friday, we were getting hugs, kisses, school T-shirts, e-mail addresses."

Today, Cabell County schools cook from scratch five days a week with mostly fresh ingredients. Their food gets rave reviews from visiting journalists.

New York freelance writer Jane Black, a food critic who is co-writing a book about the Oliver episode, recently blogged that "Cabell County's efforts prove that, with real cooks in the kitchen, good food can be produced on a shoestring."

In late spring 2010, "April Hamilton and some Kanawha County colleagues showed up in Huntington and asked if we would come over to Kanawha County and see how we could help out," Turenne said.

The women, part of the Holz Elementary School wellness committee, formed a fundraising group called Launching a New Lunch and raised $14,000 for the assessment.

"It was incredibly easy to raise that money," said Paige Payne, director of Charleston Montessori School. "People right away said, 'Oh, yes, we've got a problem. I'll contribute to that.'"

So, in October 2010, Turenne and two other chefs looked at Kanawha County school kitchens and menus and talked with cooks for a week. They met with the superintendent, school board members and food service director.

They pitched a two-part plan: (1) train cooks and educate teachers and kids at seven schools:

start small, work out kinks, get recipes and suppliers, etc. then (2) roll it out to all 70 Kanawha County schools.

The price tag was $68,000 for the seven-school pilot. The 70-school rollout was $400,000. "But we told them the cost would be drastically less if their own people did the total-system training," Turenne said. "We do the pilot, they do the rest."

Don't skip the training, he warned. "The food is only one part of what must be done to succeed. You also need to train everyone and get buy-in from your cooks, students and administrators," he said.

"We offered to raise the money to pay for it," Hamilton said. "I stood before the board, and when Pete Thaw said, 'Mrs. Hamilton, have you come to ask us for money?' I said, 'No, I want to give you money. We just want your permission to raise money.'

"They never gave us permission," she said.

Asked why Kanawha County took no action, Thaw said, "Oh yeah, they brought in a chef from Timbuktu. It cost too much. It's that simple. It was too expensive."

Yes, he said, Launching a New Lunch offered to raise the money. "But we weren't sure the federal government would sign off. And these outfits never show you all their cards. They always have a hidden cost."

Meanwhile, the national Boy Scouts have hired Turenne's group to plan the food for Fayette County's new national Boy Scout Summit.

 "It's really discouraging," Payne said. "We were willing to raise the money for the entire program, but it wasn't welcome. It's almost as if they fight not to change.

"They could have been in great position last fall. All that didn't need to happen."

All heck broke loose

In summer 2011, seven other counties -- Lincoln, Clay, Gilmer, Fayette, Mingo, Mason, McDowell -- volunteered for the state's school nutrition pilot project. They agreed to cook breakfast and lunch from scratch five days a week for a year, serve free breakfast and lunch to all students, and train all cooks.

Kanawha County was not included as a whole in the program, but one school, West Side Elementary, was.

In August, Cabell County cooks trained cooks from the pilot counties. They taught them tricks of healthy cooking for hundreds of kids. "We went home and duplicated the training for all our cooks," Mingo County food services director Kay Maynard said. "When school started, we were ready to go, with recipes we knew kids would like."

There have been no protests in those counties. Instead, the number of students eating breakfast has nearly doubled. They brought in more than a million extra federal dollars in the first four months.

In Kanawha County, after the administration ordered cooks to cook from scratch, "all heck broke loose," Hamilton recalled.

Thaw keeps claiming the federal government made Kanawha County do it. "Absolutely not," said James Harmon, regional director for the U.S. Department of Agriculture. "We don't dictate how the meal is prepared."

Did the state make them do it? "No," said Rick Goff, director of the state Office of Child Nutrition. "We would not have wanted them to do it without training the cooks."

All that's in the past, says Superintendent Duerring, and it's "time to turn the page." Gary Cochran, the former food service director, resigned.

"We've advertised for a new Child Nutrition Director. We have qualified applicants and hope to hire soon," Duerring said.

The school board has added $20,000 to the director's salary, bringing it up to about $82,000 to run the $18 million program. "We want to hire somebody good," Duerring said. "The state wants us to cook more from scratch and wants more healthy foods, and so do we."

Next summer, Kanawha County will send some cooks to the state's cooking camp, he said. "But to get all 70 schools trained is a big initiative, so we'll have to do other trainings to reach all of our cooks. It can't happen overnight, but it will happen."