by Jon Bosak, TCLocal Editor
For someone who believes, as I do, that decreasing availability of cheap fossil fuel will eventually make the transportation of food over long distances economically unfeasible, the phrase “local food” acquires a special meaning beyond the usual lifestyle implications. It’s less about maintaining moral purity and more about whether we’re going to have enough to eat. Since I live in the state of New York, the question becomes: could New York feed itself on what it produces?
A couple of years ago, I attempted a back-of-the-envelope sort of calculation to answer this question from a “peak oil” standpoint. To model the worst case, the one in which it takes more energy to extract fossil fuel than the energy we can get out of it, I put the question this way: if New York State produced what it did a hundred years ago, before the arrival of gasoline- and diesel-fueled equipment, could it feed its present population?
The answer, based on New York State agricultural statistics from the 1900 U.S. census, was rather depressing. Despite the fact that New York back then was an agricultural powerhouse — being, for example, far and away the number one state in potato production — its 1900 output of food would barely keep its current population alive.
Carbs weren’t so bad; assuming, in round numbers, a state population of 20 million (a little more than the current estimate), NYS 1900 could annually provide each resident with 87 pounds of corn and wheat and 114 pounds of potatoes. But protein was another story. NYS 1900 could provide each current resident with just 16 pounds of beef and pork, 37 eggs, and half a chicken per year. Dairy production, a historical strength in the state, would provide each person now living here just 39 gallons of milk per year, including an average six pounds of butter and seven pounds of cheese. This is probably enough animal protein to sustain life, but not remotely what we’re used to.
NYS fruit wouldn’t take up much of the slack, either; apples, grapes, peaches, pears, and berries put together would only amount to about 75 pounds per person. New York invented beans as an article of commercial North American agriculture (the first commercial bean crop on record was grown in 1836 in the Town of Yates, in Orleans County), but each person in our current population would only get about four pounds of them a year, plus a little less than a pound of peas. The problem, of course, is that in addition to cutting the fossil fuel input (including all the natural gas we turn into fertilizer), we would be trying to feed almost three times the number of people today that we supported in 1900.
Obviously this calculation was based on some very pessimistic assumptions about available fuel. But it also contained some extremely optimistic assumptions as well — most importantly that we still had substantially more arable land than we actually do now and also that we still had the vastly greater resources of animal power available a hundred years ago.[1] While suggestive, it wasn’t a very precise way of assessing our current resources.
The Cornell studies
Unknown to me, teams at Cornell University under the direction of postdoctoral researcher Christian Peters were engaged in sophisticated studies that would answer a more immediately interesting question — not what would happen if the energy inputs failed, but what the state’s carrying capacity is now, given current rates of production, and what our distribution system would look like if food miles were reduced as far as possible.
The work undertaken so far by Peters et al. has been described in two articles published in the journal Renewable Agriculture and Food Systems. The first piece, from 2006,[2] investigated the influence of diet on the demand for agricultural land and, secondarily, the ability of New York State to reduce environmental impacts by supplying food locally. The second study, from 2008,[3] focused more closely on local food by developing and applying a method for mapping NYS foodsheds. While preliminary, the results of these studies pose serious questions for those who seek to relocalize our diet, and they raise some significant issues for planners attempting to grapple with the contraction of agricultural supply chains due to rising fuel prices. The purpose of this article is to make the key findings of these seminal studies available to a larger audience.
The relatively short list of products actually produced in our climate suggests that the answer to the question of how much of our food needs can be supplied locally depends to some extent on what kinds of foods we plan to eat. The 2006 study approaches this issue by using USDA data to define 42 different nutritionally complete diets supplying 2300 calories a day, calculating the agricultural land requirements for each diet, and then calculating the potential ability of NYS to supply that diet to each resident based on recent estimates of available agricultural land (not land currently in production, but land that could be). Each of the 42 diets is nutritionally complete but contains different proportions of meat and eggs at rates from 0 to 12 ounces per day and different proportions of calories from fat ranging from 20 to 45 percent of total calories. The average U.S. diet contains 5.8 ounces of meat or eggs per day and 41 percent of calories from fat; Figure 1 shows where this average diet falls in the six by seven matrix formed by the two variables.[4] While obviously incomplete, the model does represent the range of common American food consumption patterns from low-fat lacto-vegetarian to high-fat, meat-rich omnivorous.

Figure 1. Matrix of 42 complete diets. (Click for larger image.)
Land requirements for each diet are based on a division of available agricultural land into three categories: harvested cropland, cropland pasture, and permanent pasture.

Figure 2. Available agricultural land in New York
State. (Click for larger image.)
Further methodology, detailed in the study, addresses the interdependencies between perennial crops (grown mainly on grassland) and annual crops (grown mainly on cultivated land), and the calculation of carrying capacity employs a conditional equation that determines which category of land is limiting to food production. Figure 3 shows the results, with the seven levels of meat consumption displayed across the bottom and the six levels of fat consumption grouped within each meat consumption level. For example, someone who ate 190 grams (6.7 ounces) of cooked meat equivalents per day would require somewhere in the neighborhood of 0.45 hectares (about 1 1/8 acres) of combined annual and perennial NYS crops for their sustenance if their entire diet came from within the state.

Figure 3. Land requirements of complete
diets. (Click for larger image.)
Effect of diet on carrying capacity
Not surprisingly, the results show a nearly fivefold difference in the amount of land needed per capita depending on the diet, from 0.18 ha (0.44 ac) for a diet of 0 g meat and 52 g fat to 0.86 ha (2.12 ac) for a diet of 381 g meat and 52 g fat. As most TCLocal.org readers are aware, animal products require much more land per unit of edible energy than grains; in NYS this amounts to 3.3 to 6.3 times as much total land required for the animal products other than beef and a whopping 31 times as much for beef.
On the other hand, as shown in the figure, much of the difference is in the amount of land devoted to perennial crops rather than cultivated crops. If we consider just cultivated land requirements, the clear animal products winner is whole milk (1.2 square meters of cultivated land per 1000 calories). This is just slightly above the figure for grains (1.1 square meters per 1000 calories) and actually below the requirements per 1000 calories for oils (3.2 square meters), pulses (2.2 square meters) and even vegetables (1.7 square meters).
Beef is always presented as the bad boy in discussions of agricultural requirements, but this seems to depend on where you are. The fact is that a lot of the NYS agricultural land base is not suitable for the production of annual crops but is great for forage, which provides most of a ruminant’s nutritional needs. Grassland (I will note) also requires much less in the way of fertilizer and energy inputs and helps to conserve topsoil and nitrogen. Most other foods, including most other animal products, require annual crops, the land for which is more limited in extent and is therefore the limiting factor in the total NYS food supply. Using NYS production figures, the study finds that beef (all cuts) requires 5.3 square meters of cultivated land per 1000 calories, whereas pork (all cuts) requires 7.3 square meters and chicken (all cuts) 9.0. The energy implications of these findings are not brought to the fore in the articles under review here, but clearly the effect on total production and energy requirements of including various kinds of meat in the diet is to some extent location-specific and not as straightforward as it’s often assumed to be.
Another nonobvious outcome that can be seen by studying the different fat proportions for each meat consumption level in Figure 3 is that increasing the amount of fat in the diet somewhat reduces the amount of land required. As a result, the difference in carrying capacity due to differences in diet is closer to threefold rather than the fivefold difference suggested by Figure 3. This is summed up in Figure 4, which shows the potential carrying capacity of the NYS agricultural land base for each of the 42 diets. In general, the population supported by NYS decreases with increasing fat in the no meat diet, reaches a peak and then declines in the 63 and 127 g meat diets, and increases with increasing fat in the 190-381 g meat diets. As indicated by the grey shading, some diets with low to modest levels of meat feed equal or greater numbers of people than lacto-vegetarian diets with moderately high levels of fat.

Figure 4. NYS carrying capacity according to
diet. (Click for larger image.)
One possibly unexpected implication of the study is that a vegan diet does not support the maximum number of people, at least not in the state of New York: “[W]e conclude that the inclusion of beef and milk in the diet can increase the number of people fed from the land base relative to a vegan diet, up to the point that land limited to pasture and perennial forages has been fully utilized.” Figure 5 shows what’s meant by this; even the diet with the highest proportion of meat still doesn’t exhaust the land available for forage.

Figure 5. Use of available NYS agricultural land by
diet. (Click for larger image.)
In a passage sure to provoke some of our readers, the authors continue: “[T]he higher populations supported by lower fat, non-vegetarian diets relative to higher fat, [lacto-]vegetarian diets support the claims by animal scientists that the inclusion of animal products in the diet can increase the amount of humanly edible calories available in the food supply. Indeed, more substantial differences may have been observed had a vegan diet been included among the diet scenarios.” The authors hasten to add that this is not an endorsement of the average American diet: “Nonetheless, it is critical to note that the area of overlap observed occurs between 63 g (2 oz) and 127 g (4 oz) of meat, far below the 163 g daily consumption of the average American.”
Beyond these details, Figure 4 also provides the answer to my original question: Can NYS feed itself? The answer is an unequivocal No. Assuming that everyone gets a complete, balanced daily diet that includes 190 g of meat and contains 30 percent fat, the state could potentially feed about 21 percent of its current population. Given a radical change in the average diet, this proportion could, judging from Figure 4, rise to a little over 30 percent, but it’s clear that NYS will always be a net importer of food. Since the cost of transporting food from outside the state is certain to increase dramatically over the next couple of decades, the effect on food prices can readily be imagined. I think this also suggests that economic forces will push back into production some land no longer considered agricultural (golf courses, lawns, etc.).
A subsidiary but still interesting question for people living out here in Tompkins County is whether the situation just described is the same for all parts of the state; after all, a basic (if mostly tacit) assumption of relocalization is that things aren’t going to be the same everywhere. Peters et al. address this question in the second of the two articles reviewed here.
Foodsheds
The 2008 paper takes on the question of what we mean by “local” in an increasingly urban civilization. “To what degree can food be produced locally?,” the study asks. “Moreover, should the meaning of ‘local’ be context specific?” The method is based on a relatively recent reintroduction of the concept of a foodshed, first used by W.P. Hedden in 1929. Peters et al. define a potential local foodshed as “the land that could provide some [specified] portion of a population center’s food needs within the bounds of a relatively circumscribed geographic area,” or more simply, “the area of land that feeds, or could potentially feed, a population.” Foodsheds provide a framework for analyzing the capacity to produce food locally at the scale of an individual city, and a principal goal of the 2008 study is to develop standard methods for this kind of analysis.
The model created in support of this goal employs geographic information systems (GIS) to estimate the spatial distribution of food production capacity relative to the food needs of a given population center and then applies optimization tools “to allocate production potential to meet food needs in the minimum distance possible.” The software implementing the model also produces foodshed maps that aid in visualizing the geographic extent of a food supply.
Assuming a constant basis in the land use data from NYS, it’s apparent that studies of this kind will produce different results depending on the assumptions regarding nutritional requirements and the algorithms built into the foodshed optimization technique.
Since the focus in the second study is on foodsheds rather than dietary variables, it holds those variables constant by using just a single representative complete diet containing 6 ounces daily from meat and eggs and 30 percent of calories from fat. A number of other simplifying assumptions are needed to make it possible to do the spatial modeling; for example, because the concept of a foodshed is tied to population centers, rural NYS residents are assumed to get their food from the nearest center. Also, and crucially, the model seeks to find the minimum total distance food would optimally travel throughout the state rather than optimizing for an individual population center, since the most efficient allocation for the whole state might require that land near one population center be assigned to a more distant population center. Due to matrix size constraints imposed by the spreadsheet software, only 125 of the 132 statistical NYS population centers could be included in the model, resulting in the elimination of the seven smallest (totaling just 0.2 percent of the state’s population).
Even with these simplifications, the optimization model used to calculate foodsheds is quite complex, and I’ll have to refer readers who want more details to the published study itself.
A selection of the output produced from the model for the largest NYS population centers is shown in Figure 6.

Figure 6. Statewide maps of selected
foodsheds. (Click for larger image.)
These maps show foodsheds for food from annual crops and fruits (on the left) and food from perennial forages (on the right) for the six largest consumption zones in New York State: Buffalo, Rochester, Syracuse, Albany, Poughkeepsie-Newburgh, and NYC. These six foodsheds, indicated by the different colors, are layered over greyscale shadings showing the capability of different areas of the state to produce food. For example, the completely black pixels in the map on the right show that the area represented by those pixels in the original model (not necessarily scaled the same as the pixels here) is potentially capable of producing 1200 to 1800 metric tons (Mg) of food products annually from perennial crops, chiefly pasture. HNE stands for “human nutritional equivalent,” referring to a complex submethodology for relating per capita nutrional requirements to combinations of farm products.
As can be seen from these maps, the presence of a population center much larger than the rest changes the shape of the other foodsheds. For example, on the perennial forages map, the Syracuse, Albany, and Poughkeepsie-Newburgh foodsheds extend farther to the north and west than to the south and east because the overall statewide food travel distance is shortened by ceding the land to the south of these centers to the NYC foodshed. This distortion takes an extreme form in the case of the Poughkeepsie-Newburgh foodshed (yellow), which extends from the population center as if it were being blown back by the enormous NYC food demand. Conversely, when a population center is relatively isolated, as in the case of Rochester and Buffalo, its potential foodshed spreads more evenly because it is limited by natural barriers rather than by competition with other cities.
This single example doesn’t begin to do justice to the resource provided by the model. I urge people interested in exploring the model further to check it out online:
http://www.cals.cornell.edu/cals/css/extension/foodshed-mapping.cfm
Our local foodsheds
Below are screen captures of two maps generated by the Cornell tool for the Ithaca foodshed, one map for cropland (annual crops) and one for grassland (perennial crops), with the outlines of the corresponding Syracuse, Binghamton, and Elmira foodsheds shown for comparison.
According to the model, in a distribution system that used all available NYS agricultural land, provided a certain balanced diet to everyone, and optimized statewide food distances, Ithaca’s food from cropland (Figure 7) would travel an average of just 11 miles, and its food from grassland (Figure 8) would travel an average of 25. In neither case, however, would that locally sourced food satisfy all the food needs of the Ithaca area population (estimated at 95,000 persons, which includes the Ithaca Urbanized Area plus nearby surrounding rural populations). The model shows that the optimized locally sourced food from cropland would fully supply the cropland component of the assumed diet for about 81 percent of the local population (76731/95000), whereas the locally sourced food from grassland would supply only about 19 percent of that dietary component (17965/95000). This illustrates in detail the conclusion reached in the TCLocal.org article that Dr. Peters published here in April: only about half of our food supply in Tompkins County would come from local sources if food was distributed in a way that minimized food miles for the entire state.
The effect of the immense NYC demand for food on the shape of our optimized foodshed is clear even at this distance from the city; both of Ithaca’s foodsheds lie entirely to the west and north of the population center, extending in the case of grassland across several adjacent counties. Also apparent from these maps is the basis of the model on potential agricultural land rather than the land that’s in production right now; anyone familiar with the areas included in these foodsheds knows that in fact much of the land shown as the potential source of our local food is not now actually in production. The need to preserve currently idle agricultural land north and west of Ithaca for future use has important implications for zoning and land use policy in in our area; as the cost of transportation grows, this is where much of our food will have to come from.

Figure 7. Potential optimized Ithaca cropland foodshed. (Click for larger image.)

Figure 8. Potential optimized Ithaca grassland foodshed. (Click for larger image.)
Where to be a locavore
The table in Figure 9 below provides one answer to the question, “how much of New York’s food can be provided locally?” The answer is: it depends on where you live.

Figure 9. Summary of model output. (Click for larger image.)
The table lists three categories of NYS population centers (using terminology from the U.S. Census) in order of the amount of food in Tg (millions of metric tons) they receive within the model. First, of course, is New York City, which is in a category by itself. In this model — which, it must be remembered, optimizes food distances for the whole state — NYC would get just 2.2 percent of its total from food produced within the state, and that food would have to come from an average of 264 km away. The next biggest population centers, the “urbanized areas,” would get 84 percent of their food from inside the state, and that would come on average from 51 km away. And the smallest population centers (excluding the seven very smallest, as noted above), could get virtually all their food needs met from within the state, and the food could come on average from just 25 km away.
Bottom line for the state as a whole: Given the diet assumed for the study, if all agricultural land were in use, and food distribution were optimized to minimize the total distance that food travels, New York State could get 34 percent of its food needs met from within the state, and that food would travel an average distance of 49 km to each consumer.
You’ll notice that the 34 percent figure differs a little from the results of the 2006 study, due no doubt to differences between the two studies in assumptions and methodology. The difference isn’t enough to change the basic picture and in fact reinforces it by coming at it from a different angle, but it’s obvious that the results provided by a model like this depend to a large extent on a complex set of assumptions. The authors point out several ways in which the model does not take into account real-world factors (geographic limitations, agricultural specialization, details of the food processing workflow, economies of scale, etc.) and note that optimizing for food miles does not necessarily optimize for greenhouse gas emissions or energy inputs. Nevertheless, one conclusion stands out fairly clearly. Outside of the NYC area, most population centers in the state could meet all, or nearly all, of their needs from food produced within the state. But NYC, if it depended on food produced within the state, would go largely unfed.
The study boils the results down to what I would call the good news and the bad news. The good news is that “NYS may be able to significantly reduce the distance food travels” to an average far less than the 1300 miles often cited as the distance from farm to consumer in the U.S. The bad news is that “feeding big cities may require food to travel great distances.”
Peters et al. don’t draw out the implications of that last point, but I will: People living in NYC are going to be paying an awful lot more for food as we begin to move down the energy descent slope, and it would be better for them if they started to relocate back to the small towns upstate that have seen their populations decline over the last half century. To rephrase the old saying, NYC is a nice place to visit, but I wouldn’t want to try to survive there.
Notes
[1] Anyone who wants to check my figures or apply this method to other states can find a scan of the entire 1900 census abstract at http://www.ibiblio.org/tcrp/src/1900census.pdf (this 66 MB file is best downloaded before viewing).
[2] Peters, C. J., J. L. Wilkins, and G. W. Fick. Testing a complete-diet model for estimating the land resource requirements of food consumption and agricultural carrying capacity: The New York State example. Renewable Agriculture and Food Systems 22(2); 145-153.
[3] Peters, C. J., N. L. Bills, A. J. Lembo, J. L. Wilkins, and G. W. Fick. Mapping potential foodsheds in New York State: A spatial model for evaluating the capacity to localize food production. Renewable Agriculture and Food Systems 24(1); 72-84.
[4] Except for two screen shots (Figures 7 and 8), all the illustrations in this article come from a presentation given by Dr. Peters at the conference “Planning for Farms, Food, and Energy in Central New York” sponsored by the American Farmland Trust 25 March 2009 in Syracuse. I am indebted to conference organizer Judy Wright for a copy of the presentation slides. Most of the figures can be magnified for a better view.
by Christian Peters
Modern people in industrialized countries ask themselves a question that most people have not needed to ask over most of human history: “Where does my food come from?” The fact that the answer is not immediately obvious testifies to the completeness of our transition from an agricultural society to an industrial one. Food often travels great distances from the farm field through processing facilities, distribution channels, retail outlets, and ultimately to a person's plate. As a result, the journey of food remains a mystery to most of us.
To some extent, this transition has been a success. For most of the twentieth century, the principal goal of agricultural research was to increase economic efficiency of production, thus making food cheaper and more abundant. Trends in consumption and the percent of disposable income spent on food show that these efforts were effective. In the U.S., for example, the share of income spent on food dropped from 24% in 1929 to 11% in 1998 (USDA Economic Research Service, 2000). Food has become much more affordable, but this transition has aggravated health problems related to excessive consumption. In addition, the increased intensity of agriculture necessary to enable this increase in abundance has raised many issues about the environmental sustainability of the food system.
Among the many sustainability issues surrounding the food system, dependence on non- renewable energy sources and growing concern about climate change present a clear challenge. Energy consumption grew 20-fold between 1850 and 2000 (Holdren, 2008). However, limitations to increasing the supply of fossil fuels or regulations to reduce greenhouse gas emissions may cause this trend to reverse in the twenty-first century. The possibility of society entering a period of “energy descent” within this century suggests that we learn more about the journey of food from farm to plate. Specifically, we need to understand which elements of our food system are most sensitive to changes in the availability of energy so that society may plan strategically. One course of action that has been proposed is to increase reliance on “local” sources of food. This paper will address two fundamental questions related to this strategy as it applies to Tompkins County: “How much food could Tompkins County provide for itself?” and “What is the capacity of other places in New York State?” Answers to these questions will begin to shed light on a larger issue — how much of our food should be produced locally?
How much could Tompkins County produce?
One way to examine the capacity of Tompkins County to localize food production is to estimate the number of people it could feed based on the potential productivity of its agricultural land. On one level, this is an elementary approach. It considers only the nutritional needs of the population and the capacity of the available soils and climate to produce food. The necessary human capital and physical infrastructure for creating a local food system are simply assumed to exist or to be possible to develop. Nonetheless, calculating the capacity of land to meet human nutritional needs is sufficiently complex to constitute a valuable first step.
Such an analysis has been conducted for New York State. It examined a wide range of possible diets and estimated both the land requirements of each diet and the number of people that could be fed from the agricultural land within the state (Peters et al., 2007). The methodology estimated food intake based on the nutritional needs of the New York State population, preferences for individual foods, and a range of assumptions about the amount of meat and fat in the diet. Land requirements for the human diet were calculated based on estimated food intake, adjustments for losses and inedible portions, New York State crop yields, and standard livestock feeding practices. The carrying capacity was estimated based on the land requirements of each diet and the amount of cropland and pasture available, with limitations placed on the amount of land that can be tilled.
Given the complexity of the methodology, let us assume that Tompkins County is just like New York State, only smaller. Thus, the number of people that the county could feed (PTompkins) can be estimated as a simple product of the total number that could be fed in the state (PNew York State) and the proportion of available agricultural land in Tompkins County (ATompkins) relative to that available in New York State (ANew York State):
PTompkins = PNew York State × (ATompkins/ANew York State)
For purposes of illustration, let's estimate capacity to feed the population a diet with 6 ounces of cooked meat and eggs daily and 30% calories from fat. This diet reflects the current American preference for meat and eggs as a protein source yet adheres to the recommended limit of no more than 30% of total calories from fat. The statewide analysis estimated that New York could theoretically feed 4.0 million people such a diet from its 5.0 million acres of harvested cropland, cropland pasture, and permanent pasture (Peters et al., 2005; Peters et al., 2007). According to the 2007 Census of Agriculture, Tompkins County has 70,150 acres of land in harvested cropland, cropland pasture, and permanent pasture (USDA National Agricultural Statistics Service, 2009). Based on the equation above, the agricultural land of Tompkins County could theoretically feed 56 thousand people — 56% of the estimated 2007 population for the county (101,055, according to the U.S. Census Bureau, 2009).
This estimate should be taken with several grains of salt. It is based principally on the capacity of the available land and does not account for many of the social or economic factors, such as food processing infrastructure, that might further limit the capacity for Tompkins County to supply its own food. Nonetheless, it provides a baseline estimate that could be adjusted to account for changes in crop yields, availability of land, and different diets. This baseline suggests that the agricultural land of the county has significant potential to meet the food needs of the county, but that the county could not be self-sufficient.
Where would neighboring counties get their food?
Of course, Tompkins County is not the only county in the state that would like to be fed. Thus, it is reasonable to consider a more complex analysis that accounts for the needs of surrounding population centers. Such an analysis has already been conducted for New York State. The research attempted to map potential local foodsheds, geographic areas that could theoretically provide the food needs of a population center (Peters et al., 2009). The study used geographic information systems and optimization models to determine how much food the major population centers of New York could supply from within the state if all agricultural land were used to feed people as “locally” as possible.
The foodshed model used the statewide analysis of the food requirements of the human diet as a foundation. Food production capacity was then estimated spatially based on the distribution of agricultural land and the productivity of the underlying soils. Food needs were also estimated over space based on the location and population of the state's urban centers. This data on potential food production capacity and estimated food needs were organized in an optimization model that sought to minimize “food miles.” In other words, it allocated the available food production potential in the shortest possible distance.
The analysis did not produce results specific to Tompkins County, but the summary results provide the basic story. According to the model, the larger cities of upstate New York (Ithaca included) could theoretically supply 84% of their food needs within an average distance of 32 miles from the city center (Peters et al., 2009). The smaller cities fared even better and could theoretically supply 98% of their needs within an average distance of just 16 miles. In contrast, the model allocated New York City (NYC) just 2% of its food needs even though it drew on land an average distance of 165 miles from city center. Since the greater NYC area contains the majority of the state's population, this is a serious deficiency.
Again, these results should be interpreted with caution. The analysis shows that with respect to food, the distribution of land to people is nearly in balance in upstate New York. However, this balance is upset once the population of NYC is included. This does not imply that NYC cannot or should not obtain some of its food from local sources. Rather it points out that there is simply not enough land to meet the food needs of all people in all cities of New York State. The geographic area of analysis would need to be much larger to see how “local” the NYC food supply could be.
Conclusions
These two attempts to examine the food production potential of Tompkins County should not be seen as immutable estimates. Rather, they provide a quick estimate of the capacity of the county to meet its food needs and a sketch of the thinking behind the calculations. The details of the analyses, while nuanced and important, are covered in depth in the original publications. The intent of this article is simply to initiate a larger discussion.
Acknowledging these limitations, the two examples suggest that while Tompkins County may have a significant land base relative to its population, it is not an island. Rather, it is part of the very populous Northeast U.S. region. In the context of planning for energy descent, Tompkins County lies in the “backyard” of the nation's largest city. Thus, local needs for the county's agricultural land will have to be balanced against the demands of this major metropolitan area. After all, New York City already relies on upstate New York for its water supply and many of the dairy products the city consumes.
Since all food cannot be local, we should think strategically about which foods would be most important to provide locally. This will vary from location to location and from one food to another. For example, NYC is a major seaport with access to the most energy efficient form of transport available (shipping over water), whereas many towns and villages in New York are accessible only by road. Similarly, grain is easy to store and can be transported by slow, energy efficient methods, while fluid milk is bulky and perishable. It needs to be moved quickly. Such issues will clearly influence which foods are most important to supply locally and which locations have the greatest need for access to locally produced foods. We will need to think in this broader context if we are to plan strategically about how to adapt our food systems to the challenge of energy descent.
References
Holdren, J.P. 2008. Science and technology for sustainable well-being. Science 319 (5862): 424-434.
Peters, C.J., Bills, N.L., Lembo, A.J., Wilkins, J.W., and Fick, G.W. 2009. Mapping potential foodsheds in New York State: A spatial model for evaluating the capacity to localize food production. Renewable Agriculture and Food Systems 24 (1): 72-84.
Peters, C.J., Wilkins, J.L., and Fick, G.W. 2005. Input and Output Data in Studying the Impact of Meat and Fat on the Land Resource Requirements of the Human Diet and Potential Carrying Capacity: The New York State Example [R05-1]. Department of Crop and Soil Sciences, Cornell University, Ithaca, NY.
Peters, C.J., Wilkins, J.L., and Fick, G.W. 2007. Testing a complete-diet model for estimating the land resource requirements of food consumption and agricultural carrying capacity: The New York State example. Renewable Agriculture and Food Systems 22(2):145-153.
U.S. Census Bureau. 2009. State and County QuickFacts for Tompkins County, New York. Available at Web site: http://quickfacts.census.gov/qfd/states/36/36109.html (verified 1 March 2009).
USDA Economic Research Service. 2000. Major trends in U.S. food supply, 1909-99. FoodReview 23(1): 8-15.
USDA National Agricultural Statistics Service. 2009. 2007 Census of Agriculture. Available at Web site: http://www.agcensus.usda.gov/Publications/2007/Full_Report/Volume_1,_Chapter_2_County_Level/New_York/index.asp (verified 1 March 2009).
Additional Resources
U.S. Food consumption data: http://www.ers.usda.gov/Data/FoodConsumption/
Census of Agriculture Query Tool http://www.agcensus.usda.gov/Publications/2007/Online_Highlights/Desktop_Application/index.asp
Local Foodshed Mapping Tool http://www.cals.cornell.edu/cals/css/extension/foodshed-mapping.cfm
by Persephone Doliner
What Is Processed Food?
To process food is to make parts of plants and animals more edible than they would be in their unprocessed state. Manufactured products containing lots of chemicals and sweeteners, a class of processed foods, have given all processed foods a bad name. Other, more basic foods are also processed: all food made of grain; milk, butter, cheese, and meats; plant-based meat substitutes (tofu, seitan, etc.); dried and canned fruit and vegetables; all fermented foods; oils, syrups, even honey. Although all cooking is food processing too, in this article, food processing refers to the many other ways of transforming plants and animals into human food: (1) techniques that get food ready to be cooked (e.g., cleaning and hulling grain, butchering animals), and (2) techniques that preserve food, retarding spoilage for periods ranging from a few weeks to many years (e.g., making cheese, canning).
Who Needs Processed Food?
Most of us. Your diet probably has a large processed component. Diet variety depends on eating some processed foods. Otherwise food choices would be limited to what could be raised, hunted, or foraged and eaten as is. In a sense, processed food is civilized food.
If you live in Tompkins County, eating locally raised foods year round requires eating stored or preserved foods, since the local growing season ends with the cold weather. And of course the universal need to eat processed foods such as grains and dairy products applies in Tompkins. Overall, processed foods are an important part of the local food supply.
Technique and Scale
A few words about two key dimensions of food processing are in order, before discussion of its role in Tompkins under energy descent conditions. The two key dimensions are technique and scale, both of which take many different forms when people process food.
Here is a list of 21 generic, common techniques used to process food: baking, brewing, butchering, cleaning, confit, culturing, curing, drying, fermenting, freezing, grinding, heating, hulling, milling, pressing, pickling, refining, salting, smoking, sterilizing, sugaring, vacuum packing. In general, each of these food processing techniques is used for more than one type of food. The equipment needed to carry out a technique is usually specific to a food type, however. For instance, fruit and seeds are both pressed to extract juice or oil, but the equipment needed is not interchangeable. Grain for beer and cucumbers for pickles are both fermented, but the procedures and set-ups used in the two cases are quite different.
Like technique, the scale at which food processing can be done also varies widely. The same technique can be applied in a home kitchen, a small commercial facility, or a huge factory. The procedures used at these three different levels may not be the same, and the equipment certainly won’t be the same at the different scales. The machines that process our current commercial food supply differ in design from those used in a small-scale operation, and those in turn differ from the tools you might use in your kitchen. For example, in large-scale commercial flour production, grain is crushed under rollers; in small-scale commercial production, it is ground in mills using large stones; at home you can use a machine about the size of an automatic coffee maker that grinds using metal or little stones.
A few modern techniques are strictly industrial processes (e.g., aseptic packaging, which relies on heating to very high temperatures and complex packaging). All types of food can, however, be processed and preserved in some way at all of the different scales. All foods can be processed in a home kitchen as effectively as they can be processed in a small or large factory.
Processed Food Supply under Energy Descent
Most of the processed food that Tompkins County currently consumes comes from elsewhere. There is little commercial food processing in the county. There are no large factories processing food, and only a few small operations. At the other end of the scale, home food processing appears to have recently gained in popularity, yet most households in the county don’t do any.
Large-scale commercial food processing is highly centralized. For instance, over 90 percent of the canned tomato products consumed in the U.S. come from California. Centralized food processing depends on agriculture conducted on a very large scale as the source of the food to be processed, on industrial production and storage, and on nationwide distribution, largely via trucking. If energy descent deprives this food processing system of the sources and practices it relies on, it may become less productive or even fail. Products will become scarcer and more expensive and may vanish. Tompkins County will have unmet processed food needs, and a need to supply itself with more of the processed food it consumes .
What would a working local food processing system look like? Under conditions of energy descent, could small-scale operations supply enough processed food to feed TC? Many unknowables (how much food can be grown, how many people need to be fed, how many people are available to work, what equipment can be maintained, how it can be powered, and what shape is society in) come into play; answers are not within grasp here. Even if the answer to the overarching question posed above (Could Tompkins adequately supply itself with processed foods?) is ultimately no, food processed locally will increase the county’s food supply under energy descent. More is better.
Given future uncertainty, the rest of this article mostly concerns the effects of conditions as they exist today on local food processing. What local conditions promote growth? What conditions retard it?
What Processed Foods Are Needed Most?
The county would need to grow more food and different food than it does now if it were trying to supply itself with processed foods. Most of the human food produced here is fruit and vegetables that are eaten fresh and unprocessed. Some grain, beans, and meat are raised in the county, and contiguous counties produce substantially more. Yet flour, cleaned grains, pasta, packaged baked goods, milk, cheese, meats, plant-based meat substitutes, and fats and oils all mostly come from outside the county and the wider local area. These processed foods are the staples of most diets; without them, people are hungry. If county residents seek to supply themselves with processed food, they need to produce these kinds of food. Processed fruits and vegetables are important but not vital, as they can be replaced by stored raw fruits and vegetables. If local food processing is to fill gaps left by the withdrawal of out-of-area food, its focus must be on processing grain, beans, nuts, seeds, meat, and dairy to produce staples.
Can Tompkins sustainably grow enough food to supply itself with foods to process? Another big question, again beyond the scope of this article. One aspect of the issue that can be discussed a little here is the relationship between production and processing.
The Chicken/Egg Conundrum for Growing and Processing
Growth in local food production and growth in food processing should go hand in hand, each promoting the other. A home jam maker wants to make strawberry jam for himself and his friends; he spends $30 on berries at a local U-pick, supporting their business. An artisanal (i.e., small-scale commercial) jam maker needs fruit; she buys the output of a half-acre each of blueberries, raspberries, and strawberries, supporting local agriculture on a larger scale. The big glitch in this picture of simple mutual reinforcement between production and processing is the chicken/egg problem: Which comes first? Dedicating farm resources to a particular crop for a processor is a major decision for a farmer. And, like a farm, starting and maintaining a commercial food processing operation takes heaps of money, knowledge, time, skill, siting, and equipment. Who is going to invest in, say, a commercial oil press to make sunflower seed oil if the supply of sunflowers is not at hand? But who is going to grow sunflowers in the amounts needed to supply an oil producer if the press isn’t up and running and begging for seeds?
Processing food at home does not suffer much from the chicken/egg problem. It’s not too hard to get started; techniques for preserving fruit and some vegetables at home are easy to learn and do not require specialized tools. Other vegetable and fruit methods a household can use, and techniques for processing grain, nuts and seeds, dairy products, and meats call for special equipment and more advanced skills — but nothing on the level of a professional investment in learning, plant, and equipment. In parallel, the potential contribution of home food processing to boosting the demand for locally farmed foods is also far smaller than the contribution that a commercial enterprise might make. But widespread home food processing in the county would still increase demand for locally raised food, perhaps significantly.
The producer-processor relationship is more complex for the staple foods than for fruits and vegetables. Generally speaking, this is because the staple foods need to undergo multiple types of processing before they can be eaten. Stalks of grain-bearing plants like wheat, oats, and barley do not go directly from field to oven, for instance. They need to be threshed, cleaned, hulled, and milled. Without facilities in place to handle these steps, grain isn’t usable. So neither consumers nor small-scale commercial processors can buy directly from farmers.
The Cost of Doing Business
As noted above, setting up commercial food processing operations takes money, knowledge, skill, and equipment. The last three elements are technique-specific; a miller doesn’t need the same knowledge as a butcher, or the same tools. Deciding what methods and machines to use in commercial processing is not straightforward even once a potential processor is well-informed and funded. Say you want to clean and hull grain commercially. You have about a dozen different grain cleaners to choose from. You have a range of choices in hullers too; a small impact huller will cost you about $15,000; the next step up in size and efficiency, about $23,000.
Food processing needs specialized, well-equipped facilities, too, and these need to be licensed. (Licensing is discussed more below.)
Storage of foods to be processed and of finished products also takes substantial resources: clean, dedicated, appropriately designed space; temperature control; and insect and rodent control are some needs. Other elements of a commercial food business are distribution and marketing; even at a small scale of commercial food processing, some staff needs to work exclusively on these.
Fossil Fuel Dependence
As with industrial scale food processing, everything that goes into small-scale commercial food processing as it is practiced today — agriculture, tools, equipment, facilities, and production, storage, and distribution — uses fossil fuels. Scarcer energy may make the methods and machines that are best to use now unusable in the future. At the very least, planning for such a transition is yet another consideration for a new food processing enterprise.
Legal Considerations for Commercial Food Processing
Laws governing food processing are numerous; they are (appropriately) different for different foods; and they exist at various levels of government (e.g., county, federal). No processed food product can be legally sold to the public without government licensing of (at least) the place and methods of production. The facility license and the product license are separate, and each is managed by different authorities. Generally speaking, in Tompkins the county regulates facilities, and the state regulates products. If you wanted to produce tomato sauce to sell, for example, you would need to go to the county health department for a license for your facility, and you would need to go to the state for your license to produce tomato sauce. For the latter, you would obtain a “20C” processing license by submitting and testing your recipe. For some foods, wholesaling to stores requires a higher level of licensing — a federal license rather than a state one, for instance — than direct selling to the public.
Just as processing grains, dairy, fats, and meats is more complicated than processing fruits and vegetables, regulations surrounding production of these staple products is more complicated, and licensing generally involves federal agencies in addition to local and state ones.
In general, the regulations governing processed foods tend to favor production on a large scale and to discourage small-scale enterprises. Conforming with regulations may simply require investments in plant and equipment too large for new entrepreneurs. Inattention and confusion at regulatory agencies can also pose problems. A fully equipped and ready-to-go small meat packer, for instance, may be unable to get a license to operate because it cannot get an appointment to be inspected.
Two more legal considerations food processors must address are zoning and product liability. Zoning limits where food processing facilities can be sited. Product liability limits where and whether products can be sold. Commercial food processors need insurance to sell legally.
Local Commercial Food Processing in the Big Picture
The existing international food supply and processing system discourages new local food processing enterprises. Processed food (even the “good” kind) is cheap and abundant under current conditions of fossil fuel-supported agriculture, food manufacturing, distribution, and marketing. Food produced and processed locally on a small commercial scale usually costs more than food produced on an industrial scale. Local food processing enterprises won’t succeed if people don’t buy the products, so they won’t start up if a viable business looks unlikely. It’s another chicken/egg conundrum: Which comes first, the need for locally processed food, or the production of that food?
Some aspects of energy descent may favor local food processing. If products from far away become scarcer and more expensive, the cost advantage may shift to local products. Surpluses of produce that cannot be sold fresh because of transportation and storage problems may be more saleable in processed form. An overall poor economy and job loss may leave many people to work in local food processing. Local knowledge and enthusiasm about alternative energy may help keep food processing equipment up and running.
Energy descent is of course overall a limit to future local food production and processing. To reiterate, the way farmers — including small-scale organic farmers — grow food now depends heavily on fossil fuels and on inputs from outside the county. The equipment and methods used to process food now are similarly dependent, and scarce energy may make them unusable. In the past, people processed food using power from animals, wind, and water. Using these again implies enormous relearning and refitting, and scaling down output. On the plus side, Tompkins has land well suited to grazing animals and pockets of wind and water well suited to energy generation.
Home Food Processing
Processing food at home bypasses many of the difficulties involved with commercial enterprises. Without major investment or legal encounters, a household can supply itself with some or all of its own processed foods. The work is satisfying, and in most cases not too difficult. If you can follow a recipe, you can learn and safely apply most techniques. Yet home food processing does take time and effort. People learn by doing and by following instructions precisely; they are not proficient the first time around with a particular technique or food; care must be taken to have the set-up and tools needed on hand; and, perhaps most important for those with busy, heavily scheduled lives, several sequential hours of time are needed to accomplish most food processing activities.
Providing a household with all or most of the processed foods it eats means committing a lot of time. Putting by enough fruit, vegetables, and cheese, say, to last from one autumn until the next summer will likely require daily work during the growing season. Fortunately, home food processing/preserving is not an all-or-nothing proposition. Assuming you are buying most of your processed foods, and not trying to make everything yourself, you can start small and stay small, and you can confine your efforts to one technique or one product.
While knowledge about how to process food at home is not as common as it once was, it’s out there. People put up food all the time only a generation ago in most families. Opportunities to learn are at hand. The National Center for Home Food Preservation (http://www.uga.edu/nchfp/index.html) offers comprehensive information. Some useful books are the Ball Blue Book (ISBN 0-9727537-0-2), the Ball Complete Book of Home Preserving (ISBN-13 978-0-7788-0131-3), the University of Georgia’s So Easy to Preserve, and Rodale’s Stocking Up. If you consult books or pamphlets, be sure to use the most recent (late 2000s) editions, as expert recommendations for safe methods of food processing have changed over time. A full list of sources of information on food processing is available from Cornell Cooperative Extension (CCE), which also conducts classes on many techniques.
Instruction may be as close as your next-door neighbor. Home food preservers often like to share what they know. Joining IthaCan, a local on-line network, is one way to connect with mentors and people to learn and practice food processing with. You can read about IthaCan and sign up as a member on the Prepared Tompkins website (http://www.preparedtompkins.org). Working in a group on food processing is fun and practical; it smoothes the often repetitive work, saves on energy costs, allows equipment sharing, and builds relationships with like-minded others.
Eaters, Processors, and Farmers
Some local factors favor the development of local food processing on both the home and small-scale commercial scales. First, local small-scale agriculture, though limited in its range of products, is strong. Organic farm start-ups are frequent, and some small-scale organic farms now have generation-long histories. Many other local farms have much longer histories-some farms have even survived from pre-fossil fuel days.
The county’s geography could also favor local processing. With the City of Ithaca and the county’s several towns positioned very close to farmland, food doesn’t have to travel far to be processed off-farm or to be sold.
County employment and incomes are relatively high, encouraging many (though far from most) county residents to buy local fresh food. The preference for local might extend to processed food, given the “right” quality and price. Local processed commercial products have had mixed success; some are established, while others have failed.
Systems for marketing local food are also fairly well-developed; the Ithaca Farmers’ Market is one of the largest in the state, and local food is increasingly sold by local retailers and by on-farm markets.
Formal relationships among growers, eaters, and processors other than the basic retail relationship could foster local food processing. One useful type of relationship is “bespeaking” foods to be grown in quantity. A group that wants to freeze peas in July might, for instance, talk to a farmer in January about growing and selling them the food. Home food processors could readily organize themselves to bespeak foods. Food salvage, or gleaning, is another, more complicated farm-processor-consumer relationship; under government regulation, farm donations are processed and distributed, usually by a charitable agency. Tompkins does not have such a system in place, though elements of it exist.
Training and Support for Commercial Local Food Processing Enterprises
Institutional support exists for beginning a local food processing business. The Food Venture Center (http://www.nysaes.cornell.edu/necfe), located in Geneva, NY, offers excellent information on getting started and ongoing help with product development, business planning, licensing, and marketing. The Tompkins County Health Department, which regulates facilities, has a good reputation for helpfulness with some local food entrepreneurs. The New York Small-Scale Food Processors Association (http://www.nyssfpa.com) provides information and support (e.g., newsletter, joint purchasing and distribution, nutrition labeling) with membership, which costs about $40 yearly.
Tompkins does not have a food processing facility designed specifically for rental to small-scale food processors — a common model for starting and running artisanal food businesses. The types of processed foods that can be made in an ordinary kitchen can be produced for sale in any licensed commercial kitchen, and these are abundant in the county, in restaurants, at caterers, and in bakeries. The Women’s Community Building in Ithaca rents a licensed kitchen equipped with a jacket kettle for making large batches of jams and sauces. The Varna Community Center also has a rental kitchen. (A caveat: as described above, to be sold, each food needs to have its own license, in addition to being made in a licensed facility.)
Restaurant kitchens mostly have equipment that will be useful only for processing fruits and vegetables, not grains, oils, dairy, and meats. Small-scale equipment for processing the staple foods may or may not be portable.
“Copacking” is another model for producing commercial food products on a small scale. In this model, a producer hires a processor and facility to make a product.
Finally, existing commercial food processors in Tompkins County offer models for new businesses and may even offer advice. These businesses include Eve’s Cidery (soft cider), Bellwether Cider (hard cider), Ithaca Soy (bean curd), MacDonald Farms (fermented vegetables), Fingerlakes Farmstead Cheese, the Piggery, Purity Ice Cream, Seven Mile Creek Winery, and more. Upstate New York beyond county lines offers additional exemplars of small-scale enterprise for Tompkins entrepreneurs. These include the Hawthorne Valley Association (fermented vegetables), Hunger Action Network (jams), Hudson Valley Foodworks (rental/copacking facility), Lakeview Organics (grain cleaning), Martin’s Kitchen (condiments; copacking), Morrisville/Nelson Farms, the Schoharie Co-op Cannery (in planning), and Wild Hive Farm (a mill and bakery).
Yearning to “Eat Local”
A big booster to small-scale local commercial food processing may be that people in this county want local food, and they want to see local food processing grow along with local agriculture. Tompkins has people who like to buy local products; these include members of the “green” community and gourmets, or “foodies” (not mutually exclusive categories). The yearning for a personal connection with what we eat is strong here.
The county also has many people who want to be in the food processing business. Working with food appeals to many as a socially useful and satisfying way to make a living. The combined enthusiasm and energy of buyers and would-be producers of local processed foods could go a long way toward making more local small-scale commercial food processing businesses a reality.
To individually encourage the growth of food processing in Tompkins, commit yourself to “eating local” to whatever extent you can. Inform yourself by reading product labels and learning where your food is coming from. Try and buy locally processed products. Learn and practice personal food processing. Talk to others about products you would like to see made locally. Work toward local production of staples: grains, beans, nuts and seeds, meat and dairy. Encourage young people to become food producers and processors and promote needed education in schools. Consider becoming a producer or processor yourself.
by Tom Shelley
Introduction
Our current growth-based economic view is based on the continuous and ever-increasing use of energy and resources. This process generates solid waste, pollution, and greenhouse gases in enormous quantities. Despite international efforts to reduce waste, the amount generated continues to grow.
Eventually we will hit a collective wall, the bricks of which will be environmental degradation, climate change disasters, and the peaking of many resources. Properly prepared communities will handle the triple crises of environment, energy, and economy better than those that are not. Dealing with our wastes in a more sustainable manner will help to ensure our survival in an energy- and resource-constrained future.
In fact, if we radically reorient our world view, we can live in a world of little or no waste. Biomimicry — following the designs of nature and the paths of indigenous peoples — can create a nearly waste-free economy. In an ideal world, as in nature, there would be no wastes, only re-purposed resources.
Our present system of domestic waste disposal, in which we make it “go away” by putting it on a truck and driving it to the landfill, is resource intensive. Picking up waste, processing it (including recycling), and hauling off the landfilled wastes and the recycled materials requires lots of energy, mostly in the form of fossil fuels or electricity generated from fossil fuels. The same is true for the treatment of sewage, animal wastes, and various industrial wastes. Fortunately, our diminishing consumption will mean a lot less waste.[1] Even if we follow the path of biomimicry, we will still be left, as we always have been, with an irreducible minimum that must be disposed of for various reasons. The following sections address specific waste streams and some alternatives for managing each one as individuals and as a community. Due to space limitations, this article is more of an outline than a treatise, and many questions are posed for which there are currently few, if any, answers. Hopefully, the answers will follow from our ingenuity at doing more with less as energy descent unfolds.
Human waste and domestic animal waste
Human bodily waste, and that of our animals, would quickly create a serious problem if it were not dealt with properly. In the urban setting, our current method of mixing body wastes with large amounts of expensive, purified drinking water, then re-purifying the water and returning it to the original water source is not a sustainable use of water, energy, or energy-intensive chemical resources. Sewage disposal in suburban and rural areas places an additional strain on resources and the environment. Many unanswered questions arise when considering urban waste disposal:
Infrastructure. What is the age and life expectancy of the current sewer and septic systems? What are the expected maintenance requirements and fossil fuel dependencies of repair and replacement materials? Will the required materials even be available in the future?
City sewers. How much energy does it take to run the City of Ithaca's sewage and treatment system? Can we reduce that cost? Can sewage treatment inputs be reconfigured to yield organic manures for local farming without contaminating sewage sludge? How long can the current systems be sustained on emergency power? Can emergency or even long-term power be supplied from local, City-owned hydropower? Can currently flared methane be used to heat greenhouses or for other heat recovery uses?
Septic systems. Many people in Tompkins County depend on septic systems that need periodic cleaning. Local septic tank cleaning firms now take their “product” to the Ithaca Area Wastewater Treatment Plant for processing. How will we manage this waste with less energy for transport? Will high costs of energy interfere with the processing load on the wastewater treatment plant if the volume of septic system effluent grows dramatically with population growth in areas not served by the plant itself? If this happens, what can we do about it? Will septic systems as we know them need to be phased out or abandoned in favor of other systems? Could we develop local or district sewage-to-methane facilities to relocalize the energy needed for heat and hot water using pumped septic tank effluent?
Sustainable waste treatment systems. Some experts believe that the way to approach sewage treatment is to stop using large amounts of water to process human waste and instead figure out ways to process it that yield fertilizer. Such an approach would reduce the energy consumed in the sewage treatment process; the chemical inputs, especially chlorine; and the need to maintain an extensive above ground and underground infrastructure. What would an alternative system look like? How much would such a system actually cost? Could it be deployed on a mass basis? How much will services deteriorate before local residents can be convinced to pay for and use alternative systems? Would more localized, small-scale processing be more energy efficient and cost effective?
Examples of human waste disposal[2]
Household scale: Small scale, aerobic, above ground composting (out of doors) with other organic materials could completely eliminate the septic tank system in rural and suburban areas. Most or all of the inputs are free, and there is no energy input other than human labor.[3] Dry and wet composting toilets provide an excellent solution in more densely populated areas, although they can be expensive and in some installations still require energy inputs. Many different commercial models are manufactured, and plans for homemade units are available. Envirolet is one popular commercial firm.[4] There are some manufacturers whose products reclaim water as well as make compost. Healthyhouse is an example.[5] Properly composted human waste can be used for general purpose gardening, as it has been for thousands of years, but for safety reasons many composters believe that it is only suitable for orchards, field crops for domestic animals, etc. Human urine[6] can go into greywater systems (see below) or compost piles, and it can be directly applied to vegetable crops as a fertilizer, since it is “clean” and provides carbon, nitrogen, and other essential elements for plant nutrition. See Liquid Gold for details.[7]
Urban scale: The aerated sewage sludge from human wastes is composted and used on food and field crops in many urban areas. Even a city as far north as Fairbanks, Alaska, composts all of its sewage sludge all year round. In Sweden, many communities collect human urine on a large scale and use it to fertilize field crops. Methane generated by the sewage treatment process or anaerobic digestion of human sewage is used to produce heat and hot water and the co-generation of significant amounts of electricity. The local sewage treatment plant uses about half of the gas it produces to generate some of the electricity that powers the plant. The plant’s operation is detailed on the City of Ithaca’s web site.[8]
Human wastes can be processed on a small scale to provide biogas for heating and co-generation of electricity (district heating) for a neighborhood or small village. We could heat our homes and read by the light generated by our own wastes. The solid byproducts would be further composted and used to grow the food we eat. Although not based on human wastes, the plan developed for Linden Hills, Minnesota, explores some of the possibilities.[9]
Examples of water reuse
Household or neighborhood: Greywater is the waste water from any household source except toilets. Greywater systems most frequently take the form of artificial wetlands, although there are many other designs. This reuse of lightly used water from sinks, showers, or the laundry uses little or no energy and can remove a tremendous burden from our current home wastewater treatment systems. At the same time, the biological cleansing and oxygenation provided by an artificial wetland can purify this lightly contaminated domestic water and return it to beneficial use, such as watering gardens. Greywater systems are easy to build and maintain and can be constructed to serve multiple households or small villages. For examples, see Art Ludwig’s Create an Oasis with Greywater.[10]
Urban scale: Large-scale greywater systems using artificial wetlands have already been developed in some urban areas. Some large-scale indoor systems using greenhouses have been developed as well. Reports from Australia and China detail large-scale greywater use.[11][12]
Using a combination of the above methods, we could process all human bodily wastes in a beneficial manner, using comparatively little energy, and eliminate the need for traditional sewage treatment systems.
Special Materials
Dog waste can be processed in the same way as human waste. A composting project in Montréal at a single public dog run diverted over a ton of dog waste and at least 7000 plastic bags from the city’s landfill.[13]
Cat waste carries more pathogenic bacteria, and when mixed with clay-based kitty litter, it is especially difficult to process in alternative systems. Using cellulose-based litter (wood shavings, processed newspaper, or other biowastes) or wheat-based or other compostable materials allows cat litter to be composted. However, the compost may only be used on non-food crops.[14]
Fiber-based diapers, with little or no plastic used in their manufacture, can be composted commercially. Cloth diapers can be used repeatedly.
Feminine hygiene products and other materials contaminated with human blood or other body fluids, usually landfilled or processed by the Publicly Owned Treatment Works (POTW), may be compostable, depending upon composition and circumstances.
Hospital waste streams, both human and veterinary, are often difficult to handle due to their content of tissues, body fluids, plastics, radioisotopes, antibiotics, and various drugs. Incineration is the most often used disposal method along with various alternatives, such as alkali decomposition, autoclaving, etc. all of which are extremely resource and energy intensive. Any fiber-based materials may be composted in a commercial compost system.
Food waste, lawn debris, and other organic waste
Composting. Along with many paper items, 100 percent of home and restaurant food wastes can be composted. This would further reduce energy consumed in traditional waste processing, provide additional jobs, and generate soil amendments for organic gardens, at the same time reducing greenhouse gas emissions. Composting may be undertaken year round in commercial facilities. If done in greenhouses, it can be used to generate heat. “Lawn waste” of all kinds can be composted into mulch. Animal bedding can be composted with plant remains, as is done at Cornell University. Some animal manures, such as chicken waste, can be either composted or turned directly into garden soil. Composting will have an increasingly important role in our energy- and resource-constrained future. For local sources of composting information, see the Cornell Cooperative Extension Compost Education Program[15] and Cornell Composting.[16] Cayuga Compost runs an excellent local commercial composting operation.[17]
Vermiculture. A rich compost can be made using small red worms as the main decomposing organisms. Vermiculture can be done inside during the winter, which is an advantage over most small home composting setups. It is even undertaken on a commercial scale.[18]
Chickens. Many kinds of food waste and composted food wastes can be fed to chickens, which in turn produce valuable fertilizer and eggs. Chickens eat garden pests and weeds as well. Interest is growing in allowing small numbers of chickens (hens) to be kept in the urban/suburban environment.[19]
Other types of solid waste
Recycled materials. Increased recycling of a wide variety of materials could reduce Tompkins County’s energy requirements and our greenhouse gas emissions. It would be desirable to develop local recycling-based industries that use materials discarded in the County. As the cost of transporting materials grows, opportunities for “green” business development based on recycling and reuse will also grow. Tompkins County Solid Waste Division, an operation funded mostly by the County, already has one of the highest diversion rates in the U.S., nearly 60 percent. A wide variety of materials are taken for recycling in addition to the usual glass bottles, paper, newsprint, cardboard, and metal cans, including many fiber items, aseptic packaging, beverage cartons, clothing, and used motor oil.[20] However, there are still many materials that aren’t recycled or for which we could do a better job. For example, while most large supermarkets take back the plastic bags they dispense, most types of plastic packaging and other plastic items that are not bottles or food tubs still go to the landfill. Plastic waste is now a significant component of the average family’s non-recycled waste stream. Metals are a special case: there are traditional local purchasers of discarded metal plumbing components, roofing, structural steel, wire and cables, car parts, appliances, etc.
Some materials have new markets due to the energy and greenhouse gas crises. Used cooking oil, for example, is now strained and used directly for motor vehicle fuel in converted engines. Vegpower[21] and Liquid Solar[22] are local examples. Used oil can also be converted into biodiesel and used in conventional diesel engines, as shown by Ithaca Biodiesel.[23] Such local sources of carbon based fuels will become increasingly important in the future. These products still produce greenhouse gases, but they are less polluting than traditional fossil fuels overall.
"ICI" (institutional-commercial-industrial) is a specialized set of waste streams that can be recycled in bulk (metal turnings, plastic trimmings, packaging films, etc.) but not in traditional municipal solid waste systems. In our area, most of these materials must be transported to an urban market to find a buyer, often at an expense more than the value of the material to be recycled. These materials often end up in a landfill. IMEX, sponsored by the City of Seattle, is an example of a government-sponsored urban industrial materials exchange.[24]
Special Materials
Hazardous waste: Some spent hazardous materials can be locally processed or reused; for example, solvents can be distilled and used again. Strict state and federal regulations govern hazardous waste reuse. The Tompkins County Solid Waste Division hosts a very successful household hazardous waste program.[25]
Construction debris: The byproducts of construction and demolition are among the largest components of the municipal waste steam. Wood, sheetrock, masonry, and metal elements are heavy are and generated in large quantities.[26] Some of these materials, especially metals, have traditionally been recycled. Large volumes of other materials have usually gone directly to the landfill. In recent years, with the increased cost of construction materials outstripping the increased cost of other materials by a wide margin, many other items are now reused or recycled. Old concrete is crushed and reused as aggregate; asphalt paving is milled, reconditioned and repaved; sheetrock is processed into an agricultural amendment; wood is shredded on site and used as mulch. In the future, fewer construction materials will be headed for the landfill.
Composite materials: Carpeting, mattresses, furniture, car and truck seats, and other composite materials are now increasingly recycled, mostly on an industrial scale.
Glass: Many kinds of glass cannot be reused to make containers or other items. Non-recyclable glass can be ground and used as filler in bricks and as aggregate in concrete and paving materials.
Batteries: Alkaline batteries can be broken down into their components and almost 100% recycled. All other types of batteries, especially lead-acid car batteries, can be recycled.
Fluorescent bulbs: Fluorescent bulbs of all kinds, along with some other specialty bulbs and light sources, should be recycled due to the mercury and other toxic elements they contain. Ordinary incandescent bulbs can be recycled for all of their components.
Plastics: Plastics that are not recycled in traditional residential curbside programs are increasingly recycled as plastic lumber, aggregate for concrete, and other products.
E-Waste: Computers, cell phones, and other electronics can be increasingly recycled or reused. Take-back programs are now more common and effective and, in some instances, are mandated by state and local governments.
Freon: Many freons are severe ozone depleting chemicals, and their disposal is heavily regulated by the Federal and state governments. The Tompkins County Solid Waste Division charges $20 to remove the freon from air conditioners, refrigerators, freezers, and other equipment.
Reuse centers: Thousands of consumer items can be successfully repaired, cleaned up and recirculated back into the community instead of being recycled (down-cycled in many cases) or discarded in a landfill. This process really saves energy and dwindling resources of all kinds, limits the emissions of greenhouse and hazardous wastes, and generates jobs. As we prepare for energy descent, generic or specialized reuse centers will become central to our communities. Some local examples are:
Finger Lakes ReUse, Inc. This newly formed organization accepts used and surplus building materials, furniture, housewares, electronics, art and school supplies, and more for resale.[27]
Significant Elements promotes the reuse of architectural elements.[28]
RIBS recycles bicycles and offers bike repair classes.[29]
Friends of the Library recycles books and various non-print media.[30]
SewGreen resells fabric, sewing machines, and sewing supplies and promotes sustainability in fiber, fabric, and fashion.[31]
There are also numerous used goods stores that promote the reuse of a wide variety of consumer items.
Freecycle: This is an electronic (mailing list-based) materials and consumer products recycling and reuse program that is completely free and has wide popular support. Ithaca Freecycle[32] is a local branch of an international organization. Its only goal is to keep materials out of the landfill. As long as the internet or local networks survive, this forum will be an important part of our community's materials exchange.
Farm animal wastes: Since a mass transition to a vegan lifestyle does not appear imminent, the long-term handling and processing of farm animal wastes will be a substantial issue for the county and region. Ideally, all small-scale farm animal wastes will be composted or spread directly on productive farm land to return valuable nutrients to the land. Some animal wastes — rabbit and chicken droppings, for example — are composted and sold as garden fertilizer. For large-scale “factory” farming this is not an immediate option. Energy descent will eventually make such operations uneconomical, but in the meantime the waste disposal from factory farms must be handled appropriately to prevent environmental contamination. Although factory farm waste processing is heavily regulated in most states, it is still a major environmental concern in some local towns. In most instances, appropriate handling of large-scale animal waste streams can provide cost-effective benefits such as co-generated electricity and methane production for heating farm water and greenhouses.
Storm Water: Although not a “waste” in the usual sense, runoff rain water is often contaminated with a wide variety of hazardous or undesirable materials: animal wastes, fertilizer, pesticides from farming and domestic sources, petroleum products from vehicles, sunscreen and other topical applications from humans and pets, a wide range of pharmaceuticals and antibiotics from human and veterinary use, copper and lead from roofing materials and gutter systems, and many other materials. Much storm water gets treated in publicly owned water treatment works, and some goes directly into bodies of water. Water from roofs can be collected and used to water gardens; properly collected and purified, it can be used for human consumption if necessary. Much work needs to be done to conserve and utilize this valuable resource.
Conclusion
The long-term goal should be to achieve “Zero Waste” while expending as little energy as possible and ensuring that little or no residue goes to long-term in-ground storage, the air, or a body of water. Incineration, even to generate electricity, should be avoided at all costs, as it destroys valuable resources, severely contaminates the air, and produces massive quantities of greenhouse gases. Manufacturers must be required to reduce packaging, especially petroleum based plastics, and take back products or their components that can’t be reused or recycled locally. Composting, recycling, reuse, and repurchasing programs must be generated to cover all of our resources. When energy and resources are scarce or no longer attainable, nothing will go to waste.
By Angelika St.Laurent
Small livestock and poultry production could help Tompkins County address many of the food and materials challenges it will face as the cost of energy climbs.
Benefits of local and urban small livestock and poultry production
Today, most animal products come from the three species that are most easily confined in mass production units and can live on diets mostly consisting of corn, the grain most highly subsidized by government programs: cattle, pigs, and chickens, with turkeys a distant fourth. The products of other traditional livestock, such as rabbits, goats, geese, ducks, and sheep, have mostly disappeared from our plates. Exotic livestock, such as guinea pigs and emus, are even less present in our cuisine. Other animal products like wool and down in clothing and bedding are frequently replaced by synthetics.
This situation poses both a challenge and an opportunity. Products of lesser-known livestock have a smaller market, as many people are unaccustomed to different tastes and textures. On the other hand, there is less industrial competition for less popular livestock, which makes it easier to run a small business successfully. Moral concerns about animal well-being also benefit small-scale poultry operations, which run differently from factory farms and are closer to consumers who want to know about them. Several farms in Tompkins County already raise goats, sheep, alpacas, and free-range poultry. It is likely that under energy descent conditions, the prices for mass-produced animal products will increase, creating a wider market for alternative animal products.
Livestock and poultry provide us with easily digestible protein and fat; leather; fibers and feathers for clothing; manure for fertilizer; and last but not least, entertainment and enjoyment. Despite these benefits, opponents of animal-based agriculture often point out that a mostly plant-based diet feeds the most people on the least area of agricultural land. However, this requires that the agricultural soils are in good shape, and maintaining soil fertility in purely plant-based agriculture is time-consuming and dependent on fertilizer imports. Moreover, many soils in Tompkins County, especially in the south of the county, are shallow, sometimes poorly drained, acidic, and low in nutrient content. Raising animals is frequently the best use for these soils and is likely to result in long-term soil improvement. Small livestock in particular can safely and sustainably graze sloped areas that would erode under the hooves of cows or horses. The integration of animals in crop production helps maintain soil fertility and can reduce weed and pest pressure.
Some urban environments are too shady or otherwise unsuitable for crop or vegetable production but provide conditions good for raising rabbits or a small flock of chickens. Considering that a good laying hen produces four to seven eggs a week, even a small flock of five chickens can provide a household with all the eggs needed for their own consumption and some left over to sell. Urban animal husbandry could provide a valuable opportunity for low-income households to improve their diets and generate some extra income. Permitting small livestock in residential areas could help relieve poverty in times of economic hardship. Bedding for urban animal husbandry can partly be supplied by fall leaves; urban livestock owners eager to remove fall leaves from private gardens and public spaces could relieve town/village and garden owners of the responsibility.
Difficulties of local and urban small livestock and poultry production
In some urban and residential areas (for example, the City of Ithaca and the Village of Dryden), it is forbidden to keep any animals other than pets. Reasons for this general ban on livestock are concerns about noise, smell, rodents, and health issues. These are serious issues that need to be addressed if considering small-scale animal raising in residential areas.
In fact, small-scale animal husbandry is possible without causing these problems. Odor and rodent problems usually arise out of overcrowding, poor hygiene, or inadequate feed storage. Animal housing in sufficiently big coops and cages with regularly changed bedding does not stink, and feed storage in properly locking containers does not attract rodents. Hygienically kept animals are also healthy animals. It is in the interest of livestock and poultry owners to keep their animals under inoffensive, good, and hygienic conditions. Unfortunately, there are always some owners who lack this insight. Therefore, permitting livestock or poultry raising in residential areas requires some sort of supervision in order to protect neighbors and animals.
One possible way to insure hygienic livestock raising in residential areas and at the same time ease the development of small livestock businesses in rural areas would be to reinstate the position of County Veterinarian. A County Veterinarian could provide advice in difficulties, give seminars for aspiring livestock keepers, and inspect and judge facilities if neighbors raised concerns. The Cornell College of Veterinary Medicine could add the office of County Veterinarian to student rotations, which would provide more manpower for the job at hand and at the same time provide students the opportunity to become familiar with animals that are less prominent in the curriculum.
At present, only a small percentage of the population is familar with the how-tos of livestock raising, and the task of caring for an animal other than a pet might appear overwhelmingly difficult. Some hands-on experience for prospective livestock keepers could both develop a reasonable idea of the challenge and protect livestock from improper handling. The 4H program in Tompkins County already offers children and teens the opportunity to become familiar with livestock raising. Knowledge about raising small livestock could also be spread by integrating classes on animal husbandry in a degree program in sustainable agriculture at TC3. A K-12 program in livestock management for area schools could be developed at the New Roots School. And most small livestock owners are happy to share information and advise on a private level.
Unfortunately, raising animals, or food in general, on a home scale also carries a certain socioeconomic stigma as a sign of poverty. At present, this stigma creates a strong motivation to oppose animal husbandry in residential areas. Some private trend-setting is crucial to help overcome this perception. Every clean backyard chicken coop, every clutch of home-produced eggs or batch of locally-produced goat cheese brought to a potluck, every showing of crafts made from local wool is a step toward making small-scale animal husbandry fashionable.
Frequently, the cost of the animals' accommodations vastly exceeds the price of the livestock or poultry itself. While the first benefits of a small livestock or poultry operation can be reaped usually within a couple of months, breaking even on initial investments can take years. Allowing animals to forage for part of their food can bring down feed costs substantially, spare a fair amount of labor cleaning coops and cages, and improve the quality of the product. Nevertheless, fencing is essential for safekeeping of both animals and neighboring gardens. Good fencing material comes at a substantial price. Shelter is a second big unavoidable investment. Recycled old fencing and building material can bring costs down a bit. Sheds, garages, screened-in porches, and even old car bodies can all be turned into acceptable animal housing.
One additional difficulty in raising poultry close to old buildings is the potential lead contamination from old paint. Poultry can ingest lead-containing particles that make eggs and meat unfit for human consumption.
Action items for local residents to increase local small livestock and poultry production:
Support your local farmers: Buy locally produced eggs, goat cheese, and meat.
Looking for gifts for the holidays? Consider mittens, scarves, or hats made out of local alpaca wool.
Be a trendsetter: Serve your guests a dish containing unusual animal products. They will be surprised how tasty your dishes are.
You have a big lawn and don't really like mowing it? Consider renting out the space to someone who keeps sheep.
Lobby for the right to keep chickens and other small livestock in residential areas.
Offer a chicken owner the opportunity to rake and take away your fall leaves.
You own an old barn/shed? Consider keeping it in shape, it might become useful once again.
Enroll your children in 4H livestock programs.
Action items for local governments to increase local small livestock and poultry production:
Consider reinstating the office of County Veterinarian. A County Veterinarian could be very helpful for starting up small farms.
Consider allowing poultry and small livestock in urban areas. Keep the ban on noisy poultry like roosters, guinea fowl, and peacocks.
Notes on particular livestock and poultry choices
- Rabbits
Rabbits are probably the livestock best suited for urban environments. They are winter hardy, do not require much space, and make very little noise. Rabbit manure composts easily and is far less smelly than that of poultry. Cages and hutches can be built cheaply, often with recycled materials. Being kept in cages, rabbits are not affected by heavy metal contamination in the soil. Rabbits are considered pets; thus, there are no legal restrictions on raising a small herd of rabbits for home consumption in an urban setting. Rabbit meat is very lean, and probably healthier than many other meat choices. The greatest challenge for a rabbit-raising business is that not many people are inclined to eat an animal they are used to considering a pet.
- Chickens
Chickens are the classics in backyard poultry keeping. The time investment in a small flock of hens is about 10 minutes a day for feeding, watering, and egg collection, plus 30 minutes a week to clean the coop. Hens lay eggs without roosters, and egg production is therefore possible to accomplish without much noise. There are many elegant ways in which chickens can be incorporated into gardening (e.g., chicken tractors). Keeping chickens and other small livestock is currently not allowed in the City of Ithaca and the Village of Dryden. Also, lead contamination may make poultry keeping inadvisable in some gardens.
- Ducks
Ducks grow very fast and have the most economic conversion ratio of feed into body mass. Even though they grow to a slaughterable age faster than chickens, their meat remains tender for much longer if slaughter is delayed. Smaller varieties also lay plenty of big eggs, which are excellent for baking. Ducks are very winter hardy, quiet, easily confined, and rarely bothered by diseases. Ducks are unique in their taste for slugs. (In slug-plagued northern Germany, small businesses rent out ducks to "deslug" gardens.) Compared to chickens, ducks are more labor-intensive, are more vulnerable to predators, need more space, and always require a source of liquid water.
- Sheep and goats
Sheep and goats are too big to be kept in an urban setting, but a large suburban property could be big enough to accommodate them. Sheep and goats need substantial investments in barns and fencing. The time investment for a small flock can vary from 5 minutes a day (free roaming in a large garden during the summer) to an hour or more if animals are stabled. Besides the obvious products, they can contribute to landscaping as "lawnmowers." Many landowners like the view of closely cropped grass; with higher energy prices, sheep or goats grazing might become more appealing than the use of a riding lawn mower. Sheep and goats both feast on poison ivy, offering an option for environmentally sound weed removal.
A Local Health Resource Assessment
By Bethany Schroeder
Through an ongoing application of fiscal resources, professional collaboration, and continuous assessment, the legislative, medical, and social work communities of Tompkins County have created a network of health services that largely complement one another. The degree to which the network remains integrated as peak oil and climate change influence the region will be a matter of planning, depending on the approach the community and its formal and informal leaders take.
The purpose of this overview is to describe broadly the infrastructure available in the County, so as to quantify local medical care, with a view to planning for access to services despite fewer resources. If, as anticipated, travel from one part of the County to another in the next 10 to 20 years becomes increasingly expensive, planning alternatives to present automobile-oriented patterns of care will be the best way to assure a healthy community. Similarly, the cost of producing and distributing required supplies at the end of long supply chains may become prohibitive, either because of decreasing availability of materials from which the supplies are made or because of the cost of transporting them. In short, decisions about developing, using, and husbanding local physical and human resources are necessary if we are to provide health care to residents in an energy-constrained environment.

Almost all medical supplies rely on petroleum for
manufacture and transport. Plastics are actually made out of
fossil fuels.
Tompkins County Medical Infrastructure and Human Resources
With a population of just over 100,000 people, Tompkins County supports myriad health services, many already integrated into a system of referral sources organized to serve the needs of local people.
The largest health service is also the County’s only hospital, Cayuga Medical Center (CMC), which is also one of the largest employers in the region. Over 250 physicians have privileges at CMC, and they work with more than 1000 staff members, including nurse practitioners (NPs), physician assistants (PAs), registered and licensed vocational nurses, physical and occupational therapists, nutritionists, radiological technicians, and other healthcare professionals and support staff, just to give a few examples. (Most of the 250 physicians noted above and many of the 75 or more NPs in the County have local private or group offices; a small number of physicians have private practices but do not maintain privileges at CMC.) The hospital is licensed for 204 beds but has square footage for many more, even by modern medical standards, and thus could accommodate more people in an emergency. CMC and its outpatient offices report serving 150,000 patients annually, many of whom sought care outside the Finger Lakes region until technological advances in diagnosis and treatment became available at CMC. At present CMC provides general and specialized care across the lifespan; through its multiple affiliations with other medical facilities and schools, CMC can claim with confidence the ability to treat a wide array of human ailments.
Clinic and urgent care services in the County are available through Guthrie Medical Group, based in Sayre, Pennsylvania; through CMC’s urgent care offices; and through the Ithaca Free Clinic (IFC).
The Guthrie Medical Group offers primary and specialty care; diagnostics, including laboratory and radiology services; and supplies, such as medical equipment and oxygen. Patients who select Guthrie can opt for inpatient, outpatient, and emergency care at Robert Packer Hospital in Pennsylvania; most Guthrie physicians are affiliated with CMC as well.

Guthrie is an important local source of home medical
supplies.
CMC’s Convenient Care Center provides urgent and surgical care; radiological, laboratory, and imaging services; and sports and rehabilitation medicine. The Center also contracts to provide space to the Veterans Administration of Syracuse, which then offers outpatient services to local veterans. Many of the physicians who work at Convenient Care are affiliated with the hospital and have admitting and attending privileges at CMC. Both the Guthrie Clinic and CMC’s Convenient Care employ dozens of professional, ancillary, and support staff, including mid-level providers such as NPs and PAs.
At the other end of the technological spectrum is the Ithaca Free Clinic, where the County’s un- and under-insured residents receive care three afternoons a week. Staffed by volunteer retired physicians and the occasional NP or PA, IFC achieves its goals with the help of volunteer registered nurses, nutritionists, occupational and physical therapists, and administrative personnel. IFC is one of only two medically integrated free clinics in the United States. Alongside conventional or allopathic clinicians at IFC is a group of volunteer complementary and alternative providers, including a chiropractor, an herbalist, a licensed acupuncturist, and a massage therapist. Apart from simple urinalysis, random blood sugar analysis, and on-site electrocardiography testing, however, IFC offers no technical diagnostic services.

The Ithaca Free Clinic provides primary medical care for
more than a thousand uninsured local residents.
Additional resources are available through an array of complementary and alternative medical (CAM) practitioners in the County. Complementary care is designed to complete or to enhance a person’s state of well-being, especially from a holistic point of view that considers the prevention of illness, the promotion of healthy behaviors, and the use of alternative products, such as herbs and oils. Local CAM practitioners include more than 35 chiropractors and 15 acupuncturists. The services of several herbalists are available to the community; others have been trained, may practice informally, and continue to reside in the area. Reflexologists, naturopaths, homeopaths, massage therapists, and other CAM providers practice in various settings in the area, although their numbers are difficult to quantify. Many of these care givers support themselves by way of other skills in order to make a living.
In addition to therapy services available in institutional settings, occupational, physical, and speech therapists work in private local offices. The services of audiologists and social workers are available in the larger institutions and through private offices as well. Similarly, several psychologists and psychiatrists practice locally, some in collaboration with other area programs, some in their own or shared offices. Nutritional services are available privately, through the schools, and through a variety of area programs, including Cornell Cooperative Extension, which sponsors programs that provide counseling, nutritional awareness, and basic education in food safety and preparation.
Cornell University and Ithaca College have student health centers, where students can receive specific levels of care, depending on the school’s resources. Gannett Health Center at Cornell offers medical care, including a full range of diagnostic services, as well as physical and psycho-social therapy services. The Hammond Health Center at Ithaca College provides a similar level of primary care to students, including laboratory and radiology services. Both health centers refer students to CMC for inpatient care, and both have extensive collaborative relationships with care providers in the larger community.
Several skilled nursing facilities (SNFs) give medical and nursing care and shelter to more than 600 area senior residents: Beechtree Care Center, Groton Nursing Facility, Kendal at Ithaca, Lakeside Nursing and Rehabilitation Center, Longview, and Oak Hill Manor. A number of houses for people, mostly seniors, who have conditions that require specialized care include Bridges Cornell Heights, Sterling House, and Claire Bridge. These facilities offer assisted living to residents who have functional limitations up to a specific level, at which time patients might be transferred to other facilities with the capacity to provide higher levels of care. Additional assisted living services are available in Dryden, Newfield, and Trumansburg. SNFs typically maintain most of the equipment needed for basic care, including respiratory, intravenous, and pharmaceutical supplies, whereas assisted living homes are licensed to provide occasional help rather than full support to residents. Housing primarily youngsters and adults with chronic developmental conditions, at least nine Franziska Racker Centers operate in Tomkins County. Limited unlicensed care is available 24 hours a day in these residential settings.
Two free-standing home health programs exist in Tompkins County. The Tompkins County Public Health Department (TCPHD) has programs in health promotion, communicable diseases, immunization clinics, obstetrical and maternal services (MOMS), home health care, and nutritional aid to woman and infants (WIC). Several programs for children with special care needs are available at TCPHD, along with bioterrorism preparedness, a flu hotline, and departments of environmental health, health and safety, and vital records. In total, the staff—registered nurses, physical and occupational therapists, nutritionists, and others—serve hundreds of patients in the community each year. The second local licensed home health agency, Visiting Nurse Services, also provides a range of intermittent services to homebound patients; in addition, this agency has social workers available to its patients. The county has one free-standing licensed hospice, Hospicare. This agency offers home visits and 24-hour care in its six-bed residential unit.
More than 60 dentists practice in the County, including generalists, periodontists, orthodontists, and oral surgeons. Dental hygienists and dental assistants are typically employed in dental offices as well, and most dental practices have most if not all of the equipment required for diagnosis and treatment of dental conditions. Ithaca is also regularly visited by American Mobile Dental, a dental van completely outfitted for every manner of oral care. The service is particularly helpful to people with Medicaid, since few area dentists take state insurance reimbursements.
Several optometrists and ophthalmologists have offices in the County. Such services are also featured in some of the larger retail stores—especially the “big box” stores. At least one area optometrist offers complementary services in his office, and he is recognized among CAM practitioners for his work in alternative therapies.
Dozens of human service organizations operate in the County. As a rule, non-profit organizations are represented by the Human Services Coalition (HSC), are listed in the local 211 directory, and use the HSC mail list to remain current on area social services trends and issues. Referrals to the non-profit social services come by way of service providers or the Information and Referral network housed within HSC.
The development of the HSC has resulted in a highly collaborative model of care within the psycho-social and public-resource oriented community, where the needs of the area’s most vulnerable residents are overseen and addressed. Food insecurity; gaps in healthcare access; conditions challenging to treat, such as addictions, traumatic stress, mental illness, abuse, sexually transmitted diseases, unplanned pregnancies, and AIDS are some of the problems these organizations work to resolve. The agencies that serve the public at this level rely on case management and care management skills to connect people with resources, analyze systems to solve problems, and consider problems and needs in the context of social settings. Many of the organizations mentioned in this assessment are members of the HSC.
Assessment Implications
Unlike some counties in upstate New York, Tompkins County currently offers a wide array of health-related resources and has the infrastructure and personnel to connect most people with the services they need. Nonetheless, according to recent census data, up to 12,000 Tompkins County residents have no insurance, an increase of 2,000 residents over the number just five years ago. Some number beyond these have inadequate insurance, but at the very least a safety net of state programs and a local initiative in the form of the Ithaca Free Clinic are available to them. Funding considerations at the state and federal levels may impact the availability and delivery of care in the near term. As the effects of peak oil and climate change unfold, transportation from home to healthcare facility, as well as the equipment and products available to support the treatment of diseases and injuries, will likely become more difficult and expensive of access. Speculation about the methods by which local health providers and County leaders could address the need to integrate preventive and treatment approaches to care and to consider changes in the allocation of infrastructure and human resources will be the subject of Part II in this series of articles.
References
Bednarz, G. (2005). Public health in a post-petroleum world. Energy Bulletin. http://www.energybulletin.net/node/12158. Accessed March, 2008.
Bednarz, G. (2008). Rising costs and the future of hospital work. Energy Bulletin. http://www.energybulletin.net/43514.html. Accessed May, 2008.
Community health assessment. (2005 & 2007). Tompkins County Health Department. http://www.co.tompkins.ny.us/health/cha05/index.htm. Accessed May, 2008.
McClure, L., & Kaufman, M. (2006). Just health care. 2nd Ed. Coalition for Democracy of Central New York Health Care Committee.
Tompkins county health department annual report (2007). http://www.co.tompkins.ny.us/health/annual.htm. Accessed March, 2008.