An overview of food insecurity during the global COVID-19 outbreak: transformative change and priorities for the Middle East

Abstract The consequences of COVID-19 on the economy and agriculture have raised many concerns about global food security, especially in Middle Eastern countries, where unsustainable farming practices are widespread. Regarding the unprecedented crisis of the COVID-19 pandemic and the importance of early implementation of prevention programs, it is essential to understand better its potential impacts on various food security dimensions and indicators in these countries. In this scoping review, research databases were searched using a search strategy and keywords developed in collaboration with librarians. The review includes community trials and observational studies in all population groups. Two researchers separately conducted the literature search, study selection, and data extraction. A narrative synthesis was implemented to summarize the findings. The impacts of COVID-19 on three of four dimensions of food security through the food and nutrition system were identified: availability, accessibility, and stability. Disruption of financial exchanges, transportation, and closing of stores led to reduced production, processing, and distribution sub-systems. Rising unemployment, quitting some quarantined jobs, increasing medical healthcare costs, and increasing food basket prices in the consumption sub-system lead to lower access to required energy and nutrients, especially in the lower-income groups. Increased micronutrient deficiency and decreased immunity levels, increased overweight, obesity and non-communicable diseases would also occur. The current review results predict the effect of COVID-19 on food security, especially in vulnerable populations, and develop effective interventions. This review provides information for policymakers to better understand the factors influencing the implementation of these interventions and inform decision-making to improve food security. PROSPERO identifier: CRD42020185843