Vitamin and Mineral Deficiency

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					VITAMIN &
MINERAL
DEFICIENCY
A devastating force threatens the lives of billions
• Vitamin and Mineral Deficiency prevents more
  than two billion people from achieving their full
  intellectual and physical potential
• It imposes a heavy toll on national economies
  and on health care systems
• It condemns billions of people to lives lived
  in poverty
A bigger problem,
a greater challenge

• Threat larger than ever imagined
• What we’ve learned is ‘the tip of the iceberg’
• Even moderate and invisible levels of deficiency
  is devastating
A Global Summary


• Iodine deficiency lowers the intellectual capacity
  of nations by as much as 10-15 percentage points
• Iron deficiency impairs the mental development of
  40-60% of the developing world’s children
• Vitamin A deficiency impairs the immune systems
  of 40% of the developing world’s children
A Global Summary


Every Year:
• Iodine deficiency causes 18 million babies to be
  born with mental impairment
• Iron deficiency causes the unnecessary deaths of
  60,000 women
• Folate deficiency causes approximately
  200,000 preventable birth defects
• Nations unnecessarily lose more than 2% of their
  gross national products
In “COUNTRY NAME”:


• Here insert specific damage statements and
  protection summaries from the DAR and other
  sources that are specific to your country and
  region
The cost of the deficiency is huge
The cost of the solution is miniscule

• Billions of dollars are lost every year in lost
  productivity, medical care and care for disabled
  individuals
• Fortifying wheat flour in the 75 most needy
  countries would cost 4 cents per person. The
  return on this investment alone would be close
  to half a billion dollars
VM Deficiency and
the UN Development Goals

• Controlling Vitamin and Mineral Deficiency lies at
  the heart of development. It directly feeds into the
  Millennium Development Goals:
   –   Eradicate extreme poverty and hunger
   –   Reduce child mortality
   –   Improve maternal health
   –   Develop a global partnership for development
VM Deficiency and
the UN Development Goals

• Controlling Vitamin and Mineral Deficiency lies at
  the heart of development. It directly feeds into the
  Millennium Development Goals:
   – Eradicate extreme poverty and hunger
       • By controlling vitamin and mineral deficiency, nations
         around the world will have the potential to increase
         Gross Domestic products by 2 to 3%
       • The link between anemia and iodine deficiency and
         productivity is very well established
VM Deficiency and
the UN Development Goals

• Controlling Vitamin and Mineral Deficiency lies at
  the heart of development. It directly feeds into the
  Millennium Development Goals:
   – Reduce child mortality
       • By ending vitamin A deficiency, more than
         one million child deaths can be averted every year
       • Vitamin A deficiency is known to be a significant
         contributing factor to child mortality
       • Vitamin A deficiency compromises the immune
         systems of approximately 40% of the developing
         world’s children
VM Deficiency and
the UN Development Goals

• Controlling Vitamin and Mineral Deficiency lies at
  the heart of development. It directly feeds into the
  Millennium Development Goals:
   – Improve maternal health
       • By controlling anemia in women, 50,000 maternal
         deaths can be averted every year
       • Severe anemia in pregnancy is known to contribute to
         increasing maternal death rates and to compromising
         the outcomes of pregnancy
VM Deficiency and
the UN Development Goals

• Controlling Vitamin and Mineral Deficiency lies at
  the heart of development. It directly feeds into the
  Millennium Development Goals:
   – Develop a global partnership for development
       • Ending vitamin and mineral deficiency lies at the
         heart of development. The best hope for sustained
         progress resides in the idea of national alliances to
         press for, plan, implement and monitor specific
         national solutions
       • Such alliances are most effective when they
         represent the range of those who have experience,
         authority and means to put particular solutions into
         effect on a national scale
VM Deficiency and
the UN Development Goals

These goals will not be achieved, and the impact
of VM Deficiency will not be significantly reduced,
without a more ambitious, visionary, and systematic
commitment to deploy known solutions on the same
scale as the known problems.
VM Deficiency and
the Copenhagen Consensus

• In the recent Copenhagen Consensus Project,
  a panel of distinguished economists were asked
  to select a set of top priorities for investment in
  areas representing the ten greatest global
  challenges in development
   – Investing in vitamin and mineral programming
     ranked second on their priority list
   – Only stopping the spread of HIV/AIDS was a
     higher priority
Solutions


• Vitamin and mineral deficiency represents a
  much greater problem than was imagined even
  a decade ago
• For once the world is confronted by a problem for
  which there are available and affordable solutions
Solutions


•   Fortification
•   Supplementation
•   Education
•   Disease control

Combined, these methods have brought vitamin and
mineral deficiency under control in developed countries.
It is time now to deploy these solutions for the benefit of
developing nations.
Solutions


• Fortification
   – Adding essential vitamins and minerals to foods
     that are regularly consumed by a significant
     proportion of the population (such as flour, salt,
     sugar, oil and margarine)
   – The cost can be as low as a few cents per person
     per year
Solutions


• Supplementation
  – Reaching out to vulnerable groups (particularly
    children and women of childbearing age) with
    vitamin and mineral supplements in the form of
    tablets, capsules and syrups
  – The cost can be as low as a few cents per person
    per year
Solutions


• Education and food based approaches
   – Informing communities about the kinds of foods that
     can increase the intake and absorption of vitamins
     and minerals
Solutions


• Disease control
   – Controlling diseases like malaria, measles, diarrhea,
     and parasitic infections can also help the body to
     absorb and retain essential vitamins and minerals
A decade of progress


• Prevalence of iodine deficiency halved
   – Close to 70% of the world’s households have
     access to iodized salt
• Severe vitamin A deficiency largely controlled
   – Close to 70% of the developing world’s children
     receive vitamin A supplements
• Fortification movement gaining momentum
   – 40 countries now have food fortification programs
• Recognition of the VM Deficiency problem
  is growing
Current State of Progress in
“INSERT COUNTRY NAME HERE”

• Here outline progress to date made in your
  country towards ending vitamin and mineral
  deficiency
A job less than half done


• Despite the achievements, few nations have
  moved decisively to end vitamin and mineral
  deficiency
• Action has often lacked the ambition and vision
  necessary to control vitamin and mineral
  deficiency across entire populations
• If the goals accepted by the international
  community are to be achieved, action against
  vitamin and mineral deficiency needs to move
  on to a new level
A job less than half done


• Despite the achievements of the past decade,
  one million children still die needlessly every year
• Reaching 60% or 70% of children is not good
  enough. Stopping here will result in VM Deficiency
  becoming a problem only for the poor and will
  make it significantly more difficult to commit more
  resources to end it
• To end vitamin and mineral deficiency, governments,
  industry, UN agencies, non-governmental agencies
  and media need to shed the old thinking
• Integrated national-level policies need to be
  developed that reach out to whole populations to
  protect them against the consequences of vitamin
  and mineral deficiency
• Use this section to outline specific actions that
  can be taken nationally towards ending vitamin
  and mineral deficiency in your country … Add a
  few country-specific slides if necessary.

• Use and customize the next slides to create a
  specific call for action by specific sectors in your
  country.
Everyone can join the effort
Tools do exist to initiate
policy dialogue
• Vitamin and Mineral
  Deficiency: A Global
  Progress Report
• Damage Assessment
  Reports for 80 developing
  nations
• A Challenge to the World’s
  Food companies
• A Guide to Media
  Professionals
• Other resources are
  available at:
• www.micronutrient.org
• www.unicef.org
How the tools can be used


• By national authorities to review existing activities to reach
  the agreed upon goals (UNGASS and MDGs)
• By national authorities including civil, civic and educational
  to review current understandings, and make adjustments
  to assure wide public and consumer understanding of the
  solution
• By the food industry, nationally, which can develop market
  and distribute low cost fortified food products and
  supplements
• By communication outlets in public, private media, cultural
  media, scientific and other journals. The effort here is not
  just to repeat what’s in the DAR documents, but to
  institute investigative reporting and analysis nationally
How the tools can be used


• By UN agencies in their annual reviews of
  development cooperation with governments
• By bilateral and multilateral aid agencies in their
  annual reviews of development cooperation with
  governments
• By national non-governmental organizations
  in their development cooperation within the
  country, and
• By international NGOs in their development
  cooperation plans
What Private food companies can do


• Food companies have played an historic role in
  controlling vitamin and mineral deficiencies in
  industrialized countries
• It is now a matter of urgency that the benefits of food
  fortification be extended to the developing nations
• Food companies can use and share their technical
  expertise with those in developing nations
• Food companies can apply their production,
  distribution and marketing skills to make fortified
  foods widely available and affordable in developing
  countries
How governments can help


• Governments can:
  – Help build public demand for fortified foods through
    health and education services
  – Assist with start-up financing and product
    development
  – Endorse approved food products
  – Allow distribution of certain fortified foods through
    schools, hospitals and clinics
  – Reduce duties on imported vitamins and minerals
    or on essential machinery used for fortification
  – Legislate in support of food fortification
    Controlling vitamin and mineral
deficiency is an affordable opportunity
  to improve the lives of two billion
 people and strengthen the pulse of
       economic development.

				
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