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Toward a #FutureFortified: How Food Fortification Can Help End Micronutrient Malnutrition
1. Toward a #FutureFortified:
How Food Fortification Can Help End Micronutrient Malnutrition
Beatrice Montesi, External Relations Lead, GAIN
14.10.2017 – EAGx Berlin
7. www.gainhealth.org
The example of salt iodization (1/2)
Iodine deficiency is one of the leading
causes of preventable mental
impairment worldwide, and can lead to a
reduction in IQ of 10-15 points Source: WHO
8. www.gainhealth.org
The example of salt iodization (2/2)
The Swiss Salt Iodized program
The first program worldwide began in 1922 for nearly a century, has eliminated
goiter, cretinism and mental retardation
10. www.gainhealth.org
How can spending more effectively improve
the lives of those most in need?
• The 2012 Copenaghen Consensus
• 4 Nobel Laureates and dozens of eminent
economistst
The highest ranked solution – yielding the most
benefit for the least cost is providing micronutrients,
including iodized salt, to children
Within the first 1,000 days there is a “window of opportunity” of a child’s life — from conception to the age of 2 — to ensure intakes of key micronutrients and improve physical and cognitive growth which in turn will have positive impacts for life
The consequences are not limited to health parameters alone but have far reaching effects on the economy through secondary physical and mental disabilities and altered work productivity.
Healthy foods like fresh fruits and vegetables are unaffordable for large parts of the world
52% share of per capita household income to buy 5 fruits and vegetables per day per person (Bangladesh, India, Pakistan, Zimbabwe)
The solution is quite simple and cheap: adding iodine to salt. Thanks to Universal Salt Iodisation (USI), which has been implemented around the world, the number of countries classified as “iodine deficient” decreased from 54 in 2003 to 32 in 2011(3).
The implications of this for improved productivity are enormous. And it has all been done for relatively low levels of investment. The cost to iodise salt has been estimated at between USD 0.5-10 cents per person per year. For every dollar spent the resulting benefits, in terms of increased productivity and a reduction in spending on health care, are valued at more than USD 26.
Switzerland has been, and still is, considered a model country when it comes to the iodisation of edible salt. It started to add iodine to salt already in 1922, becoming the first country in Europe to introduce this kind of public health intervention(4).
Napoleon ‘furious’: no able-bodied males could be recruited for the Grande Armee from the Wallis
1843: census: > 3000 cretins in Wallis; a tourist attraction
The number of iodine deficient countries has fallen to just 19