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Malnutrition
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                      Malnutrition
           Classification and external resources




 The orange ribbon—an awareness ribbon for malnutrition.
          eMedicine             ped/1360
            MeSH                [2]

Malnutrition is a general term for a medical condition caused by an improper or
inadequate diet and nutrition.[1][2] A number of different nutrition disorders may arise,
depending on which nutrients are under or overabundant in the diet.

The World Health Organization cites hunger as the gravest single threat to the world's
public health.[3] Malnutrition is, by far, the biggest contributor to child mortality, present
in half of all cases.[3] Malnutrition, in the form of iodine deficiency, is the most common
cause of mental impairment, reducing the world's IQ by an estimated billion points.[4][5]
Improving nutrition is widely regarded as the most effective form of aid.[3][6]

Contents
[hide]

   •     1 Causes
o  1.1 Undernutrition
                   1.1.1 Agricultural productivity
                   1.1.2 Poverty and food prices
                   1.1.3 Dietary practices
   •   2 Effects
   •   3 Response to malnutrition
          o 3.1 Emergency measures
          o 3.2 Long term measures
          o 3.3 Restricting population size
   •   4 Malnutrition demographics
          o 4.1 Statistics
          o 4.2 Middle East
          o 4.3 South Asia
          o 4.4 United States
   •   5 See also
          o 5.1 Organizations
   •   6 References

   •   7 External links

   [edit] Causes
[edit] Undernutrition

[edit] Agricultural productivity

Food shortages are caused by the lack of technology needed for the higher yields found in
modern agriculture, such as nitrogen fertilizers, pesticides and irrigation. Reasons for the
unavailability include moves to stop supplying fertilizer on environmental grounds, cited
as the chief obstacle to feeding Africa by the Green revolution pioneer Norman Borlaug.
[7]
    As a result of widespread poverty, farmers cannot afford or governments cannot
provide the technology. The World Bank and some wealthy donor countries also press
nations that depend on aid to cut or eliminate subsidized agricultural inputs such as
fertilizer, in the name of free market policies even as the United States and Europe
extensively subsidized their own farmers.[8][9] Many, if not most, farmers cannot afford
fertilizer at market prices, leading to low agricultural production and wages and high,
unaffordable food prices.[8]

With 95% of all malnourished peoples living in the relatively stable climate region of the
sub-tropics and tropics, climate change is of great importance to food security in these
regions. According to the latest IPCC reports, temperature increases in these regions are
"very likely."[10] Even small changes in temperatures can lead to increased frequency of
extreme weather conditions.[11] Many of these have great impact on agricultural
production and hence nutrition. For example, the 1998-2001 central Asian drought
brought about an 80% livestock loss and 50% reduction in wheat and barley crops in Iran.
[12]
   Similar figures were present in other nations. An increase in extreme weather such as
drought in regions such as Sub-Saharan would have even greater consequences in terms
of malnutrition. Even without an increase of extreme weather events, a simple increase in
temperature reduces the productiveness of many crop species, also decreasing food
security in these regions.[13]

Thomas Malthus noted overpopulation will outgrow food production as increases in food
production occur along a slow arithmetic progression while population growth follows
much faster geometric progressions causing food shortages. This argument has long since
been refuted on several grounds but has nonetheless served as a backdrop for
understanding of the causes of malnutrition. Food supplies can also be disrupted by
impacts of natural disasters, from the results of conflict and war, as an impact of the HIV/
AIDS pandemic[14] as a consequence of other health issues such as diarrheal disease or
chronic illness [3] from lack of education regarding proper nutrition, or from countless
other potential factors.

The use of biofuels as a replacement for traditional fuels may leave less supply of food
for nutrition and raises the price of food.[15] The UN special rapporteur on the right to
food, Jean Ziegler proposes that agricultural waste, such as corn cobs and banana leaves,
rather than crops themselves be used as fuel.[16]

Colony collapse disorder is a phenomenon where bees are dying in large numbers. [17]
Since many agricultural crops worldwide are pollinated by bees, this represents a serious
threat to the supply of food.[18] An epidemic of stem rust on wheat caused by race Ug99 is
currently spreading across Africa and into Asia and, it is feared, could wipe out could
wipe out more than 80% of the world’s wheat crops.[19][20]

[edit] Poverty and food prices

The economist Amartya Sen observed that, in recent decades, famine has always a
problem of food distribution and/or poverty, as there has been sufficient food to feed the
whole population of the world. His states that malnutrition and famine were more related
to problems of food distribution and purchasing power.[21]

It is argued that commodity speculator are increasing the cost of food. As the real estate
bubble in the United States was collapsing, it is said that trillions of dollars moved to
invest in food and primary commodities, causing the 2007-2008 food price crisis.[22]

[edit] Dietary practices

The lack of breastfeeding leads to malnutrition in infants and children. Possible reasons
for the lack in the developing world may be that the average family thinks bottle feeding
is better.[23] The WHO says mothers abandon it because they do not know how to get their
baby to latch on properly or suffer pain and discomfort.[24]

[edit] Effects
See also: child mortality and iodine deficiency

According to Jean Ziegler (the United Nations Special Rapporteur on the Right to Food
for 2000 to March 2008), mortality due to malnutrition accounted for 58% of the total
mortality in 2006: "In the world, approximately 62 millions people, all causes of death
combined, die each year. One in twelve people worldwide are malnourished.[25] In 2006,
more than 36 millions died of hunger or diseases due to deficiencies in micronutrients"[26].
The World Health Organization estimates that one-third of the world is well-fed, one-
third is under-fed and one-third is starving. [25]

According to the World Health Organization, malnutrition is by far the biggest
contributor to child mortality. Underweight births and inter-uterine growth restrictions
cause 2.2 million child deaths a year. Poor or non-existent breastfeeding causes another
1.4 million. Other deficiencies, such as lack of vitamin A or zinc, for example, account
for 1 million. According to The Lancet, malnutrition in the first two years is irreversible.
Malnourished children grow up with worse health and lower educational achievements.
Their own children also tend to be smaller. Hunger was previously seen as something that
exacerbates the problems of diseases such as measles, pneumonia and diarrhea. But
malnutrition actually causes diseases as well, and can be fatal in its own right.[3]

Malnutrition increases the risk of infection and infectious disease; for example, it is a
major risk factor in the onset of active tuberculosis.[27] In communities or areas that lack
access to safe drinking water, these additional health risks present a critical problem.
Lower energy and impaired function of the brain also represent the downward spiral of
malnutrition as victims are less able to perform the tasks they need to in order to acquire
food, earn an income, or gain an education.

The Lancet, a British medical journal, reported that “Iodine deficiency is the most
common cause of preventable mental impairment worldwide.”[4] Even moderate iodine
deficiency, especially in pregnant women and infants, lowers intelligence by 10 to 15 I.Q.
points, shaving incalculable potential off a nation’s development.[4] The most visible and
severe effects — disabling goiters, cretinism and dwarfism — affect a tiny minority,
usually in mountain villages. But 16 percent of the world’s people have at least mild
goiter, a swollen thyroid gland in the neck.[4]

Lifelong malnutrition can begin in utero and this can be associated with the mother's
stature (associated with her childhood nutritional status), her nutritional status prior to
conception, and diarrheal disease, intestinal parasites, and/or respiratory infection status.
Multiple studies have shown that nutritional status of adults is substantially influenced by
their nutritional experience from conception through early childhood. Even if individuals
have had adequate nutrition from childhood on, their health outcomes are still impacted.
[28]
     Children are not only affected by the consequences of malnourishment, but the
societies they live in suffer as well. Both severe and moderate cases of malnutrition have
a significant impact on the outcomes children face for the remainder of their lives and are
also a cause of severe illnesses leading to growth retardation both physical and mental,
and possibly death. Considering the elevated risks of mortality among children that are
associated with moderate forms of malnutrition, combined with a high prevalence
worldwide, it would seem more appropriate to distinguish that the deaths of children as a
result of malnourishment is attributable to moderate, rather than severe conditions of
malnutrition.

Malnutrition appears to increase activity and movement in many animals - for example
an experiment on spiders showed increased activity and predation in starved spiders,
resulting in larger weight gain.[29] This pattern is seen in many animals, including humans
while sleeping.[30] It even occurs in rats with their cerebral cortex or stomachs completely
removed.[31] Increased activity on hamster wheels occurred when rats were deprived not
only of food, but also water or B vitamins such as thiamine[32] This response may increase
the animal's chance of finding food, though it has also been speculated the emigration
response relieves pressure on the home population.[30]

Obesity is associated with many diseases, particularly heart disease, type 2 diabetes,
breathing difficulties during sleep, certain types of cancer, and osteoarthritis. Many
indigenous people across the Pacific and the Americas are at increased risk of ‘a major
wipe-out’ from Type 2 diabetes.[33]

[edit] Response to malnutrition
Main articles: Ready-to-Use Therapeutic food and famine relief

Fighting malnutrition, mostly through fortifying foods with micronutrients (vitamins and
minerals), improves lives at a lower cost and shorter time than other forms of aid,
according to the World Bank.[5] The Copenhagen Consensus, which look at a variety of
development proposals, ranked micronutrient supplements as number one. [6] [34]
However, roughly $300m of aid goes to basic nutrition each year, less than $2 for each
child below two in the 20 worst affected countries.[3] In contrast, HIV/AIDS, which
causes fewer deaths than child malnutrition, received $2.2 billion—$67 per person with
HIV in all countries.[3]

[edit] Emergency measures

Micronutrients can be obtained through fortifying foods.[6] Fortifying foods such as
peanut butter sachets (see Plumpy'Nut) and Spirulina have revolutionized emergency
feeding in humanitarian emergencies because they can be eaten directly from the packet,
do not require refrigeration or mixing with scarce clean water, can be stored for years and
vitally can be absorbed by extremely ill children.[35] The United Nations World Food
Conference of 1974 declared Spirulina as 'the best food for the future' and its ready
harvest every 24 hours make it a potent tool to eradicate malnutrition. Additionally
supplements, such as Vitamin A capsules or Zinc tablets to cure diarrhea in children, can
be used are used.[36] There is a growing realization among aid groups that giving cash or
cash vouchers instead of food is a cheaper, faster, and more efficient way to deliver help
to the hungry, particularly in areas where food is available but unaffordable.[37] The UN's
World Food Program, the biggest non-governmental distributor of food, announced that it
will begin distributing cash and vouchers instead of food in some areas, which Josette
Sheeran, the WFP's executive director, described as a "revolution" in food aid.[37][38] The
aid agency Concern Worldwide is piloting an method through a mobile phone operator,
Safaricom, which runs a money transfer program that allows cash to be sent from one
part of the country to another.[37]

However, for people in a drought living a long way from and with limited access to
markets, delivering food may be the most appropriate way to help.[37] Fred Cuny stated
that "the chances of saving lives at the outset of a relief operation are greatly reduced
when food is imported. By the time it arrives in the country and gets to people, many will
have died."[39] US Law, which requires buying food at home rather than where the hungry
live, is inefficient because approximately half of what is spent goes for transport.[40] Fred
Cuny further pointed out "studies of every recent famine have shown that food was
available in-country — though not always in the immediate food deficit area" and "even
though by local standards the prices are too high for the poor to purchase it, it would
usually be cheaper for a donor to buy the hoarded food at the inflated price than to import
it from abroad."[41] Ethiopia has been pioneering a program that has now become part of
the World Bank's prescribed recipe for coping with a food crisis and had been seen by aid
organizations as a model of how to best help hungry nations. Through the country's main
food assistance program, the Productive Safety Net Program, Ethiopia has been giving
rural residents who are chronically short of food, a chance to work for food or cash.
Foreign aid organizations like the World Food Program were then able to buy food
locally from surplus areas to distribute in areas with a shortage of food.[42]

[edit] Long term measures

Main article: food security

The effort to bring modern agricultural techniques found in the West, such as nitrogen
fertilizers and pesticides, to Asia, called the Green revolution, resulted in decreases in
malnutrition similar to those seen earlier in Western nations. This was possible because
of existing infrastructure and institutions that are in short supply in Africa, such as a
system of roads or public seed companies that made seeds available.[43] Investments in
agriculture, such as subsidized fertilizers and seeds, increases food harvest and reduces
food prices.[8][44] For example, in the case of Malawi, almost five million of its 13 million
people used to need emergency food aid. However, after the government changed policy
and subsidies for fertilizer and seed were introduced against World Bank strictures,
farmers produced record-breaking corn harvests as production leaped to 3.4 million in
2007 from 1.2 million in 2005, making Malawi a major food exporter.[8] This lowered
food prices and increased wages for farm workers.[8] Proponents for investing in
agriculture include Jeffrey Sachs, who has championed the idea that wealthy countries
should invest in fertilizer and seed for Africa’s farmers.[8]

Breast-feeding education helps. Breastfeeding in the first two years and exclusive
breastfeeding in the first six months could save 1.3 million children’s lives. [45] In the
longer term, firms are trying to fortify everyday foods with micronutrients that can be
sold to consumers such as wheat flour for Beladi bread in Egypt or fish sauce in Vietnam
and the iodization of salt.[35]

[edit] Restricting population size

Restricting population size is a proposed solution. Thomas Malthus argued that
population growth could be done by natural disasters and voluntary limits through “moral
restraint.”[46] Robert Chapman suggests that an intervention through government policies
is a necessary ingredient of curtailing global population growth.[47] Garret Hardin takes an
anti-immigration, isolationist approach arguing that “…all sovereign states must accept
the responsibility of solving their population problems in their own territories" and that
immigration acts as a sort of pressure release valve which allows countries to continue to
ignore solving their population problems.[48]

For Amaryta Sen, “no matter how a famine is caused, methods of breaking it call for a
large supply of food in the public distribution system. This applies not only to organizing
rationing and control, but also to undertaking work programmes and other methods of
increasing purchasing power for those hit by shifts in exchange entitlements in a general
inflationary situation.”[49]

One suggested policy framework to resolve access issues is termed food sovereignty, the
right of peoples to define their own food, agriculture, livestock, and fisheries systems in
contrast to having food largely subjected to international market forces. Food First is one
of the primary think tanks working to build support for food sovereignty. Neoliberals
advocate for an increasing role of the free market. The World Bank itself claims to be
part of the solution to malnutrition, asserting that the best way for countries to succeed in
breaking the cycle of poverty and malnutrition is to build export-led economies that will
give them the financial means to buy foodstuffs on the world market.

[edit] Malnutrition demographics
[edit] Statistics

See also: Global Hunger Index

There were 923 million hungry people in the world in 2007, an increase of 80 million
since 1990,[50] despite the fact that the world already produces enough food to feed
everyone - 6 billion people - and could feed the double - 12 billion people.[51]




                Year                      1990 1995 2005 2007
                                     [52]
Hungry people in the world (millions) 842 832 848 923
Year                             1970 1980 1990 2005 2007
Share of hungry people in the developing world[53][54] 37 % 28 % 20 % 16 % 17 %

   •   On the average, a person dies every second as a result of hunger - 4000 every
       hour - 100 000 each day - 36 million each year - 58 % of all deaths (2001-2004
       estimates).[55][56][57]
   •   On the average, a child dies every 5 seconds as a result of hunger - 700 every hour
       - 16 000 each day - 6 million each year - 60% of all child deaths (2002-2008
       estimates).[58][59][60][61][62]




Percentage of population affected by undernutrition by country, according to United
Nations statistics.

Number of undernourished people (million) in 2001-2003, according to the FAO, the
following countries had 5 million or more undernourished people [4]:

            Country            Number of Undernourished (million)
India                          217.05
China                          154.0
Bangladesh                     43.45
Democratic Republic of Congo   37.0
Pakistan                       35.2
Ethiopia                       31.5
Tanzania                       16.1
Philippines                    15.2
Brazil                         14.4
Indonesia                      13.8
Vietnam                        13.8
Thailand                       13.4
Nigeria                        11.5
Kenya                          9.7
Sudan                          8.8
Mozambique                     8.3
North Korea                    7.9
Yemen                           7.1
Madagascar                      7.1
Colombia                        5.9
Zimbabwe                        5.7
Mexico                          5.1
Zambia                          5.1
Angola                          5.0

Note: This table measures "undernourishment", as defined by FAO, and represents the
number of people consuming (on average for years 2001 to 2003) less than the minimum
amount of food energy (measured in kilocalories per capita per day) necessary for the
average person to stay in good health while performing light physical activity. It is a
conservative indicator that does not take into account the extra needs of people
performing extraneous physical activity, nor seasonal variations in food consumption or
other sources of variability such as inter-individual differences in energy requirements.

Malnutrition and undernourishment are cumulative or average situations, and not the
work of a single day's food intake (or lack thereof). This table does not represent the
number of people who "went to bed hungry today."

Various scales of analysis also have to be considered in order to determine the
sociopolitical causes of malnutrition. For example, the population of a community may
be at risk if it lacks health-related services, but on a smaller scale certain households or
individuals may be at even higher risk due to differences in income levels, access to land,
or levels of education [63]. Also within the household, there may be differences in levels of
malnutrition between men and women, and these differences have been shown to vary
significantly from one region to another with problem areas showing relative deprivation
of women [64]. Children and the elderly tend to be especially susceptible. Approximately
27 percent of children under 5 in developing world are malnourished, and in these
developing countries, malnutrition claims about half of the 10 million deaths each year of
children under 5.

[edit] Middle East

Malnutrition rates in Iraq had risen from 19% before the US-led invasion to a national
average of 28% four years later.[65]

[edit] South Asia

According to the Global Hunger Index, South Asia has the highest child malnutrition rate
of world's regions.[66] India contributes to about 5.6 million child deaths every year, more
than half the world's total.[67] The 2006 report mentioned that "the low status of women in
South Asian countries and their lack of nutritional knowledge are important determinants
of high prevalence of underweight children in the region" and was concerned that South
Asia has "inadequate feeding and caring practices for young children".[67]
Half of children in India are underweight,[68] one of the highest rates in the world and
nearly double the rate of Sub-Saharan Africa.[69]

Research on overcoming persistent under-nutrition published by the Institute of
Development Studies, argues that the co-existence of India as an 'economic powerhouse'
and home to one-third of the world's under-nourished children reflects a failure of the
governance of nutrition: "A poor capacity to deliver the right services at the right time to
the right populations, an inability to respond to citizens' needs and weak accountability
are all features of weak nutrition governance."[70] The research suggests that to make
under-nutrition history in India the governance of nutrition needs to be strengthened and
new research needs to focus on the politics and governance of nutrition. At the current
rate of progress the MDG1 target for nutrition will only be reached in 2043 with severe
consequences for human wellbeing and economic growth.[71]

[edit] United States

Childhood malnutrition is generally thought of as being limited to developing countries,
but although most malnutrition occurs there, it is also an ongoing presence in developed
nations. For example, in the United States of America, one out of every six children is at
risk of hunger.[72] A study, based on 2005-2007 data from the U.S. Census Bureau and the
Agriculture Department, shows that an estimated 3.5 million children under the age of
five are at risk of hunger in the United States.[73] In developed countries, this persistent
hunger problem is not due to lack of food or food programs, but is largely due to an
underutilization of existing programs designed to address the issue, such as food stamps
or school meals. Many citizens of rich countries such as the United States of America
attach stigmas to food programs or otherwise discourage their use. In the USA, only 60%
of those eligible for the food stamp program actually receive benefits.[74] The U.S.
Department of Agriculture reported that in 2003, only 1 out of 200 U.S. households with
children became so severely food insecure that any of the children went hungry even
once during the year. A substantially larger proportion of these same households (3.8
percent) had adult members who were hungry at least one day during the year because of
their households' inability to afford enough food.[5]

[edit] See also
   •   List of countries by percentage of population suffering from undernourishment
   •   Anorexia nervosa
   •   Dehydration
   •   Essential nutrient
   •   Famine
   •   Food
   •   Food price crisis
   •   Global Hunger Index
   •   Hunger
   •   Illnesses related to poor nutrition
   •   Micronutrient
•   Nutrition
   •   NutritionDay (in Europe)
   •   Obesity
   •   Plumpy'nut
   •   specific appetite
   •   Spirulina
   •   Starvation
   •   Underweight

[edit] Organizations

   •   World Food Programme
   •   Share Our Strength
   •   Food and Agriculture Organization
   •   Intergovernmental Institution for the use of Micro-algae Spirulina Against
       Malnutrition (IIMSAM)
   •   Hungrykids.org
   •   GAIN Global Alliance for Improved Nutrition

[edit] References
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    Department. “The State of Food Insecurity in the World, 2008 : High food prices
    and food security - threats and opportunities”. Food and Agriculture Organization
    of the United Nations, 2008, p. 48.
53. ^ Food and Agriculture Organization Agricultural and Development Economics
    Division. “The State of Food Insecurity in the World, 2006 : Eradicating world
    hunger – taking stock ten years after the World Food Summit”. Food and
    Agriculture Organization of the United Nations, 2006, p. 8. “Because of
    population growth, the very small decrease in the number of hungry people has
    nevertheless resulted in a reduction in the proportion of undernourished people in
    the developing countries by 3 percentage points – from 20 percent in 1990–92 to
    17 percent in 2001–03. (…) the prevalence of undernourishment declined by 9
percent (from 37 percent to 28 percent) between 1969–71 and 1979–81 and by a
    further 8 percentage points (to 20 percent) between 1979–81 and 1990–92.”.
54. ^ Food and Agriculture Organization Economic and Social Development
    Department. “The State of Food Insecurity in the World, 2008 : High food prices
    and food security - threats and opportunities”. Food and Agriculture Organization
    of the United Nations, 2008, p. 6. “Good progress in reducing the share of hungry
    people in the developing world had been achieved – down from almost 20 percent
    in 1990–92 to less than 18 percent in 1995–97 and just above 16 percent in 2003–
    05. The estimates show that rising food prices have thrown that progress into
    reverse, with the proportion of undernourished people worldwide moving back
    towards 17 percent.”.
55. ^ Jean Ziegler. “The Right to Food: Report by the Special Rapporteur on the
    Right to Food, Mr. Jean Ziegler, Submitted in Accordance with Commission on
    Human Rights Resolution 2000/10”. United Nations, February 7, 2001, p. 5. “On
    average, 62 million people die each year, of whom probably 36 million (58 per
    cent) directly or indirectly as a result of nutritional deficiencies, infections,
    epidemics or diseases which attack the body when its resistance and immunity
    have been weakened by undernourishment and hunger.”.
56. ^ Commission on Human Rights. “The right to food : Commission on Human
    Rights resolution 2002/25”. Office Of The High Commissioner For Human
    Rights, United Nations, April 22, 2002, p. 2. “every year 36 million people die,
    directly or indirectly, as a result of hunger and nutritional deficiencies, most of
    them women and children, particularly in developing countries, in a world that
    already produces enough food to feed the whole global population”.
57. ^ United Nations Information Service. “Independent Expert On Effects Of
    Structural Adjustment, Special Rapporteur On Right To Food Present Reports:
    Commission Continues General Debate On Economic, Social And Cultural
    Rights”. United Nations, March 29, 2004, p. 6. “Around 36 million people died
    from hunger directly or indirectly every year.”.
58. ^ Food and Agriculture Organization Staff. “The State of Food Insecurity in the
    World, 2002: Food Insecurity : when People Live with Hunger and Fear
    Starvation”. Food and Agriculture Organization of the United Nations, 2002, p. 6.
    “6 million children under the age of five, die each year as a result of hunger.”
59. ^ Food and Agriculture Organization of the United Nations Economic and Social
    Dept. “The State of Food Insecurity in the World 2004: Monitoring Progress
    Towards the World Food Summit and Millennium Development Goals”. Food
    and Agriculture Organization of the United Nations, 2004, p. 8.
    “Undernourishment and deficiencies in essential vitamins and minerals cost more
    than 5 million children their lives every year”.
60. ^ Jacques Diouf. “The State of Food Insecurity in the World 2004: Monitoring
    Progress Towards the World Food Summit and Millennium Development Goals”.
    Food and Agriculture Organization of the United Nations, 2004, p. 4. “one child
    dies every five seconds as a result of hunger and malnutrition”.
61. ^ Food and Agriculture Organization, Economic and Social Dept. “The State of
    Food Insecurity in the World 2005: Eradicating World Hunger - Key to Achieving
    the Millennium Development Goals”. Food and Agriculture Organization of the
United Nations, 2005, p. 18. “Hunger and malnutrition are the underlying cause of
      more than half of all child deaths, killing nearly 6 million children each year – a
      figure that is roughly equivalent to the entire preschool population of Japan.
      Relatively few of these children die of starvation. The vast majority are killed by
      neonatal disorders and a handful of treatable infectious diseases, including
      diarrhoea, pneumonia, malaria and measles. Most would not die if their bodies
      and immune systems had not been weakened by hunger and malnutrition
      moderately to severely underweight, the risk of death is five to eight times
      higher.”.
  62. ^ Human Rights Council. “Resolution 7/14. The right to food”. United Nations,
      March 27, 2008, p. 3. “6 million children still die every year from hunger-related
      illness before their fifth birthday”.
  63. ^ Fotso, Jean-Christophe and Barthelemy Kuate-Defo. "Measuring Socio-
      economic Status in Health Research in Developing Countries: Should We Be
      Focusing on Households, Communities, or Both?" Social Indicators Research.
      (2005) 72:189-237.
  64. ^ Nube, M. and G.J.M. van dem Boom. "Gender and Adult Undernutrition in
      Developing Countries." Annals of Human Biology (2003) 30:5:520-537.
  65. ^ Third of Iraqi children now malnourished four years after US invasion Reuters.
      16 March, 2007
  66. ^ "2008 Global Hunger Index Key Findings & Facts". 2008. http://www.ifpri.org/
      media/200610GHI/GHIFindings.asp.
  67. ^ a b "'Hunger critical' in South Asia". BBC. 2006.
      http://news.bbc.co.uk/2/hi/south_asia/6046718.stm.
  68. ^ Survey Says Nearly Half of India's Children Are Malnourished, CBS News,
      February 10, 2007
  69. ^ "India: Undernourished Children: A Call for Reform and Action". World Bank.
      http://web.worldbank.org/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEX
      T/0,,contentMDK:20916955~pagePK:146736~piPK:146830~theSitePK:223547,0
      0.html.
  70. ^ Lifting the Curse: Overcoming Persistent Undernutrition in India IDS Bulletin
      40(4): 2, July 2009
  71. ^ Lifting the Curse: Overcoming Persistent Undernutrition in India IDS Bulletin
      Vol 40, Number 4, July 2009
  72. ^ "Childhood Hunger in America". Share Our Strength. 2009.
      http://strength.org/childhood_hunger.
  73. ^ "3.5M Kids Under 5 On Verge Of Going Hungry
      Study: 11 Percent Of U.S. Households Lack Food For Healthy Lifestyle"
      ("SHTML). Health. CBS NEWS. 2009-05-07.
      http://www.cbsnews.com/stories/2009/05/07/health/main4998190.shtml.
      Retrieved 2009-05-08.
  74. ^ "Plan to End Childhood Hunger in America". Share Our Strength. 2009.
      http://strength.org/childhood_hunger/our_plan.

[edit] External links
Look up malnutrition or undernutrition in Wiktionary, the free dictionary.

    This article's external links may not follow Wikipedia's content policies or
    guidelines. Please improve this article by removing excessive or inappropriate
    external links. (March 2009)

•   Share Our Strength: An organization primarily concerned with hunger problems
    in developed countries such as the United States.
•   The environmental food crisis A study done by the UN on feeding the world
    population (2009)
•   Action Against Hunger - Giving the most basic of Human Rights - The right to
    Food
•   Dan Jakopovich, A Few Basic Facts: On Hunger and Capital, Against the Current,
    March/April, No.133, 2008.
•   The CE-DAT Complex Emergency Database - A source of data on malnutrition
    and mortality in conflict-affected populations
•   A Life Saver Called "Plumpynut", CBS 60 Minutes, October 21, 2007
•   MSF Warns More Food Will Not Save Malnourished Children Group Calls for
    Increased and Expanded Use of New, Innovative Nutritional Products
•   Micro-algae Algosophette
•   Intergovernmental Institution for the use of Micro-algae Spirulina Against
    Malnutrition (IIMSAM)
•   Reports on World Nutrition Situation The annual reports prepared by UN
    Standing Committee on Nutrition contain detailed information on common
    challenges, extent of malnutrition, efforts being taken to address them, and a
    wealth of other useful information.
•   Physical Growth & Nutritional status
•   World Hunger Map (from United Nations World Food Programme)
•   FAO country statistics
•   HungryKids Info on malnutrition from HungryKids
•   Fighting Hunger and poverty in Ethiopia (Peter Middlebrook)
•   Meds & Food for Kids - Fighting malnutrition in Haiti one child at a time.
•   Malnutrition
•   And why not Spirulina as solution?
•   GAIN - Global Alliance for Improved Nutrition
•   School Feeding Programs for Children Interviews with World Food Programme
    officials about the status of school feeding programs for children in developing
    countries
•   Mother, Infant and Young Child Nutrition & Malnutrition Optimal maternal,
    infant and young child feeding and caring practices reduce underweight and
    stunting and set the foundations for appropriate growth.
•   Food for Peace: Eisenhower's Unsung Initiative Can Be Obama's Most Powerful
    Tool for Peace Global hunger article on the History News Network
•   "Human Rescue Plan". World Food Programme, 2009 (video).
[hide]
v•d•e
                        Nutrition disorders (E40-68, 260-269)

                    Protein-
                    energy       Kwashiorkor · Marasmus · Catabolysis
                    malnutrition

                                       B1: Beriberi/Wernicke's
                                       encephalopathy(Thiamine deficiency) · B2:
                               B       Ariboflavinosis · B3: Pellagra(Niacin
                               vitaminsdeficiency) · B6: Pyridoxine deficiency · B7:
                                       Biotin deficiency · B9: Folate deficiency ·
Hypoalimentation/
                  Avitaminosis         B12: Vitamin B12 deficiency
malnutrition
                                         A: Vitamin A deficiency/Bitot's spots ·
                                 Other C: Scurvy · D: Rickets/Osteomalacia ·
                                 vitaminsE: Vitamin E deficiency · K: Vitamin K
                                         deficiency

                                 Zinc · Iron · Magnesium · Chromium · Selenium
                    Mineral
                                 (Keshan disease) · Manganese · Molybdenum · Copper ·
                    deficiency
                                 Calcium · Potassium

                    Overweight Childhood obesity · Obesity hypoventilation syndrome ·
                    · Obesity  Abdominal obesity

                    Vitamin      Hypervitaminosis A · Hypervitaminosis D ·
Hyperalimentation
                    poisoning    Hypervitaminosis E

                  Mineral
                                see inborn errors of metal metabolism, toxicity
                  overload
Retrieved from "http://en.wikipedia.org/wiki/Malnutrition"
Categories: Malnutrition | Public health | Humanitarian aid | Nutrition | Poverty | Health
problems in India

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Malnutrition

  • 1. Malnutrition From Wikipedia, the free encyclopedia Jump to: navigation, search Malnutrition Classification and external resources The orange ribbon—an awareness ribbon for malnutrition. eMedicine ped/1360 MeSH [2] Malnutrition is a general term for a medical condition caused by an improper or inadequate diet and nutrition.[1][2] A number of different nutrition disorders may arise, depending on which nutrients are under or overabundant in the diet. The World Health Organization cites hunger as the gravest single threat to the world's public health.[3] Malnutrition is, by far, the biggest contributor to child mortality, present in half of all cases.[3] Malnutrition, in the form of iodine deficiency, is the most common cause of mental impairment, reducing the world's IQ by an estimated billion points.[4][5] Improving nutrition is widely regarded as the most effective form of aid.[3][6] Contents [hide] • 1 Causes
  • 2. o 1.1 Undernutrition  1.1.1 Agricultural productivity  1.1.2 Poverty and food prices  1.1.3 Dietary practices • 2 Effects • 3 Response to malnutrition o 3.1 Emergency measures o 3.2 Long term measures o 3.3 Restricting population size • 4 Malnutrition demographics o 4.1 Statistics o 4.2 Middle East o 4.3 South Asia o 4.4 United States • 5 See also o 5.1 Organizations • 6 References • 7 External links [edit] Causes [edit] Undernutrition [edit] Agricultural productivity Food shortages are caused by the lack of technology needed for the higher yields found in modern agriculture, such as nitrogen fertilizers, pesticides and irrigation. Reasons for the unavailability include moves to stop supplying fertilizer on environmental grounds, cited as the chief obstacle to feeding Africa by the Green revolution pioneer Norman Borlaug. [7] As a result of widespread poverty, farmers cannot afford or governments cannot provide the technology. The World Bank and some wealthy donor countries also press nations that depend on aid to cut or eliminate subsidized agricultural inputs such as fertilizer, in the name of free market policies even as the United States and Europe extensively subsidized their own farmers.[8][9] Many, if not most, farmers cannot afford fertilizer at market prices, leading to low agricultural production and wages and high, unaffordable food prices.[8] With 95% of all malnourished peoples living in the relatively stable climate region of the sub-tropics and tropics, climate change is of great importance to food security in these regions. According to the latest IPCC reports, temperature increases in these regions are "very likely."[10] Even small changes in temperatures can lead to increased frequency of extreme weather conditions.[11] Many of these have great impact on agricultural production and hence nutrition. For example, the 1998-2001 central Asian drought brought about an 80% livestock loss and 50% reduction in wheat and barley crops in Iran.
  • 3. [12] Similar figures were present in other nations. An increase in extreme weather such as drought in regions such as Sub-Saharan would have even greater consequences in terms of malnutrition. Even without an increase of extreme weather events, a simple increase in temperature reduces the productiveness of many crop species, also decreasing food security in these regions.[13] Thomas Malthus noted overpopulation will outgrow food production as increases in food production occur along a slow arithmetic progression while population growth follows much faster geometric progressions causing food shortages. This argument has long since been refuted on several grounds but has nonetheless served as a backdrop for understanding of the causes of malnutrition. Food supplies can also be disrupted by impacts of natural disasters, from the results of conflict and war, as an impact of the HIV/ AIDS pandemic[14] as a consequence of other health issues such as diarrheal disease or chronic illness [3] from lack of education regarding proper nutrition, or from countless other potential factors. The use of biofuels as a replacement for traditional fuels may leave less supply of food for nutrition and raises the price of food.[15] The UN special rapporteur on the right to food, Jean Ziegler proposes that agricultural waste, such as corn cobs and banana leaves, rather than crops themselves be used as fuel.[16] Colony collapse disorder is a phenomenon where bees are dying in large numbers. [17] Since many agricultural crops worldwide are pollinated by bees, this represents a serious threat to the supply of food.[18] An epidemic of stem rust on wheat caused by race Ug99 is currently spreading across Africa and into Asia and, it is feared, could wipe out could wipe out more than 80% of the world’s wheat crops.[19][20] [edit] Poverty and food prices The economist Amartya Sen observed that, in recent decades, famine has always a problem of food distribution and/or poverty, as there has been sufficient food to feed the whole population of the world. His states that malnutrition and famine were more related to problems of food distribution and purchasing power.[21] It is argued that commodity speculator are increasing the cost of food. As the real estate bubble in the United States was collapsing, it is said that trillions of dollars moved to invest in food and primary commodities, causing the 2007-2008 food price crisis.[22] [edit] Dietary practices The lack of breastfeeding leads to malnutrition in infants and children. Possible reasons for the lack in the developing world may be that the average family thinks bottle feeding is better.[23] The WHO says mothers abandon it because they do not know how to get their baby to latch on properly or suffer pain and discomfort.[24] [edit] Effects
  • 4. See also: child mortality and iodine deficiency According to Jean Ziegler (the United Nations Special Rapporteur on the Right to Food for 2000 to March 2008), mortality due to malnutrition accounted for 58% of the total mortality in 2006: "In the world, approximately 62 millions people, all causes of death combined, die each year. One in twelve people worldwide are malnourished.[25] In 2006, more than 36 millions died of hunger or diseases due to deficiencies in micronutrients"[26]. The World Health Organization estimates that one-third of the world is well-fed, one- third is under-fed and one-third is starving. [25] According to the World Health Organization, malnutrition is by far the biggest contributor to child mortality. Underweight births and inter-uterine growth restrictions cause 2.2 million child deaths a year. Poor or non-existent breastfeeding causes another 1.4 million. Other deficiencies, such as lack of vitamin A or zinc, for example, account for 1 million. According to The Lancet, malnutrition in the first two years is irreversible. Malnourished children grow up with worse health and lower educational achievements. Their own children also tend to be smaller. Hunger was previously seen as something that exacerbates the problems of diseases such as measles, pneumonia and diarrhea. But malnutrition actually causes diseases as well, and can be fatal in its own right.[3] Malnutrition increases the risk of infection and infectious disease; for example, it is a major risk factor in the onset of active tuberculosis.[27] In communities or areas that lack access to safe drinking water, these additional health risks present a critical problem. Lower energy and impaired function of the brain also represent the downward spiral of malnutrition as victims are less able to perform the tasks they need to in order to acquire food, earn an income, or gain an education. The Lancet, a British medical journal, reported that “Iodine deficiency is the most common cause of preventable mental impairment worldwide.”[4] Even moderate iodine deficiency, especially in pregnant women and infants, lowers intelligence by 10 to 15 I.Q. points, shaving incalculable potential off a nation’s development.[4] The most visible and severe effects — disabling goiters, cretinism and dwarfism — affect a tiny minority, usually in mountain villages. But 16 percent of the world’s people have at least mild goiter, a swollen thyroid gland in the neck.[4] Lifelong malnutrition can begin in utero and this can be associated with the mother's stature (associated with her childhood nutritional status), her nutritional status prior to conception, and diarrheal disease, intestinal parasites, and/or respiratory infection status. Multiple studies have shown that nutritional status of adults is substantially influenced by their nutritional experience from conception through early childhood. Even if individuals have had adequate nutrition from childhood on, their health outcomes are still impacted. [28] Children are not only affected by the consequences of malnourishment, but the societies they live in suffer as well. Both severe and moderate cases of malnutrition have a significant impact on the outcomes children face for the remainder of their lives and are also a cause of severe illnesses leading to growth retardation both physical and mental, and possibly death. Considering the elevated risks of mortality among children that are
  • 5. associated with moderate forms of malnutrition, combined with a high prevalence worldwide, it would seem more appropriate to distinguish that the deaths of children as a result of malnourishment is attributable to moderate, rather than severe conditions of malnutrition. Malnutrition appears to increase activity and movement in many animals - for example an experiment on spiders showed increased activity and predation in starved spiders, resulting in larger weight gain.[29] This pattern is seen in many animals, including humans while sleeping.[30] It even occurs in rats with their cerebral cortex or stomachs completely removed.[31] Increased activity on hamster wheels occurred when rats were deprived not only of food, but also water or B vitamins such as thiamine[32] This response may increase the animal's chance of finding food, though it has also been speculated the emigration response relieves pressure on the home population.[30] Obesity is associated with many diseases, particularly heart disease, type 2 diabetes, breathing difficulties during sleep, certain types of cancer, and osteoarthritis. Many indigenous people across the Pacific and the Americas are at increased risk of ‘a major wipe-out’ from Type 2 diabetes.[33] [edit] Response to malnutrition Main articles: Ready-to-Use Therapeutic food and famine relief Fighting malnutrition, mostly through fortifying foods with micronutrients (vitamins and minerals), improves lives at a lower cost and shorter time than other forms of aid, according to the World Bank.[5] The Copenhagen Consensus, which look at a variety of development proposals, ranked micronutrient supplements as number one. [6] [34] However, roughly $300m of aid goes to basic nutrition each year, less than $2 for each child below two in the 20 worst affected countries.[3] In contrast, HIV/AIDS, which causes fewer deaths than child malnutrition, received $2.2 billion—$67 per person with HIV in all countries.[3] [edit] Emergency measures Micronutrients can be obtained through fortifying foods.[6] Fortifying foods such as peanut butter sachets (see Plumpy'Nut) and Spirulina have revolutionized emergency feeding in humanitarian emergencies because they can be eaten directly from the packet, do not require refrigeration or mixing with scarce clean water, can be stored for years and vitally can be absorbed by extremely ill children.[35] The United Nations World Food Conference of 1974 declared Spirulina as 'the best food for the future' and its ready harvest every 24 hours make it a potent tool to eradicate malnutrition. Additionally supplements, such as Vitamin A capsules or Zinc tablets to cure diarrhea in children, can be used are used.[36] There is a growing realization among aid groups that giving cash or cash vouchers instead of food is a cheaper, faster, and more efficient way to deliver help to the hungry, particularly in areas where food is available but unaffordable.[37] The UN's World Food Program, the biggest non-governmental distributor of food, announced that it
  • 6. will begin distributing cash and vouchers instead of food in some areas, which Josette Sheeran, the WFP's executive director, described as a "revolution" in food aid.[37][38] The aid agency Concern Worldwide is piloting an method through a mobile phone operator, Safaricom, which runs a money transfer program that allows cash to be sent from one part of the country to another.[37] However, for people in a drought living a long way from and with limited access to markets, delivering food may be the most appropriate way to help.[37] Fred Cuny stated that "the chances of saving lives at the outset of a relief operation are greatly reduced when food is imported. By the time it arrives in the country and gets to people, many will have died."[39] US Law, which requires buying food at home rather than where the hungry live, is inefficient because approximately half of what is spent goes for transport.[40] Fred Cuny further pointed out "studies of every recent famine have shown that food was available in-country — though not always in the immediate food deficit area" and "even though by local standards the prices are too high for the poor to purchase it, it would usually be cheaper for a donor to buy the hoarded food at the inflated price than to import it from abroad."[41] Ethiopia has been pioneering a program that has now become part of the World Bank's prescribed recipe for coping with a food crisis and had been seen by aid organizations as a model of how to best help hungry nations. Through the country's main food assistance program, the Productive Safety Net Program, Ethiopia has been giving rural residents who are chronically short of food, a chance to work for food or cash. Foreign aid organizations like the World Food Program were then able to buy food locally from surplus areas to distribute in areas with a shortage of food.[42] [edit] Long term measures Main article: food security The effort to bring modern agricultural techniques found in the West, such as nitrogen fertilizers and pesticides, to Asia, called the Green revolution, resulted in decreases in malnutrition similar to those seen earlier in Western nations. This was possible because of existing infrastructure and institutions that are in short supply in Africa, such as a system of roads or public seed companies that made seeds available.[43] Investments in agriculture, such as subsidized fertilizers and seeds, increases food harvest and reduces food prices.[8][44] For example, in the case of Malawi, almost five million of its 13 million people used to need emergency food aid. However, after the government changed policy and subsidies for fertilizer and seed were introduced against World Bank strictures, farmers produced record-breaking corn harvests as production leaped to 3.4 million in 2007 from 1.2 million in 2005, making Malawi a major food exporter.[8] This lowered food prices and increased wages for farm workers.[8] Proponents for investing in agriculture include Jeffrey Sachs, who has championed the idea that wealthy countries should invest in fertilizer and seed for Africa’s farmers.[8] Breast-feeding education helps. Breastfeeding in the first two years and exclusive breastfeeding in the first six months could save 1.3 million children’s lives. [45] In the longer term, firms are trying to fortify everyday foods with micronutrients that can be
  • 7. sold to consumers such as wheat flour for Beladi bread in Egypt or fish sauce in Vietnam and the iodization of salt.[35] [edit] Restricting population size Restricting population size is a proposed solution. Thomas Malthus argued that population growth could be done by natural disasters and voluntary limits through “moral restraint.”[46] Robert Chapman suggests that an intervention through government policies is a necessary ingredient of curtailing global population growth.[47] Garret Hardin takes an anti-immigration, isolationist approach arguing that “…all sovereign states must accept the responsibility of solving their population problems in their own territories" and that immigration acts as a sort of pressure release valve which allows countries to continue to ignore solving their population problems.[48] For Amaryta Sen, “no matter how a famine is caused, methods of breaking it call for a large supply of food in the public distribution system. This applies not only to organizing rationing and control, but also to undertaking work programmes and other methods of increasing purchasing power for those hit by shifts in exchange entitlements in a general inflationary situation.”[49] One suggested policy framework to resolve access issues is termed food sovereignty, the right of peoples to define their own food, agriculture, livestock, and fisheries systems in contrast to having food largely subjected to international market forces. Food First is one of the primary think tanks working to build support for food sovereignty. Neoliberals advocate for an increasing role of the free market. The World Bank itself claims to be part of the solution to malnutrition, asserting that the best way for countries to succeed in breaking the cycle of poverty and malnutrition is to build export-led economies that will give them the financial means to buy foodstuffs on the world market. [edit] Malnutrition demographics [edit] Statistics See also: Global Hunger Index There were 923 million hungry people in the world in 2007, an increase of 80 million since 1990,[50] despite the fact that the world already produces enough food to feed everyone - 6 billion people - and could feed the double - 12 billion people.[51] Year 1990 1995 2005 2007 [52] Hungry people in the world (millions) 842 832 848 923
  • 8. Year 1970 1980 1990 2005 2007 Share of hungry people in the developing world[53][54] 37 % 28 % 20 % 16 % 17 % • On the average, a person dies every second as a result of hunger - 4000 every hour - 100 000 each day - 36 million each year - 58 % of all deaths (2001-2004 estimates).[55][56][57] • On the average, a child dies every 5 seconds as a result of hunger - 700 every hour - 16 000 each day - 6 million each year - 60% of all child deaths (2002-2008 estimates).[58][59][60][61][62] Percentage of population affected by undernutrition by country, according to United Nations statistics. Number of undernourished people (million) in 2001-2003, according to the FAO, the following countries had 5 million or more undernourished people [4]: Country Number of Undernourished (million) India 217.05 China 154.0 Bangladesh 43.45 Democratic Republic of Congo 37.0 Pakistan 35.2 Ethiopia 31.5 Tanzania 16.1 Philippines 15.2 Brazil 14.4 Indonesia 13.8 Vietnam 13.8 Thailand 13.4 Nigeria 11.5 Kenya 9.7 Sudan 8.8 Mozambique 8.3 North Korea 7.9
  • 9. Yemen 7.1 Madagascar 7.1 Colombia 5.9 Zimbabwe 5.7 Mexico 5.1 Zambia 5.1 Angola 5.0 Note: This table measures "undernourishment", as defined by FAO, and represents the number of people consuming (on average for years 2001 to 2003) less than the minimum amount of food energy (measured in kilocalories per capita per day) necessary for the average person to stay in good health while performing light physical activity. It is a conservative indicator that does not take into account the extra needs of people performing extraneous physical activity, nor seasonal variations in food consumption or other sources of variability such as inter-individual differences in energy requirements. Malnutrition and undernourishment are cumulative or average situations, and not the work of a single day's food intake (or lack thereof). This table does not represent the number of people who "went to bed hungry today." Various scales of analysis also have to be considered in order to determine the sociopolitical causes of malnutrition. For example, the population of a community may be at risk if it lacks health-related services, but on a smaller scale certain households or individuals may be at even higher risk due to differences in income levels, access to land, or levels of education [63]. Also within the household, there may be differences in levels of malnutrition between men and women, and these differences have been shown to vary significantly from one region to another with problem areas showing relative deprivation of women [64]. Children and the elderly tend to be especially susceptible. Approximately 27 percent of children under 5 in developing world are malnourished, and in these developing countries, malnutrition claims about half of the 10 million deaths each year of children under 5. [edit] Middle East Malnutrition rates in Iraq had risen from 19% before the US-led invasion to a national average of 28% four years later.[65] [edit] South Asia According to the Global Hunger Index, South Asia has the highest child malnutrition rate of world's regions.[66] India contributes to about 5.6 million child deaths every year, more than half the world's total.[67] The 2006 report mentioned that "the low status of women in South Asian countries and their lack of nutritional knowledge are important determinants of high prevalence of underweight children in the region" and was concerned that South Asia has "inadequate feeding and caring practices for young children".[67]
  • 10. Half of children in India are underweight,[68] one of the highest rates in the world and nearly double the rate of Sub-Saharan Africa.[69] Research on overcoming persistent under-nutrition published by the Institute of Development Studies, argues that the co-existence of India as an 'economic powerhouse' and home to one-third of the world's under-nourished children reflects a failure of the governance of nutrition: "A poor capacity to deliver the right services at the right time to the right populations, an inability to respond to citizens' needs and weak accountability are all features of weak nutrition governance."[70] The research suggests that to make under-nutrition history in India the governance of nutrition needs to be strengthened and new research needs to focus on the politics and governance of nutrition. At the current rate of progress the MDG1 target for nutrition will only be reached in 2043 with severe consequences for human wellbeing and economic growth.[71] [edit] United States Childhood malnutrition is generally thought of as being limited to developing countries, but although most malnutrition occurs there, it is also an ongoing presence in developed nations. For example, in the United States of America, one out of every six children is at risk of hunger.[72] A study, based on 2005-2007 data from the U.S. Census Bureau and the Agriculture Department, shows that an estimated 3.5 million children under the age of five are at risk of hunger in the United States.[73] In developed countries, this persistent hunger problem is not due to lack of food or food programs, but is largely due to an underutilization of existing programs designed to address the issue, such as food stamps or school meals. Many citizens of rich countries such as the United States of America attach stigmas to food programs or otherwise discourage their use. In the USA, only 60% of those eligible for the food stamp program actually receive benefits.[74] The U.S. Department of Agriculture reported that in 2003, only 1 out of 200 U.S. households with children became so severely food insecure that any of the children went hungry even once during the year. A substantially larger proportion of these same households (3.8 percent) had adult members who were hungry at least one day during the year because of their households' inability to afford enough food.[5] [edit] See also • List of countries by percentage of population suffering from undernourishment • Anorexia nervosa • Dehydration • Essential nutrient • Famine • Food • Food price crisis • Global Hunger Index • Hunger • Illnesses related to poor nutrition • Micronutrient
  • 11. Nutrition • NutritionDay (in Europe) • Obesity • Plumpy'nut • specific appetite • Spirulina • Starvation • Underweight [edit] Organizations • World Food Programme • Share Our Strength • Food and Agriculture Organization • Intergovernmental Institution for the use of Micro-algae Spirulina Against Malnutrition (IIMSAM) • Hungrykids.org • GAIN Global Alliance for Improved Nutrition [edit] References 1. ^ malnutrition at Dorland's Medical Dictionary 2. ^ Sullivan, arthur; Steven M. Sheffrin (2003). Economics: Principles in action. Upper Saddle River, New Jersey 07458: Pearson Prentice Hall. pp. 481. ISBN 0-13-063085-3. http://www.pearsonschool.com/index.cfm? locator=PSZ3R9&PMDbSiteId=2781&PMDbSolutionId=6724&PMDbCategoryI d=&PMDbProgramId=12881&level=4. 3. ^ a b c d e f Malnutrition The Starvelings 4. ^ a b c d In raising the world’s IQ the secret is in salt 5. ^ a b Raising the world’s IQ 6. ^ a b c The Hidden Hinger 7. ^ http://www.theatlantic.com/issues/97jan/borlaug/borlaug.htm Forgotten benefactor of humanity 8. ^ a b c d e f Ending Famine, Simply by Ignoring the Experts 9. ^ Zambia: fertile but hungry 10. ^ "Climate Change 2007: Synthesis Report." 12-17 Nov 2007. Intergovernmental Panel on Climate Change. 5 Nov 2008 <http://www.ipcc.ch/pdf/assessment- report/ar4/syr/ar4_syr.pdf>. 11. ^ "Climate Change 2007: Synthesis Report." 12-17 Nov 2007. Intergovernmental Panel on Climate Change. 5 Nov 2008 <http://www.ipcc.ch/pdf/assessment- report/ar4/syr/ar4_syr.pdf>. 12. ^ Battista, David. "Climate Change in Developing Countries." University of Washington. Seattle. 27 Oct 2008. 13. ^ "Climate Change 2007: Synthesis Report." 12-17 Nov 2007. Intergovernmental Panel on Climate Change. 5 Nov 2008 <http://www.ipcc.ch/pdf/assessment- report/ar4/syr/ar4_syr.pdf>.
  • 12. 14. ^ Baro, Mamadou and Tara F. Duebel "Persistent Hunger: Perspectives on Vulnerability, Famine, and Food Security in Sub-Saharan Africa" Annual Anthropological Review. (2006) 35:521-38. 15. ^ http://news.bbc.co.uk/2/hi/europe/7472532.stm Biofuel use increasing poverty 16. ^ http://news.bbc.co.uk/2/hi/americas/7065061.stm Biofuels ‘crime against humanity' 17. ^ [1] Honey Bee Die-Off Alarms Beekeepers, Crop growers and researchers 18. ^ http://news.bbc.co.uk/2/hi/americas/6438373.stm Vanishing bees threaten US crops 19. ^ Millions face famine as crop disease rages 20. ^ http://articles.latimes.com/2009/jun/14/science/sci-wheat-rust14 A time bomb for world wheat crop 21. ^ Sen, A.K. Poverty and Famines: An Essay on Entitlement and Deprivation. Oxford: Oxford University Press. (1981) 22. ^ http://www.spiegel.de/international/world/0,1518,549187,00.html The role of speculators in the global food crisis 23. ^ BBC news. Breastfeeding declines in Asia 24. ^ http://www.reuters.com/article/healthNews/idUSTRE56U25T20090731 Breastfeeding could save 1.3 million lives 25. ^ a b http://library.thinkquest.org/C002291/high/present/stats.htm 26. ^ Jean Ziegler, L'Empire de la honte, Fayard, 2007 ISBN 978-2-253-12115-2 p.130. 27. ^ Schaible UE, Kaufmann SH (2007). "Malnutrition and infection: complex mechanisms and global impacts". PLoS Med 4 (5): e115. doi:10.1371/journal.pmed.0040115. PMID 17472433. http://medicine.plosjournals.org/perlserv/?request=get- document&doi=10.1371/journal.pmed.0040115. 28. ^ Behrman, J.R., Harold Alderman, and John Hoddinott. 2004. Hunger and Malnutrition. Copenhagen consensus-Challenges and Opportunities. http://www.copenhagenconsensus.com 29. ^ Provencher, L.; Riechert, S.E. (1991) Short-Term Effects of Hunger Conditioning on Spider Behavior, Predation, and Gain of Weight Oikos 62:160-166 30. ^ a b Wald, G.; Jackson, B. (1944) Activity and Nutritional Deprivation Proceedings of the National Academy of Sciences of the United States of America 30:255-263 31. ^ "George Wald: The Origin of Death". http://www.elijahwald.com/origin.html. Retrieved 2007-05-14. 32. ^ Guerrant, N.B., Dutcher, R.A. (1940) Journal of Nutrition 20:589. 33. ^ http://news.bbc.co.uk/2/hi/health/6143182.stm Diabetes threat to indigenous 34. ^ Let them eat micronutrients 35. ^ a b [ http://news.bbc.co.uk/2/hi/business/8114750.stm Firms target nutrition for the poor] 36. ^ http://www.time.com/time/magazine/article/0,9171,1914655,00.html Can one pill tame the illness no one wants to talk about? 37. ^ a b c d UN aid debate: give cash not food?
  • 13. 38. ^ Cash roll-out to help hunger hot spots 39. ^ Andrew S. Natsios (Administrator U.S. Agency for International Development) 40. ^ Let them eat micronutrients 41. ^ memorandum to former Representative Steve Solarz (United States, Democratic Party, New York) - July 1994 42. ^ A model of African food aid is now in trouble 43. ^ http://www.nytimes.com/2007/10/10/world/africa/10rice.html? _r=1&hp&oref=slogin In Africa, prosperity from seeds falls short 44. ^ How a Kenyan village tripled its corn harvest 45. ^ http://news.bbc.co.uk/2/hi/health/3022558.stm Millions of children dying needlessly. 46. ^ Malthus, Robert Thomas. 1976 (1798). An Essay on the Principle of Population. Philip Appleman, ed. New York: Norton. 47. ^ Chapman, Robert. 1999. “No Room at the Inn, or Why Population Problems are Not All Economic.” Population and Environment, 21(1): 81-97. 48. ^ Hardin, Garrett. 1992. “The Ethics of Population Growth and Immigration Control.” In Crowding Out the Future: World Population Growth, US Immigration, and Pressures on Natural Resources, Robert W. Fox and Ira H. Melham, eds. Washington, DC: Federation for American Immigration Reform. 49. ^ Sen, Amartya. 1982. Poverty and Famines: An Essay on Entitlements and Deprivation, Oxford: Clarendon Press. 50. ^ Food and Agriculture Organization Economic and Social Development Department. “The State of Food Insecurity in the World, 2008 : High food prices and food security - threats and opportunities”. Food and Agriculture Organization of the United Nations, 2008, p. 2. “FAO’s most recent estimates put the number of hungry people at 923 million in 2007, an increase of more than 80 million since the 1990–92 base period.”. 51. ^ Jean Ziegler. “Promotion And Protection Of All Human Rights, Civil, Political, Economic, Social And Cultural Rights, Including The Right To Development: Report of the Special Rapporteur on the right to food, Jean Ziegler”. Human Rights Council of the United Nations, January10, 2008.“According to the Food and Agriculture Organization of the United Nations (FAO), the world already produces enough food to feed every child, woman and man and could feed 12 billion people, or double the current world population.” 52. ^ Food and Agriculture Organization Economic and Social Development Department. “The State of Food Insecurity in the World, 2008 : High food prices and food security - threats and opportunities”. Food and Agriculture Organization of the United Nations, 2008, p. 48. 53. ^ Food and Agriculture Organization Agricultural and Development Economics Division. “The State of Food Insecurity in the World, 2006 : Eradicating world hunger – taking stock ten years after the World Food Summit”. Food and Agriculture Organization of the United Nations, 2006, p. 8. “Because of population growth, the very small decrease in the number of hungry people has nevertheless resulted in a reduction in the proportion of undernourished people in the developing countries by 3 percentage points – from 20 percent in 1990–92 to 17 percent in 2001–03. (…) the prevalence of undernourishment declined by 9
  • 14. percent (from 37 percent to 28 percent) between 1969–71 and 1979–81 and by a further 8 percentage points (to 20 percent) between 1979–81 and 1990–92.”. 54. ^ Food and Agriculture Organization Economic and Social Development Department. “The State of Food Insecurity in the World, 2008 : High food prices and food security - threats and opportunities”. Food and Agriculture Organization of the United Nations, 2008, p. 6. “Good progress in reducing the share of hungry people in the developing world had been achieved – down from almost 20 percent in 1990–92 to less than 18 percent in 1995–97 and just above 16 percent in 2003– 05. The estimates show that rising food prices have thrown that progress into reverse, with the proportion of undernourished people worldwide moving back towards 17 percent.”. 55. ^ Jean Ziegler. “The Right to Food: Report by the Special Rapporteur on the Right to Food, Mr. Jean Ziegler, Submitted in Accordance with Commission on Human Rights Resolution 2000/10”. United Nations, February 7, 2001, p. 5. “On average, 62 million people die each year, of whom probably 36 million (58 per cent) directly or indirectly as a result of nutritional deficiencies, infections, epidemics or diseases which attack the body when its resistance and immunity have been weakened by undernourishment and hunger.”. 56. ^ Commission on Human Rights. “The right to food : Commission on Human Rights resolution 2002/25”. Office Of The High Commissioner For Human Rights, United Nations, April 22, 2002, p. 2. “every year 36 million people die, directly or indirectly, as a result of hunger and nutritional deficiencies, most of them women and children, particularly in developing countries, in a world that already produces enough food to feed the whole global population”. 57. ^ United Nations Information Service. “Independent Expert On Effects Of Structural Adjustment, Special Rapporteur On Right To Food Present Reports: Commission Continues General Debate On Economic, Social And Cultural Rights”. United Nations, March 29, 2004, p. 6. “Around 36 million people died from hunger directly or indirectly every year.”. 58. ^ Food and Agriculture Organization Staff. “The State of Food Insecurity in the World, 2002: Food Insecurity : when People Live with Hunger and Fear Starvation”. Food and Agriculture Organization of the United Nations, 2002, p. 6. “6 million children under the age of five, die each year as a result of hunger.” 59. ^ Food and Agriculture Organization of the United Nations Economic and Social Dept. “The State of Food Insecurity in the World 2004: Monitoring Progress Towards the World Food Summit and Millennium Development Goals”. Food and Agriculture Organization of the United Nations, 2004, p. 8. “Undernourishment and deficiencies in essential vitamins and minerals cost more than 5 million children their lives every year”. 60. ^ Jacques Diouf. “The State of Food Insecurity in the World 2004: Monitoring Progress Towards the World Food Summit and Millennium Development Goals”. Food and Agriculture Organization of the United Nations, 2004, p. 4. “one child dies every five seconds as a result of hunger and malnutrition”. 61. ^ Food and Agriculture Organization, Economic and Social Dept. “The State of Food Insecurity in the World 2005: Eradicating World Hunger - Key to Achieving the Millennium Development Goals”. Food and Agriculture Organization of the
  • 15. United Nations, 2005, p. 18. “Hunger and malnutrition are the underlying cause of more than half of all child deaths, killing nearly 6 million children each year – a figure that is roughly equivalent to the entire preschool population of Japan. Relatively few of these children die of starvation. The vast majority are killed by neonatal disorders and a handful of treatable infectious diseases, including diarrhoea, pneumonia, malaria and measles. Most would not die if their bodies and immune systems had not been weakened by hunger and malnutrition moderately to severely underweight, the risk of death is five to eight times higher.”. 62. ^ Human Rights Council. “Resolution 7/14. The right to food”. United Nations, March 27, 2008, p. 3. “6 million children still die every year from hunger-related illness before their fifth birthday”. 63. ^ Fotso, Jean-Christophe and Barthelemy Kuate-Defo. "Measuring Socio- economic Status in Health Research in Developing Countries: Should We Be Focusing on Households, Communities, or Both?" Social Indicators Research. (2005) 72:189-237. 64. ^ Nube, M. and G.J.M. van dem Boom. "Gender and Adult Undernutrition in Developing Countries." Annals of Human Biology (2003) 30:5:520-537. 65. ^ Third of Iraqi children now malnourished four years after US invasion Reuters. 16 March, 2007 66. ^ "2008 Global Hunger Index Key Findings & Facts". 2008. http://www.ifpri.org/ media/200610GHI/GHIFindings.asp. 67. ^ a b "'Hunger critical' in South Asia". BBC. 2006. http://news.bbc.co.uk/2/hi/south_asia/6046718.stm. 68. ^ Survey Says Nearly Half of India's Children Are Malnourished, CBS News, February 10, 2007 69. ^ "India: Undernourished Children: A Call for Reform and Action". World Bank. http://web.worldbank.org/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEX T/0,,contentMDK:20916955~pagePK:146736~piPK:146830~theSitePK:223547,0 0.html. 70. ^ Lifting the Curse: Overcoming Persistent Undernutrition in India IDS Bulletin 40(4): 2, July 2009 71. ^ Lifting the Curse: Overcoming Persistent Undernutrition in India IDS Bulletin Vol 40, Number 4, July 2009 72. ^ "Childhood Hunger in America". Share Our Strength. 2009. http://strength.org/childhood_hunger. 73. ^ "3.5M Kids Under 5 On Verge Of Going Hungry Study: 11 Percent Of U.S. Households Lack Food For Healthy Lifestyle" ("SHTML). Health. CBS NEWS. 2009-05-07. http://www.cbsnews.com/stories/2009/05/07/health/main4998190.shtml. Retrieved 2009-05-08. 74. ^ "Plan to End Childhood Hunger in America". Share Our Strength. 2009. http://strength.org/childhood_hunger/our_plan. [edit] External links
  • 16. Look up malnutrition or undernutrition in Wiktionary, the free dictionary. This article's external links may not follow Wikipedia's content policies or guidelines. Please improve this article by removing excessive or inappropriate external links. (March 2009) • Share Our Strength: An organization primarily concerned with hunger problems in developed countries such as the United States. • The environmental food crisis A study done by the UN on feeding the world population (2009) • Action Against Hunger - Giving the most basic of Human Rights - The right to Food • Dan Jakopovich, A Few Basic Facts: On Hunger and Capital, Against the Current, March/April, No.133, 2008. • The CE-DAT Complex Emergency Database - A source of data on malnutrition and mortality in conflict-affected populations • A Life Saver Called "Plumpynut", CBS 60 Minutes, October 21, 2007 • MSF Warns More Food Will Not Save Malnourished Children Group Calls for Increased and Expanded Use of New, Innovative Nutritional Products • Micro-algae Algosophette • Intergovernmental Institution for the use of Micro-algae Spirulina Against Malnutrition (IIMSAM) • Reports on World Nutrition Situation The annual reports prepared by UN Standing Committee on Nutrition contain detailed information on common challenges, extent of malnutrition, efforts being taken to address them, and a wealth of other useful information. • Physical Growth & Nutritional status • World Hunger Map (from United Nations World Food Programme) • FAO country statistics • HungryKids Info on malnutrition from HungryKids • Fighting Hunger and poverty in Ethiopia (Peter Middlebrook) • Meds & Food for Kids - Fighting malnutrition in Haiti one child at a time. • Malnutrition • And why not Spirulina as solution? • GAIN - Global Alliance for Improved Nutrition • School Feeding Programs for Children Interviews with World Food Programme officials about the status of school feeding programs for children in developing countries • Mother, Infant and Young Child Nutrition & Malnutrition Optimal maternal, infant and young child feeding and caring practices reduce underweight and stunting and set the foundations for appropriate growth. • Food for Peace: Eisenhower's Unsung Initiative Can Be Obama's Most Powerful Tool for Peace Global hunger article on the History News Network • "Human Rescue Plan". World Food Programme, 2009 (video).
  • 17. [hide] v•d•e Nutrition disorders (E40-68, 260-269) Protein- energy Kwashiorkor · Marasmus · Catabolysis malnutrition B1: Beriberi/Wernicke's encephalopathy(Thiamine deficiency) · B2: B Ariboflavinosis · B3: Pellagra(Niacin vitaminsdeficiency) · B6: Pyridoxine deficiency · B7: Biotin deficiency · B9: Folate deficiency · Hypoalimentation/ Avitaminosis B12: Vitamin B12 deficiency malnutrition A: Vitamin A deficiency/Bitot's spots · Other C: Scurvy · D: Rickets/Osteomalacia · vitaminsE: Vitamin E deficiency · K: Vitamin K deficiency Zinc · Iron · Magnesium · Chromium · Selenium Mineral (Keshan disease) · Manganese · Molybdenum · Copper · deficiency Calcium · Potassium Overweight Childhood obesity · Obesity hypoventilation syndrome · · Obesity Abdominal obesity Vitamin Hypervitaminosis A · Hypervitaminosis D · Hyperalimentation poisoning Hypervitaminosis E Mineral see inborn errors of metal metabolism, toxicity overload Retrieved from "http://en.wikipedia.org/wiki/Malnutrition" Categories: Malnutrition | Public health | Humanitarian aid | Nutrition | Poverty | Health problems in India