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Toward a #FutureFortified: How Food Fortification Can Help End Micronutrient Malnutrition

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Toward a #FutureFortified: How Food Fortification Can Help End Micronutrient Malnutrition

  1. 1. Toward a #FutureFortified: How Food Fortification Can Help End Micronutrient Malnutrition Beatrice Montesi, External Relations Lead, GAIN 14.10.2017 – EAGx Berlin
  2. 2. www.gainhealth.org What is malnutrition? Nearly 1 in 2 people are malnourished in some way Overweight or obese Deficient in vitamin 1.9 billion 2 billion 800 million Chronic Hunger
  3. 3. www.gainhealth.org What is the scale of hidden hunger globally?
  4. 4. www.gainhealth.org What are the effects of hidden hunger? Visible: • Neural tube defects (from low folic acid intakes); • Anaemia (low iron); • Goitre (low iodine intakes); • Night blindness Less visible: • Poor immune function and increased incidence of infectious illness; • Poor brain development; • Decreased work productivity
  5. 5. www.gainhealth.org What is food fortification? #WATCH: Understanding Micronutrient Food Fortification
  6. 6. www.gainhealth.org Why food fortification? Every $1 invested in nutrition yields $16 in returns! Source: Global Nutrition Report 2016
  7. 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. 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
  9. 9. www.gainhealth.org Can we end iodine deficiency disorders?
  10. 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
  11. 11. www.gainhealth.org GAIN’s work
  12. 12. www.gainhealth.org Home fortification
  13. 13. www.gainhealth.org How can I get involved? Join the #FutureFortified movement! Follow us on Sign up to our #FutureFortified Stories!
  14. 14. www.gainhealth.org Want to learn more about fortification globally?
  15. 15. THANK YOU
  16. 16. © Copyright GAIN – Global Alliance for Improved Nutrition. All rights reserved. Afghanistan  Bangladesh  Canada  Denmark  Ethiopia  India  Indonesia  Kenya  Mozambique  Nigeria  Netherlands  Pakistan  Switzerland  Tanzania  United Kingdom  USA Rue de Varembé 7 CH-1202 Geneva Switzerland T +41 22 749 1850 F +41 22 749 1851 E info@gainhealth.org www.gainhealth.org

Hinweis der Redaktion

  • 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

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