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Food fortification
policies in the Asia
region
Dennis Bittisnich
Food Fortification Initiative
October 2019
Yangon, Myanmar
Photo: www.my-sisters-house.org
Overview
1. Overview: FFI partners, objectives, activities
2. Global status of mandatory fortification
legislation
3. Asia country status
Food Fortification Initiative
(FFI)
Network of partners who:
Champion implementation of fortified flour,
salt and rice globally through public,
private, and civic sector partnerships
FFI focus is on mandatory policy and legislation
• Most sustainable approach to supplying micronutrients
• Availability to majority of consumers – but not all
• Equal costs across competitors
• Based on international guidelines
• Support industry and government compliance & enforcement
Applying mandatory fortification policy & standards
• Nutrient needs and level differ by country
• must be appropriate to the country’s nutrient deficiency and food
consumption – including regionally
• Food types and use differ by country
• wheat flour, rice, oil, maize; industrial vs small scale
• Nutrient compounds may differ by country
• fortificant compounds must be bioavailable
• Government monitoring capacity differs
• Industry compliance capacity differs
For more specific details, visit FortificationData.org
Policy and technical support based on
international standards
+ +
=
Maize flour
www.the-gluten-free-chef.com
Oil
www.mediaite.com
Salt
thekingscrumbs.wordpress.com
Wheat flour
www.importexportplatform.com
Rice
www.onepointdestination.com
FORTIFICATION DATA INFORMATION - GFDX
• GFDx is a visualization tool of data collected by partners or
otherwise reported
• Aims to empower global fortification community make data-
driven decisions on food fortification policies and programs
• Data can be feely downloaded
FortificationData.org
GFDx data includes:
Indicators currently
available:
Health impact
pre/post
fortification
Indicators coming in
2020:
Fortification
Legislation
Fortification Standards
Food Intake/
Availability
Regulatory Monitoring
Protocols
Fortification
Compliance/Quality
Population Coverage
% Industrially
Produced
Legislative
Scope
Mandatory fortification
globally…
https://FortificationData.org
• 117 countries for salt
• 82 countries for wheat flour
• 25 countries for oil
• 16 countries for maize flour
• 7 countries for rice
Salt fortification
Mandatory (39)
Voluntary (4): Brunei
Darussalam, Malaysia, Pakistan
Asian Region (incl NE/Central Asia)
*GFDx has combined the Middle East region with Asia. Only listed here are countries within Asia and Pacific
Wheat flour fortification
Mandatory* (19): Australia, Fiji,
Indonesia, Mongolia, Nepal, Philippines,
Viet Nam, Solomon Islands
Voluntary* (9): China, India, Malaysia,
*GFDx has combined the Middle East region with Asia. Only listed here are countries within Asia and Pacific
Oil fortification
Mandatory* (6): Bangladesh,
Philippines, Viet Nam
Voluntary* (6): Australia, China,
India, Indonesia, New Zealand
*GFDx has combined the Middle East region with Asia. Only listed here are countries within Asia and Pacific
Rice fortification
Mandatory (3): Philippines ,
PNG and Solomons
Voluntary* (3): Bangladesh,
India
*GFDx has combined the Middle East region with Asia. Only listed here are countries within Asia and Pacific
Maize flour fortification
Low consumption of maize
flour in the region and/or low
industrial food processing of
maize
Country Wheat Flour / Rice Fortification Status
Legislation
✓ Mandatory legislation/standards
X No mandatory legislation/standards
Standards
✓ Standards (existing or proposed) follow
WHO guidelines for at least iron and folic acid
X Existing standards could be improved for
improved public health benefit
Indonesia
• Mandatory legislation since 2001
• But wheat flour Standard (SNI) does not follow WHO recommendations
• Studies undertaken in 2017/18 to update SNI; new SNI requires
bioavailable iron compounds
• New SNI currently voluntary not mandatory
Legislation ✓
Standards X
Nutrients Previous New as of 2018 WHO
Iron 50 (compound not
specified)
50 (as ferrous
sulfate, ferrous
fumarate, NaFeEDTA)
60 (as ferrous sulfate, ferrous
fumarate)
40 (as NaFeEDTA)
Folate 2 (as folic acid) 2 (as folic acid) 2.6 (as folic acid)
Zinc 30 (compound not
specified)
30 (as zinc oxide) 55 (as zinc oxide)
*Standar Nasional Indonesia. Tepung terigu sebagai bahan makanan. SNI 3751:2018
Malaysia
• Voluntary standards for fortification gazetted July 2017
• Draft mandatory legislation still pending
• Government not willing to pay for fortificants for all producers
• Proposed only applies to flour in < 25 kg bags
• Opens gap in fortification coverage since bulk flour used
processing
Legislation X
Standards ✓
Nutrients New proposed (mg/kg) WHO (mg/kg)
Iron 60 (as ferrous fumarate) 60 (as ferrous sulfate, ferrous fumarate)
40 (as NaFeEDTA)
Folate 2.6 (as folic acid) 2.6 (as folic acid)
Zinc Not included 55 (as zinc oxide)
*Assumes Malaysia’s availability is 75-149 g/c/d; at this level electrolytic iron not recommended.
Personal communication to FFI from the Ministry of Health
Mongolia
• May 2018: Food fortification law
passed
• October 2018: Resolution
stating salt and wheat flour as
foods required under the law
• 2019: Standards for wheat flour
and salt being drafted
• 2020: Fortification
implementation
Legislation X
Standards X
Law of Mongolia. About Fortified Foods. May 3, 2018.
Philippines
• Mandatory wheat flour legislation since 2001
(not aligned with WHO)
• National Nutrition Council (NNC) has pending
resolution to add folic acid
• Approval stalled due to requests for national
nutrient retention studies
• Wheat flour millers willing and technically
capable of incorporating folic acid immediately
Legislation ✓
Standards X
Legislation ✓
Standards X
Sri Lanka
Legislation X
Standards X
• Cabinet brief
approved mandatory
fortification of wheat
flour
• Standards and
timeline ae pending
Viet Nam
• Mandatory decree
passed in 2016,
effective 2018
• Wheat flour processors
resisting adoption
• Mixed messages about
the status of Decree
Legislation ✓
Standards X
Photo: A representative of Acecook speaks at the workshop on food fortification in
HCMC on June 25. © Vietnam Net
Mandatory fortification
programs are most
successful if they:
Use recommended nutrient
compounds and concentrations
Optimize coverage and
consumption
Are well implemented and
compliance monitored
istockphoto
FFI 2015
Solomon
Islands
• FFI assisted wheat flour and rice
fortification policy /
implementation
• Strong support by wheat flour
miller and main rice importers
• New rice fortification standard
adopted Dec 2018 - implemented
May 2019 - first shipment in June
Legislation ✓
Standards ✓
Legislation ✓
Standards ✓
For more information:
E-mail Dennis: d.bittisnich@gmail.com
E-mail Becky: becky.tsang@ffinetwork.org
Also see:
FFInetwork.org
Facebook.com/FFInetwork
Twitter.com/FFInetwork
And join our group on
LinkedIn: https://www.linkedin.com/company/food-
fortification-initiative/

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Food Fortification Policies in the Asia Region

  • 1. Food fortification policies in the Asia region Dennis Bittisnich Food Fortification Initiative October 2019 Yangon, Myanmar Photo: www.my-sisters-house.org
  • 2. Overview 1. Overview: FFI partners, objectives, activities 2. Global status of mandatory fortification legislation 3. Asia country status
  • 3. Food Fortification Initiative (FFI) Network of partners who: Champion implementation of fortified flour, salt and rice globally through public, private, and civic sector partnerships
  • 4. FFI focus is on mandatory policy and legislation • Most sustainable approach to supplying micronutrients • Availability to majority of consumers – but not all • Equal costs across competitors • Based on international guidelines • Support industry and government compliance & enforcement
  • 5. Applying mandatory fortification policy & standards • Nutrient needs and level differ by country • must be appropriate to the country’s nutrient deficiency and food consumption – including regionally • Food types and use differ by country • wheat flour, rice, oil, maize; industrial vs small scale • Nutrient compounds may differ by country • fortificant compounds must be bioavailable • Government monitoring capacity differs • Industry compliance capacity differs For more specific details, visit FortificationData.org
  • 6. Policy and technical support based on international standards
  • 7. + + = Maize flour www.the-gluten-free-chef.com Oil www.mediaite.com Salt thekingscrumbs.wordpress.com Wheat flour www.importexportplatform.com Rice www.onepointdestination.com FORTIFICATION DATA INFORMATION - GFDX
  • 8. • GFDx is a visualization tool of data collected by partners or otherwise reported • Aims to empower global fortification community make data- driven decisions on food fortification policies and programs • Data can be feely downloaded FortificationData.org
  • 9. GFDx data includes: Indicators currently available: Health impact pre/post fortification Indicators coming in 2020: Fortification Legislation Fortification Standards Food Intake/ Availability Regulatory Monitoring Protocols Fortification Compliance/Quality Population Coverage % Industrially Produced Legislative Scope
  • 10. Mandatory fortification globally… https://FortificationData.org • 117 countries for salt • 82 countries for wheat flour • 25 countries for oil • 16 countries for maize flour • 7 countries for rice
  • 11. Salt fortification Mandatory (39) Voluntary (4): Brunei Darussalam, Malaysia, Pakistan Asian Region (incl NE/Central Asia) *GFDx has combined the Middle East region with Asia. Only listed here are countries within Asia and Pacific
  • 12. Wheat flour fortification Mandatory* (19): Australia, Fiji, Indonesia, Mongolia, Nepal, Philippines, Viet Nam, Solomon Islands Voluntary* (9): China, India, Malaysia, *GFDx has combined the Middle East region with Asia. Only listed here are countries within Asia and Pacific
  • 13. Oil fortification Mandatory* (6): Bangladesh, Philippines, Viet Nam Voluntary* (6): Australia, China, India, Indonesia, New Zealand *GFDx has combined the Middle East region with Asia. Only listed here are countries within Asia and Pacific
  • 14. Rice fortification Mandatory (3): Philippines , PNG and Solomons Voluntary* (3): Bangladesh, India *GFDx has combined the Middle East region with Asia. Only listed here are countries within Asia and Pacific
  • 15. Maize flour fortification Low consumption of maize flour in the region and/or low industrial food processing of maize
  • 16.
  • 17. Country Wheat Flour / Rice Fortification Status Legislation ✓ Mandatory legislation/standards X No mandatory legislation/standards Standards ✓ Standards (existing or proposed) follow WHO guidelines for at least iron and folic acid X Existing standards could be improved for improved public health benefit
  • 18. Indonesia • Mandatory legislation since 2001 • But wheat flour Standard (SNI) does not follow WHO recommendations • Studies undertaken in 2017/18 to update SNI; new SNI requires bioavailable iron compounds • New SNI currently voluntary not mandatory Legislation ✓ Standards X Nutrients Previous New as of 2018 WHO Iron 50 (compound not specified) 50 (as ferrous sulfate, ferrous fumarate, NaFeEDTA) 60 (as ferrous sulfate, ferrous fumarate) 40 (as NaFeEDTA) Folate 2 (as folic acid) 2 (as folic acid) 2.6 (as folic acid) Zinc 30 (compound not specified) 30 (as zinc oxide) 55 (as zinc oxide) *Standar Nasional Indonesia. Tepung terigu sebagai bahan makanan. SNI 3751:2018
  • 19. Malaysia • Voluntary standards for fortification gazetted July 2017 • Draft mandatory legislation still pending • Government not willing to pay for fortificants for all producers • Proposed only applies to flour in < 25 kg bags • Opens gap in fortification coverage since bulk flour used processing Legislation X Standards ✓ Nutrients New proposed (mg/kg) WHO (mg/kg) Iron 60 (as ferrous fumarate) 60 (as ferrous sulfate, ferrous fumarate) 40 (as NaFeEDTA) Folate 2.6 (as folic acid) 2.6 (as folic acid) Zinc Not included 55 (as zinc oxide) *Assumes Malaysia’s availability is 75-149 g/c/d; at this level electrolytic iron not recommended. Personal communication to FFI from the Ministry of Health
  • 20. Mongolia • May 2018: Food fortification law passed • October 2018: Resolution stating salt and wheat flour as foods required under the law • 2019: Standards for wheat flour and salt being drafted • 2020: Fortification implementation Legislation X Standards X Law of Mongolia. About Fortified Foods. May 3, 2018.
  • 21. Philippines • Mandatory wheat flour legislation since 2001 (not aligned with WHO) • National Nutrition Council (NNC) has pending resolution to add folic acid • Approval stalled due to requests for national nutrient retention studies • Wheat flour millers willing and technically capable of incorporating folic acid immediately Legislation ✓ Standards X Legislation ✓ Standards X
  • 22. Sri Lanka Legislation X Standards X • Cabinet brief approved mandatory fortification of wheat flour • Standards and timeline ae pending
  • 23. Viet Nam • Mandatory decree passed in 2016, effective 2018 • Wheat flour processors resisting adoption • Mixed messages about the status of Decree Legislation ✓ Standards X Photo: A representative of Acecook speaks at the workshop on food fortification in HCMC on June 25. © Vietnam Net
  • 24. Mandatory fortification programs are most successful if they: Use recommended nutrient compounds and concentrations Optimize coverage and consumption Are well implemented and compliance monitored istockphoto FFI 2015
  • 25. Solomon Islands • FFI assisted wheat flour and rice fortification policy / implementation • Strong support by wheat flour miller and main rice importers • New rice fortification standard adopted Dec 2018 - implemented May 2019 - first shipment in June Legislation ✓ Standards ✓ Legislation ✓ Standards ✓
  • 26. For more information: E-mail Dennis: d.bittisnich@gmail.com E-mail Becky: becky.tsang@ffinetwork.org Also see: FFInetwork.org Facebook.com/FFInetwork Twitter.com/FFInetwork And join our group on LinkedIn: https://www.linkedin.com/company/food- fortification-initiative/