Wednesday 20 February 2013

We can’t address food security without addressing nutrition security



Klaus Kraemer | December 13th 2012 | @EG_Enviro
Last month, global thought leaders gathered in South Africa to discuss the challenge of boosting crop yields and nutrition at the “Feeding the World: Africa’s Role in Solving the Global Food Crisis” Economist Conference. The most important takeaway: nutrition impacts all sectors and needs to be addressed across the whole agro-food value chain.
Expanded food production has done little to address the fact that malnutrition contributes to one-third of all under-five child deaths in developing countries. We know now that just increasing crop yields and filling bellies with staple foods doesn’t necessarily lead to improved nutrition. Some two billion people live with a chronic shortage of vital vitamins and minerals—a condition known as hidden hunger—that prevents them from being as healthy and productive as they could be.
To ensure that the citizens of Africa—and the world—have not only enough food, but enough nutritious food, we must acknowledge the inextricable link between food security and nutrition security. We need to consider not just the quantity of the food available, but the quality of the food as well.
To accomplish this, it is critical that we break down the silos we have traditionally worked within. Nutritionists, agriculturists, public health workers, financiers and businesses need to come together to develop and implement innovative solutions and business models to reach all people—regardless of their income, or where they live—with affordable, nutritious foods. Some examples of success include the increased use of orange-fleshed sweet potatoes (rich in vitamin A), fortification of staple foods with missing vitamins and minerals, and specialty products and delivery models for the most vulnerable.
We all have a role to play in improving nutrition, but in order to do so, businesses need support from government to create, maintain and enforce the legal framework for interventions like food fortification, making public-private partnerships a critical way to improve nutrition. When governments create incentives and conducive environments for food fortification, businesses act—and the entire country benefits from a healthier, more productive society.
We also need to change incentives within governments themselves. Per Pinstrup-Andersen recently warned: “There are few incentives in government for multi-disciplinary problem solving. The economy is set up around silos and people are loyal to their silos. Agricultural and health sectors are largely disconnected in their priorities, policy and analysis.”
Within government, we need to remove silos and encourage working across ministries in order to pinpoint the health and nutrition-related factors driving food systems, and identify the best policies and programs to boost nutrition in crops and diets.
Recent global efforts have provided a mechanism by which to coordinate our collective solutions—from food fortification to other actions to address nutrition—and that is the Scaling Up Nutrition, or SUN, Movement.
The SUN Movement is a global push for action and progress on improving nutrition. SUN is country-led, with more than 100 organizations working to increase the effectiveness of existing programs by supporting national priorities, encouraging alignment of resources and fostering broad ownership and commitment to nutrition. SUN partners focus on implementing solutions that improve nutrition, from supporting breastfeeding to improving farming practices and increasing the availability of nutrient-rich crops—and work across sectors to ensure that nutritional needs are met.
Africa must continue to take a leadership role in ensuring food and nutrition security for its citizens—it could even become the global breadbasket. The good news is that already, many leaders have stepped up: of the 31 countries that have joined the SUN Movement, 22 are African. We need even more leaders to join this commitment to investing in nutrition. Because when children are properly nourished, they can grow up to be healthy and productive adults. And when they are healthy and productive, their families, communities and countries become stronger.
Klaus Kraemer, Ph.D. is the director of Sight and Life, a humanitarian nutrition think tank of DSM, which cares about the world’s most vulnerable populations and exists to help improve their nutritional status. Acting as their advocates, Sight and Life guides original nutrition research, disseminates its findings and facilitates dialogue to bring about positive change. Sight and Life is currently celebrating their 100 Years of Vitamins campaign.

Thursday 14 February 2013

MALNUTRITION AN ISSUE IN EAPRO

Is malnutrition an issue in East Asia & Pacific region?  The answer is a clear yes! 

Despite all the progress that has been made in East Asia and the South Pacific, stunting  ( low height for age in children and a key indicator of chronic malnutrition) is still widespread. It is the most prevalent nutrition problem in the region.
This graph shows how stunting is widespread; the most prevalent nutrition problem in the region.  Three to 4 countries are in the very high prevalence category; 8 in the moderate to high prevalence and only 6 in the low prevalence.  Clearly these data are in contrast with the economic growth that is happening in this region. 

The consequences of stunting are very serious -- and they are life long. A stunted child is likely to experience greater difficulty learning than a child receiving adequate nutrition and when she reaches adulthood, despite her best efforts, chances are she will be less productive than she should be, will earn less, and will face a higher risk of non-communicable diseases like diabetes, obesity and cardiovascular diseases.

In several countries in the region significantly less than half of all children regularly receive food that is of adequate nutritional quality. This may be because caregivers and parents lack information about nutrition – what is good and what isn’t -  or it may be that they just can’t provide enough nutrient rich foods.  Either way, it is no surprise that these children do not grow tall and strong, and that their bodies and their brains do not develop as well as they could.  And it is likely that as food prices increase, under-nutrition may become even more significant and widespread.

At an ASEAN high-level meeting on food security in Bangkok this week, UNICEF’s Regional Director Dan Toole, made the point that under-nutrition is largely preventable and that proper targeted help delivers exceptionally high returns. He also acknowledged that although the poorest families suffer the most, improvements in nutrition lag far behind income growth, sometimes even children in families with reasonable incomes suffer from malnutrition.

And he called for concrete action to make a difference… he suggested a range of measures, like encouraging people to grow and eat foods with higher nutrient content, and  increasing the introduction of micronutrient fortification to staple foods. The example he gave was the Philippines National Food Authority’s work to increase the nutritional value of that ever-present staple of our diet -- rice – by fortifying it with iron and other micronutrients. 

An Indonesian boy receives nutritious food. © UNICEF/Josh Estey

One programme that UNICEF is currently engaged in that seeks to help improve nutrition and overcome stunting and other consequences of poor nutrition is the partnership with the European Union called the Maternal and Young Child Nutrition Security Initiative in Asia. This programme focuses on three countries in our region – IndonesiaLao, and the Philippines – along with Nepal and Bangladesh in south Asia and aims to help some 30 million children and 5 million pregnant women and breastfeeding mothers. It covers an array of activities, from enabling governments to strengthen policies that support better food to encouraging people to eat locally grown micronutrient rich produce and providing new mothers with counseling on good feeding habits for their children.


Source: UNICEF, EAPRO

Wednesday 13 February 2013

WHO issues new guidance on dietary salt and potassium


WHO issues new guidance on dietary salt and potassium

Note for the media
 Adults should consume less than 2,000 mg of sodium, or 5 grams of salt, and at least 3,510 mg of potassium per day, according to new guidelines issued by the WHO. A person with either elevated sodium levels and low potassium levels could be at risk of raised blood pressure which increases the risk of heart disease and stroke.
Sodium is found naturally in a variety of foods, including milk and cream (approximately 50 mg of sodium per 100 g) and eggs (approximately 80 mg/100 g). It is also found, in much higher amounts, in processed foods, such as bread (approximately 250 mg/100 g), processed meats like bacon (approximately 1,500 mg/100 g), snack foods such as pretzels, cheese puffs and popcorn (approximately 1,500 mg/100 g), as well as in condiments such as soy sauce (approximately 7,000 mg/100 g), and bouillon or stock cubes (approximately 20,000 mg/100 g).
Potassium-rich foods include: beans and peas (approximately 1,300 mg of potassium per 100 g), nuts (approximately 600 mg/100 g), vegetables such as spinach, cabbage and parsley (approximately 550 mg/100 g) and fruits such as bananas, papayas and dates (approximately 300 mg/100 g). Processing reduces the amount of potassium in many food products.
Currently, most people consume too much sodium and not enough potassium.
“Elevated blood pressure is a major risk for heart disease and stroke – the number one cause of death and disability globally,” says Dr Francesco Branca, Director of WHO’s Department of Nutrition for Health and Development. “These guidelines also make recommendations for children over the age of 2. This is critical because children with elevated blood pressure often become adults with elevated blood pressure.”
The guidelines are an important tool for public health experts and policymakers as they work in their specific country situations to address noncommunicable diseases such as heart disease, stroke, diabetes, cancer and chronic respiratory diseases. Public health measures to reduce sodium and increase potassium consumption and thereby decrease the population’s risk of high blood pressure and heart disease can include food and product labelling, consumer education, updating national dietary guidelines, and negotiating with food manufacturers to reduce the amount of salt in processed foods.
WHO is also updating guidelines on the intake of fats and sugars associated to reduced risk of obesity and noncommunicable diseases.

For more information please contact:

Gregory Härtl
Coordinator, News, Social Media and Monitoring
Telephone: +41 79 203 6715
E-mail: hartlg@who.int