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The Key Role of Government in Addressing the Pandemic of Micronutrient Deficiency Conditions in Southeast Asia
Authors:Theodore H Tulchinsky
Institution:1.Braun School of Public Health and Community Medicine, Hebrew University-Hadassah, Hadassah Medical Center, Ein Karem, Jerusalem 91220, Israel; E-Mail: or ; Tel.: +972-8-6781099;2.School of Health Professions, Ashkelon Academic College, Ashkelon 78108, Israel
Abstract:Micronutrient deficiency conditions are a major global public health problem. While the private sector has an important role in addressing this problem, the main responsibility lies with national governments, in cooperation with international agencies and donors. Mandatory fortification of basic foods provides a basic necessary intake for the majority and needs to be supported by provision of essential vitamin and mineral supplements for mothers and children and other high risk groups. Fortification by government mandate and regulation is essential with cooperation by private sector food manufacturers, and in the context of broader policies for poverty reduction, education and agricultural reform. Iron, iodine, vitamin A, vitamin B complex, folic acid, zinc, vitamin D and vitamin B12 are prime examples of international fortification experience achieved by proactive governmental nutrition policies. These are vital to achieve the Millennium Development Goals and their follow-up sustainable global health targets. National governmental policies for nutritional security and initiatives are essential to implement both food fortification and targeted supplementation policies to reduce the huge burden of micronutrient deficiency conditions in Southeast Asia and other parts of the world.
Keywords:micronutrient deficiency conditions  nutritional security  fortification of basic foods  governmental public health policy  private sector food processing  Millennium Development Goals
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