Fortification is the addition of key vitamins and minerals such as iron, iodine, zinc, Vitamin A & D to staple foods such as rice, milk and salt to improve their nutritional content. These nutrients may or may not have been originally present in the food before processing.
Did you know that 70% of people in India do not consume enough micronutrients such as vitamins and minerals? About 70% of pre-school children suffer from anaemia caused by Iron deficiency and 57% of preschool children have sub–clinical Vitamin A deficiency. Neural Tube Defects (NTDs) are the most common congenital malformation with an incidence that varies between 0.5-8/1000 births. It is estimated that 50-70% of these birth defects are preventable. One of the major causes is deficiency of Folic Acid.
Thus, deficiency of micronutrients or micronutrient malnutrition, also known as “hidden hunger”, is a serious health risk. Unfortunately, those who are economically disadvantaged do not have access to safe and nutritious food. Others either do not consume a balanced diet or lack variety in the diet because of which they do not get adequate micronutrients. Often, there is considerable loss of nutrients during the processing of food. One of the strategies to address this problem is fortification of food. This method complements other ways to improve nutrition such as such as diversification of diet and supplementation of food.
1. Nutrients are added to staple foods that are widely consumed. Thus, this is an excellent method to improve the health of a large section of the population, all at once.
2. It is a safe method of improving nutrition among people. The addition of micronutrients to food does not pose a health risk to people. The quantity added is so small and so well regulated as per prescribed standards that the likelihood of an overdose of nutrients is unlikely.
3. It does not require any changes in eating patterns or food habits of people.
4. It is a socio-culturally acceptable way to deliver nutrients to people.
5. It does not alter the characteristics of the food.
6. It can be implemented quickly as well as show results in improvement of health in a relatively short period of time.
7. This is a cost-effective method especially if advantage is taken of the existing technology and delivery platforms.
8. It has a high benefit-to-cost ratio. The Copenhagen Consensus estimates that every 1 Rupee spent on fortification results in 9 Rupees in benefits to the economy. It requires an initial investment to purchase both the equipment and the vitamin and mineral premix, but the overall costs of fortification are extremely low. Even when all program costs are passed on to consumers, the price increase is approximately by 1-2%, which is less than the normal price variation.
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