ON FOOD fORTI - DOH Central Library - Department of Health

ON FOOD fORTI - DOH Central Library - Department of Health ON FOOD fORTI - DOH Central Library - Department of Health

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. A Report' on Food Fortification Prevalence of Iron deficiency anemia by age group and physiologic state, Philippines, 1987 and 1993 Age/Physiologic State 1987 1993 1987 1993 Decrease 6 mos. - < Iy 240 400 70.4 49.2 (21.2)** 1-6y 2,895 4,514 38.7 26.7 (12.0)** 7·12y 1,533 2,135 41.2 30.8 .(1004)** 13-19 y, male 688 834 26.3 20.0 (6.3)** 13-19 y, female@ 672 737 36.9 23.9 (13.0)** 20-59 v. male 1,727 2,125 21.3 12.7 (8.6)** 20-59 y, female@ 1,632 1,691 38.9 24.0 (14.9)** 60 years and above 536 1,067 46.9 45.6 (1.3)ns Pregnant 274 782 45.2 43.6 (1.6)ns Lactating 522 1,043 50.6 43'{) (7.6)** Total 10,719 . 15,328 37.2 28.9 (8.3)** Source: Fourth National Nutrition Survey, Philippines, 1993, DOST-FNRl @ excluding pregnant and lactating highly significant ns not significant -- goiter or enlargement of the base of the neck. -Based on the latest surveyof the FNRI, 6,9% of the population 7 years and .older have goiter but females are more affected than males. Furthermore, the 1993 prevalence is double the observed prevalence of 3.5% in 1987, There are some areas in the country where the deficiency is more severe; so severe that even animals have goiter and that among humans, having goiter is considered "normal"and "beautiful";and not having it as "abnormal" and "ugly" CAUSES OF HIDDEN HUNGER Like protein-energy malnutrition, hidden hunger is caused by a web of interrelated factors. 1. Poor dietary practices; i.e, low intake of foods rich in vitamin A, iron and iodine 2.. Infections like paeumonia, measles, diarrhea increase both the need and use of vitamin A and iron .:rhese direct or immediate causes of hidden hunger are linked to other underlying causes which, among others, include low income coupled with relativelyhighprices of foods andservices; agriculture, trade and infrastructure policies which affect production, marketing, and distribution of foods rich in vitamins and minerals; and investment policies and priorities which determine the allocation of funds to services. 9 .?

10. o A Report on Food Fortification Prevalence of goiter by sex, age, and physiological state, Philippines, .1993 Age/Sex/Physiologic State Males 7-14 Y 15-20Y . 21 Yand over Females . 7-14 Y 15-20Y 21 Yand over Pregnant 13-20Y 21-49 Y Lactating 13-20Y 21-49 Y TOTAL Total Subjects 2,383 994 4,244 Total with Goiter 0.7 3.1 1.5 2,195 4.5 841 15.2 3,666· 10.3 84 26.5 693 23.0 -' 76 24.2 962 18.1 16,138 6.9 Source: Fourth National Nutrition Survey, Philippines, 1993, DOST-FNRI Even environmentaldegradationhas serious implications on hidden hunger as soil erosion brings with it the iodine which is found in the topsoil. CONSEQUENCES OF HIDDEN fJUNGER Hidden hunger results in various degrees ofphysical andmental deformities and abnormalities such as: VitaminA Deficiency: blindness, increased risk of infections which are often more severe among those deficient in the vitamin, increased risk of deaths among women and children, and growth retardation. Iron Deficiency Anemia: poor growth, sickness, poor school performance, more low birth weight babies who face a higher risk of getting sick, being malnourished and even dying prematurely, more child andmotherdeaths, low workproductivity. Iodine Deficiency: results in a wide range of physical and mental abnormalities . which are collectively called iodine deficiency disorders: growth retardation, low learningability, increased risk of death among children, pregnancy wastage as

. A Report' on Food Fortification<br />

Prevalence <strong>of</strong> Iron deficiency anemia by age group and physiologic state,<br />

Philippines, 1987 and 1993<br />

Age/Physiologic<br />

State<br />

1987 1993 1987 1993 Decrease<br />

6 mos. - < Iy 240 400 70.4 49.2 (21.2)**<br />

1-6y 2,895 4,514 38.7 26.7 (12.0)**<br />

7·12y 1,533 2,135 41.2 30.8 .(1004)**<br />

13-19 y, male 688 834 26.3 20.0 (6.3)**<br />

13-19 y, female@ 672 737 36.9 23.9 (13.0)**<br />

20-59 v. male 1,727 2,125 21.3 12.7 (8.6)**<br />

20-59 y, female@ 1,632 1,691 38.9 24.0 (14.9)**<br />

60 years and above 536 1,067 46.9 45.6 (1.3)ns<br />

Pregnant 274 782 45.2 43.6 (1.6)ns<br />

Lactating 522 1,043 50.6 43'{) (7.6)**<br />

Total 10,719 . 15,328 37.2 28.9 (8.3)**<br />

Source: Fourth National Nutrition Survey, Philippines, 1993, DOST-FNRl<br />

@ excluding pregnant and lactating<br />

highly significant<br />

ns not significant<br />

--<br />

goiter or enlargement <strong>of</strong> the base <strong>of</strong> the<br />

neck. -Based on the latest survey<strong>of</strong> the<br />

FNRI, 6,9% <strong>of</strong> the population 7 years and<br />

.older have goiter but females are more<br />

affected than males. Furthermore, the<br />

1993 prevalence is double the observed<br />

prevalence <strong>of</strong> 3.5% in 1987,<br />

There are some areas in the country<br />

where the deficiency is more severe; so<br />

severe that even animals have goiter and<br />

that among humans, having goiter is<br />

considered "normal"and "beautiful";and<br />

not having it as "abnormal" and "ugly"<br />

CAUSES OF HIDDEN HUNGER<br />

Like protein-energy malnutrition,<br />

hidden hunger is caused by a web <strong>of</strong><br />

interrelated factors.<br />

1. Poor dietary practices; i.e, low intake<br />

<strong>of</strong> foods rich in vitamin A, iron and<br />

iodine<br />

2.. Infections like paeumonia, measles,<br />

diarrhea increase both the need and<br />

use <strong>of</strong> vitamin A and iron<br />

.:rhese direct or immediate causes<br />

<strong>of</strong> hidden hunger are linked to other<br />

underlying causes which, among others,<br />

include low income coupled with<br />

relativelyhighprices <strong>of</strong> foods andservices;<br />

agriculture, trade and infrastructure<br />

policies which affect production,<br />

marketing, and distribution <strong>of</strong> foods rich<br />

in vitamins and minerals; and investment<br />

policies and priorities which determine<br />

the allocation <strong>of</strong> funds to services.<br />

9<br />

.?

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