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18 New Test Kit's Potential for the Analysis of Vitamin SPECIAL VITAMIN A ISSUE 20 11 | (3) 25 VOL. Sight and Life 18 NEW TEST KIT’S POTENTIAL FOR THE ANALYSIS OF VITAMIN A 24 LIVER AS A VITAMIN A SOURCE 30 THE IMPORTANCE OF EARLY NUTRITIONAL INTERVENTION 38 VITAMIN A SUPPLEMENTATION: BENEFICIAL EFFECTS 60 Global Food Price Volatility Contents Helen Keller International’s response and renewed urgency to act 06 Editorial 62 Perspectives on Regulation of Food Supplements 10 Sight and Life Turns 25 64 Reflections on Differences in Impact of Vitamin A on Maternal Mortality: The Role of Context 12 The “Sight and Life in My Life” Essay Competition 70 Sight and Life and Vitamin Angels Partnership for Vitamin A Capsule Distribution is Extended Worldwide 16 Special Feature: Gender Inequality Gap Congress Reports 18 A New Test Kit’s Potential for the Rapid Analysis 72 Highlights of the 16th International Symposium of Vitamin A in Human and Cow Milk on Carotenoids Krakow, 17 July 2011 24 Liver as a Vitamin A Source Adequate vitamin A status 76 Sight and Life Luncheon Forum on Contributions in a poor South African community despite high levels of Micronutrients to Achieve the MDGs of stunting and underweight 81 Updating Vitamin D Issues Relevant 30 The Importance of Early Nutritional Intervention to the Asian Region How maternal and child undernutrition in early life can affect health in later years 87 Intervention Programs Tackling Micronutrient Deficiencies in Asia 38 Vitamin A Supplementation Beneficial effects on mortality and morbidity 92 Travel Grant Report Asian Congress of Nutrition in children aged six months to five years 2011, Singapore 47 Opinion 1: Operations Research Could Help to 93 Food Fortification During “The First 1,000 Days” Fine-Tune Vitamin-A-Related Interventions for a Good Start in Life Meeting at the International Atomic Energy Agency, Vienna 48 Opinion 2: Mechanistic Research Could Help to Fine-Tune Vitamin-A-Related Interventions Field Reports 50 Dr Donald S McLaren 96 Report from Kenya The Legacy of a Life Progress at the Kwale District Eye Centre Positions and Statements 98 News 54 Fifteen Years of Fortifying With Folic Acid: 106 Publications Birth Defects are Reduced and Healthcare Expenses are Averted 110 Imprint | Disclaimer ⇢ 4 “Our work is more vital today than ever before” 5 6 “This year we welcome the 7 billionth per- son into the world. We don’t know where. We don’t know when. Nearly 1 billion peo- ple in the world go to bed hungry each night. The good news is that there are 2 bil- Welcoming 7lion online. You are one of them. Just think the 7 billionth what we could achieve if all 2 billion of us did something small to end hunger.” person Source: United Nations World Food 000Programme, www.wfp.org, November 2011 000 000 Welcome Crisis – A Time for Decisions As I write this editorial, a significant milestone in the develop- “The people who are crazy ment of mankind has been reached: a world of 7 billion people. enough to think they can change At a time when our understanding of food production, health and nutrition is more sophisticated than ever, the growth of the the world are the ones who do” world’s population places unprecedented pressure on the plan- Apple’s “Think Different” et’s resources. More than any previous generation, we live in one world with a shared economy, communication system and logis- commercial, 1997 tics infrastructure. Yet this world is divided between those who are in an economically favorable situation and those who cannot cover their most basic needs, not to mention their nutritional and vegetables; it is that many who have the capacity to fill their needs; nearly a billion people go hungry to bed each night. bellies are – whether by choice or by ignorance – filling them with the wrong sort of food. The food crisis The food crisis has another dimension, however. In the The food crisis which has been developing for years has found developed world, those on adequate incomes are faced with poignant expression in the current sufferings of the people in unprecedented choice in the supermarkets. Encouraged by the the Horn of Africa. While the world has learned how to provide availability of attractively packaged and presented food, con- humanitarian support in such instances, we are still gaining new sumers are habitually buying more than they require – and insights into the ramifications of such crises. Events such as the throwing away a significant portion of it. This tendency has famine in Somalia have knock-on effects far beyond their own been reinforced by the use of ‘best before’ and ‘sell by’ dates, borders and time, creating a downward spiral with incalculable which have encouraged not only consumers but also super- consequences. What happens in the Horn of Africa affects the markets to throw away vast quantities of perfectly edible and whole of Africa; and what affects Africa affects the whole world. nutritious food. This issue has recently been highlighted by a German movie entitled ‘Taste the Waste’, and the Feeding the “What affects Africa affects 5,000 Campaign that provided a free lunch in London’s Tra- falgar Square for 5,000 people on 18 November, all made from the whole world” fresh food that would otherwise have been wasted. This is espe- cially ironic, because we could feed many more people on this planet, particularly in the developing world, if we used better At the same time, the problem of hidden hunger continues food storage and conservation techniques. unabated, with more than 2 billion people in both the develop- ing and the developed worlds subsisting on a diet whose caloric intake is not matched by its nutritional value. Such individuals, even if obese, are literally starving from the inside. The food crisis, therefore, has more than one dimension. It is not just that the price of commodities has risen dramatically, forcing the poorest of the poor to expend an ever greater proportion of their income on feeding themselves and their families, and buying more staples at the expense of micronutrient-rich animal food ⇢ 8 editorial The economic crisis From crisis to decision The global food crisis is occurring in parallel with a global eco- Ironically, given the current state of Greece’s economy, the word nomic crisis. Symbolized by the 2008 collapse of the seemingly crisis is of Greek origin. It comes from the Greek krisis, literally, all-powerful global financial services firm Lehman Brothers, it decision. A crisis is a moment of decision, a turning point for continues to send out shock waves. At the time of going to press, better or worse. It can also be a moment of opportunity – when the future of Greece as a member of the European Union is in fresh thinking leads to ideas, and action leads to change. Living doubt on account of its escalating public debts, Italy’s economic in one world, we have more than the technology and infrastruc- viability is also under the microscope, the governments of the ture to bring us together. We have, if we choose to listen to them, European Union are joining forces to prevent the euro from col- the visionaries, and the scientists, and the inventors, and the lapsing, and specters of the Great Depression of 1929 are being business leaders. I personally have been inspired by the passion, invoked by worried onlookers. So significant is the loss of faith in creativity and leadership of the late Steve Jobs, founder and CEO the euro zone that even the massive US economy – traditionally of Apple. He has indeed changed our world. inward – rather than outward-focused – is becoming increas- ingly concerned by it. “We have the power The high-growth economies of the world, however – Brazil, India and China especially – still have significant numbers of to shape our future” citizens who are not adequately nourished. And in the rush to catch up with the industrialized world, natural resources are be- ing used up at an unparalleled rate as these economies invest We have – each of us in our own way – the power to shape our in the technology and infrastructure to create sought-after con- future. How much more evidence do we need that the present sumer goods. system is failing not just the very poor but even the very rich? The time for change has come. We at Sight and Life are com- mitted to working for changes that will improve the nutritional status of the world’s poorest populations. We believe in a world where no-one should suffer from an inadequate or unhealthy diet, and no-one should have to be born to that destiny. With best regards, 9 Even though the world population growth rate has slowed from 2.1 percent per year in the late 1960s to 1.2 percent today, the size of the A growing world's population has continued to increase – population … from 5 billion in 1987 to 6 billion in 1999, and to 7 billion in 2011. The sixth billion and seventh billion were each added in record time – only 12 years. If the 2.1 percent growth … in the rate from the 1960s had held steady, world population world’s … would be 8.7 billion today. It is entirely possible that the eighth billion will be added in 12 years as well, placing us squarely in the middle of history’s most rapid population expansion. This prospect seems to run counter to the prevail- ing belief that concern over population growth is a thing of the past, and that today’s ‘population prob- lem’ is that birth rates are too low, not too high.
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