ARM1.941209.076 CHILL: P!(ELItiINARY SURVEY PLANS rrrp by Dr. Frank 1;. Berry is!;istdnt Secretary of Defense (Health and McJi cili.; 3r. A. E. Schaefes, Executive Directur intrrdepnrtaentb? Cmmittee on Nutrition for Natj.onaL JJeEunsc Rr. LJiLlim F. Asha 3irfccor, &Lid Niltrition Survey and Sprciai Cmrsultant, XCNND 9r. William J. Oarby Special Consultairt, ICNND LnterdcpartnentaL Om-rnittet on NutritLun for National ;)rfensn NoironaL Institutes of Healtt. Beth2sJo, ilarylxir! In February lY59 Drs. Frank 8. Berry and Arnc,ld t. Schaefer visitcd <tile as a result of an official requ-st. irm the Gavernnient. of Chile to the b.S. for assistmce ~n appraismg the nutritional status of the Armeti FOKCC._ :ind selected civiiian population zroups. Conference:. wre held to outline the objectives and methods fur :: 3int cooperatrve nutrition SUKV~Y. Plans !?<re aade for the ZCNKI, to conduct il survey as a part of tliu :-iutual r\s%istance Program, 7,iarch to June of 1960. :he :nilem cfficials requeste:; that the group revisit Ckii,. darly in 196G to formuinte thc survey plans. :.::i- :.::i- I.,,;,:; I.: * ti, '?he reception we received from the Chilaan /. .L. iissioti, authorities, representing the Armed Fxces, Niltimu! ,.t,ilean !>linistcr Health Service a?& the University of Chile, was beyimL! ,:f Defcnsc, airector expectation and certainly testifies TO their sincere ,>.: the Nxtional interest, cooperation md appreciation of tho future i!,~z?:.thScrvice benefits to be derived from an appraisal of the nutrittonni status, ration system of the Armed Forces, food habits, production, storage and potential of Chile. A 1161: of personnel visited is given in Appendix 1. Chilean Nutrition 'The Ninister of Defense, Senor Don Carlos x, :,., *'xy C:oordinat ing Infanta, and the hmcd Forces appointed a 'ruorking group anCtt2e to Work with the ZCNND Secretariat in preparing the survcy plans. In addition, the National iiealth Service and the University of Chile were invited to participate in the committee. A list of committee members is given in Appendix 2. hurvey Planning Three afternoon meetings were held, attended by i',Jr!fcrcnci:s :he Chilean Coordiri; :ing Committee on Nutrition; Colonel Goodwln, Chief U.S. MAG - Chile; Dr. Wil1iarn.F. Ashc, U.S. Survey Director; Dr. Villiarn J. Dnrby, ICNND Consultant and Dr. Arnold E. Schaefer, Executive DirectQr; Inter- departmental Coinmittee on Nutrition for NaFional Defense. During these :;essionS a tcntative outline of the durvfy ws:: prepared (Appendix 3). Prcliminary copi3s were distributed to the Planning Cotmiittr?c (including Colonel Goodwin). Colonel Goodwin's suggestions and assistance were axtremel? hclpful to thc prcup... Washington National Record Center Ofice of the Army Surgeon General Record Group 112 Accession #: Gq A - &\3 Box #: ZI !, ' L_.!I1 i. lx Lunistisal Planning: Thr planning r,f ttlc .~,ji':'u IJ tdd Dur-ing t rsnsyor tat ion, lucisrics, billeting arrangement 5 fc3L !stervdl Jariuaiy the team, etc. wi.11 be drafted by Colonel Goodwin <inc rL 2) <lai-ch subnitted to the Chilcan Nutrition Survey Coordinating Committee for transmittal tci the various ionmanding officers of the Arny, Navy and Air Force, Director &IsrL_; or' the National Health Service and the Rector of tllk University r>f Chile. Labdratory Lccation i'h- Chilean officials--Armed Forces and National liealth Service--had agreed that the nutrition laborutcr:? should be estabiished in the School of iledicine. Ihe proposed laboratory site was visited by 3rs. Ashc and Schaefer and found to be most suitable. For space available, see Appendix 4. In addition, two room5 on ground floor (now empty) wiil be available for initial storage of all U.S. laboratory equipment. One room c'm be used for assembly an11 packaging of supplies for the field operation. A University cafeteria and hospital dining roo111 are close md can be used by the laboratory personnel. This laboratory will be used primarily for all blood and urine analysis. In addition, there is the food laboratory of the School of Bromotology-- Director, Professor Or. Hermann Schmidt-Hebbel. This laboratory is well equippej and an excellent functioning unit. Dr. Schmidt has a graduate student interested in analyzing the food composite samples for trace minerals. We encouraged this type of cooperation. It was requested that, if possible, the following spacial chemical reagents be included in our lab supplies: (1) 2, 9 Dimethyl-1-10 Phenanthroline Hemihydrate (Meo- Cuproine) One gram - G. Fredrick Smith Chemical Company, Columbus, Onio. (2) Zinion - 2 grams (La i4otte Chemical Company, Daltimdre, Xaryland. (3) Dowex 1-8, 100 to 2nU mesh. 1 pound. Dr. schinidt will assist the survey by analyzing food composites and special indigenous foods for proxime.t,> analysis and the usual vitamins and minerals, He i.s nisr interested in special studies on fatty acids. For thiu purpose the following scandards were requested: (1) Linoleic Acid 99% pure 1 gram $2.50 (2) Linolenic Acid 997. pure 1 gram 5.40 (3) Arachidonic Acid 90-95X pure 1UO grams 54.>1: (Nutritional Biochemicals Corporation) these supplies to be packaged separately, pack.~gos labeltzd: Attention Dr. Schmidt. Washington National Rccord Center Oflice of the Army Surgeon General Record Group 112 Accession #: 67 A - Lf- 8\3 Box #: ->- Ai I +~kage; :.f I.&~r,:tury ,.:q~?~~pm~rtim& .;L!~~;i L ShL>,uLd bc L3hL2i ,!> E. !.'::4s: Chi;.€ I,kUX,, Zhilz c/o r.5. E1aSsssy Santiago, 01i le (:larked "Pnr htrition Survcp Tc~sT~'.j Copies of bills of ladmi'; and packaging list should be forwardad i..nn.ediately via 2i.r nail to above address. Box No. 1 to contaio dbove. Cable infor.natim. on shipment date, ETA, number of packages, wight mil cubi.c footage to Colonel GooJwin ,;kq w+&I mply via c.ible upon receipt. Electric current is 201; volts and W-cycle. Plugs - murid 2-prong type (sample obtained). Have !iiring on transformers conforir. to this it at aL1 possibiL. Transforner:j are needed. Water is' stikl requi.rcil. liave package adequato'y labeled so that this piece .?f eqilpcnt can be imr' ,accly uncratcii and installed. Urying ovens, autoclaves anu furnaces a,rc avaiiablc, do not includz. Nitrogen and carbon dioxide gas are available do not ship. Include 1 set 3f reducing valves and .:zupe assembly. If budget permits due to above savings (and reduction in shippihg cost) include 1 extra PH.nietcr (battery operated), 1 extra baiimce and standard kights, cyringcs and needles. Numbers given in Nanual to lk? reduced to 2 dozen of each. Do not ship instrunient sterilizer (electric). Stoo? sample speci;.sn bottles, forma1i.n solution - include ayproximtely 1,000 bottles. Inventory 02 laboratory cqufpiwnt available in the Nutrition Lob vas obtained, AlthouKh the glassr~nrestock is fair my excess can be used most advantageously in the food unal.ysis laboratory. They would desire media for , bactrriological assay i:€ niacin, pyridoxine and panto-. thGriatc, also standardb. Washington National Record Center OTTce of the Army Surgeon General Record Group 112 Accession #: Gq A - Lf- &\3 --- 'lectin& with iicctor Urs. Ashe and Schaefer discussed the survey p:mc '.if ilniversity and with Senor Juan w. :.>illas, Rector of the University iknn of 'ledical of Chile, and Dr. Hernan Allessandri Rodrigue, Dean of school the Medical School. Necessary arrangements for per diem of University personncl traveling with the team will be worked out in conjunction with the National Hzillth Servic,! and the Armed Forces. -rrcillary Studies The Parasitology Department of the University expressed the desire to cooperato with the survey by conducting parasitological examinations. The :4edical staff is cxtrernely interested in having blood samples analyzed for blood cholesterol. (Scnd 1,000 paper containers--stool boxes). Fscilities and trained personnel are available for serum protein fractionation if needed. Llictary Survey Dr. Riquelme was given a copy of the civilian dietary.questionnaire used in Ecuador. This will be modified for Chilean foods. The Secretariat will inforn Dr. Riquelme as to those questions which shou'ld be e 1imina ted . Conference with uS0:1 Drs. Ashc and Schaefer discussed the nutrition survey program and plans with Mr. Manning, USOM Director. He was indeed interested and offered cooperation of his staff as regards the following: (1) Handling of logistical support fund.. Fund to br transferred from ,ICA/Wnshington, specifying the purpose and usc and authorizing Survey Director and Deputy Survey Director to disburse funds. To be established as done in 'support of the Peru and Ecuador surveys. (2) Mr. Eugene Baird, Sanitarian, Acting Head Heoith Section, will serve as USOF; liaison with the nutrition survey team. Mr. Baird was of great assistance to us and will cooperate with the University of Chile representatives in preparing a bockground summary rcyorc on past nutrition studies and statistics related to health. Une problem of concern i6 the high infant mortality rate o€ 122 per l,OOO in 1958. This indicates a possible upswing in rate from 1956 when it wns 109 and in 1.ib. .. 1957, Washington National Record Center Oflice of the Army Surgeon General Record Group 112 Accession #: 67 A - 8\3 Box #: -5- (3) The agricultural group of USOi.iwil1 assist and cooperate with the team's agricultural specialist. U.S. Health Program Population-wise Chile ranks fifth ia the Latin in Chile American countries where the U.S. has cooperative health programs. it ranks fift.ii in total technical cooperation budget, third in infant death rate, seventh in crude death rate, fifth in T.B. rate and twelfth in the cooperative health budget (see enclosures). Ancillary 1,iaterial 1. <larch 3, 1956, Stare Department Post Keport - and Reports Santiago, Chile. Obtained 2. I-iethods of Vitamin Analysis in .foods, University of Chile, Faculty of Chemistry and Pharmacy. 3. Inventory of Laboratory Supplies and Equipment. 4.