Abstract
On a global basic, an estimated 2 billion people are iron deficient or anaemic with small children and child bearing age women most likely to be affected. In Brazil a recent 2009 meta-analysis of anaemia considered it to be a serious public health problem affecting 53% of children under 5 years. Fortification and supplementation of food can make and important contribution to the reduction of iron anaemia. Our studies on anaemia and iron fortification of drinking water showed a large prevalence of anaemia among under 5 children attending day-care institutions. After 3 to 6 months drinking iron fortified water it was shown a decrease of anaemic children. It was shown that the iron fortification of drinking water can be considered an easy and practical way to supply iron to children at community level. It is a vehicle available everywhere. It is consumed everyday by everyone, has a much lower price than any other iron food carrier and/or pharmaceutical supplements. The water may be easily fortified locally, the iron sulfate is low-priced and used in small amounts with highly bioavailable iron. Its effectiveness was scientifically shown and was strategically supported by the Community, the Public Health Workers and got Municipal Government approval and support.
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References
- Preventing and controlling iron deficiency anaemia through primary health care. A guide for health administrators and programme managers. Geneve, World Health Organization (WHO), 1989.
- ALLEN, L.; BENOIST, B.; DARY, O.; HURRELL, R. Guidelines on food fortification with micronutrients. Geneva, World Health Organization, 2006.
- PANOMAI, N.; SANCHAISURIYA, P.; LOWIRAKORN, S.; SANCHAISURIYA, K.; SCHEIP, F.P. knowledge about the nutritional value of iron, food intake and prevalence of anemia of Thai school children at the Khon Kaen province, Northeast Thailand: a descriptive study. Panomai, v.1, n.3, 2008.
- CHANG, S.; HUANG, Z.; MA, Y.; PIAO, J.; YANG, X.; ZEDER, C.; HURRELL, R.F., EGLI, I. Mixture of ferric sodium ethylenediaminetetraacetate (NaFeEDTA) and ferrous sulfate: An effective iron fortificant for complementary foods for young Chinese children. Food Nutr. Bull., v.33, n.2, pp.111-116, 2012.
- LAYRISSE, M.; CHAVES, J.F.; MENDEZ-CASTELLANO; BOSCH, V.; TROPPER, E.; BASTARDO, B.; GONZÁLEZ, E. Early response to the effect of iron fortification in the Venezuelan population. American Journal of Clinical Nutrition, 1996,v.64, pp.903-907
- Food fortification with micronutrients for the control of micronutrient malnutrition. Geneva, World Health Organization – WHO, 2004.
- ROCHA, D.S.; CAPANEMA, F.D.; NETTO, M.P.; ALMEIDA, C.A.N.; FRANCESCHINI, S.C.C.; LAMOUNIER, J.A. Effectiveness of fortification of drinking water with iron and vitamin C in the reduction of anemia and improvement of nutritional status in children attending day-care centers in Belo Horizonte, Brazil. Food and Nutrition Bulletin, v.32, n.4, 2011.
- DUTRA-DE-OLIVEIRA, J. E.; MARCHINI, J. S.; LAMOUNIER, J.; ALMEIDA, C.A.N. Iron-fortified drinking water studies for the prevention of children's anemia in developing countries. Anemia, Article ID815194, 2011.
- DUTRA-DE-OLIVEIRA, J. E.; FERREIRA, J. B.; VASCONCELLOS, V.P.; MARCHINI, J.S. Drinking water as an iron Carrier to control anemia in preschool children in a day-care center. Journal of the American College of Nutrition, v.13, n.2, pp.198-202, 1994.
- DUTRA-DE-OLIVEIRA, J.E.; MARCHINI, J.S.; DESAI, I. Fortification of drinking water with iron: a new strategy for combating iron deficiency in Brazil. The American Journal of Clinical Nutrition, v.63, n.4, pp.612-614, 1996.
- DUTRA-DE-OLIVEIRA, JE, Almeida CAN. Domestic drinking water – an effective way to prevent anemia among low socioeconomic families in Brazil. Food and Nutr Bull v.23 (3 suppl), pp.213-216, 2002
- BEINNER, M.A.; LAMOUNIER, J.A.; TOMAZ, C. Effect of iron-fortified drinking water of daycare facilities on the hemoglobin status of young children. Journal of the American College of Nutrition, v.24, n.2, pp.107-114, 2005.
- TORRES, M.A.A.; SOUZA QUEIROZ, S. Prevention of iron deficiency anemia in public health: a fifteen years review of the literature. Nutrire, v. 19, pp. 145-164, 2000.
- LAMOUNIER, J.A.; CAPANEMA, F.D.; ROCHA, D.S.; DUTRA-DE-OLIVEIRA, J.E.; SILVA, M.C.; ALMEIDA, C.A.N. Iron fortification strategies for the control childhood anemia in Brazil. Journal of Tropical Pediatrics, v.56, n.6, pp.448-451, 2010.
- ALMEIDA, C.A.N.; DUTRA-DE-OLIVEIRA, J.E.; CROTT, G.C.; CANTOLINI, A.; RICCO, R.G.; DEL CIAMPO, L.A.; BAPTISTA, M.E. Effect of fortification of drinking water with iron plus ascorbic acid or with ascorbic acid alone on hemoglobin values and anthropometric indicators in preschool children in day-care centers in Southeast Brazil. Food and Nutrition Bulletin, v.26, n.3, pp.259-265, 2005.
- Effectiveness of fortification of drinking water with iron and vitamin C in the reduction of anemia and improvement of nutritional status in children attending day-care centers in Belo Horizonte, Brazil. Food and Nutrition Bulletin v 32, n 4, pp 340-346, 2011.