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Quote: Klaus Kraemer, Michael B. Zimmermann, Jane Badham -

Two hundred million children under the age of five, mostly living in sub-Saharan Africa and South Asia, fail to reach their full cognitive, motor and social-emotional potential because of micronutrient deficiencies and inadequate stimulation. These children will probably fail at school, fail to achieve their income potential, and remain trapped in the poverty cycle. A tragic reality. In May 2002, the General Assembly of the United Nations re-emphasized that control of nutritional anemia should be one of the global development goals to be achieved in the early years of this new millennium. Sadly, there has been little documented progress in the global fight against anemia and WHO data shows that 818 million children under the age of five and women are affected by this public health problem, mainly in developing countries. About one million of them die every year. This shows the magnitude of the problem and highlights the urgent need for action.

SIGHT AND LIFE has always championed interventions to address micronutrient malnutrition, including iron deficiency and nutritional anemias, and, as a result, has published a book, Nutritional Anemia. In a single volume it highlights for the first time all the critical factors in addressing nutritional anemia, with contributions from leading scientists in their respective fields. Each chapter addresses a specific issue in great detail. It has become clear that the effective control of anemia requires integrated solutions that are tailored to the particular needs and opportunities in each country. Components of any such an approach include micronutrient supplementation of the most vulnerable groups (particularly children and women of childbearing age), food fortification, dietary diversification and education, as well as control of diseases such as malaria, worm infections, and other chronic endemic infections. While each of these can help reduce the burden of anemia, none is capable of doing the job on its own.

The purpose of this Guidebook is to give you, the reader, a comprehensive summary of the critical issues from prevalence data and statistics, to economics, through to the diagnosis, functional consequences and background information on each of the micronutrients believed to be directly or indirectly involved in anemia. This Guidebook does not contain all the information or give all the answers, but its intention is to give an overview of the latest scientific thinking and the challenges facing the world as we go forward in planning, implementing and monitoring interventions to address what is undoubtedly the biggest nutritional problem that the world currently faces. We trust that the information, knowledge and insights that you will gain from this Guidebook, will enable you to become a part of the solution and actively engage in advocacy, programming or on-going research to make a difference.

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