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Supplement: Forging Effective Strategies to Combat Iron Deficiency

Summary and Recommendations^{1 ,2}

Frederick Trowbridge^*,3 and Reynaldo Martorell

^* Trowbridge & Associates, Inc., Decatur, GA 30033; and Rollins School of Public Health, Emory University, Atlanta, GA 30322

Iron deficiency affects the well being of > 1 billion people worldwide, with a range of adverse health and social consequences, yet efforts to address the problem have had only limited success. To better assess this issue and define more effective strategies, an international conference was convened in Atlanta, GA, in May 2001. Key policy issues discussed included setting a global goal for prevention and control of iron deficiency, building partnerships, and identifying ways to mobilize financial and human resources. The strengths and limitations of specific intervention strategies were discussed including iron fortification of staple foods and condiments, supplementation, dietary diversification, application of biotechnology to increase micronutrient content of staple foods, and public health measures such as infection control and provision of health care services. The importance of utilizing multiple and integrated strategies was emphasized. Representatives from several countries reported successful intervention programs as well as promising results in implementing new strategies. The critical role of effective communications was also emphasized, both to increase awareness of the impact of iron deficiency and to advocate for policy changes and resources to address the problem. The conference concluded with specific recommendations for action.

KEY WORDS: • iron deficiency • iron fortification • iron supplementation

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