| Autor: |
Muralidharan J; Department of Medicine, St John's Medical College, Bengaluru, INDIA., Hegde SG; Department of Paediatric Surgery, St John's Medical College, Bengaluru, INDIA., Ghosh S; Department of Biostatistics, St John's Medical College, Bengaluru, INDIA., Mondal A; Department of Biostatistics and Department of Physiology, St John's Medical College, Bengaluru, INDIA., Arjun MC; Division of Nutrition, St John's Research Institute, Bengaluru, INDIA., Thomas T; Department of Biostatistics, St John's Medical College, Bengaluru, INDIA., Kurpad SS; Department of Psychiatry and Department of Medical Ethics, St John's Medical College, Bengaluru, INDIA., Davis C; Department of Medical Ethics, St John's Medical College, Bengaluru, INDIA, and Chair for Moral Theology, University of Freiburg, GERMANY., Sachdev HS; Sitaram Bhartia Institute of Science and Research, New Delhi, INDIA., Kurpad AV; Department of Physiology, St John's Medical College, Bengaluru, INDIA. |
| Abstrakt: |
In response to the continuing high prevalence of anaemia recorded in the National Family Health Survey-5, the Indian government launched a policy for mandatory iron fortification of the rice provided through public nutrition programmes in India. This was done even though a rigorous evidence analysis had already concluded that rice fortification was not effective in preventing anaemia or iron deficiency at the population level. Fortification also poses a potential risk of iron toxicity over time, but there is no stated time period for the policy's implementation. The risk is particularly high in segments of the population who already have a high habitual iron intake, and who could be exposed to simultaneous fortification in different staples and food commodities along with the ongoing weekly Iron and Folic Acid tablets supplementation programme. Finally, this fortification policy also requires significant additional funding and resources to implement. It is crucial to examine such mandatory health actions, and to weigh the benefits and risks of harm, using the principles of public health ethics. |
