A community public health programme to control iron-deficiency anemia through iron-fortification of drinking water.

Jose Eduardo Dutra-de-Oliveira, Júlio Sérgio Marchini, Joel Lamounier, Carlos Alberto Nogueira de Almeida

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.

Keywords


Iron Anemia Children, Control Anemia, Drinking Water Fortification, Community Studies, Municipal Government Support

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DOI: http://dx.doi.org/10.22565/ijn.v5i3.82

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