The Indian government is in the process of enacting a mandatory fortification policy, including rice, in social security network programs such as the Public Distribution System (PDS). It is suggested that fortified rice be included in the central government’s lunch program. Ironclad rice is a major public health response to alleviate anemia and malnutrition in the country, the government says.

However, public health and nutritionists say that unhealthy diets, such as iron, can do more harm than good.

New research paper “Vision – When Healing Can Be Bad – Multiple Interventions in Forced Small Food forts in India”, Released today, July 30, This nutritional intervention says it can be ‘wasteful, effective and harmful’ to human health.

In today’s webinar, the authors share their findings and discuss “unnecessary” nutritional risks. Secretary-General Anura Kurpad and another key author of the paper, Harshapal Singh Sakdev, argue that microenvironments are useful in the right amount, but that they can be harmful when drunk. This is similar to the excessive use of drugs, the authors say. Kurpad is a former head of the physiology department of St. John’s Medical College in Carthage. Sakdev is a Senior Consultant in Pediatrics and Clinical Epidemiology in New Delhi at the Sitaram Bartiya Institute of Science and Research.

In the village of Malkangiri, a family member eats Odisha rice. Photo – in preparation

The authors suggest that fortified foods may increase the absorption of other chemical metals by fortified foods. This is in addition to the ongoing pharmacological iron supplementation as well as other voluntary iron fortifications such as other salt and processed products.

Experts point out that it is not possible to “meet more” interventions without much consideration of social, biological, and ethical frameworks. “The cure may be disease.”

Is Fortress Harmful?

At least 18 Indian nutritionists, health and epidemiologists are debating the need for new chemical interventions to address micro-energy deficiencies in India at least during the Webinar today.

India is considering mandatory rice consolidation from 2024 as a large population suffers from malnutrition and anemia.

In the paragraph, the ICD. (Integrated Child Development Services) and the Rice Mandatory Iron Fortress offered at noon meals.

A few children are dying in the country, but for millions of people, this is a sad story of anemia and malnutrition. Photo – UNICEF India

In addition, as part of the ICDS, pregnant women are already given iron and folic acid (IFA) tablets to prevent malnutrition. This is an integral part of safe maternity services as part of the Reproductive and Child Health Program. The program recommends using 100 tablets of iron and folic acid during pregnancy.

Read more: 3% of Indian people suffer from anemia, another 23% carry

Public health and nutritionists have suggested that women who have been overweight may have a negative impact on healthy microbiome development and chronic diseases, which could negatively affect fetal growth and fertility. “There is no evidence of benefit or safety, since metal or fortified interventions are not monitored; Such a policy is not right, ”he said in a statement issued today.

Also read – to strengthen the milk, or not to strengthen it … The debate continues

Forty Billion Quarterly ‘Wasted’ on Fortress

In India, fortifications are compulsory. The Indian Food Safety and Standards Authority (FASIA) has made vitamin A and D ” edible oil supplements mandatory for people in India to have better health.

However, the choice of whether to strengthen or not in the past was dependent on stakeholders, voluntarily.

The Indian government is in the process of enacting a mandatory fortification policy, including rice, in the PDS. Photo: Gion Connection

Experts also warn that this policy will cost more than 2,600 kroner (26 billion rubles) a year in rice mills to reduce anemia in India.

Also read: Rice and wheat in India are much less nutritious than they were 50 years ago.

“The money will be better spent on sustainable nutrition-based solutions and improving access to quality health care in the public sector,” said Harshapal Singh Sakdev.

The publication emphasizes that this fortification policy ignores the role of balanced and diverse diets in solving various nutritional problems. The policy is planned in addition to the ‘extra iron’ provided by government programs.

Experts say that increasing the intake of iron alone has no effect and does not replace dietary differences. It is a dietary supplement that facilitates iron intake.

Read more – ‘Nutri Vegetable’ improves the diversity and nutritional status of rural women in Odisha

Anemia in India 40% of teenage girls

According to the 2016-18 National Nutrition Survey, 40 percent of women in the country have anemia.

Graph – Anemia and iron deficiency in children 1-19 years of age and adolescents.

Source – CNN 2016–18

The most recent National Family Health Survey (NFHS-5), 2019-20, shows anemia prevalence among children under the age of five in 18 states and 18 states. The prevalence of anemia in women between the ages of 15-49 is similar. 16 out of 22 states / UT showed an increase in anemia among women.

Anemia caused by a lack of red blood cells or a lack of red blood cells in the body reduces the flow of oxygen to the body. Its symptoms include fatigue, weakness, dizziness and shortness of breath, among others.

According to the World Health Organization, the most common causes of anemia are malnutrition, especially iron deficiency, although folate deficiency, vitamins B12 and A are also important factors. Iron supplements can be used for iron deficiency.

And so, the fortress.

Also read: Rural India: Increased anemia indicates a long-term problem of Indian human capital

Experts require anemia distribution

Secretary-General Anura Kurpad says: “To diagnose the disease in children and pregnant women is an inappropriate hemoglobin cut. The incidence of anemia is increasing by the use of amputations, ”he said.

In a national nutrition study, anemia was assessed based on the total hemoglobin concentration found in whole blood.

Curpad expands the current hemoglobin measurement system. Since the hemoglobin concentration in these two samples in these surveys may vary by 1 g / dL, hemoglobin values ​​are measured in false blood rather than venous blood. In fact, when the population is nearing the diagnosis of anemia, hemoglobin values ​​are more likely to be misdiagnosed, ”he said.

He added: “It raises awareness of the persistence or worsening of anemia, but it also reflects the true nutritional status of the population.” This indicates that the lack of medication may have no effect on their (magnifying) condition.

During the website, the experts said, “Food supplementation with micronutrients is especially attractive to policy makers, industry and executive agencies.

Vitamin C fortified rice in Odyssey

Last year, the Odyssey government decided to distribute vitamin C-rich rice in the tribal region of Malkangiri, which is known for its severe malnutrition. This is done to reduce malnutrition and anemia.

However, the decision has been criticized by many nutritionists and activists, who have called the move a “disgrace to food justice and a mockery of food security for ethnic groups.” They believed that micronutrients should be kept separate as a supplement and food.

Also read: VC fortified rice for PDS users in Malkangiri, Odisha; Advocates and nutritionists raise concerns