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Opportunities & Exposures
Food for Thought
Rolf Carriere
08/02/2004

What do successful corporate outsourcing, a child’s report card, lower health care costs and one of the oldest industries in China have in common? Something minuscule affects them all—and no, I am not referring to the beating of a butterfly’s wings in Katmandu. In fact, the answer is vitamins (like A, B, C and folic acid) and minerals (like iron and zinc). In an effort to enhance worker productivity around the world, improve children’s learning capacity, increase resistance to infectious diseases and cut birth defects in half, major food industries—including soy sauce producers in China—fortify their products with vitamins and minerals.

In high-income countries, we take it for granted, if we think of it at all, that iodized salt is widely available to protect us from thyroid malfunction and mental retardation, and that the flour in our bread is enriched with iron and vitamins. But this kind of nutritional safety net does not yet exist in most developing countries.

While in high-income countries we can compensate for nutritional shortfalls with pills, in developing countries, where vegetable or animal food sources are often scarce, neither the market economy nor the health delivery system has found an effective way to deliver supplements to those most in need.

Lack of vitamins and minerals can be devastating. In the next 12 months, economic development specialists estimate:
• 1 million children below the age of 5 will die in large part due to a lack of vitamin A;
• 50,000 women will die during or soon after childbirth from iron deficiency anemia;
• 19 million infants will be born with impaired mental capacity due to a lack of iodine in salt;
• as many as 100,000 children will be born with preventable physical defects such as spina bifida because their mothers had too little folic acid in their diets before conception.
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