Unless the nutrition community intervenes in national and international policymaking, the world could well be headed for serious trouble with deaths from starvation on a consequential scale. There has been near-total dissociation between agricultural planning policies and food distribution and nutritional needs of populations. Unfortunately, the nutrition community is out of the mainstream of forces which affect nutritional status and which produce the macro-decisions. Why? Perhaps the professionals have too narrow a view of their role; although malnutrition is a health problem, the solution is not necessarily one of health delivery. Perhaps they don't seriously wish to be involved with policy change and the work it entails. Perhaps, by being unable to achieve consensus within their own ranks, they have generated a lack of credibility. The nutrition community needs to recognize a broader scope for nutrition and to take new approaches in advocacy directed to education policy-makers. No one else can play this role with authority.
除非营养学界介入国家和国际政策制定,否则世界很可能会因大规模饥饿死亡而陷入严重困境。农业规划政策与食品分配以及民众的营养需求之间几乎完全脱节。不幸的是,营养学界不在影响营养状况并做出宏观决策的主流力量范围内。为什么呢?或许专业人员对自身角色的看法过于狭隘;尽管营养不良是一个健康问题,但解决方案不一定是提供医疗服务。或许他们并不真心希望参与政策变革及其所需的工作。或许由于他们自身无法达成共识,导致缺乏公信力。营养学界需要认识到营养问题更广泛的范畴,并在向教育政策制定者进行宣传时采取新方法。没有其他人能够权威地扮演这一角色。