Mannar M G Venkatesh, van Ameringen Marc
Micronutrient Initiative, Ottawa, Ontario, Canada.
Food Nutr Bull. 2003 Dec;24(4 Suppl):S151-4. doi: 10.1177/15648265030244S213.
Iron, iodine, and vitamin A deficiencies prevent 30% of the world's population from reaching full physical and mental potential. Fortification of commonly eaten foods with micronutrients offers a cost-effective solution that can reach large populations. Effective and sustainable fortification will be possible only if the public sector (which has the mandate and responsibility to improve the health of the population), the private sector (which has experience and expertise in food production and marketing), and the social sector (which has grass-roots contact with the consumer) collaborate to develop, produce, and promote micronutrient-fortified foods. Food fortification efforts must be integrated within the context of a country's public health and nutrition situation as part of an overall micronutrient strategy that utilizes other interventions as well. Identifying a set of priority actions and initiating a continuous dialogue between the various sectors to catalyze the implementation of schemes that will permanently eliminate micronutrient malnutrition are urgently needed. The partners of such a national alliance must collaborate closely on specific issues relating to the production, promotion, distribution, and consumption of fortified foods. Such collaboration could benefit all sectors: National governments could reap national health, economic, and political benefits; food companies could gain a competitive advantage in an expanding consumer marketplace; the scientific, development, and donor communities could make an impact by achieving global goals for eliminating micronutrient malnutrition; and by demanding fortified foods, consumers empower themselves to achieve their full social and economic potential.
铁、碘和维生素A缺乏症使全球30%的人口无法充分发挥其身心潜能。用微量营养素强化常见食用食品提供了一种经济有效的解决方案，能够惠及大量人群。只有公共部门（有责任改善民众健康）、私营部门（在食品生产和营销方面有经验和专业知识）以及社会部门（与消费者有基层联系）共同合作来开发、生产和推广微量营养素强化食品，才有可能实现有效且可持续的强化。食品强化工作必须纳入一个国家的公共卫生和营养状况背景中，作为利用其他干预措施的整体微量营养素战略的一部分。迫切需要确定一系列优先行动，并在各部门之间展开持续对话，以推动实施能够永久消除微量营养素营养不良的计划。这样一个国家联盟的合作伙伴必须就与强化食品的生产、推广、分销和消费相关的具体问题密切合作。这种合作可以使所有部门受益：各国政府可以获得国家健康、经济和政治利益；食品公司可以在不断扩大的消费市场中获得竞争优势；科学、发展和捐助界可以通过实现消除微量营养素营养不良的全球目标产生影响；而消费者通过要求食用强化食品，能够充分发挥自身的社会和经济潜能。
