Dutra-de-Oliveira Jose E, Marchini J Sergio, Lamounier Joel, Almeida Carlos A N
Department of Internal Medicine, Ribeirão Preto School of Medicine, University of São Paulo, Av Bandeirantes 3900, 14049-900 Ribeirao Preto, SP, Brazil.
Anemia. 2011;2011:815194. doi: 10.1155/2011/815194. Epub 2011 Aug 4.
Anemia and iron deficiency should receive special attention considering their high prevalence and serious consequences. For prevention, globally it is recommended to increase dietary iron intake, iron fortification of industrialized foods, and medical iron supplementation. Food fortification for the prevention of iron deficiency in developing countries should consider carriers locally available and consumed daily, requiring limited infrastructure and technology. Drinking water is the iron carrier we have been working for years for the prevention of iron deficiency and anemia in small children in Brazil. It was shown that studies with iron-fortified drinking water were proved to be effective on children's anemia prevention. Water is found everywhere, consumed daily by everyone may be easily fortified with simple technology, is low priced and was effective on the prevention of children's anemia. Fortification of drinking water with iron was locally implemented with the direct participation of the government and community. Government authorities, health personnel and population were part of the project and responsible for its community implementation. The mayor/municipality permitted and supported the proposal to supply it to children at their day-care centers. To keep the children drinking water iron fortified supply an officially authorized legislation was also approved.
考虑到贫血和缺铁的高患病率及其严重后果，应给予特别关注。在预防方面，全球范围内建议增加膳食铁摄入量、对工业化食品进行铁强化以及进行医学补铁。发展中国家预防缺铁的食品强化应考虑当地可得且每日食用的载体，所需基础设施和技术有限。饮用水是我们多年来一直在努力用于预防巴西幼儿缺铁和贫血的铁载体。研究表明，用铁强化饮用水的研究被证明对预防儿童贫血有效。水随处可见，每个人每天都要饮用，用简单技术就可轻松强化，价格低廉且对预防儿童贫血有效。在政府和社区的直接参与下，当地实施了饮用水铁强化。政府当局、卫生人员和民众参与了该项目，并负责其社区实施。市长/市政府批准并支持了在日托中心向儿童供应铁强化饮用水的提议。为确保持续向儿童供应铁强化饮用水，还批准了一项官方授权立法。
