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Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
Published on: March 14, 2017
[Control of iron deficiency in developing countries]
Jacques Berger1, Jean-Claude Dillon
1Institut de recherche pour le développement, UR 106, Nutrition, Alimentation, Sociétés, Centre collaborateur de l'OMS pour la nutrition, IRD, BP 64501, 34394 Montpellier Cedex 5, France. j.berger@fpt.vn
Iron deficiency is a global health issue, particularly in developing nations. Strategies like food fortification and targeted supplementation are crucial for prevention and control, especially for vulnerable groups.
Area of Science:
- Public Health and Nutrition
- Nutritional Epidemiology
- Global Health
Background:
- Iron deficiency is the world's most common nutritional disorder, with significant health and societal impacts.
- Low dietary iron bioavailability is a primary cause in developing countries, affecting pregnant women, infants, and children disproportionately.
- Existing interventions like daily iron-folate supplementation during pregnancy show disappointing public health outcomes.
Purpose of the Study:
- To review and discuss effective strategies for the prevention and control of iron deficiency and anemia.
- To highlight sustainable and cost-effective approaches for different population groups.
- To emphasize the importance of integrated interventions and community participation.
Main Methods:
- Review of current literature on iron deficiency prevention and control strategies.
- Analysis of the efficacy and limitations of various interventions, including food fortification and supplementation.
- Discussion of the role of public health policies, education, and multi-sectoral collaboration.
Main Results:
- Iron fortification of staple foods is a sustainable, cost-effective approach for the general population.
- Weekly iron-folate supplementation shows promise for women of reproductive age.
- Locally produced, fortified complementary foods are effective for infants and young children where accessible; otherwise, supplementation is advised.
Conclusions:
- Coordinated interventions, including food fortification, targeted supplementation, improved nutrition, infection control, and promotion of breastfeeding, are essential.
- Public education and active community participation are vital for the success of iron deficiency control programs.
- National nutrition plans must prioritize iron deficiency control with multi-sectoral involvement for sustainable impact.
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