Nutrition mission to Iraq for UNICEF
1School of Nutrition, Tufts University, Medford, MA 02155.
Insights
A 1991 nutritional assessment in southern Iraq found widespread acute and chronic malnutrition in children under five. Despite infectious disease and high food prices, clear signs of impending famine were not observed during the survey.
Area of Science:
- Public Health
- Pediatric Nutrition
- International Health
Background:
- A rapid nutritional assessment was requested by UNICEF in southern Iraq.
- The study focused on children aged 0-5 years in June 1991.
- The assessment aimed to evaluate the nutritional status in a challenging environment.
Purpose of the Study:
- To conduct a rapid nutritional assessment of young children in southern Iraq.
- To identify the prevalence of malnutrition and related health indicators.
- To assess the risk of famine based on nutritional status and contextual factors.
Main Methods:
- A nutrition team examined 680 children across 14 rural, urban, and periurban settings.
- Measurements included weight, height, and mid-upper arm circumference.
- Clinical signs of anemia, vitamin A deficiency, and dehydration were observed.
Main Results:
- Significant evidence of both acute and chronic malnutrition was identified in the surveyed children.
- Despite high infectious disease rates and food prices, overt signs of impending famine were not apparent.
- Mothers reported difficulties with breastfeeding, indicating underlying nutritional stress.
Conclusions:
- While malnutrition was prevalent, the survey did not detect immediate signs of famine in southern Iraq in June 1991.
- The findings highlight the complex interplay of malnutrition, disease, and socioeconomic factors affecting children's health.
- Further monitoring for famine indicators and underlying causes of malnutrition is warranted.
Abstract:
At the request of UNICEF, the authors conducted a rapid nutritional assessment of children from birth to five years of age in southern Iraq during the second half of June 1991. With support from local UNICEF staff, the nutrition team examined 680 children, measuring weight, height, and mid-upper arm circumference and observing clinical signs of anemia, vitamin A deficiency, and dehydration. These measurements and observations were performed in 14 rural, urban, and periurban settings in Basrah and Amarah governorates. Evidence of both acute and chronic malnutrition was found in large numbers of the children examined. However, the acute nutritional signs of impending famine were not evident at the time of the survey. This is true notwithstanding epidemic levels of infectious disease, market prices for basic food items three to 20 times prewar levels, and a reported crisis in mothers' ability to breastfeed. Other signs of impending famine (distress sales of family assets, disintegration of social structures, etc.) may have existed, but were not evident to the team.
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