There is probably no single universal solution to the problem of scurvy
There is probably no single universal solution to the problem of scurvy...stated a recent review of interventions to prevent scurvy occurring amongst refugees and other emergency affected populations.
According to this review a good way of preventing Vitamin C and other micronutrient deficiencies is proba bly to increase the general ration by about 10% above basic requirements. This would allow the recipients to sell or barter the ration for vitamin C rich foods like fruit and vegetables. The review acknowledges that in the early stages of an emergency, and for some isolated populations, local markets may not exist so the ex change or barter strategy would not work. In these cases vitamin C tablet distribution may be the only fea sible option. Other prevention methods as well as the associated problems are also outlined and reflect the findings of other recent reviews (Mike Toole 1995). These include providing fortified blended cereal- legume foods in the general ration, fortifying other gen eral ration commodities such as wheat or maize flour, distributing vitamin C rich foods like fruits and vegeta bles and tubers, and in the longer term, local cultivation of more durable vegetables and tubers such as potatoes and onions.
For further information contact Zita Weise Prinzo, WHO, Avenue Appia 1211 Geneva 27, Switzerland. E mail: weiseprinzoz@who.ch
More like this
FEX: Micronutrients - The Basics
Taken from draft guideline material prepared by Fiona Watson, Institute of Child health, London. Micronutrients are essential for life and are distinct from macronutrients...
FEX: Scurvy outbreak in Afghanistan: an investigation by Action Contre la Faim (ACF) and WHO
By Philipe Leborgne, Caroline Wilkinson, Sylvie Montembaut, and Mija Tesse Ververs Dr Philippe Leborgne has been Head of the ACF Medical Department since 1994. Before this he...
FEX: Scurvy outbreak and erosion of livelihoods masked by low wasting levels in drought affected Northern Afghanistan
By Fitsum Assefa Signs of scurvy: blackness of the legs indicative of haemorrhage Fitsum Assefa is a nutritionist who recently joined Save the Children, United States (SC/US)...
FEX: Appropriate Vitamin C Fortification Levels for CSB?
Report summary : The Institute of Medicine In 1995 the Senate Appropriations Committee Report directed USAID to initiate a pilot programme to increase the vitamin C content of...
FEX: Persistent Micronutrient Problems among Refugees in Nepal
by Janack Upadhyay This article describes nutritional aspect of emergency food aid in Bhutanese refugee camps in Nepal; the author was regional Food & Nutrition...
FEX: Scurvy outbreak among South Sudanese adolescents and young men – Kakuma refugee camp, Kenya, 2017-2018
View this article as a pdf Read the postscript to this article here. Summary of research1 Location: Kenya What we know: Refugee populations dependent on food assistance are...
FEX: Further perspectives on scurvy outbreak
View this article as a pdf This is a poscript for the field article 'Scurvy outbreak among South Sudanese adolescents and young men - Kakuma refugee camp, Kenya,...
FEX: Postscript to 'Fresh food vouchers for refugees in Kenya'
By Mary Lung'aho, CARE USA, and Allison Oman, UNHCR During the period 2006 through the present, CARE, UNHCR, GTZ, IRC, NCCK and other partners have worked in an interagency...
FEX: Wild Foods — Blessing or Burden?
Caroline Gullick recently completed an MSc project looking at different aspects of wild foods. The field research was conducted amongst the Dinka (Monjeng) Tribe of Northern...
FEX: The Nutrition Situation of Refugees and Displaced Persons
Summary of the ACC/SCN Refugee chapter by Jane Wallace The quarterly 'Reports on the Nutrition Situation of Refugees and Displaced Populations' (RNIS) are compiled and...
en-net: Food groups to assess diet diversity
Hi all I have posted this question in the IYCF area but on Mark's suggestion will also post here in case it is picked up by anyone else. I have come across 2 classifications...
en-net: Food groups to assess diet diversity
Hi all I see a similar question has been posted previously and been left unanswered, so I am going to re-post in the hopes there is someone who can advise on the best course...
FEX: Outbreak of micronutrient deficiency disease: did we respond appropriately?
By Dianne Stevens, Patricia Araru and Buwa Dragudi, Save the Children (UK) Dianne Stevens is a nutritionist with a Masters in Public Health and Tropical Medicine. She has been...
FEX: Thiamine Deficiency and its Prevention and Control in Major Emergencies
Review in progress WHO are finalising a report on Thiamine Deficiency and its Prevention and Control in Major Emergencies This is a comprehensive review which is unique in...
FEX: A pellagra epidemic in Kuito, Angola
By Sophie Baquet and Michelle van Herp Sophie Baquet is the headquarter nutritionist in MSF Belgium and Michel van Herp, Headquarters epidemiologist in MSF Belgium. This...
FEX: Issue 10 Editorial
Dear Readers, Over the past ten years large-scale outbreaks of pellagra have only occurred amongst populations dependent on emergency food aid. The most recent outbreak in...
FEX: Reduce Scurvy Risk through Germination!
Summary of published paper Germination of pulses, i.e. allowing them to sprout, substantially increases their vitamin C content. Knowledge of this fact has led to...
FEX: Household Food Economy Assessment in Kakuma Refugee Camp
Based on SCF (UK) field team experience in Turkana District, north west Kenya. Report by Mark Lawerence, Tanya Boudreau and Alexandra King summarised below. Over the past...
FEX: Potential of Using QBmix to Prevent Micronutrient Deficiencies in Emergencies
By Evelyn Depoortere, Epicentre Evelyn Depoortere is currently a medical epidemiologist for Epicentre. Previously she worked on several MSF missions, including Southern Sudan...
FEX: Towards the Overdue Elimination of Deficiency Disease Epidemics
By André Briend Andre Briend is a medical doctor, working for the Institut de Recherche pour le Développement (IRD), a French public research institution with a mandate to...
Reference this page
There is probably no single universal solution to the problem of scurvy. Field Exchange 1, May 1997. p9. www.ennonline.net/fex/1/scurvy
(ENN_3226)