Translated into the cold hard statistics of economic health, a humanitarian crisis starves the state of GDP. Productivity losses due to chronic famine in western China are estimated in the hundreds of billions of dollars annually. In the US, a “Hunger Bill Map” calculates, state by state, the cost of avoidable illnesses, poor educational outcomes and the value of emergency charitable donations.
As goes the “bottom of the pyramid,” so goes the pyramid: human potential, both at an individual level and as a species, squandered.
According to the UN’s 2011 Human Development Report, continued degradation of the environment just about guarantees that all development gains made in the world’s poorest countries will be erased, if not reversed, by mid-century. The issues of pollution, deforestation, soil erosion and climate change are deeply entwined with malnutrition.
Even if all the eco-angles were addressed, it will take more than a better distribution of calories to fix the problem. International aid group Medicins Sans Frontieres (MSF / Doctors Without Borders) has been at the forefront of a campaign--Starved for Attention—against grain-based food aid, primarily from the US, that fails to meet the nutritional needs of children. Although a boon to American farmers, shipping tons of corn and soy halfway around the world is a staggeringly inefficient and expensive way to help.
A similar product call Wawa Mum using chickpeas as the base was used in Pakistan as part of the World Food Programme’s (WFP) post-flood emergency response. By incorporating a locally grown crop, the fortified food can also help revive a local economy.
Food giant PepsiCo, partnering with USAID and WFP, has announced a similar effort in Ethiopia that will enlist 20,000 small farmers and develop a nutritional food for young children.
Corporate partnerships have become an increasingly important trend. France-based Danone has collaborated with Bangladeshi microfinance pioneer Grameen to develop an inexpensive fortified yogurt that can last up to week without refrigeration. A cartoon-ish and child-friendly spokes-lion (someone dressed up in a lion suit) is used to help market “Shakti Doi,” which comes in both mango and vanilla flavors. Everything about the production and distribution of the yogurt is designed to generate jobs and strengthen community. Local dairies supply the milk. Thousands of women sell the product door to door.
The network that develops through the Shakti Doi yogurt routes also provides a way to distribute information about health and hygiene. Malnutrition weakens immune systems and people who are sick are more likely to be malnourished.
This hyper-local distribution model offers other advantages as well. In an op-ed piece for Indian broadcaster IBN, Save the Children’s Ananthapriya Subramanian tells the story of a mother who cannot risk leaving her home in an illegal Mumbai slum for fear it will be burgled. The door is a flimsy sack. Help has to come to her or help won’t happen.
THINKING SMALLCalories and micronutrients can’t help a child with diarrhea. The food doesn’t stick around long enough for its nutrition to be absorbed. An estimated 1.6 million children die annually from diarrhea—a leading cause of death of young children worldwide. Something as simple as a bar of soap can make a difference.
Probiotics (beneficial gut microbes) and prebiotics (substances that help good gut microbes thrive) have been shown to cut the length of a bout of diarrhea in otherwise healthy children. A robust gut biome is also able to absorb more nutrition from food. More research is needed to determine whether pro- and prebiotics could make a difference among those moderately malnourished.
Another small and potentially powerful answer could come in the form of a genetically modified fungus called VitaYeast. Developed by a group of Johns Hopkins undergrads for the iGEM competition (international genetically modified machines), the yeast is wired to produce vitamin A. As the yeast multiplies during bread-making, vitamin A is infused into the dough. Baking kills off the yeast. Still in experimental stages, the approach shows promise. It should be cheaper to add vitamin-enhanced yeast into dough than to fortify grain or grow GMO wheat.
PATH, an international health organization, has taken a slightly different approach, developing “Ultra Rice,” a fortified rice dough. “Grains,” that look just like regular rice are added to regular rice at a ratio of 1:100. PATH recently partnered with drug-maker Abbott to refine the manufacture and distribution of the product in India.
Among the highlights:
- Honduras: Are high food prices fueling child malnutrition? / Marie Chantal Messier / World Bank blogs
- Hunger Notes / World Hunger Education Service (aggregator)
- Dr. Mehmood Khan taking on the PepsiCo nutritional challenge/ PepsiCo’s Global Nutrition Group / Chicago Tribune
- MixMe™ micronutrient powder from DSM Nutritional Products: an improved solution to combat iron and zinc deficiency / DSM
- Sliced Bread Just Got Better / Johns Hopkins University (video)
- It Takes a Banker: Ecosystem Economics, Climate Change & the Poor / J.A. Ginsburg / TrackerNews