112.JC Wandemberg, Sustainable Systems International, Ecuador (second contribution)
Dear Christine,
A major problem with nutrition is the lack of knowledge of government officials about substances like MSG (Mono Sodium Glutamate), Aspartame, etc. In Ecuador they implemented the infamous "Food Light" red for high sugar, salt or fat, green for low and yellow for medium, this caused much more damage than good, people reduced consumption of milk, yogurt and 100% natural snacks like banana chips because they had RED on fat and SUGAR!!! While saying NOTHING at all about snacks full of MSG, aspartame, etc.
This kind of foolishness, to say the least, should be avoided at all costs, in addition to fighting corruption!!!
Best regards,
JC Wandemberg Ph.D.
113.Stella Kimambo, FAO, United Republic of Tanzania
FAO (2014) report on food losses and waste indicates negative impact of both qualitative and quantitative losses on FSN sector. I expect the coming decade to support food losses and waste reduction strategies in the context of sustainable food systems to enhance food security and nutrition security.
114.Doris Ramirez de Peña, University, Colombia
Original contribution in Spanish
Buenas tardes
La alimentación como respuesta a la promoción y a la prevención de complicaciones de enfermedades crónicas
Debemos estar alertas no solo a promocionar una sana alimentación para no padecer enfermedades crónicas, la cual comienza con la educacion en casa enseñándoles a distribuir mejor el presupuesto para la compra de alimentos, diciéndoles el porqué deben incluir algunos alimentos que deben estar en la canasta del mercado en vez de otros que son mas costosos y hacen daño , igualmente enseñarles las porciones adecuadas para cada miembro de la familia
Importante no dejar de lado la enseñanza y acompañamiento cuando ya se tiene una enfermedad, pues lo que veo en mi país es que el médico prescribe medicamentos pero en la mayoria de veces no remite a sus pacientes al profesional idóneo en nutrición y en los hospitales no existen Programas Educativos al paciente y sus familias donde mediante talleres de cada uno de los profesionales del equipo de salud pueden aprender a manejar su enfermedad, lo que redunda en menos costos para el sistema de salud. Lo digo porque lo he comprobado con un programa de Diabetes tipo 2 que he dirigido duante 12 años en Bogotá y otras regiones de Cundinamarca.
Que bueno sería tener ese acercamiento con otros pacientes de otras patologías, que no se limiten solos a formular y que esten actualizados los médicos generales para el manejo de estas enfermedades.
Gracias
English translation
Good afternoon,
Nutrition to promote healthy habits and prevent chronic diseases.
1. We must be vigilant, and not limit ourselves to the promotion of healthy eating habits to avoid chronic diseases. Education at home should be the starting point for these habits: each family member should learn how to optimise the food budget, determine which products to include in the food basket and understand why expensive and unhealthy options should be avoided, and assimilate what are the adequate portions.
2. When you are suffering from a disease, education and support should not be left aside. In my country, the doctor prescribes the medicines but, in most cases, does not refer its patients to nutrition specialists. Furthermore, there are no educational programs for patients and their families in hospitals. Workshops delivered by health professionals could help patients to cope with their disease and, as a result, reduce healthcare costs. This has been my experience with a type 2 Diabetes programme I managed for 12 years in Bogotá and other regions in Cundinamarca.
Forging a closer relationship with other patients suffering from other diseases, broadening the scope of work beyond prescribing practices, and updating the knowledge on disease management would be very beneficial.
Thank you.
DORIS RAMIREZ DE PEÑA
Profesora Asociada
Directora Bienestar
Facultad de Medicina
Universidad Nacional de Colombia
115.Kuruppacharil V Peter, World Noni Research Foundation, India (second contribution)
There is awareness and commitment on the part of Government of India to make nutritious food available to people at affordable prices. Bio-fortification of common cereal based food with pulses is promoted. Nutrition Gardening at homesteads is promoted by providing inputs at homes.Cluster farming is done to create surpluses for marketing for additional income.
K V Peter
116.Mahtab S. Bamji, Dangoria Charitable Trust, India
Dear Moderator
I am sorry for being late in responding. The persistent problem of undernutrition and growing problem of obesity etc in India is a matter of great concern. The latter has also its roots in foetal undernourishment.
Since nutrition security goes beyond food security and demands safe environment, drinking water and women's empowerment, there has to be synergy between departments/ministries of agriculture, rural development, women and child development, human resource development etc. As mentioned by Dr. KV Peter in his communication from India ( name not mentioned in the list), India has initiated programmes of pharmaceutical supplementation ( iron folic acid, vitamin A) and supplementary feeding to preschool and school children, Impact has been there but not satisfactory. Fortification of salt with iodine is a success story, and this approach has to be enlarged to include double fortified salt with iron and iodine, and other foods like wheat and rice ( minerals and B- vitamins) and milk ( vitamins A and D). This is being considered
The current mantra on the food front is dietary diversification by Leveraging Agriculture for Nutrition Security ( LANS). We are working on nutritionally promotive and environmentally sustainable agriculture, in villages of Medak district of the South Indian State of Telangana with encouraging results ( published) despite the reluctance of small and marginal farmers to diversify from traditional crops like paddy and sugar cane to horticulture, legumes and millets.
Dr.Ms Mahtab S. Bamji,
INSA Emeritus Scientist, Dangoria Charitable Trust,Hyderabad
(Director Grade Scientist, Retd.National Institute of Nutrition, Hyderabad, India)
Rural Centre: Dangoria Charitable Trust Hospital, Village Narsapur, Medak District,
Andhra Pradesh,502313
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