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Vehicles for Fortification, Single vs. Multiple Fortification , Technology and Cost:

Vehicles for Fortification, Single vs. Multiple Fortification , Technology and Cost: Fortification of Cereals, Rice, Oil and Sugar. Héctor Cori New Delhi, 7 January 2011. Why fortify?. Preventing up to four out of ten childhood deaths* Lowering maternal deaths by more than one third**

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Vehicles for Fortification, Single vs. Multiple Fortification , Technology and Cost:

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  1. Vehicles for Fortification, Single vs. Multiple Fortification, Technology and Cost: Fortification of Cereals, Rice, Oil and Sugar Héctor Cori New Delhi, 7 January 2011.

  2. Why fortify? • Preventing up to four out of ten childhood deaths* • Lowering maternal deaths by more than one third** • Increasing work capacity up to 20%** • Improving population IQ by 10-15 points*** The Micronutrient Initiative, 2004. *Derives mainly from Vitamin A **Derives mainly from iron nutrition ***Derives mainly from iodine sufficiency

  3. Why staple food fortification • affordable • easy • effective • no change of staple food in color or taste. • no change in dietary habits

  4. Fortification of Cereal Flours

  5. Fortification of Sugar

  6. Fortification of Sugar

  7. B a t c h Cont. Flow Dilution Fortification of Fats and Oils

  8. Shellac Coating Rice fortification technologies Extruded Natural kernel

  9. Fortification of Rice Extrusor

  10. Where is fortification implemented?

  11. Food fortification through premixes Heterogeneous System

  12. Premix quality depends on homogeneity Homogeneousand stable system

  13. Homogeneity depends on equipment • Design and construction that guarantees safety and efficiency • SOPs for operation and cleaning of each one • Preventive maintenance program • Optimal mixing time validation

  14. Premix Quality depends on Plant Quality

  15. Plant quality depends on setup quality

  16. Premix quality also relies on plant hygiene • Avoid external contamination • Avoid cross contamination • Ease cleaning • Adequate humidity and temperature • Clean air • Area separation • Restricted access • Microbiological monitoring

  17. Premix quality depends on ingredient quality

  18. Effectiveness will depend on adequate stable vitamin forms DSM Nutritional Products: Internal trials, 2000-2001.

  19. Stability will also depend on packaging • Hygienic process • Protection material • Physical • Microbiological • Humidity • Oxygen • Exact weighing • Labeling • Identification • Lot • Best use before date • Others

  20. Premix quality is preserved through adequate storage • Separate areas • Temperature and humidity control • Inventory rotation • Cleaning and plague control • QA approved product entry only • Correct labeling

  21. Premix quality is guaranteed through Quality Assurance • Content control • Mixer control • Supplier control • Auto-inspections • Validations • Analytical methods • Mixing times • Homogeneity • Counter samples • Traceability

  22. Premix quality is proved through documentation • Internal • Manufacturing order • Weight control • RM addition sequence • Equipments used • Operations description • Annotations • Authorizations • Analytical controls • External • Specifications • Certificate of analysis • Others Composition Sheets Manufacturing principles Specifications and Tests Product Data Sheets Stability data Safety Data Sheets Residual solvents GMO statements BSE statements Order Manual Kosher/Halal certificates

  23. Premix quality is certified through external referents • ISO norms • GMP • HACCP • Codex Alimentarius • Other international directives GMP HACCP

  24. No compromise on quality Low quality micronutrients are not only deceiving the customers. They deceive the most vulnerable, the malnourished.

  25. Avoid Tunnel Vision Nutrition

  26. Chances for success are maximized depending on which MNs are used

  27. Vitamin A fortification of sugar improves serum iron in preschool children (Guatemala) Mejía, LA, Arroyave, G, 1982.

  28. How much do fortificants cost?

  29. Estimated Fortificant Costs to Reach Nutritional Goals Through Food Fortification 1: Includes processing and storage overages. Source: Modified from Omar Dary A2Z- 18 Sept. 2007

  30. Benefit: Or the costs of malnutrition Based on the UNICEF/MI publication: “Vitamin & Mineral Deficiencies: A global damage assessment report, 2004 Fortification Cost: 100% coverage at 50% daily requirement of A, B1, B2, PP, B12,I + 100% of FA and Fe

  31. Effective fortification is affordable, ineffective fortification is expensive.

  32. Public Health Benefit as a Function of the Quality of the Program Optimal Intervention Public Health Benefit Minimal Intervention Time

  33. Thank you.

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