Low quality infant cereals sold in low-income countries: study

January 1, 2017

Boston, Jan 1: Parents, take note! Infant cereals sold in lower-income countries may lack of consistency in nutritional content, researchers have warned after analysing over hundred commercially available premixed foods from around the world.

infantThe first global analysis of infant cereals sold in lower-income countries by researchers from Tufts University in the US highlights the need for basic quality assurance services to improve nutritional consistency and healthy growth of infants from six to 24 months of age.

For parents around the world, premixed infant cereals - also known as complementary foods - can be a vital source of the solid food needed for healthy child growth after six months of age, when infants outgrow the nutrients provided by breast milk alone.

"Premixed complementary foods can be extremely effective at protecting infants against malnutrition and stunted growth," said William Masters, professor at Tufts University.

"In countries where we sampled, some products can readily meet children's needs, but others fall far below requirements for both macro- and micronutrients," said Masters.

"Our results are a call to action for establishing and enforcing nutritional quality standards, which would help ensure access to lower-cost, higher-quality products and enable parents to meet their infants' needs more easily," he said.

Childhood malnutrition is the main cause of stunted growth, a serious and irreversible condition that puts affected individuals at greater risk for illness and death throughout their lives.

According to the World Health Organisation (WHO), children with stunted growth can have delayed mental development and poor school performance, which in turn affects economic productivity at the national level.

Nearly half of all deaths in children under age five are related to undernutrition, which is particularly widespread in Africa and Asia, according to UNICEF.

With the assistance of collaborators around the world, researchers purchased and analysed samples of locally produced complementary foods over a six-month period in 2014, from 21 African and Asian countries and from Haiti.

All are defined as low- and middle-income countries by the World Bank.

Each product was blind-tested for nutritional content within a month of purchase by an independent commercial laboratory based in the US.

On average, products met basic calorie and protein benchmarks for complementary foods as published by the Food and Agriculture Organisation of the United Nations and the WHO.

However, only 15 per cent met benchmarks for fat content, and under 25 per cent met standards for iron and zinc - two essential nutrients not present in sufficient levels in breast milk for healthy infant growth after six months of age, the critical time point for introducing solid foods.

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Agencies
June 11,2020

The World Health Organisation (WHO) Director-General Tedros Adhanom Ghebreyesus said that more research needs to be done to better understand the extent to which COVID-19 is being spread by people who don't show symptoms.

"Since early February, we have said that asymptomatic people can transmit COVID-19, but that we need more research to establish the extent of asymptomatic transmission," the WHO chief said at a virtual press conference from Geneva on Wednesday, Xinhua news agency reported.

"That research is ongoing, and we're seeing more and more research being done," he added.

Saying that the world has been achieving a lot in knowing the new virus, the WHO chief told reporters that "there's still a lot we don't

"WHO's advice will continue to evolve as new information becomes available," he said.

Tedros stressed that the most critical way to stop transmission is to find, isolate and test people with symptoms, and trace and quarantine their contacts.

"Many countries have succeeded in suppressing transmission and controlling the virus doing exactly this," Tedros said.

Meanwhile, Michael Ryan, executive director of WHO Health Emergencies Program, said Wednesday that the COVID-19 pandemic is still evolving.

"If we look at the numbers... this pandemic is still evolving. It is growing in many parts of the world," he said. "We have deep concerns that health systems of some countries are struggling, under a huge strain and require our support, our help and our solidarity."

He said "each and every country has a different combination of risks and opportunities, and it's really down to national authorities to carefully consider where they are in the pandemic."

In Europe, the risk issue now are about travels and the opening of the schools, around risk management, mass gathering, surveillance and contact tracing, said the WHO official.

In Southeast Asian countries, where to a great extent transmissions have been under control, governments are more concerned about the re-emergence of clusters, while in South America, the issue of PPE for health workers has not gone away, said Ryan.

As regards Africa, Ryan said the death rates have been very low in the past week, but the health system can be overwhelmed, as it would have to cope with other diseases such as malaria.

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Agencies
May 25,2020

Singapore, May 25: COVID-19 patients are no longer infectious after 11 days of getting sick even though some may still test positive, according to a new study by infectious disease experts in Singapore.

A positive test "does not equate to infectiousness or viable virus," a joint research paper by Singapore's National Centre for Infectious Diseases and the Academy of Medicine, Singapore said. The virus "could not be isolated or cultured after day 11 of illness."

The paper was based on a study of 73 patents in the city-state.

The latest findings may have implications on the country's patient discharge policy. The discharge criteria is currently based on negative test results rather than infectiousness.

Singapore's strategy on managing COVID-19 patients is guided by the latest local and international clinical scientific evidence, and the Ministry of Health will evaluate if the latest evidence can be incorporated into its patient clinical management plan, according to a report by the Straits Times.

So far, 13,882, or about 45% of the total 31,068 Covid-19 patients in Singapore have been discharged from hospitals and community facilities. Singapore reported 642 new Covid-19 cases as of noon on Saturday.

The government has been actively screening pre-school staff as it prepares to reopen pre-schools from June 2. On Friday, two pre-school employees tested positive for the novel coronavirus, bringing the total number of confirmed cases among pre-school staff to seven, according to the Ministry of Health.

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Agencies
June 20,2020

The World Health Organisation has warned that the COVID-19 pandemic is entering a "new and dangerous" phase. Thursday saw the most cases in a single day reported to the WHO.

Tedros Adhanom Ghebreyesus said the day had seen 150,000 new cases with half of those coming from the Americas and large numbers also from the Middle East and South Asia, the BBC reported.

He said the virus was still spreading fast and the pandemic accelerating.

He acknowledged people might be fed up with self-isolating and countries were eager to open their economies but he said that now was a time for extreme vigilance.

Maria van Kerkhove, technical lead of the WHO's COVID-19 response, told a press conference the pandemic is "accelerating in many parts of the world".

"While we have seen countries have some success in suppressing transmission and bringing transition down to a low level, every country must remain ready," she said.

Mike Ryan, the head of the WHO's Health Emergencies Programme, said that some countries had managed to flatten the peak of infections without bringing them down to a very low level.

"You can see a situation in some countries where they could get a second peak now, because the disease has not been brought under control," he said.

"The disease will then go away and reduce to a low level, and they could then get a second wave again in the autumn or later in the year."

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