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Objectives:
1. To provide the basis for the need for a food fortification program in the Philippines:
The Micronutrient Malnutrition Problem
“the addition of one or more essential nutrients to food, whether or not it is normally
contained in the food, for the purpose of preventing or correcting a demonstrated
deficiencyof one or more nutrients in the population or specific population groups”
Vitamin A - an essential nutrient as retinol needed by the body for normal
sight, growth, reproduction and immune competence
Vitamin A deficiency - a condition characterized by depleted liver stores &
low blood levels of vitamin A due to prolonged insufficient dietary intake of vit. A
followed by poor absorption or utilization of vit. A in the body
VAD affects children’s proper growth, resistance to infection, and chances
of survival (23 to 35% increased child mortality), severe deficiency results to
blindness, night blindness and bitot’s spot
Iron - an essential mineral and is part of hemoglobin, the red protein in red
blood cells that carries oxygen from the lungs to the cells
Iron Deficiency Anemia - condition where there is lack of iron in the body
resulting to low hemoglobin concentration of the blood
IDA results in premature delivery, increased maternal mortality, reduce ability
to fight infection and transmittable diseases and low productivity
Achievements
Indicator Goal*
1998 2003 2008
Proportion of Households using Iodized Salt, % >90 9.7 56.0 81.1
Median Urinary Iodine, ug/L
6-12 yrs. 100-200 71 201 132
Lactating Women 100-200 - 111 81
Pregnant Women 150-249 - 142 105
Proportion < 50µg/L, % < 20
6-12 yrs. 35.8 11.4 19.7
Lactating Women - 23.7 34.0
Pregnant Women - 18.0 25.8
*ICC-IDD 2007
ASIN LAW
Republic Act 8172, “An Act Promoting Salt Iodization Nationwide and for other purposes”,
Signed into law on Dec. 20, 1995
Republic Act 8976, “An Act Establishing the Philippine Food Fortification Program and for
other purposes” mandating fortification of flour, oil and sugar with Vitamin A and flour
and rice with iron by November 7, 2004 and promoting voluntary fortification through
the SPSP, Signed into law on November 7, 2000
There are 139 processed food products with SangkapPinoySeal with 83% with
vitamin A, 29% with iron and 14% with iodine (2008)
37% of the products are snack foods
Most of the products FDA analyzed are within the standard
Based on 2003 NNS Households’ awareness of SPS- and FF-products is 11%
and 14%, respectively, in 2008 awareness is 11.6%
Although awareness is low, usage of SPS-products is 99.2%
Recommendations:
Status:
Based on FDA monitoring all local flour millers are fortifying with vitamin A and
iron
94% and 92% of all samples tested by FDA in 2009 were fortified with vitamin
A and iron respectively while 77% and 99% were fortified with vitamin A and iron
respectively. In 2010 decrease in vitamin A due to non-fortified imported and
market samples flour.
58% of samples from local mills for vitamin A and 67% of imported flour for
iron were fortified according to standards.
Recommendations:
Status:
Non – fortification by industry due to the unresolved issue of who will bear the
cost of fortification brought about by the quedansystem of transferable
certificates of sugar ownership.
Lack of premix production
Fortification of refined sugar would benefit mainly those in the high income
group.
Recommendations:
Continue discussions with sugar industry to explore a compromise for
fortification ie. fortification of washed sugar
Review policy on mandatory fortification of refined sugar
Status:
Recommendation:
Status:
Based on the samples analyzed by FDA in 2009 and 2010, more than 90% are
fortified (91% in 2009 and 94% in 2010)
Samples monitored were labeled and packed
FDA is not monitoring "takal"
Recommendations:
Status:
Based on the 2008 NNS, 81.1% of households were positive for iodine using
Rapid Test Kit (RTK)
In the same survey for Region III, 55.7% were positive for RTK but only 34.2%
and 24.2% have iodine content >5ppm and >15ppm respectively using WYD
Tester
For FDA monitoring in 2010, 88% were >5ppm while 44% were >15ppm
FDA started implementing localization of ASIN Law with General Santos City as
the 1stto have a MOA with FDA on localization
Recommendation: