Скачать презентацию Nutrition Improvement Program Vehicles for Fortification Single vs Скачать презентацию Nutrition Improvement Program Vehicles for Fortification Single vs

c5b9dae017912d4d992b455e349029a1.ppt

  • Количество слайдов: 33

Nutrition Improvement Program Vehicles for Fortification, Single vs. Multiple Fortification, Technology and Cost: Fortification Nutrition Improvement Program Vehicles for Fortification, Single vs. Multiple Fortification, Technology and Cost: Fortification of Cereals, Rice, Oil and Sugar Héctor Cori New Delhi, 7 January 2011. Click to edit Master title style

Why fortify? Preventing up to four out of ten childhood deaths* Lowering maternal deaths 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 2

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

Fortification of Cereal Flours 4 Fortification of Cereal Flours 4

Fortification of Sugar 5 Fortification of Sugar 5

Fortification of Sugar 6 Fortification of Sugar 6

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

Rice fortification technologies Shellac Coating 8 Natural kernel Extruded Rice fortification technologies Shellac Coating 8 Natural kernel Extruded

Fortification of Rice Extrusor 9 Fortification of Rice Extrusor 9

Where is fortification implemented? 10 Where is fortification implemented? 10

Food fortification through premixes Heterogeneous System 11 Food fortification through premixes Heterogeneous System 11

Premix quality depends on homogeneity Homogeneous and stable system 12 Premix quality depends on homogeneity Homogeneous and stable system 12

Homogeneity depends on equipment Design and construction that guarantees safety and efficiency SOPs for 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 13

Premix Quality depends on Plant Quality 14 Premix Quality depends on Plant Quality 14

Plant quality depends on setup quality 15 Plant quality depends on setup quality 15

Premix quality also relies on plant hygiene Avoid external contamination Avoid cross contamination Ease 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 16

Premix quality depends on ingredient quality Physical Form Concentration Dispersibility Esterification Antioxidants Excipients Oil Premix quality depends on ingredient quality Physical Form Concentration Dispersibility Esterification Antioxidants Excipients Oil 100. 000 IU/g Non dispersible Acetate BHA/BHT Gelatins Emulsion 250. 000 IU/g Dispersible Palmitate Tocopherol Starches Powder 325. 000 IU/g Emulsion Others Gums 500. 000 IU/g No antioxidants Others 1. 000 IU/g 1. 700. 000 IU/g 2. 300. 000 IU/g 17

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

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

Premix quality is preserved through adequate storage • Separate areas • Temperature and humidity 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 20

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

Premix quality is proved through documentation Internal • Manufacturing order • Weight control • 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 22 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

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

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

Avoid Tunnel Vision Nutrition 25 Avoid Tunnel Vision Nutrition 25

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

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

How much do fortificants cost? 28 How much do fortificants cost? 28

Estimated Fortificant Costs to Reach Nutritional Goals Through Food Fortification 29 1: Includes processing Estimated Fortificant Costs to Reach Nutritional Goals Through Food Fortification 29 1: Includes processing and storage overages. Source: Modified from Omar Dary A 2 Z- 18 Sept. 2007

Benefit: Or the costs of malnutrition Based on the UNICEF/MI publication: “Vitamin & Mineral 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, B 1, B 2, PP, B 12, I + 100% of FA and Fe 30

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

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

Thank you. 33 Thank you. 33