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MICRONUTRIENTS SUPPLEMENTATION = THE CONCLUSION OF THE RECENT META-ANALYSIS AND REVIEW OF LITERATURE

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  • Prof. Umesh Kapil
    DEAR ALL   THE FOLLOWING ARE  THE CONCLUSIONS  OF THE RECENT META-ANALYSIS  AND REVIEW  OF LITERATURE UNDERTAKEN FOR  GOVERNEEMNT   OF INDIA      
    Message 1 of 22 , Dec 23, 2012
    • 0 Attachment
      DEAR ALL
       
      THE FOLLOWING ARE  THE CONCLUSIONS  OF THE RECENT META-ANALYSIS  AND REVIEW  OF LITERATURE UNDERTAKEN FOR  GOVERNEEMNT   OF INDIA
       
       
       
      1. Vitamin A supplementation has NULL effect on:

         (i) All cause mortality in children between 6 to 59 months of age.
         (ii) Prevention of diarrhea
         (iii) Treatment of diarrhea.

      2.Preventive Zinc supplementation has NULL effect on:

        (i) All cause mortality in children below 5 years of age.
        (ii) Stunting

      We are of the opinion that these interventions should be removed from the list of potential interventions for these specific indications (listed above).

      3. In addition regarding the role of therapeutic feeding in altering distribution of children with low weight for height, we are of the opinion that at this  juncture there is paucity of Indian data and these estimates of effectiveness should be removed for the moment, at least till the Indian data from the current ongoing trials become available. We have strong views on the need to remove these estimates for children between median and minus three SD. If required, the data below -3SD could be considered for retention.
       
      4. Multi-micronutrient supplementation to pregnant women should be removed from the LIST India tool.
       
      "In a recent pooled analysis of 12 randomized controlled trials from developing countries [1], compared with control supplementation (mainly with iron-folic acid), multiple micronutrient supplementation was associated with a 22 grams increase in birth weight and 11% reduction in risk of LBW. However, there was an increased risk of excessively large babies prone to complications (13%), early neonatal mortality (23%) and perinatal mortality (11%) [2]. The current data are thus unconvincing for replacing supplementation of antenatal iron-folic acid with multiple micronutrients. It would therefore be prudent to focus on increasing the coverage of iron-folic acid supplementation rather than introducing multiple micronutrient supplements, which would also entail novel logistic and financial issues.
       
      1. Fall CH, Fisher DJ, Osmond C, Margetts BM. Maternal Micronutrient Supplementation Study Group. Multiple
      micronutrient supplementation during pregnancy in low income countries: a meta-analysis of effects on birth size and length of gestation. Food Nutr Bull. 2009;30 (4Suppl):S533-46.

      2. Ronsmans C, Fisher DJ, Osmond C, Margetts BM, Fall CH. Maternal Micronutrient Supplementation Study"
      Group. Multiple micronutrient supplementation during pregnancy in low-income countries: a meta-analysis of
      effects on stillbirths and on early and late neonatal mortality. Food Nutr Bull. 2009;30 (4 Suppl): S547-55.

       


      Dr. Umesh Kapil 

      Professor Public Health Nutrition 
      Room Number 118; 
      Human Nutrition Unit,
      Old OT Block,
      All India Institute of Medical Sciences 
      New Delhi,  India ,110029
      Mobile 91-9810609340

       
       


      --- On Wed, 2/10/10, surendernikhil gupta <drsurendernikhil@...> wrote:

      From: surendernikhil gupta <drsurendernikhil@...>
      Subject: Re: [iapsm_youthmembers] Hepatitis B in health care workers: Indian scenario-J Lab Physicians
      To: iapsm_youthmembers@yahoogroups.com
      Date: Wednesday, February 10, 2010, 1:46 AM

       
      Sending the link once again. It is working here with me.
       


       
      Thank you very much.
      Nikhil
      Dr. Surender N. Gupta,
      MBBS; PGDHHM;PGDMCH; PGCHFWM;
      FAIMS;FIMS;MA (Phil);MAE (Epidemiology)
      Faculty, Regional Health and Family Welfare Training Centre,
      CHHEB, Kangra-Himachal Pradesh, India.
      Pin-176001.
      01892-265472 (Fax); 01892-263472 (Office)
      Mobile: 094181-28634.
                        drnikhilsurender@ gmail.com
       


      --- On Wed, 2/10/10, Rakesh Biswas <rakesh7biswas@ gmail.com> wrote:

      From: Rakesh Biswas <rakesh7biswas@ gmail.com>
      Subject: Re: [iapsm_youthmembers ] Hepatitis B in health care workers: Indian scenario-J Lab Physicians
      To: iapsm_youthmembers@ yahoogroups. com
      Date: Wednesday, February 10, 2010, 11:51 AM

       
      The link says page not found.
       
      Does this article say that the the incidence of HBV infection in HCWs has decreased in India? Could you mention the figures?
       
      regards,
       
      rakesh

      On Wed, Feb 10, 2010 at 11:12 AM, surendernikhil gupta <drsurendernikhil@ yahoo.com> wrote:
       
      The risk of hepatitis B infection is well documented among healthcare workers. Although with the use of hepatitis B vaccine the incidence of HBV infection in HCWs has decreased, there is still substantial scope for improvement, as many healthcare workers are unvaccinated. Therefore, there is a need for well-planned and clear policies for HBV screening and vaccination in healthcare workers, especially those who are at a greater risk of exposure to blood or other potentially infectious material.
       
       
      Thanks  
      Nikhil
      Dr. Surender N. Gupta,
      MBBS; PGDHHM;PGDMCH; PGCHFWM;
      FAIMS;FIMS;MA (Phil);MAE (Epidemiology)
      Faculty, Regional Health and Family Welfare Training Centre,
      CHHEB, Kangra-Himachal Pradesh, India.
      Pin-176001.
      01892-265472 (Fax); 01892-263472 (Office)
      Mobile: 094181-28634.
                        drnikhilsurender@ gmail.com
       



    • Prof. Umesh Kapil
      Coke and Nestlé fund PAHONews broke late last year that the Pan American Health Organization had accepted money from transnational food corporations,
      Message 2 of 22 , Apr 10, 2013
      • 0 Attachment

        Coke and Nestlé fund PAHO

        News broke late last year that the Pan American Health Organization had accepted money from transnational food corporations, including Coca-Cola and Nestlé, to support its work to prevent and control obesity and chronic non-communicable diseases. The report, available here, was issued by the global news agency Reuters. It began:

        'The Pan American Health Organization not only is relying on the food and beverage industry for advice on how to fight obesity. For the first time in its 110-year history, it has taken hundreds of thousands of dollars in money from the industry'.

        Identifying PAHO as the regional office of the World Health Organization for the Americas, the report continued: 'Accepting industry funding goes against WHO's worldwide policies. Its Geneva headquarters and five other regional offices have been prohibited from accepting money from the food and soda industries, among others. "If such conflicts of interest were perceived to exist, or actually existed, this would jeopardize WHO's ability to set globally recognized and respected standards and guidelines", said spokesman Gregory Härtl.

        'But…PAHO, based in Washington and founded 46 years before it was affiliated with WHO in 1948 – had different standards allowing the business donations. Even so, not until this February did PAHO begin taking industry money. Reuters found $50,000 from Coca-Cola, the world's largest beverage company; $150,000 from Nestlé, the world's largest food company; and $150,000 from Unilever…

        'The recent infusion of corporate cash is the most pointed example to date of how WHO is approaching its battle against chronic disease. Increasingly, it is relying on what it calls "partnerships" with industry, opting to enter into alliances with food and beverage companies rather than maintain strict neutrality'.

        Interviewed by Reuters, Association member Boyd Swinburn, co-director of the International Obesity Task Force, said: 'Food and beverage companies exert a huge influence on policies that affect the health of millions. Industry is buzzing all around… Even in things like nutrition guidelines, they're usually in the room at the policymaking table or buzzing around it and putting all sort of pressure on, bringing their huge conflicts of interest and their huge resources to it – and we're wondering why we don't get much public interest policy coming out'.

        The WHO response

        A prompt public response, available here, came from Margaret Chan (above, right), director-general of WHO Geneva. She stated: 'The Political Declaration of the High-level Meeting of the United Nations General Assembly on the Prevention and Control of Noncommunicable Diseases, agreed by global leaders at the UN General Assembly in 2011, called on the international community to undertake a series of actions. One of these actions was to call on the private sector to promote measures to implement WHO recommendations to reduce exposure to the risk factors which contribute to NCDs. The WHO Global Strategy on Diet, Physical Activity and Health commits WHO to hold discussions with the private sector'. But, she stated categorically: 'the Organization will not take money from private companies active infood and beverage production for work on NCD prevention and control'.

        Margaret Chan explained that formally, the branch of WHO for the Americas is AMRO, the Regional Office for the Americas, whereas PAHO, a separate legal entity, 'may have variations in policy'. Thus, she confirmed, 'In its capacity as PAHO, food and beverage manufacturers have contributed financially as part of a multi-sector forum to address NCDs'.

        Many public health and nutrition professionals were shocked and even scandalised by the Reuters report. So where did this leave the Pan American Health Organization? The report coincided with the final months of the term of office of Marta Roses Periago (above, left) as PAHO director. In the words of one of the signatories of the open letter below 'It seemed more appropriate to send a message of strong support and encouragement to the new director Carissa Etienne. Our letter also asks her on behalf of the public health and nutrition communities to state that the previous practice of accepting money and all other forms of support from conflicted industry and its associated organisations is now at an end'.


        Dr. Umesh Kapil 

        Professor Public Health Nutrition 
        Room Number 118; 

        Human Nutrition Unit,
        Old OT Block,
        All India Institute of Medical Sciences 
        New Delhi,  India ,110029
        Mobile 91-9810609340


         

         



        --- On Wed, 2/10/10, surendernikhil gupta <drsurendernikhil@...> wrote:

        From: surendernikhil gupta <drsurendernikhil@...>
        Subject: Re: [iapsm_youthmembers] Hepatitis B in health care workers: Indian scenario-J Lab Physicians
        To: iapsm_youthmembers@yahoogroups.com
        Date: Wednesday, February 10, 2010, 1:46 AM

         

        Sending the link once again. It is working here with me.
         


         
        Thank you very much.
        Nikhil
        Dr. Surender N. Gupta,
        MBBS; PGDHHM;PGDMCH; PGCHFWM;
        FAIMS;FIMS;MA (Phil);MAE (Epidemiology)
        Faculty, Regional Health and Family Welfare Training Centre,
        CHHEB, Kangra-Himachal Pradesh, India.
        Pin-176001.
        01892-265472 (Fax); 01892-263472 (Office)
        Mobile: 094181-28634.
                          drnikhilsurender@ gmail.com
         


        --- On Wed, 2/10/10, Rakesh Biswas <rakesh7biswas@ gmail.com> wrote:

        From: Rakesh Biswas <rakesh7biswas@ gmail.com>
        Subject: Re: [iapsm_youthmembers ] Hepatitis B in health care workers: Indian scenario-J Lab Physicians
        To: iapsm_youthmembers@ yahoogroups. com
        Date: Wednesday, February 10, 2010, 11:51 AM

         
        The link says page not found.
         
        Does this article say that the the incidence of HBV infection in HCWs has decreased in India? Could you mention the figures?
         
        regards,
         
        rakesh

        On Wed, Feb 10, 2010 at 11:12 AM, surendernikhil gupta <drsurendernikhil@ yahoo.com> wrote:
         
        The risk of hepatitis B infection is well documented among healthcare workers. Although with the use of hepatitis B vaccine the incidence of HBV infection in HCWs has decreased, there is still substantial scope for improvement, as many healthcare workers are unvaccinated. Therefore, there is a need for well-planned and clear policies for HBV screening and vaccination in healthcare workers, especially those who are at a greater risk of exposure to blood or other potentially infectious material.
         
         
        Thanks  
        Nikhil
        Dr. Surender N. Gupta,
        MBBS; PGDHHM;PGDMCH; PGCHFWM;
        FAIMS;FIMS;MA (Phil);MAE (Epidemiology)
        Faculty, Regional Health and Family Welfare Training Centre,
        CHHEB, Kangra-Himachal Pradesh, India.
        Pin-176001.
        01892-265472 (Fax); 01892-263472 (Office)
        Mobile: 094181-28634.
                          drnikhilsurender@ gmail.com
         



      • Jugal Kishore
        Dear Friends and colleague The recent report sent by Prof. Umesh Kapil indicates the severity of the issue. We are concerned about the public private
        Message 3 of 22 , Apr 10, 2013
        • 0 Attachment
          Dear Friends and colleague
          The recent report sent by Prof. Umesh Kapil indicates the severity of the issue. We are concerned about the public private partnership approach to public health issues. All such partnerships may be conflict of interest and should be taken cautiously as evidence of good public health science. These big international organizations are now focusing more on curative and medical approach more than public health approach whether it is DOTS for TB, STDs, ART, Iron, Albendazole and now for mental disorders. It is right time to wake up for public health professionals.
          with best regards, 


          On Wed, Apr 10, 2013 at 9:50 PM, Prof. Umesh Kapil <umeshkapil@...> wrote:
           

          Coke and Nestlé fund PAHO

          News broke late last year that the Pan American Health Organization had accepted money from transnational food corporations, including Coca-Cola and Nestlé, to support its work to prevent and control obesity and chronic non-communicable diseases. The report, available here, was issued by the global news agency Reuters. It began:

          'The Pan American Health Organization not only is relying on the food and beverage industry for advice on how to fight obesity. For the first time in its 110-year history, it has taken hundreds of thousands of dollars in money from the industry'.

          Identifying PAHO as the regional office of the World Health Organization for the Americas, the report continued: 'Accepting industry funding goes against WHO's worldwide policies. Its Geneva headquarters and five other regional offices have been prohibited from accepting money from the food and soda industries, among others. "If such conflicts of interest were perceived to exist, or actually existed, this would jeopardize WHO's ability to set globally recognized and respected standards and guidelines", said spokesman Gregory Härtl.

          'But…PAHO, based in Washington and founded 46 years before it was affiliated with WHO in 1948 – had different standards allowing the business donations. Even so, not until this February did PAHO begin taking industry money. Reuters found $50,000 from Coca-Cola, the world's largest beverage company; $150,000 from Nestlé, the world's largest food company; and $150,000 from Unilever…

          'The recent infusion of corporate cash is the most pointed example to date of how WHO is approaching its battle against chronic disease. Increasingly, it is relying on what it calls "partnerships" with industry, opting to enter into alliances with food and beverage companies rather than maintain strict neutrality'.

          Interviewed by Reuters, Association member Boyd Swinburn, co-director of the International Obesity Task Force, said: 'Food and beverage companies exert a huge influence on policies that affect the health of millions. Industry is buzzing all around… Even in things like nutrition guidelines, they're usually in the room at the policymaking table or buzzing around it and putting all sort of pressure on, bringing their huge conflicts of interest and their huge resources to it – and we're wondering why we don't get much public interest policy coming out'.

          The WHO response

          A prompt public response, available here, came from Margaret Chan (above, right), director-general of WHO Geneva. She stated: 'The Political Declaration of the High-level Meeting of the United Nations General Assembly on the Prevention and Control of Noncommunicable Diseases, agreed by global leaders at the UN General Assembly in 2011, called on the international community to undertake a series of actions. One of these actions was to call on the private sector to promote measures to implement WHO recommendations to reduce exposure to the risk factors which contribute to NCDs. The WHO Global Strategy on Diet, Physical Activity and Health commits WHO to hold discussions with the private sector'. But, she stated categorically: 'the Organization will not take money from private companies active infood and beverage production for work on NCD prevention and control'.

          Margaret Chan explained that formally, the branch of WHO for the Americas is AMRO, the Regional Office for the Americas, whereas PAHO, a separate legal entity, 'may have variations in policy'. Thus, she confirmed, 'In its capacity as PAHO, food and beverage manufacturers have contributed financially as part of a multi-sector forum to address NCDs'.

          Many public health and nutrition professionals were shocked and even scandalised by the Reuters report. So where did this leave the Pan American Health Organization? The report coincided with the final months of the term of office of Marta Roses Periago (above, left) as PAHO director. In the words of one of the signatories of the open letter below 'It seemed more appropriate to send a message of strong support and encouragement to the new director Carissa Etienne. Our letter also asks her on behalf of the public health and nutrition communities to state that the previous practice of accepting money and all other forms of support from conflicted industry and its associated organisations is now at an end'.


          Dr. Umesh Kapil 

          Professor Public Health Nutrition 
          Room Number 118; 

          Human Nutrition Unit,
          Old OT Block,
          All India Institute of Medical Sciences 
          New Delhi,  India ,110029
          Mobile 91-9810609340


           

           



          --- On Wed, 2/10/10, surendernikhil gupta <drsurendernikhil@...> wrote:

          From: surendernikhil gupta <drsurendernikhil@...>
          Subject: Re: [iapsm_youthmembers] Hepatitis B in health care workers: Indian scenario-J Lab Physicians
          To: iapsm_youthmembers@yahoogroups.com
          Date: Wednesday, February 10, 2010, 1:46 AM

           

          Sending the link once again. It is working here with me.
           


           
          Thank you very much.
          Nikhil
          Dr. Surender N. Gupta,
          MBBS; PGDHHM;PGDMCH; PGCHFWM;
          FAIMS;FIMS;MA (Phil);MAE (Epidemiology)
          Faculty, Regional Health and Family Welfare Training Centre,
          CHHEB, Kangra-Himachal Pradesh, India.
          Pin-176001.
          01892-265472 (Fax); 01892-263472 (Office)
          Mobile: 094181-28634.
                            drnikhilsurender@ gmail.com
           


          --- On Wed, 2/10/10, Rakesh Biswas <rakesh7biswas@ gmail.com> wrote:

          From: Rakesh Biswas <rakesh7biswas@ gmail.com>
          Subject: Re: [iapsm_youthmembers ] Hepatitis B in health care workers: Indian scenario-J Lab Physicians
          To: iapsm_youthmembers@ yahoogroups. com
          Date: Wednesday, February 10, 2010, 11:51 AM

           
          The link says page not found.
           
          Does this article say that the the incidence of HBV infection in HCWs has decreased in India? Could you mention the figures?
           
          regards,
           
          rakesh

          On Wed, Feb 10, 2010 at 11:12 AM, surendernikhil gupta <drsurendernikhil@ yahoo.com> wrote:
           
          The risk of hepatitis B infection is well documented among healthcare workers. Although with the use of hepatitis B vaccine the incidence of HBV infection in HCWs has decreased, there is still substantial scope for improvement, as many healthcare workers are unvaccinated. Therefore, there is a need for well-planned and clear policies for HBV screening and vaccination in healthcare workers, especially those who are at a greater risk of exposure to blood or other potentially infectious material.
           
           
          Thanks  
          Nikhil
          Dr. Surender N. Gupta,
          MBBS; PGDHHM;PGDMCH; PGCHFWM;
          FAIMS;FIMS;MA (Phil);MAE (Epidemiology)
          Faculty, Regional Health and Family Welfare Training Centre,
          CHHEB, Kangra-Himachal Pradesh, India.
          Pin-176001.
          01892-265472 (Fax); 01892-263472 (Office)
          Mobile: 094181-28634.
                            drnikhilsurender@ gmail.com
           






          --
          Prof. Jugal Kishore
          MBBS, MD, PGDCHFWM, PGDEE, MSc., FIAPSM, FIPHA, FAMS,
          Department of Community Medicine, Maulana Azad Medical College, New Delhi-2
          Phone: 09968604249
          Executive Director (Hony): Center for Inquiry (India) 
          Secretary General: Indian Association for Adolescent Health
          Advisory Member: *International Mental Health Collaboration Network 
          (IMHCN)*
          President (Hony): Kishore Foundations, Sabasva Foundation,

          Editor (Hony): WebmedCentral (Public Health), Journal of Nursing Science and Practice, Research Review: Journal of Health Professions, Journal of Energy, Environment and Carbon Credit, Journal of Medicine,   

          Author of following books: 
          National Health Programs of India: National Policies and Legislations
          related to health; A Dictionary of Public Health; Practical and Viva of Community Medicine
          Question Bank Community Medicine; Textbook for Health Worker and Auxiliary Nurse Midwife  
          Inequity in India healthcare; Female feticide: An instigating of female status 
          Effect of educational booklet on depressions; How to prevent and manage your low back pain: A guide for health posture and and lifestyle; A Comprehensive Review of Community Medicine
          Biomedical Waste Management in India; Breastfeeding and college girls 
          A Pioneering Social Reformers of India; Great Warriers of Human Rights Movement From India;
          Vanishing Girl Child; Living With out God; Bhavnayen (An anthology of poems in Hindi)

          For my books please Visit http://centurypublications.co.in, http://centurypublications.blogspot.com 
          or contact: 09868010950

        • Prof. Umesh Kapil
          RESEARCH NEWS   Two surprise results from India’s biggest trial   BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f1796 (Published 20 March 2013)  
          Message 4 of 22 , Apr 10, 2013
          • 0 Attachment

            RESEARCH NEWS

             

            Two surprise results from India’s biggest trial

             
            BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj. f1796 (Published 20 March 2013)
             
             

            In one of the biggest trials ever completed, vitamin A supplements failed to prevent deaths among preschool children in rural north India. The headline result was a surprise in this moderately deficient population, and the researchers spent years checking their data before finally putting it in print. Children in areas that were randomised to administer supplements every six months had almost the same death rate as those living in control areas (estimated mortality 2.5% v 2.6%; mortality ratio 0.96, 95% CI 0.89 to 1.03). Pooled analyses from eight previous trials had led researchers to expect a quarter fewer deaths in supplemented children and they can’t easily explain the discrepant result. Their trial comprised roughly two million children and contributed twice as much statistical power as all other trials put together.

            Either vitamin A doesn’t work or doesn’t work half as well as we believe it should, says a linked editorial (doi:10.1016/S0140-6736(13) 60600-5). It’s hard to say which at this stage, and the seven year delay before full publication hasn’t helped. The same trial reported a second unexpected result—regular deworming with albendazole didn’t reduce mortality either, or help preschool children gain weight.

            Results from both interventions have important policy implications for India and elsewhere, says the editorial. Publication delays were partly due to lack of resources, and funders must invest more heavily in these ambitious trials so researchers can publish promptly.

            Notes

            Cite this as: BMJ 2013;346:f1796



             

             
             


            --- On Wed, 4/10/13, Jugal Kishore <drjugalkishore@...> wrote:

            From: Jugal Kishore <drjugalkishore@...>
            Subject: Re: [iapsm_youthmembers] Coke and Nestlé fund PAHO
            To: "iapsm_youthmembers" <iapsm_youthmembers@yahoogroups.com>
            Date: Wednesday, April 10, 2013, 12:36 PM

             
            Dear Friends and colleague
            The recent report sent by Prof. Umesh Kapil indicates the severity of the issue. We are concerned about the public private partnership approach to public health issues. All such partnerships may be conflict of interest and should be taken cautiously as evidence of good public health science. These big international organizations are now focusing more on curative and medical approach more than public health approach whether it is DOTS for TB, STDs, ART, Iron, Albendazole and now for mental disorders. It is right time to wake up for public health professionals.
            with best regards, 


            On Wed, Apr 10, 2013 at 9:50 PM, Prof. Umesh Kapil <umeshkapil@...> wrote:
             

            Identifying PAHO as the regional office of the World Health Organization for the Americas, the report continued: 'Accepting industry funding goes against WHO's worldwide policies. Its Geneva headquarters and five other regional offices have been prohibited from accepting money from the food and soda industries, among others. "If such conflicts of interest were perceived to exist, or actually existed, this would jeopardize WHO's ability to set globally recognized and respected standards and guidelines", said spokesman Gregory Härtl.

            'But…PAHO, based in Washington and founded 46 years before it was affiliated with WHO in 1948 – had different standards allowing the business donations. Even so, not until this February did PAHO begin taking industry money. Reuters found $50,000 from Coca-Cola, the world's largest beverage company; $150,000 from Nestlé, the world's largest food company; and $150,000 from Unilever…

            'The recent infusion of corporate cash is the most pointed example to date of how WHO is approaching its battle against chronic disease. Increasingly, it is relying on what it calls "partnerships" with industry, opting to enter into alliances with food and beverage companies rather than maintain strict neutrality'.

            Interviewed by Reuters, Association member Boyd Swinburn, co-director of the International Obesity Task Force, said: 'Food and beverage companies exert a huge influence on policies that affect the health of millions. Industry is buzzing all around… Even in things like nutrition guidelines, they're usually in the room at the policymaking table or buzzing around it and putting all sort of pressure on, bringing their huge conflicts of interest and their huge resources to it – and we're wondering why we don't get much public interest policy coming out'.

            The WHO response

            A prompt public response, available here, came from Margaret Chan (above, right), director-general of WHO Geneva. She stated: 'The Political Declaration of the High-level Meeting of the United Nations General Assembly on the Prevention and Control of Noncommunicable Diseases, agreed by global leaders at the UN General Assembly in 2011, called on the international community to undertake a series of actions. One of these actions was to call on the private sector to promote measures to implement WHO recommendations to reduce exposure to the risk factors which contribute to NCDs. The WHO Global Strategy on Diet, Physical Activity and Health commits WHO to hold discussions with the private sector'. But, she stated categorically: 'the Organization will not take money from private companies active infood and beverage production for work on NCD prevention and control'.

            Margaret Chan explained that formally, the branch of WHO for the Americas is AMRO, the Regional Office for the Americas, whereas PAHO, a separate legal entity, 'may have variations in policy'. Thus, she confirmed, 'In its capacity as PAHO, food and beverage manufacturers have contributed financially as part of a multi-sector forum to address NCDs'.

            Many public health and nutrition professionals were shocked and even scandalised by the Reuters report. So where did this leave the Pan American Health Organization? The report coincided with the final months of the term of office of Marta Roses Periago (above, left) as PAHO director. In the words of one of the signatories of the open letter below 'It seemed more appropriate to send a message of strong support and encouragement to the new director Carissa Etienne. Our letter also asks her on behalf of the public health and nutrition communities to state that the previous practice of accepting money and all other forms of support from conflicted industry and its associated organisations is now at an end'.


            Dr. Umesh Kapil 
            Professor Public Health Nutrition 
            Room Number 118; 
            Human Nutrition Unit,
            Old OT Block,
            All India Institute of Medical Sciences 
            New Delhi,  India ,110029
            Mobile 91-9810609340

             
             


            --- On Wed, 2/10/10, surendernikhil gupta <drsurendernikhil@...> wrote:

            From: surendernikhil gupta <drsurendernikhil@...>
            Subject: Re: [iapsm_youthmembers] Hepatitis B in health care workers: Indian scenario-J Lab Physicians
            To: iapsm_youthmembers@yahoogroups.com
            Date: Wednesday, February 10, 2010, 1:46 AM

             

            Coke and Nestlé fund PAHO

            News broke late last year that the Pan American Health Organization had accepted money from transnational food corporations, including Coca-Cola and Nestlé, to support its work to prevent and control obesity and chronic non-communicable diseases. The report, available here, was issued by the global news agency Reuters. It began:

            'The Pan American Health Organization not only is relying on the food and beverage industry for advice on how to fight obesity. For the first time in its 110-year history, it has taken hundreds of thousands of dollars in money from the industry'.

            Sending the link once again. It is working here with me.
             


             
            Thank you very much.
            Nikhil
            Dr. Surender N. Gupta,
            MBBS; PGDHHM;PGDMCH; PGCHFWM;
            FAIMS;FIMS;MA (Phil);MAE (Epidemiology)
            Faculty, Regional Health and Family Welfare Training Centre,
            CHHEB, Kangra-Himachal Pradesh, India.
            Pin-176001.
            01892-265472 (Fax); 01892-263472 (Office)
            Mobile: 094181-28634.
                              drnikhilsurender@ gmail.com
             


            --- On Wed, 2/10/10, Rakesh Biswas <rakesh7biswas@ gmail.com> wrote:

            From: Rakesh Biswas <rakesh7biswas@ gmail.com>
            Subject: Re: [iapsm_youthmembers ] Hepatitis B in health care workers: Indian scenario-J Lab Physicians
            To: iapsm_youthmembers@ yahoogroups. com
            Date: Wednesday, February 10, 2010, 11:51 AM

             
            The link says page not found.
             
            Does this article say that the the incidence of HBV infection in HCWs has decreased in India? Could you mention the figures?
             
            regards,
             
            rakesh

            On Wed, Feb 10, 2010 at 11:12 AM, surendernikhil gupta <drsurendernikhil@ yahoo.com> wrote:
             
            The risk of hepatitis B infection is well documented among healthcare workers. Although with the use of hepatitis B vaccine the incidence of HBV infection in HCWs has decreased, there is still substantial scope for improvement, as many healthcare workers are unvaccinated. Therefore, there is a need for well-planned and clear policies for HBV screening and vaccination in healthcare workers, especially those who are at a greater risk of exposure to blood or other potentially infectious material.
             
             
            Thanks  
            Nikhil
            Dr. Surender N. Gupta,
            MBBS; PGDHHM;PGDMCH; PGCHFWM;
            FAIMS;FIMS;MA (Phil);MAE (Epidemiology)
            Faculty, Regional Health and Family Welfare Training Centre,
            CHHEB, Kangra-Himachal Pradesh, India.
            Pin-176001.
            01892-265472 (Fax); 01892-263472 (Office)
            Mobile: 094181-28634.
                              drnikhilsurender@ gmail.com
             






            --
            Prof. Jugal Kishore
            MBBS, MD, PGDCHFWM, PGDEE, MSc., FIAPSM, FIPHA, FAMS,
            Department of Community Medicine, Maulana Azad Medical College, New Delhi-2
            Phone: 09968604249
            Executive Director (Hony): Center for Inquiry (India) 
            Secretary General: Indian Association for Adolescent Health
            Advisory Member: *International Mental Health Collaboration Network 
            (IMHCN)*
            President (Hony): Kishore Foundations, Sabasva Foundation,

            Editor (Hony): WebmedCentral (Public Health), Journal of Nursing Science and Practice, Research Review: Journal of Health Professions, Journal of Energy, Environment and Carbon Credit, Journal of Medicine,   

            Author of following books: 
            National Health Programs of India: National Policies and Legislations
            related to health; A Dictionary of Public Health; Practical and Viva of Community Medicine
            Question Bank Community Medicine; Textbook for Health Worker and Auxiliary Nurse Midwife  
            Inequity in India healthcare; Female feticide: An instigating of female status 
            Effect of educational booklet on depressions; How to prevent and manage your low back pain: A guide for health posture and and lifestyle; A Comprehensive Review of Community Medicine
            Biomedical Waste Management in India; Breastfeeding and college girls 
            A Pioneering Social Reformers of India; Great Warriers of Human Rights Movement From India;
            Vanishing Girl Child; Living With out God; Bhavnayen (An anthology of poems in Hindi)

            For my books please Visit http://centurypublications.co.in, http://centurypublications.blogspot.com 
            or contact: 09868010950

          • Saishankar Prathap
            No funds from food cos to combat NCDs: WHO Rema Nagarajan, TNN Dec 14, 2012, 03.38PM IST NEW DELHI: Beleaguered by repeated charges of taking money from the
            Message 5 of 22 , Apr 16, 2013
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              No funds from food cos to combat NCDs: WHO

              Rema Nagarajan, TNN Dec 14, 2012, 03.38PM IST

              NEW DELHI: Beleaguered by repeated charges of taking money from the very industries whose products are causing non-communicable diseases (NCDs) such as diabetes, cardiovascular diseases and cancers, the World Health Organisation has declared that it does not accept funding from the food and beverage manufacturers such as Coke, Pepsi, Nestle or Kraft for work on NCD prevention and control.

              "The WHO Global Strategy on Diet, Physical Activity and Health commits WHO to hold discussions with the private sector, but the organisation will not take money from private companies active in food and beverage production for work on NCD prevention and control as implied by media articles," stated the organisation in a public statement.

              http://articles.timesofindia.indiatimes.com/2012-12-14/delhi/35819660_1_ncds-private-sector-beverage



              On Wed, Apr 10, 2013 at 9:50 PM, Prof. Umesh Kapil <umeshkapil@...> wrote:
               

              Coke and Nestlé fund PAHO

              News broke late last year that the Pan American Health Organization had accepted money from transnational food corporations, including Coca-Cola and Nestlé, to support its work to prevent and control obesity and chronic non-communicable diseases. The report, available here, was issued by the global news agency Reuters. It began:

              'The Pan American Health Organization not only is relying on the food and beverage industry for advice on how to fight obesity. For the first time in its 110-year history, it has taken hundreds of thousands of dollars in money from the industry'.

              Identifying PAHO as the regional office of the World Health Organization for the Americas, the report continued: 'Accepting industry funding goes against WHO's worldwide policies. Its Geneva headquarters and five other regional offices have been prohibited from accepting money from the food and soda industries, among others. "If such conflicts of interest were perceived to exist, or actually existed, this would jeopardize WHO's ability to set globally recognized and respected standards and guidelines", said spokesman Gregory Härtl.

              'But…PAHO, based in Washington and founded 46 years before it was affiliated with WHO in 1948 – had different standards allowing the business donations. Even so, not until this February did PAHO begin taking industry money. Reuters found $50,000 from Coca-Cola, the world's largest beverage company; $150,000 from Nestlé, the world's largest food company; and $150,000 from Unilever…

              'The recent infusion of corporate cash is the most pointed example to date of how WHO is approaching its battle against chronic disease. Increasingly, it is relying on what it calls "partnerships" with industry, opting to enter into alliances with food and beverage companies rather than maintain strict neutrality'.

              Interviewed by Reuters, Association member Boyd Swinburn, co-director of the International Obesity Task Force, said: 'Food and beverage companies exert a huge influence on policies that affect the health of millions. Industry is buzzing all around… Even in things like nutrition guidelines, they're usually in the room at the policymaking table or buzzing around it and putting all sort of pressure on, bringing their huge conflicts of interest and their huge resources to it – and we're wondering why we don't get much public interest policy coming out'.

              The WHO response

              A prompt public response, available here, came from Margaret Chan (above, right), director-general of WHO Geneva. She stated: 'The Political Declaration of the High-level Meeting of the United Nations General Assembly on the Prevention and Control of Noncommunicable Diseases, agreed by global leaders at the UN General Assembly in 2011, called on the international community to undertake a series of actions. One of these actions was to call on the private sector to promote measures to implement WHO recommendations to reduce exposure to the risk factors which contribute to NCDs. The WHO Global Strategy on Diet, Physical Activity and Health commits WHO to hold discussions with the private sector'. But, she stated categorically: 'the Organization will not take money from private companies active infood and beverage production for work on NCD prevention and control'.

              Margaret Chan explained that formally, the branch of WHO for the Americas is AMRO, the Regional Office for the Americas, whereas PAHO, a separate legal entity, 'may have variations in policy'. Thus, she confirmed, 'In its capacity as PAHO, food and beverage manufacturers have contributed financially as part of a multi-sector forum to address NCDs'.

              Many public health and nutrition professionals were shocked and even scandalised by the Reuters report. So where did this leave the Pan American Health Organization? The report coincided with the final months of the term of office of Marta Roses Periago (above, left) as PAHO director. In the words of one of the signatories of the open letter below 'It seemed more appropriate to send a message of strong support and encouragement to the new director Carissa Etienne. Our letter also asks her on behalf of the public health and nutrition communities to state that the previous practice of accepting money and all other forms of support from conflicted industry and its associated organisations is now at an end'.


              Dr. Umesh Kapil 

              Professor Public Health Nutrition 
              Room Number 118; 

              Human Nutrition Unit,
              Old OT Block,
              All India Institute of Medical Sciences 
              New Delhi,  India ,110029
              Mobile 91-9810609340


               

               



              --- On Wed, 2/10/10, surendernikhil gupta <drsurendernikhil@...> wrote:

              From: surendernikhil gupta <drsurendernikhil@...>
              Subject: Re: [iapsm_youthmembers] Hepatitis B in health care workers: Indian scenario-J Lab Physicians
              To: iapsm_youthmembers@yahoogroups.com
              Date: Wednesday, February 10, 2010, 1:46 AM

               

              Sending the link once again. It is working here with me.
               


               
              Thank you very much.
              Nikhil
              Dr. Surender N. Gupta,
              MBBS; PGDHHM;PGDMCH; PGCHFWM;
              FAIMS;FIMS;MA (Phil);MAE (Epidemiology)
              Faculty, Regional Health and Family Welfare Training Centre,
              CHHEB, Kangra-Himachal Pradesh, India.
              Pin-176001.
              01892-265472 (Fax); 01892-263472 (Office)
              Mobile: 094181-28634.
                                drnikhilsurender@ gmail.com
               


              --- On Wed, 2/10/10, Rakesh Biswas <rakesh7biswas@ gmail.com> wrote:

              From: Rakesh Biswas <rakesh7biswas@ gmail.com>
              Subject: Re: [iapsm_youthmembers ] Hepatitis B in health care workers: Indian scenario-J Lab Physicians
              To: iapsm_youthmembers@ yahoogroups. com
              Date: Wednesday, February 10, 2010, 11:51 AM

               
              The link says page not found.
               
              Does this article say that the the incidence of HBV infection in HCWs has decreased in India? Could you mention the figures?
               
              regards,
               
              rakesh

              On Wed, Feb 10, 2010 at 11:12 AM, surendernikhil gupta <drsurendernikhil@ yahoo.com> wrote:
               
              The risk of hepatitis B infection is well documented among healthcare workers. Although with the use of hepatitis B vaccine the incidence of HBV infection in HCWs has decreased, there is still substantial scope for improvement, as many healthcare workers are unvaccinated. Therefore, there is a need for well-planned and clear policies for HBV screening and vaccination in healthcare workers, especially those who are at a greater risk of exposure to blood or other potentially infectious material.
               
               
              Thanks  
              Nikhil
              Dr. Surender N. Gupta,
              MBBS; PGDHHM;PGDMCH; PGCHFWM;
              FAIMS;FIMS;MA (Phil);MAE (Epidemiology)
              Faculty, Regional Health and Family Welfare Training Centre,
              CHHEB, Kangra-Himachal Pradesh, India.
              Pin-176001.
              01892-265472 (Fax); 01892-263472 (Office)
              Mobile: 094181-28634.
                                drnikhilsurender@ gmail.com
               




            • Prof. Umesh Kapil
              This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Find out more here BMJ Helping doctors make better decisions
              Message 6 of 22 , Sep 11, 2013
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                This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Find out more here
                BMJ
                Helping doctors make better decisions
                Research News
                New safety concerns over supplement powders for infants in Pakistan
                BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmji2604 (Published 24 April 2013) Cite this as: BMJ 2013;346:f2604
                Lancet 2013; doi: 10. 1016/S0140-6736(13)60437-7
                Infants and young children given micronutrient powders had more bloody diarrhoea and more respiratory symptoms than controls in a recent trial from Pakistan, and the authors have called for a closer look at safety before distribution is scaled up. The World Health Organization already recommends the powders to help control iron deficiency anaemia in vulnerable children. The new trial tested sachets that contained iron; folic acid; and vitamins A, C, and D, with or without additional zinc.
                Children given daily powders mixed with weaning food between 6 and 18 months of age grew slightly but significantly more than controls who had no supplements (an extra 0.31 cm, 95% CI 0.03 to 0.59 for children given micronutrients without zinc; an extra 0.56 cm, 0.29 to 0.84 for those given micronutrients with zinc). They also had a lower prevalence of iron deficiency at 18 months (22.9% and 26.5% v 57%). However, mothers reported a significantly higher incidence of bloody diarrhoea in children receiving supplements, which corresponded to roughly one extra episode a year for every 12-13 children treated. Mothers of children in both treated groups also reported significantly more “chest indrawing” than mothers of controls. The micronutrient  powders didn’t increase the incidence of fever or hospital admissions for pneumonia.
                Researchers randomised 256 clusters of children in urban and rural areas of Pakistan. The children were poorly nourished at baseline, with high rates of stunting, wasting, diarrhoea, and respiratory infections. Fewer than half the participating families had piped drinking water. The researchers say the extra morbidity associated with micronutrient powders is new, worrying, and may not be worth the limited benefits.
                Notes
                Cite this as: BMJ 2013;346:f2604

              • Prof. Umesh Kapil
                DEAR ALL  THIS IS FOR YOUR COMMENTS AND DISSEMINATION  TO ALL COLLEAGUES UMESH KAPIL BMJ EDITORIAL Improving child survival through vitamin A supplementation
                Message 7 of 22 , Oct 9, 2013
                • 0 Attachment

                  DEAR ALL 

                  THIS IS FOR YOUR COMMENTS AND DISSEMINATION 
                  TO ALL COLLEAGUES

                  UMESH KAPIL

                  EDITORIAL
                  Improving child survival through vitamin A supplementation
                  BMJ 2011; 343 doi: http://dx.doi.org/10.1136/bmj.d5294 (Published 25 August 2011)
                  Cite this as: BMJ 2011;343:d5294
                  3 October 2013
                  The editorial by Thorne-Lyman and Fawzi in 2011, (1) referring to the meta-analysis of the impact of vitamin A supplements by Mayo-Wilson, Imdad and others, (2,3) has now become more important than ever. The DEVTA results, only informally available in 2011, have now been published, (4) with extensive implications; indeed, as the editorial (1) says: ‘… the null findings have left lingering questions. Is vitamin A supplementation effective?’. These results have been the subject of conflicting comments recently in the Lancet, e.g. (5,6). But a number of inferences that should be drawn from the compilation and analysis of the evidence from trials prior to DEVTA (2,3) help answer this lingering question, and have not received adequate attention. There are three key related points, which now point to the need to seriously consider concrete steps to move beyond 6-monthly vitamin A supplementation at unphysiological levels.
                  First, the trend through time in reported impact on mortality of high dose vitamin A 6-monthly supplements (usually 200,000 IUs) is informative, but some important inferences are not being drawn. The original meta-analyses by Beaton et al (7) in 1993 drew upon the 8 studies available at that time, to estimate an average mortality reduction (in 12-59 month children) of 23%. The recent meta-analyses (2,3) drew on seven of these, and added a further nine. They concluded that the weighted average mortality finding (without DEVTA) was essentially unchanged. What they did not point out is that 89% of the weight in this average came from the seven pre 1993 trials; the remaining 9 trials, with 11% weight, not surprisingly had little effect on the calculation.
                  Further, it was not pointed out that of the 16 results, 8 showed no significant impact; since 1993, only two of 9 showed impact. Thus what is being confirmed is that the early trials showed efficacy; but there is sparse evidence in the past 20 years for this still being so, and none for large scale effectiveness. It seems disingenuous to imply that these new analyses confirm the continuing efficacy of VAC supplements.
                  Second, by not including the possibility of changing impact through time, the effect of major changes in disease patterns is ignored. The impact on mortality was estimated in the original trials as resulting from reducing deaths from measles and diarrhea; no other causes were significant. (7, p50) Measles has been greatly reduced, by successful immunization programs, since the 1990’s; and diarrhea deaths have fallen, with improved living conditions, use of health services, and of ORT.
                   Although the mechanism for intermittent high-dose VACs to reduce mortality is not known, it is only established as being relevant in these two diseases (7). Thus it is to be expected that mortality impact, if still present, would be reduced. The negative results of DEVTA, and of the study referred to by Benn et al, (8) are thus also not surprising. Both of these investigations, refuting conventional wisdom, suffered extraordinarily long delays in publication, in the DEVTA case causing speculation that ‘undoubtedly, the fact that there was no apparent effect detected delayed publication’. (5) Benn et al have a similar view about their unpublished results.(8) It is also seems disingenuous to assert that VACs are ‘a proven life-saving intervention’, (9) as if this necessarily continues under changing conditions, and in countries where measles has been controlled and diarrhea prevention and treatment improved.
                  Third, vitamin A deficiency (VAD) is measured by serum retinol, as recommended by WHO. (10) The prevalence of VAD is around 30% in poor countries and falling only slowly.(11) However, it is clear that 6-monthly high dose VAD has only a limited and transient impact on serum retinol, (12, refs 6-20) which is how vitamin A gets to target tissues. There are established effective methods for reducing VAD: frequent physiological intakes of vitamin A or precursors through improved diets, fortification, and/or low dose supplements; (12, refs 22-35) moreover this is considered safe in pregnancy, in contrast to VACs.
                  So the question becomes: why has most of the attention been on VACs (13) (over 7 billion so far distributed), (14) of unproven effectiveness in operational programmes, when employing these other approaches would have a wider range of benefits, including addressing any residual impact on child mortality that VACs 6-monthly may be having?
                  This would free up scarce resources now being used for VAC campaigns, which have considerable opportunity costs.(15) Improved diets, fortified foods, and multiple micronutrient provision would surely bring broader improvements in nutrition to more people, including reproductive aged women who are now largely excluded.
                  John Mason, PhD[1], David Sanders MD[2], Roger Shrimpton PhD[1], Ted Greiner PhD[3].
                  1) School of Public Health and Tropical Medicine, Tulane University, New Orleans
                  2) School of Public Health, University of the Western Cape, South Africa
                  3) Department of Nutrition, Hanyang University, South Korea.
                  1 Thorne-Lyman A, Fawzi WW. Improving child survival through vitamin A supplementation. BMJ. 2011 Aug 25;343:d5294. doi: 10.1136/bmj.d5294. PubMed PMID: 21868480
                  2 Mayo-Wilson E, Imdad A, Herzer K, Yakoob MY, Bhutta ZA. Vitamin A supplements for preventing mortality, illness, and blindness in children aged under 5: systematic review and meta-analysis. BMJ. 2011 Aug 25;343:d5094. doi: 10.1136/bmj.d5094. Review. PubMed PMID: 21868478; PubMed Central PMCID: PMC3162042
                  3 Imdad A, Herzer K, Mayo-Wilson E, Yakoob MY, Bhutta ZA. Vitamin A supplementation for preventing morbidity and mortality in children from 6 months to 5 years of age.Cochrane Database Syst Rev. 2010 Dec 8;(12):CD008524. doi: 10.1002/14651858.CD008524.pub2. Review. PubMed PMID: 21154399
                  4 Awasthi S, Peto R, Read S, Richards SM, Pande V, Bundy D; DEVTA (Deworming and Enhanced Vitamin A) team. Population deworming every 6 months with albendazole in 1 million pre-school children in north India: DEVTA, a cluster-randomised trial.Lancet. 2013 Apr 27;381(9876):1478-86. doi: 10.1016/S0140-6736(12)62126-6. Epub 2013 Mar 14. PubMed PMID: 23498850; PubMed Central PMCID: PMC3647147.
                  5 Garner P, Taylor-Robinson D, Sachdev HS. DEVTA: results from the biggest clinical trial ever. Lancet. 2013 Apr 27;381(9876):1439-41. doi: 10.1016/S0140-6736(13)60600-5. Epub 2013 Mar 14. PubMed PMID: 23498851
                  6 Sommer A, West KP Jr, Martorell R. Vitamin A supplementation in Indian children.Lancet. 2013 Aug 17;382(9892):591. doi: 10.1016/S0140-6736(13)60645-5. Epub 2013 Mar 22. PubMed PMID: 23528188
                  7 Beaton, G., Martorell, R., Aronson, K., Edmonston, B., McCabe, G., Ross, A. & Harvey, B. (1993) Effectiveness of Vitamin A Supplementation in the Control of Young Child Morbidity and Mortality in Developing Countries. ACC/SCN State-of-the-Art Series, Nutrition Policy Discussion Paper No. 13. ACC/SCN, Geneva.http://www.unscn.org/layout/modules/resources/files/Policy_paper_No_13.pdf
                  8 Benn CS, Fisker AB, Aaby P. Vitamin A supplementation in Indian children. Lancet. 2013 Aug 17;382(9892):593. doi: 10.1016/S0140-6736(13)61737-7. PubMed PMID: 23953380
                  9 Mannar V, Schultink W, Spahn K. Vitamin A supplementation in Indian children.Lancet. 2013 Aug 17;382(9892):591-2. PubMed PMID: 23961552.
                  10 Sommer A, Davidson FR; Annecy Accords. Assessment and control of vitamin A deficiency: the Annecy Accords. J Nutr. 2002 Sep;132(9 Suppl):2845S-2850S. PubMed PMID: 12221259
                  11 UN Standing Committee on Nutrition. Progress in Nutrition. 6th Report on the World Nutrition Situation. UN-SCN, Geneva. 2010.http://www.unscn.org/files/Publications/RWNS6/html/index.html
                  12 Mason JB, Ramirez MA, Fernandez CM, Pedro R, Lloren T, Saldanha L, Deitchler M, Eisele T. Effects on vitamin A deficiency in children of periodic high-dose supplements and of fortified oil promotion in a deficient area of the Philippines. Int J Vitam Nutr Res. 2011 Sep;81(5):295-305. doi: 10.1024/0300-9831/a000077. PubMed PMID: 22419200
                  13 UNICEF. Vitamin A Supplementation: a Decade of Progress. 2007, New York.
                  http://www.unicef.org/immunization/files/Vitamin_A_Supplementation.pdf
                  14 Micronutrient Initiative. 20 Years of Progress. 2011/12 Annual Report. Ottawa.
                  http://www.micronutrient.org/CMFiles/MI-AnnualReport1112-EN-web.pdf
                  15 Doherty T, Chopra M, Tomlinson M, Oliphant N, Nsibande D, Mason J. Moving from vertical to integrated child health programmes: experiences from a multi-country assessment of the Child Health Days approach in Africa. Trop Med Int Health. 2010 Mar;15(3):296-305.
                  Competing interests: None declared
                  John B Mason, Professor
                  David Sanders, Roger Shrimpton, Ted Greiner
                  Tulane University School of Public Health and Tropical Medicine, 1440 Canal Street, Ste 2300, New Orleans, LA 70112, USA Orleans
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                  © 2013 BMJ Publishing Group Ltd
                   
                   
                  Dr. Umesh Kapil 
                  Professor Public Health Nutrition 
                  Room Number 118; 
                  Human Nutrition Unit,
                  Old OT Block,
                  All India Institute of Medical Sciences 
                  New Delhi,  India ,110029
                  Mobile 91-9810609340

                   
                   


                  On Tuesday, February 9, 2010 10:49 PM, surendernikhil gupta <drsurendernikhil@...> wrote:
                   
                  Sending the link once again. It is working here with me.
                   


                   
                  Thank you very much.
                  Nikhil
                  Dr. Surender N. Gupta,
                  MBBS; PGDHHM;PGDMCH; PGCHFWM;
                  FAIMS;FIMS;MA (Phil);MAE (Epidemiology)
                  Faculty, Regional Health and Family Welfare Training Centre,
                  CHHEB, Kangra-Himachal Pradesh, India.
                  Pin-176001.
                  01892-265472 (Fax); 01892-263472 (Office)
                  Mobile: 094181-28634.
                                    drnikhilsurender@ gmail.com
                   


                  --- On Wed, 2/10/10, Rakesh Biswas <rakesh7biswas@ gmail.com> wrote:

                  From: Rakesh Biswas <rakesh7biswas@ gmail.com>
                  Subject: Re: [iapsm_youthmembers ] Hepatitis B in health care workers: Indian scenario-J Lab Physicians
                  To: iapsm_youthmembers@ yahoogroups. com
                  Date: Wednesday, February 10, 2010, 11:51 AM

                   
                  The link says page not found.
                   
                  Does this article say that the the incidence of HBV infection in HCWs has decreased in India? Could you mention the figures?
                   
                  regards,
                   
                  rakesh

                  On Wed, Feb 10, 2010 at 11:12 AM, surendernikhil gupta <drsurendernikhil@ yahoo.com> wrote:
                   
                  The risk of hepatitis B infection is well documented among healthcare workers. Although with the use of hepatitis B vaccine the incidence of HBV infection in HCWs has decreased, there is still substantial scope for improvement, as many healthcare workers are unvaccinated. Therefore, there is a need for well-planned and clear policies for HBV screening and vaccination in healthcare workers, especially those who are at a greater risk of exposure to blood or other potentially infectious material.
                   
                   
                  Thanks  
                  Nikhil
                  Dr. Surender N. Gupta,
                  MBBS; PGDHHM;PGDMCH; PGCHFWM;
                  FAIMS;FIMS;MA (Phil);MAE (Epidemiology)
                  Faculty, Regional Health and Family Welfare Training Centre,
                  CHHEB, Kangra-Himachal Pradesh, India.
                  Pin-176001.
                  01892-265472 (Fax); 01892-263472 (Office)
                  Mobile: 094181-28634.
                                    drnikhilsurender@ gmail.com
                   





                • Prof. Umesh Kapil
                  Dear Colleague,   It is our great pleasure to invite you to participate in the 2nd International Workshop on Micronutrients and Child Health (MCHWS2014) is
                  Message 8 of 22 , Apr 14, 2014
                  • 0 Attachment
                    Dear Colleague,
                     
                    It is our great pleasure to invite you to participate in the 2nd International Workshop on Micronutrients and Child Health (MCHWS2014) is being held from 3rd to 7thNovember 2014 at Jawaharlal Nehru Auditorium, All India Institute of Medical Sciences, New Delhi, India.
                     
                    The International Workshop is jointly organized by i) Department of Human Nutrition, All India Institute of Medical Sciences, New Delhi, ii) Indian Academy of Pediatrics (Sub-Speciality Chapter on Nutrition), New Delhi, and iii) Sitaram Bhartia Institute of Science and Research, New Delhi, India.
                     
                    The eminent National and International scientists who are working in the field of Micronutrients and Child Health will be delivering “State of Art” Presentations. After each presentation, in-depth deliberations will be held, to discuss the issues raised by the eminent scientists and participants.
                     
                    The presentations and discussions on Magnitude of the deficiencies of Iron, Iodine, Vitamin A, Zinc, Vitamin D, Vitamin B12, Folic Acid, Fluorine, Vitamin B-6 etc., their Health Consequences, Methodology for their Assessments, Strategies for Prevention and Control; Supplementation of micronutrients to reduce Child Morbidity and Mortality, Food Fortification, Multiple Micronutrient Supplementation to Pregnant Mothers, Double Fortified Salt, Multiple Micronutrient Supplementation to Children,  Sprinklers in Control of Anemia, Calcium supplementation and Maternal Mortality, Genetic Modified foods and related issues will be held. 
                     
                    The International Workshop is being organised on Self Sustaining Basis and hence all the participants are required to be registered.
                     
                    Please visit  International Workshop web site >www.mchws2014.com< for details.
                     
                    We look forward to welcome you for 2nd International Workshop on Micronutrients and Child Health and make this event a grand success.
                     
                    With Personal Regards 
                    Dr. Umesh Kapil ,Professor Public Health Nutrition
                    Human Nutrition Unit
                    Room Number 118; 
                    Old OT Block,
                    All India Institute of Medical Sciences 
                    New Delhi,  India ,110029
                    Mobile 91-9810609340; 01126588058

                    For details of 
                    “2nd International Congress on Micronutrients and Child Health  (MCHWS2014)” 
                     
                     
                    Dr. Umesh Kapil 
                    Professor Public Health Nutrition 
                    Room No. 118;
                    Human Nutrition Unit,
                    Old OT Block,All India Institute of Medical Sciences New Delhi,  India ,110029
                    Mobile 91-9810609340
                    For details of “2nd International Congress on Micronutrients and Child Health  (MCHWS2014) Ple ase Visit Website >www.mchws2014.com < 
                     
                     
                    On Tuesday, February 9, 2010 10:49 PM, surendernikhil gupta <drsurendernikhil@...> wrote:
                     
                    Sending the link once again. It is working here with me.
                     


                     
                    Thank you very much.
                    Nikhil
                    Dr. Surender N. Gupta,
                    MBBS; PGDHHM;PGDMCH; PGCHFWM;
                    FAIMS;FIMS;MA (Phil);MAE (Epidemiology)
                    Faculty, Regional Health and Family Welfare Training Centre,
                    CHHEB, Kangra-Himachal Pradesh, India.
                    Pin-176001.
                    01892-265472 (Fax); 01892-263472 (Office)
                    Mobile: 094181-28634.
                                      drnikhilsurender@ gmail.com
                     


                    --- On Wed, 2/10/10, Rakesh Biswas <rakesh7biswas@ gmail.com> wrote:

                    From: Rakesh Biswas <rakesh7biswas@ gmail.com>
                    Subject: Re: [iapsm_youthmembers ] Hepatitis B in health care workers: Indian scenario-J Lab Physicians
                    To: iapsm_youthmembers@ yahoogroups. com
                    Date: Wednesday, February 10, 2010, 11:51 AM

                     
                    The link says page not found.
                     
                    Does this article say that the the incidence of HBV infection in HCWs has decreased in India? Could you mention the figures?
                     
                    regards,
                     
                    rakesh

                    On Wed, Feb 10, 2010 at 11:12 AM, surendernikhil gupta <drsurendernikhil@ yahoo.com> wrote:
                     
                    The risk of hepatitis B infection is well documented among healthcare workers. Although with the use of hepatitis B vaccine the incidence of HBV infection in HCWs has decreased, there is still substantial scope for improvement, as many healthcare workers are unvaccinated. Therefore, there is a need for well-planned and clear policies for HBV screening and vaccination in healthcare workers, especially those who are at a greater risk of exposure to blood or other potentially infectious material.
                     
                     
                    Thanks  
                    Nikhil
                    Dr. Surender N. Gupta,
                    MBBS; PGDHHM;PGDMCH; PGCHFWM;
                    FAIMS;FIMS;MA (Phil);MAE (Epidemiology)
                    Faculty, Regional Health and Family Welfare Training Centre,
                    CHHEB, Kangra-Himachal Pradesh, India.
                    Pin-176001.
                    01892-265472 (Fax); 01892-263472 (Office)
                    Mobile: 094181-28634.
                                      drnikhilsurender@ gmail.com
                     





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