Chapter

Case study 3: mandatory milk fortification with vitamin D

Mark Lawrence

in Food Fortification

Published in print January 2013 | ISBN: 9780199691975
Published online January 2013 | e-ISBN: 9780191748806 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199691975.003.0007
Case study 3: mandatory milk fortification with vitamin D

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Mandatory milk fortification with vitamin D (MMFVD) is a public health policy intervention for reducing vitamin D deficiency among the population. It was the case study selected to assess and analyse food fortification as a policy option to tackle public health problems that arise when there is a reduction in exposure to the primary source of a nutrient. MMFVD is moderately effective and equitable in reducing the prevalence of vitamin D deficiency, though it is associated with risk of exposing certain groups to excessive amounts of the nutrient. Ethically, the apparent significant prevalence of vitamin D deficiency suggests there is some justification for MMFVD. However, the overarching challenge in assessing MMFVD is the extent of scientific uncertainties associated with its potential benefits and risks. Nevertheless, prominent policy processes are using an approach to evidence-informed practice that is framing vitamin D deficiency to effectively privilege micronutrient interventions as preferred policy solutions.

Keywords: vitamin D; fortification; rickets; evidence-informed practice; scientific uncertainties

Chapter.  11825 words.  Illustrated.

Subjects: Public Health and Epidemiology

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