Chapter

Insights for food fortification and public health

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/9780199691975.003.0008
Insights for food fortification and public health

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In this chapter, the findings from all three case studies are combined to provide a coherent assessment and analysis of mandatory food fortification. The collective case study assessment findings show that the strongest predictor of high public health benefits, low public health risks, and ethical justification is the positive alignment of a policy solution with the cause of the policy problem. The collective case study analytical findings show that how and why the public health protection objective is applied in food fortification takes on meaning through what evidence counts and how ethics is justified in policy-making processes. Actors with competing views towards food fortification activities engage in advocacy and framing activities to influence evidence- and ethics-informed practice. Dominant political agendas privilege the activities of certain actors to help their views prevail. Globally the promotion of public-private partnerships is having a significant influence on the uptake of mandatory food fortification activities.

Keywords: food fortification; public health; evidence; ethics; politics; policy-making

Chapter.  9740 words. 

Subjects: Public Health and Epidemiology

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