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Double-fortified salt reduces anemia, benefit:cost ratio is modestly favorable

Susan Horton, Annie Wesley and M.G. Venkatesh Mannar

Food Policy, 2011, vol. 36, issue 5, 581-587

Abstract: Iron deficiency is very widespread, with adverse consequences for health and cognition. Iron supplementation is not popular for long-term use, and cereal fortification is not feasible where milling occurs locally. Double-fortified salt (DFS: using both iron and iodine) is an alternative. The study undertakes a literature survey to find the effect of DFS on hemoglobin, and then uses a previous algorithm to make calculations for India. The benefit:cost ratio was estimated as 2.4:1 if only the benefits to children and women were included, and between 4:1 and 5:1 if anemia levels for men also decreased. This is just a little lower than the median ratio estimated for iron fortification of cereal staples (6.7:1), for home fortification for children less than two (37:1), and for biofortification - breeding for high iron - of cereals (high, but no exact figure available). Double-fortified salt is therefore a good alternative for improving iron status in populations where fortification of other staple foods does not achieve desired coverage.

Keywords: Fortification; Iron; Salt; iodization; Hemoglobin; Cost-benefit; Economics (search for similar items in EconPapers)
Date: 2011
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Citations: View citations in EconPapers (1)

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