Abstract
The burden of anemia in Indian children, based on capillary blood sampling, is believed to be profound and worsening (67.1%) according to the successive National Family Health Surveys (NFHS). This might be an overestimate. The recent Comprehensive National Nutrition Survey of Indian children, that used venous blood sampling, found only less than half (30.7%) the NFHS prevalence, of which only one third was due to iron deficiency (ID). Unfortunately, the apparently worsening NFHS anemia burden estimate has been interpreted as an inadequacy of the present iron supplementation policy. This has led to additional iron supply through mandatory rice fortification. However, the lack of efficacy of iron supplementation appears inevitable, if the true prevalence of iron deficiency anemia is only about 10%. Thus, etiology is a critical consideration when devising appropriate and effective prevention policies. Future policies must focus on precision, thoughtfulness, restraint, and community engagement.
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Acknowledgements
AVK and HSS are recipients of the Wellcome Trust/Department of Biotechnology India Alliance Clinical/Public Health Research Centre Grant (IA/CRC/19/1/610006). AVK is also supported by the India Alliance through their Margdarshi Fellowship.
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Competing interests: HSS is a member of the WHO Guideline Development Group on Anemia: Use and interpretation of haemoglobin concentrations for assessing anemia status in individuals and populations. AVK and HSS are members of the National Technical Board on Nutrition and of Task Forces and Expert Groups on anemia constituted by the Department of Biotechnology, Ministry of Health and Family Welfare and the Indian Council of Medical Research.
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Kurpad, A.V., Sachdev, H.S. Childhood and Adolescent Anemia Burden in India: The Way Forward. Indian Pediatr 59, 837–840 (2022). https://doi.org/10.1007/s13312-022-2639-6
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DOI: https://doi.org/10.1007/s13312-022-2639-6