Profiling National Mandatory Folic Acid Fortification Policy Around the World

  • Mark A. LawrenceEmail author
  • Karishma Kripalani
Part of the Nutrition and Health book series (NH)


Mandatory food fortification “occurs when governments legally oblige food producers to fortify particular foods or categories of foods with specified micronutrients” [1]. Because mandatory food fortification exposes everyone in the population who consumes the fortified food(s) to raised levels of the specified micronutrient, it is one of the most powerful policy instruments available to influence dietary intake and population health outcomes. Many national food regulatory authorities have established policy guidance on mandatory food fortification. From an international perspective, the Codex Alimentarius Commission (Codex) provides principles for the addition of essential nutrients to foods [2]. According to these Codex principles, mandatory food fortification with additional vitamins and minerals is recommended where there is proven public health and nutrition need (Note: these principles are under review at the time of writing).


Folic acid Folate Mandatory fortification Neural tube defects Evidence Ethics 



The USAID Micronutrient and Child Blindness Project


Centers for Disease Control and Prevention


Codex Alimentarius Commission


Food and Agriculture Organization


Flour Fortification Initiative


Global Alliance for Improved Nutrition


Micronutrient Initiative


Neural tube defect


Rice Fortification Resource Group


United Nations Children’s Fund


United States Agency for International Development


World Food Programme


World Health Organization


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Food Policy Unit, Population Health Strategic Research CentreDeakin UniversityMelbourneAustralia

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