Taking responsibility in the global fight against malnutrition SIGHT AND LIFE

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Taking responsibility in the global fight against
malnutritionSIGHT AND LIFE The humanitarian
initiative of DSM Klaus Kraemer Secretary
General SIGHT AND LIFE
Admin/presentations/SIGHT AND LIFE Image
presentation
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About DSM

• DSM creates innovative products and services in
  Life Sciences and Materials Sciences that
  contribute to quality of life
• DSMs products are used globally in a wide range
  of markets and applications to support a
  healthier, more sustainable and enjoyable way of
  life

• Key data 2007
• Sales 8,757 million
• EBIT 823 million
• Employees 23,000
• Locations 250 (5 continents)
• Investments 500 million
• gt 12,000 trademarks 4,600 patents

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DSM End Markets
DSM Nutritional Products
Metal, building and construction
Agriculture
Human Nutrition Health
Automotive and Transport
Animal Nutrition Health
Electrics and Electronics
Pharmaceuticals
Packaging
Textiles
Personal Care
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ResponsibilityDefinitions

• 1 the quality or state of being responsible
  asa moral, legal, or mental accountability b
  reliability, trustworthiness
• 2 something for which one is responsible burden
  lthas neglected his responsibilitiesgt
• Merriam-Webster Dictionary

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DSM and Responsibility DSMs Partnership with
World Food Programme

• Global partner of UN World Food Programme (WFP)
• Nutritional Improvement Program (NIP)
• SIGHT AND LIFE

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DSMs Partnership with World Food ProgrammeCEO
visits WFP operations in Bangladesh distributing
Micronutrient Sachets from DSM

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The History of SIGHT AND LIFE
From SIGHT to LIFE
SIGHT AND LIFE was founded 1986 by F. Hoffmann-La
Roche as a philanthropic activity to assist
developing countries in combating vitamin A
deficiency. In our first 20 years of operation,
we invested more than US30 million in support of
around 3,000 humanitarian and scientific projects
in over 80 countries. Since being taken over by
DSM in 2003, SIGHT AND LIFE has expanded our
focus from vitamin A alone to the whole range of
micronutrient nutrition.
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Our Mission
Aligned to the complexity of the malnutrition
problem
SIGHT AND LIFEs vision is to build bridges for
better nutrition. SIGHT AND LIFE encourages
partnerships, the exchange of scientific
information and the creation of networks in the
fight against micronutrient deficiencies, also
known as Hidden Hunger. Together with
universities, intergovernmental and
non-governmental organizations, SIGHT AND LIFE is
involved in research and projects related to
pressing health issues caused by Hidden Hunger,
such as Nutritional Anemia and the Double Burden
of Malnutrition.
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The Facts
Each dot represents5,000 deaths per year
Lancet 361(9376) 2226, 2003.
Over 10 million children do not reach the age of
5 years

• Malnutrition kills 53 of all children under
  five years of age, directly in synergy with
  infectious diseases (e.g. diarrhea, pneumonia,
  measles, malaria, HIV/AIDS)

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The FactsObesity and Chronic Diseases are
crossing Borders
Chronic diseases account for 60 of all deaths
worldwide ( 36.7 million deaths/year)
80 of chronic disease deaths occure in low- and
middle-income countries
Source WHO
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The Facts Vicious Cycle of Malnutrition and
Poverty
Income poverty
Low quality food intake (micronutrients)
Frequent infections
Physical labor
Frequent pregnancies
Increased nutrient loss utilization
Malnutrition
Low productivity from poor physical performance
Loss in productivity from poor cognitive
development schooling
Increased health care costs of ill health
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The FactsMalnutrition
Malnutrition decides on lives
The United Nations Millennium Development Goals
aim to reduce child mortality by two-thirds by
2015. The World Bank cautions that malnutrition
may cost poor countries up to three percent of
their yearly gross domestic product. Better
nutrition improves peoples health and wellbeing,
and leads to economic growth.
Fernald LC, Neufeld LM. Overweight with
concurrent stunting in very young children from
rural Mexico prevalence and associated factors.
Eur J Clin Nutr 200761623-32.Brotanek JM, Gosz
J, Weitzman M, Flores G. Iron deficiency in early
childhood in the United States risk factors and
racial/ethnic disparities. Pediatrics
2007120568-75.
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The FactsMalnutrition
Micronutrient deficiencies divided they stand,
united they fall
Iodine deficiency in pregnancy results in 18
million babies a year born with mental
impairment. Maternal folate deficiency causes
0.25 million severe birth defects. Zinc
deficiency contributes to 5 of all child
deaths. Maternal iron deficiency anemia results
in more than 60,000 women a year dying during
pregancy and childbirth. It affects the mental
development of 40 of the developing worlds
children.
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A Global Agenda to win the Nutrition Crisis

• A common agenda must
• Address the consequences of ignoring this crisis
  Quality of life, lives lost (DALY), cost of
  hidden hunger (reduced GNP), economic loss to
  some sectors, return on investment for prevention
• Close knowledge gaps for sustainable
  implementation of nutrition programs
• Advocate evidence-based approaches to improve
  availability of high-quality, micronutrient-rich
  and low-cost foods crucial to reducing stunting
  and anemia among infants and young children (and
  obesity among older children and adults), with
  the potential to increase economic productivity
• Integrate all sectors of society in developing
  and industrialized worlds

Lutter CK, Rodríguez A, Fuenmayor G, Avila L,
Sempertegui F, Escobar J. Growth and
micronutrient status in children receiving a
fortified complementary food. J Nutr
2008138379-88.Hoddinott J, Maluccio JA, Behrman
JR, Flores R, Martorell R. Effect of a nutrition
intervention during early childhood on economic
productivity in Guatemalan adults. Lancet
2008371(9610)411-6.
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Fields of Work
Ensure a sustainable and significant improvement
in nutrition and health
SIGHT AND LIFE has been at the forefront in the
fight to improve vitamin A nutrition for over 20
years through Supplementation with vitamin A
capsules. For Home Fortification, individually
packed vitamin and mineral mixtures in powdered
form are used. The micronutrients are added
during food preparation at home or in school
feeding programs. SIGHT AND LIFE contributes to
Knowledge Creation and Dissemination by helping
to clarify the role of micronutrients in
promoting human health and wellbeing and ensuring
that this knowledge is widely available.
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Fields of WorkSupplementation
WHO estimates that more than four million
children under the age of five years are affected
by night blindness, a severe form of vitamin A
deficiency (VAD) resulting in an increased
vulnerability for common childhood deseases like
measles, diarrhea, and malaria, leading to the
deaths of 1 million children each year.
SIGHT AND LIFE contributes to the fight against
VAD by donating around four million high-dose
vitamin A capsules per year.
Vitamin A supplementation rescues eyesight. This
girl was vitamin A deficient and thus at high
risk of becoming blind. Due to the severity of
the deficiency she has retained corneal scars.
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Fields of WorkHome Fortification
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Fields of WorkImproved Dietary Quality
Support of local projects
A womens group in Nepal holds a demonstration of
vitamin A rich food items.
Girls studying nutrition in Viet Nam. They
participated in a study on the efficacy of
fortified biscuits to combat micronutrient
deficiency, in collaboration with GRET.
Healthy eating communicated via radio. SIGHT AND
LIFE supported nutrition education by Helen
Keller International in Mali.
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Fields of WorkKnowledge Creation and
Dissemination
SIGHT AND LIFE supports scientific research,
awards training and education grants, and
provides educational materials (such as books,
brochures and posters) in various languages to
address the needs of health workers, scientists,
representatives of governmental and
nongovernmental agencies and the media. In 1998,
the SIGHT AND LIFE Research Institute was
established at the Johns Hopkins University in
Baltimore, USA. The institute conducts research
on micronutrients, and develops guidelines for
preventing nutritional deficiencies. Our flagship
publication, SIGHT AND LIFE Magazine, focuses on
increasing knowledge in micronutrient nutrition
and health, and widely disseminating relevant
information and scientific news. Other important
tools are our manuals on vitamin A deficiency
disorders and nutritional anemia as well as
educational documentaries. SIGHT AND LIFE also
holds workshops and conferences.
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Fields of WorkKnowledge Creation and
Dissemination
Santa Barbara, 12 March, 2008 Roundtable
Discussion Hidden Hunger Socioeconomic and
Scientific Challengesorganized by Klaus Kraemer
(SIGHT AND LIFE) and Lester Packer (University of
Southern California), addressing nearly 50
nutrition and economic thought leaders from 11
countries

• Roundtable suggested a common agenda to address
  hidden hunger, including
• Strategies that improve the availibility of
  micronutrient-rich and low cost supplementary
  foods
• All sectors of society in the developing and
  inustrialized worlds working together to address
  hidden hunger

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Fields of WorkKnowledge Creation and
Dissemination
Roundtable participants included two Nobel
Laureates Daniel McFadden and Bruce N. Ames,
University of California, Berkley USA Alfred
Sommer, Johns Hopkins University, Baltimore, USA
Ricardo Uauy, London School of Hygiene and
Topical Medicine UK V. Prakash, Central Food
Technological Research Institute, India Bert
Sackmann, Max Planck Institute, Heidelberg,
Germany, the Micronutrient Initiative, Medical
Nobel Institute for Biochemistry, Stockholm,
Sweden, The Council for Responsible Nutrition,
Washington, D.C., USA and others.
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Fields of Work Knowledge Creation and
Dissemination
Magazine, books, manuals, films

The Nutritional Anemia book is an important
contribution reminding us that in order to reduce
anemia, we need to recognize that no single
intervention will solve the problem, but that the
solution requires an integrated strategy of
complementary interventions. Kul C. Gautam,
Deputy Executive Director UNICEF

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Giving something back
Anemia Action Day 2007 for DSM employees
Anemia is also a significant problem for women
and children in industrialized countries
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Awards
In March 2008, the Oxygen Club of California
(OCC) honored SIGHT AND LIFE with The Frontiers
Science and Humanity Award for our dedication to
eradicating nutrient deficiencies and improving
child health and development. SIGHT AND LIFE
recognized and honored at prestigious Global
Micronutrient Forum, April 2007 The Forum
honors SIGHT AND LIFE in recognition of its
long-standing commitment to alleviating
micronutrient malnutrition around the world. In
2003, the International Vitamin A Consultative
Group honored SIGHT AND LIFE for 15 years of
contributions to global vitamin A deficiency
research and control. In 1991, SIGHT AND LIFE
received the Helen Keller International Award in
recognition of our work toward the eradication of
vitamin A deficiency in developing countries.
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Awards
Maybe less prestigious, but nonetheless highly
appreciated . . . acknowledgments from all over
the world
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Network
Partners
Johns Hopkins University, Baltimore, USA Swiss
Federal Research Institute, Zurich,
Switzerland Northwest University, Potchestroom,
South Africa Mahidol University, Bangkok,
Thailand Swiss Tropical Institute, Basel,
Switzerland University of Giessen, Giessen,
Germany London School of Hygiene and Tropical
Medicine, London, UK United Nations World Food
Programme, Rome, Italy United States Agency for
International Development, Washington, D.C.,
USA The Micronutrient Forum, Washington, D.C.,
USA The Micronutrient Initiative, Ottawa,
Canada Groupe de Recherche et dÉchanges
Technologiques (GRET), Paris, France The Swiss
Red Cross, Berne, Switzerland Save the Children,
London, UK Various NGOs in developing countries
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Thank you very much for your attention!
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Contact
If you are working for the improvement of
peoples nutrition and wellbeing, contact SIGHT
AND LIFE as your possible partner of
choice SIGHT AND LIFE Dr. Klaus
Kraemer Secretary General PO Box 2116 4002 Basel,
Switzerland Phone [phone] Fax 41 61
815 8190 Email klaus.kraemer_at_sightandlife.org www
.sightandlife.org