Food and Nutrition Activities WHO Perspective

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Food and Nutrition Activities WHO Perspective

• Dr. Dorit Nitzan Kaluski

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NFSI Objectives

• The NFSI will encourage schools to make active
  efforts to improve the nutritional status of
  children and increase their physical activity
  levels by meeting the minimum criteria

• Develop a written nutrition-friendly school
  policy
• Develop an action plan identifying roles and
  responsibilities, methods for monitoring and
  reporting against the objectives
• Ensure awareness and capacity building of the
  school community
• Ensure curriculum development and modification
  regarding nutrition and physical activity
  education
• Provide a supportive school environment (healthy
  food and opportunities for physical activity)
• Provide school nutrition and health services

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• Would SEE FSN HN could join?
• ..Lead?

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http//data.euro.who.int/nutrition

• Based on a policy survey conducted by WHO
  European Region
• Online portal
• Links to most of the policy documents
• Info on
• MND interventions
• Surveillance systems on nutritional status
• Collaboration with stakeholders
• Dietary guidelines

• ?Link to SEE HN/FSN Database?

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Methodology

• Weight, height, waist and hip circumferences will
  be measured by pediatricians, school nurses, or
  other school personnel, following standardized
  procedures in 5-to-7 year old primary school
• Repeated in 2 yrs in a new cohort and in the same
  intial cohort
• Once a national representative sample of primary
  schools is selected, the same schools will remain
  to be the nationwide sentinel sites for the system

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Biomonitoring of persistent organic pollutants
(POPs)

• WHO, through its GEMS/Food Programme, has long
  encouraged MS to undertake exposure studies of
  these contaminants in food and in the diet
• WHO has also supported the biomonitoring of human
  milk for PCDDs, PCDFs and dioxin-like PCBs as one
  of the most cost-effective approach for
  protecting public health from the risks posed by
  these chemicals
• WHO has revised its protocol guidelines for the
  biomonitoring of human milk to assess the
  effectiveness of the Convention in reducing POPs
  emissions
• MS are encouraged to participate in the Fourth
  WHO-Coordinated Survey of Human Milk for POPs,
  which is intended to protect both public health
  and the environment from these chemicals.

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Global Environmental Monitoring System/Food
Europe (GEMS/Food Europe)

• Promoting the monitoring of chemicals in food
• Harmonizing data collection
• Strenghtening knowledge on diets in all countries
  in the Region, especially the Balkan countries
  and the former USSR

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Microbiological hazards

• The WHO "Five Keys to Safer Food" are
• Keep clean
• Separate raw and cooked
• Cook food thoroughly (especially poultry and
  eggs)
• Keep food at safe temperatures
• Use safe water and raw materials

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WHO Scientific Update on Trans Fatty Acids (TFA)

• General historical background of the work related
  to TFA and the Global Strategy
• Health effects of TFA Experimental and
  observational evidence
• Quantitative effects on cardiovascular risk
  factors and coronary heart disease risk of
  replacing partially hydrogenated vegetable oils
  with other fats and oils
• Feasibility of recommending certain replacement
  or alternative fats
• Assessing approaches to removing TFA in the food
  supply in industrialized countries and in
  developing countries
• Summary and conclusions of the Scientific Update
• The final papers will be published as a
  supplement of the European Journal of Clinical
  Nutrition by the end of January 2008

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35th Annual Session of the UN Standing Committee
on Nutrition (SCN), Hanoi, Vietnam, 3-7 March 2008
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WHO GROWTH STANDARDSTHE ONE AND ONLY
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Until the New Standards Were Here

• The references provided a basis for making
  comparisons only they didnt enable evaluation
  and judgment
• Standards, on the other hand, set benchmarks and
  therefore are more effective guides to, and
  evaluators of, interventions to improve healthy
  development and growth
• An international standard to show how children
  should grow allows for comparisons across
  countries that can guide policymaking and support
  child health advocacy efforts.

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The WHO Multicentre Growth Reference Study (MGRS)

• Undertaken between 1997 and 2003 to generate new
  growth curves for assessing the growth and
  development of infants and young children around
  the world
• The MGRS collected primary growth data and
  related information from approximately 8500
  children from widely different ethnic backgrounds
  and cultural settings (Brazil, Ghana, India,
  Norway, Oman and the USA)
• The new growth curves provide a single
  international standard that represents the best
  description of physiological growth for all
  children from birth to five years of age and to
  establish the breastfed infant as the normative
  model for growth and development.

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The new WHO Child Growth Standards confirm that

• Children born anywhere in the world and given the
  optimum start in life have the potential to
  develop to within the same range of height and
  weight

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Growth reference data for 5-19 years
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• The WHO Reference 2007 is a reconstruction of the
  1977 National Center for Health Statistics
  (NCHS)/WHO reference
• It uses the original NCHS data set supplemented
  with data from the WHO child growth standards
  sample for under-fives
• To develop this reference the same statistical
  methodology was used as in the construction of
  the WHO standards
• This reference complements the WHO child growth
  standards for 0-60 months published in April 2006
  (see link on right column).

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And more..
Where do we go from here?..