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Appendix D: Voluntary Nutrient Fortification
Pages 192-195

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From page 192...
... Although IDD prevalence is falling rapidly, there are 130 countries in which IDD is still consiclereci a public health problem. In Canada, fortification of free-running table salt is manciatory; in the United States, subject to state laws, it is voluntary.
From page 193...
... Accorciingly, the focus of nutrient fortification has shifted from carefully orchestrated and closely monitored interventions to aciciress specified public health problems to a much less controlled and broacler, nonorchestrateci program of nutrient aciclitions to meet market clemancis and competitive pressures. Where only a few fortified foocis were marketed a few clecacles ago, there are now fortified and fabricated foocis numbering in the thousands.
From page 194...
... where children age ci 2 to 14 years consumed 479 different fortified food products. In both the United States and Canada, food fortification has createci difficult problems for government agencies involved in public health monitoring.
From page 195...
... One approach to solve this problem is to tightly regulate aciclitional fortification efforts, but then the inclivicluals who do not consume the existing fortified products would not have other sources available to achieve adequate dietary intake. Another option is to allow industry to respond to market clemanci and increase fortification, but then the risk of excessive levels of intake among those consuming multiple fortified products or high amounts of single fortified foocis increases.


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