A third of child deaths globally are caused
by poor nutrition, experts warn.
Around 3.5 million children die every
year because of lack of food or poor quality food, a problem
which starts in the womb, studies show.
Yet 25% of these deaths could be prevented
with simple steps such as breastfeeding and vitamin A
supplements, the Lancet reports.
The majority of undernourished children
and pregnant women live in just 20 countries across Africa
and Asia.
A special series in The Lancet also reported
that poor nutrition in infancy leads to irreversible damage
in later life.
Children who are under-nourished are
likely to have shorter height and do less well at school,
reducing their economic potential and perpetuating the
poverty cycle, analysis found.
A separate study found "convincing evidence"
for several measures which could have a big impact on
reducing deaths if implemented properly.
Zinc and vitamin A supplements as well
as encouraging women to breastfeed for at least six months
would cut deaths and the loss of years through disability
by a quarter, the researchers concluded.
But the international response to child
deaths from poor nutrition has been "fragmented and dysfunctional",
experts warned.
Global burden
Some children die because they simply
do not have enough food.
But the issue is more complex for other
children who suffer stunted growth and illnesses associated
with deficiencies of vital vitamins and minerals.
The problem can be exacerbated by poor
sanitation which spreads infectious diseases that cause
diarrhoea.
Professor Zulfiqar Bhutta, Department
of Paediatrics and Child Health at Aga Khan University
in Pakistan estimated that 1.4 million child deaths annually
are caused by a lack of breastfeeding.
In Africa, Asia, Latin America and the
Caribbean less than a third of children under the age
of six months are breastfed exclusively, he said.
Professor Caroline Fall, from the University
of Southampton, who carried out the research into long-term
effects of poor nutrition said: "Having an undernourished
mother or infant causes irreversible damage even if nutrition
improves later in childhood - you don't get the chance
to recover much".
Dr Bruce Cogill, a nutrition expert at
Unicef, said the global burden caused by under-nutrition
was "a call to action".
He added that nutrition programmes were
"woefully under-resourced" compared to other global health
issues, such as Aids.
Professor Simon Cousens, from the London
School of Hygiene and Tropical Medicine said the period
from conception until 24 months of age was most crucial.
"Countries with a high prevalence of
under-nutrition must decide which interventions should
be given the highest priority, and ensure their active
implementation."
Save the Children said if trends in Africa
continued, 3.7 million more children will be suffering
from malnutrition in 2015 than today.
David Mepham, director of policy at the
charity said: "Children who are malnourished suffer cognitive
impairment, affecting their capacity to learn, and they
have much weaker immune systems, making them more vulnerable
to disease and early death."
He called for the UK and EU governments
to do more to tackle the problem.