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Milk-and-Dairy-Products-in-Human-Nutrition-FAO

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<strong>Milk</strong> <strong>and</strong> dairy products <strong>in</strong> human nutrition<br />

even contribute to reduc<strong>in</strong>g CVD. Consum<strong>in</strong>g milk <strong>and</strong> dairy products may reduce<br />

the risk of metabolic syndrome <strong>and</strong> type 2 diabetes <strong>in</strong> adults (Chapter 4). Several<br />

studies suggest that milk may offer protection aga<strong>in</strong>st colorectal cancer <strong>and</strong> possibly<br />

bladder cancer, although limited evidence suggests that high consumption of milk <strong>and</strong><br />

dairy products is a cause of prostate cancer (Chapter 4).<br />

It appears, therefore, that there is no special need to target overconsumption of<br />

dairy products. A more press<strong>in</strong>g need is to improve the urban poor’s access to milk<br />

<strong>and</strong> milk products.<br />

The nutritional challenges fac<strong>in</strong>g people liv<strong>in</strong>g <strong>in</strong> grow<strong>in</strong>g cities are well known,<br />

but cities also offer opportunities for develop<strong>in</strong>g new products <strong>and</strong> promot<strong>in</strong>g<br />

healthy lifestyles. Cities offer large, compact populations that consume more<br />

animal-source foods than rural people (Chapter 2), provid<strong>in</strong>g a ready market for<br />

dairy products. Economies of scale, higher <strong>in</strong>comes <strong>and</strong> the will<strong>in</strong>gness of city<br />

populations to try new diets also make it attractive to <strong>in</strong>vest <strong>in</strong> new products that<br />

boost nutrition, such as fortified foods, fermented foods <strong>and</strong> foods with specific<br />

dairy components, such as lactose <strong>and</strong> fat, either removed/reduced or added via<br />

process<strong>in</strong>g for consumers with special diets <strong>and</strong> specific <strong>in</strong>tolerances (Chapter 5), or<br />

products with <strong>in</strong>creased shelf-life, such as ultra-high-temperature-treated yoghurt.<br />

As <strong>in</strong>novative products become more common, a regulatory framework is needed<br />

that assures the safety <strong>and</strong> quality of products <strong>and</strong> protects the consumer from<br />

mislead<strong>in</strong>g <strong>in</strong>formation <strong>and</strong> fraudulent practices (Chapters 5 <strong>and</strong> 6).<br />

As access to diverse types of food does not guarantee healthy nutrition choices,<br />

the easy access to communication <strong>and</strong> active social networks <strong>in</strong> cities should be<br />

exploited <strong>in</strong> order to provide people with better <strong>in</strong>formation about dairy products<br />

<strong>and</strong> nutrition.<br />

The economies of scale of large, dense populations make it possible to <strong>in</strong>itiate<br />

urban nutrition programmes like those of Belo Horizonte <strong>in</strong> Brazil (Lappé, 2009),<br />

which started a food-security programme <strong>in</strong> 1993 to end hunger with<strong>in</strong> the city.<br />

Us<strong>in</strong>g a range of <strong>in</strong>itiatives that <strong>in</strong>clude provision of free school meals, subsidized<br />

meals <strong>in</strong> designated “People’s restaurants”, support of local food production,<br />

improved distribution <strong>in</strong> poor parts of the city, community <strong>and</strong> school gardens <strong>and</strong><br />

nutrition education, impressive reductions <strong>in</strong> child mortality <strong>and</strong> malnutrition rates<br />

have been achieved.<br />

9.2.4 Scal<strong>in</strong>g up: implications for food supply, food safety<br />

<strong>and</strong> farmer livelihoods<br />

The livestock sector worldwide is scal<strong>in</strong>g up 59 <strong>and</strong> <strong>in</strong>tensify<strong>in</strong>g 60 <strong>in</strong> response to<br />

population growth, economic development <strong>and</strong> technological changes (<strong>FAO</strong>, 2009).<br />

However, the dairy sector has scaled-up <strong>and</strong> <strong>in</strong>tensified more slowly than other<br />

livestock sectors such as poultry <strong>and</strong> pigs (<strong>FAO</strong>, 2009). The difference has occurred<br />

for a number of reasons. One relates to government policies <strong>in</strong> much of South Asia<br />

<strong>and</strong> parts of Central Asia <strong>and</strong> Africa, which have either positively encouraged small-<br />

59 Scal<strong>in</strong>g up <strong>in</strong> this context refers to production <strong>and</strong> process<strong>in</strong>g units becom<strong>in</strong>g on average larger.<br />

60 Intensification is the process by which production <strong>and</strong> process<strong>in</strong>g transition from low to higher<br />

<strong>in</strong>puts.

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