12 SIGHT AND LIFE STATEMENTcolonic microflora in African children to create a potentiallymore pathogenic profile. If this is confirmed, it could help to explainthe reported adverse effects of iron supplementation <strong>and</strong>bolus doses of iron.The other potential mechanism discussed is the formationof non-transferrin-bound iron (NTBI). Recently presented dataon the formation of NTBI 8 after administration of iron in womenwith low iron status (NTBI formation monitored over eight hours),showed that the highest NTBI concentrations were produced bya 60 mg dose without food, followed by 60 mg <strong>and</strong> 6 mg withfood. These first data indicate that iron administered with food<strong>and</strong> through fortification (rather than supplementation) resultedin lower NTBI formation.“The two-step approach of optimizingthe MNP formulation for malariaendemic areas is expected to be saferthan typically used iron doses”In conclusion, based on current knowledge, the two-step approachof optimizing the MNP formulation for malaria endemic areasis expected to be safer than typically used iron doses (12.5 mg).The reduction of the iron dose to levels closer to the amount of ironprovided in food fortification helps to reduce the amount of unabsorbediron in the intestine. Meanwhile, using a highly bioavailableiron compound in combination with iron absorption enhancersis crucial to supplying the individual with the iron needed.References01. WHO/WFP/UNICEF Joint Statement. Preventing <strong>and</strong> controllingmicronutrient deficiencies in populations affected by an emergency.Multiple vitamin <strong>and</strong> mineral supplements for pregnant <strong>and</strong>lactating women, <strong>and</strong> for children aged 6 to 59 months. WHO,2007.02. Sazawal, S, Black R, Ramsan M et al. Effects of routine prophylacticsupplementation with iron <strong>and</strong> folic acid on admission to hospital<strong>and</strong> mortality in preschool children in a high malaria transmissionsetting: community-based, r<strong>and</strong>omized, placebo-controlled trial.Lancet 2006;367(9505):133–4303. Oppenheimer SJ. Iron <strong>and</strong> its relation to immunity <strong>and</strong> infectiousdisease. J Nutr 2001;131(2S-2):616S-633S; discussion 633S–635S.04. Ojukwu J, Okebe J, Yahav D et al. Oral iron supplementation forpreventing or treating anemia among children in malaria-endemicareas. Cochrane Database Syst Rev 2009;(3): CD006589.05. WHO. Conclusions <strong>and</strong> recommendations of the WHOConsultation on prevention <strong>and</strong> control of iron deficiency in infants<strong>and</strong> young children in malaria-endemic areas. Food Nutr Bull2007;28:S621–S706. Hurrell, R, Ranum P, de Pee S et al. Revised recommendations foriron fortification of wheat flour <strong>and</strong> an evaluation of the expectedimpact of current national wheat flour fortification programs.Food Nutr Bull 2010;31(1 Suppl):S7–2107. Zimmermann, M, Chassard C, Rohner F et al. The effects of iron fortificationon the gut microbiota in African children: a r<strong>and</strong>omizedcontrolled trial in Côte d'Ivoire. Am J Clin Nutr 2010;92:1406–15.08. Egli I, Brittenham G, Zeder C et al. The influence of supplementation<strong>and</strong> fortification iron doses on the formation of plasma-nontransferrin-boundiron. (UC Davis) Conference on Bioavailability,Asilomar, CA, September 26–30, 2010 (only abstract available)
SIGHT AND LIFE | VOL. 25 (1) | <strong>2011</strong>13The “<strong>Sight</strong> <strong>and</strong> <strong>Life</strong>in My <strong>Life</strong>”Essay CompetitionIn the last issue of the magazine, we launched the <strong>Sight</strong> <strong>and</strong> <strong>Life</strong> inMy <strong>Life</strong> Essay Competition. Its aim was to find out how <strong>Sight</strong> <strong>and</strong> <strong>Life</strong> hasplayed a part in readers lives, as part of the organization’s 25thanniversary.The closing date for the competition was 15 March <strong>2011</strong> <strong>and</strong> we havereceived many wonderful stories. We have been delighted with theentries we have received <strong>and</strong> are looking forward to sharing these withyou in future issues. We are now in the process of reading <strong>and</strong> judgingthe entries <strong>and</strong> will be contacting the winners <strong>and</strong> those who sent ushighly commended entries later this summer.We have received entries from many countries, from Nigeria to SriLanka. Many fascinating photographs <strong>and</strong> even some original artworkhas come our way, such as the picture here by Dr Narendra Kumar,which is the cover of her booklet that helps children <strong>and</strong> families inIndia.We would like to say a very heartfelt thank you to all you who enteredthe competition. We appreciate the time you have spent on writing yourentries <strong>and</strong> would also like to thank you for all the amazing good workyou do in your communities.With warmest wishesThe <strong>Sight</strong> <strong>and</strong> <strong>Life</strong> Team