4As I write <strong>of</strong> the risk <strong>of</strong> doing nothing, Sight andLife is devastated by the tragedy unfolding in theHorn <strong>of</strong> Africa – a humanitarian crisis on a scale wehave never seen before. There is daily loss <strong>of</strong> lifeand untold long-term effects as children are starved<strong>of</strong> both calories and vital nutrients, leaving themstunted forever if they survive.Sight and Life and <strong>DSM</strong> have responded by donatingto the World Food Programme ready-to-usefood to feed a significant number <strong>of</strong> children untilthe end <strong>of</strong> the year. We urge all our readers to takeaction and to make a difference. At times like thisdonations to the World Food Programme are urgentlyrequired and ensure the immediate pro-vision <strong>of</strong> ready-to-use foods for those in dire need.Visit www.wfp.org and let us as the world’s nutritioncommunity show our support for those doingsomething to save the lives <strong>of</strong> thousands.Urgentneed !
WelcomeThe risk <strong>of</strong> doing nothing …As Sight and Life commemorates 25 years <strong>of</strong> service to scienceand humanity, it is appropriate that we ask ourselves if our existencehas made at least some difference to the way in whichmicronutrient malnutrition is addressed or has helped ensurethat this issue receives greater attention within the ever noisierglobal public health and nutrition space.For us the answer is yes. We believe we have made a contribution.Now we would like to reflect more closely on the specificsand magnitude <strong>of</strong> this contribution, a question which is more difficultto answer and quantify. Over the years, we have gatheredmany letters from grateful beneficiaries, in addition to numerouscase studies on how Sight and Life’s direct contribution to vitaminA supplementation and, more recently, the way in which ithas addressed multiple micronutrient deficiencies has improvedlives; and on how our partnerships, capacity building initiativesand sponsorship <strong>of</strong> individuals to attend meetings and programshave given people an opportunity for personal and pr<strong>of</strong>essionaldevelopment that they would never otherwise have had. We arecertainly “building bridges for better nutrition,” as our by-linestates. Yet the very word “building” implies and was carefullyselected to mean that the process is still happening − it is ongoing,and needed now more than ever. We only need to look at thecurrent global nutrition statistics, and the real concern aboutreaching the Millennium Development Goal (MDG) targets thatare linked to nutrition, to know that we still have a long wayto go before we can truly say that we have done our work andachieved our mission <strong>of</strong> “ensuring a sustainable and significantimprovement in human nutrition, health and well-being.” Thechallenges are enormous and frequently the obstacles seem insurmountable.We have to actSo, what is the risk that those involved, from all sectors <strong>of</strong> society,do nothing? The dictionary has a number <strong>of</strong> definitions forrisk, but the one that strikes me as being relevant to the field <strong>of</strong>humanitarian work is to “act in such a way as to bring about thepossibility <strong>of</strong> an unpleasant or unwelcome event.” Add to thatthe definition <strong>of</strong> nothing, “not anything; no single thing,” andit becomes clear that if we, the global public health nutritioncommunity, do nothing, we must ask ourselves if this will resultin an unpleasant or unwelcome event? I am sure that most <strong>of</strong> uswould agree that inaction would have negative consequences.The prevalence <strong>of</strong> malnutrition in all its forms would increase,the quality <strong>of</strong> life <strong>of</strong> millions <strong>of</strong> individuals would decrease, andthe negative impact on the growth <strong>of</strong> economies would continue.Thus, indeed, we have to act – defined as “the process <strong>of</strong> doing”;however, it is perhaps time to act and do differently.“The world we’ve made, as a result <strong>of</strong>the level <strong>of</strong> thinking we have donethus far, creates problems we cannotsolve at the same level <strong>of</strong> thinking”Albert EinsteinIn the words <strong>of</strong> Albert Einstein, “the world we’ve made, asa result <strong>of</strong> the level <strong>of</strong> thinking we have done thus far, createsproblems we cannot solve at the same level <strong>of</strong> thinking.” In otherwords, “insanity is when you keep doing the same things expectingdifferent results.” However, challenging the way in which wehave done things can be uncomfortable. It means we need tobe prepared to shift, to move out <strong>of</strong> our comfort zone or even toconsider that what we have done has not yielded the results wehad hoped for.The need for political willIn her thought-provoking book Dead Aid, Dumbisa Moyo challengesthe aid culture and writes, “Has more than US$1 trillionin development assistance over the last several decades made⇢