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<p class=MsoNormal><b><span style='font-size:18.0pt;font-family:"Arial","sans-serif"'>Fish
protein wafers to ease acute malnutrition in children<o:p></o:p></span></b></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial","sans-serif"'>By:<span
class=apple-converted-space> </span><a
href="https://www.scidev.net/global/author.fatima-arkin.html"><span
style='color:windowtext;text-decoration:none'>Fatima Arkin</span></a><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial","sans-serif"'>10/01/19<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Arial","sans-serif"'><a
href="https://www.scidev.net/global/health/news/fish-protein-wafers-to-ease-acute-malnutrition-in-children-1x.html?utm_medium=email&utm_source=SciDevNewsletter&utm_campaign=international%20SciDev.Net%20update%3A%2014%20January%202019"><span
style='color:windowtext;text-decoration:none'>https://www.scidev.net/global/health/news/fish-protein-wafers-to-ease-acute-malnutrition-in-children-1x.html?utm_medium=email&utm_source=SciDevNewsletter&utm_campaign=international%20SciDev.Net%20update%3A%2014%20January%202019</span></a><o:p></o:p></span></p>
<h4 style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:8.25pt;
margin-left:0in;background:white'><span style='font-size:13.5pt;color:black'><o:p> </o:p></span></h4>
<p class=MsoNormal style='line-height:19.3pt;background:white'><span
style='font-family:"Arial","sans-serif";color:black'>[MANILA] A snack based on
fish proteins, launched last month (17 December), is expected to help the
Cambodian government reach its goal of treating at least 25,000 children for
severe acute malnutrition every year.<br>
<br>
Eventually, production of this snack could be expanded to help over five
million<span class=apple-converted-space> </span><a
href="https://www.scidev.net/global/health/children/" target="_self"><span
style='color:#E10000'>children</span></a><span class=apple-converted-space> </span>under
the age of five in East Asia and the Pacific who are affected by severe acute
malnutrition annually, according to Arnaud Laillou, a<span
class=apple-converted-space> </span><a
href="https://www.scidev.net/global/health/nutrition/" target="_self"><span
style='color:#E10000'>nutrition</span></a><span class=apple-converted-space> </span>specialist
at<span class=apple-converted-space> </span><a
href="https://www.unicef.org/cambodia/" target="_blank"><span style='color:
#E10000'>UNICEF Cambodia</span></a>. Laillou points to the Lao PDR and Myanmar
as countries in the region that could readily adopt the product.<br
style='box-sizing: border-box'>
<br>
<o:p></o:p></span></p>
<p class=MsoNormal style='line-height:19.3pt;background:white'><span
style='font-family:"Arial","sans-serif";color:black'>Acutely malnourished
children are nine times more likely to die than well-nourished children,
according to UNICEF. Typically, they have severe muscle wasting and swollen
feet, face and limbs and need emergency care, including therapeutic food, to
survive.<br>
<br>
The new snack, called Nutrix, offers a locally produced alternative to imported
therapeutic foods that are usually made with peanut and milk powder.<br>
<br>
Approximately 2.6 per cent of children in Cambodia suffer from severe acute
malnutrition while another eight per cent have moderate to acute malnutrition.<br>
<br>
Home-based, ready-to-use therapeutic foods are often prescribed for an
estimated 60,000 to 90,000 Cambodian children who need specialized <a
href="https://www.scidev.net/global/health/medicine/" target="_self"><span
style='color:#E10000'>medical</span></a><span class=apple-converted-space> </span>treatment
annually, according to UNICEF. The organisation also notes that local research
has shown low uptake of existing products in Cambodia’s<span
class=apple-converted-space> </span><a
href="https://www.scidev.net/global/health/medicine/" target="_self"><span
style='color:#E10000'>healthcare</span></a><span class=apple-converted-space> </span>facilities.<br>
<br>
Nutrix presents a viable alternative. It is 20 per cent cheaper than imported
counterparts. Cambodian children also find it more palatable, according to
efficacy studies conducted by UNICEF. Additionally, fish is a staple in
Asia-Pacific diets; the region provides almost 90 per cent of the world’s<span
class=apple-converted-space> </span><a
href="https://www.scidev.net/global/agriculture/fisheries/" target="_self"><span
style='color:#E10000'>fish</span></a> supply, according to the UN’s<span
class=apple-converted-space> </span><a href="http://www.fao.org/home/en/"
target="_blank"><span style='color:#E10000'>Food and Agriculture Organization
(FAO)</span></a>.<br>
<br>
“Nutrix came about after five years of research and hard work,”
Laillou tells <em><span style='font-family:"Arial","sans-serif"'><a
href="http://scidev.net/" target="_self"><span style='color:#E10000'>SciDev.Net</span></a></span></em>.
“The final tests of the product were essential as Cambodia is one of the
first countries to use fish protein in therapeutic food.”<br>
<br>
To create the Nutrix wafer, UNICEF partnered with the<span
class=apple-converted-space> </span><a href="https://en.ird.fr/ird.fr"
target="_blank"><span style='color:#E10000'>French National Research Institute
for Sustainable Development</span></a>. Copenhagen University and<span
class=apple-converted-space> </span><a
href="https://scandasia.com/tag/danish-care-foods/" target="_blank"><span
style='color:#E10000'>Danish Care Foods Corp. (DCF)</span></a><span
class=apple-converted-space> </span>also worked on Nutrix. DCF is slated
to produce the wafer and a lighter version called Num Trey for the <a
href="http://moh.gov.kh/?lang=en" target="_blank"><span style='color:#E10000'>Cambodian
ministry of health</span></a>.<o:p></o:p></span></p>
<p class=MsoNormal style='line-height:19.3pt;background:white'><span
style='font-family:"Arial","sans-serif";color:black'><o:p> </o:p></span></p>
<p class=MsoNormal style='line-height:19.3pt;background:white'><span
style='font-family:"Arial","sans-serif";color:black'>DCF’s partner
company, Vissot Co., has a Bill and Melinda Gates grant to train workers in
five local communities where the fish are caught to sort, clean and pack the
fish for transport to their factory in Phnom Penh, says Shakuntala Thilsted, a
research programme leader at WorldFish, an international non-profit.<o:p></o:p></span></p>
<p class=MsoNormal style='line-height:19.3pt;background:white'><span
style='font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p class=MsoNormal style='line-height:19.3pt;background:white'><span
style='font-family:"Arial","sans-serif";color:black'>Thilsted says by using
native Cambodian fish instead of dairy like in other ready-to-use therapeutic
foods, there is a higher likelihood of creating a system that fits the local
supply. The optimised supply chain is predicted to reduce production costs by
60 per cent.<o:p></o:p></span></p>
<p class=MsoNormal style='line-height:19.3pt;background:white'><span
style='font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p class=MsoNormal style='line-height:19.3pt;background:white'><span
style='font-family:"Arial","sans-serif";color:black'>However, expanding the
production and distribution of Nutrix to other countries present several
challenges, says Derek Headey, a senior research fellow at the<span
class=apple-converted-space> </span><a href="http://www.ifpri.org/"
target="_blank"><span style='color:#E10000'>International Food Policy Research
Institute (IFPRI)</span></a>.<o:p></o:p></span></p>
<p class=MsoNormal style='line-height:19.3pt;background:white'><span
style='font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p class=MsoNormal style='line-height:19.3pt;background:white'><span
style='font-family:"Arial","sans-serif";color:black'>“Child stunting
really accelerates very quickly at six months, exactly the time when kids
should be introduced to nutrient-dense complementary foods. But it can be tough
for nutrition programs to reach parents at six months (unlike prenatal or
neonatal care),” Headey tells<span class=apple-converted-space> </span><em><span
style='font-family:"Arial","sans-serif"'>SciDev.Net</span></em>.<o:p></o:p></span></p>
<p class=MsoNormal style='line-height:19.3pt;background:white'><span
style='font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p>
<p class=MsoNormal style='line-height:19.3pt;background:white'><span
style='font-family:"Arial","sans-serif";color:black'>“Even if these foods
are designed to fit local tastes and cultural feeding practices, there’s
still a novelty factor to them,” Headey says, adding that there’s
an issue of consumers trusting the product and the “inevitable debate
about whether the product would be delivered free through the health
system”.<o:p></o:p></span></p>
<p class=MsoNormal style='line-height:19.3pt;background:white'><span
style='font-family:"Arial","sans-serif";color:black'><o:p> </o:p></span></p>
<h3 style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:15.0pt;
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