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Nutrition International highlights Canada-Africa partnership to advance nutrition, health and education goals
November 18, 2024
Preventing birth defects, saving lives, and promoting health equity: an urgent call to action for universal mandatory food fortification with folic acid
Overview
July 2021 marked the 30th anniversary of the publication of the landmark trial showing that folic acid prevents most cases of spina bifida and anencephaly. Mandatory fortification with folic acid is safe, cost-effective, and sustainable intervention to prevent cases, yet it is implemented by few countries effectively; only one-quarter of preventable cases are prevented worldwide. We summarize evidence and make an urgent call to action for a World Health Assembly resolution on universal mandatory folic acid fortification to accelerate the slow pace of prevention globally, and to assist countries in reaching their 2030 SDG goals on child mortality and health equity. The cost of inaction is profound, disproportionately impacting vulnerable populations.