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UPDATED: Thu Jun 13 15:47:20 2002

Dr Gro Harlem Brundtland        
Director-General
World Health Organization

Rome
10 June 2002

   

World Food Summit, Plenary Address

Mr Chairman,

Food insecurity, hunger and malnutrition dominate the health of the world's poorest nations.

Alleviation of hunger and malnutrition is a fundamental pre-requisite for poverty reduction and sustainable development.

More than five hundred and seventy million of the world's women suffer from anaemia. Their babies are small, they are weakened and tired, and their lives are at risk.

Sixty per cent of the eleven million childhood deaths in developing countries each year are associated with malnutrition

  • 160 million children under five are stunted due to protein energy malnutrition;
  • 740 million people suffer from iodine deficiency disorders;
  • 250 million children under five suffer from Vitamin A deficiency.

The results are more than the deaths. Hundreds of millions of children have lowered defences against infectious diseases. They do not develop to their physical and mental potential. As a result, they lose out at school, in the workplace, and, ultimately, in life itself.

Through the Millennium Development goals, we have committed ourselves to cut abject poverty by half by 2015.

We will only achieve this if we can drastically reduce malnutrition.

- This will involve serious agricultural reforms and changes in trade;

- new policies and distribution systems that will make this food available to the poorest;

- tackling the wasting diseases – including HIV/AIDS, TB and malaria;

- fortification of basic food products at a price which is affordable for the poorest;

- more scientific research and better stewardship and governance by national leaders.

The dual scourge of hunger and malnutrition will be truly vanquished not only when granaries are full, but also when people’s basic health needs are met, and women are given their rightful role in societies. The other major causes of malnutrition, not only food shortage, must feature prominently in the way we chart ahead.

Malnutrition is also a matter of food safety. Contaminated food is a major cause of diarrhoea, substantially contributing to malnutrition, killing about 2.2 million people each year, most of them children.

Investing in food safety carries big returns. It reduces the cost of food-borne disease. It contributes to poverty alleviation through increasing the quality and length of life, while augmenting people’s productivity, and improves global health and global trade.

We also need to focus on the other side of the malnutrition coin: the negative health effects connected with an unbalanced diet, too high an intake of calories and not enough exercise. Obesity, diabetes and heart disease are no longer reserved for the affluent and over-privileged. The rapidly growing epidemic of non-communicable diseases, already responsible for some 60% of world deaths, is clearly related to increased consumption of industrially-processed fatty, salty and sugary foods.

In the slums of today's mega-cities, we are seeing noncommunicable diseases caused by unhealthy diets and lifestyle, side by side with under-nutrition. This double burden of disease is rapidly becoming a serious brake on the development efforts of many countries. But the changes in global dietary patterns have wider consequences. Increasing meat consumption is also affecting our environment and the nature of agricultural production.

Economic development and globalization need not be associated with increasing inequity, hunger and chronic disease. On the contrary, we can harness the forces of globalization to reduce inequity, to reduce hunger and to improve health in a more just and inclusive global society.

But for that we need new thinking and new action. We need a longer-term perspective which places the health of people and the health of our planet at the centre. We have the knowledge. We know how to enable the poor to get the food they need. We know how to avoid micro-nutrient deficiencies. We know how to encourage breast-feeding of infants. We know how to ensure safe food from farm to plate. We know what constitutes healthy diets.

We have the tools to make the changes. From this Summit, I hear that we have the will. Let us now work for a world where all can eat and live healthy lives in dignity.

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