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Nutrition Impacts of Highly Pathogenic Avian Influenza (HPAI)
Author(s) -
Iannotti Lora Lynn,
Barron Manuel,
Roy Devesh
Publication year - 2009
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.23.1_supplement.918.3
Subject(s) - influenza a virus subtype h5n1 , underweight , anemia , environmental health , per capita , anthropometry , culling , medicine , demography , biology , obesity , veterinary medicine , overweight , herd , population , virus , virology , sociology
Little is known about the livelihood implications of HPAI and control measures despite extensive culling and endemnicity in some regions. This study aimed to characterize the importance of animal source foods (ASF) and the effects of HPAI on nutrition in young children ages 12‐36 mo (n=1,553) using data from the Indonesia Family Life Survey‐3 conducted in 2000. 52% of the children had consumed meat or poultry and 79% eggs in the last week, with significant differences between the upper and lower per capita expenditure (PCE) quartiles (P<0.001). 44% of the children were stunted, 27% underweight, 11% wasted, and 65% anemic. Key determinants of child anthropometry and hemoglobin concentration/anemia, derived using multivariate probit and seemingly unrelated regressions, were: ASF (milk, meat/poultry, eggs, fish) presence in the diet and frequency of consumption; PCE; age, sex; mother's schooling, BMI, and Hb; density of health posts; diarrhea; and fever. Assuming poultry and egg consumption drop to zero in the event of an HPAI shock, propensity score matching demonstrated a 13.2 percentage point increase in anemia, 13.5 percentage point increase in stunting, and 0.62 g/dl decrease in mean hemoglobin concentration (SATT, P<0.01). Through the pathway of ASF consumption in young children, HPAI and control measures could have nutrition‐related consequences with public health significance. Source of support: UK Department for International Development (DFID)