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close this bookScurvy and its Prevention and Control in Major Emergencies (WHO; 1999; 70 pages)
View the documentAcknowledgements
View the documentScurvy: definition
open this folder and view contentsIntroduction
open this folder and view contentsScurvy
open this folder and view contentsVitamin C
open this folder and view contentsRecommended Daily Allowance (RDA)
open this folder and view contentsSources of vitamin C
open this folder and view contentsStrategies to prevent scurvy in large refugee populations
View the documentCosts
close this folderConclusions and recommendations
open this folder and view contentsPrimary strategies
View the documentSupporting strategies
View the documentReferences
View the documentAnnex 1
View the documentAnnex 2
View the documentAnnex 3
View the documentBack Cover

Supporting strategies

Nutrition education. Nutrition education should be seen as an essential component of any intervention to prevent scurvy. Information, education and communication programmes that convey important messages can be inexpensive and achieve impact. The most efficient and durable interventions involve communication to educate and thereby modify consumption-related attitudes and practices. Messages to refugees can be vital in helping them to learn about their new environment, about different local foods which could be produced or purchased, and help in introducing unfamiliar imported food aid. See the annex for examples of some important messages related to prevention of scurvy. Any message, of course, has to be adapted to the location and situation where it is disseminated.

Training of field workers. Improving the skills of field workers in the clinical assessment and management of scurvy through training is essential for an intervention to be effective. It is also necessary to develop their capacity to analyze options and take appropriate action for the prevention of vitamin C deficiency in emergency-affected populations where there is the likelihood of an outbreak or risk of scurvy.

Establishment or identification of facility for biochemical assessment of scurvy. Currently there are no field-friendly methods available for the biochemical assessment of vitamin C deficiency. It is therefore neccessary to identify facilities at the national level where the vitamin C levels of blood samples can be determined rapidly and with precision.

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