DSM can be an appropriate vehicle for vitamin C fortification in settings where it is distributed in the general ration, e.g. among pastoral nomad populations. In 1987, the Refugee Health Unit, Somalia, recommended that DSM be fortified with vitamin C since DSM is rarely cooked for very long and thus vitamin C loss during food preparation is limited. A number of laboratory analyses have been done on the retention of vitamin C in fortified DSM with encouraging results.
However, in other non-nomadic settings, the policy is not to distribute DSM in the general ration but to distribute it only in supplementary feeding centres in a cereal mix. In such cases other vehicles for vitamin C fortification will be required to reach those refugees most at risk of scurvy.