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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
close this folderStrategies to prevent scurvy in large refugee populations
View the documentBackground
open this folder and view contentsMain approaches
close this folderOther options
View the documentFortification of oil
View the documentFortification of water
View the documentFortification of dried skimmed milk (DSM)
View the documentGermination
View the documentOther interventions
View the documentCosts
open this folder and view contentsConclusions and recommendations
View the documentReferences
View the documentAnnex 1
View the documentAnnex 2
View the documentAnnex 3
View the documentBack Cover

Fortification of dried skimmed milk (DSM)

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.

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