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Food Security and Nutrition in the Perspective
of the SDGs
Richard J. Deckelbaum MD, CM, FRCP(C)
Departments of Pediatrics and Epidemiology
Institute of Human Nutrition, Columbia University
5 5 16
The SDGs – 2015
(Coutesy of Richard Horton)
The “Double Burden”
Gustafson, 30 project
ONE GLOBAL ISSUE!
Projected deaths by cause in high, middle, and low income
countries, 2004 to 2030
30
Intentional injuries
Other unintentional
Road traffic accidents
Deaths (millions)
25
Other NCD
20
Cancers
15
CVD
10
Mat//peri/nutritional
5
Other infectious
HIV, TB, malaria
0
2004
2015
2030
High income
2004
2015
2030
Middle income
Global Burden of Disease 2004 Update, WHO
2004
2015
2030
Low income
The Bill, Please
(for 5 chronic diseases for 20 years)
N.B. These numbers are TRILLIONS
The Global Economic Burden of NCDs: WEF&HSPH-2011
Intersectoral Approaches Needed!!
Agriculture
Food Security
Ecological
Socioeconomic
Health, Agriculture, Environment,Poverty
Loss of nutrients, soil erosion,
biodiversity
AGRICULTURE
ENVIRONMENTAL
poor management
DEGRADATION
Declining
labor productivity
Decreased
food production
MALNUTRITION, ILLNESS
Deckelbaum RJ, Palm C et al, 2006
Econutrition
• Human nutrition
• Ecological and environmental
Health
control
• Agriculture
• Economic development
Human behavior, lifestyle, physical activity, work,
livestock, ……………, …………….
Deckelbaum RJ, FNB, 2011
African Nutritional Sciences Research Consortium
(ANSRC) The Rationale
• Build local capacity for science –
linking health with nutrition,
agriculture, and “biotechnology”
• Use graduates for TOT –trainers
of trainers,…and students
• Economic development with
scientific devevelopment
• Diminish “brain drain”
• Bring African universities into the
respected group of top science
traning institutions
What are the
costs of doing
nothing?????
(Leeder, S)
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