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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)