Summary

The feasibility of micronutrient supplementation and the degree to which it should be pursued in combination with other strategies to prevent and control micro-nutrient deficiencies depend on the local needs, resources, capabilities, commitment, and evidence of benefit. The successful prevention and control of vitamin A, iron, and zinc deficiencies will probably result from a combination of repetitive distribution of highdose nutrient supplements, fortification of staple foods, and behavioral change, whereas fortification of salt alone with iodine has already achieved much success in combating iodine deficiency disorders. The adoption of supplementation approaches should be guided by evidence of a need for targeting, impact potential, costs, and potential sustainability.

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