ARTICLE: HUMAN NUTRITION IN THE DEVELOPING WORLD






Human Nutrition in the Developing World

by Michael C. Latham
Pub.: Food and Agriculture Organization (FAO), (Food and Nutrition Series, V. 29, No. 2). FAO Bookshop, Viale delle Terme di Caracalla, 00100 Rome, ITALY. Year: 1997. Paperback. 508 pp. ISBN: 925103818X. E-mail: Publications-sales@fao.org.
Reviewed by Joan Allen-Peters

FAO promotes this as a 'comprehensive introduction to nutritional problems in developing countries,' and from the perspective of someone who has been looking for just such a resource text for undergraduates majoring in nutrition, their statement is accurate but perhaps overly modest!

Dr. Latham's many years of teaching in the field of international nutrition provide the basis for a broad and scientifically sound coverage of nutrition issues. Even more important for those interested in the holistic approach to health, nutrition and development, the book examines not only the major nutritional disorders, their causes and prevention, but also the factors contributing to these. Food production, food security, health status, and social and cultural factors are all given careful consideration.

The book pays special attention to the important role that food security, adequate care and good health play as prerequisites to human nutritional well-being. There is a welcome emphasis on the value of multidisciplinary applied approaches to overcoming malnutrition, especially those that are food-based and truly sustainable.

Part V of 'Human Nutrition in the Developing World' reviews nutrition policies and programs in a number of timely and relevant areas, including nutrition surveillance, food safety, micronutrient deficiencies, group feeding and street foods. Useful annexes, including tables of recommended nutrient intakes, nutrient content of selected foods, and anthropometric tables complete the practical information provided. Attractive illustrations, including some from the second edition of the excellent Savage-Kind and Burgess text 'Nutrition for Developing Countries,' add to the readability and interest level of the text.

This is an ideal text not only for formal undergraduate teaching in international nutrition, but also as a reference for community health, education and agriculture workers looking for simple and practical information to help solve problems of undernutrition in the developing world.

Joan Allen-Peters is on the faculty of the School of Nutrition/Food Science, Acadia University, Wolfville, Nova Scotia, Canada, B0P 1X0.

__________________________________________________________

New FAO publication: "Human Nutrition in the Developing World"

"Human Nutrition in the Developing World", an important new FAO textbook and reference work, brings together under one cover encyclopaedic knowledge on the subject, and puts nutrition into the broader context of human development.

The 508-page book is written not only for universities and training andtechnical institutions, but also for public policy-makers and programme planners and managers at economic, agriculture and health ministries. It is illustrated with 24 figures, 52 tables, 86 photographs and five annexes including recommended intakes, anthropometric data, nutrient content of selected food, an index and a selected bibliography.

An important theme that runs through the book is that investing in people is just as important as investing in infrastructure. A well nourished child can learn better. A well nourished adult can produce more. The emphasis in "Human Nutrition in the Developing World" is therefore on human development.

"This book highlights not only the linkage between nutrition and health, but also the economic, social and food basis of nutrition," said Dr John Lupien, Director of the FAO Food and Nutrition Division.
The book provides scientifically based information on food, nutrients, causes of malnutrition, and nutritional disorders and their prevention. It emphasizes that many developing countries can improve their food supplies, employment opportunities and raise both national and individual incomes through better development of their agricultural resources. This could lead to dietary and nutritional improvements among low-income families, directly, or through increased social sector spending made possible by greater national and community wealth. It also points out that where malnutrition is widespread, food-based approaches are the only sustainable way to improve the nutritional status of all.

The text summarizes key points in human nutrition and provides information about proteins, fats, carbohydrates, minerals and vitamins, with special emphasis on nutritional needs of infants, children, mothers and the elderly. Basic information about foods commonly found in the diets of Africans, Asians and Latin Americans is given.

The author, Michael Latham, Professor of International Nutrition at Cornell University in New York, United States, wrote another popular FAO book on nutrition in tropical Africa that was first published in 1965. The International Conference on Nutrition (ICN), sponsored jointly by FAO and the World Health Organization (WHO) in 1992, served as a catalyst for a new, expanded version of the book.
The ICN, attended by ministers and plenipotentiaries of 159 nations, and the 1996 World Food Summit (WFS), attended by heads of state and government and other senior officials of 186 countries, have provided a framework for policies and programmes that will help ease the suffering of the 800 million undernourished people in the world.

"Human Nutrition in the Developing World" fills in that framework with a comprehensive overview of nutritional problems in developing countries divided into five parts - causes of malnutrition, basic nutrition, disorders of malnutrition, foods, and nutritional policies and programmes.

The book makes it clear that poverty and social discrimination are the most important causes of food insecurity and malnutrition. However, it offers cost-effective ways to improve dietary intakes and nutritional status by strengthening local food systems, improving sanitation and health care, especially of the poor and nutritionally vulnerable, and by improving overall care and feeding practices.
Human nutrition in the developing world, FAO Food and Nutrition Series No. 29, FAO, Rome, 1997. 508 pp. ISBN 92-5-103818-X. Price US$52.00. To order, contact FAO Sales and Marketing Group, Viale delle Terme di Caracalla, 00100 Rome, Italy, or E-mail Publications-sales@FAO.Org.

_____________________________________________________________________

Michael C. Latham, Expert on Nutrition in Developing World, Dies at 82


Michael C. Latham, an expert on international nutrition and tropical health who waged a long campaign against the use of infant formula and for the practice of breastfeeding in developing countries, died on April 1 in Boston. He was 82 and lived in Newfield, N.Y.
The cause was pneumonia, his son Mark said.
Dr. Latham, who directed the Program in International Nutrition at Cornell University for 25 years, first encountered the problems of nutrition in the developing world while practicing medicine as a young doctor for the British colonial service in Tanganyika (now Tanzania).
After the country had gained its independence, he stayed on and was appointed the director of the nutrition unit of the public health ministry. He became alarmed at efforts by Western companies to expand their marketing of infant formula to underdeveloped countries, where high birth rates promised a growing consumer base, and he became one of the first and most forceful public health scientists to sound a warning.
In many poor countries, he pointed out, mothers mixed powdered baby formula with contaminated water, leading to diarrheal diseases. To make the formula last longer, they often used too little of the powder, depriving their babies of vital nutrients.
Bottle feeding was “incredibly difficult and extremely bad,” Dr. Latham wrote in a 1976 report with Ted Greiner, but “the media onslaught is terrific, the messages are powerful and the profits are high.”
 “High also is the resultant human suffering,” they wrote.
Dr. Latham’s cause, taken up by several health groups, led the World Health Organization in 1981 to develop a set of guidelines, the International Code of Marketing of Breast-milk Substitutes, which was intended to govern the behavior of private companies. He was a prominent figure in the boycott of NestlĂ©, a leading manufacturer of infant formula, which agreed in 1984 to abide by the marketing code.
Michael C. Latham in 1995.
Credit Cornell University
The ideal food for infants, Dr. Latham argued, was breast milk. Its benefits, he wrote, were not limited to improved physical and mental development. It could also potentially curb population growth, he argued, since parents who were confident that their children would thrive would be more likely to have smaller families. In 1991, he helped found the World Alliance for Breastfeeding Action to explain and promote the benefits of breastfeeding around the world.
Michael Charles Latham was born on May 6, 1928, in Kilosa, Tanganyika, where his father was a doctor in the British colonial service. After earning a medical degree from Trinity College, Dublin, in 1952, he worked in hospitals in Britain and the United States before returning to Tanganyika to practice medicine in rural areas. During intermittent leaves, he earned a diploma in tropical public health from the London School of Hygiene and Tropical Medicine in 1958.
After leaving Tanzania in 1964, he taught nutrition at Harvard, where he received a degree in public health in 1965. In 1968 he was recruited by Cornell as a professor of international nutrition. He turned the university’s small Program in International Nutrition into one of the world’s largest training centers for nutritionists, many of whom went on to work in international agencies and public health departments around the world.
His research led to improved programs on infant nutrition, the control of parasitic diseases in humans, and the supply of micronutrients to poor populations.
Dr. Latham often did consulting work in Africa, Asia and South America for organizations like the World Health Organization, the United Nations Food and Agriculture Organization, Unicef and the World Bank.
In addition to his son Mark, of Somerville, Mass., he is survived by his second wife, Dr. Lani Stephenson, and another son, Miles, of Trumansburg, N.Y.

He was the author of two important books on international nutrition, “Human Nutrition in Tropical Africa” (1965) and “Human Nutrition in the Developing World” (1997), as well as a family memoir, “Kilimanjaro Tales: The Saga of a Medical Family in Africa” (1995), which drew on the journals kept by his mother, Gwynneth Latham.

Comments