Presenter: Dr. Sridhar R
Food and Nutritional/Health Supplements-
An Adaptive (Preventive/Maintenance) Intervention
for Ad...
Presenter: Dr. Sridhar R
Climate Change
Indian Scenario
Factors & Health Impacts
Adaptive Interventions- Health Diseases
H...
Presenter: Dr. Sridhar R
“Strategies for Climate Change Mitigation and Adaptation towards sustainable development”
Nationa...
Presenter: Dr. Sridhar R
Climate Change-- Factors & Health Impacts
“Strategies for Climate Change Mitigation and Adaptatio...
Presenter: Dr. Sridhar R
Food borne illness and food insecurity
Leads to malnutrition and the resultant vulnerability to i...
Presenter: Dr. Sridhar R
Planning Commission, Government of India
National Action Plan on Climate Change
Supported by eigh...
Presenter: Dr. Sridhar R
Health- Plans & Strategies Nutrition
INDIA - General Nutritional Interventions
“Strategies for Cl...
Presenter: Dr. Sridhar R
Nutritional Interventions – Further Steps
‘Nutrition Specific’ or ‘Nutrition Sensitive’ intervent...
Presenter: Dr. Sridhar R
The Government of India needs to enhance the scope and implement
additional strategic action pla...
Presenter: Dr. Sridhar R
Current Proposals/Suggestions
Adaptation to Climate Change Stress
“Strategies for Climate Change ...
Presenter: Dr. Sridhar R
Current Proposals/Suggestions -Adaptation to Climate Change Stress
Nutraceuticals/Dietary Supplem...
Presenter: Dr. Sridhar R
Conclusion
“Strategies for Climate Change Mitigation and Adaptation towards sustainable developme...
Presenter: Dr. Sridhar R
“Strategies for Climate Change Mitigation and Adaptation towards sustainable development”
Nationa...
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Dr.sridhar rudravarapu presentation- ipe national conference 20-21 feb 2013

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Provision of Preventive or Maintenance Support in the form of Nutraceuticals/Dietary Supplements/functional foods/cosmeceuticals could be an effective health intervention for the needy populace at all life stages in diverse environmental conditions to deal with the direct and indirect effects of climate change.

Indian Scenario: The Government of India needs to enhance the scope and implement additional strategic action plans for adaptation to health impacts due to climate change. Accordingly, thrust on nutritional and health supplements as preventive or maintenance strategy to counter the health impacts due to climate change is essential right from the planning stages.

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Dr.sridhar rudravarapu presentation- ipe national conference 20-21 feb 2013

  1. 1. Presenter: Dr. Sridhar R Food and Nutritional/Health Supplements- An Adaptive (Preventive/Maintenance) Intervention for Addressing the Health Impacts due to Climate Change Dr. Sridhar Rudravarapu Consultant-R&D Bluemea Therapeutics Pvt. Ltd., Hyderabad E-mail: dr.r.sridhar@gmail.com Strategies for Climate Change Mitigation and Adaptation towards Sustainable Development National Conference- Organized by IPE , UCT-OU & CRIDA 20-21 Feb, 2013 – IPE, Hyderabad, INDIA
  2. 2. Presenter: Dr. Sridhar R Climate Change Indian Scenario Factors & Health Impacts Adaptive Interventions- Health Diseases Health Plans & Strategies Nutrition Nutritional Interventions – Further Steps Current Proposals/Suggestions- Adaptation to the Climate Change Stress Conclusion “Strategies for Climate Change Mitigation and Adaptation towards sustainable development” National Conference- 20-21 Feb, 2013 Organized by IPE , UCT-OU & CRIDA- Hyderabad, INDIA Presentation Contents
  3. 3. Presenter: Dr. Sridhar R “Strategies for Climate Change Mitigation and Adaptation towards sustainable development” National Conference- 20-21 Feb, 2013 Organized by IPE , UCT-OU & CRIDA- Hyderabad, INDIA Scenario Climate change: The biggest global-health threat of the 21st century (The Lancet and UCL Report, 14 May 2009). “Lambasingi” a remote village in Andhra Pradesh, India is witnessing temperatures as low as -1 C. While this impact of climate change is generating exciting scope for winter tourism in Andhra Pradesh, Otherwise it is impacting the health of Lambasingi’s population! INDIA >1.2 billion people * Nutritionally vulnerable groups due to climate change (include ones undergoing rapid growth and development) (India- Second National Communication to the United Nations Framework Convention on Climate Change, 2012, Ministry of Environment & Forests, Government of India). *Representing various socio-cultural groups residing in diverse environs classified into Mountainous terrain (Himalayan range, Western Ghats); Northern Plains; Peninsular Plateau; Deserts; Coastal plains (East and West coast) & Island groups (Andaman & Nicobar, Lakshadweep).
  4. 4. Presenter: Dr. Sridhar R Climate Change-- Factors & Health Impacts “Strategies for Climate Change Mitigation and Adaptation towards sustainable development” National Conference- 20-21 Feb, 2013 Organized by IPE , UCT-OU & CRIDA- Hyderabad, INDIA Indirectly through changes in Ranges of Disease Vectors (e.g., mosquitoes); Water-borne Pathogens Drought & coastal flooding increase the risks of infection from water & vector- borne diseases, diarrheal diseases along with trachoma effects (WMO-No.1098, 2012, Atlas of Health and Climate, World Health Organization and World Meteorological Organization, Geneva). Water Quality- Increased acidity of water a Greater proliferation of microbes a Spread of several food borne pathogens (NIEHS, 2010; A human health perspective on climate change- A Report outlining the research needs on the human health effects of climate change]. Air Quality- Increased average temperatures, frequent & severe heat events increase the risks of heat-related illness. Air pollution results in adverse allergen- induced respiratory responses due to increases in regional ambient concentrations of ozone, fine particles, and dust. Globally more than 300 million people are asthma affected due to higher pollen and other aeroallergens triggered by extreme heat (WHO Fact sheet N°266, 2012). Food availability & Quality (Majra, JP & Gur, A 2009, ‘Climate change and health: Why should India be concerned?’ Indian J Occup Environ Med., vol.13, no.1, pp.11–16). Directly for example Thermal stress Death/injury in floods & storms Increased exposure to UV radiation (can lead to skin cancers, cataracts and damage to DNA)
  5. 5. Presenter: Dr. Sridhar R Food borne illness and food insecurity Leads to malnutrition and the resultant vulnerability to infectious diseases and illnesses (WHO 2012, Fact Sheet-10; Facts on climate change and health) NNMB Surveys have shown that the agricultural laborers are worst affected in drought due to the above conditions. The urban population fares slightly better with 27% consumption compared to 21% in rural population. [Ninth Five Year Plan (vol.2) 2001, Agriculture, Irrigation, Food Security and Nutrition, Planning Commission, GoI]. Deficiency of micronutrients e.g., copper, zinc, pyridoxine and vitamin B12 can also lead to anemia resulting in weakness, diminished physical and mental capacity; increased morbidity from infectious diseases, premature delivery, low birth weight in women, and impairment of cognitive performance, motor development, and scholastic achievement in children [Steering Committee-Nutrition Report 2001, Planning Commission, GoI; Working Group Report on Nutrition for the Twelfth Five Year Plan 2011, Ministry of Women and Child Development, GoI]. Chemicals and metals accumulated in foods may affect fetal development, immune function; exacerbate neurological deficits and learning disabilities in children [NIEHS 2010]. In the face of limited access to health facilities, the poor, elderly, children, disabled and those with preexisting respiratory and cardiovascular diseases are likely to be most vulnerable to the climate change impacts . [Centers for Disease Control and Prevention 2010, Health effects, Climate and Health Program, NCEH, USA] “Strategies for Climate Change Mitigation and Adaptation towards sustainable development” National Conference- 20-21 Feb, 2013 Organized by IPE , UCT-OU & CRIDA- Hyderabad, INDIA Climate Change– Food Factors & Health Impacts Climatic changes could affect variedly at different stages of life starting from the human development in the womb to the later lifelong developmental deficits.
  6. 6. Presenter: Dr. Sridhar R Planning Commission, Government of India National Action Plan on Climate Change Supported by eight national missions to meet the challenges of climate change and towards its adaptation (The state governments get involved in this planning and implement actions in pursuance of the goals of NAPCC). The NAPCC objectives mostly deal with the UNFCCC identified responses i.e., mitigation of climate change by reducing greenhouse-gas emissions & enhancing sinks, and adaptation to the impacts of climate change. A suggestion for provision of enhanced public health care services and assessment of increased burden of vector-borne diseases due to climate change was mentioned last in this list ! “Strategies for Climate Change Mitigation and Adaptation towards sustainable development” National Conference- 20-21 Feb, 2013 Organized by IPE , UCT-OU & CRIDA- Hyderabad, INDIA ICMR – Initiative •Specific Sector Recommendations for health protection in four areas of risks arising from climate change, such as (a) Vector borne diseases (b) Aerosols and respiratory diseases (c) UV-A, UV-B, corneal damage and cataract (d) Environment and heart diseases, •Suggestions for additional focus on diarrheal and viral diseases, heat stress and certain types of cancer such as skin cancer (Sub-Group Report on Climate Change 2011, Climate Change & 12th Five Year Plan, Planning Commission, GoI). Adaptive Interventions– Health Diseases INDIA- In the case of the health sector, most of the adaptation responses have been reactive instead of preventive. Health impacts projected due to climate change necessitate being prepared and responding for the adaptation. * The Strict technical definition for adaptation according to international convention on climate change, does not address the health impacts due to climate change.
  7. 7. Presenter: Dr. Sridhar R Health- Plans & Strategies Nutrition INDIA - General Nutritional Interventions “Strategies for Climate Change Mitigation and Adaptation towards sustainable development” National Conference- 20-21 Feb, 2013 Organized by IPE , UCT-OU & CRIDA- Hyderabad, INDIA The Central and State Governments in India are tackling the under-nutrition problem by direct interventions through an array of health & nutrition schemes, such as the NNM, NRHM, ICDS, mid-day meal and R&CH programs. The outcome of these nutritional programs is that Child mortality rate 250/1000 in 1960 a 65.6/1000 in 2009 Infant mortality rate 64.9/1000 in 2000 a 47.57/1000 in 2011 10th Five Year Plan - A welcome paradigm shift from ‘Food Security’ to ‘Nutrition Security’ to meet the needs of the macro, micro and phyto nutrients through dietary diversification has been suggested. It was surmised that adequate intake of micronutrients achieved through consumption of variety of inexpensive plant foods will go a long way in prevention of many micronutrient deficiencies. [Saha, P.K. 2007, Food based interventions for improving malnutrition in India, Presentation-Ministry of Agriculture] While this could hold well in the normal conditions, alternative quick replenishment arrangements are necessary during the critical situations of climate change impacts. Nutrition Security: The Food & Nutrition Board, 2011 (Ministry of Women & Child Development) suggested the inclusion of processed cereal-based foods (with minimum of 50% cereal content, 12% protein content and 1g/kcal energy density content of the product) by community food and nutrition extension units to the infants, underweight and young children. Adequate intake of vitamins, minerals, essential fatty/amino acids is vital for maintenance of a wide variety of metabolic functions critical for health.
  8. 8. Presenter: Dr. Sridhar R Nutritional Interventions – Further Steps ‘Nutrition Specific’ or ‘Nutrition Sensitive’ intervention is a mandate of this age. “Strategies for Climate Change Mitigation and Adaptation towards sustainable development” National Conference- 20-21 Feb, 2013 Organized by IPE , UCT-OU & CRIDA- Hyderabad, INDIA Longer the period of rehabilitation consequent to a climatic adverse event, greater is the gap for compensating the catch up growth in children affected with under nourishment due to continuously inadequate dietary intake. While adult humans exposed to mild famine usually recover quite well when food again becomes plentiful, nutritional reductions to a fetus in the womb appear to have lasting effects throughout life (NIEHS, 2010).  An Approach Paper to the 12th Five Year Plan regarding food and nutrition security (2011) underlined the importance of disease prevention and identified nutrition as a preventive determinant of health. It also highlighted the need for convergence of schemes across ministries as an important investment in this exercise. [Working Group-1 Report for the 12th Five Year Plan (2012-2017), Progress and Performance of National Rural Health Mission and Suggestions, Planning Commission, GoI]. “Better health is not only about curative care but also about better prevention” (Working Group-7 AYUSH Report for the 12th Five Year Plan (2012-2017) ; 2011, Planning Commission, Government of India).
  9. 9. Presenter: Dr. Sridhar R The Government of India needs to enhance the scope and implement additional strategic action plans for adaptation to health impacts due to climate change. “Strategies for Climate Change Mitigation and Adaptation towards sustainable development” National Conference- 20-21 Feb, 2013 Organized by IPE , UCT-OU & CRIDA- Hyderabad, INDIA Current Proposals/Suggestions Five year plans applicable in the near future and further hence need to incorporate preventive health/maintenance strategies & enhance the emergency health response features for the climate change affected people *Based on census information from reliable data sources covering diverse regions. *It is important for the relevant working groups and steering committees to thrust on nutritional and health supplements as preventive or maintenance strategy to counter the health impacts of climate change. Effective and enhanced focus on health intervention is possible only with advance preparation by first identifying the critical needs, prioritizing and timely executing with a close collaboration between climate and health services along with other supportive institutions and mechanisms.
  10. 10. Presenter: Dr. Sridhar R Current Proposals/Suggestions Adaptation to Climate Change Stress “Strategies for Climate Change Mitigation and Adaptation towards sustainable development” National Conference- 20-21 Feb, 2013 Organized by IPE , UCT-OU & CRIDA- Hyderabad, INDIA Research & Development: While a ready cooked and packaged food serves immediate hunger needs by saving cooking time and overcoming inaccessibility of fuels, on the deficient nutritional support and preventive health/maintenance front, R&D efforts in the Government and Industry sectors need to focus on Nutraceuticcals/Dietary Supplements: Preparation of low cost and effective concentrate forms (tablets/capsules/ rehydratable powders/gels) or any other convenient forms and in condensed packs amenable for easy transportation and utilization to support short and mid-term requirements due to climate changes. Functional Foods: Enriched/Fortified grain/nut powders including Quinoa, Amaranthus, Small millets etc.; “PEER” (Prepare Easily or Eat Readily) Foods- Nutribars, noodles; dhal products; vegetable/fruit concentrates; canned soups, ketchups, sauces etc.
  11. 11. Presenter: Dr. Sridhar R Current Proposals/Suggestions -Adaptation to Climate Change Stress Nutraceuticals/Dietary Supplements: “Strategies for Climate Change Mitigation and Adaptation towards sustainable development” National Conference- 20-21 Feb, 2013 Organized by IPE , UCT-OU & CRIDA- Hyderabad, INDIA Predigested Protein/Amino acid formulations Milk powders fortified with omega-3 fatty acids; Enriched curd/yogurt powders Probiotic powders (National research institutes and industry could be engaged for cheaper microbe production and ready cultures) Bio-available essential nutrients (e.g., vitamin D3 for vitamin D), Beneficial fatty acids/metabolites in convenient forms (syrups, nano-emulsions etc.) Appropriately packaged water containing mineral micronutrients in concentrated form amenable for dilution prior to consumption (Natural springs; salts; effective chelate forms could be made use of) Antioxidants; natural anti-depressants; mood elevators/stimulators; pain relievers Health supplements focusing on body care- eye, ear, nose and dental care Cosmeceuticals in the form of various topical applications to protect from various skin ailments & radiation effects in addition to providing soothing and nourishing effects Protein powders/concentrates; Dietary fibers; Digestive enzymes (Personal care support an important complementary part of the total health care hitherto was least focused during public response operations).
  12. 12. Presenter: Dr. Sridhar R Conclusion “Strategies for Climate Change Mitigation and Adaptation towards sustainable development” National Conference- 20-21 Feb, 2013 Organized by IPE , UCT-OU & CRIDA- Hyderabad, INDIA Nutramobile Provision of Preventive or Maintenance Support in the form of Nutraceuticals/Dietary Supplements/functional foods/cosmeceuticals could be an effective health intervention for the needy populace at all life stages in diverse environmental conditions to deal with the direct and indirect effects of climate change. Various Government schemes in operation in India along with setting up of Community Food Banks could be of help to route the proposed health interventions. The Government of India also needs to enhance the scope and implement additional strategic action plans for adaptation to health impacts due to climate change. Accordingly, thrust on nutritional and health supplements as preventive or maintenance strategy to counter the health impacts due to climate change is essential right from the planning stages.  A mobile vehicle to support the dispensation/distribution of the food/health supplements “Nutramobile” is proposed herewith. (Nutramobile can be basically defined as a vehicle for transportation of nourishing food and nutritional/health supplements to the needy populace in all regions affected by climate change impacts).
  13. 13. Presenter: Dr. Sridhar R “Strategies for Climate Change Mitigation and Adaptation towards sustainable development” National Conference- 20-21 Feb, 2013 Organized by IPE , UCT-OU & CRIDA- Hyderabad, INDIA Dr. R. Sridhar Technical Consultant Hyderabad Email: dr.r.sridhar@gmail.com Mobile Phone: (0) 944 188 7098
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