The document discusses shifting from a quantitative paradigm focused on reducing hunger to a micronutrient paradigm focused on ensuring adequate micronutrient intake. It notes that over 2 billion people have micronutrient deficiencies and outlines a four-part program: 1) raising awareness, 2) taxing micronutrient-poor products, 3) encouraging small, self-sufficient agricultural units, and 4) developing knowledge databases. Food-based approaches like dietary diversification, enriching staple crops and soils, and promoting indigenous food systems can help incorporate micronutrients. Case studies from Peru and Nigeria show how assessing traditional foods and raising awareness can address micronutrient needs. Financing requires investment in education, research,

1. The micronutrient paradigm
A qualitative shift in agricultural development
Updated version (10/12/2015)

2. The phenomenon of hunger has always been prevalent during history, at least when mankind
has reached a critical development stage after the Neolithic agricultural revolution and the rise
of the city-states in the Levant. It most striking expression consists in the recurring famines that
have not only weakened, but also wiped out entire civilizations (the Mayas and, according to
some specialists, the Roman Empire).

3. The International Institutions have set up different policies to address the issue, in conformity
with the principles of the UN Charter: creation of the FAO (1945), the 1974 Conference and the
creation of the International Emergency Food Reserve, the Peking Declaration (1987), the
Cyprus Initiative (1988).
Creation of the FAO in Quebec, 1946

4. More recently, the Millenium Development goals set up the elimination of hunger as the first objective: To
Eradicate Extreme Poverty and Hunger. It consists in :
1A Halving the proportion of people whose income is less than $1.25 suffer from hunger.
1B Achieving full and productive employment and decent work for all, including women and young people.
1C Halving, between 1990 and 2015, the proportion of people who suffer from hunger.
An indirect strategy has been adopted in 2006; ie “to operationalize the Monterrey
Consensus, countries need to maximize domestic resource mobilization for the
Millennium Development Goals before official development assistance should be
called on to fund public investments.”(Millenium Project, 2006, p.245)

5. The close association between economic development and the reduction of hunger stems from
Amartya Sen’s research on the causes of famines. For him, famines are not so much caused
by a decline in food availability than by a decline in entitlements rights - ensuring a sound
economical system and enough revenues for everybody. The solution is then political and, from
the viewpoint of the UN, consists in further state-building in the underdeveloped countries, in
the spirit of Roosevelt’s Freedom from want approach...
"Starvation is the characteristic of some people not having
enough food to eat. It is not the characteristic of there
being not enough food to eat. While the latter can be a
cause of the former, it is but one of many possible causes.
Whether and how starvation relates to food supply is a
matter for factual investigation.."(Amartya Sen, Poverty
and Famines, Oxford, 2001, p.1)
The end of starvation reflects a shift in the entitlement
system, both in the form of social security and - more
importantly - through systems of guaranteed employment
at wages that provide exchange entitlement adequate to
avoid starvation." Amartya Sen, op.cit., p.7.

6. The results have been considered as satisfying. As for 1A: the proportion has fallen from 50%
in 1990 to 14% in 2015. As for 1B: the global employment-to-population ratio – the proportion
of the working-age population that is employed – has fallen from 62 per cent in 1991 to 60 per
cent in 2015. As for 1C: the proportion of undernourished people in the developing regions has
fallen by almost half since 1990.

7. After the disasters of Ethiopia and other countries, the end of the XIXth century have
seen the end of mass famines. The fulfillement of the MDGs is hinting at the progressive
end of undernutrition. However, another problem arises: the problem of undernutrition,
understood qualitatively as the lack of key nutrients in food and not quantitatively as the
lack of a given amount of food or calories.
"Micronutrient malnutrition has many adverse effects on
human health, not all of which are clinically evident. Even
moderate levels of deficiency (which can be detected by
biochemical or clinical measurements) can have serious
detrimental effects on human function. Thus, in addition to
the obvious and direct health effects, the existence of
MNM has profound implications for economic development
and productivity, particularly in terms of the potentially
huge public health costs and the loss of human capital
formation."(WHO, Guidelines on food fortification with
micronutrients, 2006)
Micronutrients

8. (follows)
“Globally, there are nearly two billion people who suffer deficiencies of
micronutrients such as iron, iodine, zinc and vitamin A”
“It is estimated that a third of the world’s population does not meet its physical and
intellectual potential because of micronutrient deficiencies.”
P.Shetty, “Adressing Micronutrient Malnutrition”, in Combating Micronutrient
Deficiencies: food-based approaches, FAO & Cabi, 2011, pp.29 and 30

9. A fourfold programme must be set up in order to ensure the passage from the quantitative
paradigm to the quantitative paradigm:
I - Raising awareness on the health and financial costs of malnutrition and inform the general
public on the conditions of a healthy nutrition.
II. Raising taxes on products poor on micronutrients.
III. Encouraging the development of small, self-sufficient agricultural units federated by various
legal, institutional and concrete modes of associations in order to ensure economies of scale.
IV. Developing knowledge databases to diffuse the information about the micronutrients, their
presence in food and in the soils, as well as the methods to foster their presence.

10. The FAO has of course recognized the growing need of taking micronutrients into account in the
overall picture of world nutrition. However, this approach did not fit very well in the usual strategies.
The privileged approach is the food-based approach: instead of supplementing
food with various dietary supplements or fortifying food items in the daily diet,
devising new strategies to incorporate the indispensable nutrients within the
agriculture prodution itself.
To take an economic simile: instead of adressing economic issues by bailing
immediate help, improve the underlying economic infrastructure.

11. Food based approaches
- Dietary diversification and modification strategies: home and homestead
gardening, federation of small units of production exchanging tools and know-
how, and using the same commercialization structures for their surpluses.
- Enriching major staple food crops with micronutrients through plant-breeding
strategies and biotechnology.
- Enriching the soils as they are major sources of micronutrients.
- Enabling children to gain sufficient access to micronutrients during the critical
developmental stages of their childhood.

12. Promoting indigenous food systems
The former propositions can also be effectively implemented in areas with low
densities of population. It suits well the scarcely populated areas of the developing
countries. Traditional knowledge must be assessed and valorized.
It has been shown that the traditional food systems of
the indigenous peoples are well-balanced and provide
sufficient micronutrients.
“Indigenous Peoples’ food systems contain treasures of
knowledge from long-evolved cultures and patterns of
living in local ecosystems. The dimensions of nature
and culture that define a food system of an indigeneous
culture contribute to the whole health picture of the
individual and the community - not only physical health
but also the emotional, mental and spiritual aspects of
health.”(Kuhnlein, Erasmus & Spigelski, Indigenous
People food systems, FAO 2009).

13. First example: the Awajun of Peru
To protect, revivify and develop the traditional
knowledge of the indigenous people’s food systems.
“From the 223 foods listed, 34 were selected as
potentially micronutrient-rich foods.”(...) “Potential
nutrient-rich foods have emerged that can be used
for intervention to increase both production and
consumption (...) the research gruop designed
interventions to enhance the health, nutrition and
well-being of the participating communities through
the promotion of key aspects of the traditional food
system and culture.” (Op.cit., pp.68, 81)

14. Second example: the Igbos of Nigeria
Conversely, some traditional food systems are
by themselves insufficient but can become so
by further investigating the local flora and
fauna and by making people conscious about
the nutrient issue.
“Although traditional foods/diets made
substantial contributions to nutrient intakes of
the Igbo culture area, they did not adequately
meet the needs for energy, calcium, riboflavin
and niavin.”(p.279) “Food security can be
improved by empowerment of the local
community members to take best advantage of
what they have in their local
environment.”(p.281)

15. Financing the micronutrition paradigm
The financing of micronutrition is slightly problematic:
- The usual modes of financing (rural finance, agricultural investment, subsidies
and remittances) are needed (equipment & purchases of land, cashflow
management, mitigation of risk) but they are not so efficient as they are purely
quantitative.
- This is especially the case for indigenous practices and scattered populations.

16. Financing the micronutrition paradigm (cont’d)
The approach must be manifold:
- Investment in education to raise general awareness on those matters.
- Special attention has to be given to research and formation, usually delivered
by the international institutions and the state educational systems.
- Investment from private actors such as universities (departments and
societies of agronomy) could prove effective.
- The ultimate goal must be to ensure a growing autonomy to the agricultural
units of production, especially in the context of indigenous people and
traditions.