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19. Stoltzfus RJ, Mullany L, Black RE. Iron deficiency anemia. In: Essazti M, Lopez AD, Rodgers A, Murray CJL, eds. Comparative quanitification of health risks: global and regional burden of disease attributable to selected major risk factors. Vol 1. Geneva: WHO, 2004:163–209. 20. Johns J, Tan Torres T. Costs of scaling up interventions: a systematic review. Health Policy Plan 2005;20(1):1–13. 21. Caldes N, Coady D, Malluccio J. A comparative analysis of program costs across three social safety net programs.

42. Bhargava A, Bouis H, Scrimshaw N. Dietary intakes and socioeconomic factors are associated with the hemoglobin concentration of Bangladeshi women. J Nutr 2001; 131:758–64. 43. Haas J, Beard JL, Murray-Kolb LE, del Mundo AM, Felix A, Gregorio GB. Iron-biofortified rice improves the iron stores of nonanemic Filipino women. J Nutr 2005;135:2823–30. 44. Alderman H, Konde-Lule J, Sebuliba I, Bundy D, Hall A. Effect on weight gain of routinely giving albendazole to preschool children during child 35 health days in Uganda: cluster randomized controlled trial.

33 The interventions discussed above should not divert emphasis from long run solutions such as increased dietary diversity, agricultural improvements, and rising income. Biofortification is one possible way to enhance such long run efforts. This has potentially low costs per person (although the fixed costs are high, the benefits can reach millions of people), and potentially favorable benefit-to-cost ratios, although this remains to be proven. REFERENCES 1. Jamison, D, et al. Disease control priorities in developing countries.

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