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Choosing the Best Strategy to Prevent Childhood Iron Deficiency
Alan R. Cohen, MD
JAMA. 1999;281:2247-2248.
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Twelve years ago, in the pages of THE JOURNAL, Stockman1 celebrated a series of victorious battles against iron deficiency, but he warned that the war was far from over. He had good reason for both joy and caution. Following the introduction in 1972 of the Special Supplemental Food Program for Women, Infants and Children, iron deficiency anemia virtually disappeared in some populations of high-risk children. For example, the prevalence of moderate or severe anemia (hemoglobin levels <98 g/L) in young children in the inner city of New Haven decreased from 23% in 1971 to 1% in 1984.2 From 1975 to 1985, the prevalence of anemia in young children enrolled in state public health programs monitored by the Centers for Disease Control Pediatric Nutrition Surveillance System declined from 7.8% to 2.9%.3 Interventions other than the program for women, infants, and children, such as an increased emphasis on . . . [Full Text of this Article]
Author Affiliation: Division of Hematology, The Children's Hospital of Philadelphia and the Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia.
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Carlo Brugnara, David Zurakowski, James DiCanzio, Theonia Boyd, and Orah Platt
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