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WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development World Health Organization 16 March 2016

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Page 1: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development

WHO Guideline: Daily iron supplementation in

infants and children

Pura Rayco-Solon

Department of Nutrition for Health and Development

World Health Organization

16 March 2016

Page 2: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 3: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 4: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 5: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 6: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 7: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 8: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 9: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 10: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 11: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 12: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 13: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 14: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 15: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 16: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development

Parishpa et al. Lancet Glob Health 2013; 1(2):e77-86.

Page 17: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development

Thompson, et al. Pediatrics 2013; 131(4):739-53.

Page 18: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development

Low, et al. CMAJ 2013; 185(17):e791-802.

Page 19: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development

Cochrane Database of Systematic Reviews 2016, Issue 2. Art. No.: CD006589.

Page 20: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 21: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 22: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 23: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 24: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 25: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 26: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 27: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 28: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 29: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development
Page 30: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development

RECOMMENDATION

In malaria-endemic areas, the provision of iron supplementation in infants and children should be done in conjunction with public health measures to prevent, diagnose and treat malaria Strong recommendation

High quality of evidence

Page 31: WHO Guideline: Daily iron supplementation in · WHO Guideline: Daily iron supplementation in infants and children Pura Rayco-Solon Department of Nutrition for Health and Development

REMARKS

In malaria-endemic areas, iron supplementation does not increase the risk of clinical malaria or death when regular malaria-surveillance and treatment services are provide.

The risk of clinical malaria is not more likely among iron-replete children given iron supplementation in malaria-endemic areas.

In the presence of surveillance and prompt diagnosis and treatment of malaria, there was no compelling evidence of increased risk of adverse events from iron supplementation.