Silent Emergency

by Reshma Surve on 9th December, 2011 at 12:03 PM CEST

Let’s start with indisputable corroboration- “Good Nutrition & health are the fundamental human rights”.

Picture credit

Now, start counting the children around you, 1, 2, and 3. Every 3rd child is malnourished worldwide. The havoc is an average of one child per 30sec is killed with severe acute malnutrition, estimated 1 million children each year. These children are 20times more likely to die than healthy children. Adding to this- poverty, hunger and malnutrition are cemented in a vicious cycle which makes these 30% of humanity vulnerable to disease and premature death. It plays a major role in half of the 10.4 million annual child deaths in the developing world; it continues to be a cause and consequence of disease and disability in the children who survive ultimately affecting the socioeconomic development of world.

Clinically, malnutrition is characterized by inadequate or excess intake of protein, energy, and micro-nutrients such as vitamins, and the frequent infections and disorders that result. This is basically classified as "protein energy malnutrition" (most lethal, affecting 150 millions worldwide) and "micro-nutrients deficiencies" like Iron, Iodine, vitamin-A and recently added - obesity.

Determinants of malnutrition:

  1. Maternal malnutrition
  2. Recurrent infections
  3. Inadequate dietary intake, food insecurity
  4. Insufficient health services
  5. Inadequate education
  6. Unhealthy environment and economic structure


Malnourishment is the contaminated soil which magnifies effect of every disease and creeping journey began itself in womb of malnourished mother ending into death, disability, stunted mental and physical growth and, finally, delayed national development.

We must also realize that resources allocated to preventing and eliminating disease will be effective only if the underlying causes of malnutrition and their consequences are successfully addressed. Keys to alleviate:

  1. Exclusive breast feeding till 6 months
  2. Prevention and management of Infections
  3. Awareness of parents, health workers
  4. Improving household food sanitation and hygiene
  5. Assessing, analyzing and monitoring nutritional status
  6. Effective Nutritional policies at all levels

The challenge increases in proportion to levels of civil instability, food shortage, inadequate aid delivery and access to health services.

The thrilling experience, I passed through while working in rural area is worth of sharing, A 5 years old male child weighing 7kg (approximately expected -18kg) brought by mother who barely has food to abate their hunger. The empty hands and stomach were asking for his lost years while combating this cyclone of malnutrition and visiting regularly for frequent infections. Alas! The child was striving for his basic rights . Finally by orienting mother and health worker we manage to plan nutrition and infection strategy.

Identifying the nutrition as a core component for targeting the tide of malnutrition in 21st century, WHO supports its 191 Members States via its global and regional structure, collaborates with many international, nongovernmental organizations.

We must ensure that our values and our vision are anchored in human rights law, only then can they become actuality for all people. A strong human rights approach is needed to bring on platform the millions of people left behind in the 20th century’s health revolution!

So, lets turn the tide!

~ Reshma, Action Team #7, Health Saviour

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Dharmesh Bhadja

Dharmesh Bhadja | Action team

well done, Champ.

Let me share that I am lucky to have you as guide and supporter in Malnutrition Project at Rajkot, Gujarat.

The work counts, and yes, the words too...

9th December, 2011 @ 6:52 PM CEST

Reshma Surve

Reshma Surve | Action team

Hey thanK you Dharmesh...its my pleasure to work with positive leader...!

CF has really provided good platform to express the medical world.
I would like to appreciate all my team members who has supported me for this article...!
I am enjoying working with this enthu team...!

9th December, 2011 @ 8:20 PM CEST



I completely agree with you but the problem is how many of us are completely ready to obey the law?

Well the power is left in our hands, great idea.

9th December, 2011 @ 9:11 PM CEST

Johanny Arilexis Perez Sierra

Johanny Arilexis Perez Sierra | Action team

Congratulations Reshma!!!! a very good article!!!! really impacting the situation of malnutrition, and yet, the way to tackle it!!! Change Makers are challenged in this global issue.
Well done!!! ;)

10th December, 2011 @ 8:11 AM CEST

Reshma Surve

Reshma Surve | Action team

Thank you Johanny & KEDEI... definately the situation challenging us, we need to take this challenge...!

10th December, 2011 @ 3:43 PM CEST

Jatin Kataria

Jatin Kataria | Action team | CF Chapters

fabulous .... mind blasting first international article Doctor...

i know, dis is not only article for u,, its more den your life now... salute for the work u r doing at grass root level.. mind blastinggggggggggggggggggggggg gggggggg....

very wel written & great contribution beyond writing .. glad to see your beyond talks... :) --- congratulations for article n your initiatives...

10th December, 2011 @ 6:52 PM CEST

Andreja Kodrin (C:F Management)

Andreja Kodrin (C:F Management) | Action team | CF Chapters

Reshma, Darmesh and all other members of Health Saviour Action team - we are extremely proud on you! You are not waiting that someone else will take the actions.

You are the change!

As our distinguished judge Peter Saul wrote after judging the 21st century disaster challenge: The UN’s Millennium Development Goals http://www.un.org/millenniumgo als/ give a good summary of most of the major challenges facing the world today but what we are short of is ways to actually trigger and sustain sufficient levels of action to make change happen in a timely way.

With you guys, we do have hope for change!

10th December, 2011 @ 8:06 PM CEST

Dharmesh Bhadja

Dharmesh Bhadja | Action team

This is the BIG achievement for us. The motivating words from the Leader of the change makers and Idea tank. I don't know how to say Thanks...

All the credit goes to my enthu and energetic Saviours and CF Team for care, motivation and support. Sayanee & Dan deserve credits here. Let me express my Thanks to all C:F staff and fans!

Love you all.

11th December, 2011 @ 6:36 PM CEST

Reshma Surve

Reshma Surve | Action team

Thank You, Andreja for your valuable inputs...
i am agree with Dharmesh, really enthu Saviours always motivate me & my team to work. we are really got to know our potential through this platform...!
My hearty Thanks to CF staff...!

12th December, 2011 @ 7:52 PM CEST

Kaushal Joshi

Kaushal Joshi | Action team

...When you wish upon a star,
Makes no difference who you are...

Really Superb performance dear !!! Your article inspire us ... and it make us believe in the "Be Inspired & Keep Inspiring"...

Being a member of Health Saviors I feel more n more energetic everyday.. :)

Thanks Andreja for your motivation ...it gives great feeling :)

Thanks CF :)

13th December, 2011 @ 12:46 PM CEST

Reshma Surve

Reshma Surve | Action team

Great Kaushal...! M agree with you...!

keep moving...!

14th December, 2011 @ 3:08 PM CEST

Shrikant Gujar

Shrikant Gujar

Great work!! Superb Article!!!

very well written and well structured !!!!

it's true that someone has to take initiative and you did it .

Let's all participate in change and be in ACTION to handle situation of malnutrition

19th December, 2011 @ 5:55 AM CEST

Reshma Surve

Reshma Surve | Action team

yes, thank you shrikant...!

i think,the purpose of the article has been served with your comments!

20th December, 2011 @ 5:48 PM CEST

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