|
"We must resist attempts at such commercial exploitation
of malnutrition -- whether with respect to genetically modified foods
or with respect to the misuse of vitamins.1"
C. Gopalan. 1999
Part 1: Vitamin A Deficiency: Malnutrition and Biodiversity
Loss
Part 2: Will Genetic Engineering Solve the Problem?
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Some 40% of the worlds people suffer
from micronutrient deficiencies. In the name of the poor, genetic
engineering is being promoted as the solution to this problem.
Researchers have developed transgenic rice containing beta-carotene
and claim it will combat Vitamin A deficiency in rice-eating
regions. Not only will it address a global public health problem,
but it is being promised free to farmers. These nutrient-enhanced
crops are receiving a good deal of attention internationally,
with an emphasis on delivering the promise of genetic engineering
in the guise of humanitarian cause. Critical assessements of
the technology have been few and far between, either as a solution
to malnutrition, or as a model for delivering the benefits
of genetic engineering to the poor.
In the face of growing resistance to the first
generation of genetically modified foodstuffs, Vitamin A or
golden rice provides an opportunity to restore biotechnology
to public acceptability. The same goes for Monsantos development
of high beta-carotene mustard. Originally conceived for the
market, Monsanto is targeting for free poor farmers
in the South. But beyond the hype, golden rice may
glitter with false promise. Not only could intellectual property
rights hamper accessibility and the technologys deliverance
to the poor, but the whole nutraceutical approach
is fundamentally flawed.
This briefing investigates the problem of malnutrition
in context, and argues that as a solution to Vitamin A deficiency,
genetic engineering is part of the problem, not the solution.
Vitamin A deficiency rarely occurs in isolation. It is only
one of a whole range of nutrients, the lack of which occurs
within the context of poverty, environmental degradation, and
social disparity. Technical fixes such as golden rice
only treat the symptoms of micronutrient deficiency whilst reinforcing
the underlying problem, which is caused by the decline in the
diversity of food that is being grown, produced and consumed.
The Green Revolution paradigm of market driven,
industrial agriculture that genetic engineering is an extension
of, has reduced agricultural biodiversity, and, as a result,
dietary diversity, thus increasing micronutrient malnutrition
among the poor. The tragedy is that the local varieties this
model of agriculture destroys are an excellent source of not
only vitamin A but a whole host of other nutrients, in the very
countries that suffer from malnutrition. Dietary diversification
would provide a sustainable, equitable solution to malnutrition.
This underlying problem affects most profoundly
precisely those people nutraceuticals purport to help: those
suffering from hunger and malnutrition.
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Part 1: Vitamin A Deficiency: Malnutrition and Biodiversity
Loss
Engineering Vitamin A into Crops
Vitamin A rice, developed to counter vitamin A deficiency
in the populations of poor countries, was showcased in Science
in August 19992. This genetically-engineered
rice produces beta-carotene in its endosperm, giving it the distinct yellow
colour that affords it the name golden rice. It was developed
with funds from the Rockefeller Foundation and the European Commission.
Meanwhile, Monsanto developed a high beta-carotene mustard
plant which it planned to offer to poor subsistence farmers around the
world. The company claimed that it had "created a High Beta-Carotene
Oil team that was to work through the Global Vitamin A partnership
and local stakeholders to identify those areas in greatest need to develop
appropriate varieties of crops for those areas and climates3".
Since golden rice has been developed outside
the private sector, way-laying concerns over the corporate control of
the technology, it has served as a much-needed and timely public relations
tool for the promoters of genetic engineering. It is being hailed as proof
that genetic engineering does have the potential to end many of the plagues
that affect the worlds poor. There can be no doubt that golden rice
has generated much desperately needed positive publicity for the technology,
both to the five corporations that dominate agricultural genetic engineering,
and the governments that continue to bid for it as a motor for future
growth, during a time of huge levels of public resistance to the technology.
Aside from any genuine concern on the part of the Monsantos
decision-makers and scientists regarding the devastating effects of Vitamin
A deficiency (VAD), the donation of the high beta-carotene mustard plant
reinforces their case for the relevance of agricultural biotechnology
to the problems faced by the worlds poorest. It could prove helpful
in getting the technology accepted on the grounds of the public good,
and in countering the very bad reputation the company has managed to earn
for itself, mainly in Europe and in India.
Beyond all the hype, critical assessments of the implications
of the technology, both as a tool to fight VAD, and as a justification
of crop genetic engineering, have been scarce. However, it is only common
sense that the relevance of the solutions offered can only be evaluated
by assessing them in terms of the problem to be solved.
So what are the causes of Vitamin A deficiency? And how
appropriate are provitamin A genetically engineered crops as a solution?
Malnutrition
Despite improvements in global food supplies, malnutrition
remains one of the most devastating problems facing society. Malnutrition
caused by deficiencies in specific vitamins and minerals afflicts some
40% of the worlds population, especially women and children. Ironically,
the largest numbers of people suffering from micronutrient malnutrition
live in South Asia, a region with an incredible diversity of fruits and
vegetables that are excellent sources of micronutrients.
Table 1. Micronutrient malnutrition in developing countries
|
Prevalence
|
Number of persons (millions)
|
|
1995 |
2025 |
| Iron deficiency |
3,580
|
2,750
|
| Goiter (iodine deficiency) |
834
|
350
|
| Xerophtalmia (VAD) |
2.85
|
0.17
|
Source: The World Health Report, 1998, WHO
Vitamin A deficiency (VAD) is considered a serious public
health problem and several high level initiatives have been launched to
tackle it. Heads of state and top policy makers at the World Food Summit
For Children in 1990 set out a goal of eliminating VAD in 2000, a commitment
reiterated at the International Conference on Nutrition in 1992 and the
World Food Summit in 1996. Despite the progress that has been made, the
goal is still a long way off 4.
| Childhood blindness
Within the framework of VISION 2020 of the
World Health Organization, childhood blindness is a priority
area. Cataract, trachoma and glaucoma, together account for
more than 70 % of the world's blindness and visual disability.
Vitamin A deficiency is considered a leading
cause of preventable blindness (xerophthalmia) and visual disability
in the developing countries. An estimated 350 000 children go
blind annually due to this deficiency. The lack of vitamin A
has also been shown to impair the immune system, increasing
the chances of dying in childhood by about 20%. Pregnant and
lactating women in some countries with endemic Vitamin A deficiency
also exhibit night blindness.
The World Summit for Children in 1990 set a
goal to eliminate blindness resulting from vitamin A deficiency
by the year 2000. In some countries, this has been achieved.
However it remains a public health problem in 78 others. Of
the estimated 1.5 million blind children in the world, approximately
1 million live in Asia and around 300 000 in Africa.
Main source: WHO Fact Sheet No. 214, February
1999
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Vitamin A deficiency (VAD) is one of the leading forms
of micronutrient malnutrition in developing countries, ranking third after
iron and iodine deficiency (Table 1). Historically, severe vitamin A deficiency
has been associated with blindness, particularly childhood blindness (see
Box). More recently, its role in helping to fight infections has come
to light. Vitamin A helps prevent diseases such as diarrhea, respiratory
ailments, tuberculosis, malaria and ear infections, and helps prevent
transmission of Human Immunodeficiency Virus from mother to child, as
well as reducing incidence of mortality among pregnant women. According
to the World Health Organisation (WHO), around 2.8 million children under
five years of age currently exhibit a severe clinical manifestation of
vitamin A deficiency known as xerophthalmia. Africa has the highest prevalence
of clinical VAD, while the highest number affected clinically and sub
clinically are in Southeast Asia.
Vitamin A deficiency in context
Deficiency of a single micronutrient seldom occurs in
isolation, but is one aspect of a larger context of deprivation and multiple
nutrient deficiencies5. Vitamin A deficiency (VAD) is mostly prevalent
amidst poverty, environmental deprivation and social disparity6.
It is considered as one of the components and a minor component
at that - of the syndrome of undernutrition7.
In many countries, malnutrition with significant health consequences results
from lack of zinc, vitamins C and D, folate, riboflavin, selenium, and
calcium8, in addition to the three micronutrients
iron, iodine, vitamin A- to which so much attention is now given.
In the context of multiple nutrient deficiencies and inter-relationships
of nutrients, the use of a single nutrient to combat micronutrient malnutrition
simply does not make sense.
Table 2. Recommended dietary intakes of vitamin A (retinol
equivalents)*
| Age bracket |
Basal |
Safe |
| Infants |
180 |
350 |
| Children 1-6 years |
200 |
400 |
| 6-15 year |
250-350 |
400-600 |
| Males |
300-400 |
500-600 |
| Females |
270-330 |
500 |
| Pregnancy |
+100 |
+100 |
| Lactation |
+180 |
+350 |
*The FAO/WHO recommends a basal and safe level
intake of vitamin A to prevent deficiency and for adequate liver
storage respectively.
Source: FAO. Requirements of vitamin A,
iron, folate and vitamin B12. Report of a joint FAD/WHO expert committee.
FAO Food and Nutrition Series, no. 23. Rome: Food and Agriculture
Organization, 1988.
There are two basic ways the body obtains dietary sources
of vitamin A. Provitamin A such as beta-carotene and other carotenoids
need to be converted into retinol in the body before they can function
as vitamin A. Fruits and vegetables are known to be rich sources of beta-carotene
as well as other vitamins and nutrients (see Table 3). Pre-formed vitamin
A, known as retinol, is present exclusively in animal foods such as liver,
milk and eggs, has the highest vitamin A activity, and is utilized directly
by the body9.
| Vitamin A
Vitamin A was first identified in 1913, but
its miraculous properties have really only been revealed in
the past decade. Historically, vitamin A is known for its prevention
of night blindness and total blindness. More recently, it has
been demonstrated that Vitamin A could lower childhood mortality
by about one-third in many parts of the developing world.
Vitamin A is a key modulator of the immune
system. It helps fight infections, preventing diseases such
as diarrhea, respiratory ailments, tuberculosis, malaria and
ear infections, and helps prevent transmission of HIV from mother
to child. It is essential for the proper functioning of the
reproductive system and growth of all body tissues. Studies
have also linked vitamin A to prevention of cancer by stopping
volatile chemicals from oxidizing cell walls.
Vitamin A is a catalyst needed in very minute
doses. As a fat-soluble vitamin, it can be stored in the body
and used when there is decreased intake. Since it is fat soluble,
large amounts can be toxic, especially the preformed Vitamin
A. Except for yellowing of the skin, large quantities of provitamin
A such as beta-carotene from the diet is said to be non-toxic.
Vitamin A is absorbed primarily in the small
intestine. Absorption is reduced with alcohol use, with vitamin
E deficiency and with excessive iron intake. Storage of vitamin
A is decreased in times of stress or illness unless intake is
increased. Body needs mineral zinc to help release stores of
Vitamin A for use.
Vitamin A intake is often inadequate because
of the seasonality of food sources, the early abandonment of
breastfeeding, and the practice of not giving Vitamin A rich
foods to young children. Improper processing and storage also
destroys vitamin A, which decomposes in light. Vitamin A absorption
may also be impaired where the diet is very low in fat or where
intestinal parasites are prevalent10.
|
The origins of vitamin A deficiency in childhood can
be traced to poor vitamin A nutrition status of the mother during pregnancy
and lactation, resulting in poor liver reserves of vitamin A in newborns
and in the breast milk; and poor intake of foods rich in either preformed
or provitamin A by the infant after weaning and thereafter11.
A logical approach then to the prevention of vitamin A deficiency must
seek to address these basic causes, rather than relying on a single technological
fix. Fortunately, the heritage of abundance of natural foods in developing
countries should be able to achieve such dietary improvements.
Table 3. Micronutrient content of drumstick leaves
compared to common foods (values per 100 g edible portion)
| Nutrient |
Drumstick leaves |
Other foods |
| Vitamin A activity (mcg RE) |
1,130 |
carrots: 315 |
| Vitamin C (mg) |
220 |
oranges: 30 |
| Calcium (mg) |
440 |
cows milk: 120 |
| Potassium (mg) |
259 |
bananas: 88 |
| Protein (g) |
6.7 |
cows milk: 3.2 |
Source: C. Gopalan et. Al. Nutritive Value
of Indian Foods.: National Institute of Nutrition, India 1994
Farms not pharmacies!
Three measures are currently being employed worldwide
to control vitamin A deficiency: supplementation, food fortification and
dietary diversification. Those assessing existing methods of countering
VAD have already identified the desirability of moving away from the quick-fix
approach of fortification and supplementation, and towards dietary diversification
approaches.
Supplementation
At the time of its introduction in the 1960s, supplementation
was thought of as a short term emergency measure. But most of the current
strategies worldwide rely still rely heavily on health interventions -
usually the administration, at periodic intervals, of massive oral dosages
of synthetic vitamin A supplements to children under three years of age.
This was pioneered in India in the late 1960's12
. What was originally envisaged as a temporary and short-term measure,
and an adjunct to dietary improvement of communities in India, became
the default model for current programs to eliminate VAD13.
UNICEF estimates that half of the children in the world who were at risk
of vitamin A deficiency received at least one high dose of vitamin A in
1998. The ease of supplementation has meant neglection of research into
and promotion of better use of inexpensive beta-carotene rich foods14.
This drug-based approach to synthetic vitamin
A distribution has received wide criticism, even from the very individuals
who have pioneered the work15 16.
Some of the limitations cited based on the 30-year experience of India
are: ineffectiveness in correcting VAD (especially in populations where
milder signs of deficiency are widespread), the limited shelf-life of
Vitamin A, and logistical problems in ensuring supply. Supplementation
programs are often expensive and unsystematic, and coverage may be poor.
Frequently, the key target groups are different for each micronutrient,
and operational constraints are severe.
As a result, a more physiological approach, addressing
the root causes of the problem has been called for one that improves
carotene-rich food intake, available in abundance in the very regions
where VAD is a public health problem. This, it is claimed, is a more logical
approach towards combating VAD - or any nutritional deficiency for that
matter - and must be the basis of corrections in the habitual diets of
affected populations. This was codified at the "World Declaration
and the Plan of Action on Nutrition17",
unanimously adopted by 159 countries at the International Conference on
Nutrition jointly organized by FAO and WHO in 1992. While recognising
that severely deficient populations may require short term supplements,
Item 43 states that strategies to combat micronutrient malnutrition should:
"Ensure that sustainable food-based strategies
are given first priority particularly for populations deficient in
vitamin A and iron, favoring locally available foods and taking into
account local food habits."
It concludes:
"Supplementation should be progressively phased
out as soon as micronutrient-rich food-based strategies enable adequate
consumption of micronutrients."
Furthermore, the International Conference on Nutrition
pleads forcefully in its Plan of Action for a policy of:
"
promoting the dissemination of nutrition
information and giving priority to breast-feeding and other sustainable
food-based approaches that encourage dietary diversification through
the production and consumption of micronutrient-rich foods, including
appropriate traditional foods. Processing and preservation techniques
allowing the conservation of micronutrients should be promoted at
the community and other levels, particularly when micronutrient-rich
foods are available only on a seasonal basis."
These statements are a clear call for the action that
is urgently needed to promote dietary diversification for the prevention
and control of micronutrient deficiencies.
Fortification
Fortification of butter, margarine and sugar with Vitamin
A is already being implemented in some countries. It too has drawbacks.
In most instances, food fortification is only feasible in countries that
possess well-developed, efficiently monitored and properly regulated pharmaceutical
and food processing sectors18. Like supplementation,
fortification does not lead to awareness building and changes in wider
dietary habits19 , and its impact is limited
to those who can access these fortified products.
Diversification
Dietary diversification is cheaper than any form of supplementation
or fortification. First and foremost, it requires a minimal amount of
foreign currency, it promotes intakes of a whole range of micronutrients
rather than singling out and tackling just one, it is sustainable, it
fosters community and individual involvement, and can help stimulate local
food economy.
Furthermore, this approach does not "medicalise"
food and nutrition, rather it enables individuals, families and communities
to maintain their own health and nutrition20.
The key to this solution lies in bringing about a shift away from the
growing of just staple crops, to a diversity of crops in the fields.
Revealing "Hidden Hunger"
"Because people for the most part are not
aware that their diets are lacking in this trace nutrients and hence
do not associate these deficiencies with listlessness, poor eyesight,
impaired cognitive development and physical growth, and more severe
bouts of illness (sometimes leading to death), this general problem
of poor dietary quality has been dubbed "hidden hunger"21.
H. Bouis, 1995
An individual feels hunger when his or her calorie intake
declines. In contrast, there is no corresponding immediate warning
signal when the intake of micronutrients declines. This is why micronutrient
malnutrition has been dubbed "hidden hunger". Because deficiencies
of this sort often go unnoticed, developing slowly and subtly, the connection
to adverse health outcomes is not apparent to people.
Given this, it would seem obvious that a solution to
"hidden hunger" is education. This means ensuring that people,
and in particular the most vulnerable, are fully aware of the causes underlying
micronutrient malnutrition, and that the connections between dietary quality
and diversity, nutrition, and health are emphasised. Promotion of micronutrient
rich foods through education is still the safest and most sustainable
way of controlling and preventing most deficiencies. Furthermore, it improves
not just a single nutrient deficiency, but improves nutrition overall,
and works through increased self-reliance22.
It is should be made apparent that inexpensive sources of Vitamin A and
other nutrients abound, where even low-income groups can easily satisfy
their dietary vitamin A requirements23, without
having to rely on capsule deliveries and other "medicalised"
interventions.
| Making use of diversity
Green leafy vegetables are the predominant
sources of micronutrients for poor people. In India, for example,
the prevailing vitamin A malnutrition reflects the inadequate
intake of these beta-carotene rich foods. Efforts in combating
vitamin A deficiency must therefore, be logically directed towards
augmenting the availability and intake of these relatively inexpensive
foods.
Abundant sources of vitamin A exist. However,
the contribution of such plants to alleviating micronutrient
deficiencies is greatly underappreciated. Among the wide range
of green leafy vegetables, drumstick leaves (Moringa oleifera)
in particular provide a very rich and inexpensive source of
pre-formed vitamin A, in addition to other important micronutrients.
Native to India, the tree grows abundantly in all tropical countries
where vitamin A deficiency is a problem. A glassful of
fresh Moringa leaves contains the daily requirement of
vitamin A for up to ten people, or small amounts of less than
10 gm of fresh can meet the day's requirement of vitamin A of
preschool children.
Ivy gourd, popularly known as "tum
leung", has been the subject of a successful nutrition
information intervention project in Thailand which helped improve
knowledge, attitudes and practices of local populations. Having
identified remarkably low vitamin A and fat intakes among people
living in one of Thailand's poorest regions, researchers from
Institute of Nutrition, Mahidol University in Thailand focused
on creating a "nutrition information environment"
in target groups. People were encouraged to grow "tum leung"
in their gardens. Almost 5,000 households participated. Given
the right education tools, Dr. Suttilak Smitasiri of the Institute
of Nutrition believes that the poor can be very receptive to
changing their eating habits.
In Western Africa, one of the richest sources
of provitamin A is the oil of the oil palm Elaeis guineensis.
This is being actively being promoted by FAO in certain northern
parts of Benin, Ghana, Nigeria and northwestern United Republic
of Tanzania where conditions prevent the establishment of palm-oil
production and also where clinical vitamin A deficiency exists.
One of the ways of increasing access to this nutritionally valuable
plant is to raise the extraction yields by improving village
technology, a strategy that has been successfully promoted by
FAO in the Luapula valley in Zambia. As a component of backyard
home gardening, FAO is introducing tenera palms from Costa Rica
to the Luapula region with the objective of increasing access
to oil-palm fruit even for the poorest people in the community.
In Brazil a local tree called "burité" produces oil
as rich in B-carotene as that of the oil palm, and this is being
promoted as part of the national efforts to prevent vitamin
A deficiency.
|
The Green revolution: feast and famine
"The trend for more and more people to be nourished
by fewer and fewer plant and animal food sources has reached the point
today where most of the world's population is absolutely dependent
on a handful of species. The four crops at the head of the list contribute
more tonnage to the world total than the next 26 crops combined. This
is a relatively recent phenomenon and was not characteristic of the
traditional subsistence agriculture abandoned over the past few centuries.
As the trend intensifies, man becomes ever more vulnerable. His food
supply now depends on the success of a small number of species, and
the failure of one of them may mean automatic starvation for millions
of people. We have wandered down a path toward heavy dependence on
a few species...."
Harlan, 1976
The prevalence of micronutrient deficiencies now far
exceeds protein and calorific malnutrition in Asia. Despite substantial
increases in cereal supplies, which have contributed to increased intake
of calorie- and protein-rich foods, the supply and consumption of foods
rich in micronutrients have not increased proportionally, and in many
cases have actually declined.
Only 30 crops feed the world, providing 95%
of dietary energy and protein requirements. More than half of these come
from wheat, rice and maize alone24. It is
these three crops that have received the most investment in terms of conservation,
improvement and breeding, and served as the cornerstone of the Green Revolution
in the 1960s. Monocultures of these crops were encouraged, justified
on the grounds that staples played an important role in satisfying food
adequacy25 by providing the much needed calories
to support a growing population and avert famine. In effect, nutrition
was equated to adequacy in the supply of macronutrients alone. The result
was the growth of food supply that provided more and more of the macronutrients
but did not provide the much-needed micronutrients, which were already
in short supply26.
Even more alarmingly, micronutrients may have actually
declined in diets. According to the UN ACC/SCN report, the introduction
and expansion of the Green Revolution in many countries has resulted in
a decreased availability of and access to micronutrient rich food crops
for millions of poor people27. Many traditional
micronutrient-rich plant foods have since become less abundant and more
expensive to obtain, either because their production has fallen and/or
has not kept abreast with the demand due to increased population pressure.
Some can no longer even be found in the field. Today, more than 2 billion
people consume diets that are less diverse than 30 years ago, leading
to deficiencies in micronutrients, especially iron, vitamin A, iodine,
zinc and selenium28. The Green Revolution,
with its increased global caloric output, is said to have contributed
to micronutrient malnutrition afflicting more than 40% of the world population29,
and it continues to take its toll in developing countries30.
The replacement of traditional crop varieties in the
field - the major cause of genetic erosion around the world - also had
its impact in small homegardens. A farm household survey in the Republic
of Korea, for example, revealed that out of 143 crops cultivated in home
gardens in 1985, only around 26% of landraces remained cultivated by 1993.
These results are disturbing since such home gardens have traditionally
been important not only as conservation sites especially for vegetable
crops31 but also as an important source of
vitamins and minerals at the household level. Thus the decline in the
availability of genetic resources in the field results in the consequent
decline in the sources of important nutrients.
Farmers have also abandoned planting nutrient-balancing
crops, such as pulses, in favor of the highly yielding new cereal varieties32.
Furthermore, the adoption of industrialized staple crop monocultures does
not allow the farmer to grow mineral- and vitamin-rich legumes together
with rice or wheat. With the use of fertilizers and semi-dwarf varieties,
those legumes gained a competition advantage and turned into "weeds"
which were then attacked with herbicides.
One example of this from India is that of bathua, an
important green leafy vegetable, high in nutritional value and rich in
vitamin A, which grows as an associate of wheat. However, with intensive
chemical fertilizer use, bathua becomes a major competitor of wheat and
has been declared a weed that is killed with herbicides and
weedicides. Thus we see the industrial model of agriculture actually destroying
freely available sources of vitamin A33.
To take an example of another nutrient, the amount of
iron in peoples' diets actually fell in most developing regions of the
world between 1970 and 1989. The most dramatic case was in South and Southeast
Asia, which were also the regions where the Green Revolution had its greatest
impact. In India, per capita consumption of pulses - an important source
of protein and iron - dropped from 23 kg per capita per year to 13.4 kg
per capita per year from 1981 to 199034.
Once known as a poor mans crop, decreased production
has led to a dramatic increase in the market price, which makes it less
accessible to the poor a scenario repeated for other regions and
nutrient-rich crops.
For example, a consistent decline in per capita consumption
of green leafy and yellow vegetables occurred in the Philippines35.
The same is true for vegetables, fruits, pulses and spices in Bangladesh36,
and the bias still persists today.

An emphasis on rice, wheat and other cereal crops over
the years, led to a decline of vegetable-growing areas, which eventually
turned into marginal land. From 68g of vegetables per capita per day in
1950, availability was more than halved to 24 g per capita per day in
199537. The continued neglect of other non-cereal
crops has resulted in unchanging food habits over the years. This situation
caused the Director of the Horticultural Research Center of Bangladesh
Agricultural Research Institute to suggest that :
"Food patterns could have been changed and
we could have attained self sufficiency in food and nutrition much
earlier with 300 g cereal/capita per day as against achieving food
self sufficiency today with 500 g cereals.38"
It is true that the Green Revolution created more bulk
of food, feeding a needy population in Bangladesh, but we cannot ignore
the negative impacts of the programme which resulted in a national diet
that over time has become more restricted and less nutritious39.
The commodity bias of the Green Revolution meant a favouring
of cereals which came ultimately at the expense of non-cereal food crops
which are important sources of micronutrients. Non-cereal food prices
in Bangladesh during the Green Revolution period increased both relative
to cereal prices and in real absolute terms. While real incomes on the
average did not increase, the poor could no longer afford traditional
vegetables such as the the b-carotene rich carrots, fruits and red pumpkin,
and were forced to rely increasingly on cereals to fill the bulk of their
diet.
The solutions to Vitamin A deficiency, and malnutrition
generally, should not therefore be yet another techno-fix
to solve the problems the original techno-fix of the Green
Revolution. Rather, a multidisciplinary approach that encourages diversity
in agricultural systems, and spreads knowledge about the causes of malnutrition,
has proven to be successful . Research in Bangladesh showed that traditional
meals with rice and cheap, easily available vegetables like amaranth,
are adequate to ensure a sufficient vitamin A supply to children40
. And experimental education programs for women demonstrated that health
education has a significantly positive effect on the quality of meals
they prepare for their children41 .
Table 4. Vitamin content of some common green leafy vegetables
(values per 100g of edible portion)
|
Leafy vegetable
|
Carotene (µg)
|
Total Folic acid (µg)
|
Vitamin C (mg)
|
Iron (mg)
|
Calcium (mg)
|
| Spinach |
5580 |
123 |
28 |
1.14 |
73 |
| Amaranth |
5520 |
149 |
99 |
3.49 |
397 |
| Bathua leaves |
1740 |
|
35 |
4.2 |
150 |
| Drumstick leaves |
6780 |
|
220 |
0.85 |
440 |
| Fenugreek leaves |
2340 |
|
52 |
1.93 |
395 |
| Agathi |
5400 |
|
169 |
3.90 |
1130 |
| Radish leaves |
5295 |
|
81 |
0.09 |
265 |
Source: Gopalan et.al. 1989
The diversity of agricultural produce is the basis of
balanced nutrition. People cannot rely on rice or wheat or maize alone:
they need a variety of crops and animal products in the diet. As such,
we need to highlight the crucial role of plant diversity, not just in
filling the bowls with food bulk, but filling them with nutritious food
that improves human health overall.
Thus it is becoming evident that the Green Revolution
represented a trade-off between quantity and quality in peoples
diets, especially amongst the poor. Even IRRI admits that the Green Revolution
may have actually increased micronutrient malnutrition among the poor42.
But IRRI can not look beyond the Green Revolution model
for a solution to this problem, and is looking to genetic engineering
to get it out of the hole it has dug for itself. Like many other international
organisations involved in agricultural development, IRRI sees the answer
to micronutrient malnutrition in engineering the missing elements back
into Green Revolution crops. Some of the most advanced research in this
arena is on engineering vitamin A into rice and mustard plants. These
vitamin A crops are being hailed as evidence that genetic engineering
holds promise for the poor as well as the rich, and that transgenic crops
can benefit humanity as well as generating profits for the gene giants.
This new approach is expected by many to supplant existing strategies
for dealing with VAD, hopefully overcoming their limitations.
Part 2: Will Genetic Engineering solve the problem?
State of the art: golden rice
Golden rice is the product of two research
teams under the direction of Dr Ingo Potrykus of the Swiss Institute of
Technology in Zurich, and Dr Peter Beyer of the University of Freiburg.
The idea of genetically engineering beta-carotene into rice emerged nine
years ago, in the light of UNICEF and WHO reports on the high incidence
of VAD in countries where rice serves as a staple food. Dr Potrykus submitted
a funding proposal for the project to the Rockefeller Foundation. After
brainstorming sessions with biologists (which included biochemists, microbiologists,
beta-carotene specialists) to asses the viability of the proposal in 1991,
the Rockefeller Foundation took over the responsibility over the project
and funded the research43, a commitment it has maintained until 1999.
The researchers genetically engineered a laboratory variety
of japonica rice (Taipei 309, adapted to temperate weather in Europe
rather than to tropical areas) and introduced in it a metabolic pathway
so that part of a naturally-present precursor of a hormone (geranyl geranyl
diphosphate) is converted into beta-carotene. The use of specific gene
promoters (DNA sequences that switch genes on) ensures that this methabolic
pathway is only expressed (only works') in the rice endosperm (the
part of the grain that remains after milling). The team has added three
genes: two of them (the first and the last in the methabolic path) are
new to genetic engineering and come from daffodils (Narcissus pseudonarcissus).
The third comes from a bacterium, Erwinia uredovora44,
which has been already used by Kirin Brewery. Although there have been
reports that the golden rice has been crossed with another rice line resulting
in a higher iron content, this second trait is, in words of Dr. Beyer,
still in the pipeline45.
The amount of hype given to golden rice seems
a little premature given that only a handful of genetically engineered
seeds have so far been developed. All that is certain is that some of
the transformed seeds contain beta-carotene in the endosperm, but it is
not even clear yet whether or not it is available for human absorption46.
Even if the rice proves to be a success, the beta-carotene
trait still needs to be transferred to the indica rice varieties,
the types grown in Asia. This work will be done by several of the International
Agricultural Research Centres (IARCs), including the Philippine-based
IRRI, the India-based ICRISAT and the Colombia-based CIAT where further
cross-breeding and field testings will be done. IRRI, together with the
Philippine Rice Research Institute (PhilRice), is set to transfer the
golden trait to other varieties as soon as its application receives approval
from the National Committee on Biosafety of the Philippines.
Thus IRRIs approach to deliver the benefits of
this golden rice as rapidly as possible is to insert the trait
into high yielding varieties such as IR64 varieties which are widely
grown in irrigated and better environments. According to Dr. Khush, one
of the principal plant breeders at IRRI, it would be important to prioritize
these environments because 80% of rice comes from these areas. It is these
areas which happen to provide rice for the megacities47.
PhilRice also wants to transfer the genes to "elite rice varieties
and breeding lines in the Philippines", rather than to locally-adapted
varieties. The promises of the golden rice certainly do not
include a transition towards a more sustainable, low-input agriculture.
Vitamin A rice has a long way to go still. Success in
the laboratory means little in the field. Transgenic plants which perform
well in laboratories often fail in nature, especially if they contain
not one, but three added gene-constructs48. Besides the potential impact of the golden rice
on the environment, about which only speculation can be made right now
(see Box) , there are also potential social and cultural obstacles, such
as palatability and public acceptance of the rice.
But ultimately, one of the biggest problems with the
technology is that of approach. The team who developed Vitamin A rice
appear to have begun with a solution, and only afterwards enquired into
the real problems of VAD. According to Dr. Beyer, one of the co-directors
of the project, with the exception of one nutritionist, the team consisted
entirely of plant scientists, who had no involvement or expertise in relevant
fields such as extension or nutrition education. On the other hand, the
references to the problem of VAD in the scientific paper published in
Science in January 2000 are dated 1992 or before. Both facts appear
to indicate a lack of awareness on the part of the developers of golden
rice technology, of the most recent findings about the actual problem
which associated VAD with hidden hunger. It was only after provitamin
A was a reality in the laboratory, that Potrykos and Beyers
team even bothered to contact international institutions with experience
and a much broader approach and perspective around VAD,
institutions such as the UNICEF, the FAO and the WHO. Had they done so
prior to undertaking the research, the project might well have never happened.
Another cultural issue around the golden rice is that
of its acceptability. Consumers could very well reject a rice which is
yellow instead of white. Although Dr. Beyer acknowledges that this issue
is beyond his expertise (and beyond that of his team), his own view is
that people accept something they know is good for them. However, people
will only realise this through some kind of education effort. But if it
is nutritional education efforts that are needed, why devote them to convincing
people to eat genetically engineered rice that will provide them with
one vitamin source, instead of promoting dietary diversification and the
increased consumption of green leafy vegetables that are already available,
thus solving a whole host of micronutrient deficiencies beyond just VAD?
However well-intentioned they were, ultimately, the specialisation
and isolation of the teams developing the golden rice has
led to a kind of blindness of their own. That is, to use a purely technological
approach that has not bothered to take into account either their scientific
colleagues who work on broader issues of nutrition and agriculture, or
to the realities of global problems which require a participatory and
interdisciplinary approach that takes into account the context in which
the problem occurs, the grassroots needs of local communities, the appropriateness
of the solutions being posited, and the social, ecological, economic,
and cultural realities of the people one is attempting to help.
| Golden Rice and Biosafety by Hartmut
Meyer, GENET
The PhilRice document pertaining to biosafety says: "Transgenic
rice plants
are expected to have no harmful effects on
the ecology and environment." They are taking the optimists
dont-look-dont-see approach to biosafety, asserting
that the transgenes involved already occur widely in nature
and therefore pose no risk: "The transgenes are involved
in the biosynthesis of carotenoids which are a widely distributed
class of natural pigments synthesized in all photosynthetic
organisms and some non-photosynthetic organisms as certain bacteria
and fungi." This approach ignores that not the existence
of b-carotene in plants as such but only its availability and
distribution in a specific plant has to be the basis of every
reasonable risk assessment.
Thus the widely recommended case-by-case-approach
will not be applied to vitamin A rice. Conventional rice exhibit
no significant b-carotene concentrations in the grains. This
will change with golden rice which, applying the
OECD guidelines, will propably not be substantially equivalent"
to existing rice varieties. Every organism feeding on rice grains
can be affected in an unintended and unforeseeable manner.
Some questions on biosafety of vitamin A rice
in a wider sense arise from the new biochemical pathway itself.
As already mentioned this pathway uses the chemical compound
geranyl geranyl diphosphate (GGDP) as source for b-carotene
synthesis. In unaltered rice grains GGDP serves as source for
the synthesis of a certain class of plant hormones, the gibberellins,
and some other socalled "secondary" metabolites. The
genetic modification of the rice seed could disturb the plant
hormone system which plays a crucial role in the germination
of seeds and the development of seedlings. The research team
communicated to GRAIN that compared to control plants, the genetically
modified rice seems to have the same fertility and germination
rate. Possible effects on the rice hormone system could not
only pose problems concerning ecological and health biosafety
aspects but can directly affect the quality of the seeds. A
predictable germination behaviour, unchanged from sudden and
unforseeable influences of the engineered genes, is crucial
for farmers role to ensure a secure and stable food supply.
In the face of GE plants with marked alterations
in biochemical pathways and nutritional value, extensive ecological
testing of the new varieties must be performed before any decision
about their introduction is made. Only further research and
publically available data will allow a valid assessment of the
safety of golden rice.
|
Monsantos mustard
While the development of vitamin A rice seems to be genuinely
well-intentioned, if perhaps misdirected, Monsantos beta-carotene
mustard has more questionable roots. Calgene, which was bought by Monsanto
in 1996, first developed rapeseed (Brassica napus) with elevated
carotenoid levels in order to serve the food and feed industries colouring,
supplementation and fortification markets. Unlike the golden rice
initiative, the objective was purely commercial. Transferring the technology
to mustard (Brassica juncea), a close relative, was an afterthought.
Monsantos donation should be viewed within the
context of public rejection of genetic engineering and corporate-led international
pressure for India to adopt patents on plants. These measures will prevent
farmers from saving their seeds, and thus enlarge the market for seed
companies, in a process that runs parallel to the turning of mustard into
an international trade commodity. Monsantos beta-carotene mustard
- the most important oil crop in South Asia arrives on the scene
just as the crop is entering the commercial seed market.
It is not that rapeseed or mustard are new in South Asia.
According to FAOSTAT, in 1961 India and China accounted respectively for
37% and 11% of the then 3.6 million tones output. In 1999, worlds
production increased ten times reaching 42.24 million tones. The
increase has been accounted for mainly by the countries within the European
Union, Canada and China. However, India is still the worlds fourth
rapeseed producer. That year, China and India ranged respectively first
and second as producers of rapeseed oil, and third and fourth as rapeseed
oil importers. By far, the most important exporters of both rapeseed and
rapeseed oil are developed countries, headed by Germany, France, Canada,
Australia and Germany (See Annex)
It is the development of an Indian seed industry, and,
more recently, its association with transnational agrochemical companies
that is pushing mustard (the Indian relative to rapeseed) into the corporate
domain. In 1994, it was estimated that Indian farmers purchased 33% of
their mustard and rapeseed seed from companies the rest was obtained
from seed they saved49. In 1998, the Indian
market for mustard and rapeseed was estimated around US$ 12 million50.
Monsanto is present in the Indian seed market through its agreements with
Mahyco and its ownership of Cargill.
It is in this frame that a technology developed for profit
has become a handy public relations tool. Calgene, which was bought by
Monsanto in 1996 had been developing rapeseed plants capable of producing
an elevated level of beta-carotenes and a host of other carotenoids, which
turned out to already have a different and potentially more profitable
proportion of fatty acids. The aim of their work was to turn oil
plant seeds into factories for the production of modified oils. Calgene
made use of genes from Erwinia uredovora, a bacteria that also
provides one of the genes involved in the golden rice, with a Calgene-patented
promoter specific for the seed (napin promoter, US 5,420,034). Subsequently,
Calgene applied for a patent holds covering "a transgenic plant which
produces seed having altered carotenoid levels" (WO9806862), which
has been applied for in both developed and developing countries. Calgene
signed in November 1996, a royalty-bearing cross license agreement with
Kirin Brewery Co., Ltd. of Tokyo, Japan for commercial use of their patented
carotenoid biosynthesis genes from Erwinia uredovora (EP0393690).
The move to cater for small and subsistence farmers only came in later
after its parent company faced immense public opposition for its genetically
engineered crops and its IPR policies.
Monsanto is at work, but the promised vitamin A rapeseed
oil is still far away. The companys R&D center at the Indian
Institute of Science in Banglore is developing a protocol to genetically
engineer the gene that induces beta-carotene production in rapeseed (Brassica
napus) into several public varieties of its close relative, mustard
(Brassica juncea). The company hopes to obtain genetically engineered
mustard varieties by the end of 2000. Field testing will take a further
2 to 3 years. Meanwhile, many questions remain. Since beta-carotenes are
fat-soluble, Monsanto expects that the oil from its transgenic mustard
will be readily absorbed by the human body. However, heat destroys beta-carotene,
and mustard oil is most often consumed after cooking, so the beta-carotene
needs to be stabilised somehow51. Another
drawback is that the modified rape seed oil is orange in colour, which
could affect public acceptance.
Despite Monsantos claims to work through local
stakeholders, so far it only points to only the new Delhi based TATA Energy
Research Institute as an actual partner. The companys bullish approach
to testing its Bt cotton in India, as well as bad publicity over its plans
for Terminator seeds has created widespread bad feeling in the country.
Thus the charitable nature of the vitamin A mustard donation cannot mask,
in the eyes of many, the other, less well press-released activities of
the company that may directly result in a decrease of diversity and in
farmers disempowerment.
Public Good
private patents?
An important issue that has not been considered in the
press debates over Vitamin A enhanced crops is that of intellectual property
rights. It may come as a surprise given the projects public research
origins that, according to a member of the Swiss team that developed the
golden rice, a patent application has been filed for it. But this is direct
consequence of the very nature of the development of genetic engineering
as a technology that has been tied into private profits and patent systems
to protect them.
In the case of Monsanto, the case is straightforward.
The company owns through Calgene - the patent on the rapeseed and
on the promoters it has used. Monsanto is, in principle, bound to pay
royalties to the developers of the transformation method it has used to
produce the transgenic rapeseed and to Kirin Brewery for the E. uredovora
gene that is inserted in the plant.
Monsanto has announced that it aims to provide the high
beta-carotene mustard free of charge to poor and subsistence farmers "not
fully participating in the world economy". What this means in practice
is not yet clear. What will be the limit for the sale of the rapeseeds
or the oil thereof? Will they gain entry into the commercial circuits?
Will they only affect the purchase of the seeds or oil by large national
or international corporations? How would such limitations affect the availability
of the beta-carotene oil to the poor? And, how will it negotiate with
Kirin Brewery? Sources from Monsantos R&D Institute say that
while the project is philanthropic, the company has no clear policy to
answer these questions.
In the case of the golden rice, its developers
intention and claim is that it is to be given free of charge to farmers.
However, we will have to see whether this claim can be borne out by reality
given the patent hurdles it faces. Despite being funded by the public
sector, the golden rice is to a large extent the product of
private companies. The development of the rice has involved processes,
genes and promoters of which at least six were already patented (see Table
5), and this will surely effect how it is going to be delivered to the
poor, and to the rest of society. On top of these six patents, the teams
of Zurich and Freiburg have filed a patent application covering the insertion
of the metabolic pathway to produce beta-carotene in seeds. The scientists
involved claim this was to prevent other parties (i.e. corporations) from
patenting the technology.
The scientists have presented themselves as willing to
break the patenting laws in order to fight poverty. They argue that they
know personally some of the scientists holding some of the patents involved,
who have promised they will license the technology for free. They also
argue that no company is going to want to be vilified as profiteering
on the backs of the worlds poor by preventing the use of their patented
processes, genes or promoters.
However, the first argument is weak: it is the companies
funding the research, not the "inventors" themselves, that hold
the patents. And the second argument, backed up by the claim that the
researchers are willing to break the law for ethical reasons against patents,
is at odds with their own application for patent protection.
The patent was not necessary to prevent others from appropriating
the results of a charitable research: putting it into the public domain
through publication would have averted such a risk. The application covers
the introduction of this methabolic pathway into any given crop, and any
company wishing to use the process for any plant will have to negotiate
and possibly pay royalties to the patent owner. Paradoxically,
the patent renders the main objective of the not-for-profit research project,
rice for poor farmers, into the exception. It is only under some circumstances
- as specified in a contract between the "inventors" and the
international agricultural research centers that the technology
is transferred to the tropical varieties poor farmers grow. GRAIN has
not had access to this contract, but Dr. Beyer has stated that it is intended
to guarantee that the use of the varieties will be purely non-commercial.
Under the contract, according to Beyer, "Subsistence farmers and
their surroundings will have this for free and are free to multiply
and exchange with other farmers".
Table 5. Golden rice: IPR auditing required
| Processes and sequences |
Patent number |
Owner/Company |
| Agrobacterium transformation |
WO8603776 (1986) |
Plant Genetic Systems (Aventis) |
| Daffodil Phytoenhe-Synthase (PSY) and Lycopene-Cyclase
(LYC) genes |
Patent applied for by developers |
University of Freiburg (Peter Burkhardt)??? |
| Erwinia uredovora phytoene desaturase gene (CrtI) |
EP0393690 (1990) |
Kirin Brewery |
| Use of constructs comprising a carotenoid biosynthesis
gene |
WO9806862 (1998) |
Calgene * (Monsanto) |
| Endosperm-specific glutelin (Gt1) Promoter of the
Daffodil genes |
J6391085 (1988) |
Noriinsho |
| CaMV 35S promoter of the E. uredovora gene |
US5106739 (1992) |
Calgene (Monsanto) |
| AphIV marker gene |
US5668298 (1997) |
Eli Lilly |
* Claims property on "A transgenic plant which
produces seed having altered carotenoid levels ". Patent asked
for in developing countries. Calgene has an agreement with Kirin Brewbery.
Source: Compiled by GRAIN from Xudong Ye et.al.
(2000), Derwent Biotechnology Abstracts and Esp@cenet
There are precedents on agreements between international
agricultural research centers and private sector companies in order to
allow the first to further develop technologies patented by the second
and then distribute the results under restricted conditions to farmers
in developing countries. Ciba-Geigy (which merged with Sandoz to form
Novartis) made Bt genes available to IRRI to develop rice, and the rice
produced with this gene can be made freely available to rice producers
in all countries except Australia, Canada, Japan, New Zealand, United
States, and members of the European Patent Convention as of 1994. Plant
Genetic Systems has provided the CIP (Centro Internacional de la Papa)
Bt genes and technologies , and the results of collaborative research
are freely available for developing countries, provided the recipient
will not appropriate them unfairly or seek profit through their commercialization
in industrial countries52. The control ultimately
remains in the hands of the corporation that holds the patents.
The golden rice research teams patent
application complicates everything. It turns public-interest funders into
for-profit entities in direct competition with the companies owning part
of the patents they have used. For example, Monsanto-owned Calgene has
both a patent on the Cauliflower Mosaic Virus CaMV 35S promoter used in
the golden rice, and another one that covers "A transgenic plant
which produces seed having altered carotenoid levels". In this light,
Monsanto is both a needed contributor to the golden riceand
a fierce competitor when it comes to the market for commercial carotene-rich
crops. How will this affect Monsantos permission for the free use
of its otherwise controversial CAMV 35S promoter (see the patents table)
under the conditions set by Zurich and Freiburg?
In order to solve these complicated issues, the Rockefeller
Foundation has requested an IPR audit to be conducted by the International
Service for the Acquisition of Agri-Biotech Applications, ISAAA. ISAAA
is an international organization specialized in brokering the transfer
of plant biotechnologies into developing countries, and is supported by
donors including AgrEvo, Monsanto, Novartis and Pioneer Hi-Bred, together
with non-profit donors such as the Rockefeller Foundation and DANIDA.
It is doubtful whether those promoting the relevance of genetic engineering
for developing countries prominent among them the ISAAA and its
donors - will announce the outcomes of the audit of this patent-puzzle
quite as extensively as they did the golden rice itself.
However, even if this patent-puzzle was untangled satisfactorily
for everybody involved, and an agreement was reached allowing any single
farmer or poor consumer to benefit from provitamin A rice (or mustard),
two issues would remain outstanding.
The first is that of patents themselves. Many of the
countries in the South where VAD is a problem do not currently accept
patents on genetically engineered plants, but are being pressured to do
so through international and bilateral trade agreements. "Effective
sui generis" protection of plant varieties is one of the most
controversial issues of the Trade-Related Intellectual Property Rights
Agreement at the World Trade Organisation (WTO). Negotiations are currently
taking place at the WTO to review such a provision. The U.S. had been
pushing for patents on plants to be compulsory for any member country.
They have come into conflict with those, such as the group of African
countries, that want the WTO to forbid any patent on any living organism
or part thereof and acknowledge traditional innovation systems. On the
other hand, countries as Thailand have received bilateral pressure from
the US to adopt intellectual property rights regimes on biodiversity that
suit the interests of the US industry. In this light, free-licensing agreements
could be viewed as bait for developing countries to adopt stringent patent
systems which go against the free exchange of germplasm and knowledge
which forms the basis of a biodiversity-based agriculture. The implied
message is: "IPRs are needed to develop the kind of agriculture that
your populations need. And, in any case, there will always be mechanisms
to allow that the poorest have access to what they need the most for free".
But most fundamentally of all, this example shows that
in order to be rendered accessible to the poorest, the patents covering
any biotechnological innovation have to be neutralized. This
contradiction arises because genetic engineering has been adopted by the
North as a research and development strategy that allows them to develop
new markets and to control them through the acquisition of intellectual
property rights (in 1997, the Rockefeller Foundation reported that annual
public and private investment in agricultural biotechnology research might
total US $2.5 billion, with no more than US$ 75 million in the developing
countries53). Any direct benefit to the poorest,
who by definition have little purchasing power thus generate little of
a market, is to be generated as a "side effect", or an exception
to the rule, over which the poor do not have any control. Scarce resources
should be directed, instead, to policies that do have the poor
starting with resource-poor farmers as their main objective, not
as incidental beneficiaries.
All that glitters is not gold
The unveiling of golden rice is giving impetus
to the application of genetic engineering to combat micronutrient malnutrition.
But it is highly unlikely that poor people stand to benefit from this
strategy. This band aid approach will merely perpetuate the
declining quality of food grown under the industrial agricultural system
at the expense of fruits, vegetables, and underutilized and wild crops.
Without shifting the focus of nutrition efforts towards a more diverse
agricultural base, there is no doubt that micronutrient deficiency will
persist. The real impacts of vitamin A crops will be:
* Reducing biodiversity, reducing dietary and
nutritional diversity
Focusing on engineering micronutrients into staples instead
of promoting natural sources will further skew agricultural research and
development and consequently food availability further away from diversity.
It will perpetuate the commodity bias towards staples or a limited range
of so-called functional foods such as high beta-carotene oil. This will
exacerbate genetic erosion, decimate farming systems and reduce nutritional
diversity.
* Decreasing overall nutritional status
The very narrow target of just providing a single micronutrient
such as vitamin A into commonly consumed crops will do little to overcome
micronutrient deficiencies. The transfer of an exotic gene into a monoculture
crop can do little to make up for the dietary deficiencies of those suffering
from monoculture malnutrition54. The nutritional value of a combination of rice
and Moringa leaves is far greater than that of the golden
rice. Providing only a single nutrient via food to a population
which currently requires a range of nutrients may be unethical especially
where a range of nutrients can be obtained easily in locally-available
fruits and vegetables and in wild and underutilised crops.
* Ignoring the cause and perpetuating
the problem
The claim that golden rice or beta-carotene
mustard will help eliminate VAD in the South has great appeal. Yet the
genetic engineering approach erroneously assumes that VAD exists due to
a general lack of vitamin A food sources. This type of intervention tends
to maintain the status quo, where rice remains to be the predominant
food in poor peoples diets, instead of encouraging people to diversify
their food sources. Instead of solving the problem, it merely masks the
shortcomings of the Green Revolution and perpetuates the problem.
* Promoting technical fixes again
This one-dimensional technical fix approach to VAD is
reminiscent of the Green Revolution paradigm. Here was another techno-fix
solution to a complex problem: that of poverty and hunger. Golden
rice is another simple, universal solution to the problems of the
poor decided upon and developed by scientists and experts from the North.
It comes as no great surprise that the Rockefeller Foundation, one of
the main architects of the Green Revolution, has been financing this approach
to solve a problem which it helped to create in the first place.
* Accessibility and equity
The "poor" are a major target for vitamin
A crops. Yet many of the poor, particularly women, have not benefited
from Green Revolution crops, so it is unlikely they will benefit from
the next wave. Any direct benefit to the poorest, who by definition have
little purchasing power and thus generate little of a market, is to be
generated as a side effect, or an exception to the rule, upon which the
poor do not have any control. Scarce resources should be directed, instead,
to policies that have the poor as their main objective, not as incidental
beneficiaries.
* Dietary diversification or dietary
uniformity?
Although improved dietary habits, particularly the increased
production and consumption of beta-carotene-rich foods, have long been
advocated as the only acceptable long-term solution to combat VAD55
56, very few concrete steps have been taken
in this direction in the past twenty years. In the words of the 1991 laureate
of the World Food Prize, Dr. Nevin Scrimshaw: "It is ironic that
some of the worst concentrations of xerophthalmia and blindness due to
vitamin A deficiency occur in populations surrounded by abundant sources
of the vitamins and minerals in local vegetables and fruits, yet, no country
has yet mounted a successful campaign to solve the Vitamin A problem in
this way57".
Breaking away from micronutrient malnutrition
Supplementation and fortification programs treat the
symptoms but not the underlying cause of micronutrient malnutrition. Poor
quality diets consisting primarily of staple foods are the underlying
cause of micronutrient malnutrition58. Golden rice is merely an extension
of the fortification approach and also fails to address the cause. Even
worse, it actually perpetuates malnutrition because it fails to address
peoples requirements of other minerals and vitamins, which would
be met by adopting a dietary approach to VAD.
Improving dietary diversity by stimulating the production
and consumption of micronutrient-rich foods is the only sane and sustainable
approach to overcoming micronutrient deficiencies. There is a great scope
for improving direct household supplies to such foods in rural and urban
areas59. The real cause of VAD is that vulnerable
populations are not empowered enough to access these natural sources of
vitamin A. This should be the starting point of any strategy to combat
VAD. Diversity is the basis of balanced nutrition. Agricultural and nutritional
policies should promote the availability of micronutrient-rich foods and
targeted nutrition education programs should help increase their consumption.
Only by providing a diversity of food sources in the field and by increasing
awareness of foods relevance not just to fill the bowl with calories
but to improve nutritional well-being, can we break away from the vicious
cycle of hunger and malnutrition.
Table 6. Vitamin A activity in various crops
| Crop |
Description
|
Carotene Equivalent
|
Vitamin A activity (Retinol Equivalent
RE)
|
| Green vegetables |
|
|
|
| Amaranth |
leaf, raw |
5,400-9,260
|
900-1,543
|
| Carrot |
leaf, raw |
7,200
|
1,200
|
| Cassava |
leaf, raw |
3,000
|
500
|
| Cowpea |
leaf, raw |
4,500
|
750
|
| Jute, potherb |
leaf, raw |
6,400
|
1,066
|
| Kale |
leaf, raw |
900-7,580
|
150-1,263
|
| Sweet potato |
leaf, raw |
1,100-2,700
|
183-450
|
| |
leaf, boiled |
1,745
|
291
|
| Taro |
leaf, raw |
5,535
|
922
|
| |
leaf, boiled |
4,695
|
783
|
| Raddish leaves |
|
5,295
|
882.5
|
| Celery |
leaf, raw |
3,990
|
665
|
| Fruits |
|
|
|
| Banana |
yellow, raw |
60-130
|
10-22
|
| |
red, raw |
90
|
15
|
| Mango |
ripe, raw |
708-2,400
|
118-400
|
| |
unripe, raw |
60
|
10
|
| |
dried |
4,400-5,261
|
733-877
|
| Papaya |
raw |
300-2.500
|
50-417
|
| Plantain |
raw |
475
|
79
|
| |
boiled |
345
|
58
|
| Storage organs and seeds |
|
|
|
| Bitter gourd |
raw |
17,040
|
2,840
|
| |
cooked |
13,260
|
2,210
|
| Carrot |
raw |
3,890-21,000
|
648-3,500
|
| |
dried |
36,000-135,000
|
6,000-22,500
|
| Finger millet |
flour |
25
|
4
|
| Maize |
yellow, raw |
360
|
60
|
| |
yellow, dried |
125
|
20
|
| Potato |
white, raw |
2-20
|
trace-3
|
| Sweet potato |
white, raw |
35
|
6
|
| |
yellow, raw |
300-4,620
|
50-770
|
| Plant oils |
|
|
|
| Buriti palm oil |
oil
|
304,000
|
50,667
|
| Palm kernel oil |
oil
|
22
|
4
|
| Red palm oil |
oil
|
12,210-87,881
|
2,035-24,647
|
Source: various sources
* The body converts beta-carotene into Vitamin A
according to physiological needs. Typically, six micrograms of beta-carotene
is converted into one microgram of Vitamin A.
Footnotes:
1.
C.Gopalan. 1999. Nutrition And Developmental Transition: Lessons From
Asian Experience. http://www.nutritionfoundationin.org/ARCHIVES/AUTH-E2K.HTM#Gopalan,
C.
2. Trisha Gura (1999), "New Genes Boost Rice Nutrients",
Science, Vol. 285, 13 August 1999, pp. 98-99
3. Press Release March 16, 1999, Monsanto Joins
First Ladys Vitamin A Outreach Efforts: Beta Carotene Technology
Offered to Developing World Farmers, http://www.monsanto.com/monsanto/mediacenter/99/99mar16_vitarel.html
4. Underwood B.A. and S. Smitasiri.1999. Micronutrient
malnutrition: Policies and programs for control and their implications.
Annual Review of Nutrition. Vol. 19.
5. Howson, C.P et.al. 1998. Prevention of micronutrient
deficiencies. National Academy Press, Washington D.C.
6. Underwood B.A. and S. Smitasiri.1999. Micronutrient
malnutrition: Policies and programs for control and their implications.
Annual Review of Nutrition. Vol. 19; p. 303
7. Gopalan C. 1996. Nutrition Research in Southeast Asia:
The emerging agenda of the future. FAO SEARO No.23.
8. Alnwick DJ. 1998. Combating micronutrient deficiencies:
problems and perspectives. Proc. Nutr. Soc. 57:13747.
9. FAO, 1988, Requirement of Vitamin A, iron, folate and
vitamin B12, Report of a Joint FAO/WHO Expert Consultation, Rome.
10. McGuire J. 1993. Addressing micronutrient malnutrition.
SCN News No.9. AN ACC/SCN.
11. Gopalan C. 1996. Nutrition research in Southeast
Asia: The emerging agenda of the future. FAO SEARO No.23.
12. Gopalan, C. 1998. Micronutrient malnutrition in SAARC
- The need for a food based approach. NFI Bulletin. India. http://www.nutritionfoundationin.org/ARCHIVES/AUTH-E2K.HTM#Gopalan,
C.
13. Gopalan C. 1996. Nutrition Research in Southeast
Asia: the emerging agenda of the future. FAO SEARO No.23.
14. Gopalan C. 1988. Control of vitamin A deficiency:
priorities for future research in India. NFI Bulletin, October 1988. http://www.nutritionfoundationin.org/ARCHIVES/AUTH-E2K.HTM#Gopalan,
C.
15. Gopalan C. 1988. Control of vitamin A deficiency:
priorities for future research in India. NFI Bulletin, October 1988. http://www.nutritionfoundationin.org/ARCHIVES/AUTH-E2K.HTM#Gopalan,
C.
16. Gopalan, C. 1993. Reviews and comments: Efficacy
of megadose of vitamin A. NFI Bulletin.
17. World Declaration and Plan of Action for Nutrition.
1992. http://www.fao.org/WAICENT/FAOINFO/ECONOMIC/ESN/icn.htm
18. FAO-WHO. 1992. Nutrition: the global challenge. International
Conference on Nutrition, 5-11 December 1992, Rome.
19. Bouis, H. 1998. Plant breeding: a new approach for
solving the widespread, and costly problem of micronutrient malnutrition.
IFPRI.
20. Filteau, S and A. Tomkins et.al. 1999. Promoting
vitamin A status in low-income countries(Commentary). The Lancet,
353:9163. p.1458.
21. Bouis H.E. 1995. Breeding for nutrition. Journal
of the Federation of American Scientist. Vol.48 No.4. http://www.fas.org/faspir/pir0895.html
22. World Bank, To Nourish a Nation, Investing in Nutrition
with WorldBank Assistance . http://www.worldbank.org
23. According to a study done by IFPRI, it would not
be difficult even for low-income groups to satisfy their Vitamin A requirements.
In Bangladesh where vegetables provide by far the cheapest source of vitamin
A, vegetables worth about Tk 1 (one-sixth of the total per capita food
expenditure for the lowest income group) would provide the required 600
micrograms per day. Hence programs to educate consumers about the importance
of meeting RDA of vitamin A (and vitamin C) and about commonly eaten sources
of these nutrients has the potential for improving intake. Furthermore,
extension programs to promote growing specific vitamin A and vitamin C
rich foods would not only would provide households with a ready supply
of these nutrients, but increased production could bring the local price
down.(Source: Bouis H and M. Novenario-Reese. 1997. The determinants of
demand for micronutrients: An analysis of rural households in Bangladesh.
FCND-IFPRI. August, 1997.)
24. FAO, 1998. The state of the worlds plant genetic
resources for food and agriculture. FAO, Rome.
25. Wahlquist M. 1999. Food security and health depend
on food diversity and sustainability. Keynote presentation at "Eating
Into The Future" 1st Australian Conference on Food Health
and Environment. 11-13 April 1999.
26. Welch, R.M. and R.D. Graham. 1999. Special issue
on micronutrients. Field Crops Research. Vol.60.
27. Second Report on the World Nutrition Situation Vol.
1 Global and Regional Results. 1992. UN ACC/SCN Report.
28. Welch, R.M. and R.D. Graham. 1999. Special issue
on micronutrients. Field Crops Research. Vol.60.
29. Ed. G.E. Combs et.al. 1996. Food based approaches
to preventing micronutrinet malnutrition: an international research agenda.
CIIFAD, New York.
30. Second Report on the World Nutrition Situation Vol.
1 Global and Regional Results. 1992. UN ACC/SCN Report
31. FAO, 1998. The state of the worlds plant genetic
resources for food and agriculture. FAO, Rome.
32. IRRI. 1999. Rice: hunger or hope? Annual report 1998-1999.
IRRI, Manila.
33. Shiva, V, 1991. The Violence of the Green Revolution.
The Other Indian Press, Goa, India, p. 206.
34. Bouis H. and E. Kennedy. 1993. Linkages between agriculture
and nutrition: implications for policy research. IFPRI.
35. Consumption decreased from 145 g/day to 106 g/day
from 1973 to 1993 respectively. Bayani, E.M. 1996. Nutrition education
in the Philippines and its role in improving the nutritional status of
Filipino children and adults. Paper presented during FAO RAPA Regional
Expert Consultation of the AP Network for food and nutrition on Nutrition
Education held on 23-26 July 1996, Bangkok Thailand.
36. Tisdell C. and M. Allaudin. 1991. The green revolution
and economic development: The process and its impact in Bangladesh. Macmillian
Acad. And Professional Ltd. Hongkong.
37. Hossain, A, 1995. Homestead vegetable production.
In: Vegetables Corp Agribusiness. Proc. Of a workshop held at Dhaka Bangladesh,
2-4 May 1995.
38. Hossain, A, 1995. Homestead vegetable production.
In: Vegetables Corp Agribusiness. Proc. Of a workshop held at Dhaka Bangladesh,
2-4 May 1995.
39. Tisdell C. and M. Allaudin. 1991. The green revolution
and economic development: The process and its impact in Bangladesh. Macmillian
Acad. And Professional Ltd. Hongkong.
40. M. M. Rahman, D. Mahalanabis, M. A. Islam, E. Biswas,
1993, "Can infants and young children eat enough green leafy vegetables
from a single traditional meal to meet their daily vitamin A requirements?",
European Journal of Clinical Nutrition 47: 68-72.
41. M. M. Rahman, M. A. Islam, D. Mahalanabis, S. Chowdhury,
E. Biswas, 1994, "Impact of health education on the feeding of green
leafy vegetables at home to children of the urban poor mothers of Bangladesh",
Public Health 108: 211-218.
42. IRRI, 1999. Rice: hunger or hope?IRRI 1998-1999 annual
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43. Dr. Ingo Potrykus, personal communication
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the Provitamin A (b -carotene) Biosynthetic Pathway into (Carotenoid-Free)
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45. Dr. Peter Beyer, personal communication
46. Dr. Peter Beyer, personal communication
47. Dr. Gurdev Khush, personal communication
48. Florianne Koechlin (2000) "The golden
rice a big illusion?" No Control On Life Mail-out
74, February 2000 http://www.blauen-institut.ch/Pages/pMailOut.html
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51. KK Narayanan, Programme Lead Crop Transformation
and Functional Genomics, R&D Centre in Bangalore, personal communication.
52. CGIAR Private Sector Committee (1997), Strengthening
CGIAR-Private Sector Partnerships In Biotechnology: A Private Sector Committee
Perspective on Compelling Issues, April 30, 1997
53. Herdt, Robert W (1997), The Future of the Green Revolution:
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56. Gopalan C. 1996. Nutrition research in Southeast
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59. see FAO at http://www.fao.org/WAICENT/FAOINFO/ECONOMIC/ESN/fna.htm
Annex:
Shares of the worlds rapeseed production in 1961 and 1999
1961 - World Total Production:
3.6 million tones

1999 - World
Total Production: 42.2 million tones
|