Preparing for Scaling up Food Fortification Especially in the Context of Food Fortification

Regulations, 2018

Pawan Agarwal, CEO FSSAIAugust 24th , 2018

1

2

BACKGROUND – FOOD FORTIFICATION

FSSAI’s Role Set Standards, Create +F Logo

Setup a dedicated Hub: Food Fortification Resource Centre

Alignment Alignment & Advocacy – Industry & State Consultations

Nudge & Facilitate - Both Open Market and State Governments

Ensuring Supply Ensuring open market availability

Linking Govt Safety Net Programs to Fortified Supplies

Creating Demand Building Consumer Awareness

Joint Marketing Campaigns

Training For Food Safety Officers

For Labs/ FBOs/ MSMEs with Development Partners

Surveillance Compliance with Standards

Monitoring & Evaluation

3

SCIENTIFIC PANEL ON NUTRITION AND FORTIFICATIONSr. No Name of Expert Designation Organization1 Dr. Ambrish Mithal MD ,DM, Chairman, Division of

Endocrinology and Diabetes

Medanta, the Medicity,

Gurgaon2 Dr. Abhay M Harsulkar Professor Bharati Vidyapeeth Deemed

University, Poona College of

Pharmacy, Pune3 Dr. CS Pandav President Indian Coalition for Control of

Iodine Deficiency Disorders

(ICCIDD), AIIMS, New Delhi

4 Dr. Sumit Arora Principal Scientist, Dairy Chemistry

Division

National Dairy Research

Institute, Karnal5 Dr. Yogeshwer Shukla Area Coordinator & Chief Scientist

(Scientist G)

CSIR - Indian Institute of

Toxicology Research, Lucknow

6 Maj. Gen. (Dr) RK Marwaha

(Retd)

Scientific Advisor and Senior

Consultant Endocrinology

International Life Sciences

Institute (India) & Advisor

Project, Dept. of Endocrinology,

AIIMS, New Delhi

7 Dr. Dirimavo Hari Kumaran

Nair

Associate Professor Adhyapak Niwas, Gujarat

8 Dr. Prema Ramachandran Director Nutrition Foundation of India,

New Delhi9 Dr. Anura Vishwanath Kurpad Professor, Dept. of Physiology St. John's Medical College,

Bengaluru10 Dr. K. Madhvan Nair Scientists 'E' Micronutrient Research Group

Department of Biophysics,

National Institute of Nutrition

(ICMR), Jamai-Osmania PO,

Hyderabad11 Prof. H.P.S. Sachdev Sr. Consultant, Paediatrics and Clinical

Epidemiology

Sita Ram Bharatia Institute of

Science and Research, New

Delhi

• Expert panel of 11 members

• Also, representatives from MWCD,MoHFW and ICMR

• Careful study of dosages forcomprehensive and safe fortificationregulations

4

REGULATIONS ON FOOD FORTIFICATION

Food Safety and Standards(Fortification of Foods)Regulations, 2018 are nowGazetted dated 2nd August, 2018

Range (minimum – maximum) for micronutrient dosage

Levels have been adjusted to provide 30-50% of RDA

Bioavailable sources of nutrients added for Iron fortification

Only plant sources to be used for vitamin D

Vanaspati fortification removed

Transition time till 1st January, 2019 and enforcement will now begin

HEALTH CLAIMS

5

6

QUALITY ASSURANCE

172 FSSAI notified NABL Labs ( State

Referral &Private) – 65 labs equipped for fortificant testing

Strengthening of NABL Labs – testing of micronutrients

SOP for Premix and FRK Suppliers

On-ground technical support to build

capacity of States/UTs

FSOs, FBOs and MSMEs training to ensure

quality

Monitoring and Surveillance by FSOs

and self-compliance by FBOs

7

CURRENT STATUS OF FORTIFICATION

Regulations for 5 staples – Wheat Flour, Rice, Milk, Oil and DFS

+F logo for awareness of fortified products

Food Safety and Standards (Fortification of Foods) Regulations, 2018 notified dated 2nd August, 2018

Safety Net Programs – 15 States and 3 UTs have adopted fortification

Open Market – 62 top players, 110 fortified brands (PAN India and Regional Availability)

Double Fortified Salt

• Iron

Iodine

Edible Oil

•Vitamin A

Vitamin D (*Plant Source)

Milk

•Vitamin A

Vitamin D (*Plant Source)

Wheat Flour

• Iron

Folic Acid

Vitamin B12

Rice

• Iron

Folic Acid

Vitamin B12

8

9

SCALING UP FOOD FORTIFICATION STRATEGIC ROAD MAP

• ICDS & MDM - ~ 300 Crores of additional outlay

• PDS - ~ 1700 crores of additional outlay

Budget Requirement

• For mandatory inclusion of rice and milk

Directives

• ICDS – 315 POSHAN districts

• MDM – Through States with Centralized Kitchens

• PDS – 101 Aspirational districts

Implementation

• Mass Communication Campaign

Demand and Supply Alignment

10

OPEN MARKET AVAILABILITY – A GLIMPSE

11

MANDATORY FORTIFICATION

Total Milk Production in India –4380 LLPD*

Organized sector (30%) 1300 LLPD

Fortifiable Liquid Milk (Cooperatives &Private) –

410 LLPD

Total milk fortified till now (21.53%)

Cooperatives (17. 80%)

Private (3.73 %)

Unorganized sector ( 70%)

MILK FORTIFICATION EDIBLE OIL FORTIFICATION

Total Edible Oil Demand in India – 21 MMT*

Unorganized Sector (3-5%) .63

MMT

B2B (60%) 12.6 MMT

Packaged Refined Market (35%) 7.5 MMT

Top Players (80%)-5.88 MMT

Total Oil fortified till now (47%) 2.76

MMT

Small Players

(20%) 1.62 MMT

* Lakh Litres Per Day

Requests from States likeHaryana, Madhya Pradesh andLine Ministries like MWCD

* Million Metric Tonnes

12

RECOMMENDATIONS TO SCALE UP FORTIFICATION

Nodal Agency – FSSAI equipped to scientifically support all fortification related queries

Surveillance – Testing protocols, standards and regulations in place

Capacity Building – FFRC and Development Partners as drivers to assist ICDS/MDM/PDS implementation in States/UTs

Communication Collateral Support for all community based communication

13

FFRC – RESOURCE HUB FOR FORTIFICATION

TECHNICAL SUPPORT

14

• Technical Handbooks

• A Handbook for Fortification of Whole Wheat Flour (Atta) & Refined Wheat Flour( Maida)

• Technical Handbook on Edible Oil Fortification

• Technical Handbook on Fortified Rice

• Technical Handout on Fortification of Milk

• Technical Handout on Double Fortified Salt (under progress)

FAQs • Fortification of Wheat Flour• FAQs on Edible Oil Fortification• FAQs on Rice Fortification• FAQs on Milk Fortification• FAQs on Double Fortified Salt (Under Progress)

OTHERS• Journey of Food

Fortification• Fortification in News• Handbook for

Retailers

COMMUNICATION SUPPORT

15

RADIO SPOTS/ VIDEOS

STATE COMMUNICATIONS

CREATIVES FOR SOCIAL MEDIA

16

Demand

SupplyMandatory versus Voluntary

experience of salt iodization