At the recent G8 Summit on the shores of Lough Erne here in Ireland,
a new declaration was signed to chase the big multi nationals for a fairer
share of their sales to be paid as tax. Google generated £11.5bn in profits in the UK and only paid £10m
in tax during that period. In the UK in 2011, Apple Sales International
generated UK sales valued at $22bn but paid only $10m in tax. In the week
before the G8 summit the NGO Save the Children issue an in-depth report also
looking at global economic development but with a focus on malnutrition[1].
The main conclusion of this report is
that if today’s infants are not properly nourished, the global economic loss in
2030, when these infants reach working age, will be $125 billion.
The first part of this report deals with what is called the
“demographic dividend” which is characterised by an increase in the ratio of
the population available for work versus the those who cant work because they
are too young or too old. It is expected that due to rapidly falling mortality
rates and declining fertility rates, many poor countries will have two persons
at work-force age for every one person too old or too young to work. Indeed,
the IMF have predicted that seven of the ten fastest growing economies in the
next five years will be in Africa. Rapidly growing economies require a work
force that is physically capable of hard work and a work force, which has
achieved its optimal cognitive function. Therein lies the power of adequate
nutrition in the first 1000 days.
This first 1000 days refers to the 9 months (36 weeks) of
pregnancy plus the first 2 years (104 weeks) of infancy (140*7=980 days). If a
child emerges from this period with impaired cognitive and physical potential,
the effect is life-long. Iron, for example, is essential for muscle growth but
also for the fat sheath (myelin) that
surrounds the nerve cells in the human brain and for the synthesis of the
signals (neurotransmitters) that travel from one neuron to the other.
Longitudinal studies consistently show that infant anaemia is associated with
long-term decline in cognitive capacity, with learning difficulties and
ultimately with behavioural disorders. At present, the World Health
Organisation estimates that in middle and low-income countries, 47% of infants
are anaemic. Iodine is also a major micronutrient deficiency issue and
presently some 2 billion people (one third of mankind) have inadequate iodine
intake, a third of which are children. Once again, iodine is involved in
physical activity since it is an integral part of the thyroid hormone, which
not only regulates energy metabolism in the body but also serves to optimise
brain development, particularly during pregnancy. One could go on to mention
zinc, folic acid, vitamin B12 or omega 3 fats. The bottom line is that poor
nutrition during pregnancy and in infancy will lead to permanent loss of
physical and mental capacity. Thus if the demographic dividend is to pay off,
the present population of mothers and infants must have optimal nutrition for
gestation, through 6 months of exclusive breast feeding and through safe and
wholesome weaning.
Some 27 years ago I wrote a popular book on nutrition and in
it I cited an author who wrote thus of the malnourished: “The light of curiosity absent from children’s eye. Twelve year olds
with the physical stature of eight year olds. Youngsters who lack the energy to
brush aside the flies about the sores on their faces. Agonizingly slow reflexes of adults crossing
traffic. Thirty year old mothers who look sixty. All are common images in
developing countries; all reflect inadequate nutrition; all have societal
consequences”. Not a lot has changed except that now we recognise that the
focus must be on maternal and infant nutrition. If we get that right, economic
growth is possible with the demographic dividend. If we don’t we’ll have very
large numbers of unemployed or under-employed young males, a recipe for
conflict and social setbacks.
So, returning to the economics of mother and infant
malnutrition, the report shows that a 1% increase in height equates to a 2.4%
increase in earnings. Infants who were well nourished during the first 1000
days grew up to work on average, 5 hours longer per week than children who had
poor nutrition during this period and, in addition, the well nourished infants
grew up to earn 20% more per hour than poorly nourished children. In India, the
economic cost of childhood malnutrition is estimated at between 0.8 and 2.5% of
GDP equivalent to $15-46 billion. In China, another BRICS country[2],
the comparable cost of micronutrient deficiency is $15-29 billion.
The UN initiative Scaling Up Nutrition (SUN)[3]
is a major international programme to which some 40 countries have signed up to
which specifically seeks to address the problem of infant and maternal nutrition
and which specifically recognises the economic necessity of proper nutrition in
the first 1,000 days. The prospect of 7 of the 10 fastest growing global
economies being based in Africa is truly exciting. Google and Apple: pay up
please!
[1] www.savethechildren.org
(Food for thought: tackling child malnutrition to unlock potential and boost
prosperity)
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