The astonishing range of dietary patterns within which humans can thrive contrasts with the precision of human metabolic processes. Nonetheless, reduced food diversity can pose major challenges for child health and more broadly for public health in rich and poor nations alike. How do societies provide the right balance of both food and nutrients—not too much but not too little—to meet immediate health needs? Simultaneously, how can childhood nutrition be optimized for a lifetime of good health, when diseases of aging may be far from the minds of parents and clinicians? How can the greater good be balanced against the possibility of harms for some? And how can these aims be achieved in a culturally acceptable way at a population level?
Wake M, Neal B. Implications of Thiamine Fortification in Cambodian Fish Sauce. JAMA Pediatr. 2016;170(10):e162199. doi:10.1001/jamapediatrics.2016.2199