Diagnosis of hypovitaminosis A and nutritional anemia status in the population of Vale do Jequitinhonha, Minas Gerais, Brazil

A survey was carried out with the purpose of evaluating the nutritional status of the population of Jequitinhonha Valley in regard to vitamin A deficiency and iron-deficiency anemia. A Program--"Programa de Combate à Hipovitaminose A e à Anemia Nutricional Ferropriva em Bols?es de Probreza de Minas Gerais"--is being implanted by the Instituto Nacional de Alimentac?o e Nutri?ao (INAN) aiming to the prevention of such deficiencies. A random sample of 2,357 children from the towns: Turmalina, Minas Novas and Capelinha (Vale do Jequitinhonha), Minas Gerais (1,604 living in the urban and 753 in the rural areas) was submitted to an eye examination. Blood was drawn from a random subsample of these children (157 from the urban area and 107 from the rural area), in oder to detect possible nutritional problems. The following results were observed (preschool and school children, respectively): 1. Hemoglobin: 23.9% and 20% of the population in the urban area, 34.6 and 18.2% in the rural area, had low and deficient values, respectively. 2. Hematocrit: 1.5 and 2.2% of the population in the urban area, 17.3 and 5.5% in the rural area, had low values. 3. Vitamin A: 8.9 and 4.4% of the population in the urban area, 5.8 and 0% in the rural area, had deficient values (less than 10 micrograms/dl); 26.9 and 31.1% in the urban area, 26.9 and 23.6% in the rural area, had low values (10-20 micrograms/dl). These results show the occurrence of nutritional anemia and vitamin A deficiency in the observed children. As to the eye examination this was performed in 2,357 children. A high incidence of conjunctival xerosis (3.16 and 6.04% in the urban area, 7.7 and 12.6% in the rural area, in preschool and school children, respectively), was detected. Five cases of conjunctival xerosis with Bitot spot (0.2%), corneal xerosis (0.08%) and kerotomalacia (0.04%) were observed. The therapeutic effect of 200,000 UI of oral vitamin A was more efficient in preschool children (90.3% of positive reactions) than in school children (25.9% of positive reactions). The causes of the different reactions are now under study.