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Impacts of COVID-19 on childhood malnutrition and nutrition-related mortality

The Lancet, 2020-08, Vol.396 (10250), p.519-521 [Peer Reviewed Journal]

2020 Elsevier Ltd ;2020. Not withstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at https://www.elsevier.com/legal/elsevier-website-terms-and-conditions ;2020. Elsevier Ltd ;2020 Elsevier Ltd. All rights reserved. 2020 Elsevier Ltd ;ISSN: 0140-6736 ;EISSN: 1474-547X ;DOI: 10.1016/S0140-6736(20)31647-0 ;PMID: 32730743

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  • Title:
    Impacts of COVID-19 on childhood malnutrition and nutrition-related mortality
  • Author: Headey, Derek ; Heidkamp, Rebecca ; Osendarp, Saskia ; Ruel, Marie ; Scott, Nick ; Black, Robert ; Shekar, Meera ; Bouis, Howarth ; Flory, Augustin ; Haddad, Lawrence ; Walker, Neff
  • Subjects: Betacoronavirus ; Child ; Child Nutrition Disorders ; Children ; Children & youth ; Childrens health ; Comment ; Consortia ; Coronavirus Infections ; Coronaviruses ; COVID-19 ; Economic conditions ; Estimates ; Finance (company) ; Food ; Food security ; GNI ; Gross National Income ; Health risks ; Health services ; Human capital ; Humans ; Infectious diseases ; Malnutrition ; Maternal & child health ; Mortality ; Nutrition ; Nutritional Status ; Pandemics ; Per capita ; Pneumonia, Viral ; Policy research ; Poverty ; SARS-CoV-2 ; Viral diseases ; Viruses
  • Is Part Of: The Lancet, 2020-08, Vol.396 (10250), p.519-521
  • Description: Of particular concern is an expected increase in child malnutrition, including wasting, due to steep declines in household incomes, changes in the availability and affordability of nutritious foods, and interruptions to health, nutrition, and social protection services.1 One in ten deaths among children younger than 5 years in LMICs is attributable to severe wasting because wasted children are at increased risk of mortality from infectious diseases.2 Before the COVID-19 pandemic, an estimated 47 million children younger than 5 years were moderately or severely wasted, most living in sub-Saharan Africa and south Asia.3 The economic, food, and health systems disruptions resulting from the COVID-19 pandemic are expected to continue to exacerbate all forms of malnutrition. Estimates from the International Food Policy Research Institute suggest that because of the pandemic an additional 140 million people will be thrown into living in extreme poverty on less than US$1·90 per day in 2020.4 According to the World Food Programme, the number of people in LMICs facing acute food insecurity will nearly double to 265 million by the end of 2020.5 Sharp declines are expected in access to child health and nutrition services, similar to those seen during the 2014–16 outbreak of Ebola virus disease in sub-Saharan Africa.6 Early in the COVID-19 pandemic, UNICEF estimated a 30% overall reduction in essential nutrition services coverage, reaching 75–100% in lockdown contexts, including in fragile countries where there are humanitarian crises.7 The accompanying call to action on child malnutrition and COVID-19 from leaders of four UN agencies8 in The Lancet is an important first step for the international community. The disruption of other health services during lockdowns will further compromise maternal and child health and mortality,10 and with the deepening of economic and food systems crises, other forms of malnutrition, including child stunting, micronutrient malnutrition, and maternal nutrition, are expected to increase.1 Without adequate action, the profound impact of the COVID-19 pandemic on early life nutrition could have intergenerational consequences for child growth and development and life-long impacts on education, chronic disease risks, and overall human capital formation.12 Forthcoming analyses by this consortium will examine a range of diet and nutrition outcomes in women and young children and provide consensus advice on multisectoral actions and resources needed to recover and support optimal nutrition now and into the future.
  • Publisher: England: Elsevier Ltd
  • Language: English
  • Identifier: ISSN: 0140-6736
    EISSN: 1474-547X
    DOI: 10.1016/S0140-6736(20)31647-0
    PMID: 32730743
  • Source: Coronavirus Research Database
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