Discussion about this post

User's avatar
Mohit Satyanand's avatar

So true, Vladan.

I will make notes for my next version of this piece...which I will relook at a year from now.

Expand full comment
Akash Kulgod's avatar

Thanks for writing this Mohit.

I'm curious about the source for the "anemia is a colonial concept" as my limited understand is that there might be more than meets the eye there. I did a deep-dive into anemia data in India last year, inspired by conversations with my father who has been working on implementing anemia screening camps for children in our hometown of Belgaum. One of the main research pieces I grappled with was the recent work done by Harshpal Sachdev and colleagues with data from the Comprehensive National Nutrition Survey. They asked a simple-yet-complex question - what happens if we use hemoglobin thresholds defined by the Indian population rather than those based on White populations, the latter of which define the WHO thresholds? Some of their results are published in this Lancet paper - https://www.sciencedirect.com/science/article/pii/S2214109X21000772 - the bottom line being that using nationally-derived hemoglobin thresholds dramatically lowers the percentage of people considered anemic. I believe the WHO is considering revising their one-size-fits-all thresholds for ones more tailored to the varying biologies of ethnicities - https://nyaspubs.onlinelibrary.wiley.com/doi/full/10.1111/nyas.14090.

It's still a complex subject however and there's good reason to be critical of this line of research/reasoning. If you happen to be interested in getting into the weeds, I'd recommend the back-and-forth between me and the founder of a non-profit Fortify Health on the EA Forum - https://forum.effectivealtruism.org/posts/2gG7eeDD5uqud4Rfm/cost-effectiveness-of-iron-fortification-in-india-is-lower [founder's response linked in the comments]

Expand full comment
14 more comments...

No posts