A St. Louis-based team of plant and physician-scientists with a vision of eradicating malnutrition throughout the developing world today announced the formation of the Global Harvest Alliance (GHA), a humanitarian effort involving St. Louis Children’s Hospital, The Donald Danforth Plant Science Center and Washington University School of Medicine. Through a shared commonality of purpose, each institution brings unique strengths and leadership within their respective fields to bear on this global challenge.
The focus of the newly formed Alliance will be to create low-cost, nutritionally complete foods to prevent and treat all forms of under-nutrition. These foods will incorporate crops that are protein and micronutrient rich, disease-and pest-resistant, and that can be disseminated through smallholder farmers.
Heading the GHA team is Mark Manary, M.D., a Washington University pediatrician at St. Louis Children’s Hospital and the Helene B. Roberson Professor of Pediatrics at the School of Medicine and a member of the Donald Danforth Plant Science Center. Manary has a successful track record with such innovation; his peanut butter-based ready-to-use therapeutic food (RUTF) for the treatment of severe malnutrition has consistently resulted in 90% recovery rates in research and operational projects. The World Health Organization officially declared Manary’s RUTF the most effective method by which malnourished children should be restored to health.
Manary’s work extends beyond RUTF. He explores the basic mechanisms by which malnutrition compromises human health, gaining new scientific insights to improve and refine his approach to combating malnutrition. Rather than merely treating malnutrition, Manary began to collaborate with colleagues at the Danforth Plant Science Center in 2004 to create a formidable preventive strategy. The intent is to enhance crops so that they can thrive where malnutrition is rampant and provide a complete package of nutrients needed for health. With his RUTF efforts complemented by the Danforth Center’s cassava team, the full vision for the Global Harvest Alliance began to take shape.
“Effective solutions to the crisis of childhood malnutrition must involve interventions spanning a diverse spectrum of disciplines including health care, agriculture and home economics. People in the developing world derive most of their nutrients from plants; plants constitute 90% of the diet of many Africans. Therefore effective prevention strategies must include food crops that provide more complete nutrition,” said Manary.
The Donald Danforth Plant Science Center, a GHA partner, has been a leader in biofortification of food crops for more than a decade. The Center is a recipient of funds from the Bill & Melinda Gates Foundation to conduct research as part of BioCassava Plus, an international research initiative that strives to make cassava a more nutritionally rich and balanced staple plant crop. The project has demonstrated unprecedented success in enhancing cassava to contain more protein, vitamins and minerals, more robust plant virus resistance, delayed post-harvest deterioration and reduced cyanide content. Farmer-preferred varieties are being collected, analyzed, and genetically enhanced to improve their nutrient composition; concurrently, Dr. Manary is building a network of in-country nutritionists to add to the team of Danforth Center scientists already in place.
With support from the Gates Foundation’s Global Challenges Program, the Center’s cassava bio-fortification research team have met or exceeded targets of the project:
- The levels of beta-carotene have been increased 30X.
- The levels of protein have been increased 10X.
- The levels of iron have been increased 4X.
Led by GHA and other Danforth Center scientists, teams will field-test improved cassava varieties in Kenya and Nigeria during the next five years. Through the efforts of the Danforth Center and its collaborators, it is anticipated that the improved varieties will be widely available in Africa within 10 years, improving survival-rates and quality of life for millions of children and families that would otherwise suffer malnutrition. The GHA will also explore improvements in additional staple crops, including sorghum and a protein-rich legume such as cowpea or peanuts.
“Recent advances in biotechnology now make it possible to fortify the timeless staple crops of the subsistence farmer with substantially more macronutrients, such as protein, vitamins and minerals. Creating crops that contain all the necessary nutrients for human health in appropriate amounts could very well become the ultimate solution to malnutrition,” said Roger N. Beachy, president, Donald Danforth Plant Science Center.
“Mark Manary is an internationally recognized leader in child nutrition research. He has pioneered several approaches to enhancing the nutrition of the world’s most severely malnourished children. The new Global Harvest Alliance promises to accelerate the advances which Dr. Manary champions via the combined commitments of Washington University School of Medicine, St. Louis Children’s Hospital and Donald Danforth Plant Sciences Center,” said Alan L. Schwartz, M.D., Ph.D., the Harriet B. Spoehrer Professor and chairman of Pediatrics at Washington University School of Medicine.
“St. Louis Children’s Hospital has a vibrant outreach mission supported by our many donors to expand our vision of ‘better health and better health care’ to the children of our community. This alliance gives new and important meaning to our capacity to extend ourselves beyond the region to a global community,” said Lee Fetter, president, St. Louis Children’s Hospital.
The Global Harvest Alliance has developed several goals that will shape its work.
Short Term Goals: 3-5 years
- Develop an effective supplemental feeding regimen for moderate malnutrition.
- Develop a more cost-effective therapeutic feeding regimen for home-based therapy for severe childhood malnutrition.
- Develop effective strategies to treat severe malnutrition in young children with AIDS in sub-Saharan Africa.
- Become a premier education and resource site for students and trainees at all levels in international pediatric nutrition and use of plant science to enhance human health.
- Raise awareness in public and scientific circles about the consequences of childhood malnutrition and how to alleviate it.
Medium Term Goals: 5-10 years
- Develop a more effective management protocol for in-patient treatment of severe malnutrition.
- Deploy an effective supplemental feeding regimen for moderate malnutrition and a more cost-effective therapeutic feeding regimen for home-based therapy for severe childhood malnutrition.
- Deploy home-based therapy with RUTF for severe childhood malnutrition throughout the world.
- Identify and improve two staple crops that will enhance human health in Africa, demonstrating the improvement in the greenhouse and during in-country studies.
- Test and validate improved cassava varieties in Nigeria and Kenya in limited, controlled trials.
Long Term Goals: beyond 10 years
- Deploy effective strategies to treat severe malnutrition in young children with AIDS in sub-Saharan Africa.
- Disseminate improved cassava in Africa on a broad scale.
- Introduce two additional improved crops in limited, controlled trials.
Photos courtesy of the Global Harvest Alliance can be found at www.flickr.com/photos/danforthcenter/sets
About the Global Harvest Alliance Partners
St. Louis Children’s Hospital
St. Louis Children’s Hospital has provided specialized care for children for more than 129 years. The hospital is affiliated with Washington University School of Medicine, ranked the number three medical school in the country by US News & World Report. In 2009, Parents magazine ranked St. Louis Children’s Hospital #5 among their 10 Best children’s hospitals in the country. In 2005, St. Louis Children’s Hospital received the Magnet designation from the American Nurses Credentialing Center, the nation’s highest honor for nursing excellence. St. Louis Children’s Hospital is a member of BJC HealthCare. For more information visit StLouisChildrens.org.
The Donald Danforth Plant Science Center
Founded in 1998, the Donald Danforth Plant Science Center is a not-for-profit research institute with a mission to improve the human condition through plant science. Research at the Danforth Center will feed the hungry and improve human health, preserve and renew the environment, and enhance the St. Louis region and Missouri as a world center for plant science. Please visit www.danforthcenter.org for additional information.
Washington University School of Medicine
Washington University School of Medicine’s 2,100 employed and volunteer faculty physicians also are the medical staff of Barnes-Jewish and St. Louis Children’s hospitals. The School of Medicine is one of the leading medical research, teaching and patient care institutions in the nation, currently ranked third in the nation by U.S. News & World Report. Through its affiliations with Barnes-Jewish and St. Louis Children’s hospitals, the School of Medicine is linked to BJC HealthCare.