UNICEF Supply Division
NUTRITION SUPPLIER MEETING
14th – 16th June 2017
Codex Guideline for RUTF
Alison Fleet,
Medicines and Nutrition Centre
Video linkhttps://drive.google.com/file/d/0B76Rap3s0HuTWHctTU9ieHZpaVU/view?usp=sharing
Benefits of a Codex guideline for
RUTF- Provides an official international reference for
SAM treatment interventions for use by national
governments to protect consumers
- Gives clarity of regulatory categorization
- Provides guidance for producers
- Can be used to facilitate trade disputes and
importation requirements
- Provides a quality framework for a sustainable procurement of RUTF
November
2014
Proposal for a Codex Standard for RUF
December 2015
Proposal (redrafted) for a guideline for RUTF
December
2016
1st draft guideline presented
Member states in the Electronic working Group for the Codex Guideline for RUTF
Uganda, Senegal, South Africa, European Union, New Zealand, Brazil, Unites States of
America, Thailand, Argentina, India, Norway, Canada, France, Ireland, Grenada, Japan,
Uruguay, Botswana, Mexico, Peru, Ecuador, Austria, Kenya
Codex for RUTF Codex for RUTF Codex for RUTF Codex for RUTF –––– where are we at?where are we at?where are we at?where are we at?Second Consultation Paper of the RUTF Guideline – currently under review
• Introduction or preamble to be included in the guideline to set the scene, and also elaborate on the appropriate use of RUTF products
• Use of the word ‘treatment’ vs ‘management’ in the labelling.
• Labelling as a “Special Purpose Medical food”
RUTF as a special special special special medical purposes medical purposes medical purposes medical purposes (FSMP) as stipulated in the CODEX STAN 180-1991.
Keys areas of discussion – Micronutrient levelsNutrient Current Level Proposed new level
Vitamin A 0.8 - 1.2mg 0.8 - 1.5mg
Vitamin D 15 - 20mcg 15-22mcg GUL 30
Potassium 1100 -1400mg 1100mg - 1600mg
Calcium 300 - 600mg 300 - 785mg
Phosphorus 300 - 600mg 300 - 785mg
Magnesium 80-140mg 70 or 75 or 80 -140 or 225, 235mg
Iodine 70-140mcg 70-160mcg
Keys topics for discussionKeys topics for discussionKeys topics for discussionKeys topics for discussion
Alternative ingredients and new formulations
eWG asked : what evidence is needed? Proposal : published efficacy study and acceptability study for ‘new formulations’ and ‘new
compositions’.
Protein quality measurement
Protein Digestibility Corrected Amino Acid Score (PDCAS) or Digestible Indispensable Amino Acid Score (DIAAS)?
Recommendation is to use PDCASS and include a protein quality score into the guideline, as DIAAS scores have not been developed
Additives
Which additives are ok? Electronic working group still discussing this part of the guideline
Contaminants
Proposal to include aflatoxin (10 ppb)
Keys areas of discussion
50% protein from dairy sources?50% protein from dairy sources?50% protein from dairy sources?50% protein from dairy sources?
No consensus
Labelling of a FSMP
Questions and Answers