Fourth Meeting Report  of The MENANA Council and Scientific Meeting,Cairo, Egypt(13th- 14th January 2010)
 

 

Report

on

MENANA COUNCIL and SCIENTIFIC MEETING

January 13-14, 2010

Cairo-Egypt.

 

Attendence: names of all participants (Annex)

Day 1:

Participants introduced themselves and Dr. Ibrahim Elmadfa, President of IUNS  was nominated as Chair of the meeting and Dr. Nadia Ghareb as the reporter of the meeting. Dr. Azza Goher remained as the principle General Secretary of the meeting.

 Prof. Mamdouh Gabr gave the opening remarks for the meeting.

Dr. Azza Gohar followed by  illustrating  MENANA activities and presented the  fiscal report. MENANA activities included  a narrative about  its origin, objective, and summary of the by-laws that were  developed by Dr. Osman Galal. The report also included The 10-Years action plan that was covering 5 areas, namely : a) nutrition research, b) training, c)  academic education & accreditation, d) advocacy / education, and e) communication and networking. The four levels of Conceptual  Framework were;;

-          Ministries, Policy makers and government authorities.

-          Institutions, Departments, Units, Scientists Researchers, Professors.

-          Food safety & control inspectors, health service delivery system, and NGOS & Community Volunteers.

-          Community Family members.

Dr. Azza Gohar's report included the following:

·         Nutrition capacity development was defined in terms of gaps/needs and strategies/activities according to the four levels.

·         Planning guidelines developed for different problem areas: food security, nutrition and food safety- at different levels, duration and core strategy.

·         Detailed work plan was illustrated under the five main core areas.

·         A two day meeting in 15-16 Dec. 2004 was held to launch the activities of MENANA (research group)

·         A three  working groups were assigned to fulfill different tasks mainly;

-          To monitor the nutritional status in the region and select sensitive indicators.

-          To plan/organize a national advocacy activity in Libya for 2005.

-          To develop a syllabus for undergraduate medical students.

 

·         Monitoring regional nutritional status was proposed to be enhanced by developing sensitive indicators and data to be entered and made available for analysis and use by all members on MENANA website. Household food security index will be developed and added to the family expense survey.

·         MENANA affiliation to IUNS took place in Sept. 2005/ Durban, South Africa during the 19th ICN.

·          General Assembly and scientific meeting of MENANA was hosted by NNI, Cairo 21st -22nd Dec. 2006 and supported by UNU and endorsed by 14 countries. In this meeting MENANA council was elected. Council members were: Dr. Azza Gohar (President), Dr. Ibrahim Khatib (Vice President), Dr. Rekia Belahsen (Secretary), Dr. Mohamed El Guindi (Treasurer), Dr. Sidiga Washi (Member elect). The main outcome was;

-          Adaptation MENANA By laws

-          Nomination Task Force leaders: Dr Yousef Shrek (training), Dr Fereydoun Siassi (research), Dr Ousama Salah (advocacy), Dr Nahla Houwalla (dietetics).

-           Others: Dr El Guindi (monitoring indicators) and Dr Nebal Abdelrahman (Website design & administration).

-          The participants agreed on endorsing the Nutrition Friendly School Initiative NFSI.

-          Continue work on the Regional database and nutrition indicators.

·         MENANA representation by Dr Gohar the president was illustrated in terms of place, topic, and timing (see presentation).

·         Designing and activating MENANA Website took place in 2008 (by Dr Nebal Abdel-Rahman/NNI) aiming toward providing information /services to all nutritionists & nutrition professionals in the region. Its main objectives were basically to networking of nutrition scientists, experts regionally & internationally, listing main nutrition publications, researches & reports, accessing links to other important nutrition related sites, advertising important scientific events and sharing important updated nutrition information.

·         Other activities;

-          Submitting a proposal for Obesity Prevention on “Creating centers to prevent chronic diseases in the Middle East through MENANA in Sept 2008 by Dr ZeinabAbbass and Dr Osman Galal.

-          Designing template-Data collection on “the Nutritional status of MENANA countries and diet related NCD's” to develop future intervention strategies was scheduled for presentation at 3rd ANEC Conf on Oct 2008 by Dr Nahla Houwalla/ AUB.

-          Signing an agreement in 2006 until Oct 2009 between MENANA and S. Karger AG to establish “ANNALS OF NUTRITION AND METABOLISM” as an official journal of MENANA by Dr Azza Gohar

-          Publishing the MENANA Conceptual Planning Model and Framework by Dr Gohar in NNI Bulletin Vol. 29, 2007.

·         The UNU supported and financed the 1st Scientific Meeting of MENANA for 3 days in Oct 2008 during the 3rd African Conference on Nutrition Epidemiology in Cairo.

·         MENANA collaboration included;

-           WHO regional consultation meeting, recently taken place through a regional meeting in Egypt at WHO/EMRO on June 3rd 2009 which was attended by 6 MENANA member countries who participated together with UN agencies in developing a regional nutrition strategy and action plan for five years.

-          EU, through Eastern and Central European task force in the EUROFIR program. Different training centers collaboration in developing and establishing food composition data base FCDB.

-          United Nations University UNU-Joint program involving NNI/MENANA as an implementing body and Cornell University as a coordinator.

-          Cornell University for cooperation in the field of Nutrition Capacity Building (research, training, distance learning and web-based seminars).

·         MENANA needs and resources mainly for capacity building, training and strengthening data collection and analysis.

·          MENANA Today: network involves 12 countries and collaborate with different international organizations: IUNS, UNU/FNP/Cornell, WHO/EMRO,WFP,UNICEF, FAO.

·         Proposed Future Activities;

-          Establish Dietetics Capacity.

-          Establish Arabic Nutrition Leadership Program for the MENA region.

-          Train and Strengthen Capacity in data collection and analysis in the Middle East working together with Cornell.

-          Compile a regional electronic  food composition data base FCDB for MENANA

-          Conduct a training workshop in the region on FCDB in cooperation with EUROFIR and CEE.

-          Establish Library Access for Institutions in MENANA Countries (Cornell )

-          Work together with Cornell University on developing an adapted version of “Nutrition works” website for developing Nutritionists ( specifically dietitians and doctors )

-          MENANA Website Database Development

 

·         Finally, Dr. Gohar Illustrated the budget breakdown for years 2004-2008: payments received expenditure, miscellaneous, and remaining budget for year 2008

Dr. Osman Galal presented a handout to illustrate comments on the By-Laws;

·         The by-laws Structurally should be recognized and it is divided into 10 main articles: Nature & purpose, Membership, General Assembly, Administration, Duties of the Executives, Elections, Finance, Amendments, Dissolution and the Association, and Entry into force.

·         Nutrition Discipline should be switched to health problems in relation to development and emphasis should be given to the core population.

·         Dr Galal Stressed on the cognitive function and how much it affects development.

·         Far East was given as an example where emphasis was more on nutrition and health from early life during conception, gestation, and 3 year old infants when chronic diseases may start.

·         GCC countries another example where there is high prevalence of chronic diseases and related risk factors such as obesity with fast urbanization.

·         Nutrition health intervention programs should be supported and directed toward infants and school age children

·         Feedback from the member states on the By-Laws articles is welcome. 

 

Dr. Ibrahim EL-Madfaa followed by some comments followed by a short presentation on IUNS;

·         Emphasized on encouraging membership of countries in MENANA rather than individuals which accordingly will have more potential and important role in IUNS.

·         Encourage broader participation from all regional countries in MENENA.

·         All societies, groups, or individuals should all be unified and presented in one representative group in MENENA.

·         Vision, mission, regional groups, involvement, values and coordination of IUNS were explained. 

·         Some of the main IUNS strengths are;

-         Its global presentation and approaches are multidiscipline/geography/gender

-         Established record in capacity development

-         Independent, science based and credible

-         Interactions with key International Agencies

-         ICN serves as a global forum for interactions in research, information exchange.

 

·         Certain weakness points were discussed such as;

-          Its functions are not well known by AB countries.

-          Financial and organizational limitations

-          Insufficient discussions within CM and with AB to create common strategies at the global level

-          Some Task Force activities lack integration and visibility

-          Limited interactions and visibility of IUNS except for ICNs

-          Limited and unrecognized impact of IUNS in shaping policy and programs at global, regional and national level

-          The voice of AB is weak and not transmitted to IUNS CM

-          Weak link with private sector

-          Unable to harmonize various regional initiatives

 

·         Opportunities were illustrated such as;

- Enhance collaboration between AB/create regional networks in order to influence policy and community level decision makers.

- Increase awareness on significance of malnutrition in all its forms

- Promote research collaboration between industrialized & low income countries in the fight against malnutrition and NRCDs

- Lead process of harmonization of NB and FBDGs

- Strengthen and enhance application of INFOODS

- Facilitate public/private interactions for improved nutrition

- Provide direction for training/research/technical development

- Facilitate Publications of research work conducted in LDCs

- Be a leader in nutrition capacity development/strengthening activities.

- Use modern communication technology to enhance interactions

 

·         IUNS Task Forces, chairs and functions were highlighted; 

-          Diet, Nutrition and Long-Term Health (Dr. Noel Solomons)

-          Indigenous Peoples' Food Systems and Nutrition (Dr. Harriet V. Kuhnlein)

-          Nutrition in Transition (Dr. Barry Popkin)

-          INFOODS (Dr. Barbara Burlingame)

-          Eco-Nutrition (Dr. Richard Deckelbaum)

-          Technologies and Nutrition (Dr. V. Prakash)

-          Evidence Based Nutrition (EBN) (Dr Jim Mann)

-          Prevention and Control of Malnutrition (Dr. Ann Ashworth Hill)

-          Redefining Food Quality (Dr. Lindsay Allen)

 

·         IUNS Priorities for Future Action;

- Increase communication with adhering bodies, promote regional collaboration and network development.

- Review and assess the scientific quality of ongoing taskforces, establish new ones based on needs

- Strengthen and consolidate leadership training efforts

- Develop fund raising efforts with clear objectives and strategy. Increase visibility of IUNS at all levels

- Ensure scientific quality of the program for the next ICN

- Review and strengthen governance and participation systems

 

 

Dr Ayoub Al Jawadeh (WHO/EMRO) then presented a draft on “Nutrition Strategy and Plan of Action for countries of the Eastern Mediterranean Region (2010-1019)”;

·         He stated that the plan is applicable and was an outcome of active participation of different member states, academia and scientists.

·         Advisory committee proposed to meet regularly and update MENANA.

·         Nutrition situation in the region was illustrated:

- Malnutrition:

a.       17% of children are underweight

b.      Stunting and wasting

- Micronutrient déficiences (Anemia 45%, Iodine 54%, vitamin A 22%)

- Overweight & obesity: wide range from high prevalence (70%, 80%) to low (11%, 15%) among males and females, respectively.

- Overall low physical inactivity and low fruit & vegetable intakes

- Prevalence of diabetes (around 15%)

·         Country nutrition profile, its four categories and group countries involved were explained

 

·         Challenges;

-          Inadequate political commitment

-          Absence of policy

-          Lack of inter-sectoral coordination

-          Disproportionate allocation of health budget for nutrition programs

-          Traditional diet vs. fast foods

-          Food insecurity

-          Conflicts and natural disasters.

·         Characteristics of the regional strategy was illustrated:

- Prepared through a consultative process with the Regional Advisory Committee in Nutrition, UN organizations, Member States and civil societies such as ICCIDD, IUNS and MENANA

- Adopts the life-cycle approach

- Contains strategic directions to address the challenges, supported by recommended interventions, approaches and programmes

- Has a plan of action that:

a.       Addresses the major health and nutrition problems

b.      Can be readily adopted by Member States and adapted according to each national context and priorities

·         Goal, strategic directions and specific objectives of the strategy and its plan were described

·         Approaches of the strategy (action areas);

-          Increasing political commitment

-          Promoting and protecting the nutritional well-being of women and children and ensure good nutrition throughout life-cycle.

-          Ensuring a safe, healthy and sustainable food supply.

-          Promoting food with adequate micronutrient content.

-          Providing comprehensive information and education to public.

-          Carrying out integrated actions to address non-communicable disease-related determinants.

-          Strengthening nutrition and food safety.

-          Improving nutrition services and capacity building in the health sector.

-          Monitoring, evaluating and conducting research into nutrition (Develop national nutrition surveillance systems, promote research and evidence based)

-          Building capacity for nutritional care and support in emergency situations (Food aid, food supplementation and implementation)

 

·         Finally Dr. Al Jawadeh described the seven steps for implementation and the main key players (governments, civil societies 7 professional networks, academia, economic operators and international actors).

·         He emphasized on the importance of establishing a base line data (surveillance) and stressed on the importance of countries government leaders involvement. Currently working on setting Clinical Nutrition guidelines field to be established throughout the governmental system in the region.

·         Dr. El Madfaa added that IUNS has designed a study guide for Food Composition that could be utilized by the region. 

·         Dr. Rekia stressed on the necessity to develop a regional nutrition cutoffs

 

Next speaker was Dr. Gian Pietro/WFP Egypt. His presentation was on “WFP-MENANA Cooperation in Fighting Hunger and Malnutrition” from “World Food Program”. He highlighted the following;

·       100 million beneficiaries

·       Alarming rates of hunger & under nutrition

·       Solutions exist: simple, effective, low-cost

·       WFP New Nutrition Approach

-      Right foods at the Right Time: safe, effective and focus on prevention and under nutrition.

-      Partnerships & Policy Promotion: Global, regional, and country level, Governments, private sector, NGOs, research, REACH (country-level coordination)

-      Act coherently as one

-      Link nutrition approaches to food security & family health

-      Strengthen existing coordination and agree on financing mechanisms for more funding

·         Priorities

-        Address chronic under nutrition

-        Break intergenerational cycle of under nutrition

-        Focus on prevention of malnutrition in children -9 to 24 months

-        Offering appropriate responses to other vulnerable groups

 

·         Malnutrition in Egypt

-          Wasting 7% (poor), underweight 6% (acceptable), stunting 28.9% (poor), and stunting in lower Egypt 39% (serious).

-          29% of under-fives is stunted, with a peak of 41%in children 18-23 months. This figure has gone up as compared to the EDHS-2005 and reflects a critical situation.

-          Stunting starts very early in life: 17% of children below 6 months of age is already stunted

-          Causes:

a.       As stunting starts before 6 months, breastfeeding might not be exclusive; low birth weight might also play a role

b.      Feeding inadequate complementary foods after 6 months (incomplete in terms of micronutrients and possibly macronutrients)

a.       High incidence of diseases (diarrhea, etc)(water quality

-          Interventions must focus on ‘window of opportunity’, i.e. period of -9 to +24 months.

-          Once children are more than 2 years old, the opportunity to promote optimal mental and physical development is lost.

-          Emphasis on proper nutrition for pregnant & lactating women and exclusive breastfeeding

-          Promotion of availability of good, affordable complementary foods or complementary food supplements

-          Improvement of nutrition strategy

-          Fortification Programs of wheat flour and oil

 

·         WFP nutrition activities in Other MENANA Countries (Sudan, Yemen) was discussed

Comments;

·         Dr. Rekia stressed on importance of considering sugar contents of certain promoted products and establishing baseline data.

·         Dr. Osman added that the quality as well as bioavailability of Iron should be considered. Ferrous sulphate showed a low bioavailability which is being used as a fortificant in Egyptian flour.

·         Dr. Pietro described China experience in eradicating under nutrition by promoting consumption of vegetables and meats

·         Dr. El Madfaa explained other dietary factors that interfere with Iron absorption (tea, flavenoids) and stressed on fortification as a full integrative approach

·         It was recommended to study the efficiency of absorbed Iron on oxidative effect enhancement

Dr. Abla Khalifa presented “NRC Experience on Cognitive Abilities of School Age Children: Relationship to Nutritional Status”;

·         Definition of Cognitive Development and how Malnutrition Hinders Cognitive

Abilities: old theory vs. new.

·         Review of the studies done by child health department, NRC, on the relationship between the nutritional status and cognitive abilities among Egyptian school age children was illustrated:

 

-          Study 1: Mild-moderate malnutrition

1. Total IQ Scores of children in relation to nutritional status and social class.

2. Relation between cognitive performance & nutritional status of children by grade.

3. Relation between macro, micro-nutrients intake, total IQ and nutritional status.

4. Relationship of cognitive Dysfunction to school achievements

 

-          Study 2: Mild-Moderate Malnutrition.

1.      Mean level of Psychological test scores of rural children in relation to     height/age Z scores (HAZ).

2.      Short term hunger vs. long term

 

-          Iron deficiency. Vigilance and orientation Task Scores among iron and placebo supplemented anemic children

-          Obesity. Psychological test scores, dietary intakes and food habits among obese & control school children

-          Ongoing interventional study. Measuring the Effectiveness of School Feeding Program (SFP)

 

Day Two

Dr. Omar Obeid, Lebanese Association for Nutrition & Food Sciences (LANFS) introduced the morning session on the subject of “Dietetics & Dietitians in the region”;

·         Definitions. Science of nutrition & human nutrition, dietitian & dietetics, profession of dietetics and their role.

·         Dietitians Work site mainly with: physicians, other hospital staff,  advising caterers, Promoting healthy nutrition within local communities, food industry or the media

·         Registered Dietitian (RD):

-          Authorized by the Commission on Dietetic Registration (CDR) of the American Dietetic Association (ADA)

-          Requirements:  bachelor's degree, completed a supervised practice program (internship) and passed a registration examination

·         Proposed Regional dietetic association should consider;

-        Name: Arab Dietetic Association (ADA), Middle East and North Africa Dietetic Association MENADA, Middle East Dietetic Association (MEDA), or Arab Board of Medical Doctors

-        Criteria: completion of a minimum of a B.S. degree in Nutrition & dietetics, Internship for at least 1200 hrs (~9 months)

-        Evaluation

-        Lebanese Association for Nutrition & Food Sciences (LANFS)

1.     History, restoration& credentials

2.     Members: Nutrition and Food Science graduates from Lebanese and International Universities.

3.     Professional activities &experience

4.     Primary goal: health promotion & disease prevention

5.     Legislation of dietetic practice achieved in 2005.

6.      Legislation set policies: practice only by non-professionals, recommending high standing education and practical experience and recommending a colloquium assessment exam.

7.      Prospective visions: collaboration with American Dietetic association controls & protects the profession, eliminate imposters, facilitate recruitment and establish Uniformity.

·         Comments;

-          Dr. El Madfaa expressed his sincere complement to the Lebanese model and experience. He suggested that MENANA could keep the affiliation of the proposed Arab Dietetics Association as a granted body for Dietetics. Also it could assist in organizing a setup for registered dietitians, quality assurance and training.  Dietetics curriculum from different countries could be unified. European experience as a working team (nutritionist, dietician, pharmacist) under physician supervision, could be regionally adopted.  

-          Dr. Redha described the school of dietetics in Tunisia (1983) and its available specialists and emphasized on the importance of defining dietitian and physician relationship. 

-          Dr. Sidiga described dietetics accreditation system in UAE (in progress) (2011) which will support dietetic graduates.

-          Dr. Aydah Alasfahani criticized the dietetic program and the availability of training hospitals in Egypt.

 

·         Recommendations;

Dr. El Madfaa suggested organizing a Dietetics committee to study the dietetic curriculum and conduct preliminary evaluation.  Suggested members;

-          Dr. Omar Obeid

-          Dr. Sidiga Abdelrahim Washi

-          Dr. Ibrahim Mahmud Khatib

-          Dr. Ridha Mokni

-          Dr. Safaa Tawfik 

-          Dr. Aida M. El-Asfahani

-          Dr. Ousama Salah

 

Dr Nebal Abdel Rahman presented the  “capacity Building in Food Composition data base in Middle East & North Africa countries” – a collaboration between EURO and MENANA networks;

·         Collaboration was established between EURO FIR and MENANA.

·         Electronic survey was conducted and a questionnaire was sent to different groups and countries to be filled to identify the available food composition data base FCDB and the inventors of specific training programs.

·         Not all member  countries responded.

·         Training needs on production and use of FCDB is a necessity and must be emphasized among MENANA countries. Currently there are available few training activities and workshops in the region and internationally related to the same.

·          Conclusion. Collaboration between EURO FIR and MENANA is important and  conducting FCDB workshop in the coming MENANA conference where experiences and activities between participated countries could be shared.

·         Comments;

-          Dr. EL-Madfaa. INFOOD (FAO)/IUNS could serve the region and already has compared results of different countries and developed a practical study guide. He emphasized on the importance of holding a symposium related to FCDB in collaboration with INFOOD (FAO)/IUNS coordinated with Dr. Barbra Burlingame and developing a unified Middle East Food Composition Data Base  focusing on traditional foods similar to European EURO FOOD

-          Dr. Ridha described the North Africa foods database (AFRO Foods) and inquired about collaboration with others. He emphasized on the importance of conducting  FCDB workshop in coordination with IUNS for North African countries

-           Dr. Rekia emphasized on the FCDB course that been conducted in Amsterdam in coordination with IUNS/ Dr. Barbra Burlingame. Also she suggested to focus on analysis of Middle east traditional foods

Dr.Safaa Tawfik presentated the topic on  “Professional Training Programs in Nutrition”;

·         Professional Training Programs in Nutrition has been organized by National Nutrition Institute in Cairo/Egypt through Training and Development Unit

·         Objective is to train professionals and personnel from different sectors involved in

food and nutrition programs such as health, agriculture, community and toward developing more understanding of the relation between nutrition and diseases

·         It consists of two parts and each consists of several modules: Nutrition in Health (nutrition essentials/seven modules), and nutrition in Disease (therapeutic nutrition / five modules).

·         Training system depends mainly on using interactive learning methodologies throughout lecture/discussion, seminars run by trainees and facilitators will be selected from universities and scientific institutions (National Nutrition Institute/Cairo), International Organizations e.g. WHO WHO، FAO, UNICEF, NGO's & MENANA and from other countries to discuss special issues

·         Materials and sessions conducted in English

·         Comments;

-          Dr. Gohar. suggested that this program could be considered as a MENANA training program

-          Dr. EL-Madfaa. urged MENANA to also start with the Nutrition leadership program and submit it to IUNS

-          Dr. El-Khatib emphasized on the same

 

Way forward: MENANA vision serving development plans & encouraging research was presented by Dr Ibrahim Khatib who also  illustrated some nutrition concerns in Jordan:

-          Adult- diet related degenerative diseases is the main problem

-          According to the results of Prof. Kamal Ajloun (endocrinologist) high prevalence of CVD and type2 diabetes among children and women is alarming.

-          Nutrition –health campaign is coordinated by the ministry of health with CDC

-          In addition to salt iodization (1996) vitamin D has recently been added

-          A National High Commission on Nutrition been established

-           Nutrition concerns need to receive more of attention from governmental bodies and enhance professional involvement. 

-          Further mentioned the need of assistance from regional and international expertise in the area of under-nutrition and research

-          A list of Jordanian nutritionists could be suggested for MENANA

-          As the expenses of MENANA council meetings were supported by NNI, a link need to be established with government to support MENANA 

·         Dr Elmadfaa emphasized that there are capacities in different countries to associate even with small groups

 

·         Dr Galal confirms point made by Dr Khatib and added that nutrition situation in the region has become worse due to many economic and political reasons  and this necessities that more specific programs be proposed and the representation in MENANA should be at countries levels. 

Preparation for GA Meeting and MENANA conference (January 2011)

·         Dr Galal proposed a group of 3 or 4 institutions in a country (university or centre) as delegates            

·         Dr Almadfaa said that IUNS is composed of more than 100 foundations/or countries, and that we want MENANA to be a region body member of IUNS but members representing foundations/associations in election. He added that MENANA is still considered as IUNS regional adhering body for 1year (until the 2011 congress) if not it will become an affiliated body to IUNS.

·         Dr Galal suggested that the Middle East definition according to WHO includes Iran and Afghanistan

·          Dr Gohar highlighted that MENANA already 6 countries members of IUNS and could be IUNS regional  adhering body as it is without any changes (according to IUNS rules.)

·         Dr Sidiga clarified that in Sudan there is no nutrition societies and that MOH pays for IUNS fees.

·         Dr Galal proposed that the 9 country members have one vote per country until changes of the by-laws.

·         Dr El Guindy proposed that different associations could be MENANA members

·         Dr. Gohar proposed that the voting should be per entity (university, institute, centre) with a maximum of three votes per country

·         The participants agreed for one vote per body/institution and a maximum of three votes per country

 

The Secretary General will forward the announcement of the General Assembly for voting which will be held in March (jointly with the congress) and that the voting right shall be linked with the fees payment. Deadline for payment is September 30th 2010.

Progress of project on monitoring nutrition in the Middle East

·         Dr. El Guindi highlighted the monitoring indicators in the 6 countries who responded (Egypt, Soudan, Lebanon, Libya, Bahrain, Jordan, and Saudi Arabia) and encouraged other countries to do the same. He stressed on the availability and completing the missing data in different countries as well as on the need to work on capacity building in relation to nutrition profession.

·          Dr. Galal stressed on the importance of having monitoring system to control obesity and suggested to adopt 10 sensitive indicators and conduct a met analysis

·          Dr. El Madfaa informed the participants that European nutrition report is available on the Vienna university website for those interested 

 

Preparation for GA Meeting and MENANA conference (January 2011)

·         Dr Galal proposed a group of 3 or 4 institutions in a country (university or centre) as delegates            

·         Dr Almadfaa said that IUNS is composed of more than 100 foundations/or countries, and that we want MENANA to be a region body member of IUNS but members representing foundations/associations in election. He added that MENANA is still considered as IUNS regional adhering body for 1year (until the 2011 congress) if not it will be an affiliated body to IUNS.

·         Dr Galal suggested that the Middle East definition according to WHO includes Iran and Afghanistan

·          Dr Gohar said that MENANA as an entity has already 6 countries of IUNS could be IUNS region adhering body.

·         Dr Siddiga clarified that in Sudan there is no nutrition societies and that MOH pays for IUNS fees.

·         Dr Galal proposed that the 9 country members have one vote per country until changes of the by-laws.

·         Dr El Guindy proposed that different associations could be MENANA members

·         Dr. Gohar proposed that the voting should be per entity (university, institute, centre) with a maximum of three votes per country

·         The participants agreed for one vote per body/institution and a maximum of three votes per country

 

The Secretary General will forward the announcement of the General Assembly for voting which will be held in March (jointly with the congress) and that the voting right shall be linked with the fees payment. Deadline for payment is September 30th 2010.

Progress of project on monitoring nutrition in the Middle East

·         Dr. El Guindi highlighted the monitoring indicators in the 6 countries who responded (Egypt, Sudan, Lebanon, Libya, Bahrain, Jordan, and Saudi Arabia) and encouraged other countries to do the same. He stressed on the availability and completing the missing data in different countries as well as on the need to work on capacity building in relation to nutrition profession.

·          Dr. Galal stressed on the importance of having monitoring system to control obesity and suggested to adopt 10 sensitive indicators and conduct a met analysis

·          Dr. El Madfaa informed the participants that European nutrition report is available on the Vienna university website for those interested 

Preparation of MENANA Conference

The following points were discussed

1-      Among the titles and the dates proposed the participants agreed that the 1st MENANA Conference title will be: “Nutrition for Sustainable Development” to be held between 9th and 11th in March 2011.

2-      Also according to Dr Elmadfaa and Dr Galal suggestions the participants agreed that the conference topics will be more or less similarly coordinated to the IUNS taskforces titles

Diet, Nutrition and Long-Term Health

Indigenous Peoples' Food Systems and Nutrition

Nutrition in Transition

INFOODS

Eco-Nutrition

Technologies and Nutrition

Evidence Based Nutrition

Prevention and Control of Malnutrition  

Redefining Food Quality

 

3-      The participants proposed the composition of the committees involved in the Conference Organisation as follows:

·         Congress Secretary General: Dr Azza Gohar

Raporteur , Dr  Azza suggested; Dr Nadia Ghareib, Dr Rekia Belhassan

Local Organizing Committee

Chair: Dr Azza Gohar

Members :

·         Dr Gulsen Saleh

·         Dr Nebal Abdelrahman

·         Dr Safaa Tawfik

·         Dr Deena Shehab

·         Dr Sahar Khairy

·         Dr Gihan Fouad

·         Mrs Abeer Secretary

Advisory Committee

President: HE Prof Gabr

Members  :

1.      Prof  Ezzat Amin   Alex/ Egypt

2.      Prof. Patrik Stover Cornell Univ/UNU/FNP

3.      Dr Ayoub Al- Jawaldeh WHO/EMRO

4.      Prof Wafaa Moussa (Egypt)

5.      Prof Sidiga Washi (Sudan)

6.      Prof Azza Gohar (Egypt)

7.      Prof  Ridha Mokni (Tunisia)

8.      Prof. Najat Mokhtar (Morocco)  

9.      Dr. Nadia Gharib (Bahrain)

10.  Prof Maher Korakli (Syria)

11.  Prof Yousef Shrek (Libya)

12.  Dr Ousama Salah (Palestine)

·         Scientific Committee

Chair:  Dr Osman Galal (USA)

Members:

1.      Prof Ibrahim Elmadfaa (Austria)

2.      Prof  Ibrahim Khatib (Jordan)

3.      Prof Mohammed El Guindi (Egypt)

4.      Prof Nahla Houalla (Lebanon)

5.      Prof. Rekia Belahsen (Morocco)

6.      Prof Salah Abdelfattah (Egypt)    

7.      Prof Ashraf Shaalan (Egypt) 

8.      Prof Omar Obeid (Lebanon)

9.      Prof Afaf Amin (Egypt)

10.  Prof Abla Khalifa (Egypt)

4-      The following points were discussed and the participants agreed on the following:

·         Two and half days are needed for the meeting, opening and General Assembly

·         Two workshops related to development on Food Composition Tables and Child health studies

·         Around 300 persons expected to attend the event 

·         Decision on fees shall be decided by the organizing committee

·         Dr. Galal to consider chairing the scientific committee

·         Dr. Khatib to arrange contacting the related nutrition institutes/centres in Syria for their participation 

·         Dr. Gohar was nominated as Secretary General of the conference and she is to decide on the reporter.

·         Dr. Galal suggested to add Dr. Patrik Stover to the Advisory Board list

·         The following organisations were suggested to collaborate with MENANA for the conference; IUNS, WFP, UNU, WHO EMRO, WFP and The Arab League

 

·            The 1st announcement will be:

 

1st MENANA Congress, organised by MENANA UNU IUNS

“Nutrition for sustainable Development”  

Under the Auspices of

Ministry of Health/Egypt

Supported by

WHO/EMRO WFP UNICEF FAO

9-11 March 2011

 

·         Grand Events was proposed as the organizing agency for the conference 

·         MENANA Secretary General should release the conference announcement by the end of January with call for abstract that should not be more than 200 words in English. Presentation could be in Arabic or English but the slide show to be in English

·         The congress bank account was also discussed. MENANA has no separate bank account and currently is using the NNI account.

·         Dr El Madfaa proposed that this situation will change after election at the GA in 2011. After March 2011, MENANA should have a separate  bank account.

 

Closing

·         Dr. El Madfaa thanked the participants and praised all the members helping to reinforce MENANA position among the scientific establishments and stated that it was an honour for him to chair the session

·         Dr. Gohar thanked the session chairman and all the participants for the friendly atmosphere they brought to the meeting

 

After closing, a side meeting was held with Mr. Diaa Eddin Hilmi manager of Grand Events, the conference-organizing agency

·         The meeting started with the presentation of the team

·          Points were discussed:

                                i.            Proposed Conference venue:

a.       The Cairo International Congress Centre (with translation facilities), or

b.      A five stars Hotel

                              ii.            Advertisement; Magazines and Health papers, TV

                            iii.            Two coffee breaks and lunch per day

                            iv.            Proceeding & bags

                              v.            Invitations

                            vi.            Opening &  Closing ceremony

                          vii.            Sponsors, pharmaceutical companies, exhibition

                        viii.            Accommodation (rates and transport)

                            ix.            Others: certificate, CD, a medal to participants

                              x.            Conference Bank account

 

***********************

 
 
 

 

 
 

Announcement

1st MENANA Congress
 
9-11 March 2011
Cairo, Egypt.

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* The MENANA Council and Scientific Meeting,
13th- 14th Jan 2010
Cairo, Egypt.

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* 1st. Menana Conference in Collaboration with 3rd Africa Nutritional Epidemiology Conference.

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* Last Council Meeting

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National Nutrition Institute
 
The JOURNAL OF FOOD COMPOSITION and ANALYSIS
 
United Nations University
 
International Union of Nutrition Science
 
European Food Information Resource Network

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