by M Fiscaletti, P Stewart and CF Munns
Public Health Reviews, 2017 38:19
25-hydroxy vitamin D deficiency (VDD) remains an important global public health concern, and an important differentiation must be made between the impact of VDD on children and adults. Reports of increased incidence of nutritional rickets (NR) continue to emerge. NR is an entirely preventable condition, which could be eradicated in infants and children worldwide with adequate vitamin D and calcium supplementation. The desire and necessity to put in place systems for preventing this potentially devastating pediatric disease should not elicit dispute. VDD and NR are global public health issues that require a collaborative, multi-level approach for the implementation of feasible preventative strategies. This review highlights the history, risk factors, and controversies related to VDD during pregnancy and childhood with a particular focus on global NR prevention.