This report to the World Bank on nutrition in Zimbabwe was later developed into a book: Tagwireyi J and Greiner T. Nutrition in Zimbabwe. Washington DC: The World Bank, 1994, 140 pp.

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This was presented at a conference in Tanzania and published in the proceedings. I once explained its principles to an anemia expert at WHO and he was delighted, realizing that they had only been thinking of the means–the average women loses about as much iron in breast milk as she saves from lactation amenorrhea. But they hadn’t realized that the public issue is at the extreme: those women who lose most blood in their menstruation are also the ones most at risk of iron deficiency, and for them, lactation amenorrhea represents a substantial health benefit. Nature’s win - win!

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PHOTO: Ted at Anemia meeting in Tanzania around 1990