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      Better soils for healthier lives? An econometric assessment of the link between soil nutrients and malnutrition in Sub-Saharan Africa

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          Abstract

          Malnutrition, the suboptimal consumption of essential nutrients like zinc, severely affects human health. This burden of malnutrition falls disproportionally heavy on developing countries, directly increasing child mortality and childhood stunting, or reducing people’s ability mending diseases. One option to combat malnutrition is to blend missing nutrients in crop fertilizers, thereby increasing crop yields and possibly the nutrient density in harvested crop products, thus enriching crop products destined for human consumption. But, the effectiveness of so-called agronomic fortification remains ill-understood, primarily due to a paucity of field trials. We hypothesize that, if at all this is an effective strategy, there should exist a causal link between malnutrition and natural variation in the quality of soils to begin with. Until now, data limitations prevented the establishment of such a link, but new soil micronutrient maps for Sub-Saharan Africa allow for a detailed assessment. In doing so, we find statistically significant relations between soil nutrients and child mortality, stunting, wasting and underweight. For instance, a simultaneous increase in soil densities of copper, manganese and zinc by one standard deviation reduces child mortality by 4–6 per mille points, but only when malaria pressure is modest. The effects of soil nutrients on health dissipate when malaria pressure increases. Yet, the effects are fairly small in magnitude suggesting that except for a few regions, agronomic fortification is a relatively cost ineffective means to combat malnutrition.

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          Most cited references32

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          Maternal and child undernutrition and overweight in low-income and middle-income countries

          The Lancet, 382(9890), 427-451
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            Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost?

            The Lancet, 382(9890), 452-477
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              Robust Inference With Multiway Clustering

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                Author and article information

                Contributors
                Role: Data curationRole: Formal analysisRole: Writing – original draft
                Role: Data curationRole: Formal analysis
                Role: Funding acquisitionRole: SupervisionRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                17 January 2019
                2019
                : 14
                : 1
                : e0210642
                Affiliations
                [1 ] PBL Netherlands Environmental Assessment Agency, The Hague, The Netherlands
                [2 ] International Institute of Tropical Agriculture (IITA), Kampala, Uganda
                Ohio State University South Centers, UNITED STATES
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                [¤]

                Current address: Development Economics Group, Wageningen University and Research, Wageningen, The Netherlands

                Author information
                http://orcid.org/0000-0003-2536-8912
                http://orcid.org/0000-0003-1565-005X
                Article
                PONE-D-18-25270
                10.1371/journal.pone.0210642
                6336299
                30653538
                2d6b40ba-b405-422f-a7be-eadb630e88e5
                © 2019 Berkhout et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 28 August 2018
                : 29 December 2018
                Page count
                Figures: 7, Tables: 11, Pages: 26
                Funding
                Funded by: Netherlands Ministry of Foreign Affairs, Directorate-General for International Cooperation (DGIS)
                PBL Netherlands Environmental Assessment Agency received funding from the Netherlands Ministry of Foreign Affairs, specifically the Directorate-General for International Cooperation (DGIS), for conducting this research. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Biology and Life Sciences
                Nutrition
                Nutrients
                Medicine and Health Sciences
                Nutrition
                Nutrients
                Medicine and Health Sciences
                Pediatrics
                Child Health
                Medicine and Health Sciences
                Public and Occupational Health
                Child Health
                Medicine and Health Sciences
                Parasitic Diseases
                Malaria
                Medicine and Health Sciences
                Tropical Diseases
                Malaria
                Biology and Life Sciences
                Population Biology
                Population Metrics
                Death Rates
                Biology and Life Sciences
                Nutrition
                Malnutrition
                Medicine and Health Sciences
                Nutrition
                Malnutrition
                Biology and Life Sciences
                Population Biology
                Population Metrics
                Population Density
                Physical Sciences
                Chemistry
                Chemical Elements
                Manganese
                Biology and Life Sciences
                Agriculture
                Agronomy
                Custom metadata
                All relevant data are within the manuscript and its Supporting Information files.

                Uncategorized
                Uncategorized

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