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Iron supplementation has no apparent harmful effect on the overall
incidence of infectious illnesses in children. Concerns have been
expressed that people who receive iron supplementation acquire more infections. In view of the
widespread prevalence of iron deficiency in children and its
adverse health consequences Gera and Sachdev (p 1142) carried out a
systematic review of 28 international randomised controlled trials to
examine this question. On average, iron supplementation did not
significantly increase the incidence of overall infectious illnesses,
but the risk of acquiring diarrhoea was 11% higher. Iron fortification
of foods merits further evaluation as the safest method of
supplementation among children.