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1 Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Vitamin A Deficiency The Vitamin A Deficiency database includes data by country based on xerophthalmia and/or serum or plasma retinol concentration Last Updated: Level Date Location and sample descriptor Sex Prevalence of xerophthalmia (%) Age Sample Prevalence (%) (years) size Current Previous X1B X2 X3A X3B XS <0.35 <0.70 < 1.05 XN XN Serum / plasma retinol concentration (µmol/l) L Douala: Pre-SAC: Total B Pre-SAC by gender F NS Pre-SAC by gender M NS N 2004 National: Women: Total F Women by age F Women by age F Women by age F Women by age F Women by age F Women by area: Urban F Women by area: Rural F Women by province: Adamaoua F Women by province: Centre F Women by province: Douala F Women by province: Est F Women by province: Extrême Nord F Women by province: Littoral F Women by province: Nord F Women by province: Nord-Ouest F Women by province: Ouest F Women by province: Sud F Women by province: Sud-Ouest F Women by province: Yaoundé F N 2000 National: Pre-SAC: Total B Pre-SAC by sex F Pre-SAC by sex M Pre-SAC by age B NS 39.9 Pre-SAC by age B NS 45.0 Pre-SAC by age B NS 38.3 Pre-SAC by age B NS 35.7 Pre-SAC by age B NS 31.4 Pre-SAC by zone: Forest B Pre-SAC by sex and zone: Forest F Pre-SAC by sex and zone: Forest M Pre-SAC by zone: Highlands B Pre-SAC by sex and zone: Highlands F Mean SD Reference Notes General Line

2 Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Vitamin A Deficiency The Vitamin A Deficiency database includes data by country based on xerophthalmia and/or serum or plasma retinol concentration Last Updated: Prevalence of xerophthalmia (%) Serum / plasma retinol concentration (µmol/l) Level Date Location and sample descriptor Sex Age Sample Prevalence (%) (years) size Current Previous X1B X2 X3A X3B XS <0.35 <0.70 < 1.05 XN XN Mean SD Reference Notes General Line N 2000 Pre-SAC by sex and zone: Highlands M Pre-SAC by zone: Coast B Pre-SAC by sex and zone: Coast F Pre-SAC by sex and zone: Coast M Pre-SAC by zone: Sahel B Pre-SAC by sex and zone: Sahel F Pre-SAC by sex and zone: Sahel M Pre-SAC by zone: Yaoundé/Douala B Pre-SAC by sex and zone: Yaounde/Douala F Pre-SAC by sex and zone: Yaoundé/Douala M Pre-SAC by province: Adamoua B NS 40.5 Pre-SAC by province: Centre B NS 37.7 Pre-SAC by province: Centre without Yaundé B Pre-SAC by province: Centre with Yaoundé B Pre-SAC by province: Extreme North B NS 40.5 Pre-SAC by province: East B NS 34.5 Pre-SAC by province: Littoral B NS 40.2 Pre-SAC by province: Littoral without Douala B NS Pre-SAC by province: Littoral with Douala B NS Pre-SAC by province: North B NS 62.7 Pre-SAC by province: North-west B NS 24.4 Pre-SAC by province: South B NS 40.0 Pre-SAC by province: South-west B NS 31.0 Pre-SAC by province: West B NS 38.9 L Central province/8 villages: SAC B S 1992 Extreme Northern Province: Pre-SAC B Extreme North Province: Pre-SAC B L 1992 P Northern Cameroon/8 villages: All: Total B All by village: Doubané B All by village: Doyan B All by village: Golonghini B All by village: Gueremé B All by village: Larao B All by village: Louhour B All by village: Mogom B

3 Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Vitamin A Deficiency The Vitamin A Deficiency database includes data by country based on xerophthalmia and/or serum or plasma retinol concentration Last Updated: Prevalence of xerophthalmia (%) Serum / plasma retinol concentration (µmol/l) Level Date Location and sample descriptor Sex Age Sample Prevalence (%) (years) size Current Previous X1B X2 X3A X3B XS <0.35 <0.70 < 1.05 XN XN Mean SD Reference Notes General Line L 1992 P All by village: Sirotoré B

4 NOTES Reference No: 5810 General notes: Facility based survey of children attending the catholic medical centre of Douala for vaccination. Only non-malaria controls reported. Reference No: 5214 General notes: Two-stage PPS cluster sampling stratified by area of residence (urban/rural). Sample comprised of women who gave birth in the 5 years preceding the survey. Previous XN is XN during previous pregnancy, for women with two or more live births in the five-years period, data refer to the most recent birth. Note 1 XN prevalence adjusted for daytime visual problems: 0.90% Note 2 XN prevalence adjusted for daytime visual problems: 1.30% Note 3 XN prevalence adjusted for daytime visual problems: 1.00% Note 4 XN prevalence adjusted for daytime visual problems: 1.00% Note 5 XN prevalence adjusted for daytime visual problems: 0.40% Note 6 XN prevalence adjusted for daytime visual problems: 0.60% Note 7 XN prevalence adjusted for daytime visual problems: 0.80% Note 8 XN prevalence adjusted for daytime visual problems: 1.00% Note 9 XN prevalence adjusted for daytime visual problems: 0.80% Note 10 XN prevalence adjusted for daytime visual problems: 0.70% Note 11 XN prevalence adjusted for daytime visual problems: 1.10% Note 12 XN prevalence adjusted for daytime visual problems: 0.40% Note 13 XN prevalence adjusted for daytime visual problems: 1.60% Note 14 XN prevalence adjusted for daytime visual problems: 2.90% Note 15 XN prevalence adjusted for daytime visual problems: 0.00% Note 16 XN prevalence adjusted for daytime visual problems: 0.00% Note 17 XN prevalence adjusted for daytime visual problems: 0.80% Note 18 XN prevalence adjusted for daytime visual problems: 1.20% Note 19 XN prevalence adjusted for daytime visual problems: 0.70% Note 20 XN prevalence adjusted for daytime visual problems: 1.20% Reference No: 3470 General notes: Multi-stage PPS sampling stratified by ecological zones. Sample comprised of 30 households (1 child chosen randomly in each) within each of 30 clusters (villages/districts). Serum concentrations converted from µg/dl to µmol/l. Ranges presented for serum retinol include 0.70 µmol/l. Reference No: 4211 General notes: Sample comprised of SAC from 8 villages (Balamba I, Balamba II, Bassolo, Boalondo, Bombato, Botatango, Guéfigue and Yambassa) attending 2 schools, Central province. Survey designed to asses the effect of Onchocerca volvulus infection on serum vitamin A concentration. Reference No: 1991 General notes: Multi-stage PPS sampling clustered by ecological zone in Extreme North Province. Retinol sample comprised of randomly selected children in 5 villages. Summary data reported in references No. 202, 34 and 46. Reference No: 1992 General notes: Sample comprised of randomly selected, apparently healthy volunteers in 8 villages (Doubané, Doyan, Golonghini, Gueremé, Larao, Louhour, Mogom and Siratoré) in northern Cameroon. Serum retinol concentrations converted from µg/dl to µmol/l.

5 R E F E R E N C E S Reference 1991 Reference 1992 Reference 3470 Reference 4211 Reference 5214 Reference 5810 Wilson MR, Mansour M, Atud AE, Casey R, Fobi G, Moukouri E, Alemayehu W, Martone JF, Ross-Degnan D. A population-based study of xerophthalmia in the extreme north Province of Cameroon, West Africa. Archives of Ophthalmology, 1996, 114 : Gouado I, Mbiapo TF, Moundipa FP, Teugwa MC. Vitamin A and E status of some rural population in the north of Cameroon. International Journal for Vitamin and Nutrition Research, 1998, 68 : MSP, UNICEF, Hellen Keller Worldwide, Sight and Life, WHO. Cameroun Enquête Nationale sur la Carence en Vitamine A et I'Anémie Zambou NF, Mbiapo TF, Lando G, Tchana KA, Gouado I. Influence de l'infestation par Onchocerca volvulus sur le taux sérique de vitamine A des enfants scolarisés en zone rurale du Cameroun [Effect of Onchocerca volvulus infestation on plasma vitamin A concentration in school children in a rural region of Cameroon]. Santé, 1999, 9 : Institut National de la Statistique, Ministére de la Planification, de la Programmation du Dévelopment et de l'aménagement du Territoire, ORC Macro. Enquête Démographique et de Santé: Cameroun [Demographic Health Survey: Cameroon 2004]. Calverton, MD, ORC Macro, Gouado I, Lehman GL, Some IT, Mbouyap Y, Pankoui JBM, Ejoh RA, Tchouanguep FM. Influence of malaria on the serum levels of vitamin A, zinc and calcium of children in Douala- Cameroon. African Journal of Biotechnology, 2007, 6 :

6 Reference 34 Reference 46 Reference 2744 Reference 3363 ADDITIONAL REFERENCES Atina E, Wilson R et al. Prevalence of xerophthalmia and risk of vitamin A deficiency among children in the extreme north of Cameroon Lantum D. Recent advances on vitamin A deficiency control in Cameroon Yaoundé, University of Yaoundé, Helen Keller International. Cameroon national survey on vitamin A deficiency and anemia Ministère de l'economie et des Finances. Enquête à Indicateurs Multiples (MICS) au Cameroun 2000 [rapport principal]. Yaoundé, United Nations Children's Fund, 2002.

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