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The nutritional situation is better but still fragile. Primary health care has improved greatly, but certain illnesses or health problems require special attention. This is the case for diarrheal diseases and acute respiratory infections, which are exacerbated here by environmental conditions hot and dry climate, frequent sandstorms, etc. Since the launch of its вNutrivigilanceв system in 2010, the National Food Safety Agency ANSES has received more than 1,500 reports of adverse effects. Three quarters of reports are linked to food supplements, with fortified foods coming in second place with energy drinks 16, notes Marc Mortureux, director of ANSES. Concerning food supplements, out of the 282 reports usable by experts, the majority of adverse effects declared are hepatic 19.

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