PT  - JOURNAL ARTICLE
AU  - Suma Uday
AU  - Wolfgang Högler
TI  - Prevention of rickets and osteomalacia in the UK: political action overdue
AID  - 10.1136/archdischild-2018-314826
DP  - 2018 Sep 01
TA  - Archives of Disease in Childhood
PG  - 901--906
VI  - 103
IP  - 9
4099  - http://adc.bmj.com/content/103/9/901.short
4100  - http://adc.bmj.com/content/103/9/901.full
SO  - Arch Dis Child2018 Sep 01; 103
AB  - The consequences of vitamin D and dietary calcium deficiency have become a huge public health concern in the UK. The burden of disease from these deficiencies includes rickets, and hypocalcaemic seizures, dilated cardiomyopathy and mostly occult myopathy and osteomalacia. The increasing burden of the disease is intrinsically linked to ethnicity and the population demographic changes in the UK. Three facts have led to the resurfacing of the English disease: (1) the UK has no ultraviolet sunlight for at least 6 months of the year, (2) dark skin produces far less vitamin D than white skin per unit ultraviolet light exposure, and (3) non-European Union immigration over the last century. To date, the UK government demonstrates incomplete understanding of these three facts, and its failure to adjust its prevention programmes to changing demographics is endangering the health and life of UK residents with dark skin, of whom infants are the most vulnerable. Establishing accountability through the implementation of monitored antenatal and infantile supplementation programmes and mandatory food fortification is overdue.