Because geohelminths such as hookworm also contribute to iron deficiency, programs that increase iron intakes but do not address this major source of iron loss are unlikely to be effective at improving iron status. Other infections and inflammation also cause anemia, as does malaria, and the safety of iron supplementation during infection or malaria has been debated. Where malaria and iron deficiency coexist, the current view is that iron supplementation is sufficiently beneficial to support its use. Ideally, however, where multiple etiologies of anemia coexist, these etiologies need to be recognized and simultaneously addressed.
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