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Report on addressing Vitamin D deficiency as a public health measure in Ireland. https://www.oireachtas.ie/en/press-centre/press-releases/20210407-oireachtas-health-committee-launches-report-on-addressing-vitamin-d-deficiency-in-ireland/#:~:text=The%20Joint%20Committee%20on%20Health,established%20to%20address%20that%20deficiency https://data.oireachtas.ie/ie/oireachtas/committee/dail/33/joint_committee_on_health/reports/2021/2021-04-07_report-on-addressing-vitamin-d-deficiency-as-a-public-health-measure-in-ireland_en.pdf Vitamin D levels and deficiency with different occupations: a systematic review. Sowah et al. BMC Public Health (2017) 17:519 doi:10.1186/s12889-017-4436-z Vitamin D Deficiency Is Associated With an Increased Likelihood of Incident Depression in Community-Dwelling Older Adults. Briggs et al. doi:10.1016/j.jamda.2018.10.006 Vitamin D supplementation for the prevention and treatment of COVID-19: a position statement from the Spanish Society of Geriatrics and Gerontology. Tarazona-Santabalbin et al. nhttps://doi.org/10.1016/j.regg.2021.02.001 The Environment and Disease: Association or Causation? Bradford Hill. Proc R Soc Med 1965 May; 58(5): 295–300. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1898525/ Scientific Opinion on the Tolerable Upper Intake Level of vitamin D. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) (2012) EFSA Journal;10(7):2813. [45 pp.] doi:10.2903/j.efsa.2012.2813. Scientific Advisory Committee on Nutrition (SACN) Vitamin D and Health. Crown copyright 2016. Report available online at: https://www.gov.uk/government/groups/scientific-advisory- committee-on-nutrition Dietary Reference Intakes for Calcium and Vitamin D. Institute of Medicine (IOM) (2011) Washington, DC: The National Academies Press The Safety of Vitamins and Minerals in Food Supplements – Establishing Tolerable Upper Intake Levels and a Risk Assessment Approach for Products Marketed in Ireland (Revision 2). FSAI Scientific Committee on Nutrition (2018) Dublin: FSAI. Tithe na Oireachtais; Joint Committee on Health debate. Tuesday, 23 Feb 2021 https://www.oireachtas.ie/en/debates/debate/joint_committee_on_health/2021-02-23/ Perspective: Vitamin D deficiency and COVID-19 severity plausibly linked by latitude, ethnicity, impacts on cytokines, ACE2 and thrombosis. Rhodes, J.M.; Subramanian, S.; Laird, E.; Griffin, G.; Kenny, R.A.. J. Intern. Med. 2020. Autumn COVID-19 surge dates in Europe correlated to latitudes, not to temperature-humidity, pointing to vitamin D as contributing factor. Walrand, S., Sci. Rep. 2021 COVID-19 Nursing Homes Expert Panel: Final Report. Department of Health, 19 August 2020 Population and Labour Force Projections 2017-2051. Central Statistics Office. Healthy Ireland Survey 2015, Summary of Findings. Obesity in an Ageing Society Implications for health, physical function and health service utilisation. Siobhan Leahy, Anne Nolan, Jean O’Connell, Rose Anne Kenny (The Irish Longitudinal Study on Ageing, TCD and St. Vincent’s University Hospital, Dublin) 2014. A High Prevalence of Vitamin D Deficiency Observed in an Irish South East Asian Population: A Cross-Sectional Observation Study. Laird et al, November 2020. doi:10.3390/nu12123674 Successful nutrition policy: improvement of vitamin D intake and status in Finnish adults over the last decade. Raulio et al., 2017. doi:10.1093/eurpub/ckw154 Effect of calcifediol treatment and best available therapy versus best available therapy on intensive care unit admission and mortality among patients hospitalized for COVID-19: A pilot randomized clinical study. Castillo et al; 2020 doi:10.1016/j.jsbmb.2020.105751 Vitamin D and clinically extremely vulnerable (CEV) guidance. UK Government Publications, February 2021. The Joint Committee on Health The Committee heard evidence that Vitamin D deficiency is prevalent across the population and the report recommends that public health measures are established to address that deficiency. These public health measures are preventative in nature and are recommended to reduce the risk of respiratory and other illnesses such as osteoporosis. 1 That daily Vitamin D supplementation of 20-25µg/day should be recommended to the entire adult population as a public health measure, higher doses recommended for vulnerable groups under medical supervision. 2 That a public health policy, which promotes better knowledge of the benefits of Vitamin D, and which encourages Vitamin D supplementation, should be developed in time for consideration in Budget 2022. 3 That reducing the cost of Vitamin D supplementation, in order to promote its uptake, should be considered. 4 That specific measures need to be put in place for vulnerable groups, and for frontline and healthcare workers, so that Vitamin D supplementation is administered on an opt-out basis, and for the duration of this pandemic, people should be offered Vitamin D supplements when presenting at Covid-19 test centres.

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