Based on body measurements like Body Mass Index in adults and Weight for age in children below five years, the proportion of undernourished persons in the community being higher than the state averages and the critical cut-off points established by WHO.
Absence of any other catastrophic event such as mass disaster, accident or generalized epidemic, which might account for the increased death rates that are observed.
Deterioration in food security, reduced food off-take from PDS and other indicators of reduced food security like increased indebtedness, large-scale out- migration for work etc.
The eating of unusual foods, or increased dependence on ‘fall-back foods’ (e.g. forest roots and tubers, which are consumed only occasionally) in unusually high frequency and quantity Sample dietary histories to assess daily calorie intake, showing starvation diets i.e. <850 Kcal per day in adults
Verbal autopsies revealing at least a few deaths in which starvation is an underlying cause of death
Initial contact with the community, selecting the village (s) / hamlet(s) to be taken up for the study.
Enumeration of deaths and assessment of death rates - All deaths that have taken place in these villages during the period of serious food deficit would need to be documented, taking at least a three month period. The separate death rates for adults and for under-five children during this period should then be compared with
Report: Two-day state level workshop on ‘Right to Food’
17 – 18 September 2005, Nagpur.