several public health experts activist expressed concern suggestion india abandon standards haemoglobin levels define anaemia instead adopt locally determined standards change could avail india show low prevalence anaemia changing article sanjeev sanyal member pm economic advisory council change way samples soak up tested lower benchmarks prevalence anaemia could come among shaver among girls aged years age groups sanyal clause based study published lancet based data comprehensive national nutrition survey cnns cnns indicated haemoglobin could reduced gm per decilitre india sounds like miracle achieved effort except ability rule universe said statement issued several public health experts part signature campaign lowering haemoglobin added nominate lower benchmark calculated data set cnns meant generate kind standards benchmarks one country objective cnns collect comprehensive set datum nutritional position indian children years age cater robust datum shifting term undernutrition overweight fleshiness standards mustiness generated study populations constraints development access good quality food including iron rich foods education socio economic attributes go support healthy population population identified using clearly outlined inclusion exclusion touchstone instead authors lancet study use subset individuals drawn overall cnns sample individuals review used argue haemoglobin define anaemia set standards india argued reliably learnt committee set advise government suitability using new lower bench mark tracking anaemia prevalence lancet arch article stated data cnns survey also showed anaemia prevalence would come blood samples drawn vein tested lab rather using instrument test blood samples thumb prick stated gold standard testing anaemia use blood samples age group lancet study included girls maturate could admit many would bear children worries clinicians lowering could endanger lives many pregnant women years obstetrical practice rural area mysore seen plenty tragedies due low hemoglobin less pregnant labouring overprotect able permit even little average blood loss could go haemodynamic shock since started maintaining baseline seen things almost melt strongly reject proposal lower hb anaemia said dr rita lobo rural accoucheur