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Profound nutritional consequences persistent

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Unformatted text preview: hat when foot burns to dunk it in a contained bowl of water so that you can just dump it out afterwards. Filtration for drinking water Burden: 1986: 3.5 million cases/year in 20 countries 2012: 542 cases in Chad, ethiopia, Mali, South Sudan GWEP: Guinea Worm Eradication Program What strategy would you use? Diarrheal Disease: 1.4 million child deaths per year (under age of 5) Many general causes including Insufficient nutrition Poor hygiene Contaminated water Inadequate sanitation Lack of education Poverty Many possible sources of infection People and animals Many specific causes: Bacterisa such as E. coli, V. Cholerae, Salmonella, and Shigella Viruses such as rotavirus Protozoa such as Cryptosporidium and Giardia Three types of diarrhea: Watery (cholera) ! death by dehydration (fatal for children because they have lot less fluids in them and exchange them really quickly) Bloody (Shigella or rotavirus) ! profound nutritional consequences Persistent (parasitic causes) ! profound nutritional consequences Long- term developmental health outcomes Diarrheal disease mechanics: Deaths are caused by dehydration; children disproportionately affected because they can lose fluids faster Oral rehydration solution was developed in 1960s and 1970s as a treatment Oral rehydration therapy (ORT) was refined and implemented widely beginning in the early 1980s One of the twin engines of the child survival revolution Along with immunization Only works against watery kind of diarrhea Advertising for different audiences takes different forms. Control of Diarrheal Diseases: #2 killer of children in the world ORT Distributuon and Acceptance UN organization sponsorship Public- Private partnerships (PPPs) Infrastructure improvement Behavioral change (hand washing and using latrines) Medical stuff Education Nutrition Rotavirus vaccines Now what? We need to figure out priority Measuring priority (quantitative analysis): Has CDD lost...
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