There are several reasons why a consolidation of recent advances in our understanding of the interaction of diarrhea and malnutrition is indi cated and timely. It is now widely recognized that diarrhea is a major cause of morbidity and mortality among children of poor countries. Due to recent advances in laboratory and field diagnostic techniques, many of the previously unrecognized etiologic agents responsible for diarrhea have been identified, thereby providing new scientific knowledge for rational control strategies. Increasingly these advances suggest that the morbidity burden of diarrhea may be of equal, if not greater, public health consequence than mortality. Diarrhea only rarely causes disease severe enough to require institutionalized medical care. The vast major ity of diseases are of mild or moderate severity, and because of high prev alence, diarrhea imposes an enormous morbidity burden and exerts a sig nificant negative impact on child growth and development. Moreover, the effects of successive episodes of diarrhea are likely to be cumulative. In contrast to several other childhood infections, the treatment of the diarrheal diseases is feasible because it uses simple, effective, and low cost medical technologies. Within the context of these developments, there has been a major resurgence of international interest in, and commitment to, the control of the diarrheal diseases. The World Health Organization recently has launched a global program for the control of diarrhea, and simulta neously, an independent international research center on diarrhea has been established in Bangladesh.

Diarrhoea and Malnutrition in Childhood is derived from a conference of pediatric gastroenterologists from around the world, held in London at the Royal Commonwealth Society and St. Bartholomew's Hospital on November 5-7, 1984. They collaborate to create a source that would educate people from developed and developing communities regarding the topic. The book first tackles the connections between diarrhea and malnutrition, and then provides a model that further explains the relationship. The authors suggest that poverty is the main cause of the two abnormal conditions, and they refer to books and studies of the topic by respected figures in the industry. Bacteria that cause the two diseases and the diseases' variations are also covered. Other topics discussed in the book are parasites in the intestine; schemes on how to improve nutrition; importance of breast-feeding; and role that the parts of the human body play during illness. This book will serve as a valuable reference for doctors, researchers, and even casual readers.

The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.

The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.

A collection of eight teaching units conveying essential information about the pathophysiology clinical features diagnosis epidemiology treatment and prevention of diarrhoea in children. Addressed to medical students undergoing clinical training in paediatrics the manual aims to equip students with all the knowledge needed to assess patients plan treatment and prevent deaths through proper case management. Information which is specific to conditions in developing countries ranges from an explanation of the clinical features seen in different forms of dehydration through advice on how to communicate with mothers to a discussion of the role of feeding in the management of diarrhoea. Recommended lines of action draw their authority from published research and extensive WHO experience in programmes for the treatment and prevention of diarrhoea. The first two teaching units provide fundamental information about the epidemiology clinical types of diarrhoea causative agents modes of transmission pathophysiology and implications for treatment. Subsequent units explain how the clinical assessment of patients should be performed and interpreted discuss ways of teaching mothers to treat diarrhoea at home describe clinical measures for the treatment of dehydrated patients and discuss the special procedures to be followed during the treatment of dysentery persistent diarrhoea and diarrhoea associated with other illnesses. The remaining units cover the nutritional management of diarrhoea in children including those suffering from severe malnutrition and explain how physicians can promote prevention particularly through the education of mothers and other family members. Each unit concludes with a list of exercises. Further practical information is presented in a series of annexes which include illustrated step-by-step instructions for intravenous rehydration and nasogastric rehydration.

Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.

A comprehensive, best practices resource for public health and healthcare practitioners and students interested in humanitarian emergencies.

Safe water and adequate sanitation are basic to the health of every person on the planet yet many people throughout the world do not have access to these fundamental needs. An important step towards resolving this global crisis is to understand its magnitude: how many people lack access to drinking water and sanitation? To help answer this question household surveys and censuses are conducted every year throughout the world to assess drinking water sanitation and hygiene-related practices at the household level. Because of variations in survey tools attempts to compare the results of one survey with those of another have been fraught with diffi culties. Solving survey comparability problems is crucial if we are to establish accurate trends over time within a country and compare data between countries. For this reason the WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation developed a set of harmonized survey questions that resolves the comparability problems of the past. Including the harmonized questions in national surveys and censuses will help countries gain more systematic information on the drinking water and sanitation needs of thei population. With popular use these harmonized questions will make data across international and national survey programmes more comparable which in turn will result in more accurate country regional and global estimates of unmet drinking water and sanitation needs. The core harmonized questions presented in this guide have been adopted by the Demographic and Health Surveys the Multiple Indicator Cluster Survey and the World Health Survey. The purpose of this guide is to encourage even more widespread use of these harmonized questions because accurate information is a valuable tool that can be used to assess progress towards international and national goals and targets. It also allows decision-makers and stakeholders to make evidence-based choices and direct efforts to where they are needed as well as promotes increased investment in the sector.

An invaluable resource, Childhood Nutrition provides accurate facts on current concepts in pediatric nutrition, including theories of nutrition in the pathophysiology of disease and in developing nutritional healthcare plans. Written by an outstanding group of specialists, each chapter is thoroughly researched and referenced.