In many parts of the world, deficiencies in vitamins, minerals and trace elements during the early months of life have dramatic consequences on the health and development of infants and young children. The nutritional status of the mother greatly influences breast-milk micronutrient levels and hence the nutritional status of the infant. This publication, written by leading investigators and clinicians, offers an up-to-date review of micronutrient requirements and the assessment of micronutrient status of mothers and young infants, followed by the epidemiology and health consequences of micronutrient deficiencies. It also includes different prophylactic and therapeutic approaches, such as the most recent research on both single and multiple micronutrient interventions during pregnancy, lactation and early infancy. This publication will be of great assistance to pediatricians, clinical investigators, health workers and nutritionists engaged in the prevention and treatment of micronutrient deficiencies.

In many parts of the world, deficiencies in vitamins, minerals and trace elements during the early months of life have dramatic consequences on the health and development of infants and young children. The nutritional status of the mother greatly influences breast-milk micronutrient levels and hence the nutritional status of the infant. This publication, written by leading investigators and clinicians, offers an up-to-date review of micronutrient requirements and the assessment of micronutrient status of mothers and young infants, followed by the epidemiology and health consequences of micronutrient deficiencies. It also includes different prophylactic and therapeutic approaches, such as the most recent research on both single and multiple micronutrient interventions during pregnancy, lactation and early infancy. This publication will be of great assistance to pediatricians, clinical investigators, health workers and nutritionists engaged in the prevention and treatment of micronutrient deficiencies.

Throughout the developing world, children are suffering from the severe consequences micronutrient deficiencies have on their healthy development. However, early malnutrition is not a problem confined to that part of the world. It may also affect infants born prematurely, children living in poverty and new immigrants to developed countries. Written by leading investigators and clinicians, this publication begins with a review of the epidemiology of micronutrient deficiencies. Further chapters deal with stable isotope methods in research, new etiological aspects such as the impact of micronutrient interactions, bioavailability and infectious diseases, as well as the effects of socio- and geopolitical factors. Another section focuses on the implications of micronutrient deficiencies and psycho-motor development, immune function and bone growth, with regard also to the economic impact. Finally an update on specific strategies to address micronutrient deficiencies is provided. This publication will be of great assistance to pediatricians, clinical investigators, health workers and nutritionists engaged in the prevention and treatment of micronutrient deficiencies.

Micronutrient malnutrition affects approximately 2 billion people worldwide. The adverse effects of micronutrient deficiencies are profound and include premature death, poor health, blindness, growth stunting, mental retardation, learning disabilities, and low work capacity. Preventing Micronutrient Deficiencies provides a conceptual framework based on past experience that will allow funders to tailor programs to existing regional/country capabilities and to incorporate within these programs the capacity to address multiple strategies (i.e., supplementation/fortification/food-based approaches/public health measures) and multiple micronutrient deficiencies. The book does not offer recommendations on how to alleviate specific micronutrient deficienciesâ€"such recommendations are already available through the publications of diverse organizations, including the U.S. Agency for International Development, the Micronutrient Initiative, World Bank, United Nations Childrens' Fund, and the World Health Organization. Instead, this volume examines key elements in the design and implementation of micronutrient interventions, including such issues as: The importance of iron, vitamin A, and iodine to health. Populations at risk for micronutrient deficiency. Options for successful interventions and their cost. The feasibility of involving societal sectors in the planning and implementation of interventions. Characteristics of successful interventions. The book also contains three in-depth background papers that address the prevention of deficiencies of iron, vitamin A, and iodine.

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.

More children born today will survive to adulthood than at any time in history. It is now time to emphasize health and development in middle childhood and adolescence--developmental phases that are critical to health in adulthood and the next generation. Child and Adolescent Health and Development explores the benefits that accrue from sustained and targeted interventions across the first two decades of life. The volume outlines the investment case for effective, costed, and scalable interventions for low-resource settings, emphasizing the cross-sectoral role of education. This evidence base can guide policy makers in prioritizing actions to promote survival, health, cognition, and physical growth throughout childhood and adolescence.

Lipids have been in clinical use as components of intravenous nutrition for over 50 years. Over the last 15 years, new and improved lipids that include olive oil and/or fish oil have replaced the more traditional ones. These new lipids offer the opportunity to deliver high amounts of fatty acids and possess different functional properties: in particular, they can influence inflammatory processes, immune responses and hepatic metabolism. This book brings together articles written by leading international authorities in the area of intravenous lipids. Contributions discuss the latest findings in the field, ranging from pre-clinical research to the most recent clinical trials. Lipid functionality and utility in pediatric, adult surgical and critically ill patients are covered, as is the use of lipids in long-term home parenteral nutrition. Addressing a broad spectrum of topics, this publication provides a wealth of information for basic scientists, clinical researchers and clinical practitioners alike.

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.