MALNUTRITION IN UNDERDEVELOPED COUNTRIES.
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Biomedical subjects
Publications and source records attributed to M BEHAR.
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Children hospitalized for acute protein-calorie malnutrition in Guatemala City were not delayed in ossification status as compared with Guatemalan Indian children on their customary low-protein diets, but were markedly and often dramatically deficient in cortical bone.
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Some of the acute diarrhoeas of man are specific infectious diseases. Another and major proportion have no demonstrated infectious agent. No characteristic clinical pattern regularly distinguishes one specific disease entity from another, nor specific from non-specific infections, nor epidemic from endemic disease. Since clinical and laboratory differentiation is at present possible for only a small fraction of the diarrhoeas, an alternative in community control, especially where facilities are limited, is to regard all diarrhoeal disease as constituting a clinical syndrome, "acute undifferentiated diarrhoeal disease", and to base control measures on the epidemiological characteristics common to the group.
The programme presented in this article for controlling the diarrhoeas and dysenteries of less developed countries is based on epidemiological principles applicable to acute undifferentiated diarrhoeal disease-its specific as well as its non-specific elements. The dominant importance of weanling diarrhoea requires a main emphasis on maternal and child health procedures, with nutrition singled out for attention, along with public health education and medical care of patients: this in addition to the established worth of means for promoting environmental sanitation. The several features of the suggested programme are within four broad divisions: preventive measures; control of patients, contacts and the immediate environment; measures specifically useful in epidemics; and international measures conducive to broad restriction of the syndrome.
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