Biomedical subjects
M G Rowland
Publications and source records attributed to M G Rowland.
Viruses and diarrhoea in West Africa and London: A collaborative study.
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Gastro-oesophageal intussusception in an adult dog.
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Malnutrition and gastroenteritis in The Gambia.
There is a strong association between failure to thrive and diarrhoeal disease in young Gambian children. The high prevalence of diarrhoeal disease seen is not due to frequent attacks of "acute infantile diarrhoea" of viral orgin. The picture of protracted diarrhoea is almost certainly due to colonization of the upper bowel and the high prevalence demonstrated to be at least partly due to the environment to which the children are exposed, particularly in terms of food and water hygiene. Until this cycle of upper bowel colonization and protracted diarrhoea is broken, a diet-based nutrition programme cannot be expected to function effectively.
A quantitative study into the role of infection in determining nutritional status in Gambian village children.
1. Growth in weight and height in 152 children between the ages of 0-6 and 3 years was investigated in Keneba, a rural Gambian village. By 1 year of age the average weight-for-age of the children was only 75% of the Jelliffe (1966) standard. 2. The relationship between the prevalence of nine different categories of diseases and growth was investigated to determine the quantitative contribution of the diseases to the growth faltering observed. There was a highly significant negative relationship between gastroenteritis and both weight gain and height gain. The only other disease category having a similar relationship was malaria, but in this instance only with weight gain. 3. Although over-all growth in weight and height was considerably below the standard values, multiple regression analysis indicated that after the age of 1 year, except in July and August, normal and sometimes slow 'catch-up' growth would be possible in the absence of gastroenteritis. 4. Attention is drawn to the limitations of the use of anthropometry in a settled village community as the only criterion by which dietary adequacy can be judged.
Infection, nutrition and growth in a rural African environment.
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Letter: Viruses and gastroenteritis.
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Exfoliative dermatitis and practolol.
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Parity and lactation performance in Gambian mothers.
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Climate change and human health: possible communicable disease consequences in the United Kingdom.
In May 1990 a 'Think Tank' was constituted in order to advise the Director of the Public Health Laboratory Service (PHLS) on the potential effects of global climatic change, and of world population increase and movements, on the epidemiology of infectious diseases internationally and in the United Kingdom, and to consider the implications for the PHLS. This article draws on the Think Tank deliberations and describes the scenario considered, and some of the major issues identified, with particular reference to the UK.