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N S SCRIMSHAW

Publications and source records attributed to N S SCRIMSHAW.

At least 19 recordsLinked to original sources

ACUTE DIARRHOEAL DISEASE IN LESS DEVELOPED COUNTRIES. I. AN EIDEMIOLOGICAL BASIS FOR CONTROL.

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.

Bacillus↗

ACUTE DIARRHOEAL DISEASE IN LESS DEVELOPED COUNTRIES. 3. METHODS FOR PREVENTION AND CONTROL.

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.

Bacillus↗

ACUTE DIARRHOEAL DISEASE IN LESS DEVELOPED COUNTRIES. 2. PATTERNS OF EPIDEMIOLOGICAL BEHAVIOUR IN RURAL GUATEMALAN VILLAGES.

A number of primary epidemiological characteristics are recognized as common to members of a syndrome designated "acute undifferentiated diarrhoeal disease". This syndrome includes both specific and non-specific diarrhoeal disorders. Within the existing knowledge and with the facilities available in less developed countries, an epidemiological basis for control, directed against the syndrome as a whole, is presented as the practical approach to community management. Clinical and microbiological distinctions do not extend to the main bulk of the problem. Individual epidemiological patterns exist according to age and varying social and ecological conditions. Field study by periodic home visits over four years has defined these patterns in highland rural villages in Guatemala. The chief problem was weanling diarrhoea.

Adolescent↗

FOOD.

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Deficiency Diseases↗