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PubMed1991

Sources of lead exposure in urban slum school children.

A school based study was undertaken to trace various sources of lead exposure in urban slum children. Two cases with elevated venous blood lead (PbB) levels were detected and confirmed in 100 consecutive Bombay school children, referred to a hospital school clinic for clinical pallor. A common source of lead exposure in one suburb, was implied by the significantly higher PbB levels here. Systematic family and environmental studies identified the source was a nearby factory manufacturing lead storage batteries. Similar studies for the other index case traced the source to the dust produced by small scale foundries and secondary lead smelters. This study indicates that large scale screening studies are necessary to establish the magnitude and epidemiology of this problem in Bombay.

Adolescent↗
PubMedDate not supplied

[Cidade Leonor slum, São Paulo. II. Longitudinal clinical and anthropometric follow-up of infants during their first year of life].

In this study, the authors performed a clinical and nutritional follow-up involving infants that live in a slum area of the City of São Paulo. The infants were followed since birth and up to the end of their first year of life. The nutritional status was evaluated considering the following criteria: weight/age, height/age, and weight/height indices. On the first visit, 38.6% of the infants already presented protein-calory malnutrition according to the weight/age index, and 31.1% presented early delay of growth. The application of the Seoane and Latham criteria showed that most infants had acute malnutrition, but chronic malnutrition was already present in 11.0% of the infants followed-up. The results of this study show the negative impact of an unfavorable environment on infants during their first year of life.

Adolescent↗
PubMedDate not supplied

[Cidade Leonor slum, São Paulo. I. Evaluation of the nutritional status of children under 10 years of age].

The authors studied the nutritional status of 520 children living in slums in the City of São Paulo. The weight-for-age index revealed the following results: eutrophy, 46.9%; PCM I, 42.8%; PCM II, 9.9%; PCM III, 1.1%. The height-for-age index revealed the following results: eutrophy, 65.7% and PCM 34.2%. The weight-for-height index revealed the following results: eutrophy, 79.0%; PCM I, 15.9%; PCM II, 3.4%; PCM III, 1.5%. According to the Seoane-Latham criteria the authors found the following results: eutrophy, 43.1%; balanced chronic malnutrition, 19.0%; acute malnutrition, 24.6%; evolutive chronic malnutrition, 9.2%; and chronic malnutrition in recovery 4.0%.

Anthropometry↗
PubMedDate not supplied

An epidemiological study of hearing loss in a slum in Pune.

A survey of 690 randomly selected person from a urban slum at Pune was conducted to screen hearing loss clinically. Otitis media was found to be the commonest cause for loss of hearing. Control measures were recommended.

Adolescent↗
PubMedDate not supplied

Prevalence of high risk factors in mothers in urban slums of Delhi.

Point prevalence of 'High Risk' factors was assessed in 450 mothers of reproductive age group residing in two urban slum communities. Major risk factors prevalent were non-pregnant weight less than 43.5 kg (24%), elderly grand multipara (17%), and history of previous still births and/or intrauterine death (3%).

Abortion, Spontaneous↗
PubMed1991

A comparison of the role of Musca domestica (Linnaeus) and Chrysomya megacephala (Fabricius) as mechanical vectors of helminthic parasites in a typical slum area of Metropolitan Manila.

A total of 1,016 flies (508 each for Musca domestica and Chrysomya megacephala) were collected from a typical urban slum area (Barangay 51, Pasay City, Metropolitan Manila) in the Philippines and examined for the presence of helminth ova attached to their external surfaces. A significantly greater proportion of C. megacephala (41.9%) was found positive compared to M. domestica (9.4%). C. megacephala also exhibited a significantly higher average egg load (11.9 eggs per positive fly) than M. domestica (2.6 eggs per positive fly). Male and female flies were equally contaminated for both species. Only 29 out of the 2,651 eggs recovered (1.1%) were infective to man. Ascaris spp. and Trichuris trichiura ova occurred most frequently while eggs of hookworm. Taenia spp., Toxocara spp. and Capillaria hepatica were infrequent or rare. Despite the low proportion of infective eggs recovered, the role of these synanthropic flies in the transmission of certain helminthiases should not be discounted.

Animals↗
PubMed1990

Construction of growth reference standards for urban slum children in developing countries.

A cross-sectional sample of 2987 children in the age group of 1 to 10 years were selected from urban slums of Delhi for measurement of weight and height. Males and females were 53 and 47% respectively. Mean weight and height were calculated for both the sexes. Comparison of percentiles of weight and height with NCHS and ICMR standards showed that the 75th percentiles weight and height of the present study were comparable with 80 and 90% of 50th percentile of NCHS respectively. Hence, upper 25% of the sample arranged in ascending order of magnitude were used for the construction of reference standards of weight and height. Comparison of percentiles drawn from the top 25% of the sample demonstrated that 50th percentile of the present study corresponded to 80% of 50th percentile of the NCHS for weight and 90% of 50th percentile of NCHS of the height for both boys and girls. Also the 50th percentile of ICMR for weight and height for both the sexes. Standards constructed from such sample would be better suited for two important uses: (i) monitoring of Nutrition Programme, and (ii) to detect a child with abnormal growth at the earliest.

Body Height↗
PubMedDate not supplied

Employment status of leprosy patients with deformities in a suburban slum.

In a poor slum area in suburban Bombay, a study of 129 leprosy patients with deformities revealed that only 46% were employed before the appearance of deformities and most of them had lost their jobs after deformities had appeared. Health education on care of anesthetic extremities did not have the desired impact on the patients, many of them had worsening of their deformities during the phase of their employment because they had to take up any kind of work in order to make a living. They were mostly poorly educated and lacked special skills. The only feasible alternative in this kind of situation appears to be a selective community-based rehabilitation of leprosy patients with deformities.

Persons with Disabilities↗
PubMed1990

Prevalence of placentally transmitted antibodies for measles in infants 3 to 11 months old in an urban slum community.

Upto 35% of infants aged between 6 and 11 months are infected with measles in India with its associated high morbidity and mortality. The objective of the study is to know the waning pattern of placentally transmitted antibodies (PTA) for measles so that the age at which children are likely to become susceptible to measles infection could be identified. A cross-sectional serological survey of children aged 3 to 11 months in one of the Integrated Child Development Service (ICDS) area in Madras city slums was done. Venous blood from 376 children was collected and was tested for Hemagglutination Inhibition (HI) antibodies by standard microtitration technique. Titre greater than or equal to 1:8 has been considered as protective. The proportion of children with immune level and the Geometric Mean Titre (GMT), declined to the least by 5 months which denotes that most of the infants become susceptible to measles infection from as early as 5 months of age. There is no significant difference in the waning pattern between different age groups, sex and nutritional status. A community study for effectiveness of measles vaccine at 6-8 months of age is needed to know the feasibility of immunization earlier than 9 months of age.

Age Factors↗
PubMed1989

Infant and early childhood mortality in urban slums under ICDS scheme--a prospective study.

The infant and early childhood mortality, its causes and associated factors were studied prospectively, in twelve Anganwadi centres, situated in urban slums of Patna from 1st January, 1987 to 31st December, 1987. A strict recording of births and deaths was done by Anganwadi workers, with monthly verifications by authors. The causes of death were established on the basis of clinical and corroborative enquiry from the parents. The birth rate was found to be 29.25, death rate 13.1, infant mortality rate 64.65/1000. Neonatal and post neonatal mortality rates were 49.42/1000 and 15.21/1000, respectively. Mortality in children between 1-3 years (11.3/1000) was higher in comparison to that of 3-6 years (9.1/1000). Low birth weight (25.52%) and perinatal infection (23.52%) were the major causes of infant mortality followed by respiratory infection (11.76) and diarrhea (8.82%). Diarrhea (37.5%), respiratory infection (15.62%) and accidents and burns (12.5%) were major killers in children between 1-6 years. Mortality in males was higher than females in infancy. Risk factors associated with infant mortality included extremes of maternal age (less than 20 and greater than 30 years), multiparity and illiterate mothers.

Cause of Death↗
PubMed1989

Nutritional status of pre-school children of urban slum communities in Delhi.

Nutritional status of 486 preschool children residing in urban slums was assessed by making domiciliary visits. The overall prevalence of protein energy malnutrition (PEM) was found to be 81.8%, while 31.8, 44.1, 5.7 and 0.2% of children had Grades I, II, III and IV PEM, respectively. Age, sex and education had a significant association with PEM.

Anthropometry↗
PubMed1989

Mortality patterns in low birth weight babies in ICDS urban slum area.

There were 920 live-births over the period of one year in urban slums (covering 40 anganwadi centres) of Gorakhpur city. Incidence of low birth weight (LBW) babies weighing 2.5 kg or less and those weighing 2 kg or less were 40.7% (19.8% preterm LBW and 80.2% term LBW) and 24% (25.3% preterm LBW and 74.7% term LBW) respectively. Incidence of preterm babies was 8.5%. Infections and respiratory distress were found to be the major killers of LBW babies. The neonatal mortality rate was observed to be significantly high in LBW and preterm babies. Again, babies weighing 2 kg or less and preterm were at greater risk and should be referred to specialised neonatal centres while those weighing 2.001-2.5 kg could be looked after at home by trained personnel in domiciliary newborn care.

Cause of Death↗
PubMed1989

Health situation of slum dwellers of metropolitan area of Dhaka.

The study interviewed three hundred women, mostly the wives of the head of the household of urban slums. The study women were selected on random sampling basis. The knowledge of study women on preventive MCH care was good (39.7%) and about 21.7%, contacted some trained persons for advice on matters related to pregnancy and treatment of sickness. Almost all the deliveries were conducted at home by relations or neighbours (80.1%). Disease prevalence rate at the time of interview was 253/1000 population. Common diseases reported were fever 31.6%, intestinal problems 26.3%, measles 11.8%, skin diseases 7. 9%, chronic respiratory infection 9.2% and the rests were "others". About one third of the sick persons did not have any treatment. On the average 3.9 persons lived in one room of 2.4 x 4 metres. Source of water supply for drinking and other purposes was mostly municipal taps in a public place. Environmental sanitation for the area was poor.

Bangladesh↗
PubMed1988

[Epidemiologic survey in the Vila Nova slum in the municipality of Duque de Caxias-RJ (July/1988)].

Due to the high endemicity of Hansens Disease in the "Duque de Caxias Municipality", Rio de Janeiro State, Brazil, an Epidemiological Survey of "Vila Nova" slum was planed. The goal was to verify the prevalence of skin diseases of sanitary concern and, also, to analise the socio-economical conditions of the population, especially those related with environment sanitation. 45% dwellings were visited and 86% of the population (1903 persons) screened by dermoneurological examination performed by auxiliary personnel. Tables show frequency of skin disease that received treatment on domiciliary basis. 19 cases were suspicious of Hansen's Disease. The social profile was assessed through the study of several parameters of the population: --economical, sanitation, personal and home hygiene.

Brazil↗
PubMed1979

Developing world. Child rearing practices in an Indian slum.

Our study has revealed the strong influence of tradition on child rearing practices in an Indian slum community. It is made clear that health education is essential to correct malpractices. Though the mothers were knowledgeable about the supplementary feeding they did not put the ideas into practice.

Breast Feeding↗
PubMed1981

Prevalence of leprosy among slum dwellers.

Distribution of leprosy among slum dwellers in two areas of Bangalore City were studied. Out of a random sample of 483 it was found that 150 were suffering from leprosy while 74 tuberculoid and 25 lepromatous cases were detected, the remaining showed up as borderline and polyneuritic types. The important socio economic features and the consequences of this chronic disease have been discussed.

Adolescent↗
PubMedDate not supplied

Nutritional status of under five children in an urban slum community of Calcutta.

Nutritional status particularly in relation to the possible risk of morbidity and mortality in children has long been recognised as a field of major concern. A cross-sectional study was undertaken with 1280 under five children in the urban slum community of Chetla, the field practice area of All India Institute of Hygiene & Public Health, Calcutta, during 1991 to identify their nutritional status. Wt/age being the most sensitive indicator was considered; and the children were graded using the Indian Academy of Pediatrics classification. It is evident from table 1, that more than half of the under five children were undernourished in the series, 27.7%, 16.8%, 5.3% and 1.8% being suffering from grade I, II, III and IV undernutrition respectively.

Child Nutrition Disorders↗
PubMed1994

Disability among Thai elderly living in Klong Toey slum.

Forty three per cent of the elderly in Klong Toey slum had BAI score less than 20. One point six per cent were moderately severe or severely disabled and needed special care. Around one-third of them caused by stroke. Locomotion, reaching and stretching, dexterity, continence and seeing are common significant types of disability among this population study. Perceived health status, age and working status are independent factors related to disability level. The Barthel ADL index is suitable for using as a tool for a disability survey among Thai elderly. The ODS questionnaire may be applied after considerable modification of the questions concerning behavior and intelligence dimensions.

Activities of Daily Living↗