By C. Gopalan (auth.), Prof. H. K. A. Visser, Dr. J. G. Bindels (eds.)
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Additional resources for Child Nutrition in South East Asia: Yogyakarta, 4–6 April 1989
The nutritional damage inflicted by infection is enhanced by inappropriate child care, lack of prompt ORT and treatment, and inadequate feeding during convalescence . Recurrent diarrhea, anorexia, and fever - coupled with poor diets and hygiene - induce marasmus and kwashiorkor. The risk of death increases for preterm and small for gestational age infants , particularly if they have become wasted and/or stunted [4, 5, 38]. The well-nourished child, however, is also at risk of death from infectious disease if the environment is hostile.
Early neonatal infection During exclusive breast-feeding, infections with Giardia, Entamoeba histolytica, Shigella, and Salmonella were rare or few, and usually asymptomatic (5]. With weaning, infection increased to attain high rates by the end of the first year and especially during the second and third years of life. Multiple and chronic infections were more often seen at these ages. Virus shedding occurred from the first weeks of life (5, 15], and increased strongly in the second semester, and in the second and third years constituted a virtual "viral flora" .
Prop Serum VA < 20 mg/dl) - Isotope dilution - Liver biopsy Physiological - Dark adaptation test (DAT) - Relative dark adaptation test (RDAT) - History of night blindness (XN)" Cytology - Conjunctival impression cytology (CIC-A)" - Buccal smear (need further study) - Skin General indicators Dietary"; - Quantitative - Semi quantitative - Qualitative Proxy indicators Child mortality rates b Infectious disease incidence/prevalence Infestation prevalence Age-Specific breastfeeding patterns Stunting malnutritionb Poverty indicators Sanitation levels Community access factors Agricultural productionb Disaster proneness Cultural practices " Recommended aids for consideration in public health programme.