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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Population-based study of a widespread outbreak of diarrhea associated with increased mortality and malnutrition in Botswana, January-March, 2006
American Journal of Tropical Medicine and Hygiene, Volume 80, No. 5, Year 2009
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Description
In early 2006, coinciding with heavy rains, Botswana health facilities reported increases in diarrhea, mortal-ity, and acute malnutrition among young children. Data on diarrhea, human immunodeficiency virus, feeding, mortality, and water/sanitation were collected by random cluster survey. Anthropometric data were measured and drinking water samples were tested. Of 537 surveyed children less than five years of age, one-third experienced ≥ 1 episode of diarrhea. Prevalence of acute malnutrition was 7.9%, and the mortality rate for children less than five years of age was 2.6/10,000/day during the outbreak. Significant risk factors for diarrhea included an age less than two years; breastfeeding was pro-tective. Diarrhea lasting for more than 14 days and failure to thrive were risk factors for acute malnutrition. Prevalence of acute malnutrition was higher than previously documented and the mortality rate in children less than five years of age during the outbreak was above the international threshold for emergency action with an estimated 547 excess deaths. This survey highlights the need for safe infant feeding and effective treatment of malnutrition and diarrhea in young children. Copyright © 2009 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
MacH, Ondrej
Unknown Affiliation
Lu, Lydia
Unknown Affiliation
Creek, Tracy L.
Unknown Affiliation
Bowen, A.
Unknown Affiliation
Arvelo, Wences
Unknown Affiliation
Smit, Molly
Unknown Affiliation
Masunge, Japhter
Unknown Affiliation
Brennan, Muireann
Unknown Affiliation
Handzel, Thomas R.
Unknown Affiliation
Statistics
Citations: 33
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.4269/ajtmh.2009.80.812
ISSN:
00029637
Research Areas
Environmental
Food Security
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Botswana