DIARRHŒAL MORTALITY IN TWO BANGLADESHI VILLAGES WITH AND WITHOUT COMMUNITY-BASED ORAL REHYDRATION THERAPY

Autor: Mujibur Rahaman, M., Patwari, Yakub, Aziz, K.M.S., Munshi, M.H.
Zdroj: The Lancet; October 1979, Vol. 314 Issue: 8147 p809-812, 4p
Abstrakt: To combat dehydration from diarrhœa in Shamlapur, a village of 7021 people, multiple community-based points were set up by trained volunteers for the distribution of glucose-electrolyte oral rehydration salt (ORS) packets. The comparable adjoining village, Bordil, with a population of 3888, obtained its supply of ORS from Shamlapur. Surveillance for 2 years showed that although diarrhœal attack-rates were equal, consumption of ORS after diarrhœa was 80% in Shamlapur and 38% in Bordil. There were 8 deaths in Shamlapur caused by diarrhœa and 23 in Bordil, showing an overall case fatality-rate of 0·5% and 2·4%, respectively, and a diarrhœal mortalityrate per 1000 population of 0·6 and 2·9, respectively. The observation indicated that although it may not be possible to reduce diarrhœal attack-rates, easy availability of rehydration solution and its early use after village-based training may save many lives, particularly those of children.
Databáze: Supplemental Index