Breast feeding may be more protective against
diarrhoeal disease in infants in more deprived areas than in less deprived areas, and in more crowded households than in less crowded households
There is consistent evidence of a protective effect of exclusive breast feeding against
diarrhoeal disease in the first 4 — 6 months of life.4 Likely causes are the immune properties of breast milk and less exposure to pathogens in contaminated milk, food, bottles, or teats.5 Contamination and inadequate sterilisation pose less of a problem in developed than developing countries, and this explains the greater protection of breast feeding in developing countries where poverty, poor hygiene, and infectious diseases are common.
In formula fed infants, there was significantly more
diarrhoeal disease in those not sterilising bottles / teats with steam or chemicals.
How protective is breast feeding against
diarrhoeal disease in infants in 1990s England?
I strongly believe that some of the most serious challenges in the way of prevention and / or control of
diarrhoeal diseases in children and infants are false customary beliefs.
Interventions for the control of
diarrhoeal diseases in young children: Promotion of breastfeeding (1984) Feachem R, Koblinsky M. Bulletin of the World Health Organization.
Effects of the El Niño and ambient temperature on hospital admissions for
diarrhoeal diseases in Peruvian children.
Not exact matches
Now, thanks to health workers at all levels; the major international agencies - including WHO, UNICEF and USAID; ministries of health: non-government organisations; and Dialogue on Diarrhoea, control of
diarrhoeal diseases is an essential child health programme
in virtually every developing country.
During; the current cholera epidemic
in Latin America, remarkably, less than 1 per cent of those affected have died, thanks to a decade or more of control of
diarrhoeal disease (CDD) training and preparation.
It is therefore extremely important that nurses have solid pre-service training
in diarrhoeal diseases.
Bert Hirschhorn, an international editorial adviser since the start of the newsletter
in 1980, looks at progress
in the control of
diarrhoeal diseases over the last 12 years and outlines future challenges.
Sahel nurse training scheme Suzanne Prysor - Jones reviews the experience of introducing
diarrhoeal disease control (CDD) teaching modules
in schools of nursing
in the Sahel region of West Africa.
1.35 million people
in developing countries, most of them children, die every year from
diarrhoeal diseases associated with lack of access to safe drinking water, inadequate sanitation, poor hygiene and overcrowding.
However, the odds of
diarrhoeal disease increased with the time since breast feeding cessation (pT = 0.002 for linear trend
in all infants).
For infants who had been weaned, information was not collected on the types of food they were weaned onto, but data were available on consumption of foods
in the 10 days prior to symptoms
in cases (interview
in controls), but none were significantly associated with
diarrhoeal disease (data not shown).
Breast feeding was associated with significantly less
diarrhoeal disease, even
in infants aged ⩾ 6 months.
In the community cohort component of the main diarrhoeal disease study, the incidence rate for this definition of diarrhoeal disease was 3.5 and 3.2 per 100 person - years in infant boys and girls respectivel
In the community cohort component of the main
diarrhoeal disease study, the incidence rate for this definition of
diarrhoeal disease was 3.5 and 3.2 per 100 person - years
in infant boys and girls respectivel
in infant boys and girls respectively.
Unadjusted matched odds ratios for
diarrhoeal disease and selected risk factors
in all infants
Potential confounding factors associated with
diarrhoeal disease (p < 0.10) were included
in a multivariate model where infant feeding was the main exposure.
Household income has been shown to interact with child growth
in Brazil.21 A US study of
diarrhoeal disease found no interaction between breast feeding and household income.8 Household income, like social class, may not be a good marker of transmission risk.
In the unadjusted analysis, diarrhoeal disease was significantly associated with lower social class, living in rented council accommodation, not having access to a food mixer, having contact with a person with diarrhoea / vomiting within or outside the household, formula feeding, and, in infants not being breast fed, not using chemicals / steam to sterilise bottles (table 1
In the unadjusted analysis,
diarrhoeal disease was significantly associated with lower social class, living
in rented council accommodation, not having access to a food mixer, having contact with a person with diarrhoea / vomiting within or outside the household, formula feeding, and, in infants not being breast fed, not using chemicals / steam to sterilise bottles (table 1
in rented council accommodation, not having access to a food mixer, having contact with a person with diarrhoea / vomiting within or outside the household, formula feeding, and,
in infants not being breast fed, not using chemicals / steam to sterilise bottles (table 1
in infants not being breast fed, not using chemicals / steam to sterilise bottles (table 1).
Receiving no breast milk and not receiving exclusive breast milk were both significantly associated with an increase
in diarrhoeal disease (adjusted OR = 2.74 and 3.62 respectively).
Inadequate sterilisation is a risk factor for
diarrhoeal disease among formula fed infants
in this setting
Importantly, we found that
in infants currently formula fed, having been breast fed for at least six months was not associated with less
diarrhoeal disease than having never been breast fed.
Stratified matched odds ratios for
diarrhoeal disease and current breast feeding
in all infants
Further,
in infants currently formula fed, having been breast fed for at least six months was not associated with less
diarrhoeal disease than having never been breast fed (for 6 + months versus never breast fed, adjusted OR = 1.14, 95 % CI 0.38 to 3.40, p = 0.81).
Many epidemiologic studies consistently show that breastfeeding not only provides optimal bio-avaiable nutrients, but also protects against
diarrhoeal, respiratory and other
diseases [11][12][13][14], including the non-communicable
disease of obesity
in later life [15][16][17] and leads to improved cognitive and psychosocial outcomes [18][19][20].
Molbak K, Gottschau A, Aaby P, Hojlyng N, Ingholt L, da Silva AP 1994, Prolonged breast feeding,
diarrhoeal disease, and survival of children
in Guinea - Bissau.
The group agreed that more knowledge is needed about optimal feeding practices
in diarrhoeal disease and recommended the use of locally available foods for this purpose.
However, the journal is off to an excellent start, has set itself a high standard to maintain, and is a valuable source for all those interested
in research and for the many concerned with the management of
diarrhoeal diseases.
The dangers of this must be emphasised because of the widespread use of feeding bottles
in many developing countries where
diarrhoeal diseases are endemic.
Most of the reduction
in mortality came from a decrease
in deaths due to
diarrhoeal diseases and measles.
«Over the last century as people have become cleaner and antibiotics have become widespread, the reduction
in H. pylori has led to an increase
in diarrhoeal diseases and oesophageal cancer,» he says.
Hardly surprisingly, hepatitis, typhoid and
diarrhoeal diseases have spread
in drinking water.
In the United States, more than 40 % of all infant hospitalizations are attributable to infectious disease... Diarrhoeal diseases and digestive tract infections are the most common infectious diseases in infants..
In the United States, more than 40 % of all infant hospitalizations are attributable to infectious
disease...
Diarrhoeal diseases and digestive tract infections are the most common infectious
diseases in infants..
in infants....
* 20 to 30 % of plant and animal species likely to be at increased risk of extinction * many millions more people than today projected to experience floods every year due to sea level rise * increases
in malnutrition; increased deaths,
diseases and injury due to extreme weather events; increased burden of
diarrhoeal diseases; increased frequency of cardio - respiratory
diseases due to higher concentrations of ground - level ozone
in urban areas * hundreds of millions of people exposed to increased water stress
«increases
in malnutrition; increased deaths,
diseases and injury due to extreme weather events; increased burden of
diarrhoeal diseases; increased frequency of cardio - respiratory
diseases due to higher concentrations of ground - level ozone
in urban areas»
In regions suffering from droughts, a greater incidence of diarrhoeal and other water - related diseases will mirror the deterioration in water quality (Patz, 2001; Environment Canada, 2004
In regions suffering from droughts, a greater incidence of
diarrhoeal and other water - related
diseases will mirror the deterioration
in water quality (Patz, 2001; Environment Canada, 2004
in water quality (Patz, 2001; Environment Canada, 2004).