Perspectives on acute enteric disease epidemiology and control
This paper reviews the major epidemiologic features of the acute enteric diseases and outlines a plan for their prevention and control in developing countries. Annual mortality from enteric diseases ranges from 10 per 1000,000 in highly developed countries to as much as 500 per 100,000 in developing countries. Most agents of enteric disease are spread by one of two routes: direct person-to-person contact or ingestion of contaminated vehicles (food or water). An effective control program should therefore focus on common epidemiologic factors, rather than on agent-specific remedies such as vaccines or antibiotics. The major operational components of such a program should include oral fluid replacement therapy, improvements in environmental sanitation, health education to promote personal hygiene and proper food handling, and epidemiologic surveillance to monitor public health needs and evaluate the impact of health measures (Au)
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Gangarosa, E. J (1977)Experience has shown that neither drugs nor vaccines can hope to solve the world's enteric disease problems. But oral-fluid therapy, which has sharply reduced cholera mortality, is proving effective in treating other enteric ...
La enfermedad diarreica aguda en los países en vías de desarrollo : I. Base epidemiológica de su control Gordon, John E; Behar, Moisés; Scrimshaw, Nevin S (1964)In most populations, a continuum of clinical severity from inapparent infection to fatal disease characterizes the acute diarrheas, independently of whether or not a recognized microbial pathogen is involved. In lesser ...
Considerations for conducting epidemiologic case-control studies of cancer in developing countries Brinton, Louise A; Herrero, Rolando; Brenes, María M; Moltalván, Patricia; Guardia, María Elena de la; Avila, Angelica; Domínguez, Irma Lucía; Basurto, Erich; Reeves, William C (1991)The challenges involved in conducting epidemiologic studies of cancer in developing countries can be and often are unique. This article reports on our experience in performing a case-control study of invasive cervical ...