Diarrhea and Malnutrition

Interactions, Mechanisms, and Interventions

  • Lincoln C. Chen
  • Nevin S. Scrimshaw

Table of contents

  1. Front Matter
    Pages i-xv
  2. Overview

    1. Front Matter
      Pages 1-1
    2. Lincoln C. Chen
      Pages 3-19
  3. Diarrhea Pathophysiology and Epidemiology

    1. Front Matter
      Pages 21-21
    2. Robert E. Black, Michael H. Merson, Kenneth H. Brown
      Pages 73-86
    3. S. Sahni, R. K. Chandra
      Pages 99-109
  4. Mechanisms of Diarrhea and Malnutrition

    1. Front Matter
      Pages 111-111
    2. A. M. Molla, Ayesha Molla, S. A. Sarker, M. Mujibur Rahaman
      Pages 113-123
    3. Reynaldo Martorell, Charles Yarbrough
      Pages 125-141
    4. Ayesha Molla, A. M. Molla, S. A. Sarker, M. Khatoon, M. Mujibur Rahaman
      Pages 143-154
    5. M. Mujibur Rahaman, M. A. Wahed
      Pages 155-160
    6. Elizabeth D. Moyer, Michael C. Powanda
      Pages 161-173
  5. Interventions against Diarrhea and Malnutrition

  6. Policy, Planning, and Implementation

    1. Front Matter
      Pages 267-267
    2. Nevin S. Scrimshaw, Oscar Brunser, Gerald Keusch, Ayesha Molla, Imran Ozalp, Benjamin Torún
      Pages 269-286
    3. Jon E. Rohde, Richard A. Cash, Richard L. Guerrant, Dilip Mahalanabis, A. M. Molla, Aree Valyasevi
      Pages 287-295
    4. Robert E. Black, Lincoln C. Chen, Oscar Harkavy, M. Mujibur Rahaman, M. G. M. Rowland
      Pages 297-303
    5. Ranjit K. Chandra, William B. Greenough, Richard L. Guerrant, Reynaldo Martorell, Leonardo J. Mata, Kenneth S. Warren et al.
      Pages 305-308
  7. Back Matter
    Pages 309-318

About this book


There are several reasons why a consolidation of recent advances in our understanding of the interaction of diarrhea and malnutrition is indi­ cated and timely. It is now widely recognized that diarrhea is a major cause of morbidity and mortality among children of poor countries. Due to recent advances in laboratory and field diagnostic techniques, many of the previously unrecognized etiologic agents responsible for diarrhea have been identified, thereby providing new scientific knowledge for rational control strategies. Increasingly these advances suggest that the morbidity burden of diarrhea may be of equal, if not greater, public health consequence than mortality. Diarrhea only rarely causes disease severe enough to require institutionalized medical care. The vast major­ ity of diseases are of mild or moderate severity, and because of high prev­ alence, diarrhea imposes an enormous morbidity burden and exerts a sig­ nificant negative impact on child growth and development. Moreover, the effects of successive episodes of diarrhea are likely to be cumulative. In contrast to several other childhood infections, the treatment of the diarrheal diseases is feasible because it uses simple, effective, and low­ cost medical technologies. Within the context of these developments, there has been a major resurgence of international interest in, and commitment to, the control of the diarrheal diseases. The World Health Organization recently has launched a global program for the control of diarrhea, and simulta­ neously, an independent international research center on diarrhea has been established in Bangladesh.


Absorption bacteria children environment food health intervention nutrition physiology prevention public health

Editors and affiliations

  • Lincoln C. Chen
    • 1
  • Nevin S. Scrimshaw
    • 2
    • 3
    • 4
  1. 1.Ford FoundationNew DelhiIndia
  2. 2.Massachustts Institute of TechnologyUSA
  3. 3.MIT/Harvard International Food and Nutrition ProgramUSA
  4. 4.World Hunger ProgramUnited Nations UniversityUSA

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