Epidemiology of Childhood Diarrhea in The Gambia
The data discussed in this paper are derived from a study of young children in three neighboring subsistence farming villages in a rural area of The Gambia. Their general relevance will be discussed later. The original aim of the survey was to determine the main dietary and disease causes of growth-faltering known to affect children particularly severely in the first 3 years of life. More specific studies of diarrheal disease were undertaken because it was identified as the major nondietary cause of growth impairment,1 leading, on average, to a halving of the expected monthly weight gain in infants and young children.2 With good accessibility between subjects and medical survey facilities, acute diarrheal mortality was insignificant but there was a definite though declining mortality in association with protracted diarrhea and malnutrition (weanling diarrhea syndrome).
KeywordsBreast Milk Diarrheal Disease Childhood Diarrhea Bile Salt Concentration Protracted Diarrhea
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