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Applying a Biosocial Perspective to Address Childhood Diarrhea-Related Morbidity and Mortality

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Abstract

Despite calls for greater attention to the relationship between water access and disease, diarrhea and related malnutrition remains a leading cause of morbidity in children under 5 years. Children are especially vulnerable given their inability to mount an active immune response to pathogen exposure. Social conditions, including the long-term effects of poverty – reduced nutrition, poor hygiene and sanitation, and diminished home environments – further exacerbate the biological limitations. This chapter offers a syndemic perspective on childhood diarrhea-related malnutrition, specifically examining the consequential interactions between pathogens, as well as pathogenic interactions with other health and social conditions that are disproportionately common among disparity populations. This perspective offers a potential for enriching and extending policy discussions and planning, addressing malnutrition-related diarrheal illness and other health challenges of impoverished populations.

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Abbreviations

BFP:

Bolsa Familia Program

DALY:

Disability Adjusted Life Years

EE:

Environmental Enteropathy

GAPPD:

Integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhea

GIT:

Gastrointestinal Tract

iCCM:

Integrated Community Case Management

IMCI:

Integrated Management of Childhood Illness

ORS:

Oral glucose-electrolyte Rehydration Solution

USAID:

United States Agency for International Development

WASH:

Water Access, Sanitation, and Hygiene

WHO:

World Health Organization

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Correspondence to Nicola Bulled .

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© 2019 Springer Nature Switzerland AG

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Bulled, N., Singer, M., Dillingham, R. (2019). Applying a Biosocial Perspective to Address Childhood Diarrhea-Related Morbidity and Mortality. In: Preedy, V., Patel, V. (eds) Handbook of Famine, Starvation, and Nutrient Deprivation. Springer, Cham. https://doi.org/10.1007/978-3-319-55387-0_85

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  • DOI: https://doi.org/10.1007/978-3-319-55387-0_85

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-55386-3

  • Online ISBN: 978-3-319-55387-0

  • eBook Packages: MedicineReference Module Medicine

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