Childhood Morbidity and Mortality in Europe’s Industrial Era

Author(s):  
Sarah Reedy
2020 ◽  
Vol 24 (3) ◽  
pp. 133-143
Author(s):  
Che Yon Park ◽  
Hyunjin Cho

Perinatal infection is the leading cause of fetal and neonatal mortality and is directly related to childhood morbidity. Perinatal infections cause abnormal growth, delayed development, and many other clinical problems in newborns. In particular, TORCH syndrome can cause serious fetal and neonatal health problems through vertical infection, and timely diagnosis and treatment through regular antenatal examinations are important. There are no therapeutic options or vaccines for parvovirus or cytomegalovirus. Therefore, prevention is the most important method. In the case of toxoplasmosis, prenatal education is important because it can be prevented through hygiene management, although there are therapeutic drugs. Syphilis has a high prevalence, so early diagnosis is important. Rubella and varicella zoster infections can lead to fatal results in vertical transmission to the fetus. Therefore, preconception vaccination should be performed. Women with herpes simplex, which has a high prevalence in the community, need to be mindful when choosing a childbirth method by evaluating the infection through regular prenatal care to prevent vertical infection. Seasonal flu is rarely transmitted vertically to the fetus, but the morbidity and mortality risk to the mother is higher than that of the general population. Thus, prevention through vaccination is important. Lastly, coronavirus disease 2019 (COVID-19) infection has yet to be well studied, although the mother's morbidity and mortality are similar to those of the general population and there is no evidence of vertical infection. Since the findings of the effects on the mother and fetus are limited, transmission should be prevented through social distancing and personal hygiene practices.


PEDIATRICS ◽  
1973 ◽  
Vol 52 (4) ◽  
pp. 483-484
Author(s):  
Samuel L. Katz

The pediatrician has always been among those physicians most sensitive and attentive to the principles and practice of preventive medicine. For the past three decades immunization against infectious diseases has constituted a major aspect of his activities. Many of the vaccines utilized today are the products of research and of investigators fostered by pediatric institutions. The success of these immunizing agents has had profound, beneficial effects on childhood morbidity and mortality. This same success has enabled the pediatrician in his practice and in his research to focus greater energies on many of the other challenges to the health of infants and children.


2002 ◽  
Vol 32 (3) ◽  
pp. 139-142 ◽  
Author(s):  
Karen L McClean ◽  
A Senthilselvan

Malaria continues to be an increasing health concern in many endemic areas where it remains a major contributor to childhood morbidity and mortality. Chemoprophylaxis and treatment are increasingly compromised by drug resistance. Vaccination for malaria is not yet available outside clinical trials. In clinical trials bed nets have been shown to be effective in reducing malarial morbidity and mortality. Their efficacy outside of the clinical trial setting has been less well documented. We describe our experience with the introduction of bed nets in a remote rural Zambian village and document the effect on malarial parasitaemia, spleen rates and haemoglobin. Children were evaluated at the end of the rainy seasons in April 1998 and April 1999. Insecticide impregnated nets were made available for purchase to the village in July 1998. Rates of parasitaemia and anaemia were significantly reduced.


2020 ◽  
Vol 15 (06) ◽  
pp. 312-313
Author(s):  
Aeshah Alanazi ◽  
Bashaer Otayn ◽  
Tariq S. Al Fawaz

AbstractMeasles still remains one of the major causes of childhood morbidity and mortality in developing countries. It is a highly contagious viral illness with worldwide occurrence. In spite of a highly vaccinated population, a measles outbreak still occurred in Saudi Arabia in 2019, mainly in the northern regions. Measles-related pneumonia (MRP) is the commonest cause of death in children with measles. In this study, we described two cases of severe MRP in children, who were successfully treated with steroid during the 2019 outbreak.


2019 ◽  
Vol 4 (12) ◽  
pp. 2310-2318 ◽  
Author(s):  
Robert C. Reiner ◽  
Catherine A. Welgan ◽  
Daniel C. Casey ◽  
Christopher E. Troeger ◽  
Mathew M. Baumann ◽  
...  

Abstract Lower respiratory infections (LRIs) are the leading cause of death in children under the age of 5, despite the existence of vaccines against many of their aetiologies. Furthermore, more than half of these deaths occur in Africa. Geospatial models can provide highly detailed estimates of trends subnationally, at the level where implementation of health policies has the greatest impact. We used Bayesian geostatistical modelling to estimate LRI incidence, prevalence and mortality in children under 5 subnationally in Africa for 2000–2017, using surveys covering 1.46 million children and 9,215,000 cases of LRI. Our model reveals large within-country variation in both health burden and its change over time. While reductions in childhood morbidity and mortality due to LRI were estimated for almost every country, we expose a cluster of residual high risk across seven countries, which averages 5.5 LRI deaths per 1,000 children per year. The preventable nature of the vast majority of LRI deaths mandates focused health system efforts in specific locations with the highest burden.


BMJ ◽  
2005 ◽  
Vol 331 (7530) ◽  
pp. 1428-1432 ◽  
Author(s):  
Christine Stabell Benn ◽  
Cesario Martins ◽  
Amabelia Rodrigues ◽  
Henrik Jensen ◽  
Ida Maria Lisse ◽  
...  

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