TY - JOUR
T1 - Incidence and etiology of infantile diarrhea and major routes of transmission in huascar, peru
AU - Black, Robert E.
AU - Lopez De Roma, Guillero
AU - Brown, Kenneth H.
AU - Bravo, Nora
AU - Grados Bazalar, Oscar
AU - Creed Kanashtro, Hilary
N1 - Funding Information:
Received for publication November 12, 1987, and in final form August 9,1988. 1 Institute) de Investigacion Nutricional, Lima, Peru. 2Division of Human Nutrition, Department of International Health, The Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD. 3 Instituto National de Salud, Lima, Peru. Reprint requests to Dr. Robert E. Black, Dept. of International Health, The Johns Hopkins University School of Hygiene and Public Health, 615 North Wolfe Street, Baltimore, MD 21205. field This study was supported by the Programme for the Control of Diarrhoeal Diseases of the World Health Organization and by the International Development Research Centre of Canada. Additional funds were provided by the Office of Nutrition, US Agency for International Development (Dietary Management of Diarrhea Program, Cooperative Agreement DAN-
PY - 1989/4
Y1 - 1989/4
N2 - Community-based studies of diarrhea etiology and epidemiology were carried out from July 1982-June 1984 in 153 infants residing in a poor pen-urban community near Uma, Peru. Study infants had nearly 10 episodes of diarrhea in their first year of life. Diarrhea episodes were associated with organisms such as Campylobacter jejuni, enterotoxlgenic and enteropathogenic Escherlchia coli, Shigella, rotavirus, and Cryptosporidlum. These organisms appeared to be transmitted to infants in the home through animal feces, through contaminated water and food, and by direct person-to-person contact. A particularly important route of transmission may have been weaning foods, which were often contaminated bOcause of improper preparation and inadequate cleaning of utensils. improved feeding practices, along with avoidance of animal feces and improved personal and domestic hygiene, should be considered important interventions in reducing the high incidence of diarrhea in infants in developing countries.
AB - Community-based studies of diarrhea etiology and epidemiology were carried out from July 1982-June 1984 in 153 infants residing in a poor pen-urban community near Uma, Peru. Study infants had nearly 10 episodes of diarrhea in their first year of life. Diarrhea episodes were associated with organisms such as Campylobacter jejuni, enterotoxlgenic and enteropathogenic Escherlchia coli, Shigella, rotavirus, and Cryptosporidlum. These organisms appeared to be transmitted to infants in the home through animal feces, through contaminated water and food, and by direct person-to-person contact. A particularly important route of transmission may have been weaning foods, which were often contaminated bOcause of improper preparation and inadequate cleaning of utensils. improved feeding practices, along with avoidance of animal feces and improved personal and domestic hygiene, should be considered important interventions in reducing the high incidence of diarrhea in infants in developing countries.
KW - Bacillary
KW - Campylobacter Infections
KW - Diarrhea
KW - Dysentery
KW - Escherlchla coil infections
KW - Food contamination
KW - Infant food
KW - Infantile
KW - Rotavirus Infections
KW - Shlgella
UR - http://www.scopus.com/inward/record.url?scp=0024599613&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0024599613&partnerID=8YFLogxK
U2 - 10.1093/oxfordjournals.aje.a115193
DO - 10.1093/oxfordjournals.aje.a115193
M3 - Article
C2 - 2646919
AN - SCOPUS:0024599613
SN - 0002-9262
VL - 129
SP - 785
EP - 799
JO - American journal of epidemiology
JF - American journal of epidemiology
IS - 4
ER -