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Environmental and Educational Interventions against Diarrhea in Guatemala

  • Benjamin Torún

Abstract

Diarrheal diseases play an important role in the incidence of malnutrition. Diarrhea and malabsorption in association with malnutrition are best documented and most devastating in young children.1,2 Data presented and discussed in a workshop sponsored 10 years ago by the U.S. National Academy of Sciences3 supported the concept that improved nutrition would result from the prevention of enteric infection and enteric diseases because (a) infections decrease food intake and increase metabolic losses, (b) diarrhea produces malabsorption of nutrients, and (c) chronic, subclinical enteric disease is associated with impaired tests of intestinal function, such as the absorption of D-xylose and vitamin B12, and with morphologic abnormalities of the intestinal mucosa. It is believed that these abnormalities are related to alterations in microbial colonization of the gut or to chronic or recurrent intestinal infections. Lindenbaum and co-workers4,5 showed that the structural and functional gastrointestinal changes observed in an indigenous population and visitors living in developing countries where sanitation is poor and there is a high incidence of diarrheal diseases can revert to normal after the individuals live for several months or years in a more sanitary environment.

Keywords

Educational Intervention Diarrheal Disease Black Bean Metabolic Unit Epidemic Period 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Scrimshaw, N. S., Taylor, C. E., and Gordon, J. E. Interactions of Nutrition and Infection, World Health Organization Monograph Series No. 57. WHO, Geneva, Switzerland, 1968.Google Scholar
  2. 2.
    Viteri, F. E., and Schneider, R. E. Gastrointestinal alterations in protein-calorie malnutrition. Med. Clin. North Am. 58:1487–1505, 1974.Google Scholar
  3. 3.
    Rosenberg, I. H., and Scrimshaw, N. S. (Eds.). Malabsorption and nutrition. Am. J. Clin. Nutr. 25:1045–1289, (Oct., Nov.), 1972.Google Scholar
  4. 4.
    Lindenbaum, J., Gerson, C. D., and Kent, T. H. Recovery of small-intestinal structure and function after residence in the tropics. I. Studies in Peace Corps volunteers. Ann. Intern. Med. 74:218, 1971.Google Scholar
  5. 5.
    Gerson, C. D., Kent, T. H., Saha, J. R., Siddiqui, N., and Lindenbaum, J. Recovery of small-intestinal structure and function after residence in the tropics. II. Studies in Indians and Pakistanis living in New York City. Ann. Intern. Med. 75:41, 1971.Google Scholar
  6. 6.
    Feachem, R. Priorities for diarrhoeal disease control: Water, excreta, behaviour and diarrhoea. Diarrhoea Dialogue 4:4–5, 1981.Google Scholar
  7. 7.
    Gordon, J. E., Béhar, M., and Scrimshaw, N. S. Acute diarrhoeal disease in less developed countries. 3. Methods for prevention and control. Bull. WHO 31:21–28, 1964.Google Scholar
  8. 8.
    Levine, R. J., Khan, M. R., D’Souza, S., and Nalin, D. R. Failure of sanitary wells to protect against cholera and other diarrhoeas in Bangladesh. Lancet ii:86–89, 1976.CrossRefGoogle Scholar
  9. 9.
    Feachem, R. Water, Health and Development. Tri-Med Books, London, England, 1978.Google Scholar
  10. 10.
    Shiffman, M. A., Schneider, R., Faigenblum, J. M., Helms, R., and Turner, A. Field studies on water sanitation and health education in relation to health status in Central America. Prog. Water Technol. 11:143–150, 1978.Google Scholar
  11. 11.
    Pacey, A. (Ed.). Technology is not enough: The provision and maintenance of appropriate water supplies. Aqua 1:1–58, 1977.Google Scholar
  12. 12.
    Schneider, R. E., Torún, B., Shiffman, M., Anderson, C, and Helms, R. Absorptive capacity of adult Guatemalan rural males living under different conditions of sanitation. In: Protein-Energy Requirements of Developing Countries: Evaluation of New Data, B. Torún, V. R. Young, and W. M. Rand (Eds.), pp. 139–149. United Nations University World Hunger Programme, Food and Nutrition Bulletin Supplement No. 5, 1981.Google Scholar

Copyright information

© The United Nations University 1983

Authors and Affiliations

  • Benjamin Torún
    • 1
  1. 1.Division of Human Nutrition and BiologyInstitute of Nutrition of Central America and Panama (INCAP)Guatemala CityGuatemala

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