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Over the past 40 years there has been dramatic improvement in outcome from septic shock in children, with mortality reducing from 97% in the 1960s, 60% in the 1980s, to 9% in 1999. Changes in clinical practice have been based on case series, cohort studies and physiological experiments, rather than on evidence from randomised controlled trials. 6 There have also been significant changes to the organisation and delivery of health care, particularly in the provision of resuscitation and intensive care that have been associated with reduced mortality. The paucity of high quality randomised controlled trial (RCT) evidence for the protocols and practices. | TRAINING FOR HEALTH CARE PROVIDERS Date .Place .Event.Sponsor.Organizer CHILDHOOD RESPIRATORY DISEASES LINKED TO THE ENVIRONMENT Children s Health and the Environment WHO Training Package for the Health Sector World Health Organization www. who.int ceh 1 NOTE TO USER Please add details of the date time place and sponsorship of the meeting for which you are using this presentation in the space indicated. NOTE TO USER This is a large set of slides from which the presenter should select the most relevant ones to use in a specific presentation. These slides cover many facets of the problem. Present only those slides that apply most directly to the local situation in the region. This slide set discusses childhood respiratory diseases that have been linked to the environment. Childhood Respiratory Diseases the Environment LEARNING OBJECTIVES To understand how the respiratory tract is affected by the environment To describe respiratory diseases linked to the environment To list one population-level intervention and one personal-level intervention for decreasing risk of respiratory diseases 2 The objectives of this presentation are To understand how the respiratory tract is affected by the environment To describe respiratory diseases linked to the environment To list one population-level intervention and one personal-level intervention for decreasing risk of respiratory disease The presenter should note that people are exposed to air pollution both indoors and outdoors and it is a combination of both exposures that can precipitate respiratory illness. Clinicians should understand that many interventions are available. Some interventions need to occur at the population level such as setting air pollution standards or formulating transportation policy . Other interventions may occur at the individual level such as changes in diet and home environment . Pediatricians have a role to play in assuring that BOTH types of interventions are undertaken. Childhood Respiratory .