TAILIEUCHUNG - WHO/UNICEF JOINT STATEMENT CLINICAL MANAGEMENT OF ACUTE DIARRHOEA

These publications—international journals as well as niche and regional scholarly publications—were collectively responsible for 1 million manuscript submissions in 2010 ( million in 2011). In 2005, the total number of submissions made using ScholarOne Manuscripts was 317,325. The data have not been normalized to reflect the growing number of sites using ScholarOne Manuscripts. The trend from clients has been initially to debut larger sites, usually in Science, Technical and Medical (STM) subjects, and then move to smaller titles, often in non-STM fields (see Figure 1). This is reflected in the average number of submissions per ScholarOne Manuscripts site: in 2005 this. | CLINICAL MANAGEMENT OF ACUTE diarrhoea World Health unicef Two recent advances in managing diarrhoeal disease - newly formulated oral rehydration salts ORS containing lower concentrations of glucose and salt and success in using zinc supplementation - can drastically reduce the number of child deaths. The new methods used in addition to prevention and treatment of dehydration with appropriate fluids breastfeeding continued feeding and selective use of antibiotics will reduce the duration and severity of diarrhoeal episodes and lower their incidence. Families and communities are key to achieving the goals set for managing the disease by making the new recommendations routine practice in the home and health facility. ACUTE DIARRHOEA STILL A LEADING CAUSE OF CHILD DEATHS Though the mortality rate for children under five suffering from acute diarrhoea has fallen from million deaths annually in 1979 to million deaths in 2002 acute diarrhoea continues to exact a high toll on children in developing countries. Oral rehydration salts ORS and oral rehydration therapy ORT adopted by UNICEF and WHO in the late 1970s have been successful in helping manage diarrhoea among children. It is estimated that in the 1990s more than 1 million deaths related to diarrhoea may have been prevented each year largely attributable to the promotion and use of these therapies. Today however there are indications that in some countries knowledge and use of appropriate home therapies to successfully manage diarrhoea including ORT may be declining. THE GOALS The revised recommendations will help reduce mortality from diarrhoea in line with global goals that aim to Reduce by one half deaths due to diarrhoea among children under five by 2010 compared to 2000 A World Fit for Children outcome document of the UN Special Session on Children Reduce by two thirds the mortality rate among children under five by 2015 compared to 1990 United Nations Millennium Development Goals 4 5 15 Major causes of

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