Miller P C
Population Council, Dhaka, Bangladesh.
J Diarrhoeal Dis Res. 1992 Dec;10(4):193-200.
Until 1979, diarrhoeal disease accounted for roughly half of all infant and childhood deaths in Egypt, partly because curative care was largely inappropriate. The National Control of Diarrhoeal Diseases Project (NCDDP) addressed this problem from 1982 to 1991. Since 1979 many aspects of diarrhoeal disease in Egypt have been addressed in many studies. This paper reviews that literature, finding considerable improvements in case management, particularly in the use of oral rehydration solution and in feeding during diarrhoeal episodes. This is due primarily to the NCDDP. At the same time diarrhoeal mortality declined rapidly, both absolutely and as a percentage of total mortality. Persistent diarrhoeas, which have become an increasing proportion of the remaining mortality, have not been satisfactorily addressed, and irrational treatment with drugs remains a major problem.
直到1979年，腹泻病在埃及婴幼儿和儿童死亡总数中所占比例约为一半，部分原因是治疗护理大多不恰当。国家腹泻病控制项目（NCDDP）在1982年至1991年期间解决了这一问题。自1979年以来，埃及腹泻病的许多方面已在多项研究中得到探讨。本文回顾了相关文献，发现病例管理有了显著改善，尤其是口服补液盐的使用以及腹泻期间的喂养。这主要归功于国家腹泻病控制项目。与此同时，腹泻死亡率迅速下降，无论是绝对数字还是在总死亡率中所占的百分比。持续性腹泻在剩余死亡率中所占比例越来越大，尚未得到令人满意的解决，药物的不合理使用仍然是一个主要问题。
