Kaler Stephen G
Unit on Pediatric Genetics, Program in Molecular Medicine, Eunice Kennedy Shriver, National Institute of Child Health and Human Development, National Institute of Health, Bethesda, MD 20892-1832, USA.
Ann N Y Acad Sci. 2008;1136:28-31. doi: 10.1196/annals.1425.035.
Malaria, measles, lower respiratory infections, and diarrheal illnesses are common pediatric medical problems that are often fatal in the context of extreme poverty. In nonpoor environments, however, these infections are controlled and managed in ways that minimize mortality. From a scientific perspective, genetic variation among microbes is a frequent and important component of their epidemiology, pathophysiology, treatment, and prevention. From a public health perspective, relatively simple measures can reduce the mortal effects of these diseases until successful vaccines become available and immunizations programs are established. Infants and children are especially vulnerable to poor outcomes from infections when undernutrition and other circumstances of poverty are present.
疟疾、麻疹、下呼吸道感染和腹泻疾病是常见的儿科医学问题,在极端贫困的情况下往往会致命。然而,在非贫困环境中,这些感染可以通过各种方式加以控制和管理,从而将死亡率降至最低。从科学角度来看,微生物之间的基因变异是其流行病学、病理生理学、治疗和预防中常见且重要的组成部分。从公共卫生角度来看,在成功的疫苗问世并建立免疫规划之前,相对简单的措施可以减轻这些疾病的致命影响。当存在营养不良和其他贫困状况时,婴儿和儿童尤其容易因感染而出现不良后果。