Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Bull World Health Organ. 2009 Oct;87(10):780-6. doi: 10.2471/blt.08.058990.
In 2004, WHO and the United Nations Children's Fund (UNICEF) released a joint statement recommending a new lower osmolarity oral rehydration salts (ORS) formulation and zinc supplementation for diarrhoea management. More than 5 years later, diarrhoea remains the second leading cause of death and few children in developing countries are receiving these life-saving interventions. Many countries are stalled in the technicalities of adapting national policy, while others struggle to find the funds for start-up activities. For nearly all countries, zinc supplements for children are not available locally; thus, zinc procurement continues to be a major obstacle. Global resources have not been sufficient to bring diarrhoea management to the forefront; thus, the introduction of these new recommendations has remained slow. Revitalizing diarrhoea management must become an international priority if we are going to reduce the burden of diarrhoea deaths and overall child mortality around the world.
2004 年，世界卫生组织（世卫组织）和联合国儿童基金会（儿童基金会）发布了一份联合声明，建议使用新的低渗透压口服补液盐（ORS）配方和补锌来治疗腹泻。5 年多以后，腹泻仍然是导致死亡的第二大原因，而发展中国家很少有儿童接受这些救命干预措施。许多国家在调整国家政策的细节方面陷入僵局，而另一些国家则在为启动活动寻找资金。对于几乎所有国家来说，儿童用锌补充剂都无法在当地获得；因此，锌的采购仍然是一个主要障碍。全球资源还不足以使腹泻管理成为优先事项；因此，这些新建议的推出仍然缓慢。如果我们要减轻腹泻死亡和全球儿童总体死亡率的负担，那么振兴腹泻管理就必须成为一项国际优先事项。
