Center for Global Health, Departments of Pediatrics and Medicine, University of Virginia School of Medicine, Charlottesville, VA, 22908, USA,
Curr Infect Dis Rep. 2014 Jun;16(6):408. doi: 10.1007/s11908-014-0408-y.
Worldwide, early childhood infectious diarrhea continues to be a significant concern. Diarrheal illness affects the world's youngest and most vulnerable citizens disproportionately. Estimates are that over 70 % of deaths from diarrhea occur in people younger than 24 months of age. Diarrhea and environmental enteropathy have been associated with growth failure and stunting. In addition, the burden of enteric disease also leads to cognitive and academic losses, thus resulting in loss of human capital and economic productivity. While considerable progress has been made on preventing and treating childhood diarrheal illness, the mortality and morbidity still remain unacceptably high. This paper reviews recent (mainly from 2013) publications surrounding the global burden of childhood diarrhea and the implications for long-term sequelae.
在全球范围内,儿童期感染性腹泻仍然是一个重大问题。腹泻病对世界上最年轻和最脆弱的公民造成了不成比例的影响。据估计,70%以上的腹泻死亡发生在 24 个月以下的人群中。腹泻和肠病环境也与生长不良和发育迟缓有关。此外,肠道疾病的负担还导致认知和学业损失,从而导致人力资本和经济生产力的损失。尽管在预防和治疗儿童腹泻病方面已经取得了相当大的进展,但死亡率和发病率仍然高得令人无法接受。本文综述了最近(主要是 2013 年以来)有关儿童腹泻全球负担及其对长期后果影响的出版物。