Dunnigan M G, McIntosh W B, Sutherland G R, Gardee R, Glekin B, Ford J A, Robertson I
Br Med J (Clin Res Ed). 1981 Jan 31;282(6261):357-60. doi: 10.1136/bmj.282.6261.357.
Evidence of continuing hospital admissions of patients with Asian rickets and osteomalacia led to a further attempt to provide more effective preventive measures for the Glasgow Asian community. Dose-response studies showed that the equivalent of 10 microgram of vitamin D daily would provide effective prophylaxis, and a general practice survey showed that self-administered vitamin D supplements would reduce the prevalence and severity of Asian rickets. A multidisciplinary working group devised a preventive campaign based on the free issue of vitamin D supplements on demand to children who required them. Supported by a health education programme for community health personnel and the Asian community, the first 16 months of the campaign produced an eight-fold rise in the issue of supplements to older Asian children and a 33% increase in their issue to infants of all ethnic groups. Because more children are receiving vitamin D supplementation the campaign seems likely to reduce the prevalence of Asian rickets in Glasgow.
持续有亚洲儿童患佝偻病和骨软化症而住院的情况，这促使人们进一步努力为格拉斯哥的亚洲社区提供更有效的预防措施。剂量反应研究表明，每日补充相当于10微克的维生素D可提供有效的预防作用，一项全科医疗调查显示，自行服用维生素D补充剂可降低亚洲儿童佝偻病的发病率和严重程度。一个多学科工作小组设计了一项预防活动，根据需要为有需求的儿童免费发放维生素D补充剂。在针对社区卫生人员和亚洲社区的健康教育计划的支持下，该活动开展的头16个月里，向年长亚洲儿童发放的补充剂增加了八倍，向所有种族婴儿发放的补充剂增加了33%。由于有更多儿童正在接受维生素D补充，该活动似乎有可能降低格拉斯哥亚洲儿童佝偻病的发病率。
