Malnutrition and impaired immune response to infection.

The cycle of events which leads to an impairment of the immune response in the malnourished child includes poverty, food deprivation and frequent infections. It is of great significance, however, that the marked suppression of the immune response can be repaired reasonably promptly, if the disease commences after the child has attained 1 year of age. Prenatal infection not only generates growth retardation but also a higher maternal to foetal IgG ratio, higher IgM in the neonate and a sustained immune depression. Passive cutaneous anaphylaxis measurements in the baboon skin and specific IgE determinations reveal that the elevated IgE in PEM is due to parasitic infestation and common allergens and has little or no relationship with decreased T-cell function.