Tulloch J, Richards L
Division of Diarrhoeal and Acute Respiratory Disease Control, World Health Organization, Geneva, Switzerland.
Med J Aust. 1993 Jul 5;159(1):46-51. doi: 10.5694/j.1326-5377.1993.tb137705.x.
In 1990 childhood diarrhoea and acute respiratory infections together accounted for 7.5 million deaths of children younger than five years of age in developing countries. To decrease mortality and treatment costs associated with these illnesses, the World Health Organization has developed standard diagnostic and treatment procedures for health staff, and is working on strategies for disease prevention. Immunisation against measles, adequate nutrition, including exclusive breastfeeding for the first four to six months, and improved water supplies and sanitation are the most important preventive measures. The 1990 World Summit for Children has set goals of a 50% reduction in childhood mortality from diarrhoea and a 33% reduction in mortality from acute respiratory diseases by the year 2000. These goals can be achieved by political commitment and a major investment of resources, but sustained support for these efforts from the medical professions is crucial.
1990年,在发展中国家,儿童腹泻和急性呼吸道感染加在一起导致了750万5岁以下儿童死亡。为降低与这些疾病相关的死亡率和治疗成本,世界卫生组织为卫生工作人员制定了标准的诊断和治疗程序,并正在研究疾病预防策略。麻疹免疫、充足的营养(包括头四至六个月纯母乳喂养)以及改善供水和卫生条件是最重要的预防措施。1990年世界儿童问题首脑会议设定了到2000年将儿童腹泻死亡率降低50%以及将急性呼吸道疾病死亡率降低33%的目标。这些目标可通过政治承诺和大量资源投入来实现,但医学界对这些努力的持续支持至关重要。