DIARRHEA- A Leading Killer

Diarrhea Kills :

World

http://data.unicef.org/child-health/diarrhoeal-disease

580,000 Children / Year

125,000 Children / Year

World Wide Pakistan

TREATING CHILDHOOD DIARRHEA

TREATMENT Options

Oral Rehydration

Salt

ZINC

Continued Feeding(including Breast Feeding)

Key actions to reduce the

burden of Childhood Diarrhea

WHO UNICEF report 2009

ORS- A life Saving Remedy

WHO and UNICEF has recommended a new ORS formula for treating all types of Diarrhea i.e. Low Osmolarity ORS

Low Osmolarity reduces :Stool Output by 20% Vomiting by 30 %Intravenous Therapy by 33 %

WHO UNICEF report 2009

Clinical Trial 1- Low Osmolarity

Objective :

To compare the safety and efficacy of Low and Standard ORS in 190 patients aged 1 to 24 months

ResultStool out put is reduced by 36 % in low osmolarity Vomiting is significantly lower in reduced osmolarity

groupRisk of treatment failure is increased in standard ORS

Ref: J.Pediatr. 1996 Jan; 128 (1): 45-51

ZINC – Critical to Diarrhea Treatment

ZINC stores depleted during diarrhea and supplementations as apart of treatment is critical for replenishing the body reserves

Helping Children to recover from illness and stay healthy

WHO UNICEF report 2009

IMPORTANCE OF ZINCAccording to WHO

Zinc supplementation reduce the duration and severity of diarrheal episodes for 2–3 months

According to World Gastroenterology Organization:

ZINC reduces the Incidence of Diarrhea for 3 months

Effectiveness and Efficacy of Zinc for the treatment of Acute Diarrhea in young children

Duration of Diarrhea Stool Frequency

47%

18.8%

 ZINC reduces the duration of Diarrhea and Frequency of stool

over placebo

Ref: Pediatrics 2000 May, Pediatrics 2008 Feb

REDUCTION in deaths

From 2000- 2013 death toll reduced by more than 50%

By Using :

ORS (low) and ZINC

http://data.unicef.org/child-health/diarrhoeal-disease

Zinc intake during the acute phase of severe Pneumonia decreases its Duration & Severity

Zinc decreases susceptibility to Acute Lower RTI and treatment failure rates

According to WHO /UNICEF

ZINC in Pneumonia

A Renewed Call to Action

ZINC and Low Osmolarity An International Priority

WHO DOSAGE RECOMMENDATION OFZINC

Younger than six months10 mg per (2.5 ml) day for 10–14 days

Children older than six months20 mg ( 5ml) per day for 10-14 days

REF : WHO Zinc supplementation in the management of diarrhea

Recommended Dietary Allowances

AGE MALE FEMALE PREGNANCY LACTATION

0-6 months 2mg * 2mg *

7-12 months 3 mg 3 mg

1-3 years 3 mg 3 mg

4-8 years 5 mg 5 mg

9-13 years 8 mg 8 mg

14-18 years 11 mg 9 mg 12 mg 13 mg

19+ years 11 mg 8 mg 11 mg 12 mg

* Adequate Intake ( AI)

FOOD SOURCES OF ZINC Chickpeas ( 1 ounce )

FRUITS ( 8 ounce)

( Dried Apricots, Banana, Raspberries, dates)

Almonds( 1 ounce)

Milk low fat ( 1 cup)

Yogurt ( 8 ounce)

Oatmeal prepared in water ( 1 packet)

Chicken Breast roasted ( ½ breast)