Prévenir et combattre l' anémie ferriprive dans le cadre des soins de santé primaire : guide à l' usage des administrateurs de la santé et des responsables de programme / E. M. DeMaeyer, avec la collaboration de P. Dallman ... [et al.] / Preventing and controlling iron deficiency anaemia through primary health care : a guide for health administrators and programme managers

Cet ouvrage fait le point sur l'ensemble des aspects techniques et pratiques à prendre en considération pour l'élaboration de stratégies directes, efficaces et de faible coût destinées à lutter contre l'anémie ferriprive. Notant que cette affection touche plus de 700 millions de personnes dans le monde, les auteurs se sont efforcés de montrer comment les nouvelles connaissances sur les moyens techniques de prévention et de lutte pouvaient être utilisées pour atteindre le plus grand nombre possible de personnes au moindre coût. Tout au long de cette étude, l'accent est mis sur les problèmes et les écueils dont il faut tenir compte, notamment dans les pays en développement, pour choisir les mesures de lutte les plus appropriées

Preventing and controlling iron deficiency anaemia through primary health care : a guide for health administrators and programme managers / E. M. DeMaeyer, with the collaboration of P. Dallman ... [et al.] / Prévenir et combattre l' anémie ferriprive dans le cadre des soins de santé primaire : guide à l' usage des administrateurs de la santé et des responsables de programme

A guide to the full range of technical and practical considerations required for the design of direct, inexpensive, and effective strategies to combat iron deficiency anaemia. Noting that this condition impairs the lives of over 700 million persons worldwide, the book makes a special effort to show how new knowledge about the technical means for prevention and control can be used to reach the largest numbers at the lowest possible costs. Throughout, emphasis is placed on problems and pitfalls, particularly in developing countries, that need to be considered when selecting the most appropriate measures for control. The opening chapters provide essential background information about the complex causes of iron deficiency anaemia, the many factors that influence its etiology, and the corresponding implications for assessment and treatment. A chapter devoted to etiology and epidemiology includes a thorough explanation of iron requirements, intake, and bioavailability useful in understanding why some individuals are at greater risk than others. Details range from a table indicating recommended daily iron intakes to examples of dietary combinations, commonly found in developing countries, that either enhance or inhibit iron absorption. Against this background, the book turns to the practical problems of assessment, treatment, and prevention. A chapter concerned with anaemia screening and the detection of iron deficiency critically compares available laboratory tests, pointing out advantages and drawbacks likely to be encountered under field conditions in developing countries. Readers are then given detailed information on treatment options using iron tablets, liquid preparations, or tablets including folate or ascorbic acid, on he recommended dosage and duration of therapy, and on side-effects associated with specific preparations and known to cause poor compliance. Information on prevention concentrates on four basic approaches involving supplementation with medicinal iron, education and associated measures to increase dietary iron intake, the control of parasitic and other infections, and the fortification of a staple food with iron. The book concludes with a discussion of the costs and benefits of prevention and a guide to the components, goals, and logistics of an anaemia control programme

Anaemia in the Caribbean

Low haemoglobin levels, due mainly to iron deficiency, are found throughout the member countries of the CFNI particularly among pre-school age children and pregnant women. Low household dietary intakes of iron are found, with the main dietary iron sources being from cereals or brown sugar. The significance of these findings are discussed and existing programmes to combat excessive anaemia outlined in relation to supplementation of diets, fortification of foods and nutrition education. The use of the specific gravity method in monitering haemoglobins in Jamaica is described. The considerations that should determine and then control the ill-effects due to anaemia are discussed in relation to recent recommendations of WHO and the International Anaemia Consultative Group. (summary)

Nutritional anemia in the English-speaking Caribbean and Suriname

Anemia is a problem in all countries of the English-speaking Caribbean where data is available. It affects mostly preschool age children and pregnant and lactating women. The most common cause is a deficiency of iron. This is probably due to an inadequate intake with a low absorption. A deficiency of folate is probably a responsible factor in the pathogenesis of some of the anemias. Anemias associated with parasitic infestations such as hookworm and whipworm and hemoglobinopathies such as sickle cell anemia are also noted. (AU)

Nutrient-cost nomogram: an appropriate technology

The nutrient-cost concept is important in food and nutrition planning and applied nutrition programs. There is a need to develop a simple and quick method of calculating nutrient-cost values. A nomogram, which provides a new technology, has been devised to do this. The use of the nomogram and its theoretical basis are described (AU)

Nutritional and diarrhoeal diseases

This paper reviews the available evidence of the effect of malnutrition on morbidity and mortality due to diarrhoeal diseases and, more particularly, the effect of diarrhoeal diseases on nutritional status and looks at some of the intervention programmes and their implications for our own region

A survey of the anemia status of pre-school age children, pregnant and lactating women in Jamaica (revised)

An island-wide anemia survey was conducted in Jamaica on pregnant and lactating women and pre-school age children. The results indicate that anemia is a serious public health problem in Jamaica. Sixty one point six percent of pregnant women had hemoglobin levels below 11.0 g/dl. Fifty-eight point seven percent of lactating women had hemoglobin levels below 12.0 g/dl. Sixty-nine point one percent of pre-school age children had hemoglobin levels below 11.0 g/dl. Public health and fortification programs for the control of anemia have been implemented by the government and are currently being reviewed