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  • Title: Food and water hygiene and diarrhoea in young Gambian children: a limited case control study.
    Author: Lloyd-Evans N, Pickering HA, Goh SG, Rowland MG.
    Journal: Trans R Soc Trop Med Hyg; 1984; 78(2):209-11. PubMed ID: 6380015.
    Abstract:
    During the annual rainy season epidemic of diarrhoea in The Gambia, two groups of urban children were identified, one of which remained completely free of diarrhoea and another in which diarrhoeal prevalence exceed 30% over a period of three months. Microbiological studies on the food and water consumed by these children during one day showed widely varying degrees of contamination in both groups. No difference was observed in levels of contamination, faecal or otherwise, between the two groups. The real problem seemed to lie in accounting for the freedom from diarrhoea of some children rather than explaining possible causes of morbidity in others. During the annual rainy season epidemic of diarrhea in the Gambia, 2 groups of urban children were identified, 1 of which remained completely free of diarrhea and another in which diarrheal prevalence exceeded 30% over a period of 3 months. Microbiological studies on the food and water consumed by these children during 1 day showed widely varying degrees of contramination in both groups. No difference was observed in levels of contamination, fecal or otherwise, between the 2 groups. The real problem seems to lie in accounting for the freedom from diarrhea seen in some children rather than in explaining the possibel causes of morbidity in others.
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