Epidemiological factors in acute infectious infantile diarrhoea in Cape Town.
The results of a year-long prospective study of the epidemiological factors associated with acute infectious infantile diarrhoea in Cape Town are reported. Many coloured infants had a low birth weight, which was a risk factor for subsequent malnutrition. The parents were young, often unmarried, had 1-3 children and below average living conditions. However, coloured parents were better educated and had smaller families than their black counterparts. The incidence of breast-feeding was low, especially in the coloured population group. Black families originated from a largely migrant population and generally came from a squalid environment and had a higher incidence of sibling deaths. A hypothesis is advanced: coloured infants with infectious diarrhoea come from a deprived subgroup of their community while black patients come from a society that is generally disadvantaged and impoverished. In both groups financial pressures exacerbate the situation. Priorities are an improvement in living conditions--particularly for the black community--and the promotion of breast-feeding among coloured mothers. Oral rehydration programmes are advocated for both groups.
Househam
K C
KC
Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, Cape Town.
Bowie
M D
MD
D001741:Black or African American; D001724:Birth Weight; D044383:Black People; D003968:Diarrhea, Infantile / Q000453:epidemiology*; D004522:Educational Status; D004651:Employment; D005190:Family; D006798:Housing; D006801:Humans; D007182:Income; D007223:Infant; D008393:Marriage; D010290:Parents; D012959:Socioeconomic Factors; D013019:South Africa; D014886:Weaning