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Published on: August 22, 2012
Diarrhoea among Vietnamese refugees in the Philippines
Insights
Diarrhoea significantly impacted Vietnamese refugee children, causing 32.5% of pediatric visits. Bacterial pathogens were uncommon, suggesting viruses and poor sanitation are key factors in this vulnerable population.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Diarrhoea is a major health concern in refugee settings.
- Vietnamese refugee camps faced significant pediatric consultations due to diarrhoeal diseases.
Purpose of the Study:
- To investigate the incidence, clinical presentation, and etiology of diarrhoea in Vietnamese refugee camp children.
- To identify contributing factors to diarrhoeal disease outbreaks in this population.
Main Methods:
- A 6-month survey of diarrhoeal cases in Vietnamese refugee camp children.
- Laboratory work-up for 120 identified cases.
- Analysis of incidence peaks, clinical symptoms, and identified pathogens.
Main Results:
- Diarrhoea accounted for 32.5% of pediatric consultations, peaking in children aged 4-6 years.
- Peak incidence occurred in April and June, coinciding with increased transient populations and the rainy season.
- Bacterial pathogens were identified in only 8.3% of cases, with enteropathogenic E. coli being most common. Viral agents are suspected as a major cause.
Conclusions:
- Bacterial pathogens are not the primary cause of diarrhoea in this population; viral agents likely play a significant role.
- Inadequate environmental sanitation and limited health education are major contributing factors to the high incidence of diarrhoea.
- Interventions should focus on improving sanitation and health education to reduce diarrhoeal disease burden.
Abstract:
A 6-month survey of diarrhoeas in Vietnamese refugee camp children was carried out and was responsible for 32.5% of pediatric consultations. One hundred twenty cases were studied and underwent laboratory work-up. Peak incidence was in the 4-6 years. Diarrhoea was observed to be at its peak in April and June which coincides with the increase in the number of transients and with the rainy season. Diarrhoea with fever and abdominal pain were the most prominent clinical symptoms. Only 8.3% grew bacterial pathogens' enteropathogenic E. coli being the most common followed by Staphylococcus aureus. It is apparent that a causative agent other than a bacterial pathogen such as a virus may play a major role in diarrhoeas in Vietnamese refugee infants and children. The lack of environmental sanitation and health education play a major role in the causation of diarrhoea in these refugee children.
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