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Early child health in Lahore, Pakistan: VI. Morbidity
1Department of Social and Preventive Paediatrics, King Edward Medical College, Lahore, Pakistan.
Insights
Infections caused most infant illness in Lahore, Pakistan, with diarrheal diseases and acute respiratory infections (ARI) being most common. Poorer areas and younger infants faced higher risks, highlighting the need for targeted health interventions.
Area of Science:
- Pediatric Epidemiology
- Public Health
- Infectious Diseases
Background:
- Infant morbidity patterns require detailed study in diverse socio-economic settings.
- Understanding disease prevalence is crucial for effective public health planning.
Purpose of the Study:
- To analyze morbidity patterns in infants based on age, living area, sex, and season.
- To identify key causes of infant illness in Lahore, Pakistan.
Main Methods:
- Monthly follow-up of 1476 infants born between 1984-1987.
- Data collection across four socio-economically distinct areas in Lahore.
- Categorization of morbidity by disease type, age, location, and season.
Main Results:
- Infections accounted for 87% of morbidity in the first two years.
- Diarrheal diseases (30.3%) and acute respiratory infections (ARI) (22.4%) were predominant.
- Higher incidence of diarrhea, ARI, and skin/eye infections observed in younger infants and poorer areas.
Conclusions:
- Preventable infections pose a significant burden on infant health in Lahore.
- Socio-economic disparities and seasonality influence disease patterns.
- Strategic public health interventions are essential to reduce infant morbidity.
Abstract:
Morbidity patterns were studied according to the age, area of living, sex and season among 1476 monthly followed infants born during 1984-1987 in four socio-economically different areas in Lahore, Pakistan. Infections were responsible for 87.0% of the morbidity during the first two years of life. The overall monthly based morbidity was 77.0% between birth and 24 months of age; diarrhoeal diseases 30.3%, upper and lower acute respiratory tract infections (ARI) 22.4%, skin and eye infections 6.7% and skin rash 6.2%. The vaccine-preventable diseases were only 0.5% of the total. Anaemia and rickets were rare (2.0%), but commonly seen among the nutritional deficiencies. Diarrhoea, tetanus, septicaemia, ARI and infections of the skin and eyes were reported more during earlier ages and from the three poorer areas of living. Diarrhoeal diseases, respiratory tract, skin and eye infections, in particular, followed clear seasonal patterns, while scabies prevailed throughout the year. The presence of these many preventable infections and illnesses implies that proper planning of interventions must be forthcoming.
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