American Journal of Epidemiology Vol. 115, No. 3: 315-324
Copyright © 1982 by The Johns Hopkins University School of Hygiene and Public Health
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LONGITUDINAL STUDIES OF INFECTIOUS DISEASES AND PHYSICAL GROWTH OF CHILDREN IN RURAL BANGLADESH
II. INCIDENCE OF DIARRHEA AND ASSOCIATION WITH KNOWN PATHOGENS
1 International Centre for Diarrhoeal Diseases Research Bangladesh, Dacca, Bangladesh
2 Center for Vaccine Development, Division of Infectious Diseases, U of Maryland School of Medicine 29 S. Greene St, Baltimore, MD 21201
3 Division of Geographic Medicine, Department of Medicine, and Gastroenterology and Nutrition Unit, Department of Pediatrics, Johns Hopkins U. School of Medicine, and Division of Human Nutrition, Department of International Health, Johns Hopkins U. School of Hygiene and Public Health Baltimore, MD
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Longitudinal studies were done in two villages in rural Bangladesh to learn more about the interactions between infectious diseases and the nutritional status of children. Diarrheal diseases, identified by surveillance of 197 children aged 2–60 months, were studied for bacterial, viral and parasitic enteropathogens in 1978–1979. The annual incidence of diarrhea was highest in children aged 2–11 months, and declined progressively with age from seven to four episodes per child per year. An enteropathogen was identified from rectal cultures taken during diarrhea in 51% of episodes and from 6% of monthly cultures taken when diarrhea was not present. Enterotoxigenic Escherichia coli were the pathogens found most frequently, followed by shigellae and rotaviruses. Diarrheal episodes associated with shigellae had the longest duration, while episodes associated with Vibrio cholerae or with rotavirus were more frequently associated with dehydration. E. coli diarrhea had a peak incidence during the hot months, and shigellosis was more frequent during the cool, dry months.
cholera; diarrhea; diarrhea; infantile; dysentery; bacillary; Escherichia coli; malnutrition; rotavirus; Shigella
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