Journal Article

Burden of Illness in the First 3 Years of Life in an Indian Slum

Beryl P. Gladstone, Ashima R. Das, Andrea M. Rehman, Shabbar Jaffar, Mary K. Estes, Jayaprakash Muliyil, Gagandeep Kang and Anuradha Bose

in Journal of Tropical Pediatrics

Volume 56, issue 4, pages 221-226
Published in print August 2010 | ISSN: 0142-6338
Published online December 2009 | e-ISSN: 1465-3664 | DOI:
Burden of Illness in the First 3 Years of Life in an Indian Slum

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The morbidity and mortality in a cohort of 452 children followed up from birth up to 3 years of age, in an urban slum in India, is described. These children were recruited and followed from March 2002 to September 2006. A prospective morbidity survey was established. There were 1162 child-years of follow-up. The average morbidity rate was 11.26 episodes/child-year. Respiratory infections caused 58.3 and diarrheal disease 18.4% of the illnesses. Respiratory illnesses resulted in 48, 67.5 and 50 days of illnesses, and there were 3.6, 1.64 and 1.16 diarrheal episodes per child in the 3 years, respectively. There were five deaths in the cohort in the 3 years of follow-up. Of the 77 drop-outs 44 were contacted for mortality data. The morbidity in the area is high, comparable to other studies. The mortality is low, and is attributed to the facilitated access to care.

Keywords: childhood morbidity; acute respiratory infections; India

Journal Article.  2670 words. 

Subjects: Paediatrics

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