FPC: global health in children Flashcards

(31 cards)

1
Q

What is the under 5 mortality rate?

A

37 children per 1,000 live births

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2
Q

What can the under 5 mortality rate reveal?

A

The state of the nation’s children and how a country is doing from a socioeconomic standpoint

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3
Q

Where is child mortality highest?

A

Sub Saharan Africa

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4
Q

How does the US compare to other wealthy countries in terms of childhood deaths?

A

We have a higher infant mortality rate and 15–19-year mortality rate due to firearms and car accidents

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5
Q

What is the most common cause of mortality globally?

A

Pneumonia/acute respiratory infection

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6
Q

What is true of kids dying from ARIs?

A

They are usually underweight, have micronutrient deficiencies, and suboptimal prevention and treatment options (vaccines, timely care, etc)

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7
Q

What are barriers to managing ARIs in lower income countries?

A

Access to healthcare, healthcare worker shortages, lack of diagnostic tools delaying diagnosis, limited therapy availabilities (ie medications), high costs of treatment

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8
Q

How can we prevent ARIs in kids?

A

Vaccines, breastfeeding, sanitation/hygiene, timely care

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9
Q

What is the most common cause of neonatal death?

A

Prematurity

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10
Q

How can we reduce perinatal deaths?

A

Quality prenatal care, skilled birth attendants, availability of emergency care, prevention and treatment of infection, encouraging skin-to-skin contact

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11
Q

What has led to decrease in death from diarrheal diseases?

A

Oral rehydration solution

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12
Q

How is diarrheal disease managed?

A

Oral rehydration solution, continued feeding, improved female education, zinc supplementation

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13
Q

What does zinc supplementation do in diarrheal disease?

A

Reduce duration of diarrhea and stool volume

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14
Q

What is the most prevalent form of malnutrition?

A

Protein energy malnutrition

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15
Q

Describe protein energy malnutrition.

A

Ranges from stunting and being underweight to kwashiorkor and marasmus

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16
Q

What is childhood stunting?

A

A chronic form of malnutrition that causes kids to be too short for their age group and improper brain development leading to poor learning. This is due to insufficient calories and micronutrients like minerals and vitamins

17
Q

Where are rates of childhood stunting largest?

A

Africa and Asia

18
Q

What is kwashiorkor?

A

Severe protein energy malnutrition often associated with preceded infection that leads to low albumin, muscle wasting skin lesions, enlarged fatty liver, and apathy

19
Q

What is marasmus?

A

Severe protein energy malnutrition characterized by calorie deficiency that causes significantly lowered body mass, irritability chronic diarrhea, and wasted appearance

20
Q

How long is exclusive breastfeeding recommended?

21
Q

How long is breastfeeding in general recommended for?

A

Up to 2 years

22
Q

What is one of the most infectious preventable diseases?

23
Q

What has happened to vaccine coverage over time?

A

It has fallen slightly, likely due to COVID

24
Q

Describe the current presence of poliovirus.

A

It mostly impacts kids under 5 and endemically occurs in Afghanistan and Pakistan.

25
What causes most current cases of polio?
The live attenuated vaccine
26
What is an extreme outcome of polio?
Irreversible paralysis
27
What tends to cause death in measles?
Encephalitis, pneumonia, diarrhea and dehydration
28
Who is more likely to get a severe measles case?
Kids with a vitamin A deficiency
29
Who is likely to get neonatal tetanus?
Those in rural areas with home deliveries and inadequately sterilized equipment
30
How do we prevent neonatal tetanus?
Vaccination of the mother! Can get a tetanus booster while pregnant to reduce neonatal tetanus
31
What parasite is most responsible for childhood death?
Plasmodium falciparum (malaria)