Profil des membres
Dr. Marisol Garzon
Organisation:
Instituto de Medicina Tropical
Pays:
Portugal
Domaine(s) de spécialisation
I am working on:
I am a PhD stundent and I am working in Africa in malnutrition and environment enteropathy
Dr. Marisol Garzon
Thank you very much for you invitation to this open discussion.
I am a PhD student from Institute of Tropical Medicine and Hygiene and I have been working in malnutrition and environmental enteropathy in infants from São Tomé -Africa (STP). I want to share two comments to the first question:
About undernutrition, despite of the overall picture has improved , there is still a high percentage of children in mild forms of undernutrition ( -2Priya Bhagowalia, in Economics and Human Biology 9 (2011) 66–77).
In a previous study in preschool children from STP, the proportion of children with mild forms was almost twice over moderate and severe forms for underweight and stunting. ( Abstract in: Special Issue: Abstracts of the8th European Congresso n Tropical Medicine and International Health. Tropical Medicine and International Health. Volume 8 , Isusue supplemnet s1. pages 1-250).
onlinelibrary.wiley.com/doi/10.1111/tmi.2013.18.issue-s1/issuetoc.
For these reasons , I think that mild forms of undernutrition should be included as an important part of the picture, that deserve a careful approach.
Another comment is to consider the "environmental enteropathy " into the vicious cycle of malnutrition, taking account that this pathology is the result of poor environmental sanitation with ingestion of water and food contaminated , multiple enteric infections which lead to inflammatory changes and disarrangement of intestinal barrier and malabsorption. Thus, the sanitation authorities should be an important part of this framework.
Best regards,
Marisol Garzon.
PhD student
Instituto de Higiene e Medicina Tropical-Lisboa.(IHTM)