SlideShare ist ein Scribd-Unternehmen logo
1 von 133
Downloaden Sie, um offline zu lesen
SANITATION VS VACCINATION
Researched by: Antonio Bernard
Nutrition & Infectious
Diseases
“The important role
of nutritional deficiency as a
contributor to childhood mortality
particularly from infectious
disease, as a conditioning factor
in the complex mosaic of many
diseases, and as a hurdle to
socioeconomic advancement,
is widely recognized. ”
-— “Nutrition, Immunity, and Infection. Mechanisms of
Interactions. Authors: Chandra, R. K., Newberne, pages. 1-2
Nutrition & Infectious
Diseases
“Improvements in nutrition,
together with better hygiene and
immunization,Improvements in
nutrition, together with better
hygiene and immunization, can take
most of the credit for decreasing
death rate from infectious disease
and for the longer expectation of life
in industrialized countries. ”
-— “Nutrition, Immunity, and Infection. Mechanisms of
Interactions. Authors: Chandra, R. K., Newberne, pages. 1-2
Nutrition & Infectious
Diseases
“This change in the
mortality pattern came before
the development of antibiotics
and modern medical
techniques. ”
-— “Nutrition, Immunity, and Infection. Mechanisms of
Interactions. Authors: Chandra, R. K., Newberne, pages. 1-2
Nutrition & Infectious
Diseases
“Clinicians have long observed
that undernutrition predisposes the
host to the risk of acquired infection
and that the course, frequency of
complications, severity, and mortality
of the infectious illness are
augmented. It is likely that this is
the result, in part, of impaired
immunocompetence secondary to
nutritional deficiency. ”
-— “Nutrition, Immunity, and Infection. Mechanisms of
Interactions. Authors: Chandra, R. K., Newberne, pages. 1-2
Nutrition & Infectious
Diseases
“Infection in turn frequently
worsens the nutritional status,
often precipitating overt
symptoms and signs, and
causes immunosuppression.
A variety of complex pathogenetic
mechanisms probably underlie
these multi cornered interaction”
-— “Nutrition, Immunity, and Infection. Mechanisms of
Interactions. Authors: Chandra, R. K., Newberne, pages. 1-2
Nutrition & Infectious
Diseases
“ In most industrialized
countries, economic affluence,
availability of food in sufficient
amounts, immunizations, and
improvement in sanitation have
led to the decline of malnutrition
as well as infectious illnesses.”
-— “Nutrition, Immunity, and Infection. Mechanisms of
Interactions. Authors: Chandra, R. K., Newberne, pages. 1-2
Nutrition & Infectious
Diseases
“ In the economically less
privileged nations, however, the
opportunities for combined mutually
aggravating effects of undernutrition
and infection continue to prevail
and to pose a threat to the health
of the majority of their popUlations,
most particularly young children
under 5 years of age.”
-— “Nutrition, Immunity, and Infection. Mechanisms of
Interactions. Authors: Chandra, R. K., Newberne, pages. 1-2
Nutrition & Public
Health
“ Nutrition and immunity
have been linked to each other
for centuries. In the last decade,
systematic studies have confirmed
that nutrient deficiencies can alter
the immune response and lead to
a higher incidence of infections
resulting in increased mortality,
especially in children. ”
-— “Handbook of Nutrition and Immunity”, by
ME Gershwin, P Nestel, and CL Keen, pages. 2
Nutrition & Public
Health
“ The interactions
between nutrition and the
immune system have clinical,
practical, and public health
importance.”
-— “Handbook of Nutrition and Immunity”, by
ME Gershwin, P Nestel, and CL Keen, pages. 2
PLANT-BASED
NUTRITION
“Grains, fruits, nuts, and
vegetables constitute the diet
chosen for us by our Creator. These
foods, prepared in as simple and
natural a manner as possible, are the
most healthful and nourishing. They
impart a strength, a power of
endurance, and a vigor of intellect,
that are not afforded by a more
complex and stimulating diet.”
-page 363
PLANT-BASED
NUTRITION
“In grains, fruit, vegetables, and
nuts are to be found all the food
elements that we need. If we will
come to the Lord in simplicity of
mind, He will teach us how to
prepare wholesome food free from
the taint of flesh meat.”
-page 363
PLANT-BASED
NUTRITION
“Those who eat flesh are but
eating grains and vegetables at
second hand; for the animal receives
from these things the nutrition that
produces growth. The life that was in
the grains and vegetables passes into
the eater. We receive it by eating the
flesh of the animal. How much better
to get it direct, by eating the food that
God provided for our use!”
-page 313
Nutrition & Infection
“It is difficult to believe that
as recently as the 1950s the
relationship between nutrition and
infection was unrecognized
except for limited references to
tuberculosis. With only minor
exceptions, the textbooks on
nutrition made no reference to
infection, and those on infectious
disease were similarly lacking
mention of nutrition.”
-— “Nutrition, Immunity and Infection” ,Prakash Shetty, page xi
Nutrition & Infection
“The relationship first
received attention as a result of
the recognition in the 1950s that
kwashiorkor, then common in
almost all developing countries,
was precipitated by infections in
young children whose diets were
already inadequate.”
-— “Nutrition, Immunity and Infection” ,Prakash Shetty, page xi
Vitamin A
“Vitamin A and its
metabolites (retinoic acid) are
able to contribute to a variety of
immune responses such as
antibody production; cytokine
production; lymphocyte
proliferative responses; T-cell
effector functions; tumoricidal
activation of macrophages, NK
cells, and T cells; and mucosal
immunity.”
-— Maryam Mahmoudi , Nima Rezaei ,”Nutrition and Immunity”, page 6
Vitamin A
“Vitamin A is believed to be the
major anti-infective vitamin. Its
deiciency – which is supposed to
be a serious immunodeiciency
condition – breaks down resistance
against infectious diseases that
would bring high mortality and
morbidity. Moreover, maternal
vitamin A deficiency is known to
predispose to a higher mother-to-
child transmission of HIV-1.”
-— Maryam Mahmoudi , Nima Rezaei ,”Nutrition and Immunity”, page 6
Vitamin A
“Supplementation with
vitamin A is a cost-effective
technique to promote immune
system functioning in response to
vaccines (tetanus and diphtheria
toxoids and measles) and
infections.”
-— Maryam Mahmoudi , Nima Rezaei ,”Nutrition and Immunity”, page 6
Measles
“Measles is a viral infection
that is responsible for high
mortality among children in
developing countries, and is also
an important infective episode that
precipitates severe undernutrition
in children. This infection has a
profound effect on the child’s
appetite and food intake is
depressed for several weeks.”
-— “Nutrition, Immunity and Infection” ,Prakash Shetty, page 66
Measles
“The high fever and the
accompanying lesions in the
buccal mucosa contribute to the
severe loss of appetite. In some
societies, this is compounded by
the belief that withholding of food
is necessary during a period of
acute illness.”
-— “Nutrition, Immunity and Infection” ,Prakash Shetty, page 66
Measles
“There is also damage to the
mucosa of the small intestine, and
if a secondary infection occurs
during a measles episode, this
could further damage the
intestinal mucosa.”
-— “Nutrition, Immunity and Infection” ,Prakash Shetty, page 66
Measles & Vitamin A
“Measles is often associated
with vitamin A deficiency in
children. Infective episodes,
particularly of severe infections like
measles, affect the vitamin A status
of the child. The general metabolic
response to infection results in a
reduction in plasma retinol, while
urinary excretion of the metabolites
of vitamin A is increased.”
-— “Nutrition, Immunity and Infection” ,Prakash Shetty, page 66
Measles & Vitamin A
“There is a decrease in synthesis
of retinol-binding protein (RBP) – the
carrier protein for retinol – by the
liver, and a temporary reduction in
vitamin A absorption may also occur.
The damage that the measles virus
inflicts on epithelial surfaces such as
the conjunctiva and other mucosal
surfaces increases the requirement
for vitamin A to help in the repair of
these tissues.”
-— “Nutrition, Immunity and Infection” ,Prakash Shetty, page 66
Measles & Vitamin A
“Thus, measles infection not
only predisposes to general
undernutrition, but can also
specifically precipitate vitamin A
deficiency. This explains why a
combination of measles and
vitamin A deficiency is the
commonest cause of blindness in
children in parts of Africa.”
-— “Nutrition, Immunity and Infection” ,Prakash Shetty, page 66
RESULTS: “Cost effectiveness ratios clustered in three groups,
with fortification with zinc or vitamin A as the most cost-effective
intervention, and provision of supplementary food and counselling on
nutrition as the least cost effective. Between these were oral rehydration
therapy, case management of pneumonia, vitamin A or zinc
supplementation, and measles immunisation.”
CONCLUSIONS: “On the grounds of cost effectiveness,
micronutrients and measles immunisation should be provided
routinely to all children, in addition to oral rehydration therapy
and case management of pneumonia for those who are sick. The
challenge of malnutrition is not well addressed by existing
interventions.”
“Taking into account only the mortality impact of
vitamin A, EOS saved 20,200 lives and averted 230,000
DALYs of children 6-59 months.” DALY stands for
Disability Adjusted Life Year, a measure of the number of
years lost due to ill-health, disability or early death.
A 2011 study published in the prestigious British Medical Journal
titled, Vitamin A supplements for preventing mortality, illness, and
blindness in children aged under 5: systematic review and meta-
analysis, found Vitamin A to be a low-cost and effective way to improve
health outcomes in children in low and middle income countries,
especially where access to quality nutrition is limited.
This study was a meta-analysis of other studies and
included 43 trials, with about 215,633 children aged 56 months
to 5 years of age.Incredibly, this study found that vitamin A
supplementation could reduce the incidence of measles
infection by 50% and the death rate from measles by 20%.
Implications for policy: “Vitamin A deficiency is a common
condition that contributes to illness, blindness, and death; supplements
can reduce these problems for children aged under 5 in low and middle
income countries. National and regional supplementation programmes
could be among the world’s most cost effective public health
interventions.”
“ If the risk of death for 190 million children deficient in
vitamin A were reduced by 24%, estimates from 2008 suggest
that over 600,000 lives could be saved each year and 20 million
disability adjusted life years would be gained.”
Discussion: “Comparable with previous reviews, this review shows
that vitamin A supplementation is associated with large and important
reductions in mortality for children in low and middle income countries. This
adds substantively to previous reviews in providing a plausible pathway and
indicating that vitamin A supplementation reduces the incidence of and
mortality from diarrhoea and measles.”
Conclusions: “Vitamin A supplementation is associated with
large reductions in mortality, morbidity, and vision problems in a range
of settings, and these results cannot be explained by bias. Further
placebo controlled trials of vitamin A supplementation in children
between 6 and 59 months of age are not required.”
“However, there is a need for further studies comparing
different doses and delivery mechanisms (for example,
fortification). Until other sources are available, vitamin A
supplements should be given to all children at risk of deficiency,
particularly in low and middle income countries.”
“Vitamin A supplements should be delivered to children 6–59
months of age twice yearly, during health system contacts. This
should be marked on the child health card, or integrated into other
public health programmes aimed at improving child survival, such as
polio or measles national immunization days, or biannual child health
days delivering a package of interventions such as deworming,
distribution of insecticide-treated mosquito nets and immunizations.”
“Mumps virus (MuV) is a highly infectious paramyxovirus closely
related to measles virus (MeV). ...These results demonstrate that retinoids
inhibit MuV replication in uninfected bystander cells through a retinoid
inducible gene I (RIG-I), retinoic acid receptor (RAR) and IFN dependent
manner making them refractory to subsequent rounds of viral replication.
These observations raise the possibility that pharmacological doses of
retinoids might have clinical benefit in MuV infection.”
“In the last 2 decades, many studies have documented the
beneficial effects of vitamin A supplements on general mortality and/or
morbidity in young children in a wide range of developing countries. In
2000, a meta-analysis of eight studies demonstrated an overall 30%
reduction in infant mortality attributable to vitamin A supplements. A
surprising spin-off from these vitamin A supplementation studies was
the re-discovery that vitamin A ‘treatment’ can significantly decrease the
morbidity and mortality associated with acute MeV infection. ”
“The short series of cases presented is too small to draw any
statistical conclusions, but one fact stands out. Ascorbic acid has a
definite effect in shortening the period of paroxysms from a matter of
weeks to a matter of days. We have not checked by cough plates or
otherwise in this preliminary work to see whether the infectivity subsides
simultaneously with the spasmodic symptoms, but are continuing with a
larger series of cases in which these and other tests will be employed.”
Breastfeeding
and Preventing
Disease
Breastfeeding &
Diseases
“Vaccination at its core is
neither a safe nor an effective
method of disease prevention...
If an infant needs one vaccine
that is 100% safe and effective
—that would be breast milk.’
—Dr. Tetyana Obukhanych, PhD,
immunologist, Harvard graduate
opposite to that of Pasteur’s.
“Lack of breastfeeding—and especially lack of exclusively
breastfeeding during the first half-year of life—are important risk
factors for infant and childhood morbidity and mortality.”
“The greatest and most obvious benefits of breastfeeding
are for the immediate health and survival of the infant. Rates of
diarrhea, respiratory tract infections, otitis media, and other
infections, as well as deaths due to these diseases, are all lower
in breastfed than in non-breastfed infants.”
“ During the first six months, the rates are lower for exclusively
breastfed than for partially breastfed infants. These benefits, resulting
from stronger immunity and reduced exposure to infectious agents, are
greatest in younger infants and where hygiene and sanitation are poor.”
“ However, the research described here also suggests that
these health and survival benefits extend beyond infancy and to
well-off Western populations.”
“ Compared with infants who were breast-fed with no milk
supplements, and after adjusting for confounding variables,
those completely weaned had 14.2 and 3.6 times the risk of death
from diarrhea and respiratory infections, respectively. Cow's and
formula milk seemed to be equally hazardous.”
“Breastfed infants in the United States have lower rates of
morbidity, especially from infectious disease.”
“55% of infant deaths from diarrheal disease and acute
respiratory infections in Latin America are preventable by exclusive
breast feeding among infants aged 0-3 months and partial breast
feeding throughout the remainder of infancy.”
“Among infants aged 0-3 months, 66% of deaths from these
causes are preventable by exclusive breast feeding. Promotion of
breast feeding has an important role in increasing survival of
infants. Exclusive breast feeding of infants aged 0-3 months and
partial breast feeding for the remainder of the first year would
prevent about 52 000 infant deaths a year in Latin America.”
“Exclusive breastfeeding until the age of 4 months and
partially thereafter was associated with a significant reduction of
respiratory and gastrointestinal morbidity in infants. Our findings
support health-policy strategies to promote exclusive
breastfeeding for at least 4 months, but preferably 6 months, in
industrialized countries.”
“In the United States, breastfeeding durations fall far short of
these guidelines.5 In 2005, 74.2% of US infants were breastfed at least
once after delivery, but only 31.5% were exclusively breastfed at age 3
months, and just 11.9% were exclusively breastfed at age 6 months”
“More than 80 percent of U.S. mothers breastfeed their
newborns, a new survey finds, but fewer than a third keep doing so for
the recommended minimum of one year, a new survey finds.”
“Many studies support breastfeeding for as long as possible, and
the American Academy of Pediatrics recommends that babies get
nothing but human breast milk until the age of six months — and that
they continue to breastfeed for at least a year.”
“More than half (51.8 percent) of infants were breastfeeding at six
months,” it added. That's up significantly from just 35 percent of women
in 2000. But then it drops off. “Less than a third (30.7 percent) of infants
were breastfeeding at 12 months,” the CDC said”
“Studies show that babies given nothing but breastmilk for the
first four months of life have a 72 percent lower risk of severe pneumonia
for their first year. If moms stop breastfeeding between four and six
months, their babies have four times the risk of pneumonia compared to
moms who breastfeed for a year or longer.”
The American Academy of Pediatrics recommends that
“Breastfeeding should be continued for at least the first year of life and
beyond for as long as mutually desired by mother and child… Increased
duration of breastfeeding confers significant health and developmental
benefits for the child and the mother… There is no upper limit to the
duration of breastfeeding and no evidence of psychologic or developmental
harm from breastfeeding into the third year of life or longer.”
-What do health authorities say about breastfeeding past the first year?
https://kellymom.com/ages/after12mo/aap-breastfeeding-past-the-first-year/
“The average age at weaning
ranges anywhere from six months
to five years… Claims that
breastfeeding beyond infancy is
harmful to mother or infant have
absolutely no medical or scientific
basis,” says Arthur Eidelman, MD,
president of the Academy of
Breastfeeding Medicine.
-What do health authorities say about breastfeeding past the first year?
https://kellymom.com/ages/after12mo/aap-breastfeeding-past-the-first-year/
“Indeed, the more salient issue is the
damage caused by modern practices of
premature weaning.” The global
organization of physicians further notes
that “Human milk contains nutrients,
antibodies, and immune-modulating
substances that are not present in
infant formula or cow’s milk. Longer
breastfeeding duration is further
associated with reduced maternal
risks of breast cancer, ovarian
cancer, diabetes, hypertension,
obesity, and heart attack.”
“As recommended by the
WHO, breastfeeding should
ideally continue beyond
infancy, but this is not the
cultural norm in the United
States and requires ongoing
support and encouragement.
It has been estimated that a
natural weaning age for
humans is between two
and seven years.”
-What do health authorities say about breastfeeding past the first year?
https://kellymom.com/ages/after12mo/aap-breastfeeding-past-the-first-year/
“Family physicians should
be knowledgeable regarding
the ongoing benefits to the
child of extended
breastfeeding, including
continued immune protection,
better social adjustment, and
having a sustainable food
source in times of
emergency.”
-What do health authorities say about breastfeeding past the first year?
https://kellymom.com/ages/after12mo/aap-breastfeeding-past-the-first-year/
“The longer women breastfeed, the greater the
decrease in their risk of breast cancer. Mothers
who have immigrated from cultures in which
breastfeeding beyond infancy is routine should be
encouraged to continue this tradition. There is no
evidence that extended breastfeeding is harmful
to mother or child. Breastfeeding during a
subsequent pregnancy is not unusual. If the
pregnancy is normal and the mother is healthy,
breastfeeding during pregnancy is the woman’s
personal decision.”
-What do health authorities say about breastfeeding past the first year?
https://kellymom.com/ages/after12mo/aap-breastfeeding-past-the-first-year/
Breastfeeding
Benefits
“The longer women breastfeed,
the greater the decrease in their risk
of breast cancer. Mothers who have
immigrated from cultures in which
breastfeeding beyond infancy is
routine should be encouraged to
continue this tradition. There is
no evidence that extended
breastfeeding is harmful
to mother or child.” 
-What do health authorities say about breastfeeding past
the first year? https://kellymom.com/ages/after12mo/
aap-breastfeeding-past-the-first-year/
“Breastfeeding during a subsequent pregnancy is not unusual.
If the pregnancy is normal and the mother is healthy, breastfeeding
during pregnancy is the woman’s personal decision.”
-What do health authorities say about breastfeeding past the first year? https://kellymom.com/ages/after12mo/aap-breastfeeding-past-the-first-year/
"If the child is younger than two
years, the child is at increased
risk of illness if weaned.
Breastfeeding the nursing child
after delivery of the next child
(tandem nursing) may help provide
a smooth transition psychologically
for the older child."
WEANING
BEFORE AGE 2
-What do health authorities say about breastfeeding past the first year?
https://kellymom.com/ages/after12mo/aap-breastfeeding-past-the-first-year/
“The question of whether
there is an upper limit to the
duration of breastfeeding has
been asked. Data on the
scientific foundation for an age
above which it is inappropriate
or harmful to the child to
continue breastfeeding do not
exist. Nor are there reported
risks to this method of social/
nutritional interactions.”
Breastfeeding Handbook for Physicians, 2nd ed. (pg 20 and 122.)
“Breastfeeding should be
continued, with appropriate
complementary foods, for as
long as the mother and infant
mutually desire. In societies
where children are allowed to
nurse as long as they wish,
they usually self-wean, without
emotional trauma, between 3
and 4 years of age. ”
Breastfeeding Handbook for Physicians, 2nd ed. (pg 20 and 122.)
“Physicians may be
surprised to discover that their
patients are actually nursing
much longer than they believe.
Mothers may fail to disclose
that they are continuing to
nurse an older infant or child
because they perceive that their
physician may not approve of
or support their continued
breastfeeding.”
Breastfeeding Handbook for Physicians, 2nd ed. (pg 20 and 122.)
ANTIBODIES &
THE IMMUNE
SYSTEM
“Human milk in the second year postpartum
contained significantly higher concentrations of
total protein, lactoferrin, lysozyme and
Immunoglobulin A, than milk bank samples, and
significantly lower concentrations of zinc, calcium,
iron and oligosaccharides.”
--Perrin 2016”
“Human milk expressed by mothers
who have been lactating for >1 year
has significantly increased fat and
energy contents, compared with
milk expressed by women who have
been lactating for shorter periods.
During prolonged lactation, the fat
energy contribution of breast milk
to the infant diet might be
significant.”
-—— Mandel 2005”
In a study of 250 toddlers in western
Kenya, breastmilk provided, on
average, 32% of the child’s total
energy intake. “Breast milk made
an important contribution to the
fat and vitamin A intakes of
toddlers in this community.”
-—— — Onyango 2002
“Breast milk continues to
provide substantial
amounts of key nutrients
well beyond the first year
of life, especially protein,
fat, and most vitamins.”
-—— — Dewey 2001”
“Studies done in rural
Bangladesh have shown
that breastmilk continues
to be an important source
of vitamin A in the
second and third year of
life.”-—— — Persson 1998”
“In the second year (12-23 months), 448 mL of breastmilk provides:
◦ 29% of energy requirements
◦ 43% of protein requirements
◦ 36% of calcium requirements
◦ 75% of vitamin A requirements
◦ 76% of folate requirements
◦ 94% of vitamin B12 requirements
◦ 60% of vitamin C requirements”
“ Optimal breastfeeding reduces the risk of child mortality. It is
estimated that, globally, 11.6 percent of deaths of children under 5 years
of age (800,000) are attributable to suboptimal breastfeeding practices. In
fact, promotion of optimal breastfeeding practices is one of the most
effective interventions to prevent deaths for children under 5 worldwide.”
“ In addition, breastfeeding is associated with a reduced risk
of child obesity, may be protective against the development of type-2
diabetes and certain other noncommunicable diseases later in life ,
and is associated with increased years of schooling, improved
cognition, and higher performance on intelligence tests.”
“Not breastfeeding significantly increases an infant’s risk of
illness from infectious diseases. For every additional month of full
breast-feeding, 30.1% of hospitalizations resulting from infection
could have been prevented.”
“ Our experimental intervention increased the duration and
degree (exclusivity) of breastfeeding and decreased the risk of
gastrointestinal tract infection and atopic eczema in the first year
of life. These results provide a solid scientific underpinning for
future interventions to promote breastfeeding.”
“ If breastfeeding did not already exist, someone who
invented it today would deserve a dual Nobel Prize in medicine
and economics. Breastfeeding is a child's first inoculation against
death, disease, and poverty, but also their most enduring
investment in physical, cognitive, and social capacity. ”
“ The scaling up of breastfeeding to a near universal level
could prevent 823,000 annual deaths in children younger than 5
years and 20,000 annual deaths from breast cancer. Recent
epidemiological and biological findings from during the past
decade expand on the known benefits of breastfeeding for
women and children, whether they are rich or poor.”
“ The deaths of 823,000 children and 20,000 mothers each year
could be averted through universal breastfeeding, along with economic
savings of US$300 billion. The Series confirms the benefits of
breastfeeding in fewer infections, increased intelligence, probable
protection against overweight and diabetes, and cancer prevention for
mothers. The Series represents the most in-depth analysis done so far
into the health and economic benefits that breastfeeding can produce. ”
“The greatest and
most obvious benefits of
breastfeeding are for the
immediate health and
survival of the infant.
Rates of diarrhea,
respiratory tract infections,
otitis media, and other
infections, as well as
deaths due to these
diseases, are all lower in
breastfed than in
non-breastfed infants.”
“During the first six
months, the rates are
lower for exclusively
breastfed than for partially
breastfed infants.These
benefits, resulting from
stronger immunity and
reduced exposure to
infectious agents, are
greatest in younger infants
and where hygiene and
sanitation are poor.”
“However, the
research described here
also suggests that these
health and survival
benefits extend beyond
infancy and to well-off
Western populations.”
“ An articulate minority doubts its importance in industrial
nations, and this view has been widely publicized. Coincidentally,
there is evidence that the prevalence of breast-feeding is declining. In
response to these events, some American manufacturers of
proprietary formulas have begun advertising directly to consumers,
rather than marketing their products through health professionals. ”
“ The resulting furor has generated a good deal of rhetoric from both
professionals and manufacturers. Is breast-feeding "worth the bother"?
The epidemiologic evidence is strongly affirmative. Important protection
against gastrointestinal infections in every setting has been confirmed and
reconfirmed; most clinicians now accept such observations. ”
“ Many clinicians, however, are surprised to learn that breast-
feeding is associated with significant reductions in non-gastrointestinal
infections, including pneumonia, bacteremia, and meningitis, and with a
reduced frequency of certain chronic diseases later in life. ”
“ Infants in developed settings experience twice the
hospitalization rate and more severe illness from lower respiratory
tract infection, primarily respiratory syncytial virus. In developing
countries the mortality risk is 4-fold. for otitis media, the relative risks
were 3.3-4.3 for Finnish infants. ”
“Bacterial meningitis and/or bacteremia had a 4-fold risk for
hospitalization in a Connecticut study, and a 3-fold relative risk in 2
developing country studies. Human milk was the best preventative for
bacteremia and necrotizing enterocolitis in prematures in British neonatal
units. ”
“A 20-fold reduction in neonatal deaths occurred in Philippine
study of breastfeeding, especially in low birth weight babies. Diarrhea
causes the most infant mortality in developing nations, where bottle-
feeding raises rates 14-fold. In the U.S. estimated relative risks is 3.7
for diarrheal mortality. ”
“Sudden infant death is about 1/5 less common in U.S. breast fed
babies than in bottle fed. There is evidence for better long-term health
after breast feeding in disorders such as celiac disease, Crohn disease,
ulcerative colitis, insulin-dependent diabetes mellitus, thyroid disease,
malignant lymphoma, chronic liver disease, atopic dermatitis, and food
allergies. The design of good studies of protection conferred by breast
feeding, and the possible modes of action of breast milk are discussed.”
“Breastfeeding with zidovudine prophylaxis was not as
effective as formula feeding in preventing postnatal HIV transmission,
but was associated with a lower mortality rate at 7 months. Both
strategies had comparable HIV-free survival at 18 months.”
“These results demonstrate the risk of formula feeding to
infants in sub-Saharan Africa...Cumulative infant mortality at 7
months was significantly higher for the formula-fed group than for
the breastfed plus zidovudine group (9.3% vs 4.9%; P = .003) ”
“When infants receiving no breast milk are contrasted with
those on exclusive breast-feeding, the median relative risk of death
from diarrhea during the first 6 months of life is 25. Breast-feeding
can be promoted by changes in hospital routine and by giving
information and support to mothers.”
“A review of 21 studies from 8 countries shows that, by such
promotion, the most likely reductions in the prevalence of non-breast-fed
infants are 40% among infants aged 0-2 months, 30% among those aged
3-5 months, and 10% among those between 6 months and I year old.”
“Theoretical calculations based on these data show that
such promotion can reduce diarrhea morbidity rates by 8-20%
and diarrhea mortality rates by 24-27% in the first 6 months of
life. ”
“This study shows that breastfeeding reduced the risk of
sudden infant death syndrome by ∼50% at all ages throughout infancy.
We recommend including the advice to breastfeed through 6 months
of age in sudden infant death syndrome risk-reduction messages.”
“Promotion of early initiation of breastfeeding has the potential to
make a major contribution to the achievement of the child survival
millennium development goal; 16% of neonatal deaths could be saved if
all infants were breastfed from day 1 and 22% if breastfeeding started
within the first hour. Breastfeeding-promotion programs should
emphasize early initiation as well as exclusive breastfeeding.”
“The important role of appropriate breastfeeding practices in
the survival of infants is clear from this analysis. The reduction of
ARI deaths underscores the broad-based beneficial effect of
exclusive breastfeeding in prevention of infectious diseases.”
“Compared with exclusive breastfeeding in the first few
months of life, partial or no breastfeeding was associated with a
2.23-fold higher risk of infant deaths resulting from all causes and
2.40- and 3.94-fold higher risk of deaths attributable to ARI and
diarrhea, respectively.”
“ It is one of the few health-positive behaviors more
common in poor countries than rich ones. In low-income countries,
most infants are still breastfed at 1 year, compared with less than
20% in many high-income countries and less than 1% in the UK.
The reasons why women avoid or stop breastfeeding range from
the medical, cultural, and psychological, to physical discomfort
and inconvenience.”
“ These matters are not trivial, and many mothers without support turn
to a bottle of formula. Multiplied across populations and involving
multinational commercial interests, this situation has catastrophic
consequences on breastfeeding rates and the health of subsequent
generations. genuine and urgent commitment is needed from governments
and health authorities to establish a new normal: where every woman can
expect to breastfeed, and to receive every support she needs to do so. ”
“Streptococcus pneumoniae is the relevant cause of bacterial
meningitis, with a high-mortality rate and long-term neurological sequelae,
affecting up to 50% of survivors. Pneumococcal compounds are pro-
inflammatory mediators that induce an innate immune response and
tryptophan degradation through the kynurenine pathway. Vitamin B6 acts as
a cofactor at the active sites of enzymes that catalyze a great number of
reactions involved in the metabolism of tryptophan, preventing the
accumulation of neurotoxic intermediates.”
“Thus, vitamin B6 attenuated the memory impairment in
animals subjected to pneumococcal meningitis.”
SUNLIGHT & OUR
IMMUNE SYSTEMS
SUNLIGHT & OUR
IMMUNE SYSTEM
“The sun is God's doctor, which brings
health and strength, purifying and giving
color to the blood, and we must have it”
-AUCR July 26, 1899, Art. A, par. 4-5
“Sunlight is one of the best tonics and beautifiers in
the world; therefore, men, women, and children, one and
all, should seek it as one of the great natural agencies
which help to form the ‘elixir of life.’ ”
-Health Reformer April 1, 1871, par. 14-15
SUNLIGHT & OUR
IMMUNE SYSTEM
“WHEN IT COMES to building up your
immune system, getting outdoors and
enjoying a healthy amount of sunshine are
two of your leading allies. Think of it as
“nature’s nurture.”
--21 Secret Remedies for Colds and Flu by Siloam
Vitamin D & Immunity
“Vitamin D favorably
regulates the immune system,
simultaneously improving its
effectiveness at eliminating
pathogens, and reducing
inflammation.… Vitamin D is
consumed by the immune
system when it’s activated. It
is a nutrient that is metabolized
at a faster rateduring infection
or inflammation.”
Vitamin D & Immunity
“Consequently, people with
inflammatory conditions need
greater amounts of vitamin D.
They must supplement at a
higher dose to achieve healthy
blood levels. Sincechronic
immune activation is always
present in autism, autistics
require higher vitamin D
intake than normal people. ”
REST/SLEEP & OUR
IMMUNE SYSTEMS
“Nature will restore their vigor and
strength in their sleeping hours, if her laws
are not violated.”—A Solemn Appeal, 62. . HL 69.1
The Importance of Sleep for Immunity
“Prioritizing sleep is one of the most important things you can do in
order to stay healthy. Lack of sleep can negatively affect your immune
system Research shows that people who don't get enough sleep are
more likely to get sick after being exposed to a virus and that lack of
sleep can also slow your recovery if you do get sick.”
- (Cleveland Clinic) Maintaining a Healthy Immune System: What you can do to help by
Leonard H. Calabrese, D.O. And R. J. Fasenmyer Chair of Clinical Immunology
The Importance of Sleep for Immunity
“One of the most striking studies found that after subjects were
exposed to the common cold virus, those who slept less than 6 hours
a night during the previous week were 4 times more likely to get a
cold than those who slept 8 hours a night.”
- (Cleveland Clinic) Maintaining a Healthy Immune System: What you can do to help by
Leonard H. Calabrese, D.O. And R. J. Fasenmyer Chair of Clinical Immunology
The Importance of Sleep for Immunity
“Studies have also shown that people who are sleep deprived get
less protection from vaccinations than those who get adequate
sleep .Evidence overwhelmingly supports that our immune
response is suppressed when we are sleep deprived.”
- (Cleveland Clinic) Maintaining a Healthy Immune System: What you can do to help by
Leonard H. Calabrese, D.O. And R. J. Fasenmyer Chair of Clinical Immunology
The Importance of Sleep for Immunity
“During sleep, your immune system releases proteins called cytokines,
some of which help promote sleep. Certain cytokines increase when you
have an infection, inflammation, or when you're under stress.”
- (Cleveland Clinic) Maintaining a Healthy Immune System: What you can do to help by
Leonard H. Calabrese, D.O. And R. J. Fasenmyer Chair of Clinical Immunology
The Importance of Sleep for Immunity
“Sleep deprivation may decrease production of these protective
cytokines. In addition, infection-fighting antibodies and cells are
reduced during periods when you are sleep deprived For those with
autoimmune disease, studies have shown that losing sleep for even
part of one night can trigger tissue-damaging inflammation.”
- (Cleveland Clinic) Maintaining a Healthy Immune System: What you can do to help by
Leonard H. Calabrese, D.O. And R. J. Fasenmyer Chair of Clinical Immunology
Quick Tips: Good Sleep Habits
The following tips about sleeping to strengthen your immune system make sense
for all ages:
• Go to bed and awake at the same time each day, even on weekends. There is no way to make up
for “lost sleep.”
• Establish a daily “cool-down” time. One hour before bedtime dim the lights and eliminate noise.
Use this time for low-level stimulation activities such as listening to quiet music or reading non-
stimulating material
Quick Tips: Good Sleep Habits
The following tips about sleeping to strengthen your immune system make sense
for all ages:
• Associate beds with resting only. Talk on the phone or scan the Internet elsewhere.
• Don’t drink caffeinated drinks in the afternoon or evening. Caffeine’s stimulating effects will
peak two to four hours after consumption, but they can linger in the body for several hours.
Quick Tips: Good Sleep Habits
The following tips about sleeping to strengthen your immune system make sense
for all ages:
• Don’t eat dinner close to bedtime, and don’t overeat. Sleep can be disrupted by digestive
systems working extra hard after a heavy meal. Make your last meal of the day a light one.
• Avoid exercise close to bedtime. Physical activity late in the day can affect your body’s ability
to relax into a peaceful slumber.”
- 21 Secret Remedies for Colds and Flu by Siloam Editors
SLEEP &
DIGESTION
“Another pernicious habit is that of
eating just before bedtime. The
regular meals may have been taken;
but because there is a sense of
faintness, more food is taken. By
indulgence this wrong practice
becomes a habit and often so firmly
fixed that it is thought impossible to
sleep without food.”
THE DIGESTIVE SYSTEM
-(Ministry of Healing, p. 303; Child Guidance, p. 389).
“As a result of eating late
suppers, the digestive process
is continued through the
sleeping hours. But though
the stomach works constantly,
its work is not properly
accomplished.”
THE DIGESTIVE SYSTEM
-(Ministry of Healing, p. 303; Child Guidance, p. 389).
“The sleep is often disturbed with
unpleasant dreams, and in the morning
the person awakes unrefreshed and with
little relish for breakfast. When we lie
down to rest, the stomach should have its
work all done, that it, as well as the other
organs of the body, may enjoy rest. For
persons of sedentary habits late suppers
are particularly harmful. With them the
disturbance created is often the beginning
of disease that ends in death.”
THE DIGESTIVE SYSTEM
-(Ministry of Healing, p. 303; Child Guidance, p. 389).
Our Immune System
“Vaccines don’t form a
protective ring around anyone;
our immune system remains
our primary defense against
disease, … As best-selling
author Dr. Bob Sears explains:
Our Immune System
“A healthy immune
system is the key to preventing
infectious diseases. We are all
exposed to millions of germs
every day, and vaccinesonly
cover a tiny fraction of one
percent of these germs. So we
must rely on our own immune
system to fight off most
potential infections.”

Weitere ähnliche Inhalte

Was ist angesagt?

emerging and re-emerging vector borne diseases
emerging and re-emerging vector borne diseasesemerging and re-emerging vector borne diseases
emerging and re-emerging vector borne diseasesAnil kumar
 
FILA 150 Final Paper
FILA 150 Final PaperFILA 150 Final Paper
FILA 150 Final PaperAnissaBoyers
 
Reemerging deseases
Reemerging deseasesReemerging deseases
Reemerging deseasesImran Subho
 
An overview of Bacillus anthracis and its Potential Risks to North Carolina S...
An overview of Bacillus anthracis and its Potential Risks to North Carolina S...An overview of Bacillus anthracis and its Potential Risks to North Carolina S...
An overview of Bacillus anthracis and its Potential Risks to North Carolina S...Kelsey Hall
 
Beyond Three Circles - An Enhanced One Health Model Gary VROEGINDEWEY
Beyond Three Circles - An Enhanced One Health Model   Gary VROEGINDEWEYBeyond Three Circles - An Enhanced One Health Model   Gary VROEGINDEWEY
Beyond Three Circles - An Enhanced One Health Model Gary VROEGINDEWEYGlobal Risk Forum GRFDavos
 
Animal disease ecology and transmission by Dr. C Domingo
Animal disease ecology and transmission by Dr. C DomingoAnimal disease ecology and transmission by Dr. C Domingo
Animal disease ecology and transmission by Dr. C DomingoPerez Eric
 
Flu threat
Flu threatFlu threat
Flu threatCore
 
The flu vaccine presentation
The flu vaccine presentationThe flu vaccine presentation
The flu vaccine presentationAnissaBoyers
 
Hawkins infectious disease_slideshare_presentation
Hawkins infectious disease_slideshare_presentationHawkins infectious disease_slideshare_presentation
Hawkins infectious disease_slideshare_presentationcoastalroute
 
Blaser 2017-nature reviews-immunology
Blaser 2017-nature reviews-immunologyBlaser 2017-nature reviews-immunology
Blaser 2017-nature reviews-immunologyGlauce Trevisan
 
Global veterinary and medical perspectives on one health
Global veterinary and medical perspectives on one healthGlobal veterinary and medical perspectives on one health
Global veterinary and medical perspectives on one healthJess Vergis
 
Diarrea aguda infecciosa en pediatria, epidemiologia, prevencion y tratamiento
Diarrea aguda infecciosa en pediatria, epidemiologia, prevencion y tratamientoDiarrea aguda infecciosa en pediatria, epidemiologia, prevencion y tratamiento
Diarrea aguda infecciosa en pediatria, epidemiologia, prevencion y tratamientofranklinaranda
 
Emerging and re emerging infections
Emerging and re emerging infectionsEmerging and re emerging infections
Emerging and re emerging infectionsAnand Prakash
 
The Global Burden of Foodborne Diseases: Results for action
The Global Burden of Foodborne Diseases: Results for actionThe Global Burden of Foodborne Diseases: Results for action
The Global Burden of Foodborne Diseases: Results for actionWHO Regional Office for Europe
 
Disease ecology in multi-host systems at wildlife/livestock interfaces: Conce...
Disease ecology in multi-host systems at wildlife/livestock interfaces: Conce...Disease ecology in multi-host systems at wildlife/livestock interfaces: Conce...
Disease ecology in multi-host systems at wildlife/livestock interfaces: Conce...ILRI
 

Was ist angesagt? (20)

emerging and re-emerging vector borne diseases
emerging and re-emerging vector borne diseasesemerging and re-emerging vector borne diseases
emerging and re-emerging vector borne diseases
 
FILA 150 Final Paper
FILA 150 Final PaperFILA 150 Final Paper
FILA 150 Final Paper
 
Reemerging deseases
Reemerging deseasesReemerging deseases
Reemerging deseases
 
Pandemic Flu Presentation
Pandemic Flu PresentationPandemic Flu Presentation
Pandemic Flu Presentation
 
The 1918 Flu Pandemic
The 1918 Flu PandemicThe 1918 Flu Pandemic
The 1918 Flu Pandemic
 
An overview of Bacillus anthracis and its Potential Risks to North Carolina S...
An overview of Bacillus anthracis and its Potential Risks to North Carolina S...An overview of Bacillus anthracis and its Potential Risks to North Carolina S...
An overview of Bacillus anthracis and its Potential Risks to North Carolina S...
 
Beyond Three Circles - An Enhanced One Health Model Gary VROEGINDEWEY
Beyond Three Circles - An Enhanced One Health Model   Gary VROEGINDEWEYBeyond Three Circles - An Enhanced One Health Model   Gary VROEGINDEWEY
Beyond Three Circles - An Enhanced One Health Model Gary VROEGINDEWEY
 
Animal disease ecology and transmission by Dr. C Domingo
Animal disease ecology and transmission by Dr. C DomingoAnimal disease ecology and transmission by Dr. C Domingo
Animal disease ecology and transmission by Dr. C Domingo
 
Presentation
Presentation Presentation
Presentation
 
Flu threat
Flu threatFlu threat
Flu threat
 
The flu vaccine presentation
The flu vaccine presentationThe flu vaccine presentation
The flu vaccine presentation
 
Hawkins infectious disease_slideshare_presentation
Hawkins infectious disease_slideshare_presentationHawkins infectious disease_slideshare_presentation
Hawkins infectious disease_slideshare_presentation
 
One Health Overview
One Health OverviewOne Health Overview
One Health Overview
 
Blaser 2017-nature reviews-immunology
Blaser 2017-nature reviews-immunologyBlaser 2017-nature reviews-immunology
Blaser 2017-nature reviews-immunology
 
Global veterinary and medical perspectives on one health
Global veterinary and medical perspectives on one healthGlobal veterinary and medical perspectives on one health
Global veterinary and medical perspectives on one health
 
Diarrea aguda infecciosa en pediatria, epidemiologia, prevencion y tratamiento
Diarrea aguda infecciosa en pediatria, epidemiologia, prevencion y tratamientoDiarrea aguda infecciosa en pediatria, epidemiologia, prevencion y tratamiento
Diarrea aguda infecciosa en pediatria, epidemiologia, prevencion y tratamiento
 
Emerging and re emerging infections
Emerging and re emerging infectionsEmerging and re emerging infections
Emerging and re emerging infections
 
The Global Burden of Foodborne Diseases: Results for action
The Global Burden of Foodborne Diseases: Results for actionThe Global Burden of Foodborne Diseases: Results for action
The Global Burden of Foodborne Diseases: Results for action
 
Disease ecology in multi-host systems at wildlife/livestock interfaces: Conce...
Disease ecology in multi-host systems at wildlife/livestock interfaces: Conce...Disease ecology in multi-host systems at wildlife/livestock interfaces: Conce...
Disease ecology in multi-host systems at wildlife/livestock interfaces: Conce...
 
World Health Day 2014: Vector-borne diseases
World Health Day 2014: Vector-borne diseasesWorld Health Day 2014: Vector-borne diseases
World Health Day 2014: Vector-borne diseases
 

Ähnlich wie 3.SANITATION VS VACCINATION - Nutrition, Sleep, Vitamin A/D, Breast-feeding and Preventing Infectious Diseases

WASH Impacts on Maternal and Child Mortality, Malnutrition and Impaired Devel...
WASH Impacts on Maternal and Child Mortality, Malnutrition and Impaired Devel...WASH Impacts on Maternal and Child Mortality, Malnutrition and Impaired Devel...
WASH Impacts on Maternal and Child Mortality, Malnutrition and Impaired Devel...Tom Mahin
 
Human nutrition and it’s public health importance
Human nutrition and it’s public health importanceHuman nutrition and it’s public health importance
Human nutrition and it’s public health importanceDrSindhuAlmas
 
Overview final 20.06.13
Overview final 20.06.13Overview final 20.06.13
Overview final 20.06.13MAHINOJOSA45
 
The Hidden Epidemic Unveiling the Realities of Food Insecurity.ppt
The Hidden Epidemic Unveiling the Realities of Food Insecurity.pptThe Hidden Epidemic Unveiling the Realities of Food Insecurity.ppt
The Hidden Epidemic Unveiling the Realities of Food Insecurity.pptAhmadTariq64
 
Micronutrient final with_cover
Micronutrient final with_coverMicronutrient final with_cover
Micronutrient final with_coverUtpal Ganguly
 
Micronutrient final with_cover
Micronutrient final with_coverMicronutrient final with_cover
Micronutrient final with_coverUtpal Ganguly
 
Effect of Nutrition Education on Anemic Rural Adolescent Girls in Odisha
Effect of Nutrition Education on Anemic Rural Adolescent Girls in OdishaEffect of Nutrition Education on Anemic Rural Adolescent Girls in Odisha
Effect of Nutrition Education on Anemic Rural Adolescent Girls in OdishaYogeshIJTSRD
 
SOCIO-CULTURAL AND BEHAVIORAL FACTORS INFLUENCING CHILDHOOD IMMUNIZATION PR...
SOCIO-CULTURAL AND BEHAVIORAL  FACTORS INFLUENCING CHILDHOOD  IMMUNIZATION PR...SOCIO-CULTURAL AND BEHAVIORAL  FACTORS INFLUENCING CHILDHOOD  IMMUNIZATION PR...
SOCIO-CULTURAL AND BEHAVIORAL FACTORS INFLUENCING CHILDHOOD IMMUNIZATION PR...GABRIEL JEREMIAH ORUIKOR
 
UNIT II PUBLIC HEALTH NUTRITION.pptx
UNIT II PUBLIC HEALTH NUTRITION.pptxUNIT II PUBLIC HEALTH NUTRITION.pptx
UNIT II PUBLIC HEALTH NUTRITION.pptxMusondaMofu2
 
Food Security: A Primer
Food Security: A PrimerFood Security: A Primer
Food Security: A PrimerIJRTEMJOURNAL
 
01. Pub. H. Nutri-Lecture-I-1.ppt
01. Pub. H. Nutri-Lecture-I-1.ppt01. Pub. H. Nutri-Lecture-I-1.ppt
01. Pub. H. Nutri-Lecture-I-1.pptisratsadia
 
Positioning Nutrition as Central for a Food Secure Arab world
Positioning Nutrition as Central for a Food Secure Arab worldPositioning Nutrition as Central for a Food Secure Arab world
Positioning Nutrition as Central for a Food Secure Arab worldIFPRIMENA
 
Micro Biology Food Safety
Micro Biology Food SafetyMicro Biology Food Safety
Micro Biology Food SafetyASAD ALI
 
nutritional statistics in india
nutritional statistics in indianutritional statistics in india
nutritional statistics in indiasrinusw2007
 
OUTBREAK INVESTIGATION .docx
OUTBREAK INVESTIGATION                                            .docxOUTBREAK INVESTIGATION                                            .docx
OUTBREAK INVESTIGATION .docxgerardkortney
 
Food Insecurity among Children
Food Insecurity among ChildrenFood Insecurity among Children
Food Insecurity among Childrenijtsrd
 

Ähnlich wie 3.SANITATION VS VACCINATION - Nutrition, Sleep, Vitamin A/D, Breast-feeding and Preventing Infectious Diseases (20)

WASH Impacts on Maternal and Child Mortality, Malnutrition and Impaired Devel...
WASH Impacts on Maternal and Child Mortality, Malnutrition and Impaired Devel...WASH Impacts on Maternal and Child Mortality, Malnutrition and Impaired Devel...
WASH Impacts on Maternal and Child Mortality, Malnutrition and Impaired Devel...
 
Malnutrition
MalnutritionMalnutrition
Malnutrition
 
Human nutrition and it’s public health importance
Human nutrition and it’s public health importanceHuman nutrition and it’s public health importance
Human nutrition and it’s public health importance
 
Overview final 20.06.13
Overview final 20.06.13Overview final 20.06.13
Overview final 20.06.13
 
The Hidden Epidemic Unveiling the Realities of Food Insecurity.ppt
The Hidden Epidemic Unveiling the Realities of Food Insecurity.pptThe Hidden Epidemic Unveiling the Realities of Food Insecurity.ppt
The Hidden Epidemic Unveiling the Realities of Food Insecurity.ppt
 
Essay On Malnutrition
Essay On MalnutritionEssay On Malnutrition
Essay On Malnutrition
 
Micronutrient final with_cover
Micronutrient final with_coverMicronutrient final with_cover
Micronutrient final with_cover
 
Micronutrient final with_cover
Micronutrient final with_coverMicronutrient final with_cover
Micronutrient final with_cover
 
Effect of Nutrition Education on Anemic Rural Adolescent Girls in Odisha
Effect of Nutrition Education on Anemic Rural Adolescent Girls in OdishaEffect of Nutrition Education on Anemic Rural Adolescent Girls in Odisha
Effect of Nutrition Education on Anemic Rural Adolescent Girls in Odisha
 
Khan21530.pdf
Khan21530.pdfKhan21530.pdf
Khan21530.pdf
 
SOCIO-CULTURAL AND BEHAVIORAL FACTORS INFLUENCING CHILDHOOD IMMUNIZATION PR...
SOCIO-CULTURAL AND BEHAVIORAL  FACTORS INFLUENCING CHILDHOOD  IMMUNIZATION PR...SOCIO-CULTURAL AND BEHAVIORAL  FACTORS INFLUENCING CHILDHOOD  IMMUNIZATION PR...
SOCIO-CULTURAL AND BEHAVIORAL FACTORS INFLUENCING CHILDHOOD IMMUNIZATION PR...
 
UNIT II PUBLIC HEALTH NUTRITION.pptx
UNIT II PUBLIC HEALTH NUTRITION.pptxUNIT II PUBLIC HEALTH NUTRITION.pptx
UNIT II PUBLIC HEALTH NUTRITION.pptx
 
Food Security: A Primer
Food Security: A PrimerFood Security: A Primer
Food Security: A Primer
 
01. Pub. H. Nutri-Lecture-I-1.ppt
01. Pub. H. Nutri-Lecture-I-1.ppt01. Pub. H. Nutri-Lecture-I-1.ppt
01. Pub. H. Nutri-Lecture-I-1.ppt
 
Positioning Nutrition as Central for a Food Secure Arab world
Positioning Nutrition as Central for a Food Secure Arab worldPositioning Nutrition as Central for a Food Secure Arab world
Positioning Nutrition as Central for a Food Secure Arab world
 
Nature10213
Nature10213Nature10213
Nature10213
 
Micro Biology Food Safety
Micro Biology Food SafetyMicro Biology Food Safety
Micro Biology Food Safety
 
nutritional statistics in india
nutritional statistics in indianutritional statistics in india
nutritional statistics in india
 
OUTBREAK INVESTIGATION .docx
OUTBREAK INVESTIGATION                                            .docxOUTBREAK INVESTIGATION                                            .docx
OUTBREAK INVESTIGATION .docx
 
Food Insecurity among Children
Food Insecurity among ChildrenFood Insecurity among Children
Food Insecurity among Children
 

Mehr von Antonio Bernard

2.SANITATION VS VACCINATION -Immigration, Inhuman Conditions in the Cities an...
2.SANITATION VS VACCINATION -Immigration, Inhuman Conditions in the Cities an...2.SANITATION VS VACCINATION -Immigration, Inhuman Conditions in the Cities an...
2.SANITATION VS VACCINATION -Immigration, Inhuman Conditions in the Cities an...Antonio Bernard
 
CoronaVirus (short Version)
CoronaVirus (short Version)CoronaVirus (short Version)
CoronaVirus (short Version)Antonio Bernard
 
14.(part A) The TRANSGENDER Agenda Failed -Anatomical and Physiological sex d...
14.(part A) The TRANSGENDER Agenda Failed -Anatomical and Physiological sex d...14.(part A) The TRANSGENDER Agenda Failed -Anatomical and Physiological sex d...
14.(part A) The TRANSGENDER Agenda Failed -Anatomical and Physiological sex d...Antonio Bernard
 
27. SAME-SEX MARRIAGE & SAME-SEX PARENTING -Biologically Uncomplimentary, Psy...
27. SAME-SEX MARRIAGE & SAME-SEX PARENTING -Biologically Uncomplimentary, Psy...27. SAME-SEX MARRIAGE & SAME-SEX PARENTING -Biologically Uncomplimentary, Psy...
27. SAME-SEX MARRIAGE & SAME-SEX PARENTING -Biologically Uncomplimentary, Psy...Antonio Bernard
 
13. TRANSGENDER MEDICINE - Gender Identity and Sex Reassignment History
13. TRANSGENDER MEDICINE - Gender Identity and Sex Reassignment History13. TRANSGENDER MEDICINE - Gender Identity and Sex Reassignment History
13. TRANSGENDER MEDICINE - Gender Identity and Sex Reassignment HistoryAntonio Bernard
 
17. The TRANSGENDER Movement- Gender Revolution and Religious Liberty Threate...
17. The TRANSGENDER Movement- Gender Revolution and Religious Liberty Threate...17. The TRANSGENDER Movement- Gender Revolution and Religious Liberty Threate...
17. The TRANSGENDER Movement- Gender Revolution and Religious Liberty Threate...Antonio Bernard
 
10. The LGBT Movement Health Issues- Higher Incidents of Mental Health Proble...
10. The LGBT Movement Health Issues- Higher Incidents of Mental Health Proble...10. The LGBT Movement Health Issues- Higher Incidents of Mental Health Proble...
10. The LGBT Movement Health Issues- Higher Incidents of Mental Health Proble...Antonio Bernard
 
15. The TRANSGENDER Agenda Failed- Differences in the Brain and Nervous Syste...
15. The TRANSGENDER Agenda Failed- Differences in the Brain and Nervous Syste...15. The TRANSGENDER Agenda Failed- Differences in the Brain and Nervous Syste...
15. The TRANSGENDER Agenda Failed- Differences in the Brain and Nervous Syste...Antonio Bernard
 
13. TRANSGENDER MEDICINE- Gender Identity and Sex Reassignment History
13. TRANSGENDER MEDICINE- Gender Identity and Sex Reassignment History13. TRANSGENDER MEDICINE- Gender Identity and Sex Reassignment History
13. TRANSGENDER MEDICINE- Gender Identity and Sex Reassignment HistoryAntonio Bernard
 
12. THE GAY GENES -Are Persons born Gay, Lesbian, Bisexual or Transgendered ?
12. THE GAY GENES -Are Persons born Gay, Lesbian, Bisexual or Transgendered ? 12. THE GAY GENES -Are Persons born Gay, Lesbian, Bisexual or Transgendered ?
12. THE GAY GENES -Are Persons born Gay, Lesbian, Bisexual or Transgendered ? Antonio Bernard
 
11. ARE THERE ONLY TWO SEXES ?- Ambiguous Genitalia, Intersexed, Hermaphrodit...
11. ARE THERE ONLY TWO SEXES ?- Ambiguous Genitalia, Intersexed, Hermaphrodit...11. ARE THERE ONLY TWO SEXES ?- Ambiguous Genitalia, Intersexed, Hermaphrodit...
11. ARE THERE ONLY TWO SEXES ?- Ambiguous Genitalia, Intersexed, Hermaphrodit...Antonio Bernard
 
9. The LGBT Movements Health Issues- Higher Rates of HIV/AIDS and Other STDs ...
9. The LGBT Movements Health Issues- Higher Rates of HIV/AIDS and Other STDs ...9. The LGBT Movements Health Issues- Higher Rates of HIV/AIDS and Other STDs ...
9. The LGBT Movements Health Issues- Higher Rates of HIV/AIDS and Other STDs ...Antonio Bernard
 
8. The LGBT Movement Health Issues - The Dangers of Anal Sex
8. The LGBT Movement Health Issues - The Dangers of Anal Sex8. The LGBT Movement Health Issues - The Dangers of Anal Sex
8. The LGBT Movement Health Issues - The Dangers of Anal SexAntonio Bernard
 
7. The LGBT Movement Health Issues - Oral Sex Dangers
7. The LGBT Movement Health Issues - Oral Sex Dangers7. The LGBT Movement Health Issues - Oral Sex Dangers
7. The LGBT Movement Health Issues - Oral Sex DangersAntonio Bernard
 
5. The LGBT Movement- SameSex Relationships Fidelity , Domestic Violence and ...
5. The LGBT Movement- SameSex Relationships Fidelity , Domestic Violence and ...5. The LGBT Movement- SameSex Relationships Fidelity , Domestic Violence and ...
5. The LGBT Movement- SameSex Relationships Fidelity , Domestic Violence and ...Antonio Bernard
 
4. The LGBT Movement - Gender Neutral Clothing -Pants on Women History
4. The LGBT Movement - Gender Neutral Clothing -Pants on Women History4. The LGBT Movement - Gender Neutral Clothing -Pants on Women History
4. The LGBT Movement - Gender Neutral Clothing -Pants on Women HistoryAntonio Bernard
 
3.The LGBT Movement- Feminism and Homosexuality Influence on Fashion- Pants o...
3.The LGBT Movement- Feminism and Homosexuality Influence on Fashion- Pants o...3.The LGBT Movement- Feminism and Homosexuality Influence on Fashion- Pants o...
3.The LGBT Movement- Feminism and Homosexuality Influence on Fashion- Pants o...Antonio Bernard
 
2.The LGBT Movement - Homosexuality in The Bible- Lot, Noah and Sodom and Gom...
2.The LGBT Movement - Homosexuality in The Bible- Lot, Noah and Sodom and Gom...2.The LGBT Movement - Homosexuality in The Bible- Lot, Noah and Sodom and Gom...
2.The LGBT Movement - Homosexuality in The Bible- Lot, Noah and Sodom and Gom...Antonio Bernard
 
1.The LGBT Movement - Homosexuality Impact on Sex and Culture
1.The LGBT Movement - Homosexuality Impact on Sex and Culture1.The LGBT Movement - Homosexuality Impact on Sex and Culture
1.The LGBT Movement - Homosexuality Impact on Sex and CultureAntonio Bernard
 
ABORTION- Are there any dangers to having an Abortion ? (Biblical/Scientific ...
ABORTION- Are there any dangers to having an Abortion ? (Biblical/Scientific ...ABORTION- Are there any dangers to having an Abortion ? (Biblical/Scientific ...
ABORTION- Are there any dangers to having an Abortion ? (Biblical/Scientific ...Antonio Bernard
 

Mehr von Antonio Bernard (20)

2.SANITATION VS VACCINATION -Immigration, Inhuman Conditions in the Cities an...
2.SANITATION VS VACCINATION -Immigration, Inhuman Conditions in the Cities an...2.SANITATION VS VACCINATION -Immigration, Inhuman Conditions in the Cities an...
2.SANITATION VS VACCINATION -Immigration, Inhuman Conditions in the Cities an...
 
CoronaVirus (short Version)
CoronaVirus (short Version)CoronaVirus (short Version)
CoronaVirus (short Version)
 
14.(part A) The TRANSGENDER Agenda Failed -Anatomical and Physiological sex d...
14.(part A) The TRANSGENDER Agenda Failed -Anatomical and Physiological sex d...14.(part A) The TRANSGENDER Agenda Failed -Anatomical and Physiological sex d...
14.(part A) The TRANSGENDER Agenda Failed -Anatomical and Physiological sex d...
 
27. SAME-SEX MARRIAGE & SAME-SEX PARENTING -Biologically Uncomplimentary, Psy...
27. SAME-SEX MARRIAGE & SAME-SEX PARENTING -Biologically Uncomplimentary, Psy...27. SAME-SEX MARRIAGE & SAME-SEX PARENTING -Biologically Uncomplimentary, Psy...
27. SAME-SEX MARRIAGE & SAME-SEX PARENTING -Biologically Uncomplimentary, Psy...
 
13. TRANSGENDER MEDICINE - Gender Identity and Sex Reassignment History
13. TRANSGENDER MEDICINE - Gender Identity and Sex Reassignment History13. TRANSGENDER MEDICINE - Gender Identity and Sex Reassignment History
13. TRANSGENDER MEDICINE - Gender Identity and Sex Reassignment History
 
17. The TRANSGENDER Movement- Gender Revolution and Religious Liberty Threate...
17. The TRANSGENDER Movement- Gender Revolution and Religious Liberty Threate...17. The TRANSGENDER Movement- Gender Revolution and Religious Liberty Threate...
17. The TRANSGENDER Movement- Gender Revolution and Religious Liberty Threate...
 
10. The LGBT Movement Health Issues- Higher Incidents of Mental Health Proble...
10. The LGBT Movement Health Issues- Higher Incidents of Mental Health Proble...10. The LGBT Movement Health Issues- Higher Incidents of Mental Health Proble...
10. The LGBT Movement Health Issues- Higher Incidents of Mental Health Proble...
 
15. The TRANSGENDER Agenda Failed- Differences in the Brain and Nervous Syste...
15. The TRANSGENDER Agenda Failed- Differences in the Brain and Nervous Syste...15. The TRANSGENDER Agenda Failed- Differences in the Brain and Nervous Syste...
15. The TRANSGENDER Agenda Failed- Differences in the Brain and Nervous Syste...
 
13. TRANSGENDER MEDICINE- Gender Identity and Sex Reassignment History
13. TRANSGENDER MEDICINE- Gender Identity and Sex Reassignment History13. TRANSGENDER MEDICINE- Gender Identity and Sex Reassignment History
13. TRANSGENDER MEDICINE- Gender Identity and Sex Reassignment History
 
12. THE GAY GENES -Are Persons born Gay, Lesbian, Bisexual or Transgendered ?
12. THE GAY GENES -Are Persons born Gay, Lesbian, Bisexual or Transgendered ? 12. THE GAY GENES -Are Persons born Gay, Lesbian, Bisexual or Transgendered ?
12. THE GAY GENES -Are Persons born Gay, Lesbian, Bisexual or Transgendered ?
 
11. ARE THERE ONLY TWO SEXES ?- Ambiguous Genitalia, Intersexed, Hermaphrodit...
11. ARE THERE ONLY TWO SEXES ?- Ambiguous Genitalia, Intersexed, Hermaphrodit...11. ARE THERE ONLY TWO SEXES ?- Ambiguous Genitalia, Intersexed, Hermaphrodit...
11. ARE THERE ONLY TWO SEXES ?- Ambiguous Genitalia, Intersexed, Hermaphrodit...
 
9. The LGBT Movements Health Issues- Higher Rates of HIV/AIDS and Other STDs ...
9. The LGBT Movements Health Issues- Higher Rates of HIV/AIDS and Other STDs ...9. The LGBT Movements Health Issues- Higher Rates of HIV/AIDS and Other STDs ...
9. The LGBT Movements Health Issues- Higher Rates of HIV/AIDS and Other STDs ...
 
8. The LGBT Movement Health Issues - The Dangers of Anal Sex
8. The LGBT Movement Health Issues - The Dangers of Anal Sex8. The LGBT Movement Health Issues - The Dangers of Anal Sex
8. The LGBT Movement Health Issues - The Dangers of Anal Sex
 
7. The LGBT Movement Health Issues - Oral Sex Dangers
7. The LGBT Movement Health Issues - Oral Sex Dangers7. The LGBT Movement Health Issues - Oral Sex Dangers
7. The LGBT Movement Health Issues - Oral Sex Dangers
 
5. The LGBT Movement- SameSex Relationships Fidelity , Domestic Violence and ...
5. The LGBT Movement- SameSex Relationships Fidelity , Domestic Violence and ...5. The LGBT Movement- SameSex Relationships Fidelity , Domestic Violence and ...
5. The LGBT Movement- SameSex Relationships Fidelity , Domestic Violence and ...
 
4. The LGBT Movement - Gender Neutral Clothing -Pants on Women History
4. The LGBT Movement - Gender Neutral Clothing -Pants on Women History4. The LGBT Movement - Gender Neutral Clothing -Pants on Women History
4. The LGBT Movement - Gender Neutral Clothing -Pants on Women History
 
3.The LGBT Movement- Feminism and Homosexuality Influence on Fashion- Pants o...
3.The LGBT Movement- Feminism and Homosexuality Influence on Fashion- Pants o...3.The LGBT Movement- Feminism and Homosexuality Influence on Fashion- Pants o...
3.The LGBT Movement- Feminism and Homosexuality Influence on Fashion- Pants o...
 
2.The LGBT Movement - Homosexuality in The Bible- Lot, Noah and Sodom and Gom...
2.The LGBT Movement - Homosexuality in The Bible- Lot, Noah and Sodom and Gom...2.The LGBT Movement - Homosexuality in The Bible- Lot, Noah and Sodom and Gom...
2.The LGBT Movement - Homosexuality in The Bible- Lot, Noah and Sodom and Gom...
 
1.The LGBT Movement - Homosexuality Impact on Sex and Culture
1.The LGBT Movement - Homosexuality Impact on Sex and Culture1.The LGBT Movement - Homosexuality Impact on Sex and Culture
1.The LGBT Movement - Homosexuality Impact on Sex and Culture
 
ABORTION- Are there any dangers to having an Abortion ? (Biblical/Scientific ...
ABORTION- Are there any dangers to having an Abortion ? (Biblical/Scientific ...ABORTION- Are there any dangers to having an Abortion ? (Biblical/Scientific ...
ABORTION- Are there any dangers to having an Abortion ? (Biblical/Scientific ...
 

Kürzlich hochgeladen

Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxDr.Nusrat Tariq
 
Apiculture Chapter 1. Introduction 2.ppt
Apiculture Chapter 1. Introduction 2.pptApiculture Chapter 1. Introduction 2.ppt
Apiculture Chapter 1. Introduction 2.pptkedirjemalharun
 
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Badalona Serveis Assistencials
 
Report Back from SGO: What’s New in Uterine Cancer?.pptx
Report Back from SGO: What’s New in Uterine Cancer?.pptxReport Back from SGO: What’s New in Uterine Cancer?.pptx
Report Back from SGO: What’s New in Uterine Cancer?.pptxbkling
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsMedicoseAcademics
 
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdfLippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdfSreeja Cherukuru
 
Basic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfBasic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfDivya Kanojiya
 
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...sdateam0
 
History and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdfHistory and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdfSasikiranMarri
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdfDolisha Warbi
 
The next social challenge to public health: the information environment.pptx
The next social challenge to public health:  the information environment.pptxThe next social challenge to public health:  the information environment.pptx
The next social challenge to public health: the information environment.pptxTina Purnat
 
SWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptSWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptMumux Mirani
 
Presentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPrerana Jadhav
 
PULMONARY EMBOLISM AND ITS MANAGEMENTS.pdf
PULMONARY EMBOLISM AND ITS MANAGEMENTS.pdfPULMONARY EMBOLISM AND ITS MANAGEMENTS.pdf
PULMONARY EMBOLISM AND ITS MANAGEMENTS.pdfDolisha Warbi
 
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners
 
Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?bkling
 
Case Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxCase Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxNiranjan Chavan
 
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurMETHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurNavdeep Kaur
 
Measurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptxMeasurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptxDr. Dheeraj Kumar
 

Kürzlich hochgeladen (20)

Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptx
 
Apiculture Chapter 1. Introduction 2.ppt
Apiculture Chapter 1. Introduction 2.pptApiculture Chapter 1. Introduction 2.ppt
Apiculture Chapter 1. Introduction 2.ppt
 
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
 
Report Back from SGO: What’s New in Uterine Cancer?.pptx
Report Back from SGO: What’s New in Uterine Cancer?.pptxReport Back from SGO: What’s New in Uterine Cancer?.pptx
Report Back from SGO: What’s New in Uterine Cancer?.pptx
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes Functions
 
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdfLippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
 
Basic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfBasic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdf
 
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
 
History and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdfHistory and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdf
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
 
The next social challenge to public health: the information environment.pptx
The next social challenge to public health:  the information environment.pptxThe next social challenge to public health:  the information environment.pptx
The next social challenge to public health: the information environment.pptx
 
SWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptSWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.ppt
 
Presentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous System
 
PULMONARY EMBOLISM AND ITS MANAGEMENTS.pdf
PULMONARY EMBOLISM AND ITS MANAGEMENTS.pdfPULMONARY EMBOLISM AND ITS MANAGEMENTS.pdf
PULMONARY EMBOLISM AND ITS MANAGEMENTS.pdf
 
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
 
Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?
 
Case Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxCase Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptx
 
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurMETHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
 
Measurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptxMeasurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptx
 

3.SANITATION VS VACCINATION - Nutrition, Sleep, Vitamin A/D, Breast-feeding and Preventing Infectious Diseases

  • 2. Nutrition & Infectious Diseases “The important role of nutritional deficiency as a contributor to childhood mortality particularly from infectious disease, as a conditioning factor in the complex mosaic of many diseases, and as a hurdle to socioeconomic advancement, is widely recognized. ” -— “Nutrition, Immunity, and Infection. Mechanisms of Interactions. Authors: Chandra, R. K., Newberne, pages. 1-2
  • 3. Nutrition & Infectious Diseases “Improvements in nutrition, together with better hygiene and immunization,Improvements in nutrition, together with better hygiene and immunization, can take most of the credit for decreasing death rate from infectious disease and for the longer expectation of life in industrialized countries. ” -— “Nutrition, Immunity, and Infection. Mechanisms of Interactions. Authors: Chandra, R. K., Newberne, pages. 1-2
  • 4. Nutrition & Infectious Diseases “This change in the mortality pattern came before the development of antibiotics and modern medical techniques. ” -— “Nutrition, Immunity, and Infection. Mechanisms of Interactions. Authors: Chandra, R. K., Newberne, pages. 1-2
  • 5. Nutrition & Infectious Diseases “Clinicians have long observed that undernutrition predisposes the host to the risk of acquired infection and that the course, frequency of complications, severity, and mortality of the infectious illness are augmented. It is likely that this is the result, in part, of impaired immunocompetence secondary to nutritional deficiency. ” -— “Nutrition, Immunity, and Infection. Mechanisms of Interactions. Authors: Chandra, R. K., Newberne, pages. 1-2
  • 6. Nutrition & Infectious Diseases “Infection in turn frequently worsens the nutritional status, often precipitating overt symptoms and signs, and causes immunosuppression. A variety of complex pathogenetic mechanisms probably underlie these multi cornered interaction” -— “Nutrition, Immunity, and Infection. Mechanisms of Interactions. Authors: Chandra, R. K., Newberne, pages. 1-2
  • 7. Nutrition & Infectious Diseases “ In most industrialized countries, economic affluence, availability of food in sufficient amounts, immunizations, and improvement in sanitation have led to the decline of malnutrition as well as infectious illnesses.” -— “Nutrition, Immunity, and Infection. Mechanisms of Interactions. Authors: Chandra, R. K., Newberne, pages. 1-2
  • 8. Nutrition & Infectious Diseases “ In the economically less privileged nations, however, the opportunities for combined mutually aggravating effects of undernutrition and infection continue to prevail and to pose a threat to the health of the majority of their popUlations, most particularly young children under 5 years of age.” -— “Nutrition, Immunity, and Infection. Mechanisms of Interactions. Authors: Chandra, R. K., Newberne, pages. 1-2
  • 9. Nutrition & Public Health “ Nutrition and immunity have been linked to each other for centuries. In the last decade, systematic studies have confirmed that nutrient deficiencies can alter the immune response and lead to a higher incidence of infections resulting in increased mortality, especially in children. ” -— “Handbook of Nutrition and Immunity”, by ME Gershwin, P Nestel, and CL Keen, pages. 2
  • 10. Nutrition & Public Health “ The interactions between nutrition and the immune system have clinical, practical, and public health importance.” -— “Handbook of Nutrition and Immunity”, by ME Gershwin, P Nestel, and CL Keen, pages. 2
  • 11. PLANT-BASED NUTRITION “Grains, fruits, nuts, and vegetables constitute the diet chosen for us by our Creator. These foods, prepared in as simple and natural a manner as possible, are the most healthful and nourishing. They impart a strength, a power of endurance, and a vigor of intellect, that are not afforded by a more complex and stimulating diet.” -page 363
  • 12. PLANT-BASED NUTRITION “In grains, fruit, vegetables, and nuts are to be found all the food elements that we need. If we will come to the Lord in simplicity of mind, He will teach us how to prepare wholesome food free from the taint of flesh meat.” -page 363
  • 13. PLANT-BASED NUTRITION “Those who eat flesh are but eating grains and vegetables at second hand; for the animal receives from these things the nutrition that produces growth. The life that was in the grains and vegetables passes into the eater. We receive it by eating the flesh of the animal. How much better to get it direct, by eating the food that God provided for our use!” -page 313
  • 14. Nutrition & Infection “It is difficult to believe that as recently as the 1950s the relationship between nutrition and infection was unrecognized except for limited references to tuberculosis. With only minor exceptions, the textbooks on nutrition made no reference to infection, and those on infectious disease were similarly lacking mention of nutrition.” -— “Nutrition, Immunity and Infection” ,Prakash Shetty, page xi
  • 15. Nutrition & Infection “The relationship first received attention as a result of the recognition in the 1950s that kwashiorkor, then common in almost all developing countries, was precipitated by infections in young children whose diets were already inadequate.” -— “Nutrition, Immunity and Infection” ,Prakash Shetty, page xi
  • 16. Vitamin A “Vitamin A and its metabolites (retinoic acid) are able to contribute to a variety of immune responses such as antibody production; cytokine production; lymphocyte proliferative responses; T-cell effector functions; tumoricidal activation of macrophages, NK cells, and T cells; and mucosal immunity.” -— Maryam Mahmoudi , Nima Rezaei ,”Nutrition and Immunity”, page 6
  • 17. Vitamin A “Vitamin A is believed to be the major anti-infective vitamin. Its deiciency – which is supposed to be a serious immunodeiciency condition – breaks down resistance against infectious diseases that would bring high mortality and morbidity. Moreover, maternal vitamin A deficiency is known to predispose to a higher mother-to- child transmission of HIV-1.” -— Maryam Mahmoudi , Nima Rezaei ,”Nutrition and Immunity”, page 6
  • 18. Vitamin A “Supplementation with vitamin A is a cost-effective technique to promote immune system functioning in response to vaccines (tetanus and diphtheria toxoids and measles) and infections.” -— Maryam Mahmoudi , Nima Rezaei ,”Nutrition and Immunity”, page 6
  • 19. Measles “Measles is a viral infection that is responsible for high mortality among children in developing countries, and is also an important infective episode that precipitates severe undernutrition in children. This infection has a profound effect on the child’s appetite and food intake is depressed for several weeks.” -— “Nutrition, Immunity and Infection” ,Prakash Shetty, page 66
  • 20. Measles “The high fever and the accompanying lesions in the buccal mucosa contribute to the severe loss of appetite. In some societies, this is compounded by the belief that withholding of food is necessary during a period of acute illness.” -— “Nutrition, Immunity and Infection” ,Prakash Shetty, page 66
  • 21. Measles “There is also damage to the mucosa of the small intestine, and if a secondary infection occurs during a measles episode, this could further damage the intestinal mucosa.” -— “Nutrition, Immunity and Infection” ,Prakash Shetty, page 66
  • 22. Measles & Vitamin A “Measles is often associated with vitamin A deficiency in children. Infective episodes, particularly of severe infections like measles, affect the vitamin A status of the child. The general metabolic response to infection results in a reduction in plasma retinol, while urinary excretion of the metabolites of vitamin A is increased.” -— “Nutrition, Immunity and Infection” ,Prakash Shetty, page 66
  • 23. Measles & Vitamin A “There is a decrease in synthesis of retinol-binding protein (RBP) – the carrier protein for retinol – by the liver, and a temporary reduction in vitamin A absorption may also occur. The damage that the measles virus inflicts on epithelial surfaces such as the conjunctiva and other mucosal surfaces increases the requirement for vitamin A to help in the repair of these tissues.” -— “Nutrition, Immunity and Infection” ,Prakash Shetty, page 66
  • 24. Measles & Vitamin A “Thus, measles infection not only predisposes to general undernutrition, but can also specifically precipitate vitamin A deficiency. This explains why a combination of measles and vitamin A deficiency is the commonest cause of blindness in children in parts of Africa.” -— “Nutrition, Immunity and Infection” ,Prakash Shetty, page 66
  • 25. RESULTS: “Cost effectiveness ratios clustered in three groups, with fortification with zinc or vitamin A as the most cost-effective intervention, and provision of supplementary food and counselling on nutrition as the least cost effective. Between these were oral rehydration therapy, case management of pneumonia, vitamin A or zinc supplementation, and measles immunisation.”
  • 26. CONCLUSIONS: “On the grounds of cost effectiveness, micronutrients and measles immunisation should be provided routinely to all children, in addition to oral rehydration therapy and case management of pneumonia for those who are sick. The challenge of malnutrition is not well addressed by existing interventions.”
  • 27. “Taking into account only the mortality impact of vitamin A, EOS saved 20,200 lives and averted 230,000 DALYs of children 6-59 months.” DALY stands for Disability Adjusted Life Year, a measure of the number of years lost due to ill-health, disability or early death.
  • 28. A 2011 study published in the prestigious British Medical Journal titled, Vitamin A supplements for preventing mortality, illness, and blindness in children aged under 5: systematic review and meta- analysis, found Vitamin A to be a low-cost and effective way to improve health outcomes in children in low and middle income countries, especially where access to quality nutrition is limited.
  • 29. This study was a meta-analysis of other studies and included 43 trials, with about 215,633 children aged 56 months to 5 years of age.Incredibly, this study found that vitamin A supplementation could reduce the incidence of measles infection by 50% and the death rate from measles by 20%.
  • 30. Implications for policy: “Vitamin A deficiency is a common condition that contributes to illness, blindness, and death; supplements can reduce these problems for children aged under 5 in low and middle income countries. National and regional supplementation programmes could be among the world’s most cost effective public health interventions.”
  • 31. “ If the risk of death for 190 million children deficient in vitamin A were reduced by 24%, estimates from 2008 suggest that over 600,000 lives could be saved each year and 20 million disability adjusted life years would be gained.”
  • 32. Discussion: “Comparable with previous reviews, this review shows that vitamin A supplementation is associated with large and important reductions in mortality for children in low and middle income countries. This adds substantively to previous reviews in providing a plausible pathway and indicating that vitamin A supplementation reduces the incidence of and mortality from diarrhoea and measles.”
  • 33. Conclusions: “Vitamin A supplementation is associated with large reductions in mortality, morbidity, and vision problems in a range of settings, and these results cannot be explained by bias. Further placebo controlled trials of vitamin A supplementation in children between 6 and 59 months of age are not required.”
  • 34. “However, there is a need for further studies comparing different doses and delivery mechanisms (for example, fortification). Until other sources are available, vitamin A supplements should be given to all children at risk of deficiency, particularly in low and middle income countries.”
  • 35. “Vitamin A supplements should be delivered to children 6–59 months of age twice yearly, during health system contacts. This should be marked on the child health card, or integrated into other public health programmes aimed at improving child survival, such as polio or measles national immunization days, or biannual child health days delivering a package of interventions such as deworming, distribution of insecticide-treated mosquito nets and immunizations.”
  • 36. “Mumps virus (MuV) is a highly infectious paramyxovirus closely related to measles virus (MeV). ...These results demonstrate that retinoids inhibit MuV replication in uninfected bystander cells through a retinoid inducible gene I (RIG-I), retinoic acid receptor (RAR) and IFN dependent manner making them refractory to subsequent rounds of viral replication. These observations raise the possibility that pharmacological doses of retinoids might have clinical benefit in MuV infection.”
  • 37. “In the last 2 decades, many studies have documented the beneficial effects of vitamin A supplements on general mortality and/or morbidity in young children in a wide range of developing countries. In 2000, a meta-analysis of eight studies demonstrated an overall 30% reduction in infant mortality attributable to vitamin A supplements. A surprising spin-off from these vitamin A supplementation studies was the re-discovery that vitamin A ‘treatment’ can significantly decrease the morbidity and mortality associated with acute MeV infection. ”
  • 38. “The short series of cases presented is too small to draw any statistical conclusions, but one fact stands out. Ascorbic acid has a definite effect in shortening the period of paroxysms from a matter of weeks to a matter of days. We have not checked by cough plates or otherwise in this preliminary work to see whether the infectivity subsides simultaneously with the spasmodic symptoms, but are continuing with a larger series of cases in which these and other tests will be employed.”
  • 39.
  • 40.
  • 41.
  • 42.
  • 44. Breastfeeding & Diseases “Vaccination at its core is neither a safe nor an effective method of disease prevention... If an infant needs one vaccine that is 100% safe and effective —that would be breast milk.’ —Dr. Tetyana Obukhanych, PhD, immunologist, Harvard graduate opposite to that of Pasteur’s.
  • 45. “Lack of breastfeeding—and especially lack of exclusively breastfeeding during the first half-year of life—are important risk factors for infant and childhood morbidity and mortality.”
  • 46. “The greatest and most obvious benefits of breastfeeding are for the immediate health and survival of the infant. Rates of diarrhea, respiratory tract infections, otitis media, and other infections, as well as deaths due to these diseases, are all lower in breastfed than in non-breastfed infants.”
  • 47. “ During the first six months, the rates are lower for exclusively breastfed than for partially breastfed infants. These benefits, resulting from stronger immunity and reduced exposure to infectious agents, are greatest in younger infants and where hygiene and sanitation are poor.”
  • 48. “ However, the research described here also suggests that these health and survival benefits extend beyond infancy and to well-off Western populations.”
  • 49. “ Compared with infants who were breast-fed with no milk supplements, and after adjusting for confounding variables, those completely weaned had 14.2 and 3.6 times the risk of death from diarrhea and respiratory infections, respectively. Cow's and formula milk seemed to be equally hazardous.”
  • 50. “Breastfed infants in the United States have lower rates of morbidity, especially from infectious disease.”
  • 51. “55% of infant deaths from diarrheal disease and acute respiratory infections in Latin America are preventable by exclusive breast feeding among infants aged 0-3 months and partial breast feeding throughout the remainder of infancy.”
  • 52. “Among infants aged 0-3 months, 66% of deaths from these causes are preventable by exclusive breast feeding. Promotion of breast feeding has an important role in increasing survival of infants. Exclusive breast feeding of infants aged 0-3 months and partial breast feeding for the remainder of the first year would prevent about 52 000 infant deaths a year in Latin America.”
  • 53. “Exclusive breastfeeding until the age of 4 months and partially thereafter was associated with a significant reduction of respiratory and gastrointestinal morbidity in infants. Our findings support health-policy strategies to promote exclusive breastfeeding for at least 4 months, but preferably 6 months, in industrialized countries.”
  • 54. “In the United States, breastfeeding durations fall far short of these guidelines.5 In 2005, 74.2% of US infants were breastfed at least once after delivery, but only 31.5% were exclusively breastfed at age 3 months, and just 11.9% were exclusively breastfed at age 6 months”
  • 55. “More than 80 percent of U.S. mothers breastfeed their newborns, a new survey finds, but fewer than a third keep doing so for the recommended minimum of one year, a new survey finds.”
  • 56. “Many studies support breastfeeding for as long as possible, and the American Academy of Pediatrics recommends that babies get nothing but human breast milk until the age of six months — and that they continue to breastfeed for at least a year.”
  • 57. “More than half (51.8 percent) of infants were breastfeeding at six months,” it added. That's up significantly from just 35 percent of women in 2000. But then it drops off. “Less than a third (30.7 percent) of infants were breastfeeding at 12 months,” the CDC said”
  • 58. “Studies show that babies given nothing but breastmilk for the first four months of life have a 72 percent lower risk of severe pneumonia for their first year. If moms stop breastfeeding between four and six months, their babies have four times the risk of pneumonia compared to moms who breastfeed for a year or longer.”
  • 59.
  • 60. The American Academy of Pediatrics recommends that “Breastfeeding should be continued for at least the first year of life and beyond for as long as mutually desired by mother and child… Increased duration of breastfeeding confers significant health and developmental benefits for the child and the mother… There is no upper limit to the duration of breastfeeding and no evidence of psychologic or developmental harm from breastfeeding into the third year of life or longer.”
  • 61. -What do health authorities say about breastfeeding past the first year? https://kellymom.com/ages/after12mo/aap-breastfeeding-past-the-first-year/ “The average age at weaning ranges anywhere from six months to five years… Claims that breastfeeding beyond infancy is harmful to mother or infant have absolutely no medical or scientific basis,” says Arthur Eidelman, MD, president of the Academy of Breastfeeding Medicine.
  • 62. -What do health authorities say about breastfeeding past the first year? https://kellymom.com/ages/after12mo/aap-breastfeeding-past-the-first-year/ “Indeed, the more salient issue is the damage caused by modern practices of premature weaning.” The global organization of physicians further notes that “Human milk contains nutrients, antibodies, and immune-modulating substances that are not present in infant formula or cow’s milk. Longer breastfeeding duration is further associated with reduced maternal risks of breast cancer, ovarian cancer, diabetes, hypertension, obesity, and heart attack.”
  • 63. “As recommended by the WHO, breastfeeding should ideally continue beyond infancy, but this is not the cultural norm in the United States and requires ongoing support and encouragement. It has been estimated that a natural weaning age for humans is between two and seven years.” -What do health authorities say about breastfeeding past the first year? https://kellymom.com/ages/after12mo/aap-breastfeeding-past-the-first-year/
  • 64. “Family physicians should be knowledgeable regarding the ongoing benefits to the child of extended breastfeeding, including continued immune protection, better social adjustment, and having a sustainable food source in times of emergency.” -What do health authorities say about breastfeeding past the first year? https://kellymom.com/ages/after12mo/aap-breastfeeding-past-the-first-year/
  • 65. “The longer women breastfeed, the greater the decrease in their risk of breast cancer. Mothers who have immigrated from cultures in which breastfeeding beyond infancy is routine should be encouraged to continue this tradition. There is no evidence that extended breastfeeding is harmful to mother or child. Breastfeeding during a subsequent pregnancy is not unusual. If the pregnancy is normal and the mother is healthy, breastfeeding during pregnancy is the woman’s personal decision.” -What do health authorities say about breastfeeding past the first year? https://kellymom.com/ages/after12mo/aap-breastfeeding-past-the-first-year/
  • 66. Breastfeeding Benefits “The longer women breastfeed, the greater the decrease in their risk of breast cancer. Mothers who have immigrated from cultures in which breastfeeding beyond infancy is routine should be encouraged to continue this tradition. There is no evidence that extended breastfeeding is harmful to mother or child.”  -What do health authorities say about breastfeeding past the first year? https://kellymom.com/ages/after12mo/ aap-breastfeeding-past-the-first-year/
  • 67. “Breastfeeding during a subsequent pregnancy is not unusual. If the pregnancy is normal and the mother is healthy, breastfeeding during pregnancy is the woman’s personal decision.” -What do health authorities say about breastfeeding past the first year? https://kellymom.com/ages/after12mo/aap-breastfeeding-past-the-first-year/
  • 68. "If the child is younger than two years, the child is at increased risk of illness if weaned. Breastfeeding the nursing child after delivery of the next child (tandem nursing) may help provide a smooth transition psychologically for the older child." WEANING BEFORE AGE 2 -What do health authorities say about breastfeeding past the first year? https://kellymom.com/ages/after12mo/aap-breastfeeding-past-the-first-year/
  • 69. “The question of whether there is an upper limit to the duration of breastfeeding has been asked. Data on the scientific foundation for an age above which it is inappropriate or harmful to the child to continue breastfeeding do not exist. Nor are there reported risks to this method of social/ nutritional interactions.” Breastfeeding Handbook for Physicians, 2nd ed. (pg 20 and 122.)
  • 70. “Breastfeeding should be continued, with appropriate complementary foods, for as long as the mother and infant mutually desire. In societies where children are allowed to nurse as long as they wish, they usually self-wean, without emotional trauma, between 3 and 4 years of age. ” Breastfeeding Handbook for Physicians, 2nd ed. (pg 20 and 122.)
  • 71. “Physicians may be surprised to discover that their patients are actually nursing much longer than they believe. Mothers may fail to disclose that they are continuing to nurse an older infant or child because they perceive that their physician may not approve of or support their continued breastfeeding.” Breastfeeding Handbook for Physicians, 2nd ed. (pg 20 and 122.)
  • 72. ANTIBODIES & THE IMMUNE SYSTEM “Human milk in the second year postpartum contained significantly higher concentrations of total protein, lactoferrin, lysozyme and Immunoglobulin A, than milk bank samples, and significantly lower concentrations of zinc, calcium, iron and oligosaccharides.” --Perrin 2016”
  • 73. “Human milk expressed by mothers who have been lactating for >1 year has significantly increased fat and energy contents, compared with milk expressed by women who have been lactating for shorter periods. During prolonged lactation, the fat energy contribution of breast milk to the infant diet might be significant.” -—— Mandel 2005”
  • 74. In a study of 250 toddlers in western Kenya, breastmilk provided, on average, 32% of the child’s total energy intake. “Breast milk made an important contribution to the fat and vitamin A intakes of toddlers in this community.” -—— — Onyango 2002
  • 75. “Breast milk continues to provide substantial amounts of key nutrients well beyond the first year of life, especially protein, fat, and most vitamins.” -—— — Dewey 2001”
  • 76. “Studies done in rural Bangladesh have shown that breastmilk continues to be an important source of vitamin A in the second and third year of life.”-—— — Persson 1998”
  • 77. “In the second year (12-23 months), 448 mL of breastmilk provides: ◦ 29% of energy requirements ◦ 43% of protein requirements ◦ 36% of calcium requirements ◦ 75% of vitamin A requirements ◦ 76% of folate requirements ◦ 94% of vitamin B12 requirements ◦ 60% of vitamin C requirements”
  • 78. “ Optimal breastfeeding reduces the risk of child mortality. It is estimated that, globally, 11.6 percent of deaths of children under 5 years of age (800,000) are attributable to suboptimal breastfeeding practices. In fact, promotion of optimal breastfeeding practices is one of the most effective interventions to prevent deaths for children under 5 worldwide.”
  • 79. “ In addition, breastfeeding is associated with a reduced risk of child obesity, may be protective against the development of type-2 diabetes and certain other noncommunicable diseases later in life , and is associated with increased years of schooling, improved cognition, and higher performance on intelligence tests.”
  • 80. “Not breastfeeding significantly increases an infant’s risk of illness from infectious diseases. For every additional month of full breast-feeding, 30.1% of hospitalizations resulting from infection could have been prevented.”
  • 81.
  • 82. “ Our experimental intervention increased the duration and degree (exclusivity) of breastfeeding and decreased the risk of gastrointestinal tract infection and atopic eczema in the first year of life. These results provide a solid scientific underpinning for future interventions to promote breastfeeding.”
  • 83. “ If breastfeeding did not already exist, someone who invented it today would deserve a dual Nobel Prize in medicine and economics. Breastfeeding is a child's first inoculation against death, disease, and poverty, but also their most enduring investment in physical, cognitive, and social capacity. ”
  • 84. “ The scaling up of breastfeeding to a near universal level could prevent 823,000 annual deaths in children younger than 5 years and 20,000 annual deaths from breast cancer. Recent epidemiological and biological findings from during the past decade expand on the known benefits of breastfeeding for women and children, whether they are rich or poor.”
  • 85. “ The deaths of 823,000 children and 20,000 mothers each year could be averted through universal breastfeeding, along with economic savings of US$300 billion. The Series confirms the benefits of breastfeeding in fewer infections, increased intelligence, probable protection against overweight and diabetes, and cancer prevention for mothers. The Series represents the most in-depth analysis done so far into the health and economic benefits that breastfeeding can produce. ”
  • 86. “The greatest and most obvious benefits of breastfeeding are for the immediate health and survival of the infant. Rates of diarrhea, respiratory tract infections, otitis media, and other infections, as well as deaths due to these diseases, are all lower in breastfed than in non-breastfed infants.”
  • 87. “During the first six months, the rates are lower for exclusively breastfed than for partially breastfed infants.These benefits, resulting from stronger immunity and reduced exposure to infectious agents, are greatest in younger infants and where hygiene and sanitation are poor.”
  • 88. “However, the research described here also suggests that these health and survival benefits extend beyond infancy and to well-off Western populations.”
  • 89.
  • 90. “ An articulate minority doubts its importance in industrial nations, and this view has been widely publicized. Coincidentally, there is evidence that the prevalence of breast-feeding is declining. In response to these events, some American manufacturers of proprietary formulas have begun advertising directly to consumers, rather than marketing their products through health professionals. ”
  • 91. “ The resulting furor has generated a good deal of rhetoric from both professionals and manufacturers. Is breast-feeding "worth the bother"? The epidemiologic evidence is strongly affirmative. Important protection against gastrointestinal infections in every setting has been confirmed and reconfirmed; most clinicians now accept such observations. ”
  • 92. “ Many clinicians, however, are surprised to learn that breast- feeding is associated with significant reductions in non-gastrointestinal infections, including pneumonia, bacteremia, and meningitis, and with a reduced frequency of certain chronic diseases later in life. ”
  • 93. “ Infants in developed settings experience twice the hospitalization rate and more severe illness from lower respiratory tract infection, primarily respiratory syncytial virus. In developing countries the mortality risk is 4-fold. for otitis media, the relative risks were 3.3-4.3 for Finnish infants. ”
  • 94. “Bacterial meningitis and/or bacteremia had a 4-fold risk for hospitalization in a Connecticut study, and a 3-fold relative risk in 2 developing country studies. Human milk was the best preventative for bacteremia and necrotizing enterocolitis in prematures in British neonatal units. ”
  • 95. “A 20-fold reduction in neonatal deaths occurred in Philippine study of breastfeeding, especially in low birth weight babies. Diarrhea causes the most infant mortality in developing nations, where bottle- feeding raises rates 14-fold. In the U.S. estimated relative risks is 3.7 for diarrheal mortality. ”
  • 96. “Sudden infant death is about 1/5 less common in U.S. breast fed babies than in bottle fed. There is evidence for better long-term health after breast feeding in disorders such as celiac disease, Crohn disease, ulcerative colitis, insulin-dependent diabetes mellitus, thyroid disease, malignant lymphoma, chronic liver disease, atopic dermatitis, and food allergies. The design of good studies of protection conferred by breast feeding, and the possible modes of action of breast milk are discussed.”
  • 97. “Breastfeeding with zidovudine prophylaxis was not as effective as formula feeding in preventing postnatal HIV transmission, but was associated with a lower mortality rate at 7 months. Both strategies had comparable HIV-free survival at 18 months.”
  • 98. “These results demonstrate the risk of formula feeding to infants in sub-Saharan Africa...Cumulative infant mortality at 7 months was significantly higher for the formula-fed group than for the breastfed plus zidovudine group (9.3% vs 4.9%; P = .003) ”
  • 99. “When infants receiving no breast milk are contrasted with those on exclusive breast-feeding, the median relative risk of death from diarrhea during the first 6 months of life is 25. Breast-feeding can be promoted by changes in hospital routine and by giving information and support to mothers.”
  • 100. “A review of 21 studies from 8 countries shows that, by such promotion, the most likely reductions in the prevalence of non-breast-fed infants are 40% among infants aged 0-2 months, 30% among those aged 3-5 months, and 10% among those between 6 months and I year old.”
  • 101. “Theoretical calculations based on these data show that such promotion can reduce diarrhea morbidity rates by 8-20% and diarrhea mortality rates by 24-27% in the first 6 months of life. ”
  • 102. “This study shows that breastfeeding reduced the risk of sudden infant death syndrome by ∼50% at all ages throughout infancy. We recommend including the advice to breastfeed through 6 months of age in sudden infant death syndrome risk-reduction messages.”
  • 103. “Promotion of early initiation of breastfeeding has the potential to make a major contribution to the achievement of the child survival millennium development goal; 16% of neonatal deaths could be saved if all infants were breastfed from day 1 and 22% if breastfeeding started within the first hour. Breastfeeding-promotion programs should emphasize early initiation as well as exclusive breastfeeding.”
  • 104. “The important role of appropriate breastfeeding practices in the survival of infants is clear from this analysis. The reduction of ARI deaths underscores the broad-based beneficial effect of exclusive breastfeeding in prevention of infectious diseases.”
  • 105. “Compared with exclusive breastfeeding in the first few months of life, partial or no breastfeeding was associated with a 2.23-fold higher risk of infant deaths resulting from all causes and 2.40- and 3.94-fold higher risk of deaths attributable to ARI and diarrhea, respectively.”
  • 106. “ It is one of the few health-positive behaviors more common in poor countries than rich ones. In low-income countries, most infants are still breastfed at 1 year, compared with less than 20% in many high-income countries and less than 1% in the UK. The reasons why women avoid or stop breastfeeding range from the medical, cultural, and psychological, to physical discomfort and inconvenience.”
  • 107. “ These matters are not trivial, and many mothers without support turn to a bottle of formula. Multiplied across populations and involving multinational commercial interests, this situation has catastrophic consequences on breastfeeding rates and the health of subsequent generations. genuine and urgent commitment is needed from governments and health authorities to establish a new normal: where every woman can expect to breastfeed, and to receive every support she needs to do so. ”
  • 108.
  • 109.
  • 110. “Streptococcus pneumoniae is the relevant cause of bacterial meningitis, with a high-mortality rate and long-term neurological sequelae, affecting up to 50% of survivors. Pneumococcal compounds are pro- inflammatory mediators that induce an innate immune response and tryptophan degradation through the kynurenine pathway. Vitamin B6 acts as a cofactor at the active sites of enzymes that catalyze a great number of reactions involved in the metabolism of tryptophan, preventing the accumulation of neurotoxic intermediates.”
  • 111. “Thus, vitamin B6 attenuated the memory impairment in animals subjected to pneumococcal meningitis.”
  • 113. SUNLIGHT & OUR IMMUNE SYSTEM “The sun is God's doctor, which brings health and strength, purifying and giving color to the blood, and we must have it” -AUCR July 26, 1899, Art. A, par. 4-5
  • 114. “Sunlight is one of the best tonics and beautifiers in the world; therefore, men, women, and children, one and all, should seek it as one of the great natural agencies which help to form the ‘elixir of life.’ ” -Health Reformer April 1, 1871, par. 14-15
  • 115. SUNLIGHT & OUR IMMUNE SYSTEM “WHEN IT COMES to building up your immune system, getting outdoors and enjoying a healthy amount of sunshine are two of your leading allies. Think of it as “nature’s nurture.” --21 Secret Remedies for Colds and Flu by Siloam
  • 116. Vitamin D & Immunity “Vitamin D favorably regulates the immune system, simultaneously improving its effectiveness at eliminating pathogens, and reducing inflammation.… Vitamin D is consumed by the immune system when it’s activated. It is a nutrient that is metabolized at a faster rateduring infection or inflammation.”
  • 117. Vitamin D & Immunity “Consequently, people with inflammatory conditions need greater amounts of vitamin D. They must supplement at a higher dose to achieve healthy blood levels. Sincechronic immune activation is always present in autism, autistics require higher vitamin D intake than normal people. ”
  • 119. “Nature will restore their vigor and strength in their sleeping hours, if her laws are not violated.”—A Solemn Appeal, 62. . HL 69.1
  • 120. The Importance of Sleep for Immunity “Prioritizing sleep is one of the most important things you can do in order to stay healthy. Lack of sleep can negatively affect your immune system Research shows that people who don't get enough sleep are more likely to get sick after being exposed to a virus and that lack of sleep can also slow your recovery if you do get sick.” - (Cleveland Clinic) Maintaining a Healthy Immune System: What you can do to help by Leonard H. Calabrese, D.O. And R. J. Fasenmyer Chair of Clinical Immunology
  • 121. The Importance of Sleep for Immunity “One of the most striking studies found that after subjects were exposed to the common cold virus, those who slept less than 6 hours a night during the previous week were 4 times more likely to get a cold than those who slept 8 hours a night.” - (Cleveland Clinic) Maintaining a Healthy Immune System: What you can do to help by Leonard H. Calabrese, D.O. And R. J. Fasenmyer Chair of Clinical Immunology
  • 122. The Importance of Sleep for Immunity “Studies have also shown that people who are sleep deprived get less protection from vaccinations than those who get adequate sleep .Evidence overwhelmingly supports that our immune response is suppressed when we are sleep deprived.” - (Cleveland Clinic) Maintaining a Healthy Immune System: What you can do to help by Leonard H. Calabrese, D.O. And R. J. Fasenmyer Chair of Clinical Immunology
  • 123. The Importance of Sleep for Immunity “During sleep, your immune system releases proteins called cytokines, some of which help promote sleep. Certain cytokines increase when you have an infection, inflammation, or when you're under stress.” - (Cleveland Clinic) Maintaining a Healthy Immune System: What you can do to help by Leonard H. Calabrese, D.O. And R. J. Fasenmyer Chair of Clinical Immunology
  • 124. The Importance of Sleep for Immunity “Sleep deprivation may decrease production of these protective cytokines. In addition, infection-fighting antibodies and cells are reduced during periods when you are sleep deprived For those with autoimmune disease, studies have shown that losing sleep for even part of one night can trigger tissue-damaging inflammation.” - (Cleveland Clinic) Maintaining a Healthy Immune System: What you can do to help by Leonard H. Calabrese, D.O. And R. J. Fasenmyer Chair of Clinical Immunology
  • 125. Quick Tips: Good Sleep Habits The following tips about sleeping to strengthen your immune system make sense for all ages: • Go to bed and awake at the same time each day, even on weekends. There is no way to make up for “lost sleep.” • Establish a daily “cool-down” time. One hour before bedtime dim the lights and eliminate noise. Use this time for low-level stimulation activities such as listening to quiet music or reading non- stimulating material
  • 126. Quick Tips: Good Sleep Habits The following tips about sleeping to strengthen your immune system make sense for all ages: • Associate beds with resting only. Talk on the phone or scan the Internet elsewhere. • Don’t drink caffeinated drinks in the afternoon or evening. Caffeine’s stimulating effects will peak two to four hours after consumption, but they can linger in the body for several hours.
  • 127. Quick Tips: Good Sleep Habits The following tips about sleeping to strengthen your immune system make sense for all ages: • Don’t eat dinner close to bedtime, and don’t overeat. Sleep can be disrupted by digestive systems working extra hard after a heavy meal. Make your last meal of the day a light one. • Avoid exercise close to bedtime. Physical activity late in the day can affect your body’s ability to relax into a peaceful slumber.” - 21 Secret Remedies for Colds and Flu by Siloam Editors
  • 129. “Another pernicious habit is that of eating just before bedtime. The regular meals may have been taken; but because there is a sense of faintness, more food is taken. By indulgence this wrong practice becomes a habit and often so firmly fixed that it is thought impossible to sleep without food.” THE DIGESTIVE SYSTEM -(Ministry of Healing, p. 303; Child Guidance, p. 389).
  • 130. “As a result of eating late suppers, the digestive process is continued through the sleeping hours. But though the stomach works constantly, its work is not properly accomplished.” THE DIGESTIVE SYSTEM -(Ministry of Healing, p. 303; Child Guidance, p. 389).
  • 131. “The sleep is often disturbed with unpleasant dreams, and in the morning the person awakes unrefreshed and with little relish for breakfast. When we lie down to rest, the stomach should have its work all done, that it, as well as the other organs of the body, may enjoy rest. For persons of sedentary habits late suppers are particularly harmful. With them the disturbance created is often the beginning of disease that ends in death.” THE DIGESTIVE SYSTEM -(Ministry of Healing, p. 303; Child Guidance, p. 389).
  • 132. Our Immune System “Vaccines don’t form a protective ring around anyone; our immune system remains our primary defense against disease, … As best-selling author Dr. Bob Sears explains:
  • 133. Our Immune System “A healthy immune system is the key to preventing infectious diseases. We are all exposed to millions of germs every day, and vaccinesonly cover a tiny fraction of one percent of these germs. So we must rely on our own immune system to fight off most potential infections.”