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Memórias do Instituto Oswaldo Cruz
Fundação Oswaldo Cruz, Fiocruz
ISSN: 1678-8060
EISSN: 1678-8060
Vol. 90, No. 6, 1995, pp. 665-674
Bioline Code: oc95135
Full paper language: English
Document type: Research Article
Document available free of charge

Memórias do Instituto Oswaldo Cruz, Vol. 90, No. 6, 1995, pp. 665-674

 en Acute Respiratory Infections in Children Living in Two Low Income Communites of Rio de Janeiro, Brazil
Frits Sutmoller & Paulo Ricardo Maia

Abstract

Community  studies of non-hospitalized children are essential
to obtain a more thorough  understanding  of acute respiratory
infections (ARI) and provide important information for public
health authorities.  This study identified a total ARI
incidence rate (IR)  of 4.5  per 100 child-weeks at risk and
0.78 for lower respiratory  tract infections (LRI).  Disease
duration averaged  less than one week and produced a total
time ill with ARI of 5.8%  and for LRI 1.2%.  No clear
seasonal variation was observed, the sex-specific IR showed a
higher proportion of boys becoming ill with ARI and LRI and 
the peak age-specific IR occurred in infants of 6-11 months.
Correlation  with risk factors of the child (breastfeeding, 
vaccination, diarrheal disease, undernourishment) and the
environment (crowding, living  conditions, maternal age and
education)  showed  marginal increases  in  the  rate ratios,
making it  difficult  to  propose clear-cuts  targets for
action to lower the ARI  and LRI morbidity.   The importance
of an integral maternal-child  health  care program and public
education in the early recognition of LRI is discussed.

Keywords
acute respiratory infections - incidence - Brazil - low income population - risk factor

 
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