[National Survey on Acute @entity5163 and Acute XXXX , 1987].

@entity1 @entity697 @entity294 @entity1729 @entity204 @entity5163
A survey was conducted in 4 administrative regions of the Dominican Republic to determine the prevalence and incidence of @entity697 and @entity1729 and to increase knowledge of their epidemiological features and responses of the family to the conditions. An objective was to establish programs to reduce their occurrence. The study consisted of a retrospective survey of morbidity over the past 2 weeks or mortality over the past year from acute @entity294 or @entity1729 in a representative sample of @entity1 5 years old. A cluster sampling method was used. 7322 @entity1 5 were included. 59% had been sick in the 2 weeks preceding the survey. 94% of their illnesses corresponded to @entity697 or @entity1729 , with few regional differences. 27% of the @entity1 had had @entity697 in the 2 weeks preceding the survey, with a slightly higher frequency (30%) in urban areas. The incidence, or percentage of @entity1 with @entity294 on the survey date was 13%, ranging from 6% to 19% in different regions and with a greater prevalence in urban areas. The average duration of @entity5163 was 5 days, and the proportion of prolonged episodes lasting 15 or more days was 8%. 89% of the mothers had breast fed their @entity1 . 59% of urban and 51% of rural @entity1 were given less to eat during their @entity294 . Some form of oral rehydration was administered in 51% of cases. The use of iv feeding ranged from 3% to 12% in different regions and averaged 7% overall. Antidiarrheals or antibiotics were administered in 24% of cases. 65% of families sought medical assistance for the @entity294 . 5% of the @entity1 with @entity294 were hospitalized. @entity294 mortality projected over the 1987 population age 0-4 suggested that around 6000 @entity204 associated with @entity294 occurred, of which about 5000 were in @entity1 1 year. 43% of all @entity204 were associated with @entity294 . The frequency of @entity1729 was 40%, ranging from 36% to 45% in different regions. The average duration was 7 days, with little regional or rural-urban variation. The calculated annual frequency of @entity1729 was 10 episodes/ @entity1 , again with little geographic variation. Feeding of the @entity1 was decreased in 45% of cases. 49% of cases required medical attention and 58% received some form of treatment. 3% of cases required hospitalization. 26% of @entity204 in @entity1 1 and 15% in those 1-4 were associated with @entity1729 . The annual projection of 50 days morbidity due to @entity1729 and 30 days due to @entity294 totals about 80 days of illness/ @entity1 /year. Considering that feeding was reduced in 45% of @entity1 with @entity1729 and 55% with acute @entity294 , the potential effect on nutritional status is obvious.
