A JAMA THEME ISSUE Edited by Annette Flanagin, RN, MA, and Margaret
A. Winker, MD
In a randomized trial of low-income families in Karachi, Pakistan, Luby
and colleagues found that counseling household members to wash their hands
with soap after defecation and before preparing food, eating, or feeding a
child resulted in significantly lower rates of childhood diarrhea.
A randomized trial conducted by Kaul and colleagues showed that a monthly
dose of azithromycin reduced bacterial sexually transmitted infections but
failed to reduce the incidence of new HIV-1 infections in female sex workers
in Nairobi, Kenya.
Rivera and colleagues report better growth in height and less anemia
in children whose families were randomized to receive nutritional supplements,
nutrition education, health care, and cash transfers in a study conducted
in rural communities in 6 Mexican states.
Lindblade and colleagues report results from a community-randomized
study in rural Kenya in which reductions in malaria, mean number of Anopheles mosquitoes per household, and all-cause infant
mortality were found to persist for up to 6 years following introduction of
insecticide-treated bednets, with no increase in mortality of older children.
The WHO World Mental Health Survey Consortium reports results of structured
diagnostic interviews with adults in 8 developed and 6 less-developed countries.
The study showed substantially more persons with serious mental disorders
had not received treatment in the past 12 months, whereas the majority of
persons in treatment had mild disorders.
Recalibration of the Framingham coronary heart disease (CHD) risk assessment
tool using clinical data from a representative population of Chinese adults
improved its ability to predict CHD death and myocardial infarction in China,
according to analyses by Liu and colleagues.
Analyses by de Onis and colleagues suggest that the prevalence of underweight
children will decline by 2015 in almost all regions of the world, whereas
substantial increases will be seen in sub-Saharan, eastern, middle, and western
Distinct routes of transmission were identified for typhoid and paratyphoid
fever in a case-control study in Jakarta, Indonesia, conducted by Vollaard
Experts hope that advances in tuberculosis research and public-private
partnerships will expedite better diagnostic tests, treatments, and a vaccine.
Preventing and controlling the major cause of death in the world.
Proposed revisions of the WHO's International Health Regulations.
A proposal to double global health aid.
Buekens and colleagues discuss the need for evidence-based interventions
to improve health globally.
Benefits and risks of reduced osmolarity oral rehydration solutions.
For your patients: Information about malaria.
This Week in JAMA. JAMA. 2004;291(21):2519. doi:10.1001/jama.291.21.2519