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TRIP Database - Clinical Search Engine
The TRIP Database is a clinical search tool designed to allow health professionals to rapidly identify the highest quality clinical evidence for clinical practice.

diarrhoea | hygiene | Critical Care | Gastroenterology | Infectious Disease | Pediatrics | Primary Care

defeatdd.org - controlling diarrheal disease

Despite substantial gains with effective interventions in the 1980s and 1990s, severe dehydration due to diarrhea continues to threaten too many children’s lives, particularly in the developing world. Simple, available, and proven tools promise dramatic reductions in diarrhea-related illness and deaths worldwide. In addition to established interventions that include oral rehydration therapy, exclusive breastfeeding, and improved hygiene, new tools like zinc and vaccines bring new opportunities to re-invigorate interest and catalyze investments in diarrheal disease control.

Poverty, Health, & Environment
Placing Environmental Health on Countries’ Development Agendas Environmental risk factors play a role in more than 80 major diseases and injuries around the world. Diarrhea, lower respiratory infections, various forms of unintentional injuries, and malaria are largely the result of environmental risk factors. These are precisely the diseases that most affect the poor in the poorest countries. As the world’s climate changes, these existing health impacts are expected to worsen, particularly for the poor and in developing countries. Download pdf

Focus on Haiti - Key Resources for Haiti Disaster Efforts

Cochrane Evidence Aid, Risk Management, Disaster Prevention, Preparedness and Management Communication and Media Resource Materials The citizens of Haiti are currently dealing with devastation and suffering that few of us can even imagine. The 7.0-magnitude earthquake near Port-au-Prince, Haiti, on January 12, 2010, has devastated the city and surrounding areas. The earthquake has reduced large parts of the the country's capitol to rubble and devastated their already poor infrastructure making the task of delivering aid extremely difficult. Official estimates from the region say that approximately 3 million people — one third of the population of Haiti — have been affected by this disaster and that an estimated 200,000 people may have died as a result of the earthquake. Port-au-Prince's 3 largest medical centers have been devastated.

As medical relief personnel pour in, use Medscape's Alert Center to find out what you can do to help, learn how the situation is progressing, and discuss the situation with your colleagues. Seeking information about relatives in Haiti: +1 (888) 407-4747

Healthcare Information For All by 2015
Health Information For All by 2015

Every day, tens of thousands of children, women and men die needlessly for want of simple, low-cost interventions – interventions that are often already locally available. A major contributing factor is that the mother, family caregiver or health worker does not have access to the information and knowledge they need, when they need it, to make appropriate decisions and save lives.

HIFA2015 is a campaign and knowledge network with more than 4000 members representing 1800 organisations in 157 countries worldwide. Members include health workers, publishers, librarians, information technologists, researchers, social scientists, journalists, policy-makers and others – all working together towards the HIFA2015 goal.

On-line Diarrheal Disease Course
- Global Health eLearning Center - USAID
Time: Approximately 1 hour, 30 minutes
Objectives: By the end of this course you will be able to:

Describe the magnitude of diarrheal diseases among children under the age of five in developing countries
Explain the main principles of diarrhea case management in young children
Discuss what can be done to prevent diarrhea in young children in developing countries and obstacles that must be overcome to do so

On-Site Resources

.... the dialogue continues.
The international newsletter on the control of diarrhoeal diseases

Dialogue on Diarrhoea Online offers clear, practical advice on preventing and treating diarrhoeal diseases. Regular features include guidelines on diagnosis and treatment, training tips, information on rational drug use, research updates and feedback from the field.

In addition to information on clinical management, the newsletter addresses issues which affect health workers' and families' abilities for care for children, such as communication skills, organisation of health centres and hospitals, health education and training.

Slide Shows

A Simple Solution - set of 198 slides
A Simple Solution
set of 198 slides
A Programme to curb the effects of diarrhoea / diarrhea in infants and young children.
A Kind of Living - set of 78 slides A Kind of Living
set of 78 slides
Life of a young boy, Babu, in a city.
Acute Diarrhoeal Diseases - set of 36 slides Acute Diarrhoeal Diseasess
set of 36 slides
Clinical Features and Management

KwMap.com - browse the Keyword Map of rehydrate.org

Hospitals Changing to ORT

ORT Success Stories

Hospitals Changing to ORT
Many hospitals in both poor and rich countries are now changing from intravenous therapy to ORT

Note: Median figure for 8 hospitals in developing countries.


Cartograms - Images of the social and economic world Cartograms - Images of the Social and Economic World

On a regular map, the sizes of the countries of the world are in proportion to their actual sizes on the surface of the planet and their shapes are the same as their actual shapes. Here are redrawn maps with the sizes of countries made bigger or smaller in order to represent something of interest. Such maps are called cartograms and can be an effective and natural way of portraying geographic or social data. Here are some examples of Population, Gross domestic product, Child mortality, People living with HIV/AIDS, Total spending on healthcare, Energy consumption (including oil), and Greenhouse gas emissions.

Combata la diarrea: mantenga higiene en manos, alimentos y ambiente - 10 laminas
Combata la diarrea: mantenga higiene en manos, alimentos y ambiente - 10 laminas

Ministerio de Salud, Costa Rica

Proyecto Educadores
Comunitarios De Salud
Ministerio de Salud, Costa Rica

Combata la diarrea:

mantenga higiene en manos, alimentos y ambiente

10 laminas

Off-site Resources

Google Scholar Google Scholar "Stand on the shoulder of giants" - a free literature search database with links to full text. It apparently indexes all of PubMed, PubMed Central, most journals in the Directory of Open Access Journals, and much, much more. Google Scholar also provides citation tracking - each article has a link to all articles that cite it. They also promote libraries strongly in the FAQ.

WHO - Child Health and Development

Water, Sanitation and Health
WHO works on aspects of water, sanitation and hygiene where the health burden is high, where interventions could make a major difference and where the present state of knowledge is poor:

WHO Water, sanitation and hygiene links to health: facts and figures updated March 2004 WHO Water, sanitation and hygiene links to health: facts and figures29 kb

Health Topics: Diarrhoea
Fact Sheets, links to descriptions of activities, reports, news and events and links to related web sites and topics. Water-related diseases
Diarrhoea occurs world-wide and causes 4% of all deaths and 5% of health loss to disability. Household water
The International Network to Promote Household Water Treatment and Safe Storage Drinking Water Quality
Contaminated drinking water contributes to disease in developing and developed countries worldwide. The International Network to Promote Household Water Treatment and Safe Storage
Household water treatment and safe storage (HWTS) interventions can lead to dramatic improvements in drinking water quality and reductions in diarrhoeal disease

WHO Child Health

Water and sanitation related diseases fact sheets
WHO International Travel and Health International Travel and Health is a WHO publication that offers guidance on the full range of health risks likely to be encountered at specific destinations and associated with different types of travel – from business, humanitarian and leisure travel to backpacking and adventure tours. The guidance is intended to help the medical profession to be fully aware of potential risks and to provide appropriate advice, whether this concerns recommended vaccinations, protection against insects and other disease vectors, or safety in different environmental settings.

Highly recommended.

Selected WHO online publications and documents on Diarrhoeal Diseases (including cholera)
This page represents a convenient list of some online WHO publications and documents relating to the Control of Diarrhoeal Diseases including Cholera. It is not a complete list. These can be viewed in electronic format online, or downloaded for offline viewing. For a complete and current list, kindly select one of the links above.

Open Access

Centers for Disease Control and Prevention CDC - Centers for Disease Control and Prevention

First Do No Harm: Making Oral Rehydration Solution (ORS) Safer In A Cholera Epidemic

Oral rehydration solution (ORS) is lifesaving therapy for cholera and pediatric diarrhea. During a cholera epidemic in Guinea-Bissau, we evaluated the microbiologic quality of ORS prepared at a hospital and tested a simple intervention using special vessels for disinfecting tap water with bleach and for preparing, storing, and dispensing ORS.
Few coliform bacteria and Escherichia coli were recovered from tap water; however, pre-intervention ORS contained numerous bacteria including E. coli and toxigenic Vibrio cholerae O1. In contrast, ORS samples from intervention vessels had few or no coliform bacteria, no E. coli, and no V. cholerae. Mean pre-intervention counts of coliform bacteria (3.4 × 107 colony-forming units [cfu]/100 ml) and E. coli (6.2 × 103 cfu) decreased significantly during the intervention period to 3.6 × 102 cfu and 0 cfu, respectively (P < 0.001).

This simple system using bleach disinfectant and special storage vessels prevents bacterial contamination of ORS and reduces the risk of nosocomial transmission of cholera and other enteric pathogens.

Excerpt from
The American Journal of Tropical Medicine & Hygiene
Vol. 60, No. 6, pp. 1051–1055

Infant and Young Child Nutrition (IYCN) Project

The Infant and Young Child Nutrition (IYCN) Project maintains a collection of useful resources on maternal nutrition, infant and young child feeding, prevention of mother-to-child transmission of HIV (PMTCT), and more. Our collection offers a variety of high-quality training materials, publications, web links, and other helpful resources. After five years of maternal, infant, and young child nutrition programming around the world, USAID's Infant & Young Child Nutrition (IYCN) Project completed activities in most countries in December 2011. Resources > Agriculture and food security | Behavior change communication | Infant feeding and emergencies | Infant feeding and HIV | Maternal nutrition
Micronutrients | Monitoring and evaluation | Multilanguage resources | Policy and advocacy | Research | Technical publications

The World Bank Group

Water Supply and Sanitation Site
Water Resources Management
Water Supply & Sanitation
Water supply, sanitation and health are closely related. Poor hygiene, inadequate quantities and quality of drinking water, and lack of sanitation facilities cause millions of the world's poorest people to die from preventable diseases each year. Women and children are the main victims.

More than 50% of all child deaths are due to just five communicable diseases, which are preventable and can be treated: pneumonia, diarrhea, measles, malaria and HIV/AIDS. Malnutrition is an underlying factor that increases the risk of dying from these diseases. Children are particularly vulnerable during early life

World Bank Child Health

Progress and barriers for the control of diarrhoeal disease
Prof Mathuram Santosham MD, Aruna Chandran MD, Sean Fitzwater MHS, Christa Fischer-Walker MD, Prof Abdullah H Baqui DrPH, Prof Robert Black MD
Discovery of intestinal sodium-glucose transport was the basis for development of oral rehydration solution, and was hailed as potentially the most important medical advance of the 20th century. Before widespread use of oral rehydration solution, treatment for diarrhoea was restricted to intravenous fluid replacement, for which patients had to go to a health-care facility to access appropriate equipment. These facilities were usually neither available nor reasonable to use in the resource-poor settings most affected by diarrhoea. Use of oral rehydration solution has stagnated, despite being effective, inexpensive, and widely available. Thus, diarrhoea continues to be a leading cause of child death with consistent mortality rates during the past 5 years. New methods for prevention, management, and treatment of diarrhoea—including an improved oral rehydration formulation, zinc supplementation, and rotavirus vaccines—make now the time to revitalise efforts to reduce diarrhoea mortality worldwide.

Diarrhoea Teaching Guide
Zambian Basic Education Course, NUTRITION EDUCATION, Supplementary Material - Pupil’s Book Grade 2
Mukelabai Songiso, Simon Hikaula, Janet L. Shamapango, Tomy B. Zulu
2005 86 pg ISBN: 9982540017 AF847/E
Download 451 Kb


Lesson 1. Sick with diarrhoea
Lesson 2. What to do when you have diarrhoea
Lesson 3. Why do we get diarrhoea?
Lesson 4. How to avoid diarrhoea
Lesson 5. Diarrhoea in the family

Diarrhoeal Diseases CD-ROM Diarrhoeal Diseases Interactive Tutorial, Image Collection and Glossary CD-ROM

The Diarrhoeal Diseases CD-ROM, one of 8 in the 'Topics in International Health' series created by The Wellcome Trust, provides an illustrated introduction to this important group of diseases, their causes, diagnosis, treatment, prevention and control. Three complementary resources are contained on this unique CD-ROM: a selection of interactive tutorials, an image collection, and a glossary.

11 interactive tutorials highly visual, structured learning tools

The tutorials include objectives, self assessment tests, a list of key references to encourage further reading, and summary screens to reinforce the crucial points.

Over 700 images a searchable database of high quality images
Each image is accompanied by a detailed description, searchable keywords, and disease and aetiological agent classifications. Sets of images can be created, saved and printed. The image collection is a valuable reference source which can be used to provide examples for practical exercises and illustrations for lectures. It may be used on its own or to enhance the teaching value of the tutorials.

Glossary an electronic glossary of medical and scientific terms
The glossary defines the medical and scientific terms used in the tutorials and image descriptions. It has an easy to use interface, and will help users who are unfamiliar with medical terminology or whose first language is not English.

18 Subject experts have developed and reviewed this CD-ROM to ensure that it is comprehensive, accurate, and up to date.

'Topics in International Health' is an excellent, exciting and unique series of educational materials for medical and life sciences students, their teachers and other healthcare professionals.

Aspects of international and tropical health are presented on a range of CD-ROMs, each focusing on a disease (or group of diseases) of global significance.

eMedicine Specialties > Pediatrics > Gastroenterology eMedicine Specialties > Pediatrics > Gastroenterology > Diarrhea

Instructions: You may earn continuing education credits by choosing any of the following:
  • Clinical Knowledge Base (CKB): Read a CKB article, correctly answer 6 questions, and receive 1.5 AMA PRA Category 1 Credits™. (Tests may be retaken until all questions are answered correctly.)

  • Specialty reviews: Read and correctly answer several questions in a subspecialty area and receive 1.5 - 100 AMA PRA Category 1 Credits, depending on the number of questions answered. (Tests may be retaken until all questions are answered correctly.)

  • * Sponsored courses: Complete any of the FREE courses listed at http://master.emedicine.com/maint/cme.asp and receive 0.5 - 2.75 AMA PRA Category 1 Credits, depending on the course.

eMedicine Membership

New to eMedicine? Register now for FREE access to our membership services. Registration takes about 2 minutes and entitles you to receive the following:

  1. Unlimited online access to the world’s most comprehensive clinical knowledge base

  2. Full search capabilities for articles and multimedia

  3. Choice of informative newsletters and Case Study emails

  4. FREE interactive CME/CE

Resource Centre Manual: How to set up and manage a resource centre How to Set Up and Manage a Resource Centre
download pdf

This manual is designed for health and disability workers planning to set up and develop a resource centre within resource-poor communities around the world, and is aimed toward people operating on a limited budget. Healthlink Worldwide uses this manual to support its workshops for organisations setting up resource centres in developing countries. - Publisher: Healthlink Worldwide

Public Health Information and Data: A Training Manual

Public Health Information and Data: A Training Manual supports instruction provided to members of the public health workforce on issues related to information access and management. This manual is intended primarily for librarians and others who may be responsible for developing training events. There are no copyright restrictions on the manual's contents, and instructors are free to adapt or duplicate any portion.

The manual's chapters include:

* Staying Informed About News in Public Health
* Finding Information for Others: Health Education Resources
* Finding Public Health Statistics and Data Sources
* Supporting Decisions with Best Evidence

Download the manual > Public Health Information and Data: A Training Manualpdf 3.5 mb
Original document is here

Dr. R. K. Anand's Guide to Child Care: For pregnant mothers and parents of infants, young children, and teenagers Dr. R. K. Anand's Guide to Child Care

For pregnant mothers and parents of infants, young children, and teenagers. A definitive guide to the parent on pregnancy and childrearing from infancy to the teenage years. Authored by one of India's foremost paediatricians and an internationally renowned authority on breastfeeding.

Epidemiology and Management of Diarrheal Diseases
Epidemiology and Management of Diarrheal Diseases
for medical and health related students

Learning objectives
To identify the common agents causing diarrhea
To identify the population-at-risk of diarrhea
To understand the clinical features and laboratory methods for the diagnosis of diarrhea
To know the management of diarrhea
To know the vaccines and other preventive measures for diarrhea

Performance Objectives
Diagnose the common causes of diarrhea
Assess and treat dehydration
Select antimicrobial agents appropriately for different types of diarrhea
Apply preventive strategies for the control of diarrhea

Epidemiology SuperCourse

This online course (set of lectures) is designed to provide an overview on epidemiology and the Internet for medical and health related students around the world.

Example topics included are: nutrition and global health, malaria, cancer epidemiology, injury epidemiology, HIV/AIDS, pharmacoepidemiology, influenza, diabetes, diarrheal diseases, toxoplasma, and much more.

Click here for a list of all the lectures.

Source International Information Support Centre Source - International Health and Disability database
Subject and geographic search

The Source collection is fully referenced on the Source bibliographic database, which can easily be searched. The database complements commercial databases by including a high proportion of materials that are not recorded on other databases. Details of resources include subjects, keywords, price, publisher and distributor.

Health and Healing Health and Healing is for first contact or primary health care workers. It is about both health and healing at the primary level. It offers a broad and comprehensive range of health topics from personal health to national health programmes, from system-wise illnesses to health problems of at-risk groups like women, children and old persons.

By Dr. Shyam Ashtekar

search all oneworld partners
Search us and a community of over 350 leading global justice organisations under one roof.

Quest Quest is a framework to guide the process of planning, researching, developing, disseminating and evaluating communication and information resources. It has been developed in recognition of the need for practical and comprehensive guidelines on how to produce effective resources. Quest aims to enhance the quality and impact of resources produced, and to develop related organisational capacity. Relevant to a wide audience, it is adaptable for use in different contexts.

The Free Medical Journals Site Free - direct links to online journals offering full text articles

The Free Medical Journals Site is dedicated to the promotion of free access to medical journals over the Internet. Within the next three years, the most important medical journals will be available online, free and in full-text. The access to free scientific knowledge will have a major impact on medical practice and attract Internet visitors to these journals.

Johns Hopkins Health Information Johns Hopkins Health Information

You can get the full story on today's health news and much more on the InteliHealth Web page http://www.intelihealth.com

InteliHealth, a joint venture between Aetna U.S. Healthcare and Johns Hopkins University and Health System, was established in 1996 to offer one of the most comprehensive and timely collections of health information from leading industry sources. Committed to providing the highest quality and most up-to-date health information, InteliHealth delivers content through both its in-house editorial staff and via licensing agreements with major broadcast, print and interactive media. To provide the highest standards of quality, the information on the InteliHealth site is reviewed and approved by Johns Hopkins, the nation's best hospital for eight consecutive years according to U.S. News and World Report.

InteliHealth ConnectSubscribe to InteliHealth Connect!

Get Johns Hopkins FREE daily e-mail for consumers or professionals.

WaterWeb Ring

Rehydration Project is a member of WaterWeb ring, created in 1998 to promote the sharing of information concerning water and the earth’s environment. By connecting water-related web sites through the ring, the WaterWeb consortium seeks to create a global community, bringing together educational, governmental, nonprofit and commercial entities interested in water research, conservation and management.

NetLinks - Johns Hopkins University
A Searchable Database of over 1,000 Internet resources useful to people working in health, population, and international development.

Making ORT a household habit
Making ORT a household habit

The Progress of Nations 1997
Water and Sanitation - Progress and Disparity

In China, 85% of diarrhoeal episodes are treated with ORT.

About three quarters of the households in developing countries now use ORT as defined before 1993, up from 38% in 1994. But only about one third of homes now use ORT following the new definition, a more effective treatment for diarrhoeal dehydration.

Making ORT a household habit 

Loteria Nacional de Costa Rica
Ministerio de Salud, Costa Rica

Usted Puede Evitar el Colera:

1. Lavese bien las manos con jabon antes de comer y despues de usar el servicio sanitario

2. Lave bien los alimentos que ingiere, especialmente los que se comen crudos.

3. Tome siempre agua potable. Clore o hierva el algua de la que duda de su potabilidad.

4. Evite ingerir alimentos en la calle.
Loteria Nacional de Costa Rica

updated: 24 April, 2014