[Contribution of infectious and parasitic diseases to morbi-mortality rates in Ribeirão Preto, SP (Brazil)].
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A questionnaire was sent to all veterinarians in Lower Saxony (approximately 3500). The regular occurrence of parasitic infections in small animals, problems with particular parasites, the routine application of diagnostic and therapeutic measures, and the significance of Echinococcus multilocularis were asked for. Due to the disappointing low number of filled-in questionnaires sent back by the practitioners (n = 68) a statistical analysis of the data was not applicable. Nevertheless, certain trends could be recognized. Cestodes and ascarids are stated as regularly occurring parasites of dogs (92.1% and 94.1%) and cats (94.1% and 95.6%) by most veterinarians. Cestodes are most frequently regarded as parasites causing problems in dogs (16.2%) and cats (17.5%). Pyrantel and praziquantel are the anthelmintics preferred by the majority of the practitioners for the treatment of parasitic infections in dogs (86.7% and 63.2%) and cats (47.1% and 75.0%). Coproscopical methods are performed by most veterinarians (92.6%) and they are generally regarded as adequate diagnostic tools (86.8%). To date, Echinococcus multilocularis is not noticed as a major problem in Lower Saxony by the practitioners, although sporadically veterinarians are asked for advice.
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Although considerable advances in the reduction of global child morbidity and mortality have been made since 1970, when more than 17 million children died, the burden of child mortality is still intolerably high today. An estimated 10.5 million younger than the age of 5 years died in the year 2002 from largely preventable diseases, such as those having infectious, parasitic, and perinatal causes. The reductions in rates of mortality observed did not take place uniformly across time and regions of the world, but the success stories in developing countries demonstrate clearly that low mortality levels are achievable in those settings. If the whole world came to share the current child mortality experience of Northern European countries, more than 10 million deaths of children could be prevented each year. This work aims to answer the questions concerning where and why so many of the world's children still succumb to largely preventable causes.
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