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Geneva, Switzerland, WHO, 1986. 130 p. (WHO/CDD/86.16)This 5th report of the Diarrheal Diseases Control Program (CDD) describes the activities undertaken by the program during 1984-1985. Primary objectives of the program are to reduce diarrhea associated mortality, malnutrition, and treatment costs. In so doing the program advocates the use of oral rehydration therapy (ORT) solutions in the treatment of diarrhea and dehydration, and promotes proper feeding during and after diarrheal illness. 3 major strategy areas are: improved nutrition (such as breastfeeding for the 1st 2 years of life), use of safe water, and good personal and domestic hygiene. Program activities involve planning, training (supervisory, management and technical), increasing the availability of ORT (including household solutions, and production and supply of ORS), promoting health education and communication, and the control of cholera in Africa. Summaries of program activities in different regions are included, and collaborations with other WHO programs and other agencies are described. The program supports biomedical research through its global and regional scientific working groups, which includes 62 new projects for 1984 and 67 new projects for 1985. Scientific Working Groups focus on bacterial enteric infections, viral diarrheas, drug development, and clinical management ofdiarrhea.
Geneva, Switzerland, WHO, 1985. 29 p. (WHO/CDD/85.12)This paper reports the activities and proposed program budget for 1986-1987 reviewed by the Technical Advisory Group (TAG) at its 6 meeting. The Group also examined 2 reports on the use of oral rehydration therapy (ORT) and the incorporation of cost-effective control interventions other than case management in national CDD programs, and reviewed revised guidelines for the management of the research component of the global Program. With respect to the health services component, the following conclusions and reccomendations were made: the program should maintain a comprehensive approach to diarrheal disease control, while continuing to give major emphasis to and expanding further the case management strategy; continued efforts to promote plan preparation in all developing countries should be maintained; progress is to be regularly monitored; latent plans should be implemented; efforts to improve the global use rate of ORT should be effected; routine antidiarrheal remedies are to be discouraged; training curricula of health personnel must be promoted and improved; preparation of guidelines to facilitate mobilization of developmental support is urged. In the research component, the Group approved the proposed changes in the research management structure, particularly the termination of the Scientific Working Groups and Steering Committees; it endorsed the overall approach of the Program in diarrheal research development; it stressed the need for and suggested ways of achieving a flexible, rapid response to operational research; it welcomed the increase of biomedical projects; it emphasized the need for urgent research to determine which diarrhea cases required ORS treatment. Numerous other recommendations were made.