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G. Cesar, . Victora-1, R. Sharon, . Huttly2, . Sc-fuchsl et al., Leroy3, vol.3

, RS, Brazil; 2Department of ~idemio­ logy and Population Sciences, London School of Hygiene and Tropical Medicine, London, UK; Center for P0frulation and Development Studies, International Centre for Diarrhoeal Disease Research SAli India Institute of Medical Sciences

, ABSTRAcr Population-bascd data on deaths due ta diarrhoea among ch.ildren Jess than 5 years of age were obtained from areas of Brazil, Senegal Bangladesh (236) and

I. , Fatal episodes of diarrhoea were classified as cither acute diarrhoea. dysentel)', or persistent d.ianhoea based on their duration and on the presence or absence of blood in the stools

4. In-india and . Bangladesh, In the latter two studies, over onebaIf of infant diarrhoeai deaths were due to acute watel)' episodes. Among ch.ildren 1-4 years oid dying from d.ianhoea, persistent episodes were the most common in Senegal and India, whereas dysentel)' W3S the leading pattern in Bangladesh. These differeîlCes May he related to the use of oral rehydration therapy and the utilisation of heaIth can::, as weB as to enviromnental characteristics, and are relevant for planning control strategies. Further data are required from other parts of the less developed world. short duration of exclusive and totalbreastfeeding (11), and by the appropriate management of these prolonged episodes

. Clinieal, tterns of diarrhoeal dealhs required. ln Bangladesh, on the other hand, special attentiori is required to acute diarrhoea among infants and particularly to dysentery arnong children of 1 -4 yea~ of age; hygiene behaviour interventions are likely (0 play an important mie in reducing rnartality due ta the latter

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