A conference in Hanoi on Sept 24 was told that 13% of deaths among children under five in Vietnam are caused by diarrhoea. The World Health Organization was quoted as saying that diarrhoeal disease was the second leading cause of death among under-five children in Vietnam and claimed 760,000 lives throughout the world every year. It added that the disease was both preventable and treatable. The conference was part of a project called Childhood Diarrhoeal Disease in Vietnam aimed at reducing the mortality rate in poor and remote areas. The project has completed initial studies in the northern provinces of Dien Bien and Thai Binh, and the Mekong delta province of Ca Mau. One of its reports indicated that the number of cases in Dien Bien was three times the national average, while in Thai Binh it was five times higher. Major cause for severe cases was reported to be the Rotavirus, which was responsible for more than 50% of children sent to hospital. The project said that children in remote and poor areas were still experiencing difficulties in access to health services and recommended that the Ministry of Health take measures to prevent and control the disease. Recommendations included introducing Rota-virus vaccine as a part of the nation's expanded immun-isation program, training public health workers to treat the disease and supplying medical facilities with medicine. The project also urged communities to take part in measures to prevent and control the disease by ensuring children had a nutritious diet, clean water and sanitary environment. Doctor Nguyen Huy Du, an expert on maternal and child health with the United Nations' Children's Fund (UNICEF) Vietnam said the fight against diarrhoeal disease required a multi-ministry, multi-department and community-drive approach. (Vietnamnews.vn Sept 25)
