dc.contributor.author | Edwards, Jeffrey K | |
dc.contributor.author | Kizito, Walter | |
dc.contributor.author | Kosgei, Rose J | |
dc.contributor.author | Sobry, Agnes | |
dc.contributor.author | Vandenbulcke, Alexandra | |
dc.contributor.author | Thiongó, Angela | |
dc.date.accessioned | 2013-11-29T12:43:53Z | |
dc.date.available | 2013-11-29T12:43:53Z | |
dc.date.issued | 2013-06 | |
dc.identifier.citation | Edwards, Jeffrey K., Kizito, Walter,Kosgei, Rose J.,Sobry, Agnes, Vandenbulcke, Alexandra,Thiongó, Angela; The Demographic And Clinical Characteristics Of Children Diagnosed With Rickets Who Presented To Msf Clinics From Informal Settlement Of Kibera, Nairobi, Kenya;presented at the 2nd International Scientific Conference, Chs And Knh, 19th - 21st June 2013. | en |
dc.identifier.uri | http://hdl.handle.net/11295/61127 | |
dc.description | The Demographic And Clinical Characteristics Of Children Diagnosed With Rickets Who Presented To Msf Clinics From Informal Settlement Of Kibera, Nairobi, Kenya;presented at the 2nd International Scientific Conference, CHS And KNH, 19th - 21st June 2013. | en |
dc.description.abstract | Objectives: In primary health care clinics run by Médecins Sans Frontières in the
informal settlement of Kibera, Nairobi, we describe the demographic and clinical
characteristics of children with rickets from September 2012 to June 2013.
Methods: In September 2012 a diagnostic and treatment protocol for identification
and management of rickets in children was implemented. Demographic and clinical
data were routinely collected on each child diagnosed with rickets. Children were
started on vitamin D and calcium supplementation, unless provided in nutritional
supplements given for concurrent malnutrition.
Results: Between September 2012 and April 2013, 51 children were diagnosed with
rickets. There were 29 males and 22 females with a mean age of enrollment of 14.5
months. The mean weight at intake for males and females was 8.1 kg and 7.7 kg,
respectively. The frequency of continued breast feeding at intake was 66.7%, the
frequency of supplemental feeding (with water, tea or porridge) was 49.0% and the
average age of supplement feeding beginning was 5.6 months. Sun light exposure was
less than or equal to 1-3 hours per week in 50% of reporting cases, while 21.6% used
local daycare.
There were 25.5% of children with a weight-height z-score less than -2. On clinical
exam 70% of children were found with wrist swelling, 68.6% with frontal skull
bossing and 56.9% with rachitic changes of the ribs.
Conclusions: A subset of children living in Kibera are at increased risk to develop
rickets with the characteristics of prolonged breast feeding, low sun light exposure
and early supplemental feeding with low vitamin D source foods. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi | en |
dc.title | The Demographic And Clinical Characteristics Of Children Diagnosed With Rickets Who Presented To Msf Clinics From Informal Settlement Of Kibera, Nairobi, Kenya. | en |
dc.type | Presentation | en |
local.publisher | College of Health Sciences | en |