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Combatting Childhood Communicable Diseases

Stanley O. Foster, MD, MPH; James Shepperd, MD, MPH; Joe H. Davis, MD, MPH; Andrew N. Agle, MPH

JAMA. 1990;263(24):3303-3305.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

OF THE 20 million children born each year in Africa, 4 million will die before their fifth birthdays.¹ Over half of these deaths are directly attributable to one or more diseases in the following groups: diseases preventable by immunization (including measles, neonatal tetanus, and pertussis), diarrhea, malaria, and acute lower respiratory tract infection.² In a longitudinal study of mortality in Kivu, Zaire, 424 (68%) of 624 deaths in children under 5 years of age were related to these four groups of diseases.³

As part of the US Agency for International Development's technical assistance to Africa, the Combatting Childhood Communicable Diseases (CCCD) project works with 10 African countries to strengthen their national capacity to reduce childhood morbidity and mortality and improve child health. These countries are the Central African Republic, Burundi, Cote d'Ivoire, Guinea, Lesotho, Liberia, Nigeria, Swaziland, Togo, and Zaire. This article reports on program experience during . . . [Full Text PDF of this Article]

Author Affiliations
From the International Health Program Office, Centers for Disease Control, Atlanta, Ga (Drs Foster and Davis and Mr Agle); and the Health, Population, Nutrition Division, Africa Bureau, Agency for International Development, Washington, DC (Dr Shepperd).

Footnotes
Reprint requests to the International Health Program Office (F03), Centers for Disease Control, Atlanta, GA 30333 (Dr Foster).

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