Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

AIDS orphans "17 times" more likely to die

25.09.2006
If you are under 18 and live in Kilifi, coastal Kenya, in West Africa, there’s a one in ten chance that you’ll be an orphan, largely because of HIV/AIDS. But worse than that – as an orphan you will be seventeen times more likely to die than if your parents survived.

These are the preliminary results of a study conducted by Evasius Bauni and four colleagues on an INPEPTH demographic surveillance site in Kilifi, said Bauni at an EAGLES/INDEPTH* meeting on HIV/AIDS research in Ouagadougou, Burkina Faso today.

The global INDEPTH project looks with incomparable detail - for poor countries – at a few focused, representative sites, collecting pregnancy, birth, death, migration and other statistics such as relative wealth and poverty every few months. Throughout Africa HIV/AIDS is decimating young, working parents, and “In Kilifi, I suddenly thought that we could use our site and data to study AIDS orphans, and the impact of losing one’s parent or parents on one’s health and mortality” said Bauni.

With 230 000 residents in 25 000 homes on the Kilifi site, Bauni and colleagues had rich statistics, and they identified first that children under 18 were three times more likely to have lost a father than a mother “probably because the fathers are older”. Some 2.6% of under 18s had lost a mother, 7.5% a father, and 0.9% had lost both – so overall 9.2%, nearly one in ten, of the children were orphaned.

But there were gasps in the dusty Ougadougou hall when Bauni showed his slide showing hospital admission and mortality ratios. A total of 58 orphans in his survey had died, and compared to the general population of children, orphaned children were 2.7 times more likely to be hospitalised – but 16.7 times more likely to die.

Bauni speculated that orphaned children might be less able to request and gain help when they are ill, but said the issue needs further research. Immediately there are policy implications, he said – health resources need to be targeted at orphans, existing orphan care structures need strengthening, and orphans should be tracked to ensure that they are cared for.

Statistically, Bauni’s figures seem strong, with 95% confidence limits of 2.3-3.1 for hospitalization and 13.5 – 19.6 for death (in other words if the study is perfect, there is only a 5% statistical chance of the true values being outside these limits).

But other public health experts at the meeting showed some concern about the strength of the figures. Orphan deaths are high in Kilifi, but there can be medical correlations with parental death, some pointed out – for example if the infant is HIV-infected at birth, or from an HIV+ve mother’s milk.

Peter Aaby, an careful public health anthropologist working in Guinea-Bissau, said his work had shown a four-fold increase in mortality in orphaned infants under two years old, and no difference for older orphans. He attributed the early mortality rise to lack of breast feeding, and now encouraging wet-nursing for such infants.

Nevertheless there can be great health differences among countries in Africa, there are several HIV strains, the Kilifi deaths are certainly very high, and Aaby agrees increased attention must be be given to caring for the orphans – and expanding the research

Report by Robert Walgate, Editor of RealHealthNews, for EAGLES.

Jens Degett | alfa
Further information:
http://www.efb-central.org/eagles/index.htm

More articles from Studies and Analyses:

nachricht Study relating to materials testing Detecting damages in non-magnetic steel through magnetism
23.07.2018 | Technische Universität Kaiserslautern

nachricht Innovative genetic tests for children with developmental disorders and epilepsy
11.07.2018 | Christian-Albrechts-Universität zu Kiel

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Color effects from transparent 3D-printed nanostructures

New design tool automatically creates nanostructure 3D-print templates for user-given colors
Scientists present work at prestigious SIGGRAPH conference

Most of the objects we see are colored by pigments, but using pigments has disadvantages: such colors can fade, industrial pigments are often toxic, and...

Im Focus: Unraveling the nature of 'whistlers' from space in the lab

A new study sheds light on how ultralow frequency radio waves and plasmas interact

Scientists at the University of California, Los Angeles present new research on a curious cosmic phenomenon known as "whistlers" -- very low frequency packets...

Im Focus: New interactive machine learning tool makes car designs more aerodynamic

Scientists develop first tool to use machine learning methods to compute flow around interactively designable 3D objects. Tool will be presented at this year’s prestigious SIGGRAPH conference.

When engineers or designers want to test the aerodynamic properties of the newly designed shape of a car, airplane, or other object, they would normally model...

Im Focus: Robots as 'pump attendants': TU Graz develops robot-controlled rapid charging system for e-vehicles

Researchers from TU Graz and their industry partners have unveiled a world first: the prototype of a robot-controlled, high-speed combined charging system (CCS) for electric vehicles that enables series charging of cars in various parking positions.

Global demand for electric vehicles is forecast to rise sharply: by 2025, the number of new vehicle registrations is expected to reach 25 million per year....

Im Focus: The “TRiC” to folding actin

Proteins must be folded correctly to fulfill their molecular functions in cells. Molecular assistants called chaperones help proteins exploit their inbuilt folding potential and reach the correct three-dimensional structure. Researchers at the Max Planck Institute of Biochemistry (MPIB) have demonstrated that actin, the most abundant protein in higher developed cells, does not have the inbuilt potential to fold and instead requires special assistance to fold into its active state. The chaperone TRiC uses a previously undescribed mechanism to perform actin folding. The study was recently published in the journal Cell.

Actin is the most abundant protein in highly developed cells and has diverse functions in processes like cell stabilization, cell division and muscle...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

LaserForum 2018 deals with 3D production of components

17.08.2018 | Event News

Within reach of the Universe

08.08.2018 | Event News

A journey through the history of microscopy – new exhibition opens at the MDC

27.07.2018 | Event News

 
Latest News

Smallest transistor worldwide switches current with a single atom in solid electrolyte

17.08.2018 | Physics and Astronomy

Robots as Tools and Partners in Rehabilitation

17.08.2018 | Information Technology

Climate Impact Research in Hannover: Small Plants against Large Waves

17.08.2018 | Life Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>