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<div class="gmail_quote">From: <b class="gmail_sendername">Dr J.P. Dadhich</b> <span dir="ltr"><a href="mailto:jpdadhich@gmail.com">jpdadhich@gmail.com</a></span><br><br>
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<p><font face="Arial" size="3"><span style="FONT-SIZE: 12pt; FONT-FAMILY: Arial">I think it is a matter of not only prioritizing the available limited resources but to look into the possible risk factors. A comprehensive approach only will lead to success. In a theme issue of WHO bulletin, definite risk factors</span></font></p>

<p><font face="Arial" size="3"><span style="FONT-SIZE: 12pt; FONT-FAMILY: Arial">For childhood pneumonia has been reported as Malnutrition (weight-for-age <i><span style="FONT-STYLE: italic">z</span></i>-score < –2),Low birth weight (£ 2500 g),Non-exclusive breastfeeding (during the first 4 months of life),Lack of measles immunization (within the first 12 months of life),Indoor air pollution and Crowding. (<cite><i><font face="Arial"><span style="FONT-FAMILY: Arial"><a href="http://www.who.int/bulletin/volumes/86/5/07-048769.pdf" target="_blank"><span style="FONT-STYLE: normal">www.who.int/bulletin/volumes/86/5/07-048769.pdf</span></a> )</span></font></i></cite><cite><i><font face="Arial"><span style="FONT-STYLE: normal; FONT-FAMILY: Arial">.WHO Global Action Plan for Prevention and Control of Pneumonia (<a href="http://www.who.int/child_adolescent_health/documents/9789241596336/en/" target="_blank">http://www.who.int/child_adolescent_health/documents/9789241596336/en/</a> ) suggests that i</span></font></i></cite>n the context of child survival strategies, countries should develop plans for controlling pneumonia. The key strategies for pneumonia control are:</span></font></p>

<p><font face="Arial" size="3"><span style="FONT-SIZE: 12pt; FONT-FAMILY: Arial">— case management with IMCI at all levels</span></font></p>
<p><font face="Arial" size="3"><span style="FONT-SIZE: 12pt; FONT-FAMILY: Arial">— vaccination</span></font></p>
<p><font face="Arial" size="3"><span style="FONT-SIZE: 12pt; FONT-FAMILY: Arial">— improvement of nutrition/low birth weight</span></font></p>
<p><font face="Arial" size="3"><span style="FONT-SIZE: 12pt; FONT-FAMILY: Arial">— control of indoor air pollution</span></font></p>
<p><font face="Arial" size="3"><span style="FONT-SIZE: 12pt; FONT-FAMILY: Arial">— prevention and management of HIV infection.</span></font></p>
<p><font face="Arial" size="3"><span style="FONT-SIZE: 12pt; FONT-FAMILY: Arial"></span></font></p>
<p><font face="Arial" color="navy" size="3"><span style="FONT-SIZE: 12pt; COLOR: navy; FONT-FAMILY: Arial">There is a need to attack the menace of childhood pneumonia in a holistic manner. A selective approach to push only vaccines as ‘The’ solution is not prudent.</span></font></p>

<p><font face="Arial" color="navy" size="3"><span style="FONT-SIZE: 12pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font><font face="Arial" color="navy" size="3"><span style="FONT-SIZE: 12pt; COLOR: navy; FONT-FAMILY: Arial">JP Dadhich, </span></font><font face="Arial" color="navy" size="3"><span style="FONT-SIZE: 12pt; COLOR: navy; FONT-FAMILY: Arial">National Coordinator, </span></font><font face="Arial" color="navy" size="3"><span style="FONT-SIZE: 12pt; COLOR: navy; FONT-FAMILY: Arial">Breastfeeding Promotion Network of India.</span></font></p>

<p><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"></span></font></p></div></div></div>