Diarrhoeal disease, oral rehydration, and childhood mortality in rural Egypt

Ray Langsten, Kenneth Hill

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


The Egyptian National Control of Diarrhoeal Diseases Project (NCDDP) is reported to have had great success in improving case management of diarrhoea, and in reducing diarrhoea-related mortality among children, while deaths due to other causes have remained unchanged. Recent reports have claimed that with this dramatic decline in diarrhoea mortality, respiratory infection is now the main cause of child death in Egypt. As a result, the degree of commitment to control of diarrhoeal disease activities has been greatly reduced. We present new data from a large prospective study that confirms much of the success of the NCDDP, but which questions the extent of the claimed project impact on mortality. Child mortality has declined greatly over the past decade. However, deaths from other causes have declined almost as much as those from diarrhoea, and most importantly, diarrhoea remains the main cause of death among children. Our discussion demonstrates the need for appropriate methodology in evaluating the mortality impact of an intervention, and to the very great importance of reinvigorating control of diarrhoeal diseases activities in Egypt.

Original languageEnglish (US)
Pages (from-to)272-278
Number of pages7
JournalJournal of tropical pediatrics
Issue number5
StatePublished - Oct 1994
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Infectious Diseases


Dive into the research topics of 'Diarrhoeal disease, oral rehydration, and childhood mortality in rural Egypt'. Together they form a unique fingerprint.

Cite this