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ORGANISING COMMITTEECO-CHAIRMEN
ORGANISING SECRETARY
SECRETARIAT
FINANCE/EXHIBITION COMMITTEE
PUBLICITY COMMITTEE
SOCIAL COMMITTEE
VENUE/ACCOMMODATION COMMITTEE
PROGRAMME COMMITTEE
SCIENTIFIC ADVISORS
ACADEMIC CO-SPONSORS
MESSAGES OF WELCOMEMessage from Commonwealth Secretary-GeneralCommonwealth Heads of Government, at their Cyprus meeting last year, reiterated their commitment to paying special attention to the needs of women, youth and children. They also took particular note of the Plan of Action of the 1990 World Summit for Children and instituted a process for monitoring Commonwealth progress on its implementation. DiarrhoeaI disease takes the lead among causes of death and suffering in children of developing countries. Yet most of these deaths could be prevented using simple measures which any mother could manage. Health workers, at all levels, need to be well informed about these methods and it is critical that the medical profession takes a lead through practice and teaching. I welcome the initiative of this Commonwealth group in bringing together doctors to address these issues. May your sharing of information and development of networks greatly enhance the capacity of health workers in the Commonwealth to prevent death and disability in children afflicted by diarrhoeaI diseases and malnutrition. Emeka Anyaoku, Commonwealth Secretary-General Message from Professor J.A. Walker-SmithAs the initiator of the first Commonwealth Conference on Diarrhoea and Malnutrition in London in November 1984, it is a great honour and pleasure for me to give a message for this third conference 10 years later in Hong Kong. The original intention was that these conferences should be planned largely by paediatric gastro-enterologists to focus on the inter-relationship between diarrhoea and malnutrition in children. As other conferences had focused principally on nutritional and epidemiological aspects of this important problem, the aim was to view this issue from a gastroenterological view point but at the same time being open to any aspect of this topic. Professor A S McNeish was Co-Organiser of the London Conference and Dr. Santosh Mittal theOrganising Secretary of the second conference in New Delhi in December 1992. The Commonwealth context is of great importance as the Commonwealth represents a common heritage of shared language and common ethos in the realms of science and medicine. Furthermore, it provides a remarkable mix of developed and developing communities with a world-wide membership. However, these conferences have been concerned with children everywhere who have chronic diarrhoea and malnutrition and the conferences are open to all those concerned with this issue. It is a great pleasure to have the opportunity to come to Hong Kong and to be able to make contact with colleagues from mainland China. For developing countries the scale of mortality and morbidity from this problem remains enormous, for developed countries there has been a dramatic fall in both mortality and morbidity from chronic diarrhoea and malnutrition in recent years. However, there remains a core of children with intractable diarrhoea and malnutrition who are perhaps the greatest current problem in the field of paediatric gastroenterology. Collaborative research fostered by these conferences has already borne fruit. The formation of a Commonwealth Society of Paediatric Gastroenterology and Nutrition at the Hong Kong meeting in 1994, should be a launching pad to further this development and should provide a formal mechanism for organisation of future conferences. Hopefully this new society will provide a valuable link between the regional societies for paediatric gastroenterology and nutrition and thus further knowledge of these problems throughout the world. Ultimately our goal must be their prevention and eradication. The organisers have provided an outstanding programme for us. We appreciate very much the hosting of this meeting by the Hong Kong Paediatric Society and the Department of Paediatrics of the Chinese University of Hong Kong. We also appreciate all the efforts of the Organising Committee, to ensure the success of the conference. J.A. Walker-Smith, Professor of Paediatric Gastroenterology Chairman's MessageI have great pleasure in welcoming you all to this Third Commonwealth Conference on Diarrhoea and Malnutrition jointly organised by the Hong Kong Paediatric Society and the Department of Paediatrics, Chinese University of Hong Kong. Diarrhoeal disease and its attendant malnutrition continue to exert a significant toll on the lives of children especially in the developing world. It accounts for more fatalities than any other diseases in developing countries and in 1994 will kill between 2 and 4 million otherwise healthy children. Simple measures, such as ORS and breast feeding can prevent many of these tragic events. However, such measures have not gained the popularity they rightly deserve. Instead, antibiotics and antidiarrhoeal drugs, most of which are useless or harmful are being widely prescribed. Malnutrition is inextricably linked with persistent diarrhoeal disease. An estimated 190 million of the world's children under age five are chronically malnourished, locked early in life into a pattern of ill health and retarded development. The risk of dying from a given disease is doubled for mildly malnourished children, and tripled for those moderately malnourished. In total it is a factor in one third of the 13 million under-five deaths each year. Developed countries, for example Hong Kong, are not immune from these problems, and diarrhoeal disease is the second commonest reason for a child to be admitted to hospital. However, because of the ready availability of a high standard of medical care the problems of dehydration and malnutrition rarely have an opportunity to develop. But another form of malnutrition, overnutrition, has become a major health problem. Professors Walker-Smith and McNeish 's original idea of meetings to focus on the interrelationship between diarrhoea and malnutrition in children and the excellent concept of bringing together paediatric gastroenterologists from both developing and developed countries to share information based on their clinical experiences and current research endeavours in the area of childhood diarrhoeal disease and its associated malnutrition is a most welcome one. Such a platform will certainly be very stimulating and educational. The conference will be attended by over 250 delegates from more than 20 countries all over the world ranging from Africa, South-East Asia, the Caribbean, the Indian sub-continent, Britain, Canada, Australia and China. The meeting is academically co-sponsored by over twenty Commonwealth Paediatric Societies or Associations and has the endorsement of the Commonwealth Secretariat and the Commonwealth Foundation. Most important of all, our Patron, Mrs. Lavender Patten is the key figure contributing to the success of this Commonwealth Conference. We are most grateful for her contribution and encouragement throughout the preparatory stages of the Conference. After a full programme of scientific sessions, I invite you to visit the very vibrant and exciting city of Hong Kong where the oriental culture meets the dynamism of the West and take home a memory of this very beautiful city. I wish you all an enjoyable and productive meeting C.B. Chow, Co-Chairman SCIENTIFIC PROGRAMMESATURDAY, 12TH NOVEMBERPlenary Session: Microbiology of Diarrhoea (Auditorium,
M/F) Free Papers: 11:30-13:00 0l Aetiology of Diarrhoea I (Auditorium,
M/F) 01.1 Persistent diarrhoea risk factors in infancy & early childhood (Al23) Mathur NC (India), Mathur RC, Kumar S, Mathur YC. 01.2 Enteropathogenic escherichia coli (EPEC) diarrhoea: In vitro demonstration of a chloride-dependent secretary response (Al23) Collington GK (UK), Shaw RK, Booth IW, Knutton S. 01.3 Helicobacter pylori infection and persistent diarrhoea with undernutrition in young children from New Delhi (A123) Phillips A (West Africa), Bhan MK, Bhatnagar S, Singh KD, Thomas JE, Knutton S. 01.4 Neutrophil function in children with shigella dysenteriae type 1 infection (Al23) Azim T (Bangladesh), Islam LN, Halder RC, Hamadani 3, Khanam N, Sarker MS, Qadri F, Salam MA, Albert MJ, Sack RB. 01.5 Adhesion of enteroaggregative escherichia coli to paediatric intestinal mucosa (A124) Hicks S (UK), Candy DCA, Philips AD. 01.6 Nosocomial Diarrhea in Children in a large teaching hospital: A prospective cohort study (A124) Milagros M (Philippines), UntaIan N, Bravo Lulu C, Gatcheco Felizardo M. Free Papers: 11:30-13:00 02 Aetiology of Diarrhoea II (Cultural
Activities Hall, 2/F) 02.1 Review of shigella gastroenteritis at Zarka Military Hospital over one year period (A124) BREWSTER 02.2 Host and bacterial factors in Campylobacter invasion of intestinal cells (A124) Williams PH (UK), Wilkinson C, Ketley JM. 02.3 The point one percent solution (Al25) Nelson EAS (HK). 02.4 Small intestinal microflora in children with persistent diarrhoea (A125) Bardhan Pradip Ku mar (Bangladesh), Alam NH, Albert M', Haider R, Neogi PKB, Mahalanabis D. 02.5 Candida albicans and childhood diarrhoea (A125) Forbes D (Australia), Camer Pesci P, Ee L, Ward P. 02.6 The retrospective study of children suffering from diarrhea in PUMC Hospital for past ten years (A125) Wang Hui-min (China). Plenary Session: Aetiology of Diarrhoea (Auditorium, M/F) 14:00-14:40 Diarrhoeal Disease in Minorities in China Dr. W.L. Yu
(China) Free Papers: 16:30-18:00 03 Epidemiology of Diarrhoea I
(Auditorium, M/F) 03.1 Epidemiological study on Norwalk virus infection in Japan and Southeast Asia (A126) Chiba Shunzo (Japan), Numata K, Nakata S, hang X, Estes MK. 03.2 Diarrhoea amongst under three children in rural Haryana, India (Al26) Nayar Deepika (India), Umesh Kapil Goindi G. 03.3 Epidemiological study of malnutrition in children under 3 years of age in rural area in Sichuan of China (Al26) Qian Youqiong (China), Liu Zhen, Yao Yujia. 03.4 Transmission of vibrio cholerae O139 bengal among family contacts of index cases in a rural area in Bangladesh (A126) Yunus Mohammed (Bangladesh), Sack RB, Zaman K, Hoque E, Islam S, Rahman R. 03.5 Pattern of Serotypes and antimicrobial resistance of vibrio cholerae isolates in Dhaka, Bangladesh (A127) Rahman Mahbubur (Bangladesh), Kibriya AKMG, Mostafa Kamal, Moyenul Islam, Albert MJ, Sack RB. 03.6 Socio-demographic determinants of child nutrition in Matlab, Bangladesh; A population in Demographic Transition (Al27) Rahman Mizanur (Bangladesh), Roy Nikhil. 16:30-18:00 04 Epidemiology of Diarrhoea II (Cultural Activities Hall, 2/F) 04.1 Clinical profile of persistent diarrhoea in a DTTU (A127) Ahmad Syed Husan (India), Alam Seema. 04.2 Study on viral etiology in children with acute gastroenteritis in China (A127) Zao Jin-ming (China). 04.3 Small bowel morphology in cholera like disease in Bangladesh caused by Vibrio cholerae 0139 (A128)Bardhan Pradip Kumar (Bangladesh), Islam MM, Albert MJ, Dhar U, Mahalanabis D, Sack RB. 04.4 Exclusive breast feeding practices and its impact of morbidity of diarrhoea (Al 28) Billoo AG (India), Ahmed Sh T, Saba N. 04.5 The management of childhood diarrhoeal diseases in the slums of Dhaka, Bangladesh (A128) Baqui Abdullah Hel (Bangladesh), Lerman C, Paljor N. 04.6 Short-term supplementary parenertal feeding in infants with persistent diarrhea (A128) Hussien Shahenaz Mahmoud (Egypt), Hussien RM. 16:30-18:00 05 Nutrition (Lecture Room 2, G/F) 05.1 Study on efficacy of oral rehydration solution WHO in malnourished children with acute dehydration diarrhoea (Al29) Sharma Anita (India), Khasa Ramesh, Saini Jasvinder, Singh GP, Saini AS. 05.2 Amylase rich gruel in diarrheal children (A129) Mittal SK (India), Gupta Vandiat, Singh Paramjit, Kalra KK, Khanna Kumud. 05.3 Malnutrition in hospital outpatient practice (Al29) Quak Seng Hock (Singapore), Quek SC, Murugasu B, Wong E Low PS, Chio YL. 05.4 Breastfeeding and diarrhoeal morbidity: dependence of protection on age, season of the year and population group (A129) Jalil Fehmida (Pakistan), Mahmud A, Ashraf RN, Zaman S, SR, Hanson LA, Karlberg J 05.5 Recent advances in the management of children's acute diarrheal diseases (dd) in China (A130) Fang He-Song (China). 05.6 Association of plasma concentrations of Zinc & Selenium with that of retinol. Effect of Vitamin A supplemention on concentrations of Zinc & Selenium (A130) Chowdhury Swapan (India), Ganguly NK, Kumar L, Nain CK, Walia BNS SUNDAY, 13TH NOVEMBER Plenary Session: Diarrhoea & Malnutrition (Auditorium,
M/F) Free Papers: 11:30-13:00 06 Nutrition (Auditorium, M/F) 06.1 Breastfeeding and postneonatal infections in very low birth weight (VLBW) infants (A131) Bhave SA (India), Vaidya UV, Pandit AN. 06.2 Early infant feeding patterns and diarrhoea (A131) Mathur Sarla (India), Gahlaut A, Jain Ruma, Mathur GP, Gupta V. 06.3 Nutritional iron deficiency anemia. Present status and need for long term prevention in India (A131) Madan Kumar Sushil (India). 06.4 Controlled trial of zinc supplementation during recovery from malnutrition: effect on growth and immune function (A131) Khalifa Afreen M (Egypt), Amin Mohamed F, Almazahi Mohamed M, Abderahman Helmi M. 06.5 Effect of long term supplementation of Zinc in undernourished young children of a poor periurban community in Bangladesh (A132) Akramuzzaman Syed Mohamma (Bangladesh), Mahalanabis D, Mitra AK, Rahman MM. 06.6 Factors influencing diarrhoeal mortality (A132) Chandra Pakyanathan (India). Free Papers: 11:30-13:00 07 Auxology (Cultural Activities Hall,
2/F) 07.1 Aerial Variations: growth of Bangladesh children (A132) Shadhid Nigar S (Bangladesh), Francisco A de, Begum Tahmina. 07.2 The effect of adverse socio economic factors and disease on the nutritional status of children under five in Zimbabwe (A132) Nyasha Madzingira (Zimbabwe). 07.3 Correlation of chest circumference at birth with birth weight and their changes during early life (A133) Khan Shamim A (Bangladesh), Franciso A de, Chakraborty J. 07.4 Comparison of anthropometrical indicators between malnourished children admitted to a nutritional rehabilitation unit and community counterparts (Al33) Francisco Andres de (Bangladesh), Khan Shamim A, Chakraborty J. 07.5 Catch up growth in low birth weight (LBW) babies (Al33) Bhave S (India), Bavdekar AR, Vaidya UV. 07.6 Growth and feeding practices in urban and rural Sichuan (A133) Guldan Georgia S. (Hong Kong), Zhang Mao Yu, Zhang Yong Peng, Hong Jun Rong. 11:30-l3:00 08 Miscellaneous (Dance Studio, G/F) 08.1 Knowledge, attitude and practice (KAP) of lactating mothers and breast feeding practices during diarrhea (A134) EI-Ramly Zeinab (Egypt), Eissa AM, Sherbiny AF, Henegel O. 08.2 Breastfeeding in Hong Kong Today (Al34) Ling Lydia (Hong Kong). 08.3 Promotion of exclusive breast feeding (A134) Akram Dure Samin (Pakistan), Agboatwalla Mubina, Shamshad Samia. 08.4 Etiological investigation of children's diarrheal diseases in the 7 MCH model counties of China (A134) Zhu Qing-yi (China), Fang He-song. 08.5 Factors responsible for the development of chronic diarrhoea in young Pakistani children living in the poor communities (Al35) Zaman Shakila (Bangladesh), Jalil Fehmida, Karlberg J. 08.6 Health aspects of sanitation (A135) Robinson AKL (South Africa). Plenary Session: Overnutrition (Auditorium, M/F) 14:00-15:00 Childhood Obesity in Hong Kong Dr. S.S.F. Leung (Hong Kong) Plenary Session: Breast Feeding - the Long-Term (Auditorium, M/F) 16:30-17:15 Does early nutritional status influence long-term health & development?
Dr. Ruth Morley (U.K) MONDAY, 14TH NOVEMBER Plenary Session: Persistent Diarrhoea & Malnutrition (Auditorium,
M/F) Plenary Session: Acute Diarrhoea - New Advances (Auditorium, M/F) Roundtable Discussion: 12:00-13:00 ORS for all by 2000? (Auditorium,
M/F) Free Papers: 14:00-16:00 09 Miscellaneous I (Auditorium,
M/F) 09.1 The relationship of malnutrition with zinc deficiency to immunity and infection in children (Al36) Zheng Deyuan (China), Zheng Baijin, Qian Yougiong. 09.2 Feeding & weaning practices in the urban slums of Chandigarh: A prospec- five community study (A136) Chowdhury Swapan (India), Ganguly NK, Kumar L, Kumar Rajesh, Walia BNS. 09.3 Inflammatory Bowel Disease in infancy an increasing problem? (A136) Miller Victor (U.K.), Dady I, Thomas A. 09.4 Evaluation of amylase rich food (ARF) high energy dense gruel in management of protein energy malnutrition (Al36) Gandhi Dulari J (India), Javadekar BB, Malukar RJ, Shastri KJ. 09.5 Infantile diarrhea: Maternal knowledge (A137) Gupte Surajn (India). 09.6 The effects of the aqueous leaf extract of aspillia latifolia on intestinal transit and experimental acute diarrhoea in mice (Al37) John TA (Nigeria), Akingbade JO. 09.7 Dysentery affects ponderal and linear growth of Bangladeshi children (A137) Alam DS (Bangladesh), Marks GC, Heywood PF, Baqui AH, Yunus M. 09.8 Ultrasound Assessment of Swallowing in Malnourished Disabled Children (A137) Yang WT (Hong Kong), Loveday BJ, Metreweli C, Lau D, Sullivan PB. 14:00-16:00 10 Miscellaneous II (Cultural Activities Hall, 2/F) 10.1 Management of acute gastroenteritis by primary health care doctors in Singapore (A138) Quak Seng Hock (Singapore), Chio Yuen Lyn. 10.2 Reduced morbidity & mortality from diarrhoeal diseases after vitamin A supplementation to a slum population with extensive pre-clinical vitamin A deficiency (PVAD) (A138) Chowdhury Swapan (India), Ganguly NK, Kumar L, Kumar Rajesh, Walia BNS. 10.3 Infusofeed ballon feeding in diarrhoeal diseases and malnutrition (Al38) El-Mougi Mahmoud (Egypt). 10.4 Intestinal permeability in malnourished children with persistent diarrhea: Impact of nutritional rehabilitation (A138) Bhutta Zulfigar A (Pakistan), Molla Abdul M. 10.5 Yogurt based diet: Effect on persistent diarrhoea in children (Al39) Islam Asma (Bangladesh), Mahalanabis D, Patra FC, Rahman S, Ferdous T. 10.6 Home made modular diet versus semi-elemental formula in the treatment of chronic diarrhoea of infancy (CDI): a prospective randomised trial (A139) Kolacek Sanja (Croatia), Grguric J, Percl M, Booth IW 10.7 Management of acute diarrhoea with fermented maize gruel in Ghana: Practical application and implications (A139) Yartey J (Ghana), Nkrumak FK,Hori H, Akyeampong YA, Harrison K. 10.8 The development and assessment of a rice cereal based oral rehydration solution for the treatment of acute viral gastroenteritis in infants and young children (A139) Wall CR (Australia), Cleghorn GJ, Swanson C. 14:00-16:00 11 Miscellaneous III (Lecture Room 2, G/F) 11.1 Detection of genes for heat stable enterotoxin in Escherichia coli by biotinylated St DNA probe (Al 40) Zhu Qing-yi (China). 11.2 Studies on the pathogenic mechanism of neonatal diarrhea caused by EPEC 0127:H6 (A140) Wu Shi-xiao (China), Peng Ro-qi. 11.3 Short chain fatty adds (SCFA) inhibit water and electrolyte secretion induced by cholera toxin (CT) in the rabbit colon in vivo (A140) Rabbani Golam (Bangladesh), Rahman H, Mahalanabis D. 11.4 Efficacy of smecta against rotaviral enteritis in infants and young children in Shanghai (A140) Duan Shucheng (China), Wu Shi, Xia Ludi. 11.5 Suspected rotavirus encephalitis (A141) Shen lie-Ping (China). 11.6 The effect of vitamin A deficiency on intestinal structure and function (A141) Warden RA (Australia), Strazzari MJ, Dunkley PR, O'Loughlin EV. 11.7 Helicobacter Pylori Infection in Institutionalised children (Al 41) Lewindon PJ (Hong Kong), Lau David, Chan A, Tse P Sullivan PB. 11.8 Perception and Management of Diarrhoeal Disease in a Hausa Fulani Community of Ikara, Northern Nigeria (Al41) Yakubu AM (Nigeria), Ogala WN, Aikhionbare HA, Ifere OAS. Panel Discussion: 16:30-17:30 Future Research Priorities (Cultural
Activities Hall, 2/F) Closing Ceremony |
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