Haiti: Malnutrition

February 28, 2020

So this baby has kwashiorkor two years and four months old so he started getting swollen like that in January so this is the typical sign of kwashiorkor which is protein
malnutrition so this is just hunger starvation issues so any swelling and edema we call it is Kwash and then the dry kind is marasmus.
So the dry kind is the really really skinny kids who have like the wrinkly skin because they just have
no mass at all and it’s just it’s just really a difference in terms of
the balance of how much you’re missing like the kwash children are missing relatively more protein than nonprotein foods and so the treatment that we give for malnutrition is a relatively new treatment it’s a ready to use therapeutic food so it s a version, it’s a peanut based highly caloric nutritious food that we call Nourimanba and manba is peanut butter we looked at the research studies coming out about using it
especially in Africa and it’s particularly good for community-based therapy
because you don’t have to admit all of the kids the really really sick ones you still have to admit but you can give them a dose certain amount of this paste and let them go home and teach the mom how to feed
the kids throughout the day and it works much much more quickly than the milk. She was saying though that he’s not able to take the manba yet he’s so sick that he is not even able to eat that when they get so malnourished they actually lose their appetite, and the same way their legs out
swollen, their gut is swollen as well. so right now he is on the older fashioned milk product and then as soon as he’s able to tolerate it, he’ll get more. usually the children have both just calorie deficit and protein deficit and this child in particular it’s like a balance of more protein missing than other calories so the proteins help to keep the fluids in your blood stream so it’s just everything that’s really weakened and the treatment is just highly nutritious food and antibiotics and antparasitics Really recovering from you know there’s some evidence to say that children who have severe malnutrition episodes like this will never truly recover because if you’re having a growth spurt, or you should
be and you have this episode you know they end up a lot of them being stunted, you know
they never get to their height potential your mental development is not as good as
it should be depending on how severe it is and how often it happens so he could get better now with our treatment but the n what’s going to happen when we send him home? Like if
unless we try and do something about her home socio-economic situation her situation for her child never going to help

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