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Improving diarrhoea estimates.

Diarrhoeal diseases remain a leading cause of morbidity and mortality in the world particularly in developing countries. WHO UNICEF and other partners are interested in updating the previous reviews on total and cause-specific diarrhoea morbidity and mortality in the world to best estimate the burden of diarrhoeal diseases for the world in the year 2000. In this study we wanted to produce the following outcomes: 1. To produce a data base for each of the WHO regions and 14 sub-regions in the period 1990-2000 for children under 5 years of age on the proportion of diarrhoeal illness caused by each type of diarrhoeal pathogen at the community and health facility level; 2. To apply these estimates to the current estimates of diarrhoea burden produced by the U. of Virginia team; 3. To compare the current burden with the last global burden of diseases exercise and discuss potential reasons for current trends; 4. To describe the methodology used data availability and assumptions used in reaching these new estimates; 5. To provide recommendations on how these estimates could be improved interpreted and used. It is expected that this exercise will contribute to the discussion and assessment of the diarrhoea-attributable burden of disease and injury for the year 2000 done by WHO. We present in this report our final results to help in its discussion and interpretation. (excerpt)