Abstract
Diarrhea was the main cause of death among pre-school children under surveillance in a combined nutrition and infectious disease control program in Punjab India. Case fatality rates were low (0.7-4.1 deaths per 1000 cases) but incidence was very high averaging 41.0 episodes per 100 children per month. Initial efforts at home treatment with oral fluid were not successful but an intensive training program for supervisors village level workers and mothers resulted in a significant reduction in mortality from diarrhea although the incidence was unchanged. Training emphasized classification of cases into treatment categories according to defined criteria and placing responsibility for treatment of all but the most severe cases in the hands of auxiliaries and mothers.(AUTHOR ABSTRACT)
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