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Begrænset kendskab til effekten af vaccinationer og A-vitamintilskud på børnedødeligheden i Afrika

Ane Bærent Fisker1, 2, 3, Sanne Marie Thysen1, 2, 4, Christine Stabell Benn1, 2, 3 & Peter Aaby1, 2 1) Bandim Health Project, Guinea-Bissau 2) Research Centre for Vitamins and Vaccines, Bandim Health Project, Statens Serum Institut3) Odense Patient data Explorative Network, Klinisk Institut, Odense Universitetshospital4) Center for
Global Health,
Aarhus Universitet

Ugeskr Læger 2018;180:V06180465
Ugeskr Læger 2018;180:V06180465
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Ane Bærent Fisker, Sanne Marie Thysen, Christine Stabell Benn & Peter Aaby:

Limited knowledge of the effect on child mortality of vaccinations and vitamin A supplementation

Ugeskr Læger 2018;180:V06180465

Preventive health interventions, including the vaccination and vitamin A supplementation programmes, are implemented in low-income countries with little assessment of the real-life effects on child mortality. Nevertheless, the programmes are frequently credited with large, finite numbers of deaths prevented. Forty years of demographic surveillance in Guinea-Bissau indicates, that vaccines and vitamin A supplementation have effects beyond what can be explained by preventing the target infections and vitamin A deficiency. Taking these effects into account would substantially improve child health.

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