ReviewBulletin of the World Health Organization1993
Contaminated weaning food: a major risk factor for diarrhoea and associated malnutrition.
Review in Bulletin of the World Health Organization, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
86 citing papers in PubMed, 2 syntheses or guidelines pooled it, 315 citations in OpenAlex.
- Effectiveness of domestic food hygiene interventions on the microbiological quality of child food and childhood diarrhoea: a systematic review and meta-analysis.BMJ global health · 2026Pooled it
- Educational interventions for improving primary caregiver complementary feeding practices for children aged 24 months and under.The Cochrane database of systematic reviews · 2018Pooled it
- A community-level complementary-food safety and hygiene intervention improves family-food preparation behaviours in rural Gambia: a follow-up of a cluster randomised controlled trial.BMJ global health · 2026Trial
- Effect of Behavior Change Intervention on Complementary Food Contamination in Rural Bangladesh: A Cluster-Randomized Controlled Trial.The American journal of tropical medicine and hygiene · 2025Trial
- Effect of a Homestead Food Production and Food Hygiene Intervention on Biomarkers of Environmental Enteric Dysfunction in Children Younger Than 24 Months in Rural Bangladesh: A Cluster-Randomized Controlled Trial.The American journal of tropical medicine and hygiene · 2023Trial
- Trial of a Novel Intervention to Improve Multiple Food Hygiene Behaviors in Nepal.The American journal of tropical medicine and hygiene · 2017Trial
- Early weaning increases diarrhea morbidity and mortality among uninfected children born to HIV-infected mothers in Zambia.The Journal of infectious diseases · 2011Trial
- Early weaning of HIV-exposed uninfected infants and risk of serious gastroenteritis: Findings from two perinatal HIV prevention trials in Kampala, Uganda.Journal of acquired immune deficiency syndromes (1999) · 2010Trial
- Article
- Awareness & knowledge of frontline workers on infant & young child feeding (IYCF) practices: A qualitative study from Palghar-Maharashtra, India.The Indian journal of medical research · 2025Article
- Mortality, morbidity and growth among moderately low birthweight infants in India, Malawi, and Tanzania.BMC pediatrics · 2025Observational
- Influence of Enterocytozoon bieneusi Infection on Child Growth: A Secondary Analysis of the MAL-ED Birth Cohort Study.The American journal of tropical medicine and hygiene · 2025Article
- Hygiene and food safety practices among mothers as predictors of diarrhea risk in toddlers in Purwawinangun Village, West Java, Indonesia.Frontiers in public health · 2025Article
- Clonal and horizontal transmission of carbapenem-resistant Enterobacterales strains and genes via flies.Gut pathogens · 2024Article
- Role of Psychosocial Factors and Mental Well-Being for Baby WASH- and Nutrition-Related Behaviors in Lao PDR.The American journal of tropical medicine and hygiene · 2024Article
- Hygienic complementary feeding practice and its associated factors among mothers having children aged 6-23 months in Antsokia Gemza district, Ethiopia: a cross-sectional survey.BMJ public health · 2024Article
- Understanding the role of household hygiene practices and foodborne disease risks in child stunting: a UKRI GCRF Action Against Stunting Hub protocol paper.BMJ paediatrics open · 2024Article
- Bacteriological quality and safety of bottle food and associated factors among bottle-fed babies attending pediatric outpatient clinics of Government Health Institutions in Arba Minch, southern Ethiopia.Journal of health, population, and nutrition · 2023Article
- Food Hygiene and Fecal Contamination on the Household Compound are Associated with Increased Pediatric Diarrhea in Urban Bangladesh (CHoBI7 Program).The American journal of tropical medicine and hygiene · 2023Article
- Antibacterial Efficacy and Mechanisms of Curcumin-Based Photodynamic Treatment againstMolecules (Basel, Switzerland) · 2022Article
26 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Infections and the malnutrition associated with them are responsible for a significant proportion of the 13 million deaths among infants and children under 5 years of age worldwide each year. After respiratory infections, diarrhoeal diseases are the commonest illnesses and have the greatest negative impact upon the growth of infants and young children. The causes of diarrhoeal diseases have traditionally been ascribed to water supply and sanitation. In attempts to prevent such diseases, efforts by governments and nongovernmental organizations have been focused on and sometimes limited to improving water supply and sanitation as well as promoting and protecting breast-feeding. Based on studies reported in the literature, this review article demonstrates that weaning foods prepared under unhygienic conditions are frequently heavily contaminated with pathogens and thus are a major factor in the cause of diarrhoeal diseases and associated malnutrition. In the light of the evidence presented, it appears that current efforts are not sufficient to prevent diarrhoeal diseases: education of mothers in food safety principles, particularly weaning food, must also receive high priority. Educational programmes based on the hazard-analysis-critical-control-point approach, taking into consideration also sociocultural factors, should be integrated into all national infant feeding or food and nutrition programmes.
Indexed as
Identifiers
8440042PMC2393433W1639602319What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.