Published 25 September 2009, doi:10.1136/bmj.b3482
Cite this as: BMJ 2009;339:b3482

Editorials

Introduction of rotavirus vaccine

Getting it to communities at highest risk of mortality from diarrhoeal disease is the greatest challenge

The first 150 words of the full text of this article appear below.

Diarrhoeal disease causes around 17% of deaths in children under 5 years worldwide.1 Hence, effective interventions are crucial to reaching the fourth millennium development goal of reducing mortality by two thirds in children under 5 between 1990 and 2015.2 Oral rehydration therapy is a highly cost effective intervention and has been described as one of the most important public health advances of the 20th century. A packet of oral rehydration salts costs only a few cents. However, because of a breakdown of health services in some of the world’s poorest communities, its use is not expanding and is actually falling in some countries. As a result, children are still dying from this curable disease.

Rotavirus causes about a third of diarrhoea related mortality worldwide.3 The linked study by Rose and colleagues (doi:10.1136/bmj.b3653) shows that although a newly licensed oral rotavirus vaccine is considered to be cost effective in . . . [Full text of this article]

U K Griffiths, lecturer in health economics , A D Clark, research fellow in mathematical modelling, K M Mulholland, professor of child health and epidemiology

1 London School of Hygiene and Tropical Medicine, London WC1E 7HT

ulla.griffiths@lshtm.ac.uk


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Relevant Article

Public health impact and cost effectiveness of mass vaccination with live attenuated human rotavirus vaccine (RIX4414) in India: model based analysis
Johnie Rose, Rachael L Hawthorn, Brook Watts, and Mendel E Singer
BMJ 2009 339: b3653. [Abstract] [Full Text] [PDF]




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