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Vitamin A supplementation often fails to reduce morbidity in
children in developing countries, possibly owing to coexisting deficiencies of zinc and vitamin A. Rahman et al (p 314) found that
combined zinc and vitamin A supplementation in Bangladeshi children was
more effective in reducing persistent diarrhoea and dysentery than
either vitamin A or zinc alone. Zinc supplementation alone was
associated with a significant increase in acute lower respiratory
infections, but this effect was reduced by combining zinc with vitamin A.