11. Case Resolution

Case 1.

In order to collect information on the nutritional status of the affected population prior to the disaster, it would be useful to get in contact with the local public health authorities and health professionals. It is also necessary to collect information regarding the most vulnerable groups (e.g., people included in pre-existing food programs). Lastly, it is necessary to have information regarding the available food resources in order to develop the most appropriate and sustainable distribution programs for the aftermath of the disaster.

Case 2.

Since this is a preterm infant, it is important to ensure adequate iron intake earlier than in term infants. At 4 months of age the infant should not be receiving any supplementary foods in addition to breastfeeding. The infant should therefore be supplemented with iron at a dose of 2 mg/kg/day.

Case 3.

You must first look for signs indicating malnutrition and anemia. There is no serious wasting or edema in the lower extremities. The palms are slightly pale. The anthropometric measurements show a 40% weight/height deficit when compared with standard weight/height growth charts: very low weight for age. He is therefore classified as having severe malnutrition and must be referred to a hospital for proper treatment. In these children, the therapeutic refeeding program must be careful to avoid the refeeding syndrome and the associated increased morbidity and mortality.