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. 1995 Apr;72(4):330–333. doi: 10.1136/adc.72.4.330

Childhood blindness due to vitamin A deficiency in India: regional variations.

J S Rahi 1, S Sripathi 1, C E Gilbert 1, A Foster 1
PMCID: PMC1511233  PMID: 7763066

Abstract

OBJECTIVES--To investigate the importance of vitamin A deficiency as a cause of childhood blindness and severe visual impairment (SVI) in India. DESIGN AND SETTING--Cross sectional survey of children with visual acuity less than 6/60 in the better eye (SVI/blindness), attending 22 schools for the blind in nine states of India. MAIN OUTCOME MEASURE--Proportion of children with blindness or SVI from corneal scarring attributable to vitamin A deficiency. RESULTS--245 of 1318 (18.6%) of children had SVI/blindness attributable to vitamin A deficiency. The proportion of SVI/blindness due to vitamin A deficiency ranged from 7.5% (7/93) in Kerala to 26.7% (27/101) in Madhya Pradesh. In Tamil Nadu, 7.5% (9/120) of children in the capital city blind school had SVI/blindness due to vitamin A deficiency, compared with 30.4% (51/168) in a blind school in a rural area of the same state. CONCLUSION--Overall, vitamin A deficiency is the single most important cause of childhood blindness and SVI in India. There are marked variations by state and also between urban and rural locations.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cohen N., Rahman H., Sprague J., Jalil M. A., Leemhuis de Regt E., Mitra M. Prevalence and determinants of nutritional blindness in Bangladeshi children. World Health Stat Q. 1985;38(3):317–330. [PubMed] [Google Scholar]
  2. Foster A., Gilbert C. Epidemiology of childhood blindness. Eye (Lond) 1992;6(Pt 2):173–176. doi: 10.1038/eye.1992.34. [DOI] [PubMed] [Google Scholar]
  3. Foster A., Sommer A. Childhood blindness from corneal ulceration in Africa: causes, prevention, and treatment. Bull World Health Organ. 1986;64(5):619–623. [PMC free article] [PubMed] [Google Scholar]
  4. Gilbert C. E., Canovas R., Hagan M., Rao S., Foster A. Causes of childhood blindness: results from west Africa, south India and Chile. Eye (Lond) 1993;7(Pt 1):184–188. doi: 10.1038/eye.1993.39. [DOI] [PubMed] [Google Scholar]
  5. Gilbert C., Foster A., Négrel A. D., Thylefors B. Childhood blindness: a new form for recording causes of visual loss in children. Bull World Health Organ. 1993;71(5):485–489. [PMC free article] [PubMed] [Google Scholar]
  6. Khan M. U., Haque E., Khan M. R. Nutritional ocular diseases and their association with diarrhoea in Matlab, Bangladesh. Br J Nutr. 1984 Jul;52(1):1–9. doi: 10.1079/bjn19840065. [DOI] [PubMed] [Google Scholar]
  7. Mathur G. P., Kushwaha K. P. Vitamin A deficiency. Indian Pediatr. 1987 Jul;24(7):573–581. [PubMed] [Google Scholar]
  8. Pratinidhi A. K., Bapat V. S., Shah U. Magnitude of vitamin A deficiency in primary school children of Sirur: a chronically drought affected area. Indian J Pediatr. 1984 Jul-Aug;51(411):423–426. doi: 10.1007/BF02776429. [DOI] [PubMed] [Google Scholar]
  9. Sommer A., Katz J., Tarwotjo I. Increased risk of respiratory disease and diarrhea in children with preexisting mild vitamin A deficiency. Am J Clin Nutr. 1984 Nov;40(5):1090–1095. doi: 10.1093/ajcn/40.5.1090. [DOI] [PubMed] [Google Scholar]
  10. Tielsch J. M., Sommer A. The epidemiology of vitamin A deficiency and xerophthalmia. Annu Rev Nutr. 1984;4:183–205. doi: 10.1146/annurev.nu.04.070184.001151. [DOI] [PubMed] [Google Scholar]

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