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Foundations for Childhood Wellness

General preventive measures against childhood diseases

The red arrows () and red-printed factors are the facilitating points for diseases, whereas the blue arrows () and blue-printed factors are the mitigating points.

Do now Watch for Get help if
  • Do now: Keep routine screenings/vaccines up to date, support breastfeeding, ensure daily active play.
  • Watch for: High fever, poor feeding, breathing difficulty, fewer wet diapers, regression in milestones.
  • Get help if: Severe lethargy, fast/strained breathing, persistent vomiting/diarrhoea, dehydration signs.
Parent checklist (tap to expand)
Daily water guide for children (simple table + examples)
Age/Weight Guide
Infants ≈ 100 ml/kg/day
1–6 years (10–20 kg) 1 litre + 5% × (weight in kg − 10)
≥7 years (or >20 kg) 1.5 litres + 2% × (weight in kg − 20)

Examples: 12 kg → 1 L + 5% × (12−10) ≈ 1.1 L/day.   30 kg → 1.5 L + 2% × (30−20) ≈ 1.7 L/day.

Seek urgent care immediately if any of the following occur:

  • Very high fever, seizures, confusion, or new rash with fever
  • Fast/strained breathing, blue lips/face, or persistent cough with chest indrawing
  • Persistent vomiting, blood in stool/vomit, no urine for 8–12 hours, or severe dehydration
  • Inconsolable crying, severe lethargy, or sudden weakness

Children differ—aim for progress, not perfection. This information supports—not replaces—professional medical advice.

Causes

  • Genetic
  • Congenital
  • Infections
  • Injuries
  • Counter factors
    • Pregnant mothers should avoid people and places with illnesses associated with fever
    • Harmful objects should be kept away from children and they should be properly nurtured
    • Encourage and support breastfeeding
    • Mothers are encouraged to use health facilities if available as soon as children fall sick
    • Reproductive age women to obtain standard immunization in their locality

Risk Factors

  • Past family record of genetic disorder
  • Mother's age more than 35 years during pregnancy
  • Past history of nonviable (unsuccessful) pregnancy in mother
  • Father's age more than 40 years during pregnancy
  • Infections in mothers during pregnancy
  • Mother smoking, taking alcohol, exposure to radiation or chemicals through the mouth or by inhalation
  • Poor diet of mothers before and during pregnancy
  • Chronic illnesses in pregnant women

Lifestyle measures

  • Regular (yearly) routine general medical screening
  • People should seek knowledge and be educated about genetic diseases and how to avoid them
  • Women encouraged to limit their child bearing period to 21 - 34 years
  • Men encouraged to stop having children by 40 - 45 years
  • Mothers encouraged to register for antenatal care at authorized health facilities when they get pregnant
  • Mothers to avoid smoking, alcohol, radiation and chemicals during pregnancy
  • Avoid smoking environment for children (passive smoking)
  • Nutritious food should be made priority for women of reproductive age (15 - 45 years)
  • Drink water liberally daily (at least 3 litres for women). For infants: 100 ml/kg/day. For 1–6 years (or 10–20 kg): one litre plus 5% of (child's weight in kg − 10) litre/day. For older or weightier children: 1.5 litre plus 2% of (child's weight in kg − 20) litre/day
  • Women are encouraged to report any illness to authorized health facilities early
  • Women to comply with their local recommended immunization program for themselves and their children
  • Encourage and support breastfeeding
Human Disease Processes
  • Early hospital visit when child falls ill

Risk Factors

  • Poor environmental living condition
  • Poor nutrition in children
  • Poverty
  • Poor mothers' education

Lifestyle measures

  • Encouraging good environmental hygiene and sanitation
  • Female education should be taken as a matter of priority
Disability
  • Early visit to the physiotherapist
  • Good nutrition

Risk Factors

  • Late visit to the hospital when child falls ill

Lifestyle measures

  • Prompt hospital visit whenever child falls ill
Death

Risk Factors

  • Poorly nourished child

Lifestyle measures

  • Well nourished child
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