High levels of childhood rickets in rural North Yemen |
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| Authors: | P Underwood B Margetts |
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| Affiliation: | 1. Mbarara University of Science and Technology, Uganda;2. Queen Mary University of London, United Kingdom;1. Division of Endocrinology and Metabolism, First Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece;2. Unit of Reproductive Endocrinology, First Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece;3. Department of Neuroscience, Division of Geriatric Medicine, Angers University Hospital, Angers, France;4. University Memory Clinic, UPRES EA 4638, University of Angers, UNAM, Angers, France;5. Robarts Research Institute, Department of Medical Biophysics, Schulich School of Medicine and Dentistry, the University of Western Ontario, London, Ontario, Canada;6. Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University Graz, Graz, Austria;7. School of Life Sciences, Kingston University London, UK;8. Department of Chemistry, College of Science, UAE University, Al Ain, UAE;9. Aristotle University of Thessaloniki, Laboratory of Atmospheric Physics, Thessaloniki, Greece;1. Lviv Polytechnic National University, 12 S. Bandery Str., 79013 Lviv, Ukraine;2. Scientific Research Company “Carat”, 202 Stryiska Str., 79031 Lviv, Ukraine;3. Department of Electrical Engineering, Czestochowa University of Technology, Al. Armii Krajowej 17, 42-200 Czestochowa, Poland |
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| Abstract: | ![]()
Despite a warm sunny climate, rickets is extremely common in children living in an isolated mountainous area of North Yemen. In a small township the overall prevalence amongst children under five years attending for vaccination was 27%. The condition was most common at the end of the first year and had disappeared by the fifth year. Marasmus was commonly associated with rickets. Children from the rural villages outside the township had significantly lower rates of rickets. Several factors may contribute to the very high rates of rickets in rural Yemen. However, lack of exposure to sunlight as a consequence of particular cultural practices is likely to be the most important. The major social and behavioural factors which restrict the young child access to sunlight are outlined, and possible remedies discussed. |
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