. What is PEM? Explain the causes and characteristic lèaurcs of diFferent forms of PEM
Protein energy malnutrition (PEM) is one of the most important public health problems in many developing countries including India, South East Asia and Africa. It is a wide-spread deficiency disease among children of low socio-economic groups. In many areas nearly half the children do not survive to the age of five years on account of protein calorie malnutrition; those who survive may suffer from impaired growth and perhaps mental retardation.
The diseases known as ‘kwashiorkor’ and ‘marasmus’ represent extreme forms of protein calorie malnutrition. In 1933, a paediatrician, Cicelly William, working in West Africa used the local term Kwashiorkor which means ‘displaced child’ meaning “the sickness which a child develops when the next baby is born and the older one gets deprived of breast milk”. Kwashiorkor occurs due to the imbalance between proteins and carbohydrates. The term marasmus is derived from a Greek word meaning “to waste”. ‘Marasmus’ is also the result of a continued deficiency of calories, protein and other nutrients.
Protein energy malnutrition is characteristic of children under five years whenever the diet is poor in protein and calories, though no
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