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Malnutrition and high childhood mortality among the Onge tribe of the Andaman and Nicobar Islands

Published online by Cambridge University Press:  02 January 2007

VG Rao ,
AP Sugunan ,
MV Murhekar  and
SC Sehgal
VG Rao*
Affiliation:
Regional Medical Research Centre (Indian Council of Medical Research), Post Bag No. 13, Port Blair 744 101, Andaman and Nicobar Islands
AP Sugunan
Affiliation:
Regional Medical Research Centre (Indian Council of Medical Research), Post Bag No. 13, Port Blair 744 101, Andaman and Nicobar Islands
MV Murhekar
Affiliation:
Regional Medical Research Centre (Indian Council of Medical Research), Post Bag No. 13, Port Blair 744 101, Andaman and Nicobar Islands
SC Sehgal
Affiliation:
Regional Medical Research Centre (Indian Council of Medical Research), Post Bag No. 13, Port Blair 744 101, Andaman and Nicobar Islands
*
*Corresponding author: Email [email protected]
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Abstract

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Objectives

A study was conducted among the Onge tribe of the Andaman and Nicobar Islands with the objectives of identifying demographic factors responsible for the decline in their population and assessing their nutritional status, which is an important determinant of child survival.

Study design and subjects

The study included estimation of indices of fertility and child mortality, and assessment of nutritional status. All individuals of the Onge community settled on Little Andaman Island were included.

Results

The mean total marital fertility rate was estimated to be 5.15 live births per woman and the general fertility rate was 200 live births per 1000 married-woman-years. Although the gross reproduction rate was estimated to be 2.2 female children per married woman, the net reproduction rate was only 0.9 surviving female child per married woman. The mean infant mortality rate during the past 30 years was 192.7 per 1000 live births, and the child survival rate was found to be only 53.2%. A mild to moderate degree of malnutrition was found in 85% of children of pre-school age and severe malnutrition in 10%. The Onges had low intakes of iron, vitamin A and vitamin C. All the screened Onges were found to be infested with one or more intestinal parasites.

Conclusions

High childhood mortality appears to be the predominant demographic factor responsible for the decline in the Onge population. The high prevalence of undernutrition and micronutrient deficiency disorders could be important factors contributing to the high childhood mortality.

Keywords

Andaman and NicobarChildhood mortalityMalnutritionOngesTribe
Type
Research Article
Information
Public Health Nutrition , Volume 9 , Issue 1 , February 2006 , pp. 19 - 25
Copyright
Copyright © The Authors 2006

References

1Basu, BK. The Onge: Negrito Hunter-Gatherers of Little Andaman. Calcutta: Seagull Books, 1990.Google Scholar
2Directorate of Census Operations, Andaman and Nicobar Islands. Census of India 1991–Series 27: Andaman and Nicobar Islands–Final Population Totals. Port Blair: Directorate of Census Operations, 1993.Google Scholar
3Hanumantha Rao, D, Brahmam, GNV, Pralhad Rao, N. Primitive Tribal Groups of Andaman and Nicobar Islands–Health and Nutrition Survey. Hyderabad: National Institute of Nutrition, Indian Council of Medical Research, 1989.Google Scholar
4Pelletier, DL, Frongillo, EA Jr, Schroeder, DG, Habicht, JP. The effects of malnutrition on child mortality in developing countries. Bulletin of the World Health Organization 1995; 73(4): 443–8.Google ScholarPubMed
5Scrimshaw, NS, Taylor, CE, Gorden, JE. Interaction of Nutrition and Infection. World Health Organization (WHO) Monograph Series No. 57. Geneva: WHO, 1968.Google ScholarPubMed
6Park, K. Demography and family planning. In: Park, K, ed. Park's Textbook of Preventive and Social Medicine, 14th ed. Jabalpur: Banarsi Das Bhanot: 1995; 282–312.Google Scholar
7Park, K. Preventive medicine in obstetrics, paediatrics and geriatrics. In: Park, K, ed. Park's Textbook of Preventive and Social Medicine, 14th ed. Jabalpur: Banarsi Das Bhanot, 1995; 313–44.Google Scholar
8Gopalan, C, Rama Sastri, BV, Balasubramanian, SC (revised and updated by Narasinga Rao BS, Deosthale YG, Pant KC). Nutritive Value of Indian Foods. Hyderabad: National Institute of Nutrition, Indian Council of Medical Research, 1996.Google Scholar
9Indian Council of Medical Research (ICMR). Nutrient Requirements and Recommended Dietary Allowances for Indians: A Report of the Expert Group of the Indian Council of Medical Research. New Delhi: ICMR, 1995.Google Scholar
10World Health Organization (WHO). Physical Status: The Use and Interpretation of Anthropometry. Report of a WHO Expert Committee. WHO Technical Report Series No. 854. Geneva: WHO, 1995.Google Scholar
11World Health Organization (WHO). Measuring Change in Nutritional Status. Geneva: WHO, 1983.Google Scholar
12Gomez, F, Galvan, R, Frenk, S, Cravioto, J, Chavez, R, Vasquiz, J. Mortality in second and third degree malnutrition. Journal of Tropical Pediatrics 1956; 2: 77CrossRefGoogle ScholarPubMed
13Waterlow, JC. Classification and definition of protein calorie malnutrition. British Medical Journal 1972; 3: 566–9.CrossRefGoogle ScholarPubMed
14Bain, BJ. Basic haematological techniques. In: Dacie, JV, Lewis, SM, eds. Practical Haematology, 8th ed. Edinburgh: ELBS with Churchill Livingstone, 1994; 49–52.Google Scholar
15World Health Organization (WHO). Nutritional Anaemias. Report of a WHO Expert Committee. WHO Technical Report Series No. 503. Geneva: WHO, 1972.Google Scholar
16Rao, VG, Sugunan, AP, Sehgal, SC. A profile of demographic and nutritional status of Shompens – the primitive Mongoloid tribe of Great Nicobar. Indian Journal of Community Medicine 1998; 23: 38–41.CrossRefGoogle Scholar
17World Health Organization (WHO). From Alma Ata to the Year 2000: Reflections at the Midpoint. Geneva: WHO, 1988.Google Scholar
18Registrar General, India. Sample Registration Bulletin 30(1). New Delhi: Registrar General, India, 1996.Google Scholar
19Central Bureau of Health Intelligence. Health Information of India. New Delhi: Government of India, 1986.Google Scholar
20Swaminathan, MC, Krishnamurthi, D, Iyengar, L, Hanumantha Rao, D. Health survey of the Onge tribe of Little Andamans. Indian Journal of Medical Research 1971; 59(7): 1136–47.Google ScholarPubMed
21Schroeder, DG, Brown, KH. Nutritional status as a predicator of child survival: summarizing the association and quantifying its global impact. Bulletin of the World Health Organization 1994; 72(4): 569–79.Google Scholar
22World Health Organization (WHO). Intestinal Protozoan and Helminthic Infections. Report of a WHO Scientific Group WHO Technical Report Series No. 666 Geneva: WHO, 1981.Google Scholar