BackgroundIndia has seen rapid unorganized urbanization in the past few decades. However, the burden of childhood diseases and malnutrition in such populations is difficult to quantify. The morbidity experience of children living in semi-urban slums of a southern Indian city is described.MethodsA total of 176 children were recruited pre-weaning from four geographically adjacent, semi-urban slums located in the western outskirts of Vellore, Tamil Nadu for a study on water safety and enteric infections and received either bottled or municipal drinking water based on their area of residence. Children were visited weekly at home and had anthropometry measured monthly until their second birthday.ResultsA total of 3932 episodes of illness were recorded during the follow-up period, resulting in an incidence of 12.5 illnesses/child-year, with more illness during infancy than in the second year of life. Respiratory, mostly upper respiratory infections, and gastrointestinal illnesses were most common. Approximately one-third of children were stunted at two years of age, and two-thirds had at least one episode of growth failure during the two years of follow up. No differences in morbidity were seen between children who received bottled and municipal water.ConclusionsOur study found a high burden of childhood diseases and malnutrition among urban slum dwellers in southern India. Frequent illnesses may adversely impact children’s health and development, besides placing an additional burden on families who need to seek healthcare and find resources to manage illness.

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Cyanobacterial diazotrophs play a significant role in environmental nitrogen economy despite their habitat either tropical or polar. However, the phenomenon by which it copes with temperature induced stress is poorly understood. Temperature response study of psychrophilic and mesophilic Nostoc strains explores their adaptive mechanisms. The selected psychrophilic and mesophilic strains were confirmed as Nostoc punctiforme and Nostoc calcicola respectively, by ultrastructure and 16S rDNA phylogeny. The psychrophilic strain has extensive glycolipid and polysaccharide sheath along with characteristic deposition of cyanophycin, polyhydroxybutyrate granules, and carboxysomes. This is possibly an adaptive strategy exhibited to withstand the freezing temperature and high intense of ultraviolet rays. The biomass measured in terms of dry weight, protein, and chlorophyll indicated a temperature dependant shift in both the psychrophilic and mesophilic strains and attained maximum growth in their respective temperature niches. At low temperature, psychrophilic organism exhibited nitrogenase activity, while mesophilic strains did not. The maximum glutamine synthetase activity was observed at 4°C for psychrophilic and 37°C for mesophilic strains. Activity at 4°C in psychrophilic strains revealed their energetic mechanism even at low temperature. The nitrate and nitrite reductase of both psychrophilic and mesophilic strains showed maximum activity at 37°C denoting their similar nitrogen assimilating mechanisms for combined nitrogen utilization. The activity studies of nitrogen fixation/assimilation enzymes have differential effects at varying temperatures, which provide valuable insights of physiological contribution and role of Nostoc strains in the biological nitrogen cycle.