averted, this indicates a total marginal cost of less than of massive dose vitamin A on morbidity and mortality in Indian children. $11 per death averted, making vitamin A supple-Lancet 1990;336:1342-5. 6 World Health Organisation Unicef/Intemational Vitamin A Consultative mentation a highly cost effective strategy for increasing Group Task Force. Vitamin A supplements. A guide to their use in the treatment child survival which should be sustainable over an and prevention of vitamin A deficiency and xerophthalmta. Geneva: WHO, extended period. f course our estmate of cost per 1988. extended period. Of course our estimate of cost per 7 Pandey MR, Daulaire NMP, Starbuck ES, Houston RM, McPherson K. death averted is particularly low because of the Reduction in total under five mortality in western Nepal through comextremely high underlying mortality and vitamin A munity-based antimicrobial treatment of pneumonia. Lancet 1991;338: deficiency among our population and because of the 8 Brilliant LB, Pokhrel RP, Graset NC, Lepkowski JM, Kolstad A, Hawks W, existence of a viable delivery system on which to add et al. Epidemiology of Blindness in Nepal. Bull World Health Organ 1985;63:375-86. vitamin A distribution; these factors will vary in other 9 Zerfas AJ. The insertion tape: a new circumference tape for use in nutritional settings.

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