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Also known as: SAM · severe wasting · marasmus · kwashiorkor
Severe wasting and/or nutritional oedema in a young child — very low weight-for-height, a low mid-upper-arm circumference, or bilateral pitting oedema. Managed by the WHO 10-step protocol; the great danger is refeeding.
Children (especially under five) with food insecurity, recurrent infection, poor feeding practices or underlying illness.
Staged nutritional rehabilitation
Caution: Cautious feeding prevents fatal refeeding; give iron only in the rehabilitation phase.
Broad micronutrients; treat infection
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🚩 Report outdated / suggest update