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SAM higher than MAM?

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Suzanne Fuhrman

Nutrition in Emergencies, WFP

Normal user

27 Jun 2018, 13:18

Do you know of countries/contexts where the estimated number of children with SAM is higher than that of MAM?

This situation seems implausible, as SAM is often 2.5-3 times lower than MAM.

Mark Myatt

Consultant Epidemiologist, Brixton Health

Frequent user

27 Jun 2018, 15:01

It could happen in the case of a lot of oedema and not a lot of wasting (WHZ < -2).

I did a quick an analysis of 2434 survey datasets that I had to hand found none where SAM prevalence exceeded MAM prevalence.

Rita Bhatia

Frequent user

27 Jun 2018, 15:39

It is rare and as stated by Mark the Oedema increases the prevalence of SAM in proportion to MAM. It was seen in Goma during the great lake crisis in mid 90s!

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