Prevention:  Economic development, improved nutrition and better access to health care will go a long way to improving outcomes of pulmonary infections. These social advances are being made in Kenya, but there remains a long way to go.

Immunizations Viruses Measles RSV (coming) Parainfluenza (coming) Bacteria H. influenzae type b (Hib) Pneumococcal (85% reduction in incidence in some studies) Specialized Nutrition

Photo courtesy of Dr. Tal Bosin, Medical Sciences, Bloomington.

• For measles, some authors suggest vitamin A (200,000 IU p.o. X2 doses) for all children under 1 year of age where vitamin A deficiency is common.
• This is thought to reduce the incidence post measles pneumonia.
• Zinc supplementation, in regions where zinc deficiency is known, has been shown to reduce morbidity from pneumonia.

Our first patient. A woman with dyspnea.