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SETTING: Five Colombian cities: Villavicencio, Pereira, Cucuta, Bucaramanga and Bosa. OBJECTIVE: To describe the knowledge, attitudes and practices related to tuberculosis (TB) in household contacts (HHCs) of TB patients. METHODS: A cross-sectional study was conducted. The estimated sample size required was 855. The World Health Organization guide 'Advocacy, communication and social mobilization for TB control: a guide to developing knowledge, attitude and practice surveys' was translated into Spanish and adapted to the dialect of each city. HHCs were invited to participate in the study and included if they agreed. RESULTS: We interviewed 878 HHCs. Most of them knew that TB was transmitted by airborne droplets; however, 52.2% also said that TB could be transferred from one person to another by sharing plates or clothes or shaking hands. Fifty-five per cent of HHCs acquired TB-related information from health care workers, and 44% from family members and friends. Fear was the main reaction reported by HHCs when they were informed of a TB diagnosis (60%). Eighty-five per cent of HHCs answered that the community rejects or avoids TB cases. CONCLUSION: There are significant gaps in the knowledge about TB and the stigmatisation associated with it. Educational strategies should be designed together with the community to demystify many misconceptions about TB.

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In the present study a typical plasma amino acid profile for a defined population of healthy Venezuelan children was established and, further, the possibility was examined that deviations from such normalized amino acid patterns can be of use to warn of an impending nutritional deficiency, caused, in part, by adverse socio-economic conditions. This study comprised 152 children of both sexes ranging in age from 1 to 6 years. Classification into different socio-economic strata, ranging from impoverished to privileged, was evaluated by Graffar's method, as previously adapted by Mendez Castellano for Venezuela. The results of clinical and anthropometric examinations were used to group these children into 5 classes of nutritional sufficiency, ranging from adequate nutrition to severe undemutrition. The present data indicate that deviations in the plasma amino acid concentration profile, standardized for a defined population, can be used in combination with clinical evaluations to determine the type as well as the severity of inadequate nutrition. Abnormal ratios of several individual amino acids relative to Val and Tau may serve as early signs of (impending) undemutrition or malnutrition in children; the amino acid changes are detectable even in groups of children without any clinical signs but where sociological circumstances suggest a possibility of inadequate nutrition. Other uses for such plasma amino acid profiles may be to distinguish whether the detected amino acid abnormalities are of dietary or genetic origin, provided that the selected groups or individuals studied derive from a population with more or less the same genetic homogeneity and similar dietary customs.

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The nutritional characteristics of a cookie formulated with bovine plasma as main protein source was evaluated. Bovine plasma was mixed with wheat flour, sugar or salt, condiments and vegetable oil. The mix was placed in trays and baking at 120 degrees C during 1 hour. Moisture, fat, protein, carbohydrate, metabolizable energy, ash, iron, essential amino acids, essential fatty acids, apparent digestibility, protein efficiency ratio, acceptability and tolerance of the final product were determined. Results indicated that 100 g of the cookie have 5 g of moisture, 16 g of fat, 16 g of protein, 61.4 g of carbohydrate, 408.2 Kcal of metabolizable energy, 1.59 g of ash, 1.9 mg of iron and 6.59 g of essential amino acids. Polyunsaturated fatty acids are in higher amount than saturated fatty acids. Results also indicated that 100 g of cookie provide at least 20% of the daily energy requirements, 24% of the iron and between 30 to 50% of the daily protein requirements for children at school age. Its digestibility and PER, tested in rats, were of 88.4% and 2.32 respectively. Acceptability and tolerance, both tested in children, were 97% and 100% respectively. The protein cookie could be included as a protein and energy supply in school meals.

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The objective of the present work was to determine plasma zinc concentration in a children's population belonging to low income families in Maracaibo, Venezuela. One hundred fifty-nine children (M:75;F:84) aged 3 months to 8 years were studied by clinic, anthropometric and socio-economical parameters. Fasting peripheral venipuncture blood samples were obtained and analyzed for plasma zinc using atomic absorption spectrophotometry. Plasma zinc levels were low (< 75 micrograms/dl) in 38.36% of the children studied. In turn, 33.89% of the eutrophic group, and 41% of the malnourished group were zinc deficient. By analyzing separately the group of children in which plasma zinc levels ranged between 75-80 micrograms/dl (critical zone), it could be seen that 18.65% of eutrophic and 10% of malnourished children belonged to this group. Thus, over 50% of the total children's population studied had critical or deficient plasma zinc levels. Therefore, functional studies on nutritional status of zinc are recommended to the Venezuelan children population; in case of being evidently deficitary, it is necessary to establish immediate zinc supplementation nutritional programs; especially for children coming from low income families.

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