Cesar G. Victora | |
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Born | São Gabriel, Rio Grande do Sul State, Brazil | March 28, 1952
Academic background | |
Alma mater | Federal University of Rio Grande do Sul London School of Hygiene and Tropical Medicine |
Cesar G. Victora (born 1952) is a Brazilian-born epidemiologist, academic and specialist in child health and nutrition. [1] He is an Emeritus Professor of Epidemiology at the Federal University of Pelotas [2] and holds or has held honorary appointments at the Universities of Harvard, [3] Oxford, and Johns Hopkins, and at the London School of Hygiene and Tropical Medicine. [4]
Victora's research has driven global policies on breastfeeding and early nutrition. His research includes Multi-Country Evaluation of IMCI and the COHORTS collaboration. [5] [6] Moreover, he was the joint principal investigator of the three Pelotas Birth Cohort Studies conducted in 1982, 1993 and 2004. [1] He was one of the coordinators of the Multicenter Growth Reference Study that led to the development of WHO Child Growth Standards. In 2017, he was awarded the Canada Gairdner Global Health Award. [7]
Victora has served on various international committees for the World Health Organization and UNICEF in the areas of child health and nutrition. [1] He was a founding member and the scientific coordinator of the Countdown to 2015 Initiative that tracked progress of countries toward the Millennium Development Goals. [8] He is one of the leaders of the new Countdown to 2030 initiative for monitoring the United Nations’ Sustainable Development Goals aimed at reducing maternal and child mortality. [9] In 2024, he was elected to the Royal Society [10] as a foreign member.
Victora was born in São Gabriel, Rio Grande do Sul, Brazil on 28 March 1952. He graduated in medicine at the Federal University of Rio Grande do Sul in 1976, when he began a one-year-long residency in community health at the Murialdo Health Centre, Secretaria da Saúde do Rio Grande do Sul. The next year he began teaching at Federal University of Pelotas. [1]
In 1980, Victora moved to the United Kingdom for his Ph.D. in health care epidemiology, at London School of Hygiene and Tropical Medicine. [11] His Ph.D. thesis was entitled The epidemiology of child health in Southern Brazil. The relationships between mortality, nutrition, health care and agricultural development. He completed his Ph.D. in 1983. [7]
After completing his Ph.D, Victora returned to Brazil and, jointly with Fernando Barros, became the principal investigator in one of the longest-running birth cohort studies in the world, the 1982 Pelotas Birth Cohort, in which 6,000 individuals have been followed up to the present time as of 2017. [7] With Barros, he also set up new birth cohorts in 1993, 2004 and 2015, making the city of Pelotas one of the most intensively studied populations in the world. [12]
In 1980's, Victora conducted the first study showing the importance of exclusive breastfeeding for preventing infant mortality. [13] His findings contributed to global policy recommendations by UNICEF and the World Health Organization for mothers to breastfeed their infants exclusively for the first six months of life. Victora's research during this time helped understand how the first 1000 days influence the lifelong outcomes such as chronic illnesses and human capital. [14]
Victora became a UNICEF consultant for Brazilian Country Office in 1987 and served in this position until 1993. Later, in 1995 he became a UNICEF Consultant for Evaluation and Research Office at UNICEF in New York for one year, where he led the development of the Multiple Indicator Cluster Surveys, currently used in several countries. [15] In 1996, he became the head of the WHO Collaborating Centre for Nutrition in the area of Maternal and Child Nutrition at the Federal University of Pelotas. The same year he was also given the title of Honorary Professor at Department of Epidemiology, London School of Hygiene and Tropical Medicine. [8]
In 1997, Victora became the Senior Technical Advisor for the Multi-Country Evaluation of the Integrated Management of Childhood Illness Strategy at World Health Organization, Geneva, a study that involved 12 countries. [16] He coordinated the Lancet/Bellagio Child Survival Series in 2003 and later became one of the founding members of Countdown to 2015: Maternal, Newborn and Child Health initiative. [17]
Victora began teaching at Bloomberg School of Public Health, Johns Hopkins University in 2007. In 2008, he stepped down from his position of the Head of the WHO Collaborating Centre at the Federal University of Pelotas. Victora became professor emeritus at the Federal University of Pelotas in 2009 and in 2012, Oxford University made him an Honorary Fellow. [8] From 2011 to 2014, he served as the President of the International Epidemiological Association. In 2014, he also started teaching at the Harvard TH Chan School of Public Health as Visiting Professor. [18]
At the Federal University of Pelotas, Victora coordinates the International Center for Equity in Health. He has over 680 peer-reviewed publications and is a member of the editorial boards of several journals, including The Lancet . [19] More recently, his long-term birth cohorts documented the benefits of breastfeeding for adult intelligence, education and income. [20] Victora also made important contributions on how to evaluate the impact of health programs on child mortality, and on the study of social inequalities in child health. [14] As of 2017, he currently leads the International Center for Equity in Health. [21]
Victora's work is based in Pelotas where he lives with his wife Mariangela Silveira, an obstetrician. His son, Gabriel Victora is a professor at Rockefeller University and a 2017 MacArthur Fellow.
Human nutrition deals with the provision of essential nutrients in food that are necessary to support human life and good health. Poor nutrition is a chronic problem often linked to poverty, food security, or a poor understanding of nutritional requirements. Malnutrition and its consequences are large contributors to deaths, physical deformities, and disabilities worldwide. Good nutrition is necessary for children to grow physically and mentally, and for normal human biological development.
Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is "a deficiency, excess, or imbalance of energy, protein and other nutrients" which adversely affects the body's tissues and form. Malnutrition is not receiving the correct amount of nutrition.
The Federal University of Rio Grande do Sul is a Brazilian public federal research university based in Porto Alegre, Rio Grande do Sul. UFRGS is among the largest and highest-rated universities in Brazil, having one of the largest number of scientific publications. From 2012 to 2019, the university was elected as the best federal university of Brazil. UFRGS has over 31,000 undergraduate students, over 12,000 graduate students, and more than 2,600 faculty members. As a Brazilian public federal institution, students do not pay tuition fees to enroll in courses offered by the university.
Oral rehydration therapy (ORT) is a type of fluid replacement used to prevent and treat dehydration, especially due to diarrhea. It involves drinking water with modest amounts of sugar and salts, specifically sodium and potassium. Oral rehydration therapy can also be given by a nasogastric tube. Therapy can include the use of zinc supplements to reduce the duration of diarrhea in infants and children under the age of 5. Use of oral rehydration therapy has been estimated to decrease the risk of death from diarrhea by up to 93%.
Child mortality is the mortality of children under the age of five. The child mortality rate refers to the probability of dying between birth and exactly five years of age expressed per 1,000 live births.
Stunted growth, also known as stunting or linear growth failure, is defined as impaired growth and development manifested by low height-for-age. It is a primary manifestation of malnutrition and recurrent infections, such as diarrhea and helminthiasis, in early childhood and even before birth, due to malnutrition during fetal development brought on by a malnourished mother. The definition of stunting according to the World Health Organization (WHO) is for the "height-for-age" value to be less than two standard deviations of the median of WHO Child Growth Standards. Stunted growth is usually associated with poverty, unsanitary environmental conditions, maternal undernutrition, frequent illness, and/or inappropriate feeding practice and care during early years of life.
A landlocked sub-Saharan country, Burkina Faso is among the poorest countries in the world—44 percent of its population lives below the international poverty line of US$1.90 per day —and it ranks 185th out of 188 countries on UNDP's 2016 Human Development Index. Rapid population growth, gender inequality, and low levels of educational attainment contribute to food insecurity and poverty in Burkina Faso. The total population is just over 20 million with the estimated population growth rate is 3.1 percent per year and seven out of 10 Burkinabe are younger than 30. Total health care expenditures were an estimated 5% of GDP. Total expenditure on health per capita is 82 in 2014.
Breastfeeding promotion refers to coordinated activities and policies to promote health among women, newborns and infants through breastfeeding.
The Baby Friendly Hospital Initiative (BFHI), also known as Baby Friendly Initiative (BFI), is a worldwide programme of the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF), launched in 1992 in India following the adoption of the Innocenti Declaration on breastfeeding promotion in 1990. The initiative is a global effort for improving the role of maternity services to enable mothers to breastfeed babies for the best start in life. It aims at improving the care of pregnant women, mothers and newborns at health facilities that provide maternity services for protecting, promoting and supporting breastfeeding, in accordance with the International Code of Marketing of Breast-milk Substitutes.
The 2010 maternal mortality rate per 100,000 births for Tanzania was 790. This is compared with 449 in 2008 and 610.2 in 1990. The UN Child Mortality Report 2011 reports a decrease in under-five mortality from 155 per 1,000 live births in 1990 to 76 per 1,000 live births in 2010, and in neonatal mortality from 40 per 1,000 live births to 26 per 1,000 live births. The aim of the report The State of the World's Midwifery is to highlight ways in which the Millennium Development Goals can be achieved, particularly Goal 4 – Reduce child
Anthony Costello is a British paediatrician. Until 2015 Costello was Professor of International Child Health and Director of the Institute for Global Health at the University College London. Costello is most notable for his work on improving survival among mothers and their newborn infants in poor populations of developing countries. From 2015 to 2018 he was director of maternal, child and adolescent health at the World Health Organization in Geneva.
Environmental enteropathy is an acquired small intestinal disorder characterized by gut inflammation, reduced absorptive surface area in small intestine, and disruption of intestinal barrier function. EE is most common amongst children living in low-resource settings. Acute symptoms are typically minimal or absent. EE can lead to malnutrition, anemia, stunted growth, impaired brain development, and impaired response to oral vaccinations.
Undernutrition in children, occurs when children do not consume enough calories, protein, or micronutrients to maintain good health. It is common globally and may result in both short and long term irreversible adverse health outcomes. Undernutrition is sometimes used synonymously with malnutrition, however, malnutrition could mean both undernutrition or overnutrition. The World Health Organization (WHO) estimates that malnutrition accounts for 54 percent of child mortality worldwide, which is about 1 million children. Another estimate, also by WHO, states that childhood underweight is the cause for about 35% of all deaths of children under the age of five worldwide.
Vikram Harshad Patel FMedSci is an Indian psychiatrist and researcher best known for his work on child development and mental disability in low-resource settings. He is the Co-Founder and former Director of the Centre for Global Mental Health at the London School of Hygiene and Tropical Medicine (LSHTM), Co-Director of the Centre for Control of Chronic Conditions at the Public Health Foundation of India, and the Co-Founder of Sangath, an Indian NGO dedicated to research in the areas of child development, adolescent health and mental health. Since 2024, he has been the Paul Farmer Professor and Chair of the Department of Global Health and Social Medicine at Harvard Medical School in Boston, where he was previously the Pershing Square Professor of Global Health and Social Medicine. He was awarded a Wellcome Trust Principal Research Fellowship in 2015. In April 2015, he was listed as one of the world's 100 most influential people by TIME magazine.
Child health and nutrition in Africa is concerned with the health care of children through adolescents in the various countries of Africa. The right to health and a nutritious and sufficient diet are internationally recognized human rights that are protected by international treaties. Millennium Development Goals (MDGs) 1, 4, 5 and 6 highlight, respectively, how poverty, hunger, child mortality, maternal health, the eradication of HIV/AIDS, malaria, tuberculosis and other diseases are of particular significance in the context of child health.
The John Dirks Canada Gairdner Global Health Award is given by the Gairdner Foundation to recognize the world's top scientists who have made outstanding achievements in Global Health Research. Since its inception, the Global Health Award has grown significantly to become one of the world's most prestigious awards recognizing excellence in global health research.
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