The public, including children, need to learn to stem arterial bleeding, to support fractured limbs, and to ensure an open airway. Agonizing decisions are needed when life-supporting systems are few and children requiring these are many. Ethics, humanity, realism and decisiveness must all play a part. Acute care must be followed by rehabilitation, and greatly expanded resources are needed in a wide range of areas. There seems a need for international centers with experienced staff to train volunteer pediatricians and other doctors and nurses before they arrive in an emergency area.
Excessive carbohydrate intake absolutely and relatively is a problem.
With such scattered and widespread problems, the only practicable solution is to ensure supplemental intake at a safe level by all women. Obtain data and define cities and areas where nutrients are lacking overtly or covertly. Internationally, obtain adequate supplies of vitamins and minerals and get them to target areas. Ensure that such tablets are taken by the mother and that mineral and vitamin contents such as vitamin D and folic acid are adequate but not excessive. Adequate supplies must come from international agencies and be of good quality.