Oral Health Program
Noma, or cancrum oris, is a fast-acting gangrene infection that destroys the mucus membranes of the oral and facial tissues. The exact etiology of it is unknown, but it most often occurs in malnourished children living in areas with poor sanitation.
Noma has not been widely reported in the LAC region, but approximately 140,000 new cases are diagnosed annually. Mortality rate is about 8.5%. It is most prevalent in sub-saharan Africa.
This section has information on the disease, worldwide prevalence, and links for more information:
Introduction and Fact Sheets
WHO. Map showing global incidence of NOMA by percent of population effected.
Scientific and Technical PublicationsNoma in Loas: Stigma of Severe Poverty in Rural Asia
The American Society of Tropical Medicine and Hygiene, 2008. Description of clinical and social features of Noma in Laos emphasizing the significance of poverty reduction, nutritional improvement, increasing awareness and advantages of early therapy.
The American Society of Tropical Medicine and Hygiene, 1999. Thirteen-year retrospective study based on clinical records of oral gangrene occurring in early childhood in extremely poor areas in an attempt to understand the epidemiology of noma.
International Noma Federation.
The Swiss foundation "Winds of Hope" is making its first donation to WHO to help African children facing the threat of the deadly Noma disease.
Overview, Symptons, Treatment, Prevention.
A UK NGO devoted to Noma.
The Secure Our Children Foundation is an action-focused organization with the broad mission of containing hunger and malnutrition, the two prime enablers of infections and diseases among poverty-stricken children in Africa.
Sources - Database:
General Health Sicience: LILACS, MEDLINE /International Agencies: PAHO- Pan American Health Organization, WHOLIS - World Health Organization / Cochrane Library: Cochrane systematic reiews, Protocols of Cochrane systematic reviews, CENTRAL, Abstracts by INAHTA, economic studies and critically appraised, abstracts of quality assessments / BBO -Brazilian Dentistry Bibliography / MEDCARIB - Caribbean Health Sciences Literature / Bandolier / Ibero-American Clinical Trials, Evidence. Updating in ambulatory, Reports / HIL- Internet Resources.