First, can I ask you to study the above photo of the instructions on a packet of ‘WHO approved’ ORS which makes 1 litre of solution. First, you’ll note that you should discard any unused ORS solution after 24 hours. Next you’ll note that the recommendation that a child below 2 years should be given between 50 to 100ml a day (so you’d throw 900-950ml away). Then you’ll see that children between 2 and 10 years should be given 100 to 200ml a day (so you’d throw 800-900ml away).
Now I think these recommended dosages are misleading. I think the recommendation is that you give the solution ad-lib, but even then you are not going to get 1 litre of ORS solution into a small baby in 24 hours.
So why are the majority of ORS sachets of a size that makes up 1 litre? Surely it would be better to make the sachets a quarter of this size? Why make up a whole litre and allow flies to land on it etc etc and then throw most of it away? Why not make up smaller amounts? Little and often?
This blog post generated a lot of email traffic containing some really helpful insights. These have led us down the road of producing smaller sachets and using the AidPod itself as the measure. See: