To all: This is an interesting discussion about the dramatic changes in relative health care needs in developing countries that have taken place. Another example is in Bangladesh, where a recent study from DSS shows a 3500% increase in CVD deaths and an 86% decrease in age-adjusted mortality from diarrheal disease in one generation (Karrar et al 2009). But an important reason for donor reluctance to shift their attention to the new mortality causes is that children are the victims of the traditional causes of death, while adults are the victims of the NCDs. What can we do to make the point that the health and welfare of children and adults are inter-connected? Parenthetically, perhaps it was simple wording in Eliana's last posting, but there are not 80,000 children dying of NCDs in Sri Lanka, are there?