The World Health Organization and Food and Agriculture Organization of the United Nations are at the forefront of managing public health hazards. Foodborne diseases are caused by pathogenic bacteria or viruses transmitted through contaminated food at any stage from production to consumption, putting infants, children, the elderly and immunocompromised people particularly at risk of gastrointestinal or more serious neurological, immunological or cancerous symptoms. In recent decades, most diseases have been caused by pathogenic bacteria or viruses originating from food animals and animal products, though some are caused by environmental contaminations from chemicals like fertilizers and pesticides. The five keys to safer food explain basic principles to prevent foodborne illness.
2. The World Health Organization (WHO)
FAO (FOOD AGRICULTURE ORGANIZATION of the United
Nations)
• Are in the forefront for the management of
public HEALTH HAZARDS
6. MOST COMMON SYMPTOMS:
• Gastrointestinal symptoms
•
IN MORE SERIOUS CASES:
• NEUROLOGICAL or IMMUNOLOGICAL MANIFESTATIONS
• Or even CANCER
7. IN THE LAST DECADES
Most diseases have been caused by
PATHOGENIC
BACTERIA
H
Or VIRUSES
Originating from
FOOD ANIMALS
and ANIMAL
PRODUTS
8. OTHER DISEASES are
CAUSED BY
ENVIRONMENTAL
CONTAMINATIONS
Due to the use of VARIOUS CHEMICALS
(such as FERTILIZERS or PESTICIDES
9. THE FIVE KEYS
TO SAFER FOOD
EXPLAIN THE BASIC PRINCIPLES TO PREVENT
FOOD BORNE DISEASES
•
10. R&D
Challenges
• Inappropriate technology, slow development of new technology
• Absent target product profiles (TPPs), R&D roadmaps, review mechanisms,
reference preparations for assays, approved standards of care
• Limited data sharing - clinical trials and other research during outbreaks &
emergencies
• Inadequate R&D funding models, few $$ to quick-start R&D
• Limited stockpiles of effective treatments
• Low national participation in R&D efforts to build research capacity
• Narrow view of R&D – mostly vaccines, drugs, diagnostics – not operations
Solutions
• Ebola diagnostic, drug, vaccine development, trials, licensing compressed to
months
• Expand existing collaborations e.g. African Vaccine Regulatory Forum
(AVAREF)
• Blueprint for Research and Development Procedures in the Context of Global
Public Health Threats (WHA 2016)
11. What can we do to prevent
food-borne illness?
• Keep food COLD
– refrigerate at 40oF or lower
– thaw food in refrigerator
15. FAO
ILO
WHO
MoH
WB
ADB
KHANA
Clinton
HAI
SRC
HNI
RHAC
RACHA
MSF
Global Fund
to Fight ATM
GAVI
HMN
JICA
CDC
GTZ
AFD
BTC
KfW
DFID
EC
USAID
AusAid
UNDP
UNFPA
UNAIDS
UNICEF UNWFPCARE
URC
HU
AECI
KOICA
Gates
ICRC
International Health
Partnership
Catalytic
Initiative
UNITAID
PMNCH
RBM
Stop TB
PEPFAR PMI
PSI
SC
Oxfam 100+ health partners
1990-2015: new coordination role
40 bilaterals, 26 UN agencies, 20 global funds, >100 global health initiatives…
NGOs
OIE
GOARN
IFRC OCHA
16. Role of WHO in public health
6 core functions
• Providing leadership, engaging in partnerships
• Shaping the research agenda
• Setting norms and standards
• Articulating ethical and evidence-based policies
• Providing technical support, catalysing change,
building sustainable institutions
• Monitoring health situation and trends
Critical aspects of emergency preparedness/response should
be linked to core public health functions
17. “Now is the historic political moment for world
leaders to give WHO new relevance and empower it
to lead in global health”
Stocking report, July 2015
“I am creating a single new programme for health
emergencies, uniting all our outbreak and emergency
resources across the three levels of the Organization…
designed for speed, flexibility, and rapid impact.”
Margaret Chan, WHA May 2015