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Photo Credit Goes Here
Delia Grace, Kristina Roesel, Sothyra Tum, Chhay Ty, Hung Nguyen-Viet, Fred Unger, Hardisman
Dasman...
• Why prioritize?
– People are poor judges of risk
– The vital few and the trivial many
• Prioritization of FBD in Cambodi...
What you worry about and what kills you are not the
same
3
Vietnam chemical risk assessment
• 366 kidney, liver and pork s...
Experts get it wrong
4
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
Importance Burden
5
0
200000
400000
600000
800000
1000000
1200000
1400000
1600000
1800000
2000000
Top 13
zoonoses
Next 43
The top 10 human d...
• Nutrition: the most risky foods are also the most nutritious
• Gender: Women have a major role in informal food markets ...
0
5,000,000
10,000,000
15,000,000
20,000,000
25,000,000
Microbes Helminths Aflatoxins Other toxins
zoonoses
non zoonoses
H...
8
Annual benefit Annual cost Confidence in
investment
Sharing resources 4 billion 1 billion ++
Controllable
zoonoses
60 bi...
• Why prioritize?
– People are poor judges of risk
– The vital few and the trivial many
• Prioritization of FBD in Cambodi...
• Health metrics
0
200000
400000
600000
800000
1000000
• Stakeholder consultation
• Systems effect modelling
Unique records
identified
Included records
Full text
Data
extracted
Excluded
(titles/abstract
s)
Other exclusion
criteria*...
0 1 0 1 1 0 0 1 1 1
4
1
2
1
4
0
6
1
1 Jan
1990 -
31 Dec
2000
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2...
• Conclusion
– Very little information on health burden of FBD in Cambodia
– Almost no information on other burdens
– Syst...
Safe Food Fair Food for Cambodia
NAHPRI
www.feedthefuture.gov
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Animal health and sustainable intensification: Towards systematic and holistic prioritization of disease associated with consumption of livestock foods

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Presentation by Delia Grace, Kristina Roesel, Sothyra Tum, Chhay Ty, Hung Nguyen-Viet, Fred Unger, Hardisman Dasman, Nicoline de Haan, Melissa Fox Young, Johanna Lindahl, Silvia Alonso at the first International Sustainable Agricultural Intensification and Nutrition Conference, Phnom Penh, Cambodia, 10-13 January 2018.

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Animal health and sustainable intensification: Towards systematic and holistic prioritization of disease associated with consumption of livestock foods

  1. 1. Photo Credit Goes Here Delia Grace, Kristina Roesel, Sothyra Tum, Chhay Ty, Hung Nguyen-Viet, Fred Unger, Hardisman Dasman, Nicoline de Haan, Melissa Fox Young, Johanna Lindahl, Silvia Alonso Animal health and sustainable intensification: Towards systematic and holistic prioritization of disease associated with consumption of livestock foods First International Sustainable Agricultural Intensification and Nutrition Conference, Royal University of Agriculture, Phnom Penh, Cambodia January 10-13, 2018 NAHPRI
  2. 2. • Why prioritize? – People are poor judges of risk – The vital few and the trivial many • Prioritization of FBD in Cambodia – Literature and health metrics – Stakeholder consultation and participatory processes
  3. 3. What you worry about and what kills you are not the same 3 Vietnam chemical risk assessment • 366 kidney, liver and pork samples analysed for antibiotic residues, β-agonists, and heavy metals • ~1% over MRL with minor implications for human health Quantitative microbial risk assessment • QMRA for salmonellosis acquired from pork • Annual incidence rate estimated to be 12.6%
  4. 4. Experts get it wrong 4 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 Importance Burden
  5. 5. 5 0 200000 400000 600000 800000 1000000 1200000 1400000 1600000 1800000 2000000 Top 13 zoonoses Next 43 The top 10 human disease cause 90% burden Illnesses WHO, 2014Grace et al., 2012 Pareto principle: the vital few and the trivial many
  6. 6. • Nutrition: the most risky foods are also the most nutritious • Gender: Women have a major role in informal food markets at risk from FBD • Economic loss: FBD has high economic costs: health, agriculture & economy-wide • Pathways out of poverty blocked: FBD limits access of poor farmers to export markets and threatens access to domestic markets • Equity: FBD discriminates: the YOMPI are most at risk FBD has many implications beyond health
  7. 7. 0 5,000,000 10,000,000 15,000,000 20,000,000 25,000,000 Microbes Helminths Aflatoxins Other toxins zoonoses non zoonoses Havelaar et al., 2015 Burden-based
  8. 8. 8 Annual benefit Annual cost Confidence in investment Sharing resources 4 billion 1 billion ++ Controllable zoonoses 60 billion 20 billion +++ Timely response 6 billion 3.4 billion ++ Averting pandemics 30 billion + Generating insights ? ? +++ Bottom line 100 billion 25 billion +++ Benefit-based
  9. 9. • Why prioritize? – People are poor judges of risk – The vital few and the trivial many • Prioritization of FBD in Cambodia – Literature and health metrics – Stakeholder consultation and participatory processes
  10. 10. • Health metrics 0 200000 400000 600000 800000 1000000
  11. 11. • Stakeholder consultation
  12. 12. • Systems effect modelling
  13. 13. Unique records identified Included records Full text Data extracted Excluded (titles/abstract s) Other exclusion criteria* *books, book chapters, duplicates, full paper not available **reviews excluded but if original source available added if not already in the list #additional ISI articles identified through other sources (i.e. grey literature) but not SLR algorithm Excluded quality Excluded exclusion/inclusion criteria** 27 15 Data extracted 72 2 duplicates 10 full papers not (yet) available 0 6 not relevant 99 4 Included additional#
  14. 14. 0 1 0 1 1 0 0 1 1 1 4 1 2 1 4 0 6 1 1 Jan 1990 - 31 Dec 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 (until 30 June) International, peer-reviewed journal publications between 1990 and June 2017 n= 25 which foods??? FBD: noodles, rice, seafood, dog meat, water spinach, rice wine, raw game meat Chemicals: sausage, dry fish, seafood, noodles and meat balls produced from beef and pork which hazards??? Vibrio spp., Salmonella spp., Staphylococcus aureus, Bacillus cereus borax, formalin
  15. 15. • Conclusion – Very little information on health burden of FBD in Cambodia – Almost no information on other burdens – Systematic, holistic approach can generate better information – This will allow us to prioritise hazards for biological survey and subsequent intervention
  16. 16. Safe Food Fair Food for Cambodia NAHPRI
  17. 17. www.feedthefuture.gov

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