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Towards developing a system framework for causes of foodborne disease in Thailand 2003-2011

  1. EcoHealth-OneHealth Resource Centre, Chiang Mai University Approaches to the Better Management of Zoonotic Emerging Infectious Diseases in the Southeast Asia Region (EcoZD) project EcoHealth Conference, Kunming China 2012 1
  2. • EcoHealth-OneHealth Resource Centre established at Chiang Mai University • First example of Ecosystem and Health approach • Capacity building for the faculty members through research thinking • The project “Kitchen of the world” 2
  3. a workshop to develop a research project proposal on concept, of “Thailand: Kitchen of the World” 9– 10 February 2011
  4. Social Science OE SP MP BW-LR PL CSR LB DP PW PK Animal TM LS Human PA FU NA AU WN UA SJ Biology Figure 1: Workshop participants come from different academic faculties and disciplines
  5. 5
  6. Figure 5 Meat Production chain Healthy Taste Affordability Safety Environmental High quality food Sustainability Food vendor/ Market Slaughterhouse Farm
  7. Series of research concept notes Concept Details Note 1 Diarrheal from food borne disease in humans, Thailand, 2003-2011 2 Livestock farming and population; the change of pattern during 2003-2011 3 Description of the smallholder beef production system in the northern region of Thailand 4 Food vendors
  8. Concept Details Note 1 Diarrheal from food borne disease in humans, Thailand, 2003-2011 • Bureau of Epidemiology, Ministry of Public Health, Thailand • Data 1. Surveillance database system • Calculated based on the number of population • Reported the number of case 2. Outbreak investigation report • Reported from SRRT or Health center • Only some cases have been investigated • Source of infection
  9. 10
  10. Figure 1: Number of food poisoning cases by each region, Thailand 2003-2010 100000 90000 North Region Central Region North-Eastern Region South Region 80000 70000 60000 50000 40000 30000 20000 10000 0 2003 2004 2005 2006 2007 2008 2009 2010
  11. Figure 2: Number of food poisoning cases by occupation, Thailand, 2006 50000 45000 40000 35000 30000 25000 20000 15000 10000 5000 0
  12. Figure 3: Foodborne outbreak investigations by region, Thailand, 2003-2010 Central 18 North 14 Northeast 7 East 5 South 4 0 2 4 6 8 10 12 14 16 18 20
  13. Table 2: Number of food poisoning outbreak investigation by month, Thailand, 2003-2010 Month/year 2002 2004 2005 2006 2007 2008 2009 2010 Total Jan 0 0 0 0 0 0 Feb 0 0 0 0 0 0 0 Mar 0 0 0 0 0 Apr 0 0 0 0 0 0 0 May 0 0 0 Jun 0 0 0 0 0 0 Jul 0 0 0 0 0 Aug 0 0 Sep 0 0 0 0 0 Oct 0 0 0 0 0 Nov 0 0 0 0 0 0 Dec 0 0 0 0 0 Total
  14. Table 2: Number and percentage of foodborne outbreak investigation, 2003-2011, Thailand Cause/Year 2003 Total % Bacteria Chemical 0 0 0 0 0 Parasite 0 0 0 0 0 0 Toxin 0 0 0 0 0 Virus 0 0 0 0 0 0 Other 0 0 0 0 0 0 Total
  15. Figure 4: The percentage of food poisoning outbreak investigation by source of infection, Thailand, 2003-2011 42.55% 36.17% red meat chicken fish and saefood 6.38% 14.89% non-meat
  16. Concept Details Note 2 Livestock farming and population; the change of pattern during 2003-2011 • Department of Livestock Development, Thailand • The number of livestock population during past 7 years.
  17. Figure 5 : The total number of goats and sheep in Thailand during 2007-2011 500000 450000 400000 350000 300000 250000 goat 200000 sheep 150000 100000 50000 0 2007 2008 2009 2010 2011
  18. Figure 6 : The total number of ducks and chicken in Thailand during 2007-2011 35000000 30000000 25000000 20000000 duck 15000000 chicken 10000000 50000000 0 2007 2008 2009 2010 2011
  19. Figure 7 : The total number of beef cattle, dairy ,and buffalo in Thailand during 2007-2011 10000000 9000000 8000000 7000000 6000000 5000000 beef cattle dairy 4000000 buffalo 3000000 2000000 1000000 0 2007 2008 2009 2010 2011
  20. Figure 8 : The total number of pigs in Thailand during 2007-2011 12000000 10000000 8000000 6000000 4000000 2000000 0 2007 2008 2009 2010 2011
  21. • Gaps in national surveillance data base system – People behavior – Reporting system – Cause of the disease • Underreport or disease burden of diarrhea 22
  22. a workshop to develop a research project proposal on concept of “Thailand: Kitchen of the World” February 22-23, 2012
  23. Veterinary Economics Medicine Disease Burden, Local Social science Nursing Knowledge Risk Perception and Behavior in Relation to Foodborne Diarrheal Disease amongst Peoples in High and Low Diarrheal Incidence Areas of Northern Thailand
  24. the social and economic impact the frequency of diarrhea in high foodborne and low disease diarrheal prevention disease knowledge incidence areas Foodborne diarrheal disease food consumption Risk perception habits and potential risk behaviors
  25. Data collection instrument Village and household Interviewing Focus group environmental status questionnaire discussion guide survey form
  26. Developing of Identify the Data collection the conceptual relevant system Outcome and and analysis diagram and gaps way forward 28
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