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Agriculture-Nutrition-Health From Framework to Action IFPRI Washington DC, 28 October 2010 Robert Bos,  Coordinator Water, Sanitation, Hygiene and Health World Health Organization
Today’s presentation   ,[object Object],[object Object],[object Object],[object Object]
Key messages for policy and programme change   ,[object Object],[object Object],[object Object],[object Object],[object Object]
THE GLOBAL HEALTH PICTURE Global mortality rates from water-, sanitation- and hygiene-related diseases 90% of the toll of diarrhoeal disease is borne by children under five (WHO 2000, 2006, 2007 and Prüss-Üstün et al. 2008) WHO/Carolos Gaggero   Disease Cases per year Deaths per year (year) Cholera 131 943 2 272 (2005) Typhoid fever 16 million 600 000 (2000) Diarrhoeal disease 4.6 billion 2.2 million (2004)
[object Object],[object Object],[object Object],[object Object],THE GLOBAL HEALTH PICTURE For other sectors: poor living standards, lost productivity,  missed development opportunities
Linkages between agriculture and health: a conceptual framework
Development policy and health Social  determinants Environmental determinants Health system Health Health Policy Development Policy Poverty
Development policy and health Social  determinants Environmental determinants Health system Health Health Policy Agricultural  Development Policy Poverty
Development policy and health Improved land tenure; Increased income; Enhanced farmer education; Intensified and expanded  irrigation; changed livestock management; increased  chemical inputs; introduction  new crop varieties; mechanization Health system Health Health Policy Agricultural  Development Policy Poverty
Development policy and health Improved land tenure; Increased income; Enhanced farmer education; Intensified and expanded  irrigation; changed livestock management; increased  chemical inputs; introduction  new crop varieties; mechanization Health system Communicable diseases Non-communicable diseases Malnutrition Injuries and accidents Psycho-social disorders Health Policy Agricultural  Development Policy Poverty
We change the world Environmental   P ressure Environmental   S tate Human  E xposure Development D riving forces A ction Health  E ffect The DPSEEA model Modified from WHO, 1997
Environmental   P ressure D riving Forces Environmental   S tate We change the world Consumption patterns Production manufacturing Waste release Population growth Economic development Technology Natural hazards Resource availability Pollution levels DPSEEA Development
Human  E xposure Health  E ffect A ction Level of external exposure to hazards Level of hazards absorbed Target organ dose Well-being Morbidity Mortality To reduce burden of disease and increase well-being DPSEEA
Environmental   P ressure Environmental   S tat e Human  E xposure Environmental improvement, pollution monitoring and control Education, awareness raising Treatment, rehabilitation Economics, social policies, clean technology Hazard management Modified from WHO, 1997 Development D riving   forces A ction Health  E ffect
Water Safety Plans  Integrated risk assessment & incremental risk management
Managing hazards and risks along agricultural value chains ,[object Object],[object Object],[object Object]
Wastewater use in agriculture:  Situation and trends ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Informal, shifting urban agriculture using wastewater in and around Accra, Ghana
Disposal of septic tank sludge at Lavender Hill, Accra Ghana
Cooperative peri-urban agriculture in Pikine, near Dakar, Senegal
Wastewater use in agriculture is extensive worldwide, and on the increase ,[object Object],[object Object],[object Object],[object Object]
Irrigation water use in cities around the world ,[object Object],[object Object],[object Object],[object Object],[object Object],Source: IWMI 2007
Key messages for policy and programme change revisited   ,[object Object],[object Object],[object Object],[object Object]
Key messages for policy and programme change revisited   ,[object Object],[object Object],[object Object],[object Object]
Key messages for policy and programme change revisited   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Key messages for policy and programme change revisited   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Key messages for policy and programme change revisited   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank you for your attention ,[object Object],[object Object]

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Agri-Health Framework Action

  • 1. Agriculture-Nutrition-Health From Framework to Action IFPRI Washington DC, 28 October 2010 Robert Bos, Coordinator Water, Sanitation, Hygiene and Health World Health Organization
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  • 4. THE GLOBAL HEALTH PICTURE Global mortality rates from water-, sanitation- and hygiene-related diseases 90% of the toll of diarrhoeal disease is borne by children under five (WHO 2000, 2006, 2007 and Prüss-Üstün et al. 2008) WHO/Carolos Gaggero Disease Cases per year Deaths per year (year) Cholera 131 943 2 272 (2005) Typhoid fever 16 million 600 000 (2000) Diarrhoeal disease 4.6 billion 2.2 million (2004)
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  • 6. Linkages between agriculture and health: a conceptual framework
  • 7. Development policy and health Social determinants Environmental determinants Health system Health Health Policy Development Policy Poverty
  • 8. Development policy and health Social determinants Environmental determinants Health system Health Health Policy Agricultural Development Policy Poverty
  • 9. Development policy and health Improved land tenure; Increased income; Enhanced farmer education; Intensified and expanded irrigation; changed livestock management; increased chemical inputs; introduction new crop varieties; mechanization Health system Health Health Policy Agricultural Development Policy Poverty
  • 10. Development policy and health Improved land tenure; Increased income; Enhanced farmer education; Intensified and expanded irrigation; changed livestock management; increased chemical inputs; introduction new crop varieties; mechanization Health system Communicable diseases Non-communicable diseases Malnutrition Injuries and accidents Psycho-social disorders Health Policy Agricultural Development Policy Poverty
  • 11. We change the world Environmental P ressure Environmental S tate Human E xposure Development D riving forces A ction Health E ffect The DPSEEA model Modified from WHO, 1997
  • 12. Environmental P ressure D riving Forces Environmental S tate We change the world Consumption patterns Production manufacturing Waste release Population growth Economic development Technology Natural hazards Resource availability Pollution levels DPSEEA Development
  • 13. Human E xposure Health E ffect A ction Level of external exposure to hazards Level of hazards absorbed Target organ dose Well-being Morbidity Mortality To reduce burden of disease and increase well-being DPSEEA
  • 14. Environmental P ressure Environmental S tat e Human E xposure Environmental improvement, pollution monitoring and control Education, awareness raising Treatment, rehabilitation Economics, social policies, clean technology Hazard management Modified from WHO, 1997 Development D riving forces A ction Health E ffect
  • 15. Water Safety Plans Integrated risk assessment & incremental risk management
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  • 18. Informal, shifting urban agriculture using wastewater in and around Accra, Ghana
  • 19. Disposal of septic tank sludge at Lavender Hill, Accra Ghana
  • 20. Cooperative peri-urban agriculture in Pikine, near Dakar, Senegal
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Editor's Notes

  1. One barrier to evaluating EH services was the fact that they are traditionally administered by several agencies such as health, environment, agriculture, industry, transport. (WHO EURO about 1997). A study of EH in the Pacific concluded Much EH protection is under jurisdiction of Environment ministries. Delineation of responsibility between environment and health is not clear.
  2. One barrier to evaluating EH services was the fact that they are traditionally administered by several agencies such as health, environment, agriculture, industry, transport. (WHO EURO about 1997). A study of EH in the Pacific concluded Much EH protection is under jurisdiction of Environment ministries. Delineation of responsibility between environment and health is not clear.
  3. One barrier to evaluating EH services was the fact that they are traditionally administered by several agencies such as health, environment, agriculture, industry, transport. (WHO EURO about 1997). A study of EH in the Pacific concluded Much EH protection is under jurisdiction of Environment ministries. Delineation of responsibility between environment and health is not clear.
  4. One barrier to evaluating EH services was the fact that they are traditionally administered by several agencies such as health, environment, agriculture, industry, transport. (WHO EURO about 1997). A study of EH in the Pacific concluded Much EH protection is under jurisdiction of Environment ministries. Delineation of responsibility between environment and health is not clear.
  5. IAIA 07 HIA Screening - P. Furu
  6. IAIA 07 HIA Screening - P. Furu