Resilience for One Health and Food Safety: setting the scene for discussion

Transcription

1 Resilience for One Health and Food Safety: setting the scene for discussion Hung Nguyen, Jakob Zinsstag, Delia Grace GREASE Annual Scientific Seminar May 2016, Universitas Gadjah Mada, Indonesia

2 Outline Resilience definition and application in health risk, vulnerability (Swiss TPH, One Health and sanitation) IFPRI conference on Building Resilience for Food and Nutrition organized in May 15 17, 2014 Building Resilience to Food-Borne Diseases and Public Health Shocks Resilience and other integrated approaches such as One Health and Ecohealth

3 Analysis of interrelations between environmental sanitation systems, health status and well-being Dynamic interactions between systems and interventions Food chain Health status Exposure to pathogens (viruses, bacteria, protozoa, helminths) Health related and help seeking behavior Physical environment Excreta, Wastewater, Water Nutrients: N, P Chemical pollutants MFA QMRA Ecological risks and use of resources (Water and Sanitation) EPI Health risks-impacts, Affected population Social, cultural and economic environment Structure of society Empowerment Economic status SSA Vulnerability, resilience and equity patterns Nguyen-Viet et al Ecohealth Critical control points: comprehensive biomedical, epidemiological, ecological, social, cultural and economic assessment Interventions (biomedical, systems, engineering, behavioral or in combination): Efficacy, effectiveness and equity studies measured in relation to risks

4 Key findings of the IFPRI resilience conference

5 Example: Resilience to Food-Borne Diseases and Public Health Shocks Food borne diseases in Vietnam high burden of food borne diseases, various causes, underreporting, informal markets. What can we do to build resilience to food-borne diseases (FBD) (informal markets)? The resilience has to be built at different levels, from individual to community and authority levels and multiple sectors. Generally the regulation frameworks should be used as a tool to regulate FBD from farm to folk approach. The latter deals with all the issues of management from food production to consumption. For example food safety law, rapid alert system, risk assessment. Nguyen-Viet 2014

6 Example: Resilience to Food-Borne Diseases and Public Health Shocks Before and after the shock Good hygiene, intelligent consumers to select the safe food The KAP is critical. Increase the knowledge and awareness of value chain actors, in particular consumers Incentive-measures for informal markets for different actors of value chain to improve safe food Regulation for informal market Capabilities of women as risk managers: they are responsible for buying and prepare food. Their knowledge is crucial for preventing FBD Simple and locally accepted and affordable solutions for improving food safety Nguyen-Viet 2014

7 Example: Resilience to Food-Borne Diseases and Public Health Shocks Dealing with the shock Health seeking behaviors, plan for treatment Policy, health system Take home message here is: awareness and capacity of consumers, incentive based measures, women management skills, health system + Regulation framework Nguyen-Viet 2014

8 Definition: wine bottle / coke / pepsi Convergence of resilience and other integrated approaches One Health and Ecohealth Do we need more new concepts?

9 better lives through livestock ilri.org This presentation is licensed for use under the Creative Commons Attribution 4.0 International Licence.