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Approaches to the Better Management of Zoonotic Emerging Infectious Diseases in the Southeast Asia Region (EcoZD) project

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

EcoHealth Conference, Kunming China 2012

EcoHealth-OneHealth Resource Centre, Chiang Mai University

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Introduction

• 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”

a workshop to develop a research project proposal on concept, of “Thailand: Kitchen of the World”

9– 10 February 2011

Social Science

Biology

OE

SP MP

CSRPWDP

TMNAFU AU PA

WNSJUA

PL

PKLS

LB

BW-LR

Animal Human

Figure 1: Workshop participants come from different academic faculties and disciplines

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First Exercise of EHRC-CMU

Food Safety

Social Science

Veterinary Medicine

MedicineEconomics

Communication

The brainstorming ideas on Food Safety

Figure 5 Meat Production chain

Farm

High quality food

Safety

Healthy TasteAffordability

Environmental

Sustainability

Slaughterhouse

Food vendor/ Market

Series of research concept notesConcept

NoteDetails

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

Concept Note

Details

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

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RESULT

2003 2004 2005 2006 2007 2008 2009 20100

10000

20000

30000

40000

50000

60000

70000

80000

90000

100000

North Region Central Region North-Eastern Region South Region

Figure 1: Number of food poisoning cases by each region, Thailand 2003-2010

agricultu

re

government o

fficer

empoyee

merchant

housekeeper

student

soldier/p

olice

fisherm

an

teach

eroth

er

unknown

livesto

ckM

onk0

5000

10000

15000

20000

25000

30000

35000

40000

45000

50000

Figure 2: Number of food poisoning cases by occupation, Thailand, 2006

Figure 3: Foodborne outbreak investigations by region, Thailand, 2003-2010

South

East

Northeast

North

Central

0 2 4 6 8 10 12 14 16 18 20

4

5

7

14

18

Table 2: Number of food poisoning outbreak investigation by month, Thailand, 2003-2010

Month/year 20022004 2005 2006 2007 2008 2009 2010 Total

Jan 0 1 0 0 1 0 0 0 2

Feb 1 0 0 0 0 0 0 0 1

Mar 1 1 0 1 0 0 0 0 3

Apr 0 0 0 0 1 0 0 0 1

May 1 3 0 0 1 1 0 1 7

Jun 1 1 0 0 0 0 0 0 2

Jul 0 1 0 1 2 0 0 0 4

Aug 0 1 1 2 3 1 1 0 9

Sep 0 0 0 1 3 0 0 1 5

Oct 0 0 0 0 2 1 1 0 4

Nov 0 0 0 0 1 0 2 0 3

Dec 1 0 0 0 4 0 1 0 6

Total 5 8 1 5 18 3 5 2 47

Cause/Year 2003 2004 2005 2006 2007 2008 2009 2010 Total %

Bacteria 1 2 1 3 11 3 5 2 28 59.6

Chemical 2 2 0 0 3 0 0 0 7 14.9

Parasite 0 2 0 1 0 0 0 0 3 6.4

Toxin 1 1 0 0 2 0 0 0 4 8.5

Virus 0 0 0 1 2 0 0 0 3 6.4

Other 1 1 0 0 0 0 0 0 2 4.3

Total 5 8 1 5 18 3 5 2 47 100

Table 2: Number and percentage of foodborne outbreak investigation, 2003-2011, Thailand

36.17%

6.38%

14.89%

42.55%

red meatchickenfish and saefoodnon-meat

Figure 4: The percentage of food poisoning outbreak investigation by source

of infection, Thailand, 2003-2011

Concept Note

Details

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.

Figure 5 : The total number of goats and sheep in Thailand during 2007-2011

2007 2008 2009 2010 20110

50000

100000

150000

200000

250000

300000

350000

400000

450000

500000

goatsheep

Figure 6 : The total number of ducks and chicken in Thailand during 2007-2011

2007 2008 2009 2010 20110

50000000

100000000

150000000

200000000

250000000

300000000

350000000

duckchicken

Figure 7 : The total number of beef cattle, dairy ,and buffalo in Thailand during 2007-2011

2007 2008 2009 2010 20110

1000000

2000000

3000000

4000000

5000000

6000000

7000000

8000000

9000000

10000000

beef cattledairybuffalo

Figure 8 : The total number of pigs in Thailand during 2007-2011

2007 2008 2009 2010 20110

2000000

4000000

6000000

8000000

10000000

12000000

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Discussion and Lesson learn

• Gaps in national surveillance data base system– People behavior– Reporting system– Cause of the disease

• Underreport or disease burden of diarrhea

a workshop to develop a research project proposal on concept of “Thailand: Kitchen of the World”

February 22-23, 2012

Disease Burden, Local Knowledge Risk Perception and Behavior

in Relation to Foodborne Diarrheal Disease

amongst Peoples in High and Low Diarrheal Incidence Areas

of Northern Thailand

Nursing

Veterinary Medicine Economics

Social science

Foodborne diarrheal disease

the social and economic

impact

foodborne disease

prevention knowledge

food consumption

habits and potential risk

behaviors

Risk percepti

on

the frequency of diarrhea in high

and low diarrheal disease incidence areas

Data collection instrument

Interviewing questionnaire

Focus group discussion guide

Village and household environmental status

survey form

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SUMMARY

Developing of the conceptual

diagram

Identify the relevant system

and gaps

Data collection and analysis Outcome and

way forward