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Healthy lives: Tackling food-borne
diseases and zoonoses
Delia Grace, Kristina Roesel, Bernard Bett, Fred Unger
Tropentag 2014: Bridging the gap between
increasing knowledge and decreasing resources
Prague, Czech Republic, 17−19 September 2014
Towards evidence and impact at scale
Agriculture research and human health
– Evidence: Mapping, measuring, targeting
– Technology: diagnostics, vaccines, decision support
– Impact: Safe food in wet markets
Agriculture imposes large burdens on
human health
Emerging
Food borne
Malnutrition
Zoonoses
Malaria
Three million deaths a year are agriculture associated
One quarter of all deaths from infection are agriculture associated
Almost all of these occur in developing countries
Zoonoses and FBD kill 2.2 million a year
• 2.4 billion people sick
• 2.2 million people dead
• more than 1 in 7 animals affected
Zoonoses & FBD cost $84 billion a year
• $9 billion in lost productivity
• $25 billion in animal mortality
• $50 billion in human health costs
Agriculture imposes large burdens on
human health
The poor are most affected by zoonoses
and FBD
6
Emerging infectious diseases 1940-2012
Zoonoses make up 75% of EIDs and cost 6.7 billion a year
Agricultural solutions work for most
agriculture associated diseases
For 70% of ag. associated diseases proven and cost effective
agricultural solutions exist
Emerging
Food borne
Zoonoses
Malaria
Malnutrition
Most zoonoses and food-borne disease require
agricultural solutions
Controlling zoonoses in animal reservoirs (n=13)
– On average $6 benefit for $1 cost
8
Ex ante 5.0$ gain for 1$ cost
Ex post 6.6$ gain for 1$ cost
Poor countries 3.7$ gain for 1$ cost
Rich countries 7.4$ gain for 1$ cost
Emerging diseases are difficult to prevent but timely
responses reduce impacts
• Surveillance and response in animal hosts can reduce
costs by 90%
Adapted from IOM 2009
ILRI:
better lives through livestock
10
Evidence for ag. associated diseases
11
Technologies for ag. associated diseases
12
• Disease resistant animals
• Vaccines
• Rapid diagnostics
• Biocontrol for aflatoxins
Impact on ag. Associated diseases
• Food-borne disease is a
major cause of diarrhea
• Most food is due to
microbes in perishable
foods
• Most perishables are
sold in informal markets
• Workers in informal
markets are untrained,
often harassed, and
have few incentives for
sselling safe food
• Branding & certification of milk
vendors in Kenya & Guwahti,
Assam led to improved milk safety.
• It benefited the national economy
by $33 million per year in Kenyan
and $6 million in Assam
• 70% of traders in Assam and 24%
in Kenya are currently registered
• 6 milllion consumers in Kenya and
1.5 million in Assam are benefiting
from safer milk
http://aghealth.wordpress.com

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Tackling food-borne diseases and zoonoses through agriculture

  • 1. Healthy lives: Tackling food-borne diseases and zoonoses Delia Grace, Kristina Roesel, Bernard Bett, Fred Unger Tropentag 2014: Bridging the gap between increasing knowledge and decreasing resources Prague, Czech Republic, 17−19 September 2014
  • 2. Towards evidence and impact at scale Agriculture research and human health – Evidence: Mapping, measuring, targeting – Technology: diagnostics, vaccines, decision support – Impact: Safe food in wet markets
  • 3. Agriculture imposes large burdens on human health Emerging Food borne Malnutrition Zoonoses Malaria Three million deaths a year are agriculture associated One quarter of all deaths from infection are agriculture associated Almost all of these occur in developing countries
  • 4. Zoonoses and FBD kill 2.2 million a year • 2.4 billion people sick • 2.2 million people dead • more than 1 in 7 animals affected Zoonoses & FBD cost $84 billion a year • $9 billion in lost productivity • $25 billion in animal mortality • $50 billion in human health costs Agriculture imposes large burdens on human health
  • 5. The poor are most affected by zoonoses and FBD
  • 6. 6 Emerging infectious diseases 1940-2012 Zoonoses make up 75% of EIDs and cost 6.7 billion a year
  • 7. Agricultural solutions work for most agriculture associated diseases For 70% of ag. associated diseases proven and cost effective agricultural solutions exist Emerging Food borne Zoonoses Malaria Malnutrition
  • 8. Most zoonoses and food-borne disease require agricultural solutions Controlling zoonoses in animal reservoirs (n=13) – On average $6 benefit for $1 cost 8 Ex ante 5.0$ gain for 1$ cost Ex post 6.6$ gain for 1$ cost Poor countries 3.7$ gain for 1$ cost Rich countries 7.4$ gain for 1$ cost
  • 9. Emerging diseases are difficult to prevent but timely responses reduce impacts • Surveillance and response in animal hosts can reduce costs by 90% Adapted from IOM 2009
  • 11. Evidence for ag. associated diseases 11
  • 12. Technologies for ag. associated diseases 12 • Disease resistant animals • Vaccines • Rapid diagnostics • Biocontrol for aflatoxins
  • 13. Impact on ag. Associated diseases • Food-borne disease is a major cause of diarrhea • Most food is due to microbes in perishable foods • Most perishables are sold in informal markets • Workers in informal markets are untrained, often harassed, and have few incentives for sselling safe food
  • 14. • Branding & certification of milk vendors in Kenya & Guwahti, Assam led to improved milk safety. • It benefited the national economy by $33 million per year in Kenyan and $6 million in Assam • 70% of traders in Assam and 24% in Kenya are currently registered • 6 milllion consumers in Kenya and 1.5 million in Assam are benefiting from safer milk

Editor's Notes

  1. s/h participation in markets Risk rather than regulatory
  2. s/h participation in markets Risk rather than regulatory