Indigenous pig management practices in rural villages of Western Kenya

The management of indigenous pigs in rural villages of Busia and Kakamega district, Western Kenya, is discussed. Data on husbandry practices, challenges and farmers knowledge on T. solium taeniosis / cysticercosis were gathered using questionnaires administered in face-to-face interviews. Pigs were examined for cysticercosis using the lingual palpation method. Data were managed in Stata®. Majority of the farmers were aged 30-50 years (44%), and were mostly women (69%). Years of pig keeping experience was higher in Kakamega (11.4±8.7) than it was in Busia (6.3±5.6) (P50%) during the planting (91%; 263 / 290), growing (90%; 263 / 290) and crop harvesting seasons (78%; 227 / 290). Prevalence of pig cysticercosis was 4.5%. Piglets were significantly cheaper in Busia (Ksh 509±57) than in Kakamega (Ksh 777±174) (P<0.05). Indigenous pig management in Western Kenya is reportedly poor. Improved knowledge coupled with changes in local husbandry practices would improve productivity, increase family incomes and safeguard the community from potential health risks associated with pig rearing

Analysis of public health risks from consumption of informally marketed milk in Kenya

Despite an unfavourable policy environment against informal milk markets, these markets account for most milk sales in Kenya. Convenient delivery and lower prices are the principal benefits for poor consumers. Current milk handling and safety regulations in Kenya are derived from models in industrialised countries. These may not be appropriate for local market conditions. An important step in targeting policies better is to collect quantitative and qualitative information about milk-borne health risks under different marketing situations. Preliminary results of assessments of milk quality and handling practices of informal milk market agents and consumers in central Kenya show very low apparent prevalence of zoonotic health hazards in milk from the smallholder herds that contribute most marketed milk. Higher bacterial counts were associated with longer market chains and distance to urban areas. Most (up to 80%) of samples did not meet national bacterial quality standards. Over 96% of consumers boiled milk before consumption mainly to lengthen shelf life but also for health reasons. The most important health risks were judged to be from anti-microbial residues found in up to 16% of milk samples tested

Analysis of milk-borne public health risks in milk markets in Kenya

The major role played by informal milk markets in Kenya and the benefits to those associated with it are now widely acknowledged. The benefits include higher prices for farmers, income generation for the market agents and convenient delivery and lower prices for poor consumers. However, in spite of these benefits, regulations governing informal marketing of milk continue to be unfavourable and do not reflect local realities of milk marketing, having been based on models derived from industrialised countries where virtually all milk destined for the market is pasteurised and packaged. Results of risk assessment, including HACCP analysis, of milk quality and handling practices of informal milk market agents and consumers in central and southern Kenya show variable apparent prevalence of zoonotic health hazards in marketed milk, high bacterial counts especially in outlets associated with longer market chains. Notably, the ineffectiveness of current regulations was reflected in the lack of difference in the quality of milk sold by licensed and non-licensed traders. The study shows that health risks from the bacterial hazards identified are mitigated by the common consumer practice of boiling milk before consumption. The most important health risks were judged to be from two main sources: (i) anti-microbial residues found in up to 15% of milk samples tested and (ii) consumption of naturally fermented milk. Proposals for management of these health risks and the engagement of stakeholders and key players in the process to achieve more favourable policy environment policy are presented and discussed

Assurance of marketed milk quality in Kenya

Food safety standards require the implementation of specific standards from production-to-consumption. The Hazard Analysis Critical Control Points (HACCP) is now a widely accepted methodology in risk analysis for industrially processed foods. The application of HACCP is a bigger challenge in developing countries where food market channels are less formal.. This study adapted a HACCP methodology to assess health risks at different points in the informal milk marketing network. Key critical control points identified for high total bacterial counts were channels with multiple transaction points which took considerable time from the farm without refrigeration facilities. High coliform counts were associated with the use of plastic versus metal containers. Approximately 13% of samples were adulterated with added water. Recommendations for procedures to improve milk quality and how these can be communicated to farmers, market agents and consumers are proposed and discussed

The prevalence of antibodies to Brucella abortus in marketed milk in Kenya and its public health implications

The risk of infection by milk-borne brucellosis is one reason for public health regulations which discourage informal milk markets that sell unpasteurized milk. However, these regulations are not generally implemented in many developing countries. Kenya is a typical example, with over 85% of milk sales passing through informal channels. Consumer practices to reduce or eliminate potential infection by milk-borne health hazards under these circumstances have rarely been studied. Seasonal survey data were collected between January 1999 and January 2000 from informal milk market agents of various cadres and from households consuming unpasteurized milk in rural and urban locations in central Kenya. Respondents were randomly selected within production system (extensive and intensive) and human population density (urban, peri-urban and rural) strata. In addition, pasteurized and packaged milk samples from five processors were collected. Samples were screened for antibodies to Brucella abortus using the milk ring test (MRT) (unpasteurized milk) and indirect antibody ELISA (both unpasteurized and pasteurized milk). Milk samples originating from farms in the extensive production system and those containing milk from many sources were associated with higher antibody detection proportions. Five percent of all raw milk samples collected from consumer households and 4% of samples collected from various levels of bulking of market samples were positive to the ELISA. There was poor to no agreement between the two antibody detection tests. All urban consumers and 96% of rural consumers of unpasteurized milk indicated that they boil the milk (in tea or otherwise) before consumption. The implications of these results on milk marketing in Kenya are discussed

Analysis of public health risks from consumption of informally marketed milk in sub-Saharan African countries

Despite policies to discourage them, informal milk markets account for over 80% of milk sales in most sub-Saharan African (SSA) countries. Informal milk market agents include farmer dairy co-operatives, small traders using bicycles and public or private transport and small retail outlets, such as dairy kiosks, and shops. Studies conducted by the International Livestock Research Institute (ILRI) and national collaborators (e.g., in Kenya1) show that convenient delivery and lower prices (reflecting lower handling and processing costs) are the principal benefits for consumers. Current milk handling and safety regulations in most SSA countries are derived from models in industrialised countries. These may not be appropriate for local market conditions where such regulations may unnecessarily inhibit efficient milk marketing. An important step in developing targeted policies more supportive of market participation of the majority is to collect quantitative and qualitative information about milk-borne health risks under different production and marketing situations. This paper gives an over-view of on-going activities in central Kenya aimed at assessing public health risks from informally marketed milk and presents preliminary results of milk quality and handling practices of informal milk market agents and consumers