Towards a one health food safety strategy for palestine: a mixed-method study

Introduction: Foodborne diseases, together with increasing antimicrobial resistance (AMR), pose a threat to public health in an era of huge challenges with climate change and the risks of zoonotic epidemics. A One Health approach to foster food safety is a key for improvement, particularly in complex socio-ecological systems such as in Palestine, to examine human-animal-environment interfaces and promote intersectoral action. Objectives: This study aimed to assess food safety from farm to public health toward an operational One Health strategy for Palestine. This study evaluates the food production (broiler production) and monitoring system to better understanding the zoonotic foodborne illnesses transmission and their resistance to antimicrobials. Methods: The transdisciplinary approach included multi-stakeholder discussion groups and field visits to broiler farms, slaughterhouses, and meat stores in the Ramallah and Al-Bireh and Jerusalem districts using a semi-structured observational tool. A survey with 337 poultry producers and workers in slaughterhouses and meat stores was conducted to assess hygiene knowledge, attitudes, and practices during broiler meat production. Results: The stakeholders point out various challenges along the food production chain in Palestine, such as a striking scarcity of public slaughterhouses, insufficient coordination between authorities, a gap between public and private sectors, and inconsistent application of the law. From observations, it appears that, unlike traditional broiler production, the public slaughterhouses and meat markets have effective hygiene, while large-scale farms implement biosecurity measures. Overall, surveyed participants reported that they are aware of zoonotic disease transmission routes and value hygiene standards. Semi-structured observations and survey results are contradictory. Observations indicate poor hygiene practices; however, the vast majority of broiler meat production chain workers claim that hygiene standards are met. Discussion and Conclusions: Our study found that the overuse of antimicrobials, system fragmentation, insufficient infrastructure, a lack of regulations and controls, and poor hygiene practices are among the main obstacles to improving food safety in Palestine. Considering the risk of an important human health burden of food-related illnesses, enhancing food safety in Palestine is required using an integrated One Health approach. It is crucial to develop an integrated quality control system for food production along with promoting on-farm biosecurity and antimicrobial stewardship. Infrastructure, especially slaughterhouses and laboratories, must be built, training and education provided, and consumer awareness raised. As an important added value within a One Health strategy for better food safety in Palestine, research should be reinforced and accompany any future development of the food production monitoring system

CRISPR System Acquisition and Evolution of an Obligate Intracellular Chlamydia-Related Bacterium.

Recently, a new Chlamydia-related organism, Protochlamydia naegleriophila KNic, was discovered within a Naegleria amoeba. To decipher the mechanisms at play in the modeling of genomes from the Protochlamydia genus, we sequenced the full genome of Pr. naegleriophila, which includes a 2,885,090 bp chromosome and a 145,285 bp megaplasmid. For the first time within the Chlamydiales order, we describe the presence of a clustered regularly interspaced short palindromic repeats (CRISPR) system, the immune system of bacteria, located on the chromosome. It is composed of a small CRISPR locus comprising eight repeats and associated cas-cse genes of the subtype I-E. A CRISPR locus is also present within Chlamydia sp. Diamant, another Pr. naegleriophila strain, suggesting that the CRISPR system was acquired by a common ancestor of Pr. naegleriophila, after its divergence from Pr. amoebophila. Both nucleotide bias and comparative genomics approaches identified probable horizontal gene acquisitions within two and four genomic islands in Pr. naegleriophila KNic and Diamant genomes, respectively. The plasmid encodes an F-type conjugative system highly similar to 1) that found in the Pam100G genomic island of Pr. amoebophila UWE25 chromosome, as well as on the plasmid of Rubidus massiliensis and 2) to the three genes remaining in the chromosome of Parachlamydia acanthamoebae strains. Therefore, this conjugative system was likely acquired on an ancestral plasmid before the divergence of Parachlamydiaceae Overall, this new complete Pr. naegleriophila genome sequence enables further investigation of the dynamic processes shaping the genomes of the family Parachlamydiaceae and the genus Protochlamydia

Non-optimal apparent temperature and cardiovascular mortality: the association in Puducherry, India between 2011 and 2020

BACKGROUND: Cardiovascular diseases (CVDs), the leading cause of death worldwide, are sensitive to temperature. In light of the reported climate change trends, it is important to understand the burden of CVDs attributable to temperature, both hot and cold. The association between CVDs and temperature is region-specific, with relatively few studies focusing on low-and middle-income countries. This study investigates this association in Puducherry, a district in southern India lying on the Bay of Bengal, for the first time. METHODS: Using in-hospital CVD mortality data and climate data from the Indian Meteorological Department, we analyzed the association between apparent temperature (T(app)) and in-hospital CVD mortalities in Puducherry between 2011 and 2020. We used a case-crossover model with a binomial likelihood distribution combined with a distributed lag non-linear model to capture the delayed and non-linear trends over a 21-day lag period to identify the optimal temperature range for Puducherry. The results are expressed as the fraction of CVD mortalities attributable to heat and cold, defined relative to the optimal temperature. We also performed stratified analyses to explore the associations between T(app) and age-and-sex, grouped and considered together, and different types of CVDs. Sensitivity analyses were performed, including using a quasi-Poisson time-series approach. RESULTS: We found that the optimal temperature range for Puducherry is between 30 degrees C and 36 degrees C with respect to CVDs. Both cold and hot non-optimal T(app) were associated with an increased risk of overall in-hospital CVD mortalities, resulting in a U-shaped association curve. Cumulatively, up to 17% of the CVD deaths could be attributable to non-optimal temperatures, with a slightly higher burden attributable to heat (9.1%) than cold (8.3%). We also found that males were more vulnerable to colder temperature; females above 60 years were more vulnerable to heat while females below 60 years were affected by both heat and cold. Mortality with cerebrovascular accidents was associated more with heat compared to cold, while ischemic heart diseases did not seem to be affected by temperature. CONCLUSION: Both heat and cold contribute to the burden of CVDs attributable to non-optimal temperatures in the tropical Puducherry. Our study also identified the age-and-sex and CVD type differences in temperature attributable CVD mortalities. Further studies from India could identify regional associations, inform our understanding of the health implications of climate change in India and enhance the development of regional and contextual climate-health action-plans

Efficiency of common washing treatments in reducing microbial levels on lettuce in Mali

Lettuce is one of the most cultivated vegetables (eaten raw) in Mali with a percentage of 69.4 amongst leafy vegetables and 30.4 of all vegetables. Vegetables consumed raw, particularly lettuce, are sources of foodborne pathogens. This study was conducted to assess bacterial contamination of unwashed lettuce and the efficiency of disinfecting it with tap water and varying concentrations of some chemical disinfectants: bleach (0.00285, 0.00570 and 0.00855 ppm), potassium permanganate (170, 340 and 510 ppm), vinegar (0.00285, 0.00570 and 0.00855 ppm) and common salt (500, 1000 and 1500 ppm) based on the three consecutive washing protocol recommended for vegetables in Mali. Lettuce samples were randomly selected from farms irrigated with untreated river water within communities five and six in Bamako. Lettuce leaves were exposed to low concentration of the chemical disinfectants at 15 min, intermediate at 10 min and high at 5 min. A bleach (0.00285 ppm)/vinegar (0.00285 ppm) combination disinfection was also tested at 15 min. Tap water, bleach, potassium permanganate, vinegar and common salt reduced faecal coliform populations by 1.3–2.9, 1.5–3.0 and 1.9–3.5 log CFU/100 g, at 5, 10 and 15 min, respectively. Disinfection treatment using bleach (0.00285 ppm) was found to be more effective than other disinfectants at all contact times. All the disinfectants reduced Escherichia coli populations by 2.0–2.8 log CFU/100 g on lettuce and completely eliminated Salmonella spp. at all treatment contact times. Disinfection treatment using bleach/vinegar combination at 15 min also reduced faecal coliform populations on lettuce by 2.8 log CFU/100 g and completely eliminated E. coli and Salmonella spp. All chemical disinfectants including tap water at 15 min reduced faecal coliform populations below the undesirable ICMSF (2011) level (1000 CFU/100 g wet weight). These could contribute to reduce the health risk associated with the consumption of lettuce in Mali

Prevalence and associated risk factors of intestinal parasitic infections among children in pastoralist and agro-pastoralist communities in the Adadle woreda of the Somali Regional State of Ethiopia

BACKGROUND: Intestinal parasitic infections (IPIs) can cause illness, morbidity, and occasional mortality in children. Agro-pastoralist and pastoralist children in the Somali Regional State of Ethiopia (ESRS) are especially at risk for IPIs, as access to safe water, sanitation, and health services is lacking. Minimal data on the prevalence of IPIs and associated risk factors exists in this region. METHODOLOGY: We assessed the prevalence of IPIs and associated risk factors during the wet season from May-June 2021 in 366 children aged 2 to 5 years in four agro-pastoralist and four pastoralist kebeles (wards) in Adadle woreda (district) of the Shebelle zone, ESRS. Household information, anthropometric measurements, and stool samples were obtained from included children. Parasites were identified microscopically using Kato-Katz and direct smear methods. Risk factors were assessed using general estimating equation models accounting for clustering. PRINCIPAL FINDINGS: Overall prevalence of IPIs was 35%: 30.6% for single infections and 4.4% for poly-parasitic infections. Intestinal protozoan prevalence was 24.9%: 21.9% Giardia intestinalis, and 3.0% Entamoeba spp.. Intestinal helminth prevalence was 14.5%: 12.8% Ascaris lumbricoides, 1.4% hookworm (Ancylostoma duodenale /Necator americanus.), and 0.3% Hymenolepis nana. G. intestinalis infection was associated with drinking water sourced from the river (aOR 15.6, 95%CI 6.84, 35.4) and from collected rainwater (aOR 9.48, 95%CI 3.39, 26.5), with toilet sharing (aOR 2.93, 95%CI 1.36, 6.31) and with household ownership of cattle (1-5 cattle: aOR 1.65, 95%CI 1.13, 2.41; 6+ cattle: aOR 2.07, 95%CI 1.33, 3.21) and chickens (aOR 3.80, 95%CI 1.77, 8.17). A. lumbricoides infection was associated with children 36 to 47 months old (aOR 1.92, 95%CI 1.03, 3.58). CONCLUSIONS/SIGNIFICANCE: Improving access to safe water, sanitation, and hygiene services in Adadle and employing a One Health approach would likely improve the health of children living in (agro-) pastoralist communities in Adadle and the ESRS; however, further studies are required

The association between apparent temperature and hospital admissions for cardiovascular disease in limpopo province, South Africa

Cardiovascular diseases (CVDs) have a high disease burden both globally and in South Africa. They have also been found to be temperature-sensitive globally. The association between temperature and CVD morbidity has previously been demonstrated, but little is known about it in South Africa. It is important to understand how changes in temperature in South Africa will affect CVD morbidity, especially in rural regions, to inform public health interventions and adaptation strategies. This study aimed to determine the short-term effect of apparent temperature (T(app)) on CVD hospital admissions in Mopani District, Limpopo province, South Africa. A total of 3124 CVD hospital admissions records were obtained from two hospitals from 1 June 2009 to 31 December 2016. Daily T(app) was calculated using nearby weather station measurements. The association was modelled using a distributed lag non-linear model with a negative binomial regression over a 21-day lag period. The fraction of morbidity attributable to non-optimal T(app), i.e., cold (6-25 degrees C) and warm (27-32 degrees C) T(app) was reported. We found an increase in the proportion of admissions due to CVDs for warm and cold T(app) cumulatively over 21 days. Increasing CVD admissions due to warm T(app) appeared immediately and lasted for two to four days, whereas the lag-structure for the cold effect was inconsistent. A proportion of 8.5% (95% Confidence Interval (CI): 3.1%, 13.7%) and 1.1% (95% CI: -1.4%, 3.5%) of the total CVD admissions was attributable to cold and warm temperatures, respectively. Warm and cold T(app) may increase CVD admissions, suggesting that the healthcare system and community need to be prepared in the context of global temperature changes

Revalorisation des déchets solides plastiques à la zone industrielle de Yopougon (Abidjan, Côte d’Ivoire) et risques sanitaires associés

La filière de revalorisation des déchets solides plastiques à la zone industrielle de Yopougon à Abidjan utilise les eaux usées issues des activités industrielles pour le lavage des sachets plastiques. Cette revalorisation et les risques sanitaires associés ont été étudiés d’août à novembre 2006. Des visites exploratoires de certains sites de récupération des déchets solides plastiques et de la zone industrielle de Yopougon ont été réalisées. Dix sept entretiens semi dirigés ont été exécutés avec les différents groupes d’acteurs identifiés. Des analyses physico-chimiques et microbiologiques des eaux de lavage des sachets, ont été faites. Plus de 600 acteurs sont impliqués dans la filière sous deux groupes principaux à savoir le groupe des acteurs du secteur informel et celui des acteurs du secteur formel. Les acteurs du secteur informel identifiés sont les récupérateurs, les laveurs, les récupérateurs intermédiaires grossistes, les grossistes broyeurs et les récupérateurs intermédiaires des industriels. Seuls les industriels impliqués dans la filière de revalorisation des déchets solides plastiques font partie du secteur formel. Les déchets plastiques rigides sont vendus entre 150 F CFA et 200 F CFA le kilogramme et les plastiques souples sont vendus entre 125 et 300 F CFA le kilogramme. Les femmes représentent environ 65 % de l’effectif. Elles ont des revenus moyens de 1 000 F CFA par jour. Quant aux hommes, ils ont en général des revenus supérieurs au SMIG de la Côte d’Ivoire qui est de 36 000 F CFA. Les teneurs moyennes en coliformes fécaux et en streptocoques fécaux des eaux usées de lavage des sachets plastiques sont respectivement de 1,6.107 UFC/ 100 ml et 3,8.106 UFC/ 100 ml. Le rapport DCO/DBO5 est de 11,7. Ces eaux sont donc impropres à toutes activités humaines et sont à risque pour la santé des laveurs de sachets plastiques. Les problèmes de santé rapportés par les acteurs de la filière de revalorisation des déchets solides plastiques en contact avec les eaux usées de la zone industrielle de Yopougon sont les dermatoses (démangeaisons, dermatites), les troubles neurologiques (maux de tête, nausées et vertiges) et les difficultés respiratoires qui surviennent surtout lorsqu’il y a dégagement de gaz suffocants, les blessures par les objets tranchant contenus dans les sachets plastiques et les brûlures occasionnées par les eaux de refroidissement des moteurs. A ces problèmes de santé, les différents acteurs sont également confrontés à des dangers comme les noyades en cas de pluie

Social and cultural aspects of 'malaria' and its control in central Côte d'Ivoire

Background. A sound local understanding of preventive measures and health-seeking behaviour is important for the effective control of malaria. The purpose of this study was to assess the knowledge, attitudes, practices and beliefs of 'malaria' and its control in two rural communities of central Côte d'Ivoire, and to examine associations between 'malaria' and the households' socioeconomic status. Methods. A cross-sectional household survey was carried out, using a combination of qualitative and quantitative methods. People's socioeconomic status was estimated, employing a household asset-based approach. Results. Malaria was identified as djèkouadjo, the local folk name of the disease. Although people were aware of malaria-related symptoms and their association with mosquitoes, folk perceptions were common. In terms of treatment, a wide array of modern and traditional remedies was employed, often in combination. Individuals with a sound knowledge of the causes and symptoms of malaria continued to use traditional treatments and only a few people sleep under bed nets, whereas folk beliefs did not necessarily translate into refusal of modern treatments. Perceived causes of malaria were linked to the household's socioeconomic status with wealthier individuals reporting mosquitoes more frequently than poorer households. Bed nets were more frequently used in wealthier social strata, whereas other protective measures - perceived to be cheaper - were more prominent among the poorest. Conclusion. Equitable access to resources at household, community and health system levels are essential in order to enable community members to prevent and treat malaria. There is a need for community-based approaches that match health care services with poor people's needs and resources