Burden of diarrheal diseases from biogas wastewater exposure among smallholder farmers in Ha Nam province, Vietnam

Livestock production has developed rapidly in Vietnam in recent years, particularly at the small-scale which account for 65% of the total livestock production. Biogas systems are commonly used to treat livestock waste, however, the health risks from biogas wastewater exposure at smallholder farms are not yet well understood. A quantitative microbial risk assessment approach was applied to estimate the burden of diarrheal diseases from biogas wastewater exposure among 451 smallholder farmers using biogas systems in Ha Nam province. A total of 150 biogas wastewater samples were collected and analysed for E. coli, Giardia, and Cryptosporidium. The study showed that farmers faced diarrheal disease risks due to exposure to biogas wastewater at different exposure scenarios. The calculated annual risk of diarrheal disease by E. coli ranked from 0.15 to 0.21; by Giardia ranked from 0.022 to 0.095; and by Cryptosporidium ranked from 0.006 to 0.015. The estimated diarrheal diseases burden from pathogens in all exposure scenarios largely exceeded the reference level of health outcome target of 10-6DALYs loss per person per year recommended by WHO. The results suggest the importance in reducing concentrations of pathogens in biogas wastewater before use in the fields as a means for mitigating public health impacts

A community participatory intervention model to reduce the health risks from biogas wastewater in Hanam Province, Vietnam

In Vietnam, using biogas to treat livestock waste is common, in particular on small holder farms. However, most small holder farms do not know how to use biogas correctly and wastewater can affect health and the environment. Using a participatory approach with farmers and other stakeholders we developed and implemented a set of interventions in Hanam province to reduce health risks from biogas wastewater. Twenty-four pig farmers were selected as a "core group" to be instrumental in developing the interventions and training other farmers to correctly use biogas. The intervention model was piloted for 6 months. Several outputs were obtained including i) approval and enforcement of a "huong uoc - village law" on environmental protection; ii) training of 24 farmers from the core group in communication skills to share information on using biogas; iii) development of a 6-step program of pig cage cleaning to limit waste loaded to biogas to improve the efficiency of biogas production; iv) a health monitoring books for humans and animals for use by families in the community. The results provided evidence that applying the participatory approach can lead to improved knowledge and practices of farmer using biogas and can reduce the health risks from biogas wastewater

Chapitre 27 - Développement des moyens de recherche institutionnelle pour des approches intégrées dans les pays en développement : un exemple tiré du Vietnam

Introduction L’architecture mondiale de la santé, les changements environnementaux, le développement économique rapide et d’autres changements planétaires sans précédent compliquent le développement présent et futur. C’est ce que démontre la Journée mondiale de l’eau des Nations unies (UNW, 2014), le thème « eau et énergie » et les politiques, programmes et outils de développement sont à la traîne de ces changements planétaires ..

One health, une seule santé

One Health, « Une seule santé », est une stratégie mondiale visant à développer les collaborations interdisciplinaires pour la santé humaine, animale et environnementale. Elle promeut une approche intégrée, systémique et unifiée de la santé aux échelles locale, nationale et mondiale, afin de mieux affronter les maladies émergentes à risque pandémique, mais aussi s'adapter aux impacts environnementaux présents et futurs. Bien que ce mouvement s’étende, la littérature en français reste rare. Traduit de l’anglais, coordonné par d’éminents épidémiologistes et s'appuyant sur un large panel d' approches scientifiques rarement réunies autour de la santé, cet ouvrage retrace les origines du concept et présente un contenu pratique sur les outils méthodologiques, la collecte de données, les techniques de surveillance et les plans d’étude. Il combine recherche et pratique en un seul volume et constitue un ouvrage de référence unique pour la santé mondiale

Knowledge, Attitude, Frequency and Level of Consumption Regarding Non-alcoholic Carbonated Soft Drinks among Students from Two High Schools in Hanoi, Vietnam in 2015

Objective: This article aims to describe the knowledge, attitude, frequency and level of consumption regarding non-alcoholic carbonated soft drinks (NCSD) among students from two high schools in Hanoi. Materials and Methods: A cross-sectional survey including a semi-quantitative food frequency were conducted with 620 students from two high schools, one in the urban area and the other in the rural area of Hanoi city. Results: Data on knowledge of health risk associated with the consumption of NCSD showed neagtive results (only 11.9% of the students were able to identify all the contents of NCSD correctly, and 2.7% knew all eight health risks due to consumption of NCSD). Besides, 31.4% of all students did not have the intention to quit NCSD despite being aware of health risks associated with the consumption of NCSD. Students who reported consuming NCSD within one month prior to the study constituted 83.1%, and those who consumed NCSD 1–2 times/week accounted for the highest proportion, being 21.3%. On average, each student consumed 2,094 ml NCSD within one month prior to the study. Suburban students and male students consumed more than urban and female ones, respectively (p < 0.01). Recommendations: Students should be equipped with information about NCSD related health risks and encouraged to consume less NCSD