Risk Factors for Non-communicable Diseases in Vietnam: A Focus on Pesticides

Agent Orange, which was sprayed in southern Vietnam by the American government, was the main source of dioxin exposure in Vietnam. From the early 1990s, agriculture of Vietnam has attained advances under intensive cultivation. Both production and yields per crop has raised significantly at the farm level, but, on the other hand, the quantity of pesticides used in agriculture has been increased in the absence of regulations and good practices. Illegal business of pesticides with false labels, as well as marketing of expired or poor quality products in stores without license are so popular in Vietnam. Misuse and improper use in agriculture in Vietnam has led to a variety of problems, such as environment pollution (including food producing animals) and adverse health impact on animals and humans. Open dumpsites worsen the general scenario. Similar to the environmental exposure, human exposure to DDT in Vietnam was ranked among the highest worldwide, with recognized effects. Exposed communities have to face birth defects, health disorders and non-communicable diseases (NCDs), from metabolic syndrome, asthma, infertility and other reproductive disorders through to diabetes, obesity, cardiovascular and neurodegenerative diseases, and cancer. A common feature of many chronic disorders and NCDs is metabolic disruption: environmental chemical factors disturb cellular homeostasis, thus affecting the ability of the body to restore a functional internal environment. Among these, endocrine disrupting pesticides can interfere with the action of hormones including metabolic hormones, and are likely to represent the main concern for developmentally-induced NCDs. Since pesticides are often persistent and bio-accumulate in the food chain through the living environment of food-producing organisms, this paper discusses relevant aspects of risk assessment, risk communication and risk management

Diminishing benefits of urban living for children and adolescents’ growth and development

AbstractOptimal growth and development in childhood and adolescence is crucial for lifelong health and well-being1–6. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5–19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-income countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was &lt;1.1 kg m–2 in the vast majority of countries. Within this small range, BMI increased slightly more in cities than in rural areas, except in south Asia, sub-Saharan Africa and some countries in central and eastern Europe. Our results show that in much of the world, the growth and developmental advantages of living in cities have diminished in the twenty-first century, whereas in much of sub-Saharan Africa they have amplified.</jats:p

Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults

Background Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. Methods We used data from 3663 population-based studies with 222 million participants that measured height and weight in representative samples of the general population. We used a Bayesian hierarchical model to estimate trends in the prevalence of different BMI categories, separately for adults (age ≥20 years) and school-aged children and adolescents (age 5–19 years), from 1990 to 2022 for 200 countries and territories. For adults, we report the individual and combined prevalence of underweight (BMI 2 SD above the median). Findings From 1990 to 2022, the combined prevalence of underweight and obesity in adults decreased in 11 countries (6%) for women and 17 (9%) for men with a posterior probability of at least 0·80 that the observed changes were true decreases. The combined prevalence increased in 162 countries (81%) for women and 140 countries (70%) for men with a posterior probability of at least 0·80. In 2022, the combined prevalence of underweight and obesity was highest in island nations in the Caribbean and Polynesia and Micronesia, and countries in the Middle East and north Africa. Obesity prevalence was higher than underweight with posterior probability of at least 0·80 in 177 countries (89%) for women and 145 (73%) for men in 2022, whereas the converse was true in 16 countries (8%) for women, and 39 (20%) for men. From 1990 to 2022, the combined prevalence of thinness and obesity decreased among girls in five countries (3%) and among boys in 15 countries (8%) with a posterior probability of at least 0·80, and increased among girls in 140 countries (70%) and boys in 137 countries (69%) with a posterior probability of at least 0·80. The countries with highest combined prevalence of thinness and obesity in school-aged children and adolescents in 2022 were in Polynesia and Micronesia and the Caribbean for both sexes, and Chile and Qatar for boys. Combined prevalence was also high in some countries in south Asia, such as India and Pakistan, where thinness remained prevalent despite having declined. In 2022, obesity in school-aged children and adolescents was more prevalent than thinness with a posterior probability of at least 0·80 among girls in 133 countries (67%) and boys in 125 countries (63%), whereas the converse was true in 35 countries (18%) and 42 countries (21%), respectively. In almost all countries for both adults and school-aged children and adolescents, the increases in double burden were driven by increases in obesity, and decreases in double burden by declining https://researchonline.ljmu.ac.uk/images/research_banner_face_lab_290.jpgunderweight or thinness. Interpretation The combined burden of underweight and obesity has increased in most countries, driven by an increase in obesity, while underweight and thinness remain prevalent in south Asia and parts of Africa. A healthy nutrition transition that enhances access to nutritious foods is needed to address the remaining burden of underweight while curbing and reversing the increase in obesity

Nitrogen removal in subsurface constructed wetland: Assessment of the influence and prediction by data mining and machine learning

Subsurface constructed wetland (SCW) appears to be an economical and environmental-friendly practice to treat nitrogen-enriched (waste) water. Nevertheless, the removal mechanisms in SCW are complicated and rather time-consuming to conduct and as-sessment the efficiency of new experiments. This work mined data from literature and developed the machine learning models to elucidate the effect of influent inputs and predict ammonium removal rate (ARR) in SCW treatment. 755 sets and 11 attributes were applied in four modeled algorithms, including Random forest, Cubist, Support vector machines, and K-nearest neighbors. Six out of ten input features including ammonium (NH4), total nitrogen (TN), hydraulic loading rate (HLR), the filter height (i.e., Height), aeration mode (i.e., Aeration), and types of inlet feeding (i.e., Feeding) have posed pronounced influences on the ARR. The Cubist algorithm appears the most optimal model showing the lowest RMSE i.e., 0.974 and the highest R-2 i.e., 0.957. The contribution of variables followed the order of NH4, HLR, TN, Aeration, Height and Feeding corresponding to 97, 93, 71, 49, 34, and 34%, respectively. The generalization ability to forecast ARR using testing data achieved the R-2 of 0.970 and the RMSE of 1.140 g/m(2) d, indicating that Cubist is a reliable tool for ARR prediction. User interface and web tool of final predictive model are provided to facilitate the application for designing and developing SCW system in real practice. (C) 2021 Elsevier B.V. All rights reserved

Human brucellosis exposure in confirmed cutaneous anthrax cases, Dien Bien, Vietnam with an update on human prevalence regionally

Anthrax and brucellosis are important zoonoses worldwide. Often, they are reported separately with separate control strategies in livestock; routine vaccination for both accompanied by culling for brucellosis. The status of both diseases is poorly understood in Vietnam. In Vietnam, anthrax has been identified as a priority zoonotic disease for control in a One Health Circular (#16, 2013). Vietnam has a likely substantial, but poorly understood, brucellosis risk. There were no data available for Vietnam in the 2006 global assessment. Brucellosis rates are unknown, but the disease has been confirmed for humans and livestock, including recent genotyping in southern provinces. Here, we implemented the fluorescence polarization assay (FPA) using the Sentry 200 handheld FPA reader (Ellie Labs) and the B1002 test kits (based on an O-polysaccharide for Brucella abortus, which also reacts with B. suis and B. melitensis). We performed tests on human and animal samples. Human serum samples (collected 2011-2016) were randomly selected from the NIHE serum bank and livestock samples were provided from NCVD and NIHE (2015 - 2018); additional swine samples were provided by ILRI. We are currently running active hospital surveillance across six provinces in northern Vietnam, with 1,018 samples collected to date and 312 tested. We confirmed 1.39% human exposure to brucellosis (5/359; 95% CI: 0.045% - 3.22%). Four of those exposures were detected in Dien Bien province and two of those were confirmed cutaneous anthrax cases. The two co-infections were detected in family members from a single household in 2011 with the remaining two cases independent of each other in 2015. The fifth case was reported from Ha Nam province in 2016. These results suggest brucellosis may be widespread underappreciated/underreported in Vietnam. Preliminary results from ongoing surveillance suggest similar prevalence rates. We tested 1107 animals. While human samples were limited to northern Vietnam, animal samples were widely distributed. Domestic swine from southern Vietnam were 9.4% (17/180) seropositive. A second group of swine samples from ILRI had 2.2% seroprevalence (11/500). The remaining samples represented domestic cattle/buffaloes; all sero-negative. Our results suggest brucellosis surveillance for Vietnam is warranted and future policy might list brucellosis as reportable