Alonso, Silvia

Borin, K.

Chhayheng, L.

Gilbert, J.

Phannara, T.

Seng, S.

Srey, T.

CGSpace

Investigating an association with household livestock keeping and acute diarrhoea in poor communities in CambodiaSokerya Seng, Silvia Alonso, Khieu Borin, Teng Srey, Tan Phannara, Leang Chhayheng, Jeffrey Gilbert• Diarrhoea is among the most common symptoms of illness affecting poor communities and it is associated with most deaths among children < 5 years of age in developing countries. • In Cambodia it is the third most important disease in number of deaths and DALYs. • Keeping livestock near the dwelling house is thought to contribute to the risk of human diarrhea and some of the most commonly pathogens isolated from diarrhea cases are potentially zoonotic.Sokerya Seng ssokerya@celagrid.org, Centre for Livestock and Agricultural Development (CelAgrid), Phnom Penh, CambodiaSilvia AlonsoS.Alonso@cgiar.org, International Livestock Research Institute (ILRI), Nairobi, KenyaAcknowledgements: Funding: The International Development Research Centre (IDRC)  though The International Livestock Research Institute (ILRI)/Ecosystem Approaches to the Better Management of Zoonotic Emerging Infectious Diseases in the Southeast Asia RegionThis document is licensed for use under a Creative Commons Attribution –Non commercial-Share Alike 3.0 Unported License  September 2014PIntroductionMaterials and methodsResults & DiscussionKey messages and RecommendationPhoto by: CelAgrid • A multidisciplinary team with expertise in human health, animal health and agriculture undertook a study to investigate factors associated with increased risk of zoonotic diarrhea in livestock keeping households. • A survey was conducted in 400 households randomly selected in 8 villages, and repeated one year after in another set of randomly selected 400 households. • Questionnaires on diarrhea episodes, farming and hygiene practices were compiled on both surveys.• Faecal samples from human diarrhoea cases and their livestock were collected during the second survey and tested for presence of a variety of pathogens.Laboratory analysis• Shigella spp, and E. coli 0157 (zoonotic) were isolated from human diarrhea cases (15/31) in the second survey. • The latter was also recovered from animals (E. coliO157 in cattle and pig) in addition to Salmonella spp. in chicken, Aeromonas spp. in pigs.• Only one household had both animals carrying pathogens and human cases (three).Household survey:• 17% and 8% of households reported diarrhea in the last 4 and 2 weeks prior to the first and second surveys• Households which use “bush/field” as sanitary facilities had increased chances of having diarrhea• Types of food consumed in the family (some of meat and vegetables) were found to be associated with having diarrhea cases• Households which had access to tape water reported fewer diarrhea cases• Hygiene practices and consumption of raw vegetables were found to be the most prominent risk factors • It seems that livestock do not pose a significant risk for the common bacterial causes of diarrhea.• Alert the awareness of risk and cost of sickness from diarrhea by improving sanitary practice and facilities.  • Action is needed on poor households to prevent from food-borne diarrhea.

Investigating an association with household livestock keeping and acute diarrhoea in poor communities in Cambodia

https://cgspace.cgiar.org/bitstream/10568/42244/2/Household%20livestock%20keeping%20cambodia.pdf

Investigating an association with household livestock keeping and acute diarrhoea in poor communities in Cambodia

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