GLOBAL BURDEN OF FOODBORNE DISEASES FROM DATA TO ACTION

Transcription

1 GLOBAL BURDEN OF FOODBORNE DISEASES FROM DATA TO ACTION Stakeholder Panel Discussion December 16, 2015 Barbara Kowalcyk, Ph.D.

2 RTI International is an independent, 501(c)(3) non profit research institute. Our mission is to improve the human condition by turning knowledge into practice. We provide research, development, and technical services worldwide. This presentation represents my views and not necessarily the views of my employer.

3 The Center for Foodborne Illness Research & Prevention (CFI) A non profit health organization dedicated to advancing a stronger, science based food safety system that prevents foodborne illness and protects public health.

4 Defining Advocacy Advocacy is the act of supporting a cause or issue. Lobbying is the act of attempting to influence public officials to secure the passage of specific legislation.

5 Turning Knowledge into Practice Science helps us understand the nature of problems and the realms of potential solutions. Science based advocacy seeks to bridge the know do gap by using research and analysis to provide objective information, develop science based solutions and implement evidenceinformed public policies.

6 Different Communities Scientific (context free) Theoretically driven Proven empirically As long as it takes Researchers Policy relevant Anything that seems reasonable Caveats Timely Clear messages Policy makers Colloquial (contextual) Source: Stein C and Kuchemuller T. FERG Foodborne Diseases Stakeholder Day, Geneva, Switzerland, November 11, 2010

7 The Elbow Joint Source: Stein C and Kuchemuller T. FERG Foodborne Diseases Stakeholder Day, Geneva, Switzerland, November 11, 2010

8 What We Do Increase awareness and make the impact meaningful. Build collaborative relationships with other stakeholders. Identify high priority food safety issues and promote science based solutions. Encourage decision makers to develop and implement stronger food safety protections designed to improve public health. Identify barriers to implementation and work collaboratively to overcome them.

9 The Risk Based Approach Step 1: Strategic Planning Step 6: Monitoring and Review Step 2: Public Health Risk Ranking Risk based Food Safety System Step 5: Design of Intervention Plan Step 3: Targeted Information Gathering Step 4: Analysis and Selection of Interventions

10 Role of Burden of Disease Foundation for evidence informed policy making Set public health goals (Healthy People 2020) Step 1: Strategic Planning Attribute and rank risks Economic assessments Prioritize interventions Allocate resources Measure success Step 6: Monitoring and Review Step 5: Design of Intervention Plan Risk based Food Safety System Step 4: Analysis and Selection of Interventions Step 2: Public Health Risk Ranking Step 3: Targeted Information Gathering

11 The Population Burden 1.8 billion diarrheal illnesses/year globally 48 million illnesses, 3,000 deaths/year in U.S. Vulnerable populations children, pregnant/post partum women, senior citizens and those with compromised immune systems are at high risk for serious illness. Significant economic impact public health and trade.

12 The Population Burden 600 million illnesses, 400,000 deaths/year globally 48 million illnesses, 3,000 deaths/year in U.S. Vulnerable populations children, pregnant/post partum women, senior citizens and those with compromised immune systems are at high risk for serious illness. Significant economic impact public health and trade.

13 The Long term Burden Select Long term Health Outcomes (LTHOs) Associated with Foodborne Illness Autoimmune Disorders Digestive Disorders Neurological Disorders Renal Failure & Associated Sequelae Emerging Issues Reactive Arthritis associated with many foodborne pathogens; rates vary from 2.3% to 15%. Guillain Barre Syndrome Campylobacter is common trigger and accounts for 40% of cases in U.S. Irritable Bowel Syndrome associated with many foodborne pathogens; causes estimated 17% of cases. Irritable Bowel Disease includes Crohn s Disease and Ulcerative Colitis. Sepsis, Meningitis, Respiratory distress Paralysis, palsies, seizures, epilepsy Cognitive impairment, visual/hearing impairment Hemolytic Uremic Syndrome (HUS) severe, life threatening illness; leading cause of acute kidney failure in children under age 5 in U.S.; associated with STEC, Shigella. Chronic kidney disease, End stage renal failure, Chronic hypertension, Pancreatitis, Diabetes mellitus often secondary to HUS. Schizophrenia, psycho social disorders recent studies have found increased risk for toxoplasmosis but not well understood. Urinary tract infections, antimicrobial resistance, stress/anxiety

14 Making the Impact Meaningful arithmetic of compassion.html?_r=1

15 The Individual Burden Abby Died, Age 7 E. coli O157:H7 Ruby Died, Age 81 E. coli O157:H7 Kevin Died, Age 2 E. coli O157:H7 Joseph Died, Age 8 E. coli O157:H7 Kayla Died, Age 14 E. coli O111 Ryan Salmonella Ashley E. coli O157:H7 Tammy Salmonella Mariah E. coli O157:H7 Jake Salmonella

16 Making Sense of the Risks Havelaar et al., Zoon Publ Health 2007;54:

17 What Do We Want to Achieve? An integrated, holistic, systems approach to food proactive, preventive and anticipatory; addresses human, animal and environmental health needs (One Health); and delivers sufficient, safe and nutritious food to all.

18 What Do We Need To Do? Engage stakeholders to improve national standards, laws, regulations, surveillance, control measures. Develop comprehensive risk communication strategy Put BOD estimates into perspective 1.8M new cases, 464,000 deaths, 13.1M DALYs in 2013 due to breast cancer Use compelling messages that motivate

19 What Do We Need To Do? Integrate food safety, nutrition and food security Focus on continuous improvement Improve data collection and sharing Conduct epidemiologic studies to better understand chronic sequelae and fill data gaps Develop better source attribution estimates requires collecting data from across the system Establish incentives for improvement

20 Who Do We Need to Achieve This? Government agencies national and local Food Industry Researchers Consumer groups/ngos International organizations Funding agencies public and private

21 Food and Agriculture R&D Landscape Source: National Research Council. Spurring Innovation in Food and Agriculture: A Review of the USDA Agriculture and Food Research Initiative Program. Washington, DC: The National Academies Press, 2014; p. 24

22 Who Do We Need to Achieve This? Government agencies national and local Food Industry Researchers Consumer groups/ngos International organizations Funding agencies public and private FERG statement from symposium participants Food safety is a shared responsibility!

23 A Personal Story Kevin Michael Kowalcyk, age 2 1/2 12/10/98-8/11/01

24 As for the future, your task is not to foresee it, but to enable it. Antoine de Saint Exupery French Writer, Guiseppe Arcimboldo Thank You!