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Trends of Foodborne Diseases at Dubai 2006 – 2010. Dr. Fatma Al Attar M.D,ABFM,MRCGP Head of Preventive Services Section. Contents. Introduction Definitions Situation in Dubai Aims Methods Trends over 5 years Conclusions and recommendations. Introduction.

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trends of foodborne diseases at dubai 2006 2010

Trends of Foodborne Diseases at Dubai2006 – 2010

Dr. Fatma Al Attar M.D,ABFM,MRCGP

Head of Preventive Services Section

contents
Contents
  • Introduction
  • Definitions
  • Situation in Dubai
  • Aims
  • Methods
  • Trends over 5 years
  • Conclusions and recommendations
introduction
Introduction
  • Foodborne diseases (FBDs) is a significant public health problem with major economic and social effects .
  • Cases of FBDs occur daily in all countries, from the most to the least developed.
  • Unsafe food causes many acute and life-long diseases, ranging from diarrhoeal diseases to various forms of cancer.
slide4
WHO estimates that foodborne and waterborne diarrhoeal diseases taken together kill about 1.9 million people annually, 1.6 million of them children under (5) years of age. (WHO 2004).
  • As well as the significance of FBDs in terms of morbidity and mortality, these illnesses have enormous implications for
    • primary industry
    • food manufacturing
    • retail industry and for trade.
definition of forborne diseases
Definition of Forborne Diseases
  • WHO
  • FBDs are the result of ingestion of foodstuffs contaminated with microorganisms or chemicals.
  • The contamination of food may occur at any stage in the process from food production to consumption (“farm to fork”) and can result from environmental contamination, including pollution of water, soil or air.
slide6
CDC
  • FBDs are caused by consuming contaminated foods or beverages. Many different diseases causing microbes, or pathogens, can contaminate foods, so there are many different foodborne infections.
  • In addition, poisonous chemicals, or other harmful substances can cause FBDs if they are present in food.
slide7
More than 250 different FBDs have been described. Most of these diseases are infections, caused by a variety of bacteria, viruses, and parasites.
  • NO one syndrome for FBDs. However, the microbe or toxin enters the body through the gastrointestinal tract, and often causes the first symptoms; nausea, vomiting, abdominal cramps and diarrhea are common symptoms in many FBDs.
slide8
Infections can spread through contaminated food, drinking water, swimming water, and from toddler to toddler at a day care center.
  • Measures to control / reduce other cases from occurring could range from removing contaminated food from stores, chlorinating a swimming pool, or closing a child day care center.
slide10
Although it is currently impossible to assess the cost and extent of foodborne diseases in UAE, (FBDs) still constitute public health problem.
  • Surveillance and epidemiology are important in understanding and controlling food borne pathogens and their patterns of transmission.
slide11
Obstacles and barriers
  • Ununified case definition
  • Most cases are not reported, the true dimension of the problem is unknown.
  • Methods and mechanism of reporting are not adequate in addition to feedback.
slide12
Most reported foodborne diseases are sporadic rather than associated with well-defined outbreaks. This may be more frequently due to non-hygienic food handling practices
aim of the presentation
Aim of the Presentation

To provide briefing of trends of foodborne diseases in Dubai according to current data from 2006 to 2010.

methods
Methods
  • Secondary data collected from SAM system
  • Data validated with annual reports
  • Statistical SPSS version 13 and MS Excel 2007 was used for data analysis
slide20

Figure (6): Relative rates of laboratory-confirmed infections with Campylobacter, STEC1 O157, Listeria, Salmonella, and Vibrio compared with 1996–1998 rates, by year- Foodborne Active Surveillance Network, United States, 1996–2009

conclusion
Conclusion
  • Although the trends of foodborne diseases showed a clear drop in the last (5) years due to effective preventive measures, still there is possibility of increasing,this is explained by…
    • Accurate and adequate data is not always available.
    • Unified reporting system based on policy and guideline is not always available.

Accordingly we recommend the following

recommendations
Recommendations
  • Develop best practice guidelines for surveillance, investigation and control of foodborne diseases.
  • Establishment of a national laboratory network to identify gaps in laboratory diagnosis / investigation of foodborne disease, including specimen collection, submission, and make recommendations for improved detection.
slide27
Updating the notification list to include the emerging and re emerging pathogens.
  • Develop and implement a National Foodborne Disease Outbreak Surveillance System.
slide28
Plan and conduct of appropriate research to support these plans.
  • Uniform food safety legislation and standards at the national level.
slide29
Increase public and industry awareness on foodborne diseases
  • Food contamination can occur at any stage from farm to table. Everyone on the food delivery chain must employ measures to keep food safe.
  • Farmer, processor, vendor and consumer education is just as vital to prevent disease outbreaks.
  • Educating school children on safe food handling behaviors is key to preventing foodborne diseases today and in the future.
slide30
Preventing animal infections at the farm level can reduce foodborne diseases.
  • Collaboration with concerned sectors (Ministry of; agriculture, education, water and environment, etc….

5 Keys to Food Safety

Keep Clean

Separate

raw food from

Ready-to-eat

Cook food

thoroughly

Keep food

at safe

temperature

Use safe

water and

raw materials

slide32
References:
  • Second formal meeting of the Foodborne Disease Burden Epidemiology Reference Group (FERG). 2008. Available online at http://www.who.int.foodsafety/foodborne_disease/FERG2_report.pdf
  • The Environment: where’s the risk, and where are children safe? 2008. Available online at http://www.who.int/mediacentre/news/release/2004/pr43/en/
  • 2011 Foodborne Disease Outbreak Case Definition. 2010. Available online at www.cdc.gov/ncphi/diss/nndss/casedef/foodbornecurrent.htm
  • Unpublished literatures: Annual reports