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Assessing Highlander Zoonoses Risk
Associated with Livestock Production
Chalisa Kallayanamitra1
Manoj Potapohn1
Karin Hamilton2
Jennifer Steele3
Veerasak Punyapornwithaya4
1 Faculty of Economics, Chiang Mai University2
College of Veterinary Medicine, University of Minnesota3Tufts Cummings School of Veterinary Medicine4
Faculty of Veterinary Medicine, Chiang Mai University
Population EcoHealth Vulnerabilities and Emerging Food-Borne and
Zoonotic Parasitic Diseases in Asia
EcoHealth Conference, Kunming China 2012
Trichinosis
More than 90% of Trichinosis cases
has occurred in highland areas.
Source: BOE Thailand (2003-2009)
Project Goals and Objectives
Project goal: To understand Trichinosis risk in the Borderland Highlanders as a basis for prevention and control measures.
Overall objective: Use a transdisciplinary approach with an EcoHealth-One Health approach to develop and answer research questions.
Research questions:• What are key factors driving Trichinosis in the study areas?• How do those factors shape pig management system?• How do those factors and pig management system influence the risks
posed by Trichinosis?
System components: Animal husbandry, Food chain, Environment, and Economy
Specific objectives:• Recruit a multidisciplinary team and informants• Develop an integrative framework • Identify research methods and tools• Implement a pilot study
Methods
1. Construct Trichinosis risk framework: - Literature review and expert opinion
Reason for choosing pig housing system
Ethnicity of pig raiser Religion of pig raiser
Frequency of teacher service
Frequency of headman service
Frequency of pulic health officer service
Frequency of animal health officer service
Frequency of local pulic health volunteer serviceFrequency of local animal health volunteer service
Frequency of police service
Frequency of Heifer service
Frequency of district officer service
Frequency of sub-district officer service
Awareness of housing system
Objectives of raising pig
Revenue received from pig raising:Total revenue
Type of feed
Feed handling Waste management
Reasons for not using dewormingResponsible person for pig health check upDo you usually clean left over feed after feeding?Accessibility of rat in feed storageType of pig
What will you do with your sick pig DewormingFrequency of pig health check up
Formal education level of pig raiser
Recognition about rat danger
How often you clean pig place?
Gender of pig raiser
Understanding relationship of pig housing and Trichinosis
Trichinosis recognition
Experience in raising pig
Time spent for pig raising:Total time spent on career
Environment cleanlinessWildlife presenceRat abundance
Rat control
Wet garbage handling
Solid garbage handling
Place to slaughter pig
Carcasses left over handling after slaughtering a pig
Dead animal (cat,dog,rat,etc.) handling
Dead pig handling
Frequency of cleaning surrounding
Environment suitability for Trichinosis circulation
Knowledge of pig raiser
Animal health practices
Source of information
Source of meat
Source of pig
Possibility of being infected Trichinosis in human
Food Safety Level
Trichinosis risk in pig
Rearing practices
Benefit from headman
Benefit from teacher
Benefit from pulic health officer
Benefit from animal health officer
Benefit from local public health volunteer
Benefit from local animal health volunteer
Benefit from Heifer
Benefit from sub-district officer
Benefit from district officer
Benefit from private sector's and public sector services
Ethnicity of food preparing person
Religion
Knowledge of danger of having raw/undercooked meat
Formal education of food preparing person
Source of fund
Investment in pig raising
Frequency of having meat (Carnivore/omnivore) in a year
Family welfare
Knowledge of food preparing person
Reasons describing eating habit
Gender of food preparing person
Occasions for killing pig
Raw/undercooked preference Meat Preparation
Awareness of eating raw/undercooked meat
Frequency eating outside Place of eating outside
Risk of Eating Outside
Income level
Convenient products
Pig housing system
Benefit from police
Methods
1. Construct Trichinosis risk framework: - Literature review and expert opinion
Reason for choosing pig housing system
Ethnicity of pig raiser Religion of pig raiser
Frequency of teacher service
Frequency of headman service
Frequency of pulic health officer service
Frequency of animal health officer service
Frequency of local pulic health volunteer serviceFrequency of local animal health volunteer service
Frequency of police service
Frequency of Heifer service
Frequency of district officer service
Frequency of sub-district officer service
Awareness of housing system
Objectives of raising pig
Revenue received from pig raising:Total revenue
Type of feed
Feed handling Waste management
Reasons for not using dewormingResponsible person for pig health check upDo you usually clean left over feed after feeding?Accessibility of rat in feed storageType of pig
What will you do with your sick pig DewormingFrequency of pig health check up
Formal education level of pig raiser
Recognition about rat danger
How often you clean pig place?
Gender of pig raiser
Understanding relationship of pig housing and Trichinosis
Trichinosis recognition
Experience in raising pig
Time spent for pig raising:Total time spent on career
Environment cleanlinessWildlife presenceRat abundance
Rat control
Wet garbage handling
Solid garbage handling
Place to slaughter pig
Carcasses left over handling after slaughtering a pig
Dead animal (cat,dog,rat,etc.) handling
Dead pig handling
Frequency of cleaning surrounding
Environment suitability for Trichinosis circulation
Knowledge of pig raiser
Animal health practices
Source of information
Source of meat
Source of pig
Possibility of being infected Trichinosis in human
Food Safety Level
Trichinosis risk in pig
Rearing practices
Benefit from headman
Benefit from teacher
Benefit from pulic health officer
Benefit from animal health officer
Benefit from local public health volunteer
Benefit from local animal health volunteer
Benefit from Heifer
Benefit from sub-district officer
Benefit from district officer
Benefit from private sector's and public sector services
Ethnicity of food preparing person
Religion
Knowledge of danger of having raw/undercooked meat
Formal education of food preparing person
Source of fund
Investment in pig raising
Frequency of having meat (Carnivore/omnivore) in a year
Family welfare
Knowledge of food preparing person
Reasons describing eating habit
Gender of food preparing person
Occasions for killing pig
Raw/undercooked preference Meat Preparation
Awareness of eating raw/undercooked meat
Frequency eating outside Place of eating outside
Risk of Eating Outside
Income level
Convenient products
Pig housing system
Benefit from police
ENVIRONMENT
ANIMAL HUSBANDRY
ECONOMY/WELFAREFOOD CHAIN
Methods
2. Identify study villages: - A village with previous outbreak of Trichinosis and a village without
HMF: Without outbreakHCS: With outbreak (2004)
HCS: 84 HHs
HMF: 118 HHs
Total: 54 Randomized HHs
HCS: 23 (w/ pigs)+3 (w/o pigs)
HMF: 23 (w/ pigs)+5 (w/o pigs)
Methods
3. Develop, test and conduct survey instrument: - Randomized household interview and Environmental Survey- Institution interview
Data analysis
Bayesian Belief NetworkReason for choosing pig housing...
ConvenienceSave moneyHygeinatic securityRegulationTraditionDon't want pig to di...Animal welfare Not ...Afraid of losing pigPig freedom
11.111.111.111.111.111.111.111.111.1
Ethnicity of pig raiser
MhongKarenLisu Black LahuRed LahuYaoAkhaPalong
12.512.512.512.512.512.512.512.5
Religion of pig raiser
BhudhismChristianismMuslimSpiritualism
25.025.025.025.0
Type of pig
BoarSowPiglet
33.333.333.3
Accessibility of rat in feed storage
YesNo
50.050.0
Type of feed
Food scrapCarcassesCorn Rice chaffBanana trunkVegetableInstant feedSupplement
12.512.512.512.512.512.512.512.5
Do you usually clean left ov er fe...
YesSometimesNo
33.333.333.3
Frequency of pig health check up
NeverOnce a weekOnce a monthOnce a year
25.025.025.025.0
Responsible person for pig healt...
Never checkYourself NeighborAnimal health officerLocal public health ...
20.020.020.020.020.0
What will you do with your sick pig
Never been sickDo nothingConsult expertBuy drug yourselfUse herbsSell out
16.716.716.716.716.716.7
Reasons for not using deworming
UseDrug store is too far ExpensiveNo needDo not knowPig is already healthyPig is too oldPig is already big
12.512.512.512.512.512.512.512.5
Deworming
YesNo
50.050.0
How often you clean pig place?
Twice a dayEverday onceEvery other day2-3 days a weekOnce a weekRarelyNever
14.314.314.314.314.314.314.3
Recognition about rat danger
YesNo
50.050.0
Formal education lev el of pig rai...
None>P.3P.3P.6M.3M.6Vocational certificateHigh vocational cert...Undergraduate
11.111.111.111.111.111.111.111.111.1
Gender of pig raiser
MaleFemale
50.050.0
Understanding relationship of pi...
YesNo
50.050.0
Trichinosis recognition
YesNo
50.050.0
Experience in raising pig
<5 years 5-10 years>10 years
33.333.333.3
Feed handling
SuitableFairNot suitable
33.333.333.3
Animal health practices
SuitableFairNot suitable
33.333.333.3
Waste management
SuitableFairNot suitable
33.333.333.3
Rat control
YesNo
50.050.0
Source of pig
RaiseBuy from neighborBuy from people out...
33.333.333.3
Rearing practices
SuitableFairNot suitable
33.333.333.3
Knowledge of pig raiser
HighMediumLow
33.333.333.3
Occasions for killing pig
NeverAs wantedWeddingMake a meritNew yearSacrifice ceremonyFuneralEating New Rice fe...Farming seasonBlessing ceremony
10.010.010.010.010.010.010.010.010.010.0
Reasons describing eating habit
Never haveTaste badTaste goodTraditionAfraid of dangerMake you toughParents now allowMaterials are expen...Feel used toGood with alcoholFeel cool
9.099.099.099.099.099.099.099.099.099.099.09
Gender of food preparing person
Male Female
50.050.0
Frequency of cleaning surrounding
EverydayEvery other dayOnce a weekRarelyNever
20.020.020.020.020.0
Dead pig handling
Never dieBuryBurnEatEat and share to ne...Sell to neighborSell to people other...
14.314.314.314.314.314.314.3
If suitable pig housing can keep ...
YesNoMaybe
33.333.333.3
Rat abundance
None1-55-10>10
25.025.025.025.0
Wildlife presence
YesNo
50.050.0
Wet garbage handling
Sweep awayUse as feedBuryBurnPut in the communi...Throw in forest
16.716.716.716.716.716.7
Solid garbage handling
Sweep awayBuryBurnPut in the communi...Throw in forestSellReuse
14.314.314.314.314.314.314.3
Place to slaughter pig
NeverBackyardLocal slaughterhouseInside pen
25.025.025.025.0
Carcasses left ov er handling aft...
No left overSweep awayDog feedPut in trash canPig feedChicken feedBury
14.314.314.314.314.314.314.3
Dead animal (cat,dog,rat,etc.) ha...
BuryBurnThrow in forestDo nothing
25.025.025.025.0
Benefit from headman
NonePoorFairGoodGreat
20.020.020.020.020.0
Benefit from teacher
NonePoorFairGoodGreat
20.020.020.020.020.0
Benefit from animal health officer
NonePoorFairGoodGreat
20.020.020.020.020.0
Benefit from local public health ...
NonePoorFairGoodGreat
20.020.020.020.020.0
Benefit from local animal health ...
NonePoorFairGoodGreat
20.020.020.020.020.0
Benefit from sub-district officer
NonePoorFairGoodGreat
20.020.020.020.020.0
Benefit from pulic health officer
NonePoorFairGoodGreat
20.020.020.020.020.0
Frequency of teacher serv ice
NoneRarelyFairFrequentVery frequent
20.020.020.020.020.0
Frequency of headman serv ice
NoneRarelyFairFrequentVery frequent
20.020.020.020.020.0
Frequency of pulic health officer ...
NoneRarelyFairFrequentVery frequent
20.020.020.020.020.0
Frequency of local pulic health v ...
NoneRarelyFairFrequentVery frequent
20.020.020.020.020.0
Frequency of animal health office...
NoneRarelyFairFrequentVery frequent
20.020.020.020.020.0
Frequency of local animal health ...
NoneRarelyFairFrequentVery frequent
20.020.020.020.020.0
Benefit from district officer
NonePoorFairGoodGreat
20.020.020.020.020.0
Ethnicity of food preparing person
MhongKarenLisu Black LahuRed Lahu YaoAkhaPalong
12.512.512.512.512.512.512.512.5
Religion
Bhudhism ChristianismMuslimSpiritualism
25.025.025.025.0
Knowledge of danger of hav ing r...
YesNo
50.050.0
Raw/undercooked preference
YesNo
50.050.0
If you know eating raw/undercoo...
Never eat beforeWill not eat againWill eat occasionallyWill eat as usualWill eat lessNot sure
16.716.716.716.716.716.7
Formal education of food prepari...
None>P.3P.3P.6M.3M.6Vocational certificateHigh vocational cert...Undergraduate
11.111.111.111.111.111.111.111.111.1
Meat Preparation
Well-cooked white ...Raw/undercooked w...Well-cooked native ...Raw/undercooked n...Well-cooked wild boarRaw/undercooked w...Well-cooked varanusRaw/undercooked v...Well-cooked wild catRaw/undercooked w...Well-cooked chickenRaw/undercooked c...Well-cooked snakeRaw/undercooked s...Well-cooked dogRaw/undercooked dogWell-cooked ratRaw/undercooked rat
5.565.565.565.565.565.565.565.565.565.565.565.565.565.565.565.565.565.56
Knowledge of food preparing per...
HighMediumLow
33.333.333.3
Food Safety Lev el
HighMediumLow
33.333.333.3
Frequency eating outside
NeverEverydayEvery other dayOnce a weekOnce a monthOccasionally
16.716.716.716.716.716.7
Place of eating outside
NeverNeighbor's houseRestaurantMarketChurchOther village
16.716.716.716.716.716.7
Frequency of hav ing meat (Carni...
<12 Times12-30 Times31-50 Times51-100 Times101-300 Times>300 Times
16.716.716.716.716.716.7
Risk of Eating Outside
HighMediumLow
33.333.333.3
Frequency of sub-district officer ...
NoneRarelyFairFrequentVery frequent
20.020.020.020.020.0
Frequency of police serv ice
NoneRarelyFairFrequentVery frequent
20.020.020.020.020.0
Frequency of Heifer serv ice
NoneRarelyFairFrequentVery frequent
20.020.020.020.020.0
Frequency of district officer serv ...
NoneRarelyFairFrequentVery frequent
20.020.020.020.020.0
Inv estment in pig raising
NoBuy new pigsBuy deworming drugIncrease hygieneBuy feed
20.020.020.020.020.0
Source of information
NewspaperRadioTVPublic service anno...Magazine/JournalNeighbor/othersInternetVillage headman
12.512.512.512.512.512.512.512.5
Income lev el
< $400$400-2,000$2,001-4,000$4,001-6,000>$6,000
20.020.020.020.020.0
Benefit from Heifer
NonePoorFairGoodGreat
20.020.020.020.020.0
Benefit from police
NonePoorFairGoodGreat
20.020.020.020.020.0
Conv enient products
TVRadioStoveFrigeCookerVDO/VCDElectric ironElectric fanSatellite dishFeed pumpElectric generatorBikeMotorgike CarCellphoneWashing machineLaptopElectric panWater heaterLawnmower
5.005.005.005.005.005.005.005.005.005.005.005.005.005.005.005.005.005.005.005.00
Source of fund
NeighborBAACCo-ops/Agriculturist...Community fundCommercial bankBuy on creditPrivate leasingInformal leasing
12.512.512.512.512.512.512.512.5
Benefit from priv ate sector's an...
NonePoorFairGoodGreat
20.020.020.020.020.0
Family welfare
GoodFairPoor
33.333.333.3
Env ironment cleanliness
CleanFairDirty
33.333.333.3
Source of meat
RaiseBuy from neighborBuy outside villageHunt
25.025.025.025.0
Env ironment suitability for Trichi...
SuitableFairNot suitable
33.333.333.3
Pig housing system
Free rangeTetherFense (under house)Fense (outdoor)Pen
20.020.020.020.020.0
Obj ectiv es of raising pig
Consumption onlyCommercial purpos...Both consumption ...Ritual ceremony
25.025.025.025.0
Ratio ofrev enue receiv e from pi...
LowMediumHigh
33.333.333.3
Ratio of time spent for pig raisin...
LowMediumHigh
33.333.333.3
Possibility of being infected Trichinosis i...
InfectedNon-infected
50.050.0
Trichinosis risk in pig
HighMediumLow
33.333.333.3
Bayesian Belief Network
• It is a model• It helps us to greater understand the issue we are modeling• It allows us to make useful predictions about how the situation
will behave• It is very helpful for policy making• It is so adaptable. You can start them off small, with limited
knowledge and grow them as you acquire new knowledge. The net will do as good as possible with available knowledge.
• It is one of the most powerful tools for qualitative data analysis
Preliminary Results
Animal Husbandry
Pig housing system
Free rangeTetherFense (under house)Fense (outdoor)Pen
3.453.4520.76.9065.5
Experience in raising pig
<5 years 5-10 years>10 years
46.918.434.7
17400 ± 29000
Trichinosis recognition
YesNo
5.5694.4
Understanding relationship of pi...
YesNoDon't know
37.356.95.88
Formal education lev el of pig rai...
None>P.3P.3P.6M.3M.6Vocational certificateHigh vocational cert...Undergraduate
56.69.437.559.437.551.893.771.891.89
Gender of pig raiser
MaleFemale
42.957.1
Religion of pig raiser
BhudhismChristianismMuslimSpiritualism
1.7517.577.23.51
Type of pig
BoarSowPiglet
25.031.243.8
If suitable pig housing can keep ...
YesNoMaybe
58.734.86.52
Ethnicity of pig raiser
MhongKarenLisu Black LahuRed LahuYaoAkhaPalong
1.921.929.623.8575.01.921.923.85
Source of information
NewspaperRadioTVPublic service anno...Magazine/JournalNeighbor/othersInternetVillage headman
4.554.5540.913.64.5522.74.554.55
Reason for choosing pig housing...
ConvenienceFinancial issueHygeinatic securityRegulationTraditionCare othersAnimal welfare
16.716.713.336.76.673.336.67
Knowledge of pig raiser
HighMediumLow
33.333.333.3
Rearing practices
SuitableFairNot suitable
33.333.333.3
Pig housing system
Free rangeTetherFense (under house)Fense (outdoor)Pen
20.020.020.020.020.0
Inv estment in pig raising
NoBuy new pigsBuy deworming drugIncrease hygieneBuy feed
24.620.321.815.118.1
Income lev el
< $400$400-2,000$2,001-4,000$4,001-6,000>$6,000
6.7862.722.03.395.08
4290 ± 13000
Obj ectiv es of raising pig
Consumption onlyCommercial purpos...Both consumption ...Ritual ceremony
20.17.9662.79.21
Trichinosis risk in pig
HighMediumLow
33.333.333.3
Ratio of time spent for pig raisin...
LowMediumHigh
92.53.773.77
0.19 ± 0.17
Ratio ofrev enue receiv e from pi...
LowMediumHigh
87.88.164.08
0.207 ± 0.19
Source of fund
NeighborBAACCo-ops/Agriculturist...Community fundCommercial bankBuy on creditPrivate leasingInformal leasing
31.914.914.92.1314.94.2610.66.38
Recognition about rat danger
YesNo
33.366.7
Food chain
Preliminary Results
Ethnicity of food preparing person
MhongKarenLisu Black LahuRed Lahu YaoAkhaPalong
1.611.6112.94.8474.21.611.611.61
Meat Preparation
Well-cooked white ...Raw/undercooked w...Well-cooked native ...Raw/undercooked n...Well-cooked wild boarRaw/undercooked w...Well-cooked varanusRaw/undercooked v...Well-cooked wild catRaw/undercooked w...Well-cooked chickenRaw/undercooked c...Well-cooked snakeRaw/undercooked s...Well-cooked dogRaw/undercooked dogWell-cooked ratRaw/undercooked rat
5.565.565.565.565.565.565.565.565.565.565.565.565.565.565.565.565.565.56
Source of meat
RaiseBuy from neighborBuy outside villageHunt
12.525.050.012.5
Formal education of food prepari...
None>P.3P.3P.6M.3M.6Vocational certificateHigh vocational cert...Undergraduate
57.112.77.9411.14.761.591.591.591.59
Knowledge of danger of hav ing r...
YesNo
26.973.1
Raw/undercooked preference
YesNo
49.550.5
Frequency of hav ing meat (Carni...
<12 Times12-30 Times31-50 Times51-100 Times101-300 Times>300 Times
10.011.29.2812.019.038.5
361 ± 400
Risk of Eating Outside
HighMediumLow
33.333.333.3
Frequency eating outside
NeverEverydayEvery other dayOnce a weekOnce a monthOccasionally
11.87.3111.211.214.943.5
Place of eating outside
NeverNeighbor's houseRestaurantMarketChurchOther village
18.033.226.45.687.529.10
Income lev el
< $400$400-2,000$2,001-4,000$4,001-6,000>$6,000
6.7862.722.03.395.08
2050 ± 2000
Food Safety Lev el
HighMediumLow
33.333.333.3
Possibility of being infected Trichinosis i...
InfectedNon-infected
50.050.0
Religion
Bhudhism ChristianismMuslimSpiritualism
73.722.81.751.75
Gender of food preparing person
Male Female
30.469.6
Reasons describing eating habit
Never haveTaste badTaste goodTraditionAfraid of dangerMake you toughParents now allowMaterials are expen...Feel used toGood with alcoholFeel cool
3.5721.435.77.1410.73.573.573.573.573.573.57
Occasions for killing pig
NeverAs wantedWeddingMake a meritNew yearSacrifice ceremonyFuneralEating New Rice fe...Farming seasonBlessing ceremony
19.08.778.608.6010.98.609.708.608.608.60
If you know eating raw/undercoo...
Never eat beforeWill not eat againWill eat occasionallyWill eat as usualWill eat lessNot sure
13.649.216.913.63.393.39
Knowledge of food preparing per...
HighMediumLow
33.333.333.3
Meat Preparation
Well-cooked white ...Raw/undercooked w...Well-cooked native ...Raw/undercooked n...Well-cooked wild boarRaw/undercooked w...Well-cooked varanusRaw/undercooked v...Well-cooked wild catRaw/undercooked w...Well-cooked chickenRaw/undercooked c...Well-cooked snakeRaw/undercooked s...Well-cooked dogRaw/undercooked dogWell-cooked ratRaw/undercooked rat
10.05.005.005.005.005.005.005.005.005.0010.05.005.005.005.005.005.005.00
Environment
Trichinosis risk in pig
HighMediumLow
33.333.333.3
Env ironment suitability for Trichi...
SuitableFairNot suitable
33.333.333.3
Solid garbage handling
Sweep awayBuryBurnPut in the communi...Throw in forestSellReuse
5.565.5642.620.413.09.263.70
Wildlife presence
YesNo
23.276.8
Rat abundance
None1-55-10>10
28.150.63.5317.8
Env ironment cleanliness
CleanFairDirty
33.333.333.3
Rat control
YesNo
53.746.3
Wet garbage handling
Sweep awayUse as feedBuryBurnPut in the communi...Throw in forest
13.534.65.7719.29.6217.3
Carcasses left ov er handling aft...
No left overSweep awayDog feedPut in trash canPig feedChicken feedBury
37.211.641.92.332.332.332.33
Place to slaughter pig
NeverBackyardLocal slaughterhouseInside pen
15.577.63.453.45
Dead animal (cat,dog,rat,etc.) ha...
BuryBurnThrow in forestDo nothing
83.33.703.709.26
Dead pig handling
Never dieBuryBurnEatEat and share to ne...Sell to neighborSell to people other...
11.168.53.705.563.705.561.85
Frequency of cleaning surrounding
EverydayEvery other dayOnce a weekRarelyNever
32.225.425.415.31.69
Preliminary Results
Economy/Welfare
Inv estment in pig raising
NoBuy new pigsBuy deworming drugIncrease hygieneBuy feed
24.620.321.815.118.1
Income lev el
< $400$400-2,000$2,001-4,000$4,001-6,000>$6,000
6.7862.722.03.395.08
4290 ± 13000
Source of fund
NeighborBAACCo-ops/Agriculturist...Community fundCommercial bankBuy on creditPrivate leasingInformal leasing
31.914.914.92.1314.94.2610.66.38
Conv enient product
TVRadioStoveFrigeCookerVDO/VCDElectric ironElectric fanSatellite dishFeed pumpElectric generatorBikeMotorgike CarCellphoneWashing machineLaptopElectric panWater heaterLawnmower
4.764.764.764.764.764.764.764.764.764.764.764.769.524.764.764.764.764.764.764.76
Benefit from priv ate sector's an...
NonePoorFairGoodGreat
20.020.020.020.020.0
Source of meat
RaiseBuy from neighborBuy outside villageHunt
25.025.025.025.0
Possibility of being infected Trichinosis i ...
InfectedNon-infected
50.050.0
Food Safety Lev el
HighMediumLow
33.333.333.3
Meat Preparation
Well-cooked white ...Raw/undercooked w...Well-cooked native ...Raw/undercooked n...Well-cooked wild boarRaw/undercooked w...Well-cooked varanusRaw/undercooked v...Well-cooked wild catRaw/undercooked w...Well-cooked chickenRaw/undercooked c...Well-cooked snakeRaw/undercooked s...Well-cooked dogRaw/undercooked dogWell-cooked ratRaw/undercooked rat
5.565.565.565.565.565.565.565.565.565.565.565.565.565.565.565.565.565.56
Family welfare
GoodFairPoor
33.333.333.3
Knowledge of food preparing per...
HighMediumLow
33.333.333.3
Trichinosis risk in pig
HighMediumLow
33.333.333.3
Rearing practices
SuitableFairNot suitable
33.333.333.3
Source of information
NewspaperRadioTVPublic service anno...Magazine/JournalNeighbor/othersInternetVillage headman
4.554.5540.913.64.5522.74.554.55
Preliminary Results
Original data
Edited data
Case example
Investment in pig raising
NoBuy new pigsBuy deworming drugIncrease hygieneBuy feed
41.815.323.39.799.79
Income level
< $400$400-2,000$2,001-4,000$4,001-6,000>$6,000
0 0
72.211.116.7
4220 ± 2400
Investment in pig raising
NoBuy new pigsBuy deworming drugIncrease hygieneBuy feed
36.921.524.36.2810.9
Income level
< $400$400-2,000$2,001-4,000$4,001-6,000>$6,000
6.7862.722.03.395.08
2050 ± 2000
Discussion and conclusions
An ecosystem-based transdisciplinary framework to understand highlander trichinosis risk can be developed and implemented that integrates animal husbandry, food-chain, environment and economics.
Main preliminary results include:
•A framework was developed that integrates all the possible factors accounting trichinosis risk in highlanders.•Highlander villagers’ pig husbandry practices are economically constrained in terms of farming opportunity costs and available assets.•Both the study villages are in transition between traditional and modern livelihoods.
Next research steps are to obtain more data to refine the model and extend to other study villages.
Acknowledgements
Dr. Bruce Wilcox, Dr. Fred Unger, Dr. Jeffrey Gilbert, Dr. Peter Kunstadter, Dr. Pisit Leeahtam, Associate Prof. Dr. Khwanchai Kreausukon, Dr. Parichart Saenna, Dr. Chalermpol Samranpong, Dr. Warangkhana Chaisowwong, Dr. Jan Hinrichs, Dr. Wichak
Tidchai, Dr. Pranee Rodtian, Dr. Isaree Khreusirikul, Naret Puntasrivichai, Pravin Tee-Ngoo, Supansa Lorpu, Apinan Taotao, Peerawat Palerng, Leesor Chalor, Xin Dang Xuan, Faron Xu,
Vu Thi Thu Tra, Varinda Somrit, Chanakarn Khampilai, Pornwimon Pata, Supassorn Chatsiriyingyong, Pimchanok Mueangchaimoon, Hathaichanok Wasasiri, Sarocha
Sukrinprom, Purichaya Palasot, Piangkwaun Padeang, Phuttipong Pookjohn, and others.