2 3department of tropical hygiene, faculty of ... -...

• Human stool sample

collection

• Domestic animal stool

sample collection

• Questionnaires

• Multi-sectorial

brain-storming

Challenges

⦿We successfully employed One Health approach to assess risk factors of intestinal parasite infection in

endemic area at the Thai-Myanmar border.

⦿We mediated multi-sectorial collaboration and constituted a policy brief to notify Ministry of Interior and Ministry

of Public Health for further strategic planning for reducing disease burden.

• Intestinal parasites are

prevalent in low socio-

economic tropical regions,

especially among immigrant

and refugee communities.

• At Thai-Myanmar border, Tha

Song Yang district, Tak

Province, has one of the

highest intestinal parasites

prevalence in Thailand.

Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health. (2005). “Annual Epidemiological Surveillance Report 2004: Dysentery.” http://www.boe.moph.go.th/Annual/Annual47/part1/33-Dysentery.pdf Intarapuk, A., et al. (2009). "Identification of Entamoeba histolytica and Entamoeba dispar by PCR assay of fecal specimens obtained from Thai/Myanmar border region." Southeast Asian J Trop Med Public Health 40(3): 425-434. Ximenez, C., et al. (2009). "Reassessment of the epidemiology of amebiasis: state of the art." Infect Genet Evol 9(6): 1023-1032.

Highlights and Lesson Learned

Major Findings

Acknowledgements

Selected References

Academic-public health-community partnership for prevention and control of intestinal

parasites infection in endemic area using One Health approach: a field observation research

Aulia Rahmi Pawestri1, Kanthinich Thima1, Somphob Leetachewa2, Pannamas Maneekan3, Saengduen Moonsom1*

1Department of Protozoology, Faculty of Tropical Medicine, Mahidol University, Thailand 2Institute of Molecular Biosciences, Institute of Molecular Biosciences, Mahidol University, Thailand 3Department of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, Thailand *E-mail: Saengduen.moo@mahidol.ac.th

26.3%

33.8%

9.0%

23.3%

3.0%

4.5%

Illiterate

Primaryschool

Secondaryschool

Highschool

Vocationalstudy

University

1. Demographic data

Objectives

• To utilize One Health approach

to explore risk factors of

intestinal parasitic infection in

endemic area.

• To constitute problem solving

for further strategic planning

to reduce disease burden.

Methodology

11to20 21to30 31to40 41to50 51to60 > 60

Age(years)

1.6%

25.6%24%

31.8%

14.7%

2.3%

2. Risk factors of parasitic infection

Hu

ma

n

An

ima

l E

nvir

on

men

t

High source of transmission

Use of untreated tap water for consumption

Lack of knowledge

3. Problem solving strategies

• Infective forms of parasites were found in

water sources. • Most villagers use/consume untreated water, thus

increasing risk of infection.

• Infective forms of parasites were found in domestic animal stool samples.

• Domestic animals were living closely together with human.

• Domestic animal waste was poorly handled.

• Organize training for health volunteers for active case finding and reporting by community participation.

• Organize training for laboratory technicians to accurately diagnose intestinal parasites by simple microscopic techniques.

• Facilitating and mediating multi-sectorial discussion and collaboration for target-specific problem solving solutions.

• Active disease surveillance. • Coordinating with local authorities to

design strategic planning for disease prevention and control.

• Assisting community in improving water system and domestic animal waste management.

• Dissemination of knowledge in prevention and control of food water borne diseases from Health volunteers to villagers/community.

• Encouraging community participation in active case finding and reporting.

65%

5%

This research was funded by USAID and Thai One Health University Network (THOHUN). We would like to thank Faculty of Tropical Medicine, Mahidol University, staffs at provincial public health office, Tak Province, staffs of Tha Song Yang District Hospital, Sub-district and District Administrative Officer at Tha Song Yang, as well as all health volunteers for supporting this project.

Nooccupation

Farmer Plantationworker

Student Others

11.2%

53%

22.4%

12.7%

0.7%

Gender Education level Occupation Age (years)

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Mae U-Su

Mae La

Mae Tan

Mae Wa Luang

Mae Song

Tha Song Yang

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Untitled map

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Mae U-Su

Mae La

Mae Tan

Mae Wa Luang

Mae Song

Tha Song Yang

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Thailand

Myanmar