Myanmar Pig Partnership Project Expansion

由受污染的动物源性食品引起的腹泻和呕吐对人类健康和福祉具有严重的破坏性，但往往未被认识到，特别是对低收入和中等收入国家的穷人。农户也可能通过直接接触以及食用受污染的动物源性食品而受到这些人畜共患动物源性感染。我们正在进行的ZELS资助的项目，“在新兴畜牧系统中监测和控制人畜共患病的综合管理方法：缅甸猪伙伴关系”已经指出了文化敏感和与缅甸相关的干预措施的机会，以改善动物健康，农场生产力，合理使用抗生素以及对职业和食源性人畜共患病风险的认识。这些改善农民生计的机会存在于生产强度较小和较大的农场。从猪肉中获得的（直接获得的）人畜共患疾病，以及更好地了解受影响者的医疗支持途径，将大大有助于为消费者和农民设计和试点提供预防性健康咨询，进一步建立在MPP已经获得的数据上。我们还建议，更好地了解这种猪或猪肉获得性疾病的人类负担将有助于我们优先考虑和扩大我们应该与哪些政府部门和政策制定者交谈，以便最好地利用我们新出现的MPP数据。这些数据包括屠宰和加工时现有卫生规范的详细信息，以及与猪中抗生素的选择、使用和记录相关的规范。该提案的主要目标是：（1）建立腹泻监测试点，以获得缅甸引起传染性腹泻的主要病原体的初步数据，重点是我们已经确定的农户，以及仰光市的急性住院病例。(2)制定、试点和评估消费者和职业健康建议，以预防缅甸猪和猪肉相关的人畜共患病。(3)将最初资助的缅甸猪伙伴关系的研究成果转化为有用的证据，以最佳形式提供信息，为食品安全和抗生素耐药性的政策制定提供信息，加强猪健康管理方面的兽医专业知识，并使尽可能广泛的利益相关者群体能够理解和吸收相关发现。

Diarrhoea and vomiting, caused by contaminated food of animal origin, are deeply damaging but often unrecognized blights on human health and well-being, particularly for poor people in low and middle income countries. Farming households are also likely exposed to these zoonotic animal-derived infections through direct contact, as well as through consumption of contaminated foods of animal origin. Our ongoing ZELS-funded project, "An integrated management-based approach for surveillance and control of zoonoses in emerging livestock systems: Myanmar Pig Partnership (MPP)" has already pointed towards opportunities for culturally sensitive and livelihood-relevant interventions to improve animal health, farm productivity, rational use of antibiotics and awareness of occupational and food-borne zoonotic risks. These opportunities for improved livelihoods of farmers exist on farms with lesser as well as greater intensities of production.We propose that information on the human burden of foodborne and occupational (directly acquired) zoonotic disease from pig meat, and better understanding of the pathways for medical support of affected persons, would help greatly in the design and pilot delivery of preventive health advice for consumers as well as farmers, building further on the data already acquired in MPP. We also propose that better knowledge of this human burden of pig or pig meat-acquired disease would help us in prioritising and broadeing which government departments and policy makers we should talk to in order to make best use of our newly emergent data from MPP. This data includes detailed information on existing hygiene practices at slaughter and processing, and practices relating to selection, use and recording of antibiotics in pigs. The key objectives of this proposal are: (1) To set up pilot diarrhoea surveillance to obtain preliminary data on the leading pathogens causing infectious diarrhoea in Myanmar, focusing on our already identified farming households but also on acute hospital admissions in Yangon City.(2) To develop, pilot and evaluate consumer and occupational health advice for the prevention of pig and pig meat associated zoonoses in Myanmar.(3) To convert research outputs from the originally funded Myanmar Pig Partnership into useful evidence presented in the best format for informing policy development in food safety and antibiotic resistance, for strengthening veterinary expertise in pig health management, and to enable understanding and uptake of relevant finds by the widest possible group of stakeholders.