scholarly journals Pertussis outbreak investigation in Likimsa-Bokore kebele, Meda Walebu district, Bale zone, Oromia region, Ethiopia, 2019

Author(s):  
Mohammed Hasen Badeso ◽  
Falaho Sani Kalili ◽  
Naod Berhanu Bogale

Abstract Background Pertussis is a major cause of childhood morbidity and mortality. Globally, an estimated 45 million cases and 400,000 deaths occur every year. Meda-Walebu district health office reported the outbreak of pertussis in one of the remote villages/kebele. This study aims to describe an outbreak of pertussis in Likimsa-Bokore village of Meda-Walebu district, Bale Zone, Southeast Ethiopia. Methods A descriptive cross-sectional study was conducted in April 2019. We identified the pertussis cases recorded on the line-list from the District Public Health Emergency Management (PHEM) database. A suspected case of pertussis was defined as any person with cough illness and with at least one of the following symptoms: paroxysms of coughing, inspiratory whooping, post-tussive vomiting, or apnea. The data were cleaned and then analyzed by Microsoft Excel and SPSS version 23 software. Data were reported stratified by age groups, sex, and geographical locations and described in terms of time, place, and person. Results From September 2018 to December 2018, a total of 439 suspected cases of pertussis were reported from Likimsa-Bokore village of Meda-Walebu district. The age of the cases ranged from 2 months to 30 years. The overall attack rate was 55/1000 population with a case fatality rate of 0.7% (3 deaths/439). Children below five years of age and females were the most affected group with an attack rate of 198/1000 and 57/1000 population respectively. Delay to seek medical care by patients or caretakers ranged from 2-9 days with a mean delay of 3 days. Immunization service is not provided regularly, available refrigerators in the health posts were not functional and the cold chain management system was poor. Conclusion The suspected pertussis outbreak has occurred in the remote villages of Meda-Walebu district. The absence of regular immunization service, unfunctional cold chain management system and weak surveillance system in early detection and notification might have contributed to the outbreak. Provision of regular immunization service, strengthening cold chain management, and intensified surveillance system is required for early detection, investigation, and response to the outbreak

2020 ◽  
Vol 54 (2) ◽  
pp. 11-17
Author(s):  
Dora Dadzie ◽  
Adolphina Addo-Lartey ◽  
Nana Peprah ◽  
Ernest Kenu

Background: We evaluated the pneumonia surveillance system in Tema Metropolis to determine whether it is meeting its objectives and to assess its attributes.Design: Descriptive primary and secondary data analysisData Source: We interviewed health staff on the system’s operation and resources. We also extracted 2012-2016 surveillance dataset for under-five pneumonia cases and deaths from the District Health Information Management System for review.Participants: Health staffIntervention: The Centers for Disease Control (CDC) updated guidelines for evaluating surveillance systems was used to assess system attributes. Main outcome measure: state of the pneumonia surveillance system in TemaResults: A suspected case was defined as fast breathing in any child < 5 years old. The case definition was easy to apply, even at the community level. From 2012 to 2016, a total of 3,337 cases and 54 deaths (case fatality rate 1.6%) was recorded from 13 (23.6%) of 55 health facilities. Two epidemics were missed by the district because data were not being analysed. There were no laboratory data on antimicrobial resistance. Although reporting timeliness increased from 28.1% in 2012 to 83% in 2016, data inconsistencies existed between reporting levels.Conclusion: The surveillance system for under-five pneumonia in Tema Metropolis is simple, stable, flexible, timely,but of low sensitivity and acceptability, and only partly meeting its objectives. Major shortcomings are lack of laboratory data, non-use of data and low representativeness.Keywords: Under-five Pneumonia, Surveillance System Evaluation, Tema, GhanaFunding: The study was supported by a grant to author DB by the President’s Malaria Initiative (PMI) -CDC CoAg 6NU2GGH001876


2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Theofania Tsironi ◽  
Marianna Giannoglou ◽  
Eleni Platakou ◽  
Petros Taoukis

 Application of an optimized cold chain management system for frozen products can be assisted by monitoring with Time Temperature Integrators (TTI). TTI are smart labels that cumulatively show the product history in an easily measurable, time-temperature dependent change. In the IQ-Freshlabel European project enzymatic and photochromic TTI were developed and tested for frozen products. Further to the technical objectives, training activities were implemented to provide information and training to the staff of Small and Medium-sized Enterprises (SMEs) regarding the properties of the developed TTI and their utilization within food packaging, transport, storage and sale. In total, more than 276 European companies and consumers representing the frozen food industry, the packaging industry and food business operators were successfully trained. The objective of the present article is to describe a general methodology for frozen food shelf life testing and modelling, and the selection of appropriate TTI for specific foods. This document serves as a technical manual for SMEs, including a case study for frozen shrimp and application of enzymatic and photochromic TTI, aiming to build their capacities to understand and use TTI for frozen food products. The value of systematic modelling of the food quality kinetics as well as the response of the TTI in building an effective chill chain management system is also demonstrated. The TTI response study allows a reliable optimization and selection of TTI to be correlated to the target food product for which accurate information on temperature dependence is available.


2012 ◽  
Vol 38 ◽  
pp. 964-969 ◽  
Author(s):  
G. Prakash ◽  
A. Pravin Renold ◽  
B. Venkatalakshmi

Author(s):  
Zhaohui Wu ◽  
Madeleine Elinor Pullman

Food supply chain management is becoming a critical management and public policy agenda. Climate change, growing demand, and shifting patterns of food production, delivery, and consumption have elicited a series of new challenges, such as food security, safety, and system resiliency. This chapter first introduces the typical players in a food supply chain and examines the global food system characterized by consolidation and industrialization. It then discusses some critical topics of the sustainable food supply chain that aim to address these challenges. These topics include traceability, transparency, certification and standards, and alternatives to industrialized food systems, including cooperatives, community-supported agriculture, and roles of small and medium-sized growers in regenerative agriculture. The chapter ends with a discussion of several important emerging logistics management topics, including last-mile delivery, new technology, and cold chain management.


Foods ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 1523
Author(s):  
Jisung Jo ◽  
Eon-kyung Lee

Although one of the main goals of supply-chain management is to maximize consumer values, the research to date has mainly focused on the supply side. In the case of the food industry, understanding consumer needs and maximizing its utility are essential. In this study, we analyze consumers’ 12 meta-values (e.g., safety, taste, health, price, environment, etc.), then suggest the strategy of food cold-chain management satisfying consumers’ perception. We focused on consumers from three countries in Asia: Korea, China, and Japan. The survey was conducted with over 1000 consumers in those three countries, and a random parameter logit model was utilized to determine the importance of each food value that could affect consumers’ food choice. Similarities and differences were both found in share of preference of each food value across countries. While safety is one of the top three values in all three countries, naturalness and nutritional value ranked among the top three only in China. To propose the consumer-centric strategy of food cold-chain management, we investigated the relationship between each food value and each node of supply chain based on the big data analysis. It shows that consumers prefer when the entire supply chain is managed where each node is organically connected with each other instead of individual nodes being managed separately. Further, strategies for food cold-chain management should be developed differently by country, incorporating differences of consumers’ preferences on food value. These results would motivate governments and companies related to food cold chain to reconsider their marketing strategies on the import and export food market.


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