Experts call for One Health approach to study bacterial hazards and antimicrobial risks in marketed food in Bangladesh

Antimicrobial resistance is a public health problem worldwide. Bangladesh, like its neighbouring countries, faces many public health challenges, including access to safe food, inadequate food surveillance, as well as increasing antimicrobial resistance.

A new study published in Antibiotics (Mar 2023) investigated bacterial contamination and the antimicrobial resistance profile of pathogens in marketed food in Bangladesh. The study also explored barriers to reducing antimicrobial resistance in the country.

The study was carried out by researchers affiliated to the Bangladesh Agricultural University, the Bangladesh Department of Livestock Services, the Bangladesh Livestock Research Institute, the International Livestock Research Institute, the Swedish University of Agricultural Sciences, Uppsala University and the University of Greenwich.

The researchers collected 366 tomatoes, 359 chicken and 249 fish samples from 732 vendors in traditional markets in urban, peri-urban and rural areas in Bangladesh, as well as from 121 modern retails in Dhaka capital to analyse Vibrio cholerae and Escherichia coli in fish, Salmonella in chicken, and Salmonella and E. coli in tomatoes.

Antibiotic susceptibility against 11 antibiotics was tested using a disc diffusion test and interpreted by an automated zone inhibition reader.

A qualitative study using key informant interviews was also conducted to explore antimicrobial use and antimicrobial resistance reduction potential in Bangladesh.

They found E. coli in 14.21% of tomatoes and 26.91% of fish samples, while 7.38% of tomatoes and 17.27% of chicken were positive for Salmonella, and 44.98% of fish were positive for Vibrio cholerae.

About 70% of all isolated pathogens were multidrug resistant, that is, they were resistant to three or more antibiotic groups.

Qualitative interviews revealed an inadequate surveillance system for antibiotic use and antimicrobial resistance in Bangladesh, especially in the agriculture sector.

To be able to fully understand the human health risks from bacterial hazards in the food and the antimicrobial resistance situation in Bangladesh, the authors of the study propose that a nationwide study with a One Health approach be conducted, including antimicrobial resistance testing and assessment of antimicrobial use and its drivers.

The study was supported by the CGIAR Research Program on Agriculture for Nutrition and Health, the CGIAR Initiative on Resilient Cities and the CGIAR Initiative on One Health.

Citation
Samad, M.A., Eberson, L., Begum, R., Alam, M.G.S., Talukdar, F., Akter, R., Sinh Dang-Xuan, Sharma, G., Islam, S., Siddiky, N.A., Uddin, A.S.M.A., Mahmud, M.A., Sarker, M.S., Rahman, M.S., Grace, D. and Lindahl, J.F. 2023. Microbial contamination and antibiotic resistance in marketed food in Bangladesh: Current situation and possible improvements. Antibiotics 12(3): 555.

Photo credit: Biponibag fish market (Kingkar Shaha, ECOFISH II/WorldFish)

 

New study explores governance of milk quality and safety in the informal sector in Assam, India

Scientists from the International Institute for Environment and Development (IIED) and the International Livestock Research Institute (ILRI) have published a new study that explores how the safety of milk and dairy products is understood and managed within the informal dairy sector of Guwahati, the largest city in Assam, northeast India.

The study, published in the journal Cogent Food & Agriculture (Oct 2022), contributes to a growing body of literature that questions negative assumptions about food safety in informal markets, and seeks to understand how access to safe and healthy food for all is, or can be, achieved in these markets.

The study combined a literature review of the informal dairy sector in Assam and India with a field survey and key informant interviews.

The survey of 113 producers, intermediaries, retailers, traditional processors and consumers, provides insights into how people think about the safety of milk, and the everyday practices they employ to mitigate food safety risks when trading and consuming dairy products.

The findings suggest that, in the absence of formal guarantees of quality and safety, consumers’ cultural practices and producers’ and traders’ knowledge likely reduce the risks of consuming raw milk.

Despite the informal dairy sector receiving little direct government support in India, the study found that at the state level, there has been some cooperation between government officials, small-scale producers and informal traders.

The authors conclude that the absence of adverse relations between these groups, together with proactive attempts at collaboration, could inform the approaches of other Indian states to food safety governance, and are a positive foundation for future improvements to food safety in Assam’s dairy sector.

Citation

Nicolini, G., Guarin, A., Deka, R.P., Vorley, B., Alonso, S., Blackmore, E. and Grace, D. 2022. Milk quality and safety in the informal sector in Assam, India: governance, perceptions, and practices. Cogent Food & Agriculture 8(1): 2137897.

Photo credit: Evening milk sales in Guwahati, Assam, India (ILRI/Susan MacMillan)

 

Experts call for cross-sectoral collaboration to tackle disease risks in changing food systems

The rapid transformation of food systems is creating unintentional infectious disease risks that will need to be addressed through effective coordination between agricultural and public health sectors, a new review study says.

A food system includes all the aspects of feeding and nourishing people: growing, harvesting, packaging, processing, transporting, marketing and consuming food.

The review, published in Lancet Planetary Health (Sept 2022), explored how intensification of agricultural production and increasing complexity of food supply chains, particularly in low-income and middle-income countries, change the risks and relative burdens of infectious diseases.

The review covered four case studies:

• vector-borne disease in irrigated agriculture;
• zoonotic diseases in livestock value chains;
• food safety; and
• antimicrobial resistance associated with food systems. 

For each case study, the authors asked three questions:

1. What aspects of food system transition are creating unintentional infectious disease risks?
2. What solutions might exist for these problems?
3. How would they require better coordination of agricultural and public health policy and practice?

Food systems in transition are characterized by intensification and diversification of food production, as an increasingly urban and more wealthy population demands different diets.

The review showed that successfully addressing the challenges of evolving food systems calls for constructive dialogue between agricultural and public health sectors.

Such a cross-sectoral approach recognises the costs and benefits of disease-reducing interventions and seeks win–win solutions that are most likely to attract broad policy support and uptake by food systems.

For areas such as antimicrobial resistance, it is important to identify the potential agricultural and health outcomes of agricultural interventions to reduce health risks.

Citation

Waage, J., Grace, D., Fèvre, E.M., McDermott, J., Lines, J., Wieland, B., Naylor, N.R., Hassell, J.M. and Chan, K. 2022. Changing food systems and infectious disease risks in low-income and middle-income countries. Lancet Planetary Health 6(9): e760–e768.

Photo credit: Fruit and vegetables on sale alongside other food items in a local market in Addis Ababa, Ethiopia (ILRI/Geraldine Klarenberg)

 

New scoping review sheds light on antimicrobial resistance in global food crop value chains

The role of food crops as a conduit for transmission of antimicrobial resistance from soil and water to humans has not been widely studied. Contamination of food crops with antimicrobial-resistant pathogens presents an added foodborne risk to human health.

A team of researchers from the London School of Hygiene and Tropical Medicine, the International Livestock Research Institute, the University of Copenhagen, Royal Veterinary College and CABI carried out a systematic literature review to consolidate the current state of knowledge on antimicrobial resistance in food crop value chains globally. The review is published in Frontiers in Sustainable Food Systems (3 Feb 2022).

The review summarized and compared baseline descriptive data on antimicrobial resistance detected in crops and crop inputs globally. This enabled the identification of gaps in understanding of the potential food safety risks to consumers. 

A search of four bibliographic databases using synonyms of antimicrobial resistance in food crop value chains identified 196 studies of interest from 49 countries, mostly in Asia (89 studies) and Africa (38 studies). 

The four most frequently recorded species of interest were Escherichia coli, Salmonella enterica, and Enterococcus faecium or Enterococcus faecalis. Salad crops, vegetables, and culinary herbs were the most sampled crops. 

The review found that acquired antimicrobial resistance in human pathogens is disseminated throughout food crop value chains in multiple regions around the world. 

However, there were variable patterns of distribution of antimicrobial resistance. Chloramphenicol resistance was reported in food value chain samples in low- and middle-income countries in Asia and Africa while vancomycin resistance in enterococci was reported in food crops from high-income countries.

“This review confirms the widespread reporting of resistance to antimicrobials of medical importance in human pathogenic microbes isolated from crops, both in the field and marketplace,” the authors state.

However, it is difficult to conclusively quantify the risks of exposure to consumers because of the low number of longitudinal studies and diverse sampling methods used.

“Firm conclusions cannot be drawn on the prevalence and relative importance of different kinds of resistance and antimicrobial resistance transmission pathways because of the substantial heterogeneity between study methods and conditions,” the authors caution.

“There is a need to include agriculturally-derived antimicrobial resistance in monitoring food safety risks from plant-based foods, and the challenges facing its surveillance,” the authors recommend.

Citation

Brunn, A., Kadri-Alabi, Z., Moodley, A., Guardabassi, L., Taylor, P., Mateus, A. and Waage, J. 2022. Characteristics and global occurrence of human pathogens harboring antimicrobial resistance in food crops: A scoping review. Frontiers in Sustainable Food Systems 6: 824714.

Funding

This scoping review was partially supported by the CGIAR Research Program on Agriculture for Nutrition and Health (A4NH), led by the International Food Policy Research Institute.

Photo credit: Market near Khulungira Village, in central Malawi (ILRI/Stevie Mann)

 

Tokyo Nutrition for Growth Summit 2021 side event discusses the role of informal markets within future food systems

The Tokyo Nutrition for Growth Summit 2021 takes place on 7–8 December 2021. The summit comes at a critical time, midway through the United Nations Decade of Action on Nutrition, with only five years left to achieve the World Health Assembly  targets on maternal, infant and young child nutrition, and 10 years to reach the Sustainable Development Goals.

Ahead of the summit, on 2 December 2021, the International Institute for Environment and Development (IIED) and the International Livestock Research Institute (ILRI) hosted a side event on the role of informal markets within future food systems.

The purpose of the side event was to derive a set of principles to help national policymakers develop risk-based policies that reward positive food safety as opposed to criminalization and marginalization. Such policies will improve the governance, operations and future of informal markets to ensure their continued contribution to livelihoods, health and nutrition.

A panel discussion featured the following speakers:

• Delia Grace, professor of food safety systems, Natural Resources Institute, University of Greenwich and joint appointed scientist, ILRI
• Jane Battersby, senior lecturer, Department of Environmental and Geographical Science, University of Cape Town
• Vivian Maduekeh, managing principal, Food Health Systems Advisory
• Emma Blackmore, research associate, IIED
• Stella Nordhagen, senior technical specialist, Global Alliance for Improved Nutrition
• Utpal Kumar Sharma, director, Dairy Development Department, Government of Assam, India

View the recording below.

Photo credit: Market place in Kenya (World Bank/Sambrian Mbaabu)

 

Experts discuss strategies to improve food safety in traditional markets in Asia Pacific

On 1–2 September 2021, the World Health Organization regional office for Southeast Asia and the Western Pacific hosted a bi-regional advocacy meeting on risk mitigation in traditional food markets in the Asia Pacific region.

Traditional food markets are an important source of affordable, fresh food and contribute to the nutrition, health and livelihoods of many people. However, there are often concerns about the safety of food sold in these markets on account of inadequate facilities and weak food safety regulation.

The objectives of the meeting were to:

• support national authorities to advocate for improved traditional food markets;
• discuss strategies to mitigate the risks of unsafe food and spillover of pathogens;
• present a manual to support risk assessment and mitigation in traditional food markets; and
• share lessons from member states on improving traditional food markets.

Hung Nguyen-Viet, co-leader of the Animal and Human Health program at the International Livestock Research Institute (ILRI), presented an overview of traditional food markets in Asia Pacific, with reference to research projects by ILRI and partners on improving food safety and reducing risks in informal markets in Cambodia and Vietnam.

Citation

Hung Nguyen-Viet, Lindahl, J., Unger, F. and Grace, D. 2021. Overview of traditional food markets in Asia Pacific. Presentation at a bi-regional advocacy meeting on risk mitigation in traditional food markets in the Asia Pacific region, 1–2 September 2021. Nairobi, Kenya: ILRI.

Photo credit: Makara market in Phnom Penh, Cambodia (ILRI/Hardisman Dasman)