Presentation on theme: "Guinea: Low Cost Approaches to Reducing the Disease Burden from Contaminated Groundnuts Paul C. Turner Maryland Institute for Applied Environmental Health."— Presentation transcript:
Guinea: Low Cost Approaches to Reducing the Disease Burden from Contaminated Groundnuts Paul C. Turner Maryland Institute for Applied Environmental Health THIS WORK WAS SUPPORTED BY A GRANT FROM THE NIEHS, USA ES06052
Multivariable models of serum AF-albumin at the two follow-up surveys Survey 2 Survey 3 GM ( 95% CI ) GM ( 95% CI )) Individual level intervention12.7 ( 7.8, 20.7) 8.0 (6.1,10.5)** control15.5 (9.5,25.0) 18.4 (14.2,24.0) Village mean level intervention12.3 (11.2,13.5)** 8.2 (7.8,8.5)** control17.6 (16.1,19.3) 18.7 (17.8,19.5) Approx 60% reduction ** p<0.001
Are there any issues / problems Focus on ground nut – Maize? JIFSAN et al collaborations Whilst cost is low it is not insignificant What is / are the most effective components? What happens to any discarded food items Sustainability Are any INTERVENTION components lost from the system Large educational components
What else?? From year to year will there be added benefit from the previous success? What about co-exposures – AF and FB in maize Are interventions that demonstrate etiology in the child health arena needed – are such interventions different in nature to sustainable interventions of a more global nature
Acknowledgements Institut Pasteur de Guinée, Kindia, Republic of Guinea Sylla, A. Diallo M University of Leeds, UK Gong, Y, Sutcliffe A.E. IARC, France Wild CP London School of Hygiene & Tropical Medicine, UK Hall AJ
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