1. Climate Change, Agriculture and Food Security (CCAFS) regional meeting
Surveillance and early warning systems for climate-sensitive diseases in Vietnam (2015–17)
Hu Suk Lee
Climate Change, Agriculture and Food Security (CCAFS) regional meeting
Hanoi, Vietnam
28 November 2018

2. Outline Introduction of project Introduction of field studies
Project achievements

3. Early warning and forecasting system concept
Main objectives
To develop early warning systems of climate-sensitive diseases (CSDs) (prediction/disease models and risk maps)
To conduct epidemiological investigations of CSDs
To support capacity building for public health
Decision support tools
Notification
to farmers
Climate Data
Responses
Vaccination
- Movement control
Quarantine
Zoonotic/livestock diseases
- Surveillance Data
- Field surveys

4. Introduction of field studies

5. Sampling areas Swine urine/sera samples from 5 provinces
- Total sample size
sera: 1,959; urine: 1,920
- 385 samples / province
- Slaughter houses
- JE, Lepto (sera) and AFM1(urine)
- KAP survey (252 people)
Maize samples from 6 provinces
- Total sample size: 2,370
- AFB1
- KAP survey (551 people)
Except for NIVR
*Sample size (each province): 50% prevalence,
95% CI and precision 5%

6. Blood sampling - Slaughterhouses

7. Maize sampling

8. Research team

9. Annual incidence rates for lepto and VE in humans
Malaria incidence rate
*Previous study showed that 17~71% of VE were caused by JE in Vietnam

10. Seasonality of VE in humans, 2004–13
4-5 times higher than Feb
*Previous study showed that 17~71% of VE were caused by JE

11. Project achievements

12. Pestforecast (2015–17) Research outcomes
9 international papers (peer-reviewed), 2 papers (under review) and 3 papers (preparing)
Research briefs (3)
18 conference presentations/posters
1 book chapter (UNEP: Zoonoses: Blurred lines of emergent disease and ecosystem health)
Pestforecast website
Training: 2 master students
Capacity building
Vet. epidemiology/GIS training

13. Capacity building/sharing information

14. Research contributions and challenges
Evidence-based tools established (RC)
- Risk maps, seasonality and climate associated models
One Health research partnership (RC)
- A transdisciplinary team
Lack of surveillance systems (C)
- Pushed back on the priority list / diagnostic tools
Lack of resources for implementing tools (C)
- Less interaction with farmers/small holders (budget issue)

15. Any Questions?
Thank you