Changing food systems and infectious disease risks in low-income and middle-income countries

dc.creatorWaage, Jeff
dc.creatorGrace, Delia
dc.creatorFèvre, Eric M.
dc.creatorMcDermott, John J.
dc.creatorLines, J.
dc.creatorWieland, Barbara
dc.creatorNaylor, N.R.
dc.creatorHassell, James M.
dc.creatorChan, K.
dc.date2022-09
dc.date2022-09-08T19:05:44Z
dc.date2022-09-08T19:05:44Z
dc.date.accessioned2026-06-27T15:03:25Z
dc.descriptionThe emergence of COVID-19 has drawn the attention of health researchers sharply back to the role that food systems can play in generating human disease burden. But emerging pandemic threats are just one dimension of the complex relationship between agriculture and infectious disease, which is evolving rapidly, particularly in low-income and middle-income countries (LMICs) that are undergoing rapid food system transformation. We examine this changing relationship through four current disease issues. The first is that greater investment in irrigation to improve national food security raises risks of vector-borne disease, which we illustrate with the case of malaria and rice in Africa. The second is that the intensification of livestock production in LMICs brings risks of zoonotic diseases like cysticercosis, which need to be managed as consumer demand grows. The third is that the nutritional benefits of increasing supply of fresh vegetables, fruit, and animal-sourced foods in markets in LMICs pose new food-borne disease risks, which might undermine supply. The fourth issue is that the potential human health risks of antimicrobial resistance from agriculture are intensified by changing livestock production. For each disease issue, we explore how food system transition is creating unintentional infectious disease risks, and what solutions might exist for these problems. We show that successfully addressing all of these challenges requires a coordinated approach between public health and agricultural sectors, recognising the costs and benefits of disease-reducing interventions to both, and seeking win–win solutions that are most likely to attract broad policy support and uptake by food systems.
dc.identifierhttps://hdl.handle.net/10568/121176
dc.identifier.urihttp://hdl.handle.net/123456789/93275
dc.languageen
dc.publisherElsevier
dc.rightsOpen Access
dc.sourceWaage, 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.
dc.subjectagriculture
dc.subjectantimicrobial resistance
dc.subjectfood systems
dc.subjectfood safety
dc.subjectinfectious diseases
dc.subjecthealth
dc.subjectlivestock
dc.subjectnutrition
dc.subjectzoonoses
dc.subjectless favoured areas
dc.subjectvector-borne diseases
dc.subjectlivestock production
dc.subjectpolicies
dc.subjectcovid-19
dc.subjectinvestment
dc.subjecthuman diseases
dc.subjectmalaria
dc.subjectrice
dc.subjectdemand
dc.subjectirrigation
dc.subjectintensification
dc.subjectdeveloping countries
dc.subjectfood security
dc.subjectconsumers
dc.subjectpublic health
dc.titleChanging food systems and infectious disease risks in low-income and middle-income countries
dc.typeJournal Article

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