PDF(Sci-hub)
Abstract：
In developing countries, markets are the main supply of horticultural products to populations, but this can pose a public health challenge due to the risk of the fecal-oral transmission of gut pathogens. This transmission is strongly associated with inadequate public sanitation or low standards of personal and domestic hygiene, and their prevalence can cause gastrointestinal diseases, which are the third leading cause of death in Mozambique. This study aims at assessing the risk for public health of horticultural products supply chain, from the farmers-vendors to the consumers, in municipal markets in Maputo-City, Mozambique. Surveys (75) were conducted on vendors and an observational analysis was performed in the markets under study. The results showed that 62% of the vendors had access to water from boreholes or artisanal sources and the issue \"access to water\" was significantly different between markets (p = 0.004). Of the vendors who wash their products (53.3%), only 7.5% use tap-water for this purpose, with the difference in attitudes being statistically significant between vendors in the markets (p = 0.035). The majority (60.4%) said that vegetables and fruits can cause diseases due to pesticides and only 31.3% believe that the diseases may be related to poor hygiene. Despite the vendors\' low knowledge of Good Hygiene Practices (GHP), we noticed that women have better practical assimilation of GHP when compared to men (p = 0.008). Although Maputo\'s markets are struggling to achieve quality hygiene standards in a reliable and sustainable manner, their resources are limited and significantly different (p = 0.044) from market to market, and this problem remains a concern for the public-health authorities of the city. In conclusion, the provision of adequate drinking water and sewage disposal systems, together with education for health of vendors, can reduce the risk of contamination of fresh food by the more common organisms causing diarrhea in children, including intestinal parasites.
摘要：
在发展中国家,市场是向人口提供园艺产品的主要来源，但由于肠道病原体粪便-口腔传播的风险，这可能会对公共卫生构成挑战。这种传播与公共卫生不足或个人和家庭卫生标准低密切相关，它们的流行会导致胃肠道疾病，这是莫桑比克第三大死因。本研究旨在评估园艺产品供应链对公众健康的风险，从农民摊贩到消费者，在马普托市的市政市场，莫桑比克。对供应商进行了调查（75），并在研究市场中进行了观察性分析。结果表明，62％的供应商可以从钻孔或手工来源获得水，而“获得水”的问题在市场之间存在显着差异（p=0.004）。在洗涤产品的供应商中(53.3%)，只有7.5%的人使用自来水，市场上供应商之间的态度差异具有统计学意义(p=0.035)。大多数人(60.4%)表示蔬菜和水果会因杀虫剂引起疾病，只有31.3%的人认为这些疾病可能与卫生条件差有关。尽管供应商对良好卫生规范(GHP)的了解不足，我们注意到，与男性相比，女性对GHP的实际同化更好（p=0.008）。尽管马普托的市场正在努力以可靠和可持续的方式实现质量卫生标准，他们的资源是有限的，并且从市场到市场有很大的不同(p=0.044)，这个问题仍然是该市公共卫生当局关注的问题。总之,提供足够的饮用水和污水处理系统，以及供应商健康教育，可以减少引起儿童腹泻的更常见生物污染新鲜食品的风险，包括肠道寄生虫.
