Abdullah, Nur Baizura Aini
(2018)
Food poisoning outbreak cases among school children in Terengganu year 2016 and its associated factors.
Masters thesis, Universiti Sains Malaysia.
Abstract
Background: Food poisoning is a public health problem in Malaysia and is in the top
five communicable diseases in Malaysia. Terengganu had also shown increasing trend
of food poisoning involving school children.
Objective: This study aimed to determine the proportion of food poisoning cases
involving school children in Terengganu in year 2016 and to determine the associated
factors of food poisoning outbreak involving school children in Terengganu in year
2016.
Methodology: This was a cross–sectional study using secondary data of 21 food
poisoning outbreaks collected among school children in Terengganu that involved in
food poisoning outbreak at school in year 2016. The data were obtained from Borang
Siasatan Keracunan Makanan’ (FWBD/KRM/BG 001) Pindaan 2008 and final
outbreak report from eWabak system.
Result: The proportion of food poisoning outbreak involving school children in
Terengganu in year 2016 was 63.6%. Ministry of Education schools had contributed
to 95.3% of food poisoning outbreak cases and 81% occurred at secondary schools.
Most of the food poisoning outbreak (57.1%) occurred at schools located in rural
district. Poultry was the most food vehicle related to school food poisoning outbreak
with the proportion of 61.9%. The commonest microbial etiological agent was
Salmonella spp. (52.4%) and 57.1% of critical control point involved was inadequate
cooking and reheating. Schools that were located in rural district (aOR=1.668; 95%
CI: 1.355,2.055; p<0.001), non-MOE school (aOR = 3.621; 95% CI: 2.368, 5.537;
p<0/001), were the factors at higher risk to involve in school food poisoning outbreak.
Meanwhile, for food vehicle,poultry (aOR= 0.384; 95% CI: 0.180,0.819; p=0.013),
red meat (aOR=0.327; 95% CI: 0.181,0.589; p<0.001) and rice/grain (aOR= 0.216;
95% CI: 0.083,0.563; p= 0.002) are more protective than eggs that were associated
with the occurrence school food poisoning outbreak in Terengganu year 2016. The
CCP factors were all not significant in our studies.
Conclusion: Food poisoning among school children in Terengganu had been
associated with non-modifiable factors such as school category (MOE & non-MOE
school) and school district location and modifiable factors such as food vehicles and
critical control points involved. In preventing food poisoning in school, health
education need to be strengthened on food safety, proper food handling, strict hygiene
practice, and clean canteen environment during food preparations.
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