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| CHP（Center for Health Promotion）
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| CHP Objectives |
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The objective of
ILSI Japan CHP is to contribute to society through scientific
knowledge and technology from the fields of nutrition, public
health, medicine, and sanitation, which have been developed
by industry, government, and academia in Japan, in order to
help solve public health issues that the world is facing. |
| Main
Activities To Date |
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Project PAN |
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In order to support good health
in old age, CHP has developed a program that combines nutrition
and physical exercise based on scientific evidence. The aim
is to prevent elderly people from becoming
bed-ridden, and to prevent lifestyle-related
diseases such as obesity among adults in their prime.
Findings from a large-scale intervention study proved that the
TAKE10!® program helps reduce
the need for elder care. The program has put out a revised handbook
that is easier to use, and has already distributed 25,000 copies,
including individual sales. Lectures have also been given in
Tokyo, Kanagawa, Aomori, Yamagata, Nagano, Gifu, Aichi, and
Fukuoka. A program to reduce the need for elder care called,
Sumida TAKE10!®, was started
at six sites in Sumida-ku, Tokyo, and just completed its second
year in fiscal 2006. Under this program, ILSI Japan CHP staff
provide direct guidance in the field. In order to respond to
more requests from local governments, another TAKE10!® model
will be introduced with collaboration of local government personnel
and resident volunteers. The Fuso TAKE10!®
was started in Fuso, Aichi in June of last year. It inaugurated
a TAKE10!® Volunteer program run by residents, and is carrying
out local health promotion activities through active cooperation
with the local government and public health nurses.
Under the LiSM10!®
program for the prevention of lifestyle-related diseases in
the worksite, CHP is currently carrying out its final intervention
study at Nichirei Corporation, after performing intervention
studies at five plants belonging to Suntory Limited and Meiji
Dairies Corporation. In anticipation of the obligation to
provide health guidance to insured persons of age 40 or older
starting in 2008, preparations are well underway for the implementation
of the Health Guidance Program LiSM10!®.
This is in accordance with the Standard Medical Checkup and
Health Guidance Program, which are guidelines of the Japanese
Ministry of Health, Labour and Welfare.
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Project SWAN |
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In order to
secure safe water for farming villages in northern Vietnam,
where public water supply is not expected for the foreseeable
future, CHP has obtained funds from the Japan International
Cooperation Agency (JICA) through a technical cooperation project
(grassroots partnership model). Working together with Vietnam's
National Institute of Nutrition (NIN), CHP is implementing a
project to improve awareness and knowledge of public health,
hygine and nutrition and establish a safe water supply, with
on the participation of local residents.
The project began by targeting 2,500 households
in three communes in northern Vietnam as model districts:
Tan Hiep (Ha Noi), Daimo (Ha Noi), and Quang Trung (Nam Dinh).
In order to secure safe water, the project is comprised of
three components. The first activities consist of two approaches:
1) residents obtain knowledge relating to water, nutrition,
and health / sanitation, and apply the knowledge at home,
and 2) the operation of the water treatment facilities are
optimized, and safe water is supplied. The third component
involves follow-up implementation with the participation of
residents. This aims to create mechanisms and models for sustaining
the IEC (Information, Education and Communication) as well
as for continuing safe water supply.
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Project IDEA |
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In developing Asian countries where
micronutrient deficiencies are serious public health issue,
iron-deficiency anemia is the serious health problem. This project
is being carried out in order to help
prevent iron-deficiency anemia, by supplying
iron through daily meals. This is done by fortifying
effective iron with condiments and staples sold commercially,
in accordance with food culture in the region concerned.
In China, iron-fortified soy sauce is already
being distributed as a national policy, and in Vietnam, production
of iron-fortified fish sauce has begun.
CHP is carrying out interventional studies
in the Philippines and Cambodia with the cooperation of the
public health agencies in these countries.
The Cambodian government has decided to introduce
iron-fortified fish sauce containing
a form of chelated iron (NaFeEDTA), in 2007. ILSI Japan CHP
is providing technical guidance in the areas of production
management, quality assurance, and surveillance of anemia
prevalence. Between January and March 2007, a survey of anemia
prevalence was carried out using a village in Kampot and Angkor
Che, as the model district. A technical introduction workshop
on quality control was carried out in Phnom Penh for training
managers. Iron-fortified fish sauce
production was begun in Kampot, in March 2007.
In the Philippines, CHP has been promoting
a research program to fortify rice
with iron. The research has shown that rice fortified with
ferrous sulfate or micronized dispersible ferric pyrophosphate
(Sun Active) can help prevent anemia. As the first step in
introducing new technology based on this series of research,
a market trial of the fortified rice is planned.
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| Future
Activities |
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Project PAN |
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For the current fiscal year, the
Sumida TAKE10!® program to
reduce the need for elder care (now in its third year) will
offer classes for new participants (30 classes total), along
with follow-up seminars (54 classes total) for those that have
graduated from the program. Furthermore, CHP is planning to
spread the Fuso TAKE10!®
model (leader training model) to several other local governments
during the current fiscal year. The TAKE10!(r) Cook Booklet
(provision name) is being developed as a new supplementary teaching
material.
The Health Guidance
Program LiSM10!® to
prevent lifestyle-related diseases, is now entering its third
year of intervention research and will try out the introduction
of a new management system that includes security management
of personal information. Effectiveness of tools developmed
will also be confirmed at the same time, along with identification
of actual problems in the field. The securing of LiSM10!®
Counselors is indispensable for project implementation.
As a high level of skill is necessary, there are only about
10 to 20 counselors certified so far. Further personnel training
will be carried out for future expansion. Together with manual
preparation, the final adjustments will be accelerated in
order for project implementation.
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Project SWAN |
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After completion of construction
for the water treatment facility in the Vietnamese villages
of Tan Hiep, CHP will confirm that the water quality has improved
and is stable. The same activities will then be carried out
in Daimo followed by Quang Trung. Baseline surveys, renovation
of the water treatment facilities, and awareness raising among
residents will be carried out. After the completion of improvements
in the public health and nutrition in these three model districts
and the creation of a safe water supply based on the participation
of local residents, CHP will develop new mechanisms for transplanting
these models to other areas. |
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Project IDEA |
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After introducing iron-fortified
fish sauce and soy sauce to the cities of Kampot, Siem Reap,
and Phnom Penh in Cambodia, CHP aims to spread these products
to the rest of the country. Along with the market distribution
of these products, awareness raising will be carried out among
the residents, and a quality assurance system will be established
for the iron-fortified fish sauce and soy sauce in markets,
along with a surveillance system to monitor improvements in
iron-deficiency anemia prevalence.
In the Philippines, the developed iron-fortified
rice will be put on the market on a trial basis, and preparations
will be made for nationwide expansion. With heightened interest
in this rice for Vietnam and Cambodia as well, potential introduction
of the product in these countries will be investigated.
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(June 2007)
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