Transcript Mediterranean network for the management of food

European Laboratory for Food Induced Diseases (ELFID)
University of Naples Federico II
Prof. Luigi Greco
WHAT IS MEDICEL?
MEDICEL is a Mediterranean Network dedicated
to the Food Induced Disease in Children.
This is an emerging public health issue
concerning at least 5 millions individuals in the
Mediterranean Area
These diseases produce malnutrition, growth
failure and severe morbidity
In the first year we will focus on gluten
induced disease
CELIAC DISEASE
which is by far the most frequent of these
diseases : more than one individual over 100 is
affected, but the large majority (90-95%) are
not recognized neither cared for
OBJECTIVES
1. Capacity building and development of guidelines
for the care of food induced disease in infants
and children
2. Establishment of a Mediterranean network to
share know how and technology for the
diagnosis and management of food induced
disease in children, with special attention to the
pandemic of wheat gluten intolerance
OBJECTIVES
3. Development of local sustainable strategies to
support the dietary care of children affected
by food induced diseases
4. Identification of genetic and environmental risk
factors for food induced intolerance in children
5. Develop preventive measures to reduce the
burden of food induced diseases in children
Gluten free diet in Egypt !
 Help, I'm celiac (allergic to wheat flour, barley, malt, oats etc.) and going to be
in Egypt for 2 months! Think I'll survive? any suggestions? I don't want to eat
americanized food while in Egypt but it seems a lot of Egyptian foods have
flour in them, or at least are usually eaten with a good stack of bread.
The Jewish Holiday of Passover: A Gluten-Free Bonanza Why Is
This Holiday Special For Celiacs?
From Nancy Lapid, former About.com Guide
 I recently was in Israel in Jan 07 and found that most food labeling includes listing
sources of gluten (its pronounced and spelled phonetically the same in Hebrew). Eating
out most people knew about gluten (compared to here where they don't). Many chefs
walked me through buffets or their menus; and everyone was willing to make new
batches of food to avoid cross-contamination. FYI buffets are very, very popular in Israel
.
so be sure to ask about cross-contamination
Celiac Disease and Glutenfree Diet Information Since
1995
Morocco Forum: Gluten free food
 1. Re: Gluten free food Jul 13, 2009, 7:18 AM
 Destination Expert for Morocco
 If you stick to tagines, brochettes and salad you should be fine but you
will have to avoid the bread that is served with every meal. Couscous
can be made from a variety of grains so you will have to check before
you eat it. There are also lots of fresh fruit available plus nice yoghurt.
 Moroccan Chicken with Coriander & Lime
Dressing
 I'm a big fan of harissa, and Belazu do a lovely very
authentic one with rose petals, its a hot and spicy
aromatic paste
EXPECTED RESULTS
1. Dissemination of knowledge and practical skills
for the identification and management of food
induced disease in infants and children.
2. Establishment of a MEDI-CEL network,
expanded in the field outside the reference
hospitals.
3. Set sustainable diagnostic tools, applicable at field
level, for the point-of-care diagnosis of at risk
children.
EXPECTED RESULTS
4. Establishment of a central repository of
diagnostic facilities and risk stratification.
5. Establishment of tools for the risk stratification
of newborn, infants and children (where risk is
genetic, infectious diseases, malnutrition)
6. Field Actions to support the optimal strategies
to feed children and avoid food induced
diseases.
OUTCOME INDICATORS
N° of health professional trained in the field
Development of agreed and on-the-field evaluated
guidelines
N° of diagnostic test performed, quality controls
done by ref laboratories
N° of children diagnosed and brought to care
Identification of 4-5 risk factors in the different
communities
N° of diets developed and applied for the care of
infants
N° of families reached by the preventive messages
PLAN OF ACTIVITIES
1. The European Laboratory for Food Induced
Diseases (ELFID) , from the University of
Naples Federico II, will take the burden of the
co-ordination of the activities.
2. In field training will be activated together
with an in build evaluation system.
3. The ‘hub & spoke’ methodology will be
adopted for the progressive training at
national level.
PLAN OF ACTIVITIES
4. Each Participant country will propose one
reference person for the project
5. In field training will be activated together
with an in build evaluation system.
6. MEDICEL will be related to the PREVENT-CD EU
Project and to the European Society for
Pediatric Gastroenterology and Nutrition
(ESPGHAN)
We have to implement innovative up-to-date
dissemination strategies
 Target : Health Professionall (all caders)
 Beneficiaries : At Risk Population
 Priorities : Infants and Children
• By
 WEB-Based national dissemination strategies
 Point-of-care networking
 Mobile Phone based High Tech
TIME TABLE OF MEDICEL PROJECT
R
1
2
•Start up & Planning- WEB site of Network
•Development of on-the-field evaluated guidelines
•Capacity Building & Knowledge sharing
•Development of a common data and bio bank
•Dissemination of diagnostic tools
•Development of sustainable strategies for the care of
food induced diseases patients
•Analisis of Genetic and environmental Risk factors
•Dissemination of results and reporting
3
4
5
6
R
7
8
R
R
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Next meeting: 15 September 2010
Waiting for you in NAPLES…..