2017 Kyoto Global Conference for
Rising Public Health Researchers“ Interdisciplinary Approach andCollaboration for Health for All ”
December 6-7, 2017
Yamauchi Hall, ShiranKaikan,
Kyoto University

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Top Global University Project / Japan Gateway Kyoto University Top Global ProgramNo participation fee / English only
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075-753 -4350
075-753 -4359
techasrivichien.teeranee.2a@kyoto-u.ac.jp
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2017 Kyoto Global Conference for
Rising Public Health Researchers“ Interdisciplinary Approach andCollaboration for Health for All ”
December 6-7, 2017
Yamauchi Hall, ShiranKaikan,
Kyoto University

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Message from the Dean of Graduate Schoolof Medicine Kyoto University
Shinji Uemoto, MD, PhD

Takeo Nakayama, MD, PhD

Dean, Graduate School of Medicine
Professor, Department of Hepatobiliary
Pancreatic Surgery and Transplantation
Kyoto University
Kyoto University Graduate School of Medicine takes pride in its ability to nurture anumber of international prize winners, such as the Nobel Prize in Physiology or
Medicine, and the Albert Lasker Award. We are constantly striving to encourage“theory to application” in advanced medical care and disease prevention, such as
fundamental principle of life phenomena, biomedical mechanisms, and risk factors of
diseases. While pushing forward to expand such world top-level research, Kyoto
University Graduate School of Medicine also endeavors in developing humanresource with high ethical standards and rich international mindset, not only with deep
knowledge in a specific area but with a broad transdisciplinary scope covering basic
biology, clinical medicine, and social medicine.
To further strengthen such social mission, the Graduate School of Medicine
participates in the "Kyoto University Japan Gateway Initiative (JGP)" as the Human
Bioscience Subunit since 2014, while actively promoting efforts to the development ofinternational joint education and degree programs targeting world-class research
institutions such as McGill University, Imperial College London, Pasteur Institute,Bordeaux University, and others. Through these efforts, by encouraging active
exchanges with overseas researchers and students, and fostering a friendly but
competitive environment with the world's top researchers, we aim to cultivate talent
with international competitiveness, who can contribute to the development ofinnovative pharmaceuticals, medical equipment, and regenerative medicine products
in Japan, and so aiming to further enhance the international reputation of theuniversity.
The host of this conference, the Kyoto University School of Public Health, as the first
and to date the largest School of Public Health in Japan since its founding in 2000,
has been boasting remarkable achievements representing our country, such as up to01

2017 Kyoto Global Conference for Rising Public Health Researchers

Message from the Dean of Kyoto University
School of Public Health

Dean, Kyoto University School of Public HealthProfessor, Department of Health Informatics

1900 peer-reviewed papers and the acquisition of 17 billion yen in competitive funds.
Their efforts in making their education and degree programs international as well asinterdisciplinary, with enthusiastic participation in university-wide cross-disciplinary
education programs, i.e. the introduction of international double degree programs withmultiple overseas universities, are highly appreciated by the university. Furthermore,
to promote student and faculty mobility with overseas universities, Kyoto University
School of Public Health is also actively engaging in joint research and education(super global course), organizing scientific short course series, and new degree
programs in public health field since entering the JGP in 2015.
This international conference is part of such efforts, bringing together rising publichealth researchers from premium universities overseas. I must congratulate the Schoolof Public Health for their success on the third KGC this year. The theme of this year is“Interdisciplinary Approach and Collaboration for Health for All” . Health problems are
becoming more and more complex and require a holistic and systematic approachfrom diverse stakeholders and expertise. It is therefore important, as this conference
allows us to gather here today, to share and exchange experience in our quest for thebest interdisciplinary and collaborative approach to tackle health problems to promotehealth for all, while also learning from each other, encouraging knowledge transfersfrom developed and developing countries. The associated programs, such as poster
session between students from Kyoto University and invited universities, as well as theexchanges between researchers and students, will also be a very important
opportunity to foster future researchers with international competitiveness.
Finally, I am very much confident that this event will not only create a global network
for public health researchers, but also develop a platform for long-term researchcooperation and development of joint research projects.

On behalf of Kyoto University School of Public Health, I
would like to welcome you all to the “2017 Kyoto Global
Conference for Rising Public Health Researchers (KGC)” .
Every year, the KGC brings together elites in public/global
health from leading academic institutions around the world,
particularly underscoring the participation of early career
researchers and students. As reflected by its name, thisconference’ s main aim is to nurture and empower early
career researchers and students by serving as a platform forthe exchange and sharing of ideas, experience, andsolutions to the increasingly challenging health problems ofthe 21th century. KGC is supported by the Japan Gateway
Kyoto University Top Global Program (JGP) sponsored by
the Ministry of Education, Culture, Sports, Science andTechnology (MEXT) Japan, which aims to enhanceinternational competitiveness of Kyoto University bypromoting international collaborative research projects andglobalization of educational programs.
Today we are hosting our third KGC, focusing on“Interdisciplinary Approach and Collaboration for Health forAll” , an important topic, globally challenging for bothdeveloped and developing countries in their own different
context.
Current health and medical issues are becoming far more
complex and difficult than ever. To tackle them, it is essentialthat people from various disciplines come together, tosynchronize, complement, and maximize each other’ s
potential. Collaboration encourages brainstorming,
constructive problem solving, and to ‘‘think outside of thebox’’ , to successfully pursue these goals. However, whenpeople from different backgrounds come together,collaboration is not always easy and requires sincere efforts
for mutual understanding and respect among the team. For
this reason, collaboration could be motivating, enabling
researchers to expand their perspectives and explore new
possibilities in their specialties. This KGC aims to offer avaluable opportunity for participants to reconsider thesignificance of interdisciplinary approach and collaboration
for health for all.
Health is a human right. We, Kyoto University School of
Public Health, along with other global actors, would like tocontribute to the improvement of the health and well-being
for all, in believing that this KGC will be a platform topromote the exchange of research, experience, challenges,
and hope for the future.
Along with the dialogue of these crucial public/global healthconcerns, I would like all participants to enjoy their stay in
Kyoto, a city that features both classic and innovative
components of Japanese culture and surely will be a place
for you to enjoy and to be inspired.

2017 Kyoto Global Conference for Rising Public Health Researchers

02

2017 Kyoto Global Conference for Rising Public Health Researchers

Schedule“Interdisciplinary Approach and Collaboration for Health for All”
December 6 -7, 2017
Yamauchi Hall, Shirankaikan, Kyoto University

December 6 (Wednesday)

By Kyoto University School of Public HealthOpening Session – Welcome addresses
9 : 30 - 9 : 40

Dean, Graduate School of Medicine, Kyoto University
Shinji Uemoto

9 : 40 - 9 : 50

Dean, Kyoto University School of Public Health
Takeo Nakayama

Keynote Speech
9 : 50 - 10 : 35

Global health in the context of population ageing: A research agenda
Director, WHO Centre for Health Development, Kobe
Dr. Sarah Louise Barber- Break -Session 1 – Health system and care
Session chairs: Noriko Sasaki (Kyoto University) and Shou-Hsia Cheng (National Taiwan University)
10 : 50 - 11: 20

Service-level selection: Strategic risk selection in Medicare advantage in response to risk adjustmen
Sungchul Park: Kyoto University and University of Washington

11: 20 - 11: 50

Standard of the Thai traditional medicine service in health promoting hospitals
in northern part of Thailand
Sasikorn Songkumchum: Mahidol University

11: 50 - 12 : 20

Changes to Geographic Distribution and Patterns of Inpatient Care in Small Hospitals in
Taiwan: 2004-2013
Raymond Nien-Chen Kuo: National Taiwan University

12 : 20 - 12 : 50

Can patients get providers to deliver better care? Evidence from a field experiment in Senegal
Roxanne J. Kovacs: London School of Hygiene & Tropical Medicine

Session 2 – Detection and prevention of diseases and their societal context
Session chairs: Teeranee Techasrivichien (Kyoto University) and Steven Cummins (London School of Hygiene & Tropical Medicine)
14 : 00 - 14 : 30

Socio-cultural and contextual factors related to vaccine hesitancy issues
on childhood immunization programs: A Malaysian parents' experience
Nur Hazreen Binti Mohd Hasni: Kyoto University

14 : 30 - 15 : 00

Performance of verbal autopsy methods in estimating HIV-associated mortality among adults in South Africa
Aaron Karat: London School of Hygiene & Tropical Medicine

15 : 00 - 15 : 30

What is the need for Primary Eye Care in the Rwandan Population?
Tess Bright: London School of Hygiene & Tropical Medicine

15 : 30 - 16 : 00

An integrative study on genetic and environmental determinants of chronic kidney diseasein the North Central Region of Sri Lanka
Shanika Nanayakkara: University of Sydney and Kyoto University Alumnus

Session 3 – Poster presentation
16 : 00 - 17: 00

Session 4 – Industrial activities and health
Session chairs: Hsiao-Yu Yang (National Taiwan University) and Kanchana Rungsihirunrat (Chulalongkorn University)
17: 00 - 17: 30

Serum metabolomics study of residents living near a petrochemical complex in Taiwan
Chi-Hsin Sally Chen: National Taiwan University

17: 30 - 18 : 00

Assessment of exposure to carcinogens among the work community in manufacturing sector - A Malaysian study
Jaseema Begum: University of Malaya

18 : 00 - 18 : 30

Optimum plantation area of Thai tapioca industry for food versus fuel productions
based on sustainable development approach
Thanakrit Neamhom: Mahidol University

19 : 00 ~Dinner Reception at Restaurant "La Tour", Clock Tower, Kyoto University- Lunch break -03

2017 Kyoto Global Conference for Rising Public Health Researchers

Poster presentation2017 Kyoto Global Conference for Rising Public Health Researchers04

2017 Kyoto Global Conference for Rising Public Health Researchers

Schedule“Interdisciplinary Approach and Collaboration for Health for All”
December 6 -7, 2017
Yamauchi Hall, Shirankaikan, Kyoto University

December 7 (Thursday)

By Kyoto University School of Public Health

Session 5 – Environmental safety: water and air
Session chairs: Koji Harada (Kyoto University) and Mathuros Tipayamongkholgul (Mahidol University)

15 : 00 - 16 : 00

Round table discussion“Interdisciplinary approach and collaboration for public health research and education”
Joined by all Deans and Vice Deans of Participating Universities
Moderated by Masahiro Kihara (Kyoto University) and Maznah Dahlui (University of Malaya)

Disaster drinking water treatment unit: Case study in Nepal
Bunyarit Panyapinyopol: Mahidol University

16 : 00 - 16 : 30

Best poster presentation award ceremony and closing
Moderated by Takeo Nakayama (Kyoto University)

Modeling temporal and spatial variability of traffic-related air pollution
in Taipei metropolis, Taiwan: Hourly land use regression models for PM 2.5
Jui-huan Lee: National Taiwan University

Satellite session

9 : 30 - 10 : 00

Using Google Maps to assess endemic fluoride areas in Lamphun province, Thailand
Nonthaphat Theerawasttanasiri: Chulalongkorn University

10 : 00 - 10 : 30

10 : 30 - 11: 00

Session 6 – Poster presentation
11: 00 - 12 : 00

Closing

17: 00 - 17: 30

Evaluation of the impact of a 10 pence levy on sugar-sweetened beverages on sales of
non-alcoholic beverages within a national chain of restaurants in the UK: interrupted
time series analysis of a natural experiment
Steven Cummins (London School of Hygiene & Tropical Medicine)

17: 30 - 18 : 00

Current understanding of agriculture-food systems in low and middle income countries
and research needs
Suneetha Kadiyala (London School of Hygiene & Tropical Medicine)

18 : 00 - 18 : 30

Innovation in conducting policy relevant population health research learning from crossnational comparisons: The Health Systems and New Models of Care Core (HSMCC),
The Singapore Population Health ImpRovement Centre (SPHERiC)
Helena Legido-Quigley (National University of Singapore Saw Swee Hock School of Public Health)

Poster presentation
Voting for “Best Poster Presentation” award closes at 14.00- Lunch break -Session 7 – Health and Quality Of Life
Session chairs: Norio Watanabe (Kyoto University) and Suneetha Kadiyala (London School of Hygiene & Tropical Medicine)
13 : 00 - 13 : 30

Related factors of quality of life among Indonesian elderly in nursing homes
Bayu Anggileo Pramesona: Chulalongkorn University

13 : 30 - 14 : 00

Effect of posttraumatic stress disorder on sleep quality and quality of life among
urban firefighters, Thailand
Chinchuta Khumtong: Chulalongkorn University

14 : 00 - 14 : 30

The PEACE Initiative – Addressing elder abuse and neglect using an interdisciplinary approach
Raudah Mohd Yunus: University of Malaya

14 : 30 - 15 : 00

Knowledge translation: Connecting knowledge creators to the world
Muhd Zulfadli Hafiz Ismail: University of Malaya

05

2017 Kyoto Global Conference for Rising Public Health Researchers

2017 Kyoto Global Conference for Rising Public Health Researchers

06

Keynote Speech

Global health in the context of
population ageing: A research agenda
Sarah Louise BarberService-level selection: Strategic risk selectionin Medicare advantage in response to risk adjustment

Director
World Health Organization Centre for Health Development(WHO Kobe Centre) / Japan

Sungchul Park

Dr Sarah Louise Barber is a health economist and policy specialist, and holds doctorate and post-doctorate
qualifications from the University of California, Berkeley, USA, focusing on economic evaluation. Before becoming
Director of the WHO Kobe Centre, she worked on strategic policy issues with the World Health Organization, including
as Senior Health Policy Advisor in the Office of the Regional Director for Africa, WHO Representative to South Africa,
Team Leader for Health Systems Development in China, and Health Policy Advisor in Indonesia and Cambodia. Prior
to working with WHO in China, she was managing evaluation research at the University of California Berkeley’ sInstitute of Business and Economic Research, and the National Institute of Public Health in Mexico.
In South Africa, China, Indonesia, and Mexico, she developed programs of technical cooperation and research toadvance reforms to achieve universal health coverage. Over the past 25 years, she has published widely on diverse
topics in health economics and policy analysis, including the role of the private health care sector, conditional cashtransfers, human resources, insurance and provider payment reforms, quality of care assessments, policies foressential medicines, monitoring and evaluation, migration, and fiscal policies.
A native English speaker, she enjoys learning languages and has studied Spanish, Khmer, Thai, and Indonesian.

PhD candidate
Department of Health Services
University of Washington / USA

Sungchul is a PhD candidate in the Department of Health Services at the University of Washington. He obtained his
dual bachelor degrees in Economics and Financial Engineering from Korea University, South Korea and completed
his master degree in Public Health (Healthcare Economics and Quality Management) at Kyoto University.
His research sits at the intersection of microeconomics, statistics, and health policy. Within the field of health policy,
he is researching care delivery innovations and payment reforms, incentive-based policies, and policy evaluation.
Methodologically, his research focuses on predictive modelling with machine learning, modelling healthcare
expenditures, and big data analytics. His dissertation focuses on understanding the impact of risk-selection behaviors
on access to care as well as developing better anti-selection policies, known as risk adjustment, in Medicare
managed care plans, known as Medicare Advantage (MA) plans.

ABSTRACTABSTRACTThe global health landscape is undergoing great change.
Successes in public health have resulted in increasing life
expectancy and rapidly ageing populations. The Asia Pacificregion is ageing more rapidly than many other parts of theworld. The implications will be profound for every sector ofsociety, requiring policy makers to reframe their thinking
about the design of health systems to enable older
populations to thrive. With increasing demand for more anddifferent kinds of services, an imperative is shifting resources
towards primary care for the prevention and comprehensive
care of people with chronic conditions. Major innovations areunderway that accelerate progress in attaining universal
health coverage for older populations. The renewed

07

2017 Kyoto Global Conference for Rising Public Health Researcherscommitments under the Sustainable Development Goals
offer a unique opportunity to invest in the foundations forhealthy communities and societies.

The Centers for Medicare and Medicaid Services (CMS) has
phased in the Hierarchical Condition Categories (HCC) risk
adjustment model during 2004-2006 to more accurately
estimate capitated payments to Medicare Advantage (MA)plans to reflect each beneficiary’s health status. However, it isdebatable whether the CMS-HCC model has led to strategic
evolutions of risk selection. We examine the competing claimon the effectiveness of the CMS-HCC model tocomprehensively understand strategic risk selection
behaviors of MA plans. We find that the CMS-HCC model
reduced the phenomenon that MA plans avoid high-costbeneficiaries in traditional Medicare plans, whereas it led toincreased disenrollment of high-cost beneficiaries, conditional
on illness severity, from MA plans. We explain thisphenomenon in relation to service-level selection. First, weshow that MA plans have incentives to effectuate risk selection
via service-level selection, by lowering coverage levels forservices that are more likely to be used by beneficiaries who
could be unprofitable under the CMS-HCC model. Then, we
empirically test our theoretical prediction that compared to thepre-implementation period (2001-2003), MA plans have raised
copayments disproportionately more for services needed byunprofitable beneficiaries than for other services in the
post-implementation period (2007-2009), thereby inducing
unprofitable beneficiaries to voluntarily disenroll from their MA
plans. Further evidence supporting this selection mechanismis that those dissatisfied with out-of-pocket costs were more
likely to disenroll from MA plans. We estimate that suchstrategic behavior led MA plans to save costs of $5.2 billion in
2007-2009. To counter service-level selection, it may be ofvalue to develop a better risk adjustment model that not only
conditions on each beneficiary’s health status but also reflects
each beneficiary’s service-level propensity of service use.

2017 Kyoto Global Conference for Rising Public Health Researchers

08

Standard of the Thai Traditional Medicine Service in
Health Promoting Hospitals in Northern part of Thailand
Sasikorn Songkumchum

Changes in Geographic Distribution and Patterns ofInpatient Care in Small Hospitals in Taiwan: 2004-2013

Master of Public Health Candidate
Faculty of Public Health
Mahidol University / Thailand

Raymond Nien-Chen Kuo

Ms Sasikorn Songkumchum is a student in the Master Program of Public Health, Mahidol University. She is apharmacist and started working at the Department of Consumer Protection and Public Health Pharmacy, Mae Hong
Son Provincial Health Office, soon after she got her bachelor’ s degree from Chiang Mai University in 2014. Her
current research is focused on Thai traditional medicine service in health promoting hospital.

ABSTRACT
Thai traditional medicine (TTM) is a part of the healthcare system inThailand. As the primary care unit in Thailand, Health Promoting
Hospital (HPH) has been promoting TTM service to treat common
illnesses and to reduce burden of secondary care unit. Thiscross-sectional study aim to explore the coverage of TTM service andassess standard of Thai traditional medicine services in the HPHs
according to the Thai traditional medicine and integrative medicine
promoting hospital standard (TIPhS) which consisted of five parts:
place, providers, performance, quality control, and services. The
overall percentage was classified into five levels: excellent (>90%), very
good (80-89%), good (70-79%), basic (60-69%), andnon-standardized (<60%). The questionnaire was mailed to 395
representative of the HPHs in northern region of Thailand and 168
HPHs were responded (response rate 46.8%). The representatives
were HPHs personnel who conduct TTM in the HPHs.
The results found that 162 HPHs (96.4%) provide TTM services. 45.7%
met the criteria of TIPhS guideline as the standardized HPH: 12.3%

092017 Kyoto Global Conference for Rising Public Health Researchers

Assistant Professor,
Institute of Health Policy and Management, College of Public HealthNational Taiwan University / Taiwan

Raymond N. Kuo is Assistant Professor at Institute of Health Policy and Management, National Taiwan University. Dr.
Kuo received his B.S. in Public Health and M.S., Ph.D. in Healthcare Organization Administration from National Taiwan
University, Taiwan. His major research interests include risk adjustment methodology for quality and cost in
healthcare, comparative effectiveness research (comparing the effectiveness, benefits, and harms of different
treatment option or policy interventions for a specific group of people), and the reform of health insurance systems
and its impact on quality and delivery of healthcare. Dr. Kuo’ s current research projects focus on the impact of
National Health Insurance on the efficiency of the healthcare system.

ABSTRACT
excellent, 10.5% very good, 14.2% good, and 8.6% basic.
Considering, the contributing factors to TTM services in HPHs were asthat significantly associated with a standard of TTM services of HPHs
were as follows: Every HPH that had the health staff with bachelor
degree in TTM field passed TIPhS. Also, having herbal medicines morethan 10 items (OR 3.90, 95% CI 1.87 – 8.14), the responsible personwith TTM services experience (OR 3.42, 95% CI 1.70 – 6.88), and theadministration in provincial level (OR 3.25, 95% CI 1.62 – 6.52).
The study findings led to the recommendations that TTM board inregional health level should set a policy and transfer to provincial levelto support herbal medicine prescription in HPHs including enhance
health provider capability in TTM services i.e., the training programs for
TTM assistants to improve massage skill, training of registered nurses
to be able to diagnose and prescribe herbal medicine to treat primary
illnesses while monitoring and evaluation continuously forsustainability.

Introduction: The number of small community hospitals has gradually dropped since theimplementation of National Health Insurance in 1995. Most hospitals have been adopting
strategies aimed at expanding capacity; due to the fact the existing payment schemes
favor large hospitals, competition within the market, and consumer preferences.
Numerous small community hospitals have closed due to poor management or factors
pertaining to economies of scale. Previous researchers have reported on the generalexpansion of hospitals over time; few studies have explored the geographic distribution or
patterns in inpatient care in small community hospitals operating in this environment.
Methods: In this study, we employed the National Health Insurance Database to explore
secular trends and geographic distribution of inpatient care in small community hospitals
between 2004 and 2013. Geographic distribution was measured according to theurbanization (high, medium, and low) of sub-medical regions in which hospitals arelocated. Patterns of inpatient care were examined from two dimensions: 1) number ofdiagnosis-related-groups (DRGs) among inpatient claims reflecting the complexity ofcases; and 2) case-mix index (CMI) of inpatient cases reflecting the severity of diseases
and intensity of health care services.
Results: The number of small community hospitals in Taiwan dropped from 458 in 2004

to 368 in 2013. Areas of low urbanization presented the highest percentage of hospitals
that were forced to close (27% compared to the number of hospitals in 2005). We also
observed a gradual decrease in the number of DRGs. In 2013, the inpatient cases in small
community hospitals included only a small number of DRGs: high-urbanization areas(average of 76.6 DRGs) and low-urbanization areas (139.9 DRGs), compared to medical
centers (634.5 DRGs) and regional hospitals (472.0 DRGs). During the study period, the
CMI of small community hospitals increased from 0.988-1.022 (2004) to 1.128 -1.212(2013), whereas the increase in CMI in medical centers and regional hospitals was lessthan 7% during the same period.
Conclusions: This study revealed a dramatic decrease in the number of small community
hospitals in Taiwan between 2004 and 2013. The number of DRGs claimed by small
community hospitals also decreased over time; however, the average scores on CMI
presented a gradual increase. These findings indicate that small community hospitals are
becoming increasingly specialized, particularly in areas of high urbanization. This raises
concerns as to whether the closure and transformation of small community hospitals will
exacerbate inefficiencies in the delivery of healthcare in Taiwan.

2017 Kyoto Global Conference for Rising Public Health Researchers

10Can patients get providers to deliver better care?
Evidence from a field experiment in Senegal
Roxanne Kovacs

Socio-cultural and contextual factors related to vaccine hesitancy issues
on childhood immunization programs: A Malaysian parents' experience

Research Assistant
Department of Global Health and Development
London School of Hygiene & Tropical Medicine / UK

Nur Hazreen Binti Mohd Hasni

Roxanne Kovacs is a research assistant at the London School of Hygiene and Tropical Medicine. She holds a
Bachelors in Philosophy, Politics and Economics from the University of York and a Masters in International
Development from Sciences Po Paris. She is currently pursuing a PhD in Health Economics as a member of staff.
Roxanne currently works on issues related to health worker performance and quality of care in low and middle-income
countries. She is interested in the behaviours and preferences of health care providers, as well as how thesebehaviours and preferences affect patients and health outcomes.

ABSTRACT
Background: The quality of medical care being provided in low andmiddle-income countries (LMICs) is worryingly poor. Most recent interventions
aimed at improving the quality of care in LMICs focus on health providers. Sometry to improve provider’s clinical knowledge through further education or theprovision of guidelines. Others attempt to improve their working environment by
providing supervision and feedback. Yet another set of interventions attempt toimprove provider performance through financial incentives.
Unlike much of the research that is currently being conducted in LIMICs, thispaper focuses neither on health facilities nor on health providers. It instead
explores how quality of care could be improved by involving patients in medical
consultations. This study investigates patient’s potential to improve the quality oftreatments they receive. We test whether patients who provide more relevant
information at the start of their consultation receive higher quality care.
Methods: Our study was conducted in 134 randomly selected primary healthfacilities in rural Senegal. We design a simple field experiment where we train
standardised (fake) patients to systematically vary the amount of information
volunteered to providers at the beginning of the consultation. The patients112017 Kyoto Global Conference for Rising Public Health Researchers

Master of Public Health Candidate
Department of Global Health and Socio-epidemiology
School of Public Health, Graduate School of Medicine, Kyoto University / Japan

Dr. Nur Hazreen received her M.D. degree from Padjadjaran University, Bandung, Indonesia and completed her
clinical internship training at Hospital Tengku Ampuan Afzan, Pahang, Malaysia. She worked as general physician atgovernment healthcare facilities including tertiary hospital, district hospital, and primary health clinic. Her basic
research interests were mainly on neurovascular and cardiovascular imaging in collaboration with biomedical
engineering expert. In addition, she was also involved in a district and state health’ s survey on child morbidity andmortality. She has a strong research network with public university academics under Ministry of Education, Malaysia
and public hospital clinicians under Ministry of Health, Malaysia.
Currently, she is pursuing a M aster of P ublic H e alt h D egre e at t he D epar t m ent of G lobal H e alt h a nd
Socio-epidemiology, School of Public Health, Graduate School of Medicine, Kyoto University, Japan since April 2016.
Her current research interest includes global health, infectious disease epidemiology, and specifically focused on
vaccine hesitancy issues towards childhood immunization.

ABSTRACT
portray a classic case of tuberculosis (TB).
In the experiment, for any given visit, patients had to use one of two opening
statements to describe their chief complaint, a detailed statement (“I have been
coughing for 2 weeks now. Sometimes when I cough, I see traces of blood. I
have also lost weight.”) or a generic one (“I have been coughing for 2 weeks now
and I don’t feel good.”). The statements were randomised at the patient level.
Results: Our results indicate that treatment quality increases by 20% when
patients volunteer the key characteristic symptoms of TB, when asked about
their chief complaint at the beginning of the consultation. This suggests that if
patients were to communicate relevant symptoms to their provider, this could
substantially improve treatment quality in LMICs. Policymakers might therefore
want to consider designing public awareness campaigns that not only
encourage patients to seek care when they notice specific danger signs, butalso encourage patients to tell their provider that they are having these
symptoms.

Introduction: Globally, 1.5 million children die every year because of diseases which can beprevented by the existing vaccines. The increased number of parents with children aged
below two years refusing vaccination in Malaysia is worrisome. Vaccine hesitancy is a threat
in combating vaccine-preventable disease which had been studied extensively in westerncountries, but lesser in south-east Asia country. Hence, this study aims to assess thesocio-cultural and contextual factors related to vaccine hesitancy in Malaysia. We hope ourstudy assists the government, private agencies, and health-related institutions towards
improving supports and services for the parents in order for the wellbeing of children.
Methodology: In-depth interviews were conducted among pregnant woman from Kuantan
District, Pahang aged above 18 years, through convenience and purposive sampling method.
Interviews were preceded by an informed consent, demographic information questionnaire,and Vaccine Confidence Index (VCI) questionnaire. All interviews were audio recorded andconducted among number of participants until reaching data saturation. Thematic analysis
was applied to generate codes and themes, with investigator triangulation for consensus toensure data validity.
Results: a) Demographic results - Twenty seven pregnant women (24 Malays, 2 Chinese, 1
Indian) were interviewed with the average age of 31.4 ± 4.2 years. The majority of participants

had high school as the highest educational level (55.6%), and 51.9% were employed forwages, majority of participants had lower income per month (66.7%%). Majority 48.1% ofhousehold vaccination decision making were done by both parents. Majority 55% of theparent has vaccine hesitancy, 20% of accept vaccine parent has moderate confidence (VCI
score 2) and 20% of parent with high confidence has delay and refuse vaccination for theirchildren. b) Qualitative results - The emerging themes were summarized into four maincategories namely, i) Confidence ii) Complacency; iii) Convenience. Of these, we identified
factors promoting vaccine hesitancy was due to political affiliation, poor perceived vaccine
hesitancy, paternalistic influence, halal status, and negative information. We found that factors
inhibits vaccine hesitancy includes government clinic are convenience, social media
increased awareness, high trust and good relationship with medical personnel. The
alternatives for vaccination are vary and mostly had religious influence. The socio-cultural andcontextual factors effects on childhood vaccination are in equal, which might give an impact
to future generations.
Conclusion: Parents shared similar backgrounds of beliefs and cultures tend to have similar
thoughts about childhood vaccination. Self-reported parental vaccine hesitancy remains a
problem in Malaysia which can give an impact for health outcomes among children.

2017 Kyoto Global Conference for Rising Public Health Researchers12Performance of verbal autopsy methods in estimating
HIV-associated mortality among adults in South Africa
Aaron Karat

What is the need for Primary Eye Carein the Rwandan population?

Clinical Research Fellow
London School of Hygiene & Tropical Medicine / UK

Tess Bright

Aaron Karat is a clinical research fellow at the London School of Hygiene & Tropical Medicine. He is a physician with
an MSc in Tropical Medicine & International Health and has just completed a PhD in Public Health at LSHTM. He has
worked in South Africa since 2012, mostly under Prof Alison Grant, on projects relating to the diagnosis and treatment
of TB in HIV-positive people; his PhD focused on methods used to estimate causes of death in HIV-positive adults inlow- and middle-income countries. His research interests include TB diagnostics, clinical algorithms, pragmaticstudies, and health systems interventions.

ABSTRACT
Background: HIV-associated mortality is difficult to measure; greater access to antiretroviral therapy(ART) is changing disease and mortality patterns. Verbal autopsy (VA) is to be integrated into civil
registration systems, but has not undergone robust validation for HIV-associated causes of death. This
study assessed the sensitivity and specificity of VA questions in detecting HIV status and ART initiationand compared HIV-associated mortality fractions assigned by four VA interpretation methods.
Methods: In three provinces of South Africa, adults (≥18 years) were included who died either after
enrolment to one of three tuberculosis studies (HIV-positive) or in public hospitals (HIV-negative). HIV
status was confirmed on rapid or enzyme-linked immunosorbent assay testing; all HIV-negative
individuals tested negative less than 12 months prior to death. The 2012 World Health Organization VA
instrument was used with questions added around ART; causes of death were assigned using
physician-certified (PCVA) and computer-coded (CCVA) methods (InterVA-4.03 and SmartVA-Analyze
versions 1.1.1 and 1.2.1). Specificity of VA questions was estimated compared with HIV or ART status
and individual- and population-level agreement estimated between PCVA and CCVA methods.
Results: Four hundred and fifty-nine adults were included: 356 (77.6%) HIV-positive and 103 (22.4%)
HIV-negative; 240 (52.3%) decedents were female and the median age was 41.5 (interquartile range[IQR] 34–52) years. Median time from death to VA was 218.5 (IQR 106–325) days; among HIV-negative
individuals, median time from negative HIV test to death was 14 (IQR 5–59) days. Sensitivity of VA

13

2017 Kyoto Global Conference for Rising Public Health Researchers

Research Assistant and PhD Candidate
London School of Hygiene & Tropical Medicine/ UK

Tess Bright is a Research Assistant and PhD candidate based in the International Centre for Evidence in Disability at
London School of Hygiene & Tropical Medicine. Tess has an MSc Public Health from London School of Hygiene &Tropical Medicine and a Masters of Clinical Audiology from University of Melbourne, Australia.
Her main research interests are in disability in low and middle income countries, with a particular interest in how to
improve access to hearing and vision services. She has previously worked in Vietnam and East Timor conducting
clinical training in audiology. Tess is currently working on two research projects: a feasibility study in Malawi aiming to
improve uptake of ear and hearing services for children using a low-cost intervention; and a population-based survey
in Rwanda that aims to understand the population need for, and evaluate the impact of, primary eye care.

ABSTRACTquestions in detecting HIV status and ART initiation was 84.3% (95% confidence interval [CI] 80–88)
and 91.0% (95% CI 86–95), respectively; 283/356 (79.5%) HIV-positive adults were assigned an
HIV-associated cause of death by PCVA, 166 (46.6%) by InterVA-4, and 80 (22.5%) and 289 (81.2%) by
SmartVA-Analyze versions 1.1.1 and 1.2.1, respectively (Figure 1). Individual- and population-levelagreement between PCVA and InterVA-4 and PCVA and SmartVA-Analyze v1.1.1 were poor(chance-corrected concordance [CCC] −0.03 and −0.52 and cause-specific mortality fraction [CSMF]
accuracy 56% and 28%, respectively). Agreement was better between PCVA and SmartVA-Analyze
v1.2.1 (CCC 0.75; CSMF accuracy 96%). All VA methods were highly specific in assigning an
HIV-associated cause of death (specificity 89%–96%).
Conclusions: InterVA-4 and SmartVA-Analyze v1.1.1 markedly underestimated the HIV-associatedmortality fraction. SmartVA-Analyze v1.2.1 estimates were closer to PCVA than v1.1.1, but the reasonsfor differences in assigned mortality fractions are not clear. Undercounting HIV-associated deaths may
have serious implications for funding allocation and a negative impact on efforts to reduce earlymortality in resource-limited settings. To track progress towards targets for reducing mortality in thecontext of a rapidly evolving epidemic, changes to VA methods and classification systems are neededthat allow enumeration of all deaths among HIV-positive individuals.

Background: Universal access to Primary Eye Care (PEC) is a key global initiative to
reduce and prevent avoidable causes of visual impairment (VI). PEC can address minor
eye conditions and simple forms of uncorrected refractive error (URE) at the community
level, and create a referral pathway for specialist eye care. PEC offers a potential
solution to a lack of eye health specialists in low-and middle-income countries. There islittle information on the population potential to benefit from PEC, including prevalence of
URE in all ages in Sub-Saharan Africa. In Rwanda, PEC at health-centre level has
recently been introduced through a public-private partnership between the
Non-Governmental Organisation, Vision for A Nation (VFAN), and the Rwandan Ministryof Health (RMoH).
Methods: A national survey was conducted of people aged ≥7 years, using a 2-stage
probability-proportional-to-size sampling and compact segment sampling process.
Need for PEC was defined using the Rwandan PEC curriculum as participants with:
URE, presbyopia with good distance vision, VI requiring referral, or minor eye
symptoms. VI was assessed using the tablet-based application, Portable Eye
Examination Kit; URE was detected using pinhole. Presbyopia was assessed using a
local near vision reading test. We collected information on sociodemographics andminor eye symptoms using validated questionnaires. Prevalence estimates were age
and sex standardised to the Rwandan population. Associations between age, sex,socio-economic status and the key outcomes were examined using logistic regression.
Results: 4618 participants were examined and interviewed (86% response rate). The
adjusted prevalence of VI was 3.7% (95%CI=3.0-4.5%), URE was 2.2%
(95%CI=1.7-2.8%). The overall adjusted need for PEC was 34% (95%CI=31.8-36.4%).
Women and older people were more likely to need PEC. The need for PEC was driven
mainly by presbyopia and symptoms.
Conclusions: Nearly one third of the population in Rwanda has the potential to benefit
from PEC, with greater need identified in older people and women. Health insurance
coverage was high and not associated with PEC need, suggesting that financial barrierson the supply-side may not be an issue for accessing PEC in Rwanda. Attitudes towards
eye care suggest older people may not seek eye-care or accept treatment despite poor
eyesight. Thus, further community-level education is necessary. Universal access to
PEC can address the unmet eye health needs found in this population. VFAN and RMoH
should ensure equitable access to PEC for those groups with greater need.

2017 Kyoto Global Conference for Rising Public Health Researchers14

An integrative study on genetic and environmental determinantsof chronic kidney disease in the North Central Region of Sri Lanka
Shanika Nanayakkara

Serum metabolomics study of residents living
near a petrochemical complex in Taiwan

Lecturer
Faculty of Dentistry
The University of Sydney / Australia

Chi-Hsin Sally Chen

Dr Shanika Nanayakkara is a researcher and academic at the Faculty of Dentistry, The University of Sydney. She
graduated with a Bachelor of Medicine, Bachelor of Surgery from the University of Peradeniya, Sri Lanka in 2006 andreceived her PhD in the field of public health from Graduate School of Medicine, Kyoto University as a JSPS research
fellow. Her research focuses on understanding the pathological process and contributory factors of chronic kidneydisease of unknown aetiology (CKDu) in Sri Lanka which is a major non-communicable disease in the country.
Dr Nanayakkara joined The University of Sydney as a postdoctoral researcher supported by the Bela Schwartz
Foundation in 2013. She took the initiative and established the first Dental Biobank at Westmead which functions as apart of the Westmead Precinct Biobanking Consortium. Currently, she is a teacher and a study unit coordinator at The
University of Sydney. She is also involved in continuing professional development (CPD) courses to dental
professionals.

ABSTRACT
Background: Chronic kidney disease of uncertain aetiology (CKDu) in areas in and around North Central
Province in Sri Lanka has been identified as a major con-communicable disease due to the highprevalence, morbidity and mortality incurring a substantial burden on the public health system.
Controversial evidence on aetiology and risk factors of CKDu has created much debate over last two
decades. The aim of this study was to systematically investigate the possible effects of genetic andenvironmental factors on pathogenesis of CKDu.
Methods: Blood and urine samples with relevant demographic and clinical data were collected from 311
case-series male patients and 504 apparently healthy male controls from Girandurukotte (GD) and
Medawachchiya (MW), two areas with high disease prevalence. A genome-wide association study(GWAS) was conducted to determine the genetic contributors (n=597; 311 cases, 286 controls). Urine(n=101; 47 cases, 54 controls), drinking water (n=31), rice (n=53; 37 from affected areas, 16 from
non-affected areas) and hair samples (n=92; 20 cases and 76 controls) were analysed to assess thepossible heavy metal and fluoride exposures. Histopathological (n=64) and electronic microscopic
analysis (n=5) of renal biopsies from CKDu patients was performed to further evaluate the pathologicalprocess. Collected serum samples were further analysed for immunoglobulin-G (IgG) antibodies forhanta viruses and urine samples (n=41; 31 cases 10 controls) for aflatoxins, ochratoxins and fumonisins.
Results and Discussion: Histopathological analyses provided evidence on tubulointerstial damage as15

2017 Kyoto Global Conference for Rising Public Health Researchers

PhD Candidate
Institute of Occupational Medicine and Industrial Hygiene
National Taiwan University / Taiwan

Chi-Hsin Sally Chen has a bachelor’ s degree in pharmacy, and master’ s in pharmacology. She is a PhD candidate
at the Institute of Occupational Medicine and Industrial Hygiene, College of Public Health, National Taiwan University.
Her research focuses on metabolomics of petrochemical complex emissions, which could provide insight on theadverse health effects of industrial pollution.

ABSTRACTthe major pathological lesion in CKDu. This study did not find evidence of a founder mutation involved inpathogenesis of CKDu. The GWAS yielded a genome-wide significant association with CKDu for a single
nucleotide polymorphism (SNP; rs6066043; p=5.23 × 10(-9) in quantitative trait locus analysis; p=3.73 ×10(-9) in dichotomous analysis) in SLC13A3 (sodium-dependent dicarboxylate transporter member 3).
The population attributable fraction and odds ratio for this SNP were 50% and 2.13. Indirect
Immunofluorescence antibody Assay demonstrated higher seropositivity among CKDu cases thancontrols with adjusted (for age, occupation, smoking and alcohol consumption) odds ratio of 2.29. .
Heavy metal concentration in rice and drinking water samples were within recommended values. Urineand Environmental and biological sample analysis did not provide evidence on involvement of heavy
metals and mytoxins in pathogenesis of CKDu. It is noteworthy that 43% of apparently healthy males
recruited as the controls for the study were excluded due to evidence of undiagnosed hypertension,
diabetes or renal function impairment.
Overall, the observations of this comprehensive study discard the hypotheses of involvement of heavy
metals and mycotoxins in pathogenesis of CKDu. The study identified genetic predisposition and hanta
virus infection as attributable factors. Further, this evidence strongly recommends a systematic approachfor prevention and early detection of non-communicable diseases such as hypertension, diabetes and
CKD in this region.

Background/Aim: Our previous study identified urine metabolic changes that could
associate multiple air toxics exposure with oxidative stress in residents living near apetrochemical complex in Taiwan. This study aims to establish a more comprehensive
metabolite profile by analyzing serum samples using two mass spectrometry platforms,
and identify additional metabolic changes that could link exposures to early healtheffects.
Methods: We selected study subjects from a prospective cohort of residents that have
lived for more than 5 years near the complex. We classified study subjects as high (n=111)
or low exposure group (n=141) by the distance from their homes to the complex. Study
subjects’ external exposure levels of heavy metals and polycyclic aromatic hydrocarbons(PAHs) were estimated using dispersion and kriging models, respectively. Individual’sinternal exposures include urine and serum heavy metals, and urine PAHs exposure
biomarker 1-hydroxypyrene (1-OHP). Individual’s early health effects will be determinedby urine oxidative stress biomarker, and serum sphingolipids, phosphatidylcholines, andacetyl carnitines. Serum metabolomics will be analysed using GCxGC-TOFMS and
UPLC-qTOFMS, and we will apply “meet-in-the-middle” approach to find potential
metabolites that could serve as putative intermediate biomarkers linking exposures withearly health effects through plausible exposure-related pathways.
Results: Internal exposure results showed that compared to low exposure group, highexposure group had significantly elevated ambient levels of vanadium, pyrene,
fluoranthene, and dibenzo[a,h]anthracene at home addresses, and increased urine
concentrations of 1-OHP, vanadium, nickel, copper, arsenic, strontium, cadmium,mercury, and thallium. We used PLS-DA and ANCOVA to analyze preliminary targeted
serum metabolomics results from UPLC-qTOFMS in order to identify exposure-related
metabolites. Results showed clear separation between high and low exposure groups inchildren but not in elderly study subjects. Potential metabolites responsible for thisseparation are also involved in exposure-related pathways identified in our urine
metabolomics study such as alanine, aspartate, and glutamate metabolism, and oxidative
stress-related pathways such as anti-oxidant glutathione metabolism.
Conclusions: Due to the significant contrast of exposure levels between high and low
exposure groups, we expect our serum metabolomics results to show clear separation of
metabolite profiles between the two groups. The metabolites responsible for thisseparation may be used to identify potential exposure-affected biological pathways that
could be linked to early health effects.

2017 Kyoto Global Conference for Rising Public Health Researchers

16Assessment of Exposure to Carcinogens among theWork Community in Manufacturing Sector - A Malaysian Study
Jeseema Begum

Optimum plantation area of Thai tapioca industry for food versus
fuel productions based on sustainable development approach

Doctoral candidate
Department of Social and Preventive Medicine
University of Malaya / Malaysia

Thanakrit Neamhom

Dr Jaseema Begum received her M.D from University Science of Malaysia (2004) and completed her Masters in
Community Health Science (Occupational Medicine) at National University of Malaysia (2011). She later completed her
Master in Public Health (2015) and is currently pursuing a Doctorate in Public Health at University of Malaya. She hasserved for several years at the Ministry of Health and Ministry of Human Resources in Malaysia. She was appointed
Director of Occupational Health Division, at the Department of Occupational Safety and Health in Malaysia(2010 -2014). During this period, she was actively serving in the area of occupational health related policy
development, occupational diseases investigation and prevention, management of HIV/AIDS at workplace,
improvement of Small and Medium scale industries, research coordination and various health promotion activities.
She was also involved in participating and organizing ASE AN programmes related to occupational healthmanagement. She is the Honorary Secretary for Society of Occupational and Environmental Medicine, Malaysian
Medical Association since 2016. Her current research interest is in the area of occupational exposure to carcinogens.

ABSTRACT
Background: It is predicted that the burden of occupational cancer in
middle-income countries will show an estimated increase of 78% by 2030, as
compared to cases recorded for 2008. The problem of occupational cancer can bebetter managed or prevented through proper estimation and understanding ofcarcinogens exposure within workplace settings. Manufacturing sector in Malaysia
is the largest in terms of economic contribution and employment rate, as comparedto other work sectors. The situation on exposure of manufacturing employees in the
country to carcinogens however, is a much lesser known issue. The aim of this study
is to investigate the prevalence of occupational exposure to carcinogens and its
associated factors among manufacturing employees in Malaysia.
Methods: A total of 1291 manufacturing employees who have participated in the
Health Screening Programme of the Social Security Organization (SOCSO) were
included in this cross-sectional study. Advance letters were posted to respondents.
They were then called to participate in Computer Assisted Telephone Interview(CATI) and assessed using the Malaysian version of web-based automated expert
assessment method (OccIDEAS). Respondents were asked about their specific job
tasks and exposure assessment to carcinogens was carried out through predefined172017 Kyoto Global Conference for Rising Public Health Researchers

Lecturer
Department of Environmental Health Sciences
Mahidol University / Thailand

Dr. Neamhom is a lecturer in the Department of Environmental Health Sciences, Mahidol University, Thailand. He
obtained a Bachelor of Public Health with second class honors in the major of environmental health and completed a
Ph.D. in Environmental Technology at Mahidol University, Thailand. In 2014, he received a research financial support
from the Office of Energy Policy and Planning, Thailand Ministry of Energy to conduct research about carbon
movement in renewable energy productions from sugarcane and tapioca using the concept of a Carbon-Balanced
Model. With the research experiences, he conducted various research in public health, environmental health, andenvironmental sciences for Thailand Ministry of Energy and others. His areas of interest include sustainable
development program, cleaner production, energy efficiency campaign, and others. He has publications in topics
such as cleaner production programs of carbon emission reduction for Thai sugarcane industry. Moreover, he has
been doing the research about environmental science for pollution controls within the topic related to phosphorus
flows to Thai estuaries in the inner gulf of Thailand.

ABSTRACTalgorithms within OccIDEAS. The findings were analysed for 501 eligible
respondents, resulting in an overall response fraction of 51.3%.
Result: The study estimated that 78.8% of respondents were occupationally
exposed to at least one carcinogenic agent. High risk of exposure prevalence wasrecorded for 51.9% of respondents. Risk of exposure was the highest for toluene(33.1%), diesel exhaust (31.5%) Environmental Tobacco Smoke (30.1%), graveyard
shift work (11.6%) and other solvents (2.8-9.6%). Prevalence of exposure to at least
one carcinogenic agent was found to be associated with the male gender(OR 1.62, 95% CI 1.05-2.49), Malay ethnicity (OR 2.49, 95% CI 1.39-4.44) andduration of working for more than 30 years (OR 2.46, 95% CI 1.03-5.89).
Conclusion: Findings of this study indicate that high prevalence of exposure tooccupational carcinogens among manufacturing employees in Malaysia is ofconcern. The data is an important addition to the scientific literature and suitable tosubstantiate relevant occupational health policy planning. Further research is also
required on targeted preventive or intervention measures, aimed to reduce
occupational exposure to carcinogens among manufacturing employees, andsubsequent risk of occupational cancer.

Tapioca is used by humans as a as food source and also as a fuelfor machine operation. The objectives of this study are to find the
optimum land area of tapioca cultivation for food (starch and pellets)and fuel (bioethanol) based on Carbon Equivalences (CE) and Net
Energy Values (NEV). Employing the concept of a Carbon-Balanced
Model (CBM) for Thailand, the net carbon emissions are found to be+189.6, +135.2, and -596.4 kg CE.ha-1y-1 for starch, pellets, andbioethanol productions, respectively. The positive sign reveals thatthe production process emits carbon to the atmosphere; whereas,
the negative sign indicates potential carbon emission reduction to
help in climate change mitigation. In the agricultural phase, thehighest carbon emission is attributed to the application of chemicalfertilizers which accounts for 76% of total emissions. Consumption ofdiesel fuel and electrical energy results in major emissions in theindustrial phase. In term of NEV, all production chains were found to
gain energy in the amount of +8.8, +4.9, and +1.4 GJ per ton harvestfor starch, pellets, and bioethanol, respectively. A cost performance

analysis demonstrates starch production to exhibit the highest profit
earning; whereas, bioethanol production was found to offer thelowest unit cost of carbon emission. Results of zero-emission
simulation on tapioca’s product-oriented cultivation areas suggestthat shares of fresh roots harvested for food and fuel productions be
adjusted to 78 and 22%, respectively. This will increase the quantityof bioethanol produced from a current 223.0 ML.y-1 to 754.8 ML.y-1,
thus contributing to climate change mitigation by reducing 1.32 Mt
CO2.y-1 of carbon dioxide emissions.
Highlights- NEV and CE values in starch, pellets, and bioethanol productions
were evaluated.
- Tapioca-based bioethanol helps offset carbon emissions of 596.4
kg CE/ha-y to the atmosphere.
- Optimum land area for food and fuel productions is computed
based on zero emission.

2017 Kyoto Global Conference for Rising Public Health Researchers

18

Using Google Maps to Assess Endemic Fluoride
Areas in Lamphun province, Thailand
Nonthaphat Theerawasttanasiri

Disaster Drinking Water Treatment Unit:
Case study in Nepal

PhD Candidate
Collage of Public Health Sciences
Chulalongkorn University / Thailand

Bunyarit Panyapinyopol

Nonthaphat Theerawasttanasiri graduated Diploma in Public Health from Sirindhorn College of Public Health,Phitsanulok. He earned his Bachelor degree in Community Health from Uttaradit Rajabhat University, Public
Administration from Sukhothai Thammathirat Open University, and Master degree in Political Science from
Ramkhamhaeng University, Man & Environment Management from Chiang Mai University. He is currently a Ph.D.
candidate on Doctor of Philosophy in Public Health program (Environmental & Occupational Health) at College of
Public Health Sciences, Chulalongkorn University, Thailand.
He is currently working as a Professional public health technical officer of Health Promotion Center Region1 Chiang
Mai, Department of Health, Ministry of Public Health. His research focuses on Public Health, Environmental &Occupational Health, and Occupational Health & Safety.

ABSTRACT
Background: Although fluoride is good for oral health, excessive fluoride intake could
risk to fluorosis. Currently, researchers confirm that fluoride can cross placenta andexposure to high fluoride during pregnancy could result on premature birth (PTB) andlow birth weight (LBW) baby. Lamphun was one of six provinces in Thailand where wasfound natural water fluoride (WF) >10.0mg/L, and >50% of households used unsafe
drinking water with high fluoride. Moreover, PTB and LBW were increasing from 10.98%
to 11.27% (2013 to 2014), and the highest of Upper North in 2015. However, lacking WF
geographical information system (GIS) of water supply to identify endemic fluoride
area.
Objective: To measure fluoride of water supply, identify endemic fluoride areas by GIS
and present in Google Maps.
Methods: This cross-sectional research was part of a pregnancy-birth cohort study on
fluoride effect. The survey was conducted from July 2016 to January 2017. Purposive
random sampling was used to select Mueang Lamphun, Pasang and Ban Thi districts
where WF has found >10.0mg/L. Water samples were collected with geolocation ofwater plants measure by Smart System Info program for mobile phone. Ion selective
electrode instrument was used to analyze fluoride level following Total Ionic Strength192017 Kyoto Global Conference for Rising Public Health Researchers

Assistant Professor
Department of Sanitary Engineering, Faculty of Public Health
Mahidol University / Thailand

Dr. Bunyarit Panyapinyopol is an Assistant Professor in the Department of Sanitary Engineering, Faculty of Public Health,
Mahidol University. He obtained a Bachelor and Master degree of Environmental Engineering, Faculty of Engineering andcompleted his PhD in Environmental Management at Chulalongkorn University, Thailand. He has been a faculty member in
the Faculty of Public Health since 2002. His research interests include the reduction of disinfection by-products in drinking
water by coagulation, hazardous waste management, waste utilization, renewable fuel and valuable dissolved organic
chemicals from hydrothermal carbonization of biomass. He has many publications in the topics such as Development ofstatistical models for trihalomethane (THM) occurrence in a water distribution network in Central Thailand, characteristics ofhydrochar and hydrothermal liquid products from hydrothermal carbonization of corncob/Oil Palm Pressed Fiber/Cassava
Rhizome/coconut husk and rice husk, spatial distribution and mobility factor of heavy metals in agricultural soil in the vicinityof abandoned dead ore dressing plant. He is also working as Head project “Development of research project topics forindustry, The Thailand research fund (TRF)” to support industries in solving problems or yield new innovation.

ABSTRACT
Adjustment Buffer. WF level >0.70mg/L was used to identify unsafe drinking water andendemic fluoride area. Descriptive statistical analysis used to describe the finding.
MS-excel used to create GIS database and analysis fluoride situation. The boundary
data of Lamphun province, districts, and sub-districts were allowed from Global
Administrative Areas (GADM.org). Google Earth used to create the geo-visual maps.
All GIS data were displayed in Google Maps
Results: WF ranged 0.10-13.60mg/L. 44% (N=439) of samples were unsafe drinking water.
54% (N=303) of villages and 46% (N=79,807) of households used unsafe drinking water.
50% (N=26) of sub-districts were endemics fluoride areas. Five sub-districts where every
village, were endemic areas, and two of those where every village were endemic fluoride
areas, and every household used unsafe drinking water. The GIS data are available athttps://drive.google.com/open?id=1mi4Pvomf5xHZ1MQjK44pdp2xXFw&usp=sharing
Conclusions: More than half of villages were endemic fluoride areas, and almost halfof households used unsafe drinking water with high fluoride. These results would be
used to inform local governments, relevant agencies and the public to collaborate on
problem-solving. In addition, to educate people in endemic areas to prevent andreduce fluoride exposure in drinking water.

On 25th April 2015, an earthquake struck Nepal, staff fromFaculty of Public Health, Mahidol University participated in thesecond team of Thailand Medical Emergency Response Team(MERT), Ministry of Public Health which deployed to Sipaghat
village, Sindhupalchock from 7-16 May 2015.
In supporting the situation, Faculty of Public Health developed
the prototype of portable drinking water treatment unit, which
can treat water from several natural sources. Moreover, this unit
was decided to operate by hand pump (no need electricity).
The system composted of 3 columns made from stainless steel
consists of 6 filtration steps i.e. 5 micron polypropylene filter,
activated carbon cartridge filter, ceramic filter (0.3 micron),
Ultra filtration membrane (0.1 micron), granular activatedcarbon, and spiral-wound reverse osmosis membrane(0.0001
micron). Entirely, both drinking water and water supply
treatment capacity from this unit was about 300 liters per hour.
Disaster Drinking Water Treatment unit was operated in thedisaster area (Sipaghat village, about 70 kilometers from
Kathmandu, Nepal) located in the valley and close to theIndrawati River. People in this community consumes tap watersupply from the mountain. In this situation, water treatment unit
used water from tap water supply as raw water for Disaster
Drinking Water Treatment unit which supplied water anddrinking water for Thailand MERT team. The result of examiningof mountain tap water quality by portable equipment showed
low total dissolved solid (TDS) between 40-60 mg/L and after
passed through the treatment unit TDS was 0 mg/L. Beyond
doubt, tap water supply from the mountain was collected andanalyzed in laboratory (Faculty of Public Health, Mahidol
University) afterwards which confirmed that the water quality ofmountain tap water contain low dissolved minerals and pass
the drinking water standard, accordingly people in thecommunity can drink this water safely but still need boiling as apractical disinfection before drink.

2017 Kyoto Global Conference for Rising Public Health Researchers

20Modeling temporal and spatial variability of traffic-related air pollution
in Taipei metropolis, Taiwan: Hourly land use regression models for PM2.5
Jui-Huan Lee

Related factors of quality of life among Indonesianelderly in nursing homes

PhD Student
Institute of Environmental HealthNational Taiwan University / Taiwan

Bayu Anggileo Pramesona

Jui-Huan Lee graduated with BS in Atmospheric Science and MS in Environmental Health from National Taiwan
University. He is a first-year doctoral student in Environmental Health at National Taiwan University. His research area
is exposure assessment and environmental analysis, and his expertise is in modeling of road transport emission andurban air quality as well as evaluation exposure to air pollution. He is interested in the generation and dispersion of
traffic emissions in urban environments and the development of simple to use and efficient exposure assessment
tools/models (e.g. LUR models).

ABSTRACTLand use regression (LUR) models are widely used todetermine exposure to air pollutants in epidemiological studies.
In previous study, LUR models of traffic-related air pollution
have established in Taipei metropolis. However, these LUR
models focus on estimating annual average concentration of
air pollutants and lack fine scale temporal resolution forpredicting acute exposure. With the rise of low-cost,user-friendly and very compact air pollution platform enable
observations at high spatial resolution in near-real-time. This
provides new opportunities to simultaneously enhance existing
monitoring systems and implements LUR models characterizeshort-term variability of air pollution. In this study, hourly PM2.5
as well as temperature and humidity were measured with MicroEnvironmental Sensors (Airbox) of the Smart Environmental
Sensing Network which operated by local governments,
educational institutions, enterprises, and individuals at 453
locations in Taipei and New Taipei city, Taiwan. Potential

21

2017 Kyoto Global Conference for Rising Public Health Researchers

PhD Candidate in Public HealthCollege of Public Health Sciences
Chulalongkorn University / Thailand

He earned his bachelor degree in nursing and master degree in hospital management at Muhammadiyah University of
Yogyakarta, Indonesia. He served as government officer at Ryacudu Government Hospital Kotabumi, North Lampung,Indonesia since 2009. He received a scholarship from Indonesia Endowment Fund for Education (LPDP Scholarship),
Ministry of Finance, Republic of Indonesia to pursue his doctoral degree in public health at Chulalongkorn University,
in Bangkok Thailand. He was awarded the JASSO grant to attend the Harvard/Oxford Special Session short courses
at Teikyo University, Japan. He was also awarded as one of the promising researchers in the 49th Asia-PacificConsortium for Public Health (APACPH) Conference at Yonsei University, Korea. He is currently working on his
dissertation project which focuses on depression and quality of life among elderly nursing home residents inIndonesia.

ABSTRACT
predictor variables were derived from Geographic Information
System(GIS) datasets. Digital road networks, land use data,
populationand household density data, and altitude data were used. We
will develop and examine separate LUR models by time-of-day,weekday-weekend, seasons, and method of spatial andtemporal smoothing of the time-series data. Model performance
will evaluate by adjusted R2 and bias. Predictor variables
included in models will discuss to investigate the association ofemission sources. We expect LUR model-R2 will improved as alarge model-building data set and shot-term model will capture
the features of temporal variability of PM2.5. Results of thisstudy has potential usefulness for exposure assessment,
especially for medium or short term exposure, in health studies.

Background: Indonesia has become the 8th largest elderly
population globally. However, the concern pertaining to thequality of life (QoL) and its related factors among elderly nursing
home (NH) residents was still lack. This study was aimed todetermine the QoL and its related factors among elderly NH
residents in Indonesia.
Methods: A cross sectional design was used to assess 181
elderly aged ≥60 years at three NHs in three districts in
Yogyakarta province, Indonesia. Socio-demographics data,
health-related characteristics and social support were collectedby using a modified questionnaire through face-to-faceinterviews. World Health Organization Quality of Life BREF
(WHOQOL-BREF) Bahasa Indonesia version questionnaire wasused to assess the QoL of respondents. Multivariate linier
regression was performed to determine the related factors of
QoL among elderly.
Results: The QoL mean score of respondents was 47.72±6.61.

Majority (64.1%, n=116) had fair level of QoL. However, 16.6% of
elderly nursing home residents still had poor level of QoL. About
65.7% were females, 84.4% reported had no or low of education
background and 86.7% lived in nursing home due to acompulsion. Following univariate analysis, QoL was significantly
low among those who live in NH due to a compulsion, with nosocial support resources, not received any kind of support,
having ≥3 chronic diseases, perceived inadequacy of care(p<0.05). Multivariate analysis revealed perceived adequacy ofcare and reason for living in NH were associated with QoL(p<0.001).
Conclusions: Perceived adequacy of care and reason forliving in NH were highlighted as predictors of QoL among
elderly NH residents in Indonesia. Improving the adequate
healthcare services and developing the treatment strategies toenforce the adaptation process are extremely required in orderto maintain the QoL in elderly NH residents.

2017 Kyoto Global Conference for Rising Public Health Researchers

22Effect of Posttraumatic Stress Disorder on Sleep Quality
and Quality of Life among Urban Firefighters, Thailand
Chinchuta Khumtong

The PEACE Initiative – Addressing Elder Abuse
and Neglect Using an Interdisciplinary Approach

PhD Candidate
College of Public Health Sciences
Chulalongkorn University / Thailand

Raudah Mohd Yunus

Ms. Chinchuta Khumtong is a Ph.D. candidate from College of Public Health Sciences, Chulalongkorn University in
Thailand. She graduated with a Bachelor degree of sciences (B.Sc.) in Occupational Health from Faculty of Public
Health, Mahidol University and received a Master degree of Public Health (MPH) in Environmental Health from Facultyof Public Health, Khon Kaen University. Her research interests focus on work-related health problems andenvironmental health effects. Her current research project is about risk of post-traumatic stress disorder among
firefighters and their health effects.

ABSTRACT
Fireﬁghter is the most strenuous and dangerous occupation.
Physical and psychological hazards including posttraumatic stressdisorder (PTSD) have been linked to firefighters’ health. The PTSD isshowed a significant association with poor sleep quality and low
quality of life. However, there is a little known of effect on trauma
events linked to sleep quality and quality of life in urban firefighters.
Therefore, this study aimed to determine whether posttraumaticstress disorder (PTSD) effects on sleep quality and quality of life
among firefighters in Bangkok, Thailand or not. A cross-sectional
study was conducted among all active male firefighters under
Bangkok Metropolitan Administration (BMA). All participants
completed the Posttraumatic Stress Disorder Checklist – Civilian
Version (PCL-C-THAI), Pittsburgh Sleep Quality Index – Thai version(PSQI-THAI) and the World Health Organization Quality of Life
(WHOQOL-BREF-THAI) Questionnaires. Multivariable logistic
regression models were performed to estimate adjust odds ratio(AOR) and 95% confidence intervals (95% CI). The total of 1215

232017 Kyoto Global Conference for Rising Public Health Researchers

Doctoral Candidate
Department of Social and Preventive Medicine
University of Malaya / Malaysia

Raudah Mohd Yunus is a Doctor of Public Health (DrPH) candidate at the University of Malaya. She obtained an
MBBCH from Alexandria University, Egypt in 2008 and a Master of Public Health (MPH) from the University of Malaya
in 2015. Her doctorate research currently focuses on the health impacts of elder abuse and neglect (EAN) among
rural Malaysian elders. Raudah’ s other areas of interest include epidemiology, longitudinal study design, family
violence, ageing studies, gerontology, health equity and refugees’ health. Apart from research and academic
activities, she is actively involved in humanitarian aid and community development efforts for the refugees in Malaysia.
Raudah has published a number of scientific articles on EAN in the Malaysian context. Her books, ‘Tales of Mothers’
and ‘Displaced and Forgotten’ are two creative writing pieces aimed at raising awareness on various contemporary
and health-related issues using arts and literature.

ABSTRACT
firefighters, 302 (24.9%) were met the suggested PCL cut-point
criteria for civilian (PCL Scores ≥ 30). The 596 (49.1%) of them hadpoor sleep quality (PSQI> 5). After adjustments, PTSD firefighters
had increased odds of poorer sleep quality (AOR=5.24, 95% CI
3.88-7.08), longer sleep latency (≥ 30 min) (AOR=2.38, 95% CI
1.82-3.10) and lower sleep efficiency (≤85%) (AOR=1.85, 95% CI
1.41-2.42) than non-PTSD firefighters. The 572 (47.08%) of them hadpoor quality of life classified by WHO criteria. After adjustments,
PTSD firefighters had increased odds of lower overall quality of life
(AOR=5.10, 95% CI 3.80-6.84), poorer psychological health(AOR=4.60, 95% CI 3.48-6.07) and poorer social relationship(AOR=3.58, 95% CI 2.66-4.82) than non-PTSD firefighters. The
urban firefighters with posttraumatic stress disorder significantly
lower quality of life and poorer sleep quality. The results of this study
suggested that a further intervention and recommended policy
related psychological health among firefighters may need to beconsidered for enhancing firefighters’ health.

The rapid demographic transition worldwide indicates that elder abuse and neglect(EAN) – a current global health concern – is bound to escalate. In Malaysia, theolder population will comprise 15% of total population by 2030. On-goingurbanization and changes in social structures, along with inadequate social security
systems have predisposed older adults to poverty, isolation and exploitation. Local
studies reported a lifetime EAN prevalence of 8% to 10%, with financial abuse being
the most common subtype.
In response to this dilemma, the Prevent Elder Abuse and negleCt initiativE(PEACE) was initiated in early 2014, in line with the vision of the National Health
Policy for Older Persons (2008) and National Policy for Older Persons (2011).
PEACE is a five-package program which aims at: 1) advancing EAN research andservices through a coordinated and multi-step approach, and; 2) safeguarding thephysical and mental well-being of elders. A multi-sectoral partnership was formed,
involving: 1) academics and clinicians from the public health, family medicine,
geriatrics and law disciplines; 2) the State Health Department; 3) Department ofSocial Welfare; 4) various community-based organizations, and; 5) media outlets.
Negeri Sembilan, one of the thirteen states in Malaysia was chosen for the pilot

phase, and programs are gradually expanded to other states.
Community engagement is one of the main strategies employed. PEACE provides
training programs for institutional caregivers, workshops for healthcare providers,awareness campaigns and public forums. In the academic sphere, PEACE has anestablished network of post-graduate students and researchers who actively
conduct studies, design modules and guidelines on EAN intervention, publish inscientific journals and disseminate local findings through conferences, seminars
and the mass media. Addressing the legal aspect of EAN is a current focus in which
PEACE epidemiologists and clinicians are working closely with legislators, theDepartment of Social Welfare and the Ministry of Women, Family and Community
Development to push for the formulation of a newer and more specific act to protect
elders from all types of abuse and exploitation.
In conclusion, the PEACE initiative is an example of how ‘health for all’ and the social
justice agenda can be advanced through trans-disciplinary collaborations andstrong leadership. The challenges posed by the ‘greying phenomenon’ can only be
addressed effectively with adequate preparations and resources. In contrast to
being a mere burden, this trend can be seen as a ‘window of opportunity’.

2017 Kyoto Global Conference for Rising Public Health Researchers24Knowledge Translation: Connecting Knowledge
Creators to the World
Muhd Zulfadli Hafiz Ismail

Satellite Session

Doctoral Candidate
University of Malaya / Malaysia

Dr. Fadli Ismail was granted a medical degree from Barts and the London, Queen Mary University of London in 2010.
After 4 years of working experience in clinical service in the Malaysian hospital setting, he then joined Institute for
Health Systems Research under the National Institute for Health (NIH), which is the research arm of Ministry of Health
Malaysia. Apart from participating in various nationwide studies on health systems and public health, he was heavily
involved as part of the core team in developing the Centre of Evidence Based Medicine for NIH. His main interest is inknowledge translation (KT), for which he underwent training in Bangor University under the Implementation Research
Programme- Implementing Evidence in 2016. Subsequently, he furthered his study in the field of Public Health in 2016
and recently graduated with a Master of Public Health (MPH) in 2017. Currently, he is embarking his journey inDoctorate of Public Health (DrPH) in University of Malaya, Malaysia. His current study for his DrPH focuses onadolescent health using the integrated KT approach.

Steven Cummins

252017 Kyoto Global Conference for Rising Public Health Researchers

the integrated KT approach based on the Knowledge to Action framework, bothknowledge ‘creator’ (researchers) and knowledge ‘users’ (stakeholders) worked together
in identifying the research questions, constructing the methodology, assisting in datacollection and tool development, interpreting the results, highlighting key messages,
moving the results into practice, as well as disseminating and applying the knowledge.
The second case study will focus on one of the most important stage in the KT approach,which is developing the research question and identifying problems that are relevant toboth stakeholders and researchers, prior to embarking on a research journey. For this, thepresenter aims to highlight another study, entitled “Achieving Digital Citizenship; Digital
Security Practice among Malaysian Parents and Its Influence on Internet Mediation
Techniques”. The objective of the study is to identify association between parents’ own
digital security practice and their children’s online mediation techniques. The process indeveloping the research objective involved engagement of the investigator with identified
stakeholders from government, NGOs and the public. Sharing these experiences
highlights the importance of KT, through strong interdisciplinary participation in ensuring
the translation of knowledge into practice, which will eventually help improve the delivery
and health for the people.

Professor of Population HealthLondon School of Hygiene & Tropical Medicine / UK

Steven Cummins is Professor of Population Health and Director of the Healthy Environments Research Programme at LSHTM. He originallytrained in geography before switching to epidemiology and public health and his research interests lie at the intersection of these disciplines.
He is interested in how the built environment affects health and the design and evaluation of the health impacts of social and environmental
interventions. His team is currently working on a range of projects focused on environmental effects on diet and physical activity. This
includes evaluations of the introduction of taxes and levies on sugar sweetened beverages locally (Jamie’ s Italian restaurants) and nationally(in the UK Treasury Tax on Sugar), the health effects of public transport infrastructure interventions and active urban design on active travel
and the role of food banks in the welfare system. He has a particular interest in exploiting and evaluating natural experiments to produce
evidence to inform public health policy.
He is a member of the NIHR School for Public Health Research, Associate Editor of the Journal of Epidemiology & Community Health,
Member of the Cancer Research UK Prevention Panel, the NIHR Doctoral Research Fellowships Funding Panel and the NordForsk Scientific
Advisory Board for Health & Welfare. He is also a Member of the Global Advisory Committee for Health at The Movember Foundation.

ABSTRACTThis presentation serves as a platform for the presenter to emphasise the concept ofKnowledge Translation (KT) and how KT helps to improve health for all. Knowledge
Translation is defined as a “dynamic and iterative process that includes synthesis,
dissemination, exchange and ethically-sound application of knowledge to improve
people’s health, provide more effective health services and products and strengthen thehealth care system”. The KT process, which requires strong interdisciplinary participation
enhances the interaction between the knowledge ‘creators’ such as researchers andexperts, with the knowledge ‘users’ including policy makers and the general public. As
such, the research results are easily translated into practice, widely disseminated andapplied. There are several frameworks on KT, and one that is widely used is theKnowledge-to-Action framework. Two case studies that successfully implemented KT
approach, particularly using the Knowledge-to-Action framework in the research
processes will be presented, highlighting the practicality of KT in research. The first casestudy is a research project entitled “Patient’s Unvoiced Needs”, aimed to identify theextent of unvoiced needs during the patient-health care provider consultation in theoutpatient setting, followed by the development of an intervention measure that facilitates
patients to voice their needs and eventually assessing the intervention outcome. Using

Evaluation of the impact of a 10 pence levy on sugar-sweetened
beverages on sales of non-alcoholic beverages within a national
chain of restaurants in the UK: interrupted time series analysis
of a natural experiment

ABSTRACT
Exposure to a poor quality food environment is now widely recognised as animportant risk factor for diet and diet-related chronic disease. Research in thisarea has grown exponentially over the past twenty years, expanding fromaetiological work focused on identifying the environmental correlates of diet tothe development and evaluation of environmental interventions, including naturalexperiment studies. In recent years, there has been a particular interest in the useof fiscal measures as instruments to reduce the consumption of sugar-sweetened
beverages (SSBs) as part of wider population-based strategies to prevent
non-communicable disease. However, there is limited primary evidence on theeffectiveness of fiscal measures on either the sale or consumption of SSBs.
Research in this area mainly comprises of modelling studies, laboratory
experiments and small field studies in cafeterias in schools and workplaces.
On the 1st September 2015, Jamie’ s Italian, a national chain of UK restaurants,

added a £ 0.10 levy to the price of non-alcoholic SSBs sold within them. This
offered an opportunity to take advantage of this ‘natural experiment’ to assess
whether the implementation of the levy in combination with non-price activities(such as menu redesign and signposting) is associated with changes in sales of
SSBs and other non-alcoholic beverages. We use an interrupted time-series (ITS)
design to compare the number of SSBs, and other non-alcoholic beverages, soldper customer before implementation of the intervention with sales at 12 weeks
and 6 months after. We use itemised electronic point-of-sale (EPOS) data andinvestigate the effect of the intervention across all restaurants and whether thiseffect varies by tertiles of baseline restaurant SSB sales per customer. We findthat the introduction of a £ 0.10 levy on SSBs alongside complementary activities
is associated with declines in SSB sales per customer in the short and medium
term, particularly in restaurants with higher baseline sales of SSBs.

2017 Kyoto Global Conference for Rising Public Health Researchers

26

Satellite Session

Current understanding of agriculture-food systems in
low and middle income countries and research needs
Suneetha Kadiyala

Satellite Session

Associate Professor in Nutrition-Sensitive Development
London School of Hygiene & Tropical Medicine / UK

Suneetha is an Associate Professor in Nutrition-Sensitive Development at the London School of Hygiene and Tropical Medicine,
London. She is a core faculty member of the Leverhulme Centre for Integrative Research on Agriculture and Health (LCIRAH).
Suneetha is a nutritionist with research interests focusing on the intersection between agriculture/food systems and food security,
gender, health (HIV) and nutrition. Her expertise spans program design, operations research and theory-based complex programme
impact evaluations; and innovative methods and metrics in agriculture-nutrition research.
Suneetha is the Principal Investigator of IMMANA (Innovative Methods and Metrics for Agriculture and Nutrition Actions), DFID’ spartnership to stimulate the development and application of scientifically sound methods and metrics in agriculture, health and nutrition
research. She is the Principal Investigator of UPAVAN (Upscaling participatory action and videos for agriculture and nutrition), a
four-arm cluster RCT integrating maternal and child nutrition objectives into a participatory low-cost video driven agriculture extension
platform in India. She is also a co-investigator of LANSA (Leveraging Agriculture for Nutrition in South Asia) research consortium and
SCAN (Surveillance of Climate Smart Agriculture for Nutrition). Suneetha leads the Agriculture, Nutrition and Health Academy.

Helena Legido-Quigley

27

2017 Kyoto Global Conference for Rising Public Health Researchers

Associate Professor
Saw Swee Hock School of Public HealthNational University of Singapore / Singapore

Helena Legido-Quigley is an associate professor at the Saw Swee Hock School of Public Health and has a parallel
position with the London School of Hygiene and Tropical Medicine. She is also an Associate Fellow, Centre on Global
Health Security, Chatham House, UK. She has conducted research on health policy and health systems in Europe,
Sub-Saharan Africa and currently with a focus on Southeast Asia. Specific areas of expertise include health systems
research on chronic conditions and integration of services, the use and implementation of clinical guidelines,
implementation and development of health policy on quality of health care and ehealth, the effect of the financial crisis
and austerity measures on health and health care systems, the future of the global health architecture particularly
focusing on the AIDS response and South East Asia, health care experiences of migrant populations, and the future ofhealth in Africa. Her work has been published in peer reviewed journals such as the Lancet, British Medical Journal,
and PLOS Medicine. It has also been widely covered in International media including The Times, The Economist, theFinancial Times and the Huffington Post.

ABSTRACTAgriculture-food systems are fundamental to poverty
reduction. But pathways from agriculture-food systems tonutrition are complex, with multiple linkages. This talk will
present the current understanding of these pathways in low
and middle income countries, what we know about them andend with some thoughts on emerging research needs.

Innovation in conducting policy relevant population healthresearch learning from cross-national comparisons:
The Health Systems and New Models of Care Core (HSMCC),
The Singapore Population Health ImpRovement Centre (SPHERiC)

ABSTRACTWith an understanding of the current landscape andchallenges facing Singapore, the Singapore Population
HEalth ImpRovement Centre (SPHERiC) is conceptualized
as a multidisciplinary research platform that will focus ondeveloping solutions that can be implemented at the
population and systems level that we so urgently need. The
aim of the HSMCC core is to build a strong and robust
evidence base through research and capacity-building
initiatives to create health systems that are more resilient,
people - centred, and innovative for improved healthoutcomes. The HS M C Core will facilitate bet ter
understanding of how health systems and health policies
affect access, delivery and effectiveness of care and its

impact on health; current care models and their gaps; andthe development of new care models. This core will also
contribute towards developing local expertise in healthsystems and policy research, and generate innovative andeffective solutions to enhance health systems throughcross-national comparative research.

2017 Kyoto Global Conference for Rising Public Health Researchers

28

2017 Kyoto Global Conference for Rising Public Health Researchers

Poster Presentation
University

Kyoto
University

Chulalongkorn
University

No.

Presenter Name

Poster Title

01

Anita Ongosi & Miki Yoshizumi

Putting pastoralists on the health map

02

Hiromi Segawa

Lifestyle related disease risk factors and their influence on Health and Happiness among
Urban and Rural Dwellers in South parts of Bhutan

03

Keiko Nakama

Construction of the Model of Teenagers' Autonomization of Dietary Habits

04

Megumi Yoshigai

Cost-effectiveness of Second-Line Endocrine Therapies

05

Nur Hazreen Binti Mohd Hasni"Socio-cultural and contextual factors related to vaccine hesitancy issues
on childhood immunization programs: A Malaysian parents' experience "06

Tomomi Funaki

Quantitative Text Analysis of the Questions Posted by Preschooler's Parents on the Q&A
Site: Focusing on the Age of Children

07

Verin Lertjanyakun

Cost-effectiveness of Second-Line Endocrine Therapies in Postmenopausal Hormone Receptor–positive
and Human Epidermal Growth Factor Receptor 2–negative Metastatic Breast Cancer in Japan

08

Xiuting Mo

An online social networks intervention to prevent excessive gestational weight gain in China: a protocol for arandomized controlled trial to evaluate the effectiveness of a weight management intervention in pregnancy

09

Xiuting Mo

Projection of burden due to coronary heart disease and stroke averted by improved fruitand vegetable intake in Japan

10

Pisamai NatunBaseline quality of life before tongue depressor exercise therapy among head and neckcancer patients in Khon Kaen Province, Thailand

11

Bayu Anggileo Pramesona

Related factors of quality of life among Indonesian elderly in nursing homes

12

Chinchuta Khumtong

Effect of posttraumatic stress disorder on sleep quality and quality of life among urban
firefighters, Thailand

13

Manasawee Thongsringklee

Knowledge, Awareness, and Practice of Lead Exposure among Workers in
Communication Radio-repair plant, Thailand: Pilot study

14

Nonthaphat Theerawasttanasiri

Using Google Maps to assess endemic fluoride areas in Lamphun province, Thailand

Parichat Ong-artborirak

Factors associated with health effects from occupational exposure to pesticide residues
on vegetables among greengrocers in fresh market, Bangkok, Thailand

University

Puangpaka Tankitjanon

A comparative study of court-type traditional Thai massage versus diclofenac gel on shoulder
range of motion and pain intensity in patients with frozen shoulder: a randomized controlled trialof Malaya

Rapat Eknithiset

Exploring stress level towards junior nursing students and senior students in Government
Nursing College in Bangkok, Thailand

18

Sawitree Visanuyothin

Health Literacy, and Medication Non-Adherence of Poorly-controlled Hypertension in
Urban Community, NakhonRatchasima, Thailand

19

Sipapa Pummarak

Fear of falling and falls risk perception among the elderly people in rural area

20

Sirinan Suwannaporn

Breast Self-Examination among Akha Women in Chiang Rai Province Thailand: A Situation
Analysis21

Yada Thongthammarat

Relationship between the Quality of Life and Burden in family caregivers of Severe Mental
Illness High Risk to Violence Patients (SMI-V)

15
16
17

29

“Interdisciplinary Approach and Collaboration for Health for All”
December 6 -7, 20172017 Kyoto Global Conference for Rising Public Health Researchers

University

No.

Presenter Name

Poster Title

22

Aaron Karat

Performance of verbal autopsy methods in estimating HIV-associated mortality among
adults in South Africa

23

Roxanne Kovacs

Can patients get providers to deliver better care? Evidence from a field experiment in
Senegal24

Tess Bright

What is the need for Primary Eye Care in the Rwandan Population?

25

Bunyarit Panyapinyopol

Disaster drinking water treatment unit: Case study in Nepal

Mahidol

26

Sasikorn SongkumchumStandard of the Thai traditional medicine service in health promoting hospitals innorthern part of Thailand

University

27

Thanakrit Neamhom

Optimum plantation area of Thai tapioca industry for food versus fuel productions basedon sustainable development approach

28

Zayar Myat Thu

Assessment of food sanitation levels of street vended shops and coliform bacterial
contamination of street vended food in Nay Pyi Taw City, Myanmar

29

Chi-Hsin Sally Chen

Serum metabolomics study of residents living near a petrochemical complex in Taiwan

30

Jhuang Ming-Jie

Association between Heavy Metal Levels in Urine, Chronic Kidney Disease in Adults in thesouth of Changhua County

31

Jui-Huan Lee

Modeling temporal and spatial variability of traffic-related air pollution in Taipei
metropolis, Taiwan: Hourly land use regression models for PM 2.5

32

Jun-Lin Chen

Association between Hepatic Fibrosis Index and Urinary Thiodiglycolic Acid in Residents
of South Changhua near a Petrochemical Complex

33

Raman Kumar

Evidence of deteriorating air quality in scenic state Himachal Pradesh, India

34

Raymond Kuo

Changes to Geographic Distribution and Patterns of Inpatient Care in Small Hospitals in
Taiwan: 2004-2013

35

Yan-Da Chen

Pretreatment and PMF Results Evaluation for Insufficient Air Monitoring Data from
Roadside Station in Taichung, Taiwan

36

Jaseema Begum

Assessment of exposure to carcinogens among the work community in manufacturingsector - A Malaysian study

37

Muhd Zulfadli Hafiz Ismail

Knowledge translation: Connecting knowledge creators to the world38

Raudah Yunus

The PEACE Initiative – Addressing elder abuse and neglect using an interdisciplinary
approach

The University
of Sydney

39

Shanika Nanayakkara

An integrative study on genetic and environmental determinants of chronic kidneydisease in the North Central Region of Sri Lanka

Universityof Taipei

40

Pei-Ching Chen

Association Between Electronic Cigarette Use and Quit Attempts Among Youth in Taiwan

Universityof Washington

41

Sungchul Park

Service-level selection: Strategic risk selection in Medicare advantage in response to risk
adjustment

London Schoolof Hygiene &Tropical Medicine

National
TaiwanUniversity

2017 Kyoto Global Conference for Rising Public Health Researchers

30

MEMO

31

2017 Kyoto Global Conference for Rising Public Health Researchers

MEMO

2017 Kyoto Global Conference for Rising Public Health Researchers

32

Kyoto Old
Imperial Palace

Jingu-marutamachi
Sta.
Heian Jingu
ShrineKyoto
Shiyakusho-mae
Sta.

Nijo St.
Karasuma Oike
Sta.

Oike St.

Kyoto University
Hospital

Shijo St.

Mitsui Garden Hotel
Kyoto Shijo

Shijo
Sta.

Hotel Unizo Kyoto
Shijo Karasuma
Gojo
Sta.

Karasuma Line

Gojo St.

Shichijo St.

Kawaramachi
Sta.
Kamogawa River

Karasuma
Sta.

Gion-Shijo
Sta.

Higashiyama
Sta.

Subway Line

Shichijo
Sta.

Keihan Line
Hankyu Line

JR Tokaido Line

NagoyaKarasumaSt.

2017 Kyoto Global Conference for Rising Public Health Researchers

Demachiyanagi
Sta.
Kyoto seika Girl’sHigh School

Kyu

shi

rak

aw

O

Ground

t.
aS

w
ne

Shiran Kaikan

ay Faculty of Medicine
Kyoto University

EV
EV

Kyoto University
Hospital

Konoe St.
Kasagakami St.

Yamauchi Hall

Kumano Shrine(kumano Jinja-mae)

Marutamachi St.

Yasaka Shrine

Kiyomizu-GojoSta.

JR Kyoto
Station33

Tozai Line

Inamori Hall

AccessOsaka

Horikawa
St.

Kyoto University

Konoe DoriSanjo Sta.

Sanjo St.

・Yamauchi Hall
・Inamori Hall

Higashi-Ichijo St.

Jingu marutamachi
Sta.

Marutamachi
Sta.

(Kyodai seimon-mae)

LaTourShiran Kaikan 2nd Floor

Lavatory

Konoe St.

Hyakumanben
Kyoto University
Main gate

Keihan Line

Kyoto University

Kamogawa River

Demachiyanagi
Sta.

N

Higashi Oji
St.

Lavatorye

Seifuso Villa

Shiran Kaikan

Marutamachi St.

Marikouji
St.

Kawabata
St.

N

n Lin
Eiza

ImadegawaSta.

Imadegawa St.

Floor Map

Local Map

Kyoto City Map

Kawaramachi Kawabata Higashioji
St.
St.
St.

Main Railway station

Route

Terminal

Kyoto Station JR.
Kintetsu Railway

City Bus #206
bound for Kitaoji bus terminal via Higashiyama St.

Kyodaiseimon-mae

Hankyu Railway
Kawaramachi Station

City Bus #201 bound for Gion, Hyakumanben
City Bus #31 bound for Kumano, Iwakura

Kyodaiseimon-mae

Karasuma Subway line
Marutamachi Station

City Bus #202 bound for Kumano jinjya, Gion
City Bus #204 bound for Higashi Tenno-cho,
Kinrin Shako-mae

Keihan Railway
Jingu-marutamachi Station

10 minutes walk nor th-east from No.5 exit

Kumano jinjya-mae(and change to above bus lines)

2017 Kyoto Global Conference for Rising Public Health Researchers

34

Chu lalongko
N ati onal Tai wan UMn i v er ah id o r n Un
s
i
l
i
t
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y
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si t yO K ni ver
WH t o UoKyf Hyg ien

Organizing Committee
Kyoto University School of Public Health

lo
ch oo

Takeo Nakayama, MD, PhD, Professor
Masahiro Kihara, MD, PhD, ProfessorS
d on

Akio Koizumi, MD, PhD, ProfessornYuichi Imanaka, MD, MPH, DrMedSc, PhD, Professor

Lo

Yoshimitsu Takahashi, DrPH, Associate Professor

Fo

Satoe Okabayashi, MD, MPH, DrPH, Assistant ProfessorrH

Teeranee Techasrivichien, PhD, Assistant Professor

eal

Moraima Flores, Chief Assistant, KUSPH International Office

Participating Institutions
Chiang Mai University
Chulalongkorn University
London School of Hygiene and Tropical Medicine
Mahidol University
National Taiwan University
National University of Singapore
University of Malaya
WHO Centre for Health Development, Kobeaya

Yusuke Ogawa, MD, MPH, PhD, Assistant Professor

th for

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al