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​Food Safety and H. pylori Infection
Quality Life Forum​ Age-Related Health Challenge Series
February, 2019

Helicobacter pylori (H.pylori) is a gram-negative bacterium that has infected human gastrointestinal (GI) in more than half of the world's population.

Epidemiology

Helicobacter pylori (H. pylori) infection is more common in the older population and may cause significant complications with severe morbidity and mortality. It is an important cause of peptic ulcers, chronic gastritis and stomach cancer. Among the risk factors for acquisition of H. pylori infection, poor socioeconomic status, poor sanitization and hygiene practices, and contaminated food and water, are the most significant ones. ​A significant association was found in a recent study for H. pylori infection with the lower frequency of handwashing before going to the bathroom and the consumption of well water. Helicobacter pylori (H.pylori) infection is more of a public health issue, as the foodborne transmission is widely believed by many, which can be prevented by improving hygiene practice and food safety.

Symptoms

The majority of infected individuals remain asymptomatic throughout the life but 10%-20% develops peptic ulcer disease and 1% gastric malignancies. 

The symptoms including – 
  • An ache or burning pain in abdomen
  • Abdominal pain that's worse when stomach is empty
  • Nausea
  • Loss of appetite
  • Frequent burping
  • Bloating
  • Unintentional weight loss

Risk factors:
  • Living in crowded conditions
  • Living without a reliable supply of clean water
  • Living in a developing country
  • Living with someone who has an H. pylori infection
  • Inadequate hygiene practice 

Treatment

Antibiotics are effective treatment for H. pylori infection. Choices including clarithromycin, metronidazole (for 7 to 14 days), or amoxicillin (for 7 to 14 days).

Most of the treatment regimens include a medication called a proton pump inhibitor. This medication decreases the stomach's production of acid, which allows the tissues damaged by the infection to heal. Examples of proton pump inhibitors include lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), rabeprazole (AcipHex), dexlansoprazole (Dexilant), and esomeprazole (Nexium).

For those who are infected with H. pylori but without symptoms, most clinicians do not recommend treatment. Currently, half of the world population is carrying strains that can survive and multiply in human gastric mucosa. There is a complex associations between human microbiome and health.  Whether H. pylori may be considered as a beneficial gastric pathogen, if asymptomatic, is a controversial topic and more medical research are ongoing.

Prevention

Literature indicate the presence and survival of H. pylori in food samples, such as milk, vegetables and meat, and suggest these foods may play an important role in the environmental transmission of this pathogen. In addition, other studies report the presence of H. pylori in the gastric tissue of some animals (e.g. sheep and cow) and therefore, it is likely they participate in the food chain transmission as reservoirs besides human.  attention to food contamination sources (unhygienic water) and controlling them may prevent transmission of pathogens associated with health. 

The prevalence of Helicobacter pylori (H. pylori) infection and its complications increase with age.  To reduce risks for H. pylori infection, you can take these preventive actions in daily living –
  1. Food safety – eat clean and well cooked food. Poorly cooked food increases risks of food poisoning and GI infection.
  2. Water sanitation – drink safe water and use safe water for food preparations. Water is  important for the community, protect clean water source and regulate sewage control. Water quality is to be closely monitored locally.
  3. Promote sanitary standard – unsanitary conditions may transmit H. pylori bacteria. Separate raw meat preparations with other foods, require workers use gloves for food handling and meeting proper hand washing guidelines in food industry. [Proper hand washing: Starts with warm water, at least 120 degrees, and a decent sized helping of liquid soap. Place the soap in your hands and wet them briefly. Wash them for a total of 15-30 seconds, scrubbing around your fingers, along the front and back of your palms, and around your fingernails, and under jewelry. Then, rinse them in the warm water and dry them with a clean, sanitized towel or clean paper towel.]
  4. At personal level, promote personal hygiene practice and a proper hand washing after each restroom use or before handling food is the best protection.
  5. Avoid contamination from unsanitary environment and/or personal contact. Note that the bacteria may be transmitted is through the fecal-oral route or the oral-oral route.  Saliva, vomit, and feces are sources of contamination. 

Awareness of self-neglect

Elder self-neglect occurs when an elderly person is no longer able to meet his or her basic daily needs. According to the Elder Justice Act, which was enacted in 2010, elder self-neglect is defined as the "inability, due to physical or mental impairment or diminished capacity, to perform essential self-care." 

​Signs of self-neglect including but not limit to the following -


  • Poor personal hygiene
  • Lack of essential food, clothing or shelter.
  • Malnutrition and/or dehydration.
  • Living in unsanitary conditions.
  • Neglecting household maintenance.
  • Hoarding: nothing is thrown away, stacks of papers, magazines.
  • Loneliness, social isolation, and/or depression.
  • Untreated medical conditions.

H. pylori risk increases in elders with self-neglect, as physical illness and psycho-social factors are closely related. Share health resources and services to support your loved ones and promote healthy aging. Everyone’s awareness and supportive action counts; we can help.

Feel free to contact qualitylifeforum@outlook.com for your health coaching needs.

Summary:

Helicobacter pylori (H.pylori) is a gram-negative bacterium in human gastrointestinal system.  H. pylori infection is prevalent in aging population. The majority of infected individuals remain asymptomatic throughout the life but 10%-20% develops peptic ulcer disease and 1% gastric malignancies. It is treatable with antibiotics. Food safety, water sanitation, and personal hygiene are important for prevention. 


References:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5596183/
https://www.uptodate.com/contents/helicobacter-pylori-infection-and-treatment-beyond-the-basics
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5660766/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4133439/
https://www.dshs.wa.gov/altsa/home-and-community-services/self-neglect
https://elder.findlaw.com/elder-abuse/elder-self-neglect.html
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4291894/

© All rights reserved

Disclaimer: This information is for educational and informational purposes only. It is not medical advice. Consult your healthcare professional for personal conditions.

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  • Home
  • Forum
    • Mind and Body
    • Feeling well
    • Feeling ill
  • Coaching
    • Coaching Programs >
      • Loneliness Breakthrough
      • Therapeutic Lifestyle Changes
      • Time-Restricted Feeding for Healthy Aging
      • Patient-centered Health Navigation Program
      • Customized program
      • A Special Health Coaching Package
    • Self-Care >
      • 2021 Aug The Milestone of Age 65
      • 2021 March Make a Self-Care Plan for Your Golden Years
      • 2018 Jan The Golden Keys for the Golden Years
      • 2018 July Golden Mindset
      • 2019 Jan Empty Nest
      • 2018 Feb loneliness Breakthrough
      • 2016 Feb Wellness Mindset
      • 2023 Jan Setting and Meeting Your Goals
      • 2019 Sept Time for change
      • 2020 Oct Process and Results
      • 2021 Sept Aging Brain
      • 2019 May Cognitive Health
      • 2021 Oct Muscle Memory and Cognition
      • 2020 July Listening to your body
      • 2019 March Body Image and Self-Care After Midlife
      • 2020 Nov Moderation
      • 2022 Aug Knowing When Doing More Is Harm Than Good
      • 2021 Nov Gratitude Power for Wellbeing
      • 2019 Dec Dealing with Difficult Emotions in Holiday Season
      • 2022 Dec Holiday Homecoming
    • Healthy Living >
      • 2022 Jan Health: the Cornerstone for Quality of Life
      • 2017 April Longevity and Quality of Life
      • Blog Are You Motivated for a Healthy Life Style?
      • 2018 June TLC Transformation
      • 2022 July Daily Routine for Healthy Aging
      • 2017 June Sleep Well
      • 2021 May Simplify Life for healthy aging
      • 2019 Aug Downsizing in the Golden Years
      • 2017 Sept Music Learning for older adults
    • Healthy Eating >
      • 2022 Sept Your Decision Power for Food Choices and Eating Behavior
      • 2022 Oct Hydration for Healthy Aging
      • 2018 Aug Nourish Your Body for Healthy Living
      • 2017 Oct Better to Eat Meat or Plant Food
      • 2020 Jan The Key Role of Protein in Healthy Aging
      • 2020 Feb Healthy Fat for Healthy Aging
      • 2020 March Healthy Aging Energy Source Carbohydrate
      • 2017 July Intermittent Fasting
      • 2020 Sept Time-Restricted Feeding Is A Healthy Lifestyle Choice
      • 2022 Nov Go green for health: A Green Tea Invitation
      • 2019 June Dietary Supplements Are Not Drugs
      • 2015 Nov Blog The Value of Vitamin and Dietary Supplements
    • Golden Age Fitness >
      • 2019 April Exercise is Medicine
      • 2017 March Exercise for Blood Sugar Regulation
      • 2017 Jan Willness Attitude and Winterizing Fitness
      • 2016 Apr Balance Training
      • 2016 Mar Get Active
      • 2018 Sept Keep Life in Motion
      • 2020 Aug Keep Fit for Your Age
      • 2023 Feb Benefits of Swimming for Healthy Aging
    • Age-related Health Challenges >
      • 2018 March Regulate Blood Pressure
      • 2018 May Blood Sugar Self-Management
      • 2018 April Lowering Cholesterol
      • 2017 Nov Immunity and Aging
      • 2016 June Vitamin D Deficiency
      • 2022 May Aging Skin and Sun Safety
      • 2022 Feb Aging Eye Facts
      • 2017 May How to Reduce Aging Eye Fatigue
      • 2022 Mar Age-Related Hearing Loss
      • 2022 April Aging and Oral Health
      • 2017 Feb Live with Thyroid Nodules
      • 2021 July Range of Motion Recovery from Frozen Shoulder
      • 2019 Nov Osteoporosis in Women
      • 2019 Feb Food Safety and H. pylori Infection
      • 2019 July GERD
      • 2016 Oct Significant Health Indicators
      • 2018 Oct Tough Fight for the Belly Fat
      • 2016 July Weight Management
      • 2018 Nov Dealing with chronic stress
      • 2021 June Managing Chronic Insomnia
      • 2017 Aug Facing a life-threatening illness
      • 2016 May Emotional Healing
    • Advocacy and Empowerment >
      • 2018 Dec The Most Valuable Gift
      • 2020 Dec Invest In yourself
      • 2016 Aug Health Literacy
      • 2016 Sept Prevention
      • 2022 June Making Transition From A Patient To An Educated Healthcare Customer
      • 2019 Oct Action is what counts
      • 2021 Nov Navigation for Healthcare Needs
      • 2016 Nov Gratitude for life
    • COVID 19 Pandemic >
      • 2020 May Hope endures
      • 2020 June Breathing and Blessing
      • 2020 April Transform Pandemic Fear to Self-Care
      • 2021 Jan Hew Year Brings New Hope
      • 2021 Feb Pandemic Winter Blues
      • 2021 April Are You Fully Vaccinated?
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