Burden of recreational water illness due to exposure to cyanobacteria and their toxins in freshwater beaches in Canada: protocol of a prospective cohort study.

INTRODUCTION: Cyanobacterial blooms are increasingly common in freshwater sources used for swimming and other recreational water contact activities in Canada. Many species of cyanobacteria can produce toxins that affect human and animal health, but there are limited data on the risk of illness associated with water contact at impacted beaches. METHODS AND ANALYSIS: This study will investigate the incidence of recreational water illness due to exposure to cyanobacterial blooms and their toxins in four targeted and popular freshwater beaches in Ontario, Manitoba and Nova Scotia, Canada. A prospective cohort design and One Health approach will be used. On-site recruitment of recreational water users will be conducted at two beaches per year during the summers of 2024 and 2025. The population of interest includes recreational water users of any age and their pet dogs. After enrolment, an in-person survey will determine beach exposures and confounding factors, and a 3-day follow-up survey will ascertain any acute illness outcomes experienced by participants or their dogs. The target sample size is 2500 recreational water users. Water samples will be taken each recruitment day and analysed for cyanobacterial indicators (pigments), cell counts and toxin levels. Bayesian regression analysis will be conducted to estimate the association with water contact, cyanobacterial levels and risks of different acute illness outcomes. ETHICS AND DISSEMINATION: This study has been approved by the Toronto Metropolitan University Research Ethics Board (REB 2023-461). Study results will be published in a peer-reviewed journal and as infographics on a project website.

Highly pathogenic avian influenza: Unprecedented outbreaks in Canadian wildlife and domestic poultry.

Canada experienced a wave of HPAI H5N1 outbreaks in the spring of 2022 with millions of wild and farmed birds being infected. Seabird mortalities in Canada have been particularly severe on the Atlantic Coast over the summer of 2022. Over 7 million birds have been culled in Canada, and outbreaks continue to profoundly affect commercial bird farms across the world. This new H5N1 virus can and has infected multiple mammalian species, including skunks, foxes, bears, mink, seals, porpoises, sea lions, and dolphins. Viruses with mammalian adaptations such as the mutations PB2-E627K, E627V, and D701N were found in the brain of various carnivores in Europe and Canada. To date this specific clade of H5N1 virus has been identified in less than 10 humans. At the ground level, awareness should be raised among frontline practitioners most likely to encounter patients with HPAI.

Le Canada a vécu un vague d'éclosions de grippe aviaire de souche H5N1 hautement pathogène au printemps 2022 lorsque des millions d'oiseaux sauvages et d'oiseaux d'élevage ont été infectés. La mortalité des oiseaux marins au Canada a été particulièrement marquée sur la côte Atlantique pendant l'été 2022. Plus de sept millions d'oiseaux ont été abattus au Canada, et les éclosions continuent de nuire profondément aux élevages commerciaux d'oiseaux dans le monde. Ce nouveau virus H5N1 peut infecter de multiples espèces de mammifères, y compris des mouffettes, des renards, des ours, des visons, des phoques, des marsouins, des otaries et des dauphins. Les virus adaptés aux mammifères et porteurs des mutations PB2-E627K, E627V et D701N, ont été observés dans le cerveau de divers carnivores de l'Europe et du Canada. Jusqu'à présent, ce clade du virus H5N1 a été dépisté chez moins de dix humains. Sur le terrain, il est important de sensibiliser les praticiens de première ligne qui sont plus susceptibles de voir des patients atteints de la grippe aviaire de souche hautement pathogène.

Using foresight to prepare animal health today for tomorrow's challenges.

Foresight has been introduced in Canada in the area of animal health as a process to broaden thinking about the future and inform policy development. Its initial use and evolution through projects and studies over the past decade are described, demonstrating real action in animal health. Despite positive, continuing, and exciting results in animal health policy development, foresight's widespread acceptance and use thus far have been limited. Critical components for success, drawn from the Canadian experience, are described, and recommendations are offered for further action in animal health.

Canadian Perspectives on Verocytotoxin-Producing Escherichia coli Infection †.

Infection with verocytotoxin-producing Escherichia coli (VTEC) became nationally reportable in 1990. Between 1990 and 1994, the national incidence of reported infections ranged from 3 to 5.3 per 100,000 inhabitants. Most cases are sporadic and are caused by E. coli O157:H7. Recent investigations have identified that, in addition to exposure to undercooked ground beef, contact with cattle, consumption of well water, and exposure to rural environments are important risk factors for VTEC infection. Also, results of case control studies and detection of asymptomatic fecal carriage of E. coli O157:H7 and other VTEC in farm family members and abattoir workers have led to an increasing emphasis on person-to-person spread in the epidemiology of VTEC infection. Controlling E. coli O157:H7 and other VTEC at the farm level may therefore have a broader impact than simply reducing the risk of foodborne VTEC infection. Longitudinal studies on dairy farms have demonstrated that E. coli O157:H7 carriage by cattle at the farm and animal level is often transient, and that cattle, rather than the farm environment, are the major reservoir for this organism on dairy farms. Small herds that are controlled by traditional management practices have the highest risk for VTEC infection. Further studies are likely to result in development of effective strategies to control VTEC at the farm level.

Growing Concerns and Recent Outbreaks Involving Non-O157:H7 Serotypes of Verotoxigenic Escherichia coli.

Verocytotoxin-producing E. coli (VTEC) of serotype O157:H7 have been shown to be important agents of foodborne disease in humans worldwide. While the majority of research effort has been targeted on this serotype it is becoming more evident that other serotypes of VTEC can also be associated with human disease. An increasing number of these non-O157:H7 VTEC have been isolated from humans suffering from HUS and diarrhea. Recently a number of foodborne outbreaks in the USA, Australia, and other countries have been attributed to non-O157:H7 VTEC serotypes. Surveys of animal populations in a variety of countries have shown that the cattle reservoir contains more than 100 serotypes of VTEC, many of which are similar to those isolated from humans. The diversity and complexity of the VTEC family requires that laboratories and public health surveillance systems have the ability to detect and monitor all serotypes of VTEC.

Rapid Assessment of the Microbiological Quality of Poultry Carcasses Using ATP Bioluminescence.

The meat industry is in need of faster and more reliable methods to determine microbial loads in food products. A rapid method (<15 min) has been developed to assess the microbiological quality of chicken carcasses using the adenosine triphosphate (ATP) bioluminescence assay. The results indicate that, following modifications, the ATP bioluminescence test produced an acceptable correlation with plate counts (r = 0.85, p < 0.001) and demonstrated good repeatability between replicates. It is envisaged that the modified ATP bioluminescence assay would best be used as a platform rejection test. Using threshold levels determined from the regression equation, the ATP bioluminescence assays gave about 90% agreement with plate counts for carcass rinses with counts above 5 × 104 CFU/ml. These findings suggest that the modified ATP bioluminescence assay could be used for monitoring critical control points (CCPs) in programs based on hazard analysis of critical control points (HACCP).

Variability and Determinants of Carcass Bacterial Load at a Poultry Abattoir.

Roaster chicken carcasses (2,928) were collected from the evisceration line of a poultry abattoir over a 5-month period and identified as to the lot (truck load) and supplier. Bacterial load was determined by mechanically rinsing each eviscerated carcass in sterile water and then using an automated hydrophobic grid membrane interpreter system to obtain the log10 most probable number of aerobic bacteria per gram of carcass. Analysis of variance demonstrated that the between-carcass, between-lots-within-supplier, and between-supplier components of variability in bacterial load represented 73.2, 14.2, and 12.6% of the total variability, respectively. There was a significant (p < 0.001) supplier and lots-within-supplier effect on bacterial load of carcasses. A regression model demonstrated that bacterial load of lots significantly (p ≤ 0.05) decreased with increasing hours of operation of the evisceration line. Factors in the model which were significantly (p ≤ 0.05) associated with increased bacterial load included longer crating and holding times, higher visible contamination scores, slaughter during winter months, higher outdoor temperatures, and slaughter of lots composed of only pullets. The model explained about 23% of the variability in bacterial load.

Variability in Broiler Carcass Bacterial Load at Three Abattoirs, as Measured by a Hydrophobic Grid Membrane Filter Interpreter.

In this observational study, the variability of broiler carcass bacterial load was investigated at three federally inspected abattoirs, using an automated hydrophobic grid membrane filter interpreter system. The measurement protocol involved: whole carcass rinses aided by a mechanical carcass shaker; filtration of rinse solutions through hydrophobic grid membrane filters (HGMF) (ISO-GRID®, QA Laboratories, Ltd., Toronto, Ont.); and use of an automated HGMF interpreter (MI-100 HGMF Interpreter System, Richard Brancker Research, Ltd., Ottawa, Ont.). Carcass and lot mean bacterial loads were measured, respectively, in units of log10 most probable number (MPN) of mesophylic aerobic colony forming units per gram of carcass (LgMPN/g), and slaughter lot mean LgMPN/g (LMLgMPN/g). Whole carcass rinses were conducted on a total of 1,917 carcasses, among 96 slaughter lots from three abattoirs. Overall, the LgMPN/g ranged from 1.054 to 4.180 with a mean of 2.585 and a variance of 0.263. These corresponded to MPN/g counts from 11 to 15,135 and a geometric mean of 385 MPN/g. Statistically significant differences were observed between abattoirs and between lots within abattoirs. The intra-abattoir correlation coefficient of LgMPN/g was r = 0.180 (p < 0.001). The within abattoir intralot correlation coefficient was r = 0.259 (p < 0.001). In this data set, approximately 56, 26, and 18% of the variability in LgMPN/g were attributed to factors operating at the individual bird, lot, and abattoir levels of organization, respectively. Factors significantly associated with LMLgMPN/g included: abattoir (p < 0.001), transportation time from farm to abattoir (p < 0.001), and waiting time from arrival at the abattoir yard to actual slaughter (p = 0.002). Analysis of a series of five repeat rinses, conducted on one bird from each of the 96 study lots, demonstrated that bacterial counts in the second to fifth sequential rinses were positively associated with the bacterial count of the first rinse. Also, after adjusting for the initial count, a pattern of decreasing counts was observed in subsequent rinses.