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1.
J Water Health ; 21(10): 1562-1571, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37902209

RESUMO

Water suppliers in New Zealand have been preparing the water safety plans (WSPs) since 2005; large drinking water-associated outbreaks of campylobacteriosis occurred in Darfield in 2012 and in Havelock North in 2016. This paper reviews the WSP that was in place for Havelock North, and analyses why it failed to prevent this outbreak. The risk assessment team completing the WSP underestimated the risks to human health of contamination events, while overestimating the security of the groundwater and bore heads. Historical Escherichia coli transgressions were dismissed as likely despite sampler or testing errors, rather than important warning signals. The outbreak was a consequence of multiple factors including an untreated supply, a local animal faecal source, limitations to the aquifer integrity and bore head protection, and a failure to proactively respond to a flooding event. The overarching issue was a focus on narrow compliance with the Health Act rather than the use of the WSP as a valuable tool to proactively understand and manage public health risks. New Zealand plans to focus on the ability of an organisation to manage risk, with the emphasis on promoting conversations with water suppliers about integrated risk management rather than focusing solely on the preparation of a WSP.


Assuntos
Água Potável , Gastroenterite , Humanos , Animais , Abastecimento de Água , Surtos de Doenças/prevenção & controle , Saúde Pública , Escherichia coli
2.
J Clin Microbiol ; 59(11): e0084921, 2021 10 19.
Artigo em Inglês | MEDLINE | ID: mdl-34406797

RESUMO

This study describes the epidemiology of listeriosis in New Zealand between 1999 and 2018 as well as the retrospective whole-genome sequencing (WGS) of 453 Listeria monocytogenes isolates corresponding to 95% of the human cases within this period. The average notified rate of listeriosis was 0.5 cases per 100,000 population, and non-pregnancy-associated cases were more prevalent than pregnancy-associated cases (averages of 19 and 5 cases per annum, respectively). WGS data was assessed using multilocus sequencing typing (MLST), including core-genome and whole-genome MLST (cgMLST and wgMLST, respectively) and single-nucleotide polymorphism (SNP) analysis. Thirty-nine sequence types (STs) were identified, with the most common being ST1 (21.9%), ST4 (13.2%), ST2 (11.3%), ST120 (6.1%), and ST155 (6.4%). A total of 291 different cgMLST types were identified, with the majority (n = 243) of types observed as a single isolate, consistent with the observation that listeriosis is predominately sporadic. Among the 49 cgMLST types containing two or more isolates, 18 cgMLST types were found with 2 to 4 isolates each (50 isolates in total, including three outbreak-associated isolates) that shared low genetic diversity (0 to 2 whole-genome alleles), some of which were dispersed in time or geographical regions. SNP analysis also produced results comparable to those from wgMLST. The low genetic diversity within these clusters suggests a potential common source, but incomplete epidemiological data impaired retrospective epidemiological investigations. Prospective use of WGS analysis together with thorough exposure information from cases could potentially identify future outbreaks more rapidly, including those that may have been undetected for some time over different geographical regions.


Assuntos
Listeria monocytogenes , Listeriose , Surtos de Doenças , Microbiologia de Alimentos , Genoma Bacteriano/genética , Humanos , Listeria monocytogenes/genética , Listeriose/epidemiologia , Tipagem de Sequências Multilocus , Nova Zelândia/epidemiologia , Estudos Prospectivos , Estudos Retrospectivos
3.
Emerg Infect Dis ; 25(12): 2226-2234, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31742539

RESUMO

In 2014, antimicrobial drug-resistant Campylobacter jejuni sequence type 6964 emerged contemporaneously in poultry from 3 supply companies in the North Island of New Zealand and as a major cause of campylobacteriosis in humans in New Zealand. This lineage, not previously identified in New Zealand, was resistant to tetracycline and fluoroquinolones. Genomic analysis revealed divergence into 2 major clades; both clades were associated with human infection, 1 with poultry companies A and B and the other with company C. Accessory genome evolution was associated with a plasmid, phage insertions, and natural transformation. We hypothesize that the tetO gene and a phage were inserted into the chromosome after conjugation, leaving a remnant plasmid that was lost from isolates from company C. The emergence and rapid spread of a resistant clone of C. jejuni in New Zealand, coupled with evolutionary change in the accessory genome, demonstrate the need for ongoing Campylobacter surveillance among poultry and humans.


Assuntos
Infecções por Campylobacter/epidemiologia , Infecções por Campylobacter/microbiologia , Campylobacter jejuni/efeitos dos fármacos , Campylobacter jejuni/genética , Genoma Bacteriano , Doenças das Aves Domésticas/epidemiologia , Doenças das Aves Domésticas/microbiologia , Animais , Antibacterianos/farmacologia , Infecções por Campylobacter/história , Campylobacter jejuni/classificação , Campylobacter jejuni/isolamento & purificação , Doenças Transmissíveis Emergentes/epidemiologia , Doenças Transmissíveis Emergentes/microbiologia , Farmacorresistência Bacteriana , Fluoroquinolonas/farmacologia , Genômica/métodos , História do Século XXI , Humanos , Tipagem de Sequências Multilocus , Nova Zelândia/epidemiologia , Filogenia , Plasmídeos , Polimorfismo de Nucleotídeo Único , Doenças das Aves Domésticas/história , Tetraciclina/farmacologia , Sequenciamento Completo do Genoma
4.
J Environ Manage ; 222: 293-303, 2018 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-29860123

RESUMO

In New Zealand, there is substantial potential for microbial contaminants from agricultural fecal sources to be transported into waterways. The flow and transport pathways for fecal contaminants vary at a range of scales and is dependent on chemical, physical and biological attributes of pathways, soils, microorganisms and landscape characteristics. Understanding contaminant transport pathways from catchment to stream can aid water management strategies. It is not practical, however to conduct direct field measurement for all catchments on the fate and transport of fecal pathogens due to constraints on time, personnel, and material resources. To overcome this problem, fecal source tracking can be utilised to link catchment characteristics to fecal signatures identifying critical sources. In this article, we have reviewed approaches to identifying critical sources and pathways for fecal microorganisms from agricultural sources, and make recommendations for the appropriate use of these fecal source tracking (FST) tools.


Assuntos
Agricultura , Fezes , Microbiologia da Água , Monitoramento Ambiental , Nova Zelândia , Rios , Qualidade da Água
5.
J Environ Qual ; 46(4): 819-827, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28783788

RESUMO

Intensive deer farming can cause environmental issues, mainly by its impact on soils and water quality. In particular, there is a risk to the microbial quality of water, as high quantities of suspended sediment and fecal bacteria can enter into water systems. The feces of farmed red deer (, = 206) from Canterbury and Southland, New Zealand, were analyzed with regard to the presence of spp., , enterococci, and spp.. Enterococci and were isolated from all samples, with mean concentrations of 4.5 × 10 (95% CI 3.5 × 10, 5.6 10) and 1.3 × 10 (95% CI 1.1 × 10, 1.5 × 10) per gram of dry feces, respectively. spp. were isolated from 27 fecal samples, giving an overall prevalence of 13.1%. isolation rates were variable within and between regions (Canterbury 7.95% [95% CI 2-14%], Southland 16.95% [95% CI 10-24%]). Five out of 42 composite samples were positive for , and one sample for The overall prevalence ranges on a per-animal basis were therefore 2.43 to 11.17% and 0.49 to 2.91%, respectively. This study is the first to quantify the concentration of spp. present in healthy deer farmed in New Zealand. Deer feces are a potential source of human campylobacteriosis, with all genotypes isolated also previously observed among human cases. The fecal outputs from deer should be regarded as potentially pathogenic to humans and therefore be appropriately managed.


Assuntos
Cervos , Fezes/microbiologia , Microbiologia da Água , Animais , Campylobacter/isolamento & purificação , Enterococcus/isolamento & purificação , Escherichia coli/isolamento & purificação , Humanos , Nova Zelândia , Yersinia/isolamento & purificação
6.
Euro Surveill ; 22(23)2017 06 08.
Artigo em Inglês | MEDLINE | ID: mdl-28662764

RESUMO

PulseNet International is a global network dedicated to laboratory-based surveillance for food-borne diseases. The network comprises the national and regional laboratory networks of Africa, Asia Pacific, Canada, Europe, Latin America and the Caribbean, the Middle East, and the United States. The PulseNet International vision is the standardised use of whole genome sequencing (WGS) to identify and subtype food-borne bacterial pathogens worldwide, replacing traditional methods to strengthen preparedness and response, reduce global social and economic disease burden, and save lives. To meet the needs of real-time surveillance, the PulseNet International network will standardise subtyping via WGS using whole genome multilocus sequence typing (wgMLST), which delivers sufficiently high resolution and epidemiological concordance, plus unambiguous nomenclature for the purposes of surveillance. Standardised protocols, validation studies, quality control programmes, database and nomenclature development, and training should support the implementation and decentralisation of WGS. Ideally, WGS data collected for surveillance purposes should be publicly available, in real time where possible, respecting data protection policies. WGS data are suitable for surveillance and outbreak purposes and for answering scientific questions pertaining to source attribution, antimicrobial resistance, transmission patterns, and virulence, which will further enable the protection and improvement of public health with respect to food-borne disease.


Assuntos
Bases de Dados Factuais , Surtos de Doenças , Microbiologia de Alimentos , Doenças Transmitidas por Alimentos/microbiologia , Genoma Bacteriano , Saúde Pública , Sequenciamento Completo do Genoma/normas , Bases de Dados Factuais/normas , Doenças Transmitidas por Alimentos/epidemiologia , Humanos , Laboratórios , Tipagem de Sequências Multilocus
7.
Environ Monit Assess ; 188(8): 475, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27435622

RESUMO

Thirty on-site greywater systems were sampled to determine greywater characteristics and practices in the field. Kitchen greywater was present at eight sites and urine was included at seven sites. These non-traditional sources resulted in significantly higher concentrations of enterococci and 5-day biochemical oxygen demand (BOD5) in greywater. Even with the removal of these sources, the concentrations of microbial indicators indicated high levels of contamination could occur across all greywater sources, including "light" greywater. Using multiple microbial indicators showed that all samples had the potential for faecal contamination. Bacteroidales markers were confirmed in treated greywater and in each greywater source, highlighting the potential for human faecal contamination. Although Escherichia coli was absent in treated greywater recycled to the house, other microbial indicators were present; hence, caution is required in using E. coli concentrations as the sole indicator of microbiological water quality. High BOD5 or total suspended solid concentrations exceeded the levels recommended for effective disinfection. Subsurface irrigation, which is assumed to provide a five-log reduction in exposure, is a suitable reuse option for non-disinfected greywater. Only half the occupants had a good understanding of their greywater systems and 25 % of systems were poorly maintained. Elevated microbial indicator contamination of greywater sludge is a potential hazard during maintenance.


Assuntos
Desinfecção/métodos , Monitoramento Ambiental/métodos , Reciclagem/métodos , Eliminação de Resíduos Líquidos/métodos , Águas Residuárias , Qualidade da Água , Análise da Demanda Biológica de Oxigênio , Escherichia coli/isolamento & purificação , Humanos , Nova Zelândia , Esgotos/análise , Esgotos/microbiologia , Águas Residuárias/química , Águas Residuárias/microbiologia
8.
Environ Monit Assess ; 187(10): 625, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26370196

RESUMO

Discrimination of the source of faecal pollution in water bodies is an important step in the assessment and mitigation of public health risk. One tool for faecal source tracking is the analysis of faecal sterols which are present in faeces of animals in a range of distinctive ratios. Published ratios are able to discriminate between human and herbivore mammal faecal inputs but are of less value for identifying pollution from wildfowl, which can be a common cause of elevated bacterial indicators in rivers and streams. In this study, the sterol profiles of 50 avian-derived faecal specimens (seagulls, ducks and chickens) were examined alongside those of 57 ruminant faeces and previously published sterol profiles of human wastewater, chicken effluent and animal meatwork effluent. Two novel sterol ratios were identified as specific to avian faecal scats, which, when incorporated into a decision tree with human and herbivore mammal indicative ratios, were able to identify sterols from avian-polluted waterways. For samples where the sterol profile was not consistent with herbivore mammal or human pollution, avian pollution is indicated when the ratio of 24-ethylcholestanol/(24-ethylcholestanol + 24-ethylcoprostanol + 24-ethylepicoprostanol) is ≥0.4 (avian ratio 1) and the ratio of cholestanol/(cholestanol + coprostanol + epicoprostanol) is ≥0.5 (avian ratio 2). When avian pollution is indicated, further confirmation by targeted PCR specific markers can be employed if greater confidence in the pollution source is required. A 66% concordance between sterol ratios and current avian PCR markers was achieved when 56 water samples from polluted waterways were analysed.


Assuntos
Aves , Monitoramento Ambiental/métodos , Fezes/química , Água Doce/química , Esteróis/análise , Poluição da Água/análise , Animais , Biomarcadores/análise , Colestanol/análise , DNA/análise , Árvores de Decisões , Cromatografia Gasosa-Espectrometria de Massas , Humanos , Reação em Cadeia da Polimerase
9.
J Clin Microbiol ; 52(9): 3345-50, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24989612

RESUMO

Campylobacteriosis is the most commonly reported form of human bacterial gastroenteritis in the world. Sound identification of infectious sources requires subtyping, but the most widely used methods have turnaround times measured in days and require specialist equipment and skills. A multiplex ligation-dependent probe amplification-binary typing (MBiT) assay was developed for subtyping Campylobacter jejuni and Campylobacter coli. It was tested on 245 isolates, including recent isolates from Belgium and New Zealand, and compared to multilocus sequence typing (MLST). When used in an outbreak setting, MBiT identified the predominant genotype and possible additional cases days before pulsed-field gel electrophoresis (PFGE) results were available. MBiT was more discriminatory than MLST and, being a single assay with results produced within 6 h, was more rapid and cost-effective than both MLST and PFGE. In addition, MBiT requires only basic molecular biology equipment and skills.


Assuntos
Infecções por Campylobacter/microbiologia , Campylobacter coli/classificação , Campylobacter jejuni/classificação , Tipagem Molecular/métodos , Reação em Cadeia da Polimerase Multiplex/métodos , Bélgica , Campylobacter coli/genética , Campylobacter jejuni/genética , Eletroforese em Gel de Campo Pulsado , Humanos , Nova Zelândia , Sensibilidade e Especificidade , Fatores de Tempo
10.
J Water Health ; 12(3): 555-63, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25252359

RESUMO

Outbreaks of waterborne gastroenteritis continue to occur in developed countries. Darfield, a rural town in the South Island of New Zealand experienced an outbreak of campylobacteriosis following a transgression of Escherichia coli on 16 August 2012. A descriptive outbreak investigation was performed. As a result, 29 cases had a laboratory-confirmed diagnosis of campylobacteriosis and 138 were identified as probable cases. Heavy rains, contamination of water with animal effluent from nearby paddocks and failures in the treatment of drinking water led to pathogens being distributed through the town's water supply. A multi-barrier approach is advocated to ensure the quality of water and many countries have legislation or programmes to address this. Although legislation for water safety plans based on a multi-barrier approach is in place in New Zealand, at the time of the outbreak it was not a requirement for the Darfield water supply. In addition, despite the awareness of the importance of a multi-barrier approach, competing interests, including those from the agricultural industry and financial restraints on water suppliers, can prevent it from being implemented. Governments need to be more willing to enforce legislation and standards to protect the public from waterborne disease.


Assuntos
Infecções por Campylobacter/epidemiologia , Campylobacter coli/isolamento & purificação , Campylobacter jejuni/isolamento & purificação , Surtos de Doenças , Água Potável/microbiologia , Purificação da Água/normas , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Animais , Infecções por Campylobacter/microbiologia , Infecções por Campylobacter/prevenção & controle , Campylobacter coli/classificação , Campylobacter coli/genética , Campylobacter jejuni/classificação , Campylobacter jejuni/genética , Criança , Pré-Escolar , Eletroforese em Gel de Campo Pulsado , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Nova Zelândia/epidemiologia , Adulto Jovem
11.
Water Environ Res ; 85(8): 743-50, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24003600

RESUMO

Decay rates for sunlight inactivation of polymerase chain reaction (PCR) markers for total Bacteroidales, human-specific Bacteroidales, Escherichia coli, and Bifidobacterium adolescentis relative to cultured E. coli were investigated. The experiment used 100-L chambers of fresh water and seawater (paired with dark controls) seeded with human sewage and exposed to natural sunlight over three summer days. Culturable E. coli levels in sunlight-exposed chambers decreased by at least 3 logs on day 1, and by day 3 a total reduction of 4.5 to 5.5 logs was achieved in fresh water and seawater, respectively. In contrast, PCR detection of the four gene targets in sunlight-exposed chambers reduced by no more than 2 logs over the duration of the study (k(t) < 0.071 log(e) units h(-1)). Under these experimental conditions, PCR markers are considerably more conservative than culturable E. coli and can persist for extended periods of time following inactivation of E. coli.


Assuntos
Bacteroidetes/efeitos da radiação , Bifidobacterium/efeitos da radiação , Escherichia coli/efeitos da radiação , Luz Solar , Microbiologia da Água , Bacteroidetes/genética , Bifidobacterium/genética , Escherichia coli/genética , Fezes/microbiologia , Marcadores Genéticos , Humanos , Reação em Cadeia da Polimerase , Rios/microbiologia , Água do Mar/microbiologia
12.
Microorganisms ; 11(5)2023 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-37317135

RESUMO

(1) Background: This paper discusses the impact of agricultural activities on stream health, particularly in relation to dairy cow fecal pollution. The study explores the fecal microbiome of cattle and the potential ecological implications of aging fecal pollution on waterways. (2) Methods: The study examines changes in the bacterial community available for mobilization from in-situ decomposing cowpats and the effects of simulated rainfall. The microbiome of individual cowpats was monitored over 5.5 months. We used 16S rRNA metagenomics and machine learning software, FEAST (Fast Expectation-mAximization for microbial Source Tracking), for bacterial and fecal source assignments. (3) Results: The phyla Bacillota and Bacteroidota are dominant in the fecal microbiota of fresh cow feces but shift to Pseudomonodota, Actinomycetota, and environmental Bacteroidota in aged cowpats. Potential impacts of these bacterial community shifts on inputs to local agricultural streams are discussed in relation to water quality monitoring and aging sources of fecal contamination. We identified taxon orders that are potential indicators of fresh cattle sources (Oscillospirales and Bacteroidales) and aged sources (Peptostreptococcales-Tissierellales) in water bodies. (4) The paper highlights that bacterial metagenomic profiling can inform our understanding of the ecology of microbial communities in aquatic environments and the potential impacts of agricultural activities on ecosystem health.

13.
PLOS Glob Public Health ; 3(5): e0001527, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37252910

RESUMO

Cryptosporidium and Giardia are major causes of diarrhoea globally, and two of the most notified infectious diseases in New Zealand. Diagnosis requires laboratory confirmation carried out mostly via antigen or microscopy-based techniques. However, these methods are increasingly being superseded by molecular techniques. Here we investigate the level of protozoa detection by molecular methods in campylobacteriosis cases missed through antigen-based assays and investigate different molecular testing protocols. We report findings from two observational studies; the first among 111 people during a Campylobacter outbreak and the second during normal surveillance activities among 158 people presenting with diarrhoea and a positive Campylobacter test, but negative Cryptosporidium and Giardia antigen-based test results. The molecular methods used for comparison were in-house end-point PCR tests targeting the gp60 gene for Cryptosporidium and gdh gene for Giardia. DNA extraction was performed with and without bead-beating and comparisons with commercial real-time quantitative (qPCR) were made using clinical Cryptosporidium positive sample dilutions down to 10-5. The Cryptosporidium prevalence was 9% (95% CI: 3-15; 10/111) and Giardia prevalence 21% (95% CI: 12-29; 23/111) in the 111 Campylobacter outbreak patients. The Cryptosporidium prevalence was 40% (95% CI: 32-48; 62/158) and Giardia prevalence 1.3% (95% CI: 0.2-4.5; 2/158) in the 158 routine surveillance samples. Sequencing identified Cryptosporidium hominis, C. parvum, and Giardia intestinalis assemblages A and B. We found no statistical difference in positive test results between samples using end-point PCR with or without bead-beating prior to DNA extraction, or between the in-house end-point PCR and qPCR. The qPCR Ct value was 36 (95% CI: 35-37) for 1 oocyst, suggesting a high limit of detection. In conclusion in surveillance and outbreak situations we found diagnostic serology testing underdiagnoses Cryptosporidium and Giardia coinfections in Campylobacter patients, suggesting the impact of protozoa infections may be underestimated through underdiagnosis using antigen-based assays.

14.
J Clin Microbiol ; 50(2): 457-9, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22116155

RESUMO

Pulsed-field gel electrophoresis (PFGE) analysis demonstrated that while 76% of patients had only one genotype of campylobacter, 10% carried two different but related genotypes (Dice coefficients > 0.78), and 14% carried at least two unrelated genotypes (Dice coefficients < 0.65). This supports the clustering of Campylobacter isolates with similar PFGE patterns, highlights the need to analyze multiple isolates from both sources and patients, and confirms that caution should be exercised before epidemiological links between patients or sources are dismissed.


Assuntos
Infecções por Campylobacter/microbiologia , Campylobacter/classificação , Campylobacter/isolamento & purificação , Coinfecção/microbiologia , Eletroforese em Gel de Campo Pulsado , Tipagem Molecular , Campylobacter/genética , Análise por Conglomerados , Genótipo , Humanos , Epidemiologia Molecular , Nova Zelândia
15.
Appl Environ Microbiol ; 78(2): 503-10, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22081573

RESUMO

Avian feces contaminate waterways but contribute fewer human pathogens than human sources. Rapid identification and quantification of avian contamination would therefore be useful to prevent overestimation of human health risk. We used subtractive hybridization of PCR-amplified gull fecal 16S RNA genes to identify avian-specific fecal rRNA gene sequences. The subtracters were rRNA genes amplified from human, dog, cat, cow, and pig feces. Recovered sequences were related to Enterobacteriaceae (47%), Helicobacter (26%), Catellicoccus (11%), Fusobacterium (11%), and Campylobacter (5%). Three PCR assays, designated GFB, GFC, and GFD, were based on recovered sequence fragments. Quantitative PCR assays for GFC and GFD were developed using SYBR green. GFC detected down to 0.1 mg gull feces/100 ml (corresponding to 2 gull enterococci most probable number [MPN]/100 ml). GFD detected down to 0.1 mg chicken feces/100 ml (corresponding to 13 Escherichia coli MPN/100 ml). GFB and GFC were 97% and 94% specific to gulls, respectively. GFC cross-reacted with 35% of sheep samples but occurred at about 100,000 times lower concentrations in sheep. GFD was 100% avian specific and occurred in gulls, geese, chickens, and ducks. In the United States, Canada, and New Zealand, the three markers differed in their geographic distributions but were found across the range tested. These assays detected four important bird groups contributing to fecal contamination of waterways: gulls, geese, ducks, and chickens. Marker distributions across North America and in New Zealand suggest that they will have broad applicability in other parts of the world as well.


Assuntos
Técnicas Bacteriológicas/métodos , Aves/microbiologia , Galinhas/microbiologia , Fezes/microbiologia , Reação em Cadeia da Polimerase/métodos , Microbiologia da Água , Poluição da Água , Animais , DNA Bacteriano/química , DNA Bacteriano/genética , DNA Ribossômico/química , DNA Ribossômico/genética , Marcadores Genéticos , Dados de Sequência Molecular , RNA Ribossômico 16S/genética , Sensibilidade e Especificidade , Análise de Sequência de DNA
16.
Environ Health Perspect ; 130(12): 125001, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36520537

RESUMO

BACKGROUND: Wastewater-based epidemiology (WBE) is rapidly developing as a powerful public health tool. It can provide information about a wide range of health determinants (HDs), including community exposure to environmental hazards, trends in consumption of licit and illicit substances, spread of infectious diseases, and general community health. As such, the list of possible candidate HDs for WBE is almost limitless. Consequently, a means to evaluate and prioritize suitable candidates for WBE is useful, particularly for public health authorities, who often face resource constraints. OBJECTIVES: We have developed a framework to assist public health authorities to decide what HDs may be appropriate for WBE and what biomarkers could be used. This commentary reflects the experience of the authors, who work at the interface of research and public health implementation. DISCUSSION: To be suitable for WBE, a candidate HD should address a public health or scientific issue that would benefit from better understanding at the population level. For HDs where information on individual exposures or stratification by population subgroups is required, WBE is less suitable. Where other methodologies are already used to monitor the candidate HD, consideration must be given to whether WBE could provide better or complementary information to the current approach. An essential requirement of WBE is a biomarker specific for the candidate HD. A biomarker in this context refers to any human-excreted chemical or biological that could act as an indicator of consumption or exposure to an environmental hazard or of the human health state. Suitable biomarkers should meet several criteria outlined in this commentary, which requires background knowledge for both the biomarker and the HD. An evaluation tree summarizing key considerations for public health authorities when assessing the suitability of candidate HDs for WBE and an example evaluation are presented. https://doi.org/10.1289/EHP11115.


Assuntos
Saúde Pública , Vigilância Epidemiológica Baseada em Águas Residuárias , Humanos , Águas Residuárias , Biomarcadores
17.
Sci Total Environ ; 853: 158509, 2022 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-36063947

RESUMO

In rural environments, the sources of fecal contamination in freshwater environments are often diffuse and a mix of fresh and aged fecal sources. It is important for water monitoring purposes, therefore, to understand the impacts of weathering on detection of the fecal source markers available for mobilization from livestock sources. This study targets the impacts of rainfall events on the mobilization of fecal source tracking (FST) markers from simulated cowpats decomposing in situ for five-and-a-half-months. The FST markers analysed were Escherichia coli, microbial source tracking (MST) markers, fecal steroids and a fecal ageing ratio based on the ratio between counts of river microflora and total coliforms. There was a substantial concentration of E. coli (104/100 mL) released from the ageing cowpats suggesting a long-term reservoir of E. coli in the cowpat. Mobilization of fecal markers from rainfall-impacted cowpats, however, was markedly reduced compared with fecal markers in the cowpat. Overall, the Bacteroidales bovine-associated MST markers were less persistent than E. coli in the cowpat and rainfall runoff. The ten fecal steroids, including the major herbivore steroid, 24-ethylcoprostanol, are shown to be stable markers of bovine pollution due to statistically similar degradation rates among all steroids. The mobilizable fraction for each FST marker in the rainfall runoff allowed generation of mobilization decline curves and the derived decline rate constants can be incorporated into source attribution models for agricultural contaminants. Findings from this study of aged bovine pollution sources will enable water managers to improve attribution of elevated E. coli to the appropriate fecal source in rural environments.


Assuntos
Escherichia coli , Poluição da Água , Bovinos , Animais , Poluição da Água/análise , Monitoramento Ambiental , Fezes/química , Microbiologia da Água , Água/análise
18.
Water Res ; 211: 118032, 2022 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-35042077

RESUMO

To assist public health responses to COVID-19, wastewater-based epidemiology (WBE) is being utilised internationally to monitor SARS-CoV-2 infections at the community level. However, questions remain regarding the sensitivity of WBE and its use in low prevalence settings. In this study, we estimated the total number of COVID-19 cases required for detection of SARS-CoV-2 RNA in wastewater. To do this, we leveraged a unique situation where, over a 4-month period, all symptomatic and asymptomatic cases, in a population of approximately 120,000, were precisely known and mainly located in a single managed isolation and quarantine facility (MIQF) building. From 9 July to 6 November 2020, 24-hr composite wastewater samples (n = 113) were collected daily from the sewer outside the MIQF, and from the municipal wastewater treatment plant (WWTP) located 5 km downstream. New daily COVID-19 cases at the MIQF ranged from 0 to 17, and for most of the study period there were no cases outside the MIQF identified. SARS-CoV-2 RNA was detected in 54.0% (61/113) at the WWTP, compared to 95.6% (108/113) at the MIQF. We used logistic regression to estimate the shedding of SARS-CoV-2 RNA into wastewater based on four infectious shedding models. With a total of 5 and 10 COVID-19 infectious cases per 100,000 population (0.005% and 0.01% prevalence) the predicated probability of SARS-CoV-2 RNA detection at the WWTP was estimated to be 28 and 41%, respectively. When a proportional shedding model was used, this increased to 58% and 87% for 5 and 10 cases, respectively. In other words, when 10 individuals were actively shedding SARS-CoV-2 RNA in a catchment of 100,000 individuals, there was a high likelihood of detecting viral RNA in wastewater. SARS-CoV-2 RNA detections at the WWTP were associated with increasing COVID-19 cases. Our results show that WBE provides a reliable and sensitive platform for detecting infections at the community scale, even when case prevalence is low, and can be of use as an early warning system for community outbreaks.


Assuntos
COVID-19 , RNA Viral , Humanos , Prevalência , RNA Viral/genética , SARS-CoV-2 , Águas Residuárias , Vigilância Epidemiológica Baseada em Águas Residuárias
19.
N Z Med J ; 135(1559): 53-58, 2022 08 05.
Artigo em Inglês | MEDLINE | ID: mdl-35999781

RESUMO

AIM: To compare detection of SARS-CoV-2 from paired nasopharyngeal swabs (NPS) and saliva using molecular methods in common use for testing swabs in New Zealand. METHOD: Samples from individuals testing positive for SARS-CoV-2 in Auckland, Wellington and Dunedin were tested at the local laboratories using methods previously established for these sample types. RESULTS: One hundred and ninety-six paired samples from unique individuals were tested, with 46 (23%) positive from either sample type, of which 43/46 (93%) tested positive from NPS, and 42/46 (91%) from saliva, indicating no significant difference in performance between sample types (p=0.69). The average Δ Ct between saliva and nasopharyngeal swabs overall across the sample set was 0.22 cycles, indicating excellent concordance; however, the difference between NPS and saliva collected from the same individual was quite variable with up to 19 cycles difference between the sample types. CONCLUSION: We found that saliva is an equivalent sample type to nasopharyngeal swab for the detection of SARS-CoV-2 in our laboratories using multiple assay combinations and is suitable for use as a diagnostic and surveillance test for selected groups of individuals.


Assuntos
COVID-19 , Ácidos Nucleicos , COVID-19/diagnóstico , Técnicas de Laboratório Clínico/métodos , Humanos , Nasofaringe , Nova Zelândia , SARS-CoV-2/genética , Saliva , Manejo de Espécimes/métodos
20.
J Food Prot ; 84(1): 14-22, 2021 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-32766835

RESUMO

ABSTRACT: A pilot survey was performed to determine the prevalence of Campylobacter jejuni and Campylobacter coli on three age classes (lamb, hogget, and mutton) of ovine carcass trim postdressing and prechill. Sampling of hogget carcasses was undertaken 6 months before sampling of lamb and mutton carcasses. A total of 120 trim samples were collected from 11 processing plants across New Zealand. All samples were enriched and screened using PCR for the presence of C. jejuni and C. coli, and isolation was attempted for all screen-positive samples. Enumeration of Campylobacter from lamb trim samples showed that Campylobacter bacteria were present in very low numbers (<10 CFU/g). The overall prevalence of Campylobacter for ovine trim based on PCR detection was 33% (39 of 120 samples), with prevalences for hogget, lamb, and mutton carcass trim of 56% (28 of 50), 11% (4 of 35), and 20% (7 of 35), respectively. Whole genome sequencing was performed on a selection of C. jejuni and C. coli isolates, and the data were used to subtype using multilocus sequence typing (MLST) and whole genome MLST. Twenty-five MLST sequence types (STs) were identified among 44 isolates, including ST42, ST50, ST3222, and ST3072, which have been previously reported to be associated with ruminant sources. Four novel STs were also identified. Whole genome MLST analysis further discriminated isolates within a single ST type and demonstrated a genetic diversity among the ovine isolates collected. Genes associated with the oxacillinase class of ß-lactamase enzymes were identified in 41 of 44 Campylobacter isolates. This study provides preliminary data that can be incorporated into existing source attribution models to assist in determining the potential contribution of ovine sources to the burden of campylobacteriosis in New Zealand.


Assuntos
Infecções por Campylobacter , Campylobacter coli , Campylobacter jejuni , Campylobacter , Animais , Campylobacter/genética , Campylobacter coli/genética , Campylobacter jejuni/genética , Galinhas , Genótipo , Tipagem de Sequências Multilocus , Nova Zelândia , Prevalência , Ovinos
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