Review of the Food-borne Zoonoses Research ... - ARCHIVE: Defra
Review of the Food-borne Zoonoses Research ... - ARCHIVE: Defra
Review of the Food-borne Zoonoses Research ... - ARCHIVE: Defra
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Project code: OZ0135<br />
Project title: Epidemiological studies <strong>of</strong> multiple-resistant<br />
Salmonella Typhimurium DT104 in cattle<br />
Start date (dd/mm/yy): 01/04/1997<br />
End date (dd/mm/yy): 31/03/2002<br />
£523,530<br />
Total cost:<br />
Affiliation: Veterinary Laboratories Agency<br />
Abstract <strong>of</strong> research<br />
This 5-year epidemiological project aimed to provide a better understanding <strong>of</strong> <strong>the</strong><br />
epidemiology <strong>of</strong> multiple-resistant (MR) Salmonella Typhimurium DT 104 and o<strong>the</strong>r<br />
Salmonella infections in cattle herds. The project started during an epidemic <strong>of</strong> MR S.<br />
Typhimurium DT 104 in cattle, and increasing numbers <strong>of</strong> human infections with this<br />
organism, in <strong>the</strong> 1990s in Great Britain. The original proposal included an intervention<br />
study to test <strong>the</strong> effectiveness <strong>of</strong> control measures in cattle herds, but this was replaced<br />
with additional epidemiological studies because <strong>the</strong>re was a marked decline in reported<br />
cases <strong>of</strong> this organism in cattle during <strong>the</strong> study.<br />
The studies demonstrated:<br />
1. Salmonella infection <strong>of</strong> dairy herds in England and Wales was common but most<br />
herds were infected with serotypes unusual in human cases.<br />
2. Infection was clustered geographically and more common in large herds<br />
3. Management risk factors were identified providing evidence for control<br />
4. Herds with clinical outbreaks <strong>of</strong> S Typhimurium DT104 did not usually experience<br />
fur<strong>the</strong>r outbreaks but risk was higher than <strong>the</strong> general population<br />
5. Biosecurity on dairy farms was generally poor and, at <strong>the</strong> time, it was considered<br />
difficult to improve sufficiently to control Salmonella<br />
6 The standardised environmental sampling protocol used had many advantages in<br />
terms <strong>of</strong> cost and feasibility for <strong>the</strong> detection <strong>of</strong> Salmonella at <strong>the</strong> farm level and could be<br />
adapted for o<strong>the</strong>r livestock systems and organisms<br />
7. Many Salmonella infections in cattle herds will be unreported by routine surveillance<br />
<strong>of</strong> laboratory submissions for clinical diagnoses.<br />
It is unlikely that Salmonella will be eradicated from dairy farms in <strong>the</strong> short to medium<br />
term, and <strong>the</strong>refore human exposure to this organism originating from dairy farms should<br />
be minimised, for example by ensuring <strong>the</strong> proper pasteurisation <strong>of</strong> milk and provision <strong>of</strong><br />
advice to all farm workers and visitors.<br />
There were numerous potential transmission routes for Salmonella, and o<strong>the</strong>r infections,<br />
within <strong>the</strong> structure <strong>of</strong> G.B dairy farms (e.g., high number <strong>of</strong> animal movements) and <strong>the</strong><br />
industry (e.g., network <strong>of</strong> markets and dealers). Emerging serotypes (eg MR S. Newport)<br />
are likely to spread rapidly after introduction and effective intervention to limit <strong>the</strong>ir spread<br />
will be difficult. Emerging serotypes not associated with disease will not be readily<br />
identified by current surveillance.<br />
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