Source attribution of human campylobacteriosis at the point of exposure by combining comparative exposure assessment and subtype comparison based on comparative genomic fingerprinting

Human campylobacteriosis is a common zoonosis with a significant burden in many countries. Its prevention is difficult because humans can be exposed to Campylobacter through various exposures: foodborne, waterborne or by contact with animals. This study aimed at attributing campylobacteriosis to sources at the point of exposure. It combined comparative exposure assessment and microbial subtype comparison with subtypes defined by comparative genomic fingerprinting (CGF). It used isolates from clinical cases and from eight potential exposure sources (chicken, cattle and pig manure, retail chicken, beef, pork and turkey meat, and surface water) collected within a single sentinel site of an integrated surveillance system for enteric pathogens in Canada. Overall, 1518 non-human isolates and 250 isolates from domestically-acquired human cases were subtyped and their subtype profiles analyzed for source attribution using two attribution models modified to include exposure. Exposure values were obtained from a concurrent comparative exposure assessment study undertaken in the same area. Based on CGF profiles, attribution was possible for 198 (79%) human cases. Both models provide comparable figures: chicken meat was the most important source (65–69% of attributable cases) whereas exposure to cattle (manure) ranked second (14–19% of attributable cases), the other sources being minor (including beef meat). In comparison with other attributions conducted at the point of production, the study highlights the fact that Campylobacter transmission from cattle to humans is rarely meat borne, calling for a closer look at local transmission from cattle to prevent campylobacteriosis, in addition to increasing safety along the chicken supply chain.

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PID https://www.doi.org/10.1371/journal.pone.0183790
URL https://figshare.com/articles/Source_attribution_of_human_campylobacteriosis_at_the_point_of_exposure_by_combining_comparative_exposure_assessment_and_subtype_comparison_based_on_comparative_genomic_fingerprinting/5343934
URL http://dx.doi.org/10.1371/journal.pone.0183790
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Author Ravel, André
Author Hurst, Matt
Author Petrica, Nicoleta
Author David, Julie
Author Mutschall, Steven K.
Author Pintar, Katarina
Author N. Taboada, Eduardo
Author Pollari, Frank
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Collected From figshare
Hosted By figshare
Publication Date 2017-01-01
Publisher Figshare
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Language UNKNOWN
Resource Type Dataset
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Source https://science-innovation-policy.openaire.eu/search/dataset?datasetId=r37980778c78::c5a6bd7178b3a49c2ff469ac01796ef5
Author jsonws_user
Last Updated 14 January 2021, 14:11 (CET)
Created 14 January 2021, 14:11 (CET)