Monday 16 November 2009

Campylobacter source attribution in New Zealand

What is the source of the common food poisoning pathogen Campylobacter jejuni was the subject of a paper published in September last year in PLoS Genetics by my colleagues and I, in which we traced the origin of bacterial isolates collected from patients in Lancashire, England. In that study, and a subsequent investigation into campylobacteriosis across Scotland, we found that the majority of cases could be attributed to populations of C. jejuni typically found in poultry.

Now Petra Mullner, Nigel French and colleagues have genetically characterized the C. jejuni populations found in human patients, cattle, sheep, poultry and environmental samples from New Zealand covering the period March 2005 - February 2008. What is special about their study is that the New Zealand poultry industry is a closed system, with no foreign imports, making it possible to directly sample the putative source populations and disease-causing isolates concurrently.

Like the studies in England and Scotland, poultry was the inferred source of the majority of disease in New Zealand. Uniquely however, it was possible to attribute cases separately to the three major poultry suppliers on the islands. One supplier in particular was attributed a disproportionate number of cases using 3 assignment methods, including my method (iSource, soon to be available on this website). Supported in part by this evidence, the New Zealand Food Safety Authority introduced mandatory targets for limiting Campylobacter contamination of poultry products in 2007. Remarkably, the number of cases fell from 15,873 in 2006 before the control measures were introduced to 6,689 in 2008. The next chapter of this intriguing story will be a follow-up study to establish whether the fall in the number of cases corresponded to a reduction in the proportion of campylobacteriosis attributable to poultry sources.

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