sampling passengers foods at airports: do we carry ... wagner.pdflisteria monocytogenes mlst typing...
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Union
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(KBBE)
All States Veterinarian Conference, Limerick, 16th to 18th of April, 2015
Martin Wagner
Professor for Molecular Food Microbiology, Head of Institute for Milk
Hygiene and Food Science, Department for Farm Animals and
Veterinary Public Health, University for Veterinary Medicine, Vienna
Sampling passengers foods at airports: Do
we carry pathogens in our hand luggage?
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David Rodriguez-Lazaro,
Jordi Rovira, and team
Bela Nagy
and team
Janine Beutlich,
Bernd Appel
Sonja Smole-Mozina
and team
Acknowledgement
Luminita Cirolacu
Anca Nicolau
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Lunch for two : www.maps.ethz.ch
Shrimps (Thailand)
Onions (New Zealand)
Ginger (China)
Avocado (Israel)
Chili (Argentina)
Pecan nut (Gabun)
Peperoni (Spain)
Origin of food items used to produce a
shrimp wrap
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PROMISE (7th FP program)-WP1:
macrotransmission of foodborne pathogens
Studied contamination rate of food items carried by global travellers (airports
Vienna n=600; Frankfurt/Schönefeld n=823; Bilbao n=200, Slovenija n=66)
Studied contamination rate of food items traded by small black
markets in Romania (n=200)
Studied contamination rate of food items traded at market selling
mainly homegrown food in Turkey (n=200)
Studied contamination rate of food items carried away across
ground borders and seaports located in South-West Europe
Studied contamination rate of food items imported to Greece
• All airports: Salmonella spp., L. monocytogenes, Campylobacter, VTEC
• Vienna: E. coli, Staphylococci
• Burgos: Food-borne viruses, Staphylococci
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Procedures
Isolations done in partner labs
Salmonella
spp.
Listeria
monocytogenes
MLST typing
Virulotyping
Escherichia
coli
Campylobacter
jejuni/ coli
Staphylococcus
aureus
Micro array
MDR Verotoxin MDR Virulotyping MDR
Sample number/type of food to be tested approved
Harmonisation of methods
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14.777.196 (8-fold of the Viennese population)
78.415
58.795
• 61355 travellers controlled
• 1473 products of animal origin were confiscated
• The food confiscates totalled to an amount of 6229 kg
• 600 samples tested for pathogens and hygiene indicators
Confiscate sampling Vienna
(August 2012 – March 2013)
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Experiences from Vienna airport:
identifiable food items
Cairo, Egypt Seoul, south Korea
Yerevan, Armenia St. Petersurg, Russia Delhi, India
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Experiences from Vienna and Bilbao
airport: exotic food items
Duck tongues, China Egg (1000 years old)
Rat (courtesy UoB)
Squirrel (courtesy UoB)
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Experiences from Vienna airport:
unidentifiable origin
Bush meat, Nigeria Bush meat, Ethiopia
Kudu biltong, South Africa
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48.2% of samples orginated from 33 other countries worldwide
51.8% of samples orginated from Turkey!
0 5 10 15 20 25 30 35
Africa
Asia
Third Country (Europe)
South America
Where did the food commodities
originate from?
China n=80
Egypt n=65
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96.2% of samples: meat and milk products
Milk&products
n=315 7 5 Bush meat
n=6
83.2% (hard cheese)
11.4% (semihard)
5.4% (fresh)
47% (cooked meat)
17.2% (raw meat)
35.8% (sausages)
Meat&products
n=262
Fish&products
n=6
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38.7% 61.3% 23.5% 44.8%
11.5% 4.3% 4.3% 3.8%
3.0% 1.7% 1.3% 0.3%
Types of packaging
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Summary
Turkey
(n=311)
China
(n=80)
Africa
(n=85)
Others
(n=128)
Salmonella spp. 1 0 4,7 0
L. mono. 3,5 0 0 1,5
VTEC 2,6 0 0 0
SA 3,2 0 5,8 1,5
E. coli 13,2 0 21,2 5,4 0
2
4
6
8
10
12
Pathogens Indicators
Prevalence Samples Vienna Prevalence regional
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ST-types matched with origin of food items
48 L. monocytogenes strains were subjected to MLST typing according to
Ragoon et al. (2008) 17 different ST-types (7 Lineage I, III; 100 Lineage II)
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Data Listeria monocytogenes
Comparison of 48 L.
monocytogenes strains to all ST
types stored to the Pasteur st
database 2010-2014 (n=191)
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Are the ST-types found fully virulent?
EGDe RO01
RO02 RO03 RO04
RO05
RO06
RO07
RO08
RO09
RO10 RO11
RO12
RO13
RO14
RO15
EGDe RO01 RO02 RO03
RO04
RO05
RO06
RO07
RO08
RO09 RO10
RO11
RO12
RO13
RO14
RO15
-5
0
5
10
15
20
25
30
0 1 2 3 4 5 6 7 8
Intr
ace
lllu
lar
Gro
wth
Co
efic
ien
t
Invasion efficiency, %
THP-1
Caco-2
ST 155
ST121
ST20
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Are ST-types found fully virulent?
Only ST-types 2 and 20 fully virulent
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10 5 10 5
Low virulent strains, sequencing of inlA gene
Number of mutations
Function E-cadherin binding Cell wall anchor Structural
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inlA mutations
LRR domain Ig-like Transmembrane Anchor domain
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….If ST121 strains are so prevalent (even if recovered
from food originated different countries and continents)
what increases their survival capacity?
The crucial question…..
ST121 strains (of low relevance for public health) were
most frquently recovered……
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Sequences of ST121 strains isolated from
different countries are highly conserved
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All sequenced ST121 strains show deletions in the
inlA gene (adapted in virulence)!
EGDe
1 kbp
6179 inlA* lmo0435/bapL*
4423 inlA* lmo0435/bapL*
N53-1 inlA* lmo0435/bapL*
LM_1880 inlA* lmo0435/bapL*
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The ST121 plasmids are almost identical
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Prophage 6179 tRNA-Arg-TCT
Pro
ph
ag
e 4
42
3 t
RN
A-A
rg-T
CT
Prophage 6179 tRNA-Arg-CCG
Pro
ph
ag
e 4
42
3 t
RN
A-A
rg-C
CG
tRNA-Arg-TCT and tRNA-Arg CCG prophages
are highly conserved among ST121 strains
Prophage 6179 tRNA-Arg-TCT
Pro
ph
ag
e L
. L
M_
18
80
tR
NA
-Arg
-TC
T
Prophage 6179 tRNA-Arg-CCG
Pro
ph
ag
e L
M_
18
80
tR
NA
-Arg
-CC
G
Prophages in N53-1 and LM_1880 are in multiple contigs
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RHS protein
6179
4423
RHS protein
N53-1
RHS protein
The ST121 genomes contain an insertion possibly
involved in competition against other bacteria
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Putative function of the RHS proteins
• Mediate competition by inhibiting growth of neighboring
cells
• In ST121 strains: KptA upstream:
– RNA 2‘ phosphotransferase: Catalyzes RNA cleavage (most
likely also tRNA cleavage)
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Conclusions: Traveller behaviour
• 2,4%-4.2% of travellers carry food in their luggage
• Amount of food carried by travellers is enormous (at an
average 4,2kg; 14kg of raw poultry meat in one case)
• Only few nationalities contribute to the majority of food
commodities shuttled (immigrant`s scene; Case airport
Vienna: Turkey, Egypt, China app. 77%)
• In many cases, travellers carrying food are not the endusers
• Due to limited distribution, the public health impact is likely
low ( „Restaurant outbreaks“)
• Travellers are not aware of legal restrictions
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Conclusions: Hazard
characterization
• Hygiene of this products was inacceptable in most cases
• Some food confiscated from travellers were contaminated at
rates higher than described in samples taken from domestic
production
• No classical foodborne viruses detected, however HepE
highly prevalent in samples confiscated at airport Bilbao
• Campylobacter was found in neither samples (so as in
samples from airports Bilbao and Frankfurt and Schönefeld)
• Strain characterization: no superbugs detected until now,
however new types were found!
• The crucial question regarding L. monocytogenes: Do we
need to perform risk assessments on subtype level??
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www.promise-net.eu
Special issue on Microbial Transmission appearing
in International Journal of Food Microbiology soon