Tracing the source of campylobacteriosis.

Campylobacter jejuni is the leading cause of bacterial gastro-enteritis in the developed world. It is thought to infect 2-3 million people a year in the US alone, at a cost to the economy in excess of US $4 billion. C. jejuni is a widespread zoonotic pathogen that is carried by animals farmed for me...

Full description

Bibliographic Details
Main Authors: Wilson, D, Gabriel, E, Leatherbarrow, A, Cheesbrough, J, Gee, S, Bolton, E, Fox, A, Fearnhead, P, Hart, C, Diggle, P
Format: Journal article
Language:English
Published: Public Library of Science 2008
_version_ 1826276153347801088
author Wilson, D
Gabriel, E
Leatherbarrow, A
Cheesbrough, J
Gee, S
Bolton, E
Fox, A
Fearnhead, P
Hart, C
Diggle, P
author_facet Wilson, D
Gabriel, E
Leatherbarrow, A
Cheesbrough, J
Gee, S
Bolton, E
Fox, A
Fearnhead, P
Hart, C
Diggle, P
author_sort Wilson, D
collection OXFORD
description Campylobacter jejuni is the leading cause of bacterial gastro-enteritis in the developed world. It is thought to infect 2-3 million people a year in the US alone, at a cost to the economy in excess of US $4 billion. C. jejuni is a widespread zoonotic pathogen that is carried by animals farmed for meat and poultry. A connection with contaminated food is recognized, but C. jejuni is also commonly found in wild animals and water sources. Phylogenetic studies have suggested that genotypes pathogenic to humans bear greatest resemblance to non-livestock isolates. Moreover, seasonal variation in campylobacteriosis bears the hallmarks of water-borne disease, and certain outbreaks have been attributed to contamination of drinking water. As a result, the relative importance of these reservoirs to human disease is controversial. We use multilocus sequence typing to genotype 1,231 cases of C. jejuni isolated from patients in Lancashire, England. By modeling the DNA sequence evolution and zoonotic transmission of C. jejuni between host species and the environment, we assign human cases probabilistically to source populations. Our novel population genetics approach reveals that the vast majority (97%) of sporadic disease can be attributed to animals farmed for meat and poultry. Chicken and cattle are the principal sources of C. jejuni pathogenic to humans, whereas wild animal and environmental sources are responsible for just 3% of disease. Our results imply that the primary transmission route is through the food chain, and suggest that incidence could be dramatically reduced by enhanced on-farm biosecurity or preventing food-borne transmission.
first_indexed 2024-03-06T23:09:43Z
format Journal article
id oxford-uuid:650894f8-0938-40b3-b50a-3c534e64bb23
institution University of Oxford
language English
last_indexed 2024-03-06T23:09:43Z
publishDate 2008
publisher Public Library of Science
record_format dspace
spelling oxford-uuid:650894f8-0938-40b3-b50a-3c534e64bb232022-03-26T18:22:59ZTracing the source of campylobacteriosis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:650894f8-0938-40b3-b50a-3c534e64bb23EnglishSymplectic Elements at OxfordPublic Library of Science2008Wilson, DGabriel, ELeatherbarrow, ACheesbrough, JGee, SBolton, EFox, AFearnhead, PHart, CDiggle, PCampylobacter jejuni is the leading cause of bacterial gastro-enteritis in the developed world. It is thought to infect 2-3 million people a year in the US alone, at a cost to the economy in excess of US $4 billion. C. jejuni is a widespread zoonotic pathogen that is carried by animals farmed for meat and poultry. A connection with contaminated food is recognized, but C. jejuni is also commonly found in wild animals and water sources. Phylogenetic studies have suggested that genotypes pathogenic to humans bear greatest resemblance to non-livestock isolates. Moreover, seasonal variation in campylobacteriosis bears the hallmarks of water-borne disease, and certain outbreaks have been attributed to contamination of drinking water. As a result, the relative importance of these reservoirs to human disease is controversial. We use multilocus sequence typing to genotype 1,231 cases of C. jejuni isolated from patients in Lancashire, England. By modeling the DNA sequence evolution and zoonotic transmission of C. jejuni between host species and the environment, we assign human cases probabilistically to source populations. Our novel population genetics approach reveals that the vast majority (97%) of sporadic disease can be attributed to animals farmed for meat and poultry. Chicken and cattle are the principal sources of C. jejuni pathogenic to humans, whereas wild animal and environmental sources are responsible for just 3% of disease. Our results imply that the primary transmission route is through the food chain, and suggest that incidence could be dramatically reduced by enhanced on-farm biosecurity or preventing food-borne transmission.
spellingShingle Wilson, D
Gabriel, E
Leatherbarrow, A
Cheesbrough, J
Gee, S
Bolton, E
Fox, A
Fearnhead, P
Hart, C
Diggle, P
Tracing the source of campylobacteriosis.
title Tracing the source of campylobacteriosis.
title_full Tracing the source of campylobacteriosis.
title_fullStr Tracing the source of campylobacteriosis.
title_full_unstemmed Tracing the source of campylobacteriosis.
title_short Tracing the source of campylobacteriosis.
title_sort tracing the source of campylobacteriosis
work_keys_str_mv AT wilsond tracingthesourceofcampylobacteriosis
AT gabriele tracingthesourceofcampylobacteriosis
AT leatherbarrowa tracingthesourceofcampylobacteriosis
AT cheesbroughj tracingthesourceofcampylobacteriosis
AT gees tracingthesourceofcampylobacteriosis
AT boltone tracingthesourceofcampylobacteriosis
AT foxa tracingthesourceofcampylobacteriosis
AT fearnheadp tracingthesourceofcampylobacteriosis
AT hartc tracingthesourceofcampylobacteriosis
AT digglep tracingthesourceofcampylobacteriosis