Category Archives: Contaminated water

Research – Secret to how cholera adapts to temperature revealed

Science Daily

Food Illness

Scientists have discovered an essential protein in cholera-causing bacteria that allows them to adapt to changes in temperature, according to a study published today in eLife.

The protein, BipA, is conserved across bacterial species, which suggests it could hold the key to how other types of bacteria change their biology and growth to survive at suboptimal temperatures.

Vibrio cholerae (V. cholerae) is the bacteria responsible for the severe diarrheal disease cholera. As with other species, V. cholerae forms biofilms — communities of bacteria enclosed in a structure made up of sugars and proteins — to protect against predators and stress conditions. V. cholerae forms these biofilms both in their aquatic environment and in the human intestine. There is evidence to suggest that biofilm formation is crucial to V. cholerae’s ability to colonise in the intestine and might enhance its infectivity.

“V. cholerae experiences a wide range of temperatures, and adapting to them is not only important for survival in the environment but also for the infection process,” explains lead author Teresa del Peso Santos, a postdoctoral researcher at the Laboratory for Molecular Infection Medicine Sweden (MIMS), Umeå University, Sweden. “We know that at 37 degrees Celsius, V. cholerae grows as rough colonies that form a biofilm. However, at lower temperatures these colonies are completely smooth. We wanted to understand how it does this.”

The researchers screened the microbes for genes known to be linked with biofilm formation. They found a marked increase in the expression of biofilm-related genes in colonies grown at 37C compared with 22C.

To find out how these biofilm genes are controlled at lower temperatures, they generated random mutations in V. cholerae and then identified which mutants developed rough instead of smooth colonies at 22C. They then isolated the colonies to determine which genes are essential for switching off biofilm genes at low temperatures.

The most common gene they found is associated with a protein called BipA. As anticipated, when they intentionally deleted BipA from V. cholerae, the resulting microbes formed rough colonies typical of biofilms rather than smooth colonies. This confirmed BipA’s role in controlling biofilm formation at lower temperatures.

To explore how BipA achieves this, the researchers compared the proteins produced by normal V. cholerae with those produced by microbes lacking BipA, at 22 and 37 degrees Celsius. They found that BipA alters the levels of more than 300 proteins in V. cholerae grown at suboptimal temperatures, increasing the levels of 250 proteins including virtually all known biofilm-related proteins. They also showed that at 37 degrees Celsius, BipA adopts a conformation that may make it more likely to be degraded. In BipA’s absence, the production of key biofilm regulatory proteins increases, leading to the expression of genes responsible for biofilm formation.

These results provide new insights into how V. cholerae adapts to temperature and will help understand — and ideally prevent — its survival in different environments and transmission into humans.

“We have shown that BipA is critical for temperature-dependent changes in the production of biofilm components and alters colony shape in some V. cholerae strains,” concludes senior author Felipe Cava, Associate Professor at the Department of Molecular Biology, and MIMS Group Leader and Wallenberg Academy Fellow, Umeå University. “Future research will address the effect of temperature- and BipA-dependent regulation on V. cholerae during host infection and the consequences for cholera transmission and outbreaks.”

Greece – Evidence for waterborne origin of an extended mixed gastroenteritis outbreak in a town in Northern Greece, 2019

Cambridge Core

We investigated a large gastroenteritis outbreak that occurred in Northern Greece in 2019. A case was defined as anyone presenting with diarrhoea and/or vomiting from 24/01/2019 to 04/02/2019. We conducted a case-control study (CCS) using random selection of participants >16 years of age, residents of town X, who visited the health care centre between 25-28/01/2019.

Moreover, we conducted a retrospective cohort study (CS) at the four elementary schools of the town. We collected clinical and water samples and the water supply system was inspected. In total, we recorded 638 cases (53% female; median age was 44 years (range 0-93)). Forty-eight cases and 52 controls participated in the CCS and 236 students in the CS. Both CCS and CS indicated tap water as the most likely source (OR=10, 95% CI, 2.09-93.4, explaining 95.7% of cases; RR= 2.22, 95% CI, 1.42-3.46, respectively).

More than one pathogen were detected from stool samples of 6 of the 11 cases tested (norovirus, Campylobacter jejuni, EHEC and EPEC). Water samples, collected after ad-hoc chlorination, tested negative. Technical failures of the water tanks’ status were identified. Our results suggested a waterborne outbreak. We recommended regular monitoring of the water supply system and immediate repair of technical failures.

Research – Legionellosis Caused by Non-Legionella pneumophila Species, with a Focus on Legionella longbeachae

MDPI

CDC legionella

 Although known as causes of community-acquired pneumonia and Pontiac fever, the global burden of infection caused by Legionella species other than Legionella pneumophila is under-recognised. Non-L. pneumophila legionellae have a worldwide distribution, although common testing strategies for legionellosis favour detection of L. pneumophila over other Legionella species, leading to an inherent diagnostic bias and under-detection of cases. When systematically tested for in Australia and New Zealand, L. longbeachae was shown to be a leading cause of community-acquired pneumonia. Exposure to potting soils and compost is a particular risk for infection from L. longbeachae, and L. longbeachae may be better adapted to soil and composting plant material than other Legionella species. It is possible that the high rate of L. longbeachae reported in Australia and New Zealand is related to the composition of commercial potting soils which, unlike European products, contain pine bark and sawdust. Genetic studies have demonstrated that the Legionella genomes are highly plastic, with areas of the chromosome showing high levels of recombination as well as horizontal gene transfer both within and between species via plasmids. This, combined with various secretion systems and extensive effector repertoires that enable the bacterium to hijack host cell functions and resources, is instrumental in shaping its pathogenesis, survival and growth. Prevention of legionellosis is hampered by surveillance systems that are compromised by ascertainment bias, which limits commitment to an effective public health response. Current prevention strategies in Australia and New Zealand are directed at individual gardeners who use potting soils and compost. This consists of advice to avoid aerosols generated by the use of potting soils and use masks and gloves, but there is little evidence that this is effective. There is a need to better understand the epidemiology of L. longbeachae and other Legionella species in order to develop effective treatment and preventative strategies globally.

India – Adilabad medicos suffer from food poisoning, hospitalised

Telangana Today

RIMS Director Dr Banoth Balaram said 22 of the 70 students who had lunch developed vomiting, headache and nausea. They were admitted to the institution and their condition was stable.

They were admitted to the institution and their condition was stable. Water contamination could be the cause of the incident, he said, adding that 200 students attended classes on the first day of the reopening of the college.

District Collector Sikta Patnaik visited the institute and inquired about the incident. She instructed the RIMS authorities to take steps to avoid the recurrence of such issues in the future. The water used to cook the food was from a bore-well since there was a leak in the Mission Bhagiratha pipeline, sources said.

Portugal – Legionnaires’ disease outbreak in northern Portugal declared over

Outbreak News Today

CDC legionella

In a follow-up on the Legionnaires’ disease outbreak in the North Region of Portugal, health authorities have declared the outbreak over, according to the European Centre for Disease Prevention and Control (ECDC).

The outbreak in Póvoa de Varzim, Vila do Conde and Matosinhos counties, which began in late October, resulted in a total of 88 cases, including 15 deaths.

The source of exposure has not been identified.

Legionella bacteria occur naturally in the environment. Water containing Legionella can be aerosolized through cooling towers, showers, hot tubs, and decorative fountains, and can cause Legionnaire’s disease, a serious lung infection (pneumonia) when inhaled.

Research – Breakthrough in understanding ‘tummy bug’ bacteria

Science Daily

Scientists have discovered how bacteria commonly responsible for seafood-related stomach upsets can go dormant and then “wake up.”

Vibrio parahaemolyticus is a marine bacterium that can cause gastroenteritis in humans when eaten in raw or undercooked shellfish such as oysters and mussels.

Some of these bacteria are able to turn dormant in poor growth conditions such as cold temperatures — and can remain in that state of hibernation for long periods before resuscitating.

University of Exeter scientists have identified a population of these dormant cells that are better at waking up, and have discovered an enzyme involved in that waking up process.

“Most of these bacteria die when they encounter poor growth conditions, but we identified sub-populations of bacteria that are able to stay dormant for long periods of time,” said lead author Dr Sariqa Wagley, of the University of Exeter.

“We found that this population has a better ability to revive when conditions improve.

“Our tests show that when these dormant bacteria are revived they are just as virulent and able to cause disease.”

The findings could have implications for seafood safety, as dormant cells are not detectable using routine microbiological screening tests and the true bacterial load (amount of bacteria) could be underestimated.

“When they go dormant, these bacteria change shape, reduce respiration activities and they don’t grow like healthy bacteria on agar plates used in standard laboratory tests, so they are much harder to detect,” Dr Wagley explained.

“Using a range of tools, we were able to find dormant bacteria in seafood samples and laboratory cultures and look at their genetic content to look for clues in how they might survive for long periods.

“It is important to note that thorough cooking kills bacteria in seafood.

“Our results may also help us predict the conditions that dormant bacteria need in order to revive.”

Working with the seafood industry, the Exeter team identified a lactate dehydrogenase enzyme that breaks down lactic acid into pyruvate, a key component of several metabolic pathways (chemical reactions in a cell).

The findings suggest that lactate dehydrogenase is essential both for maintaining bacterial dormancy and resuscitation back to an active form.

Vibrio parahaemolyticus usually grows in warm and tropical marine environments, although Dr Wagley said that due to rising sea temperatures in recent years it is now prevalent in UK waters during the summer months.

During the winter, it is not detected in the marine environment around the UK and it is thought to die due to the cold winter temperatures.

This study could explain how Vibrio parahaemolyticus is able remerge in the environment during the summer.

The study was partly funded by the Biotechnology and Biological Sciences Research Council (BBSRC), with additional funding and support from Lyons Seafoods.

Research – The presence of microbial contamination and biofilms at a beer can filling production line

Journal of Food Protection

Contamination of beer arises in 50% of all events at the late stages of production, the filling area. Hereby, biofilms, being consortia of microorganisms embedded in a matrix composed of extracellular polymeric substances, play a critical role. To date, most studies have focused on the presence of (biofilm forming) microorganisms within this filling environment. Our aim was to characterize the microbial status as well as the presence of possible biofilms at a can filling line for beer by determining the presence of microorganisms and their associated matrix components (carbohydrates, proteins and extracellular DNA (eDNA)). Targeted qPCR confirmed the presence of microorganisms at ten sites during operation and three after cleaning (from 23 sites respectively). The evaluation of carbohydrates, eDNA and proteins showed that 16 sites were positive for at least one component during operation and four after cleaning. We identified one potential biofilm hotspot, namely the struts below the filler, harboring high loads of bacteria and yeast, eDNA, carbohydrates and proteins. The protein pattern was different than that of beer. This work deepens our understanding of biofilms and microorganisms found at the filling line of beer beverages at sites critical for production.

Venezuela – Salmonella outbreak continues with close to 500 sick

Food Safety News

About 500 people have fallen ill in a Salmonella outbreak in a Venezuelan state.

The Anzoatiguense Institute of Health (Saludanz) reported 480 people had tested positive for Salmonella, mostly from the El Carmen and San Cristóbal area of the Simón Bolívar municipality.

In mid-December 2020, the agency revealed 240 children and adults had been affected and seen at different health centers after a significant increase in salmonellosis during the previous month.

Investigations so far have pointed to contaminated water as the source of infection but officials have not ruled out a type of Brazilian sausage being behind some cases in the outbreak. They urged the public to buy food and water from hygienic places that comply with the necessary permits.

Research – A Methodology for Classifying Root Causes of Outbreaks of Legionnaires’ Disease: Deficiencies in Environmental Control and Water Management

MDPI

CDC legionella

Image CDC

We piloted a methodology for collecting and interpreting root cause—or environmental deficiency (ED)—information from Legionnaires’ disease (LD) outbreak investigation reports. The methodology included a classification framework to assess common failures observed in the implementation of water management programs (WMPs). We reviewed reports from fourteen CDC-led investigations between 1 January 2015 and 21 June 2019 to identify EDs associated with outbreaks of LD. We developed an abstraction guide to standardize data collection from outbreak reports and define relevant parameters. We categorized each ED according to three criteria: ED type, WMP-deficiency type, and source of deficiency. We calculated the prevalence of EDs among facilities and explored differences between facilities with and without WMPs. A majority of EDs identified (81%) were classified as process failures. Facilities with WMPs (n = 8) had lower prevalence of EDs attributed to plumbed devices (9.1%) and infrastructure design (0%) than facilities without WMPs (n = 6; 33.3% and 24.2%, respectively). About three quarters (72%) of LD cases and 81% of the fatalities in our sample originated at facilities without a WMP. This report highlights the importance of WMPs in preventing and mitigating outbreaks of LD. Building water system process management is a primary obstacle toward limiting the root causes of LD outbreaks. Greater emphasis on the documentation, verification, validation, and continuous program review steps will be important in maximizing the effectiveness of WMPs. View Full-Text

USA – Legionnaires’ disease outbreak in Portland: 1 dead; 4 hospitalised

Outbreak News Today

A bacterial pneumonia outbreak, known as Legionnaires’ disease has hit a Portland-based senior housing complex, leaving 1 dead and 4 hospitalized as more than 100 residents were evacuated from the housing complex.

A report released by the Multnomah County Health Department said that the outbreak is caused by contaminated water that has entered the Rosemont Court senior living complex. Health authorities further say that people that have increased risk, including senior members of the community, have a greater risk for Legionnaires disease, albeit being not contagious in nature.