RESUMEN
During May 2015, an increase in Salmonella Agona cases was reported from western Sydney, Australia. We examine the public health actions used to investigate and control this increase. A descriptive case-series investigation was conducted. Six outbreak cases were identified; all had consumed cooked tuna sushi rolls purchased within a western Sydney shopping complex. Onset of illness for outbreak cases occurred between 7 April and 24 May 2015. Salmonella was isolated from food samples collected from the implicated premise and a prohibition order issued. No further cases were identified following this action. Whole genome sequence (WGS) analysis was performed on isolates recovered during this investigation, with additional S. Agona isolates from sporadic-clinical cases and routine food sampling in New South Wales, January to July 2015. Clinical isolates of outbreak cases were indistinguishable from food isolates collected from the implicated sushi outlet. Five additional clinical isolates not originally considered to be linked to the outbreak were genomically similar to outbreak isolates, indicating the point-source contamination may have started before routine surveillance identified an increase. This investigation demonstrated the value of genomics-guided public health action, where near real-time WGS enhanced the resolution of the epidemiological investigation.
Asunto(s)
Brotes de Enfermedades , Productos Pesqueros/microbiología , Genoma Bacteriano , Intoxicación Alimentaria por Salmonella/epidemiología , Salmonella enterica/fisiología , Adolescente , Adulto , Anciano , Niño , Preescolar , Humanos , Persona de Mediana Edad , Nueva Gales del Sur/epidemiología , Intoxicación Alimentaria por Salmonella/microbiología , Salmonella enterica/genética , Análisis de Secuencia de ADN , Adulto JovenRESUMEN
Measurements of primary productivity of phytoplankton and enumeration of the counts of coliform and heterotrophic bacteria (HB) were made in the water of 12 experimental tanks used for 3 treatments and control in triplicate as follows: (a) fresh human urine (0.02%), (b) stored human urine (0.02%), (c) mixed urine of fresh and stored human urine (0.02%) and (d) control without input of urine. The gross primary productivity of phytoplankton was highest in the stored urine treated tanks (508 mg C m(-2) h(-1)) followed by fresh urine (353 mg C m(-2) h(-1)), mixed urine (303 mg C m(-2) h(-1)) and control (215 mg C m(-2) h(-1)). Similar was the response of net primary production of phytoplankton. The mean count of HB observed in stored urine fed tanks was significantly higher (59-184%) than the remaining urine fed treatments. The mean count of Escherichia coli did not differ from urine treated tanks to control implying the good quality of water. The concentration of dissolved oxygen of water (7.6 to 12.8 mg L(-1)) in these tanks remained satisfactory for aquaculture. The mean concentration of ammonium-N observed in fresh urine treated tanks was more than 10 times higher than the remaining treatments employed. In contrast, the level of phosphate and electrical conductivity in the stored urine treated tanks were significantly higher than the remaining treatments. It is proposed that stored urine with a significantly reduced load of E. coli might be an effective low cost liquid fertilizer for algal biomass production.