Raw is risky: Study finds raw-type dog foods as a major source of multidrug-resistant bacteria that could potentially colonize humans

I’m nervous this is not peer-reviewed, has a small sample size, but thought I’d share anyway.

I’ve never fed any of my pets a raw-food diet.

New research due to be presented at this year’s European Congress of Clinical Microbiology and Infectious Diseases (ECCMID) reveals that raw-type dog foods contain high levels of multidrug-resistant bacteria, including those resistant to last-line antibiotics. The potential transfer of such bacteria between dogs and humans is an international public health risk, conclude the authors who include Dr. Ana Raquel Freitas and colleagues from the Faculty of Pharmacy, UCIBIO/REQUIMTE, University of Porto, Portugal.

Enterococci are opportunistic pathogens—so they are part of our normal internal microbiota but can cause infections (for example in patients who are immunosuppressed or hospitalised).

Raw-food-based diets for dogs have grown popularity recently as a healthier choice. Increasing controversy regarding their safety is emerging, with some scientific evidence showing their role as vehicles for transmission of antibiotic-resistant bacteria. In addition, dogs have been described as reservoirs of clinically-relevant ampicillin-resistant (AmpR) Enterococcus faecium, but the source remains unknown.

In this study, the authors analysed enterococci obtained from processed (both dry and wet types) and non-processed (raw-frozen) foods of the main brands commercialised in Portugal. The study included 46 samples (22 wet, 15 dry, 9 raw-frozen) from 24 international brands, sourced from 8 supermarkets and one veterinary clinic. Samples were obtained during September to November, 2019.

Raw-frozen samples were mainly constituted of salmon, chicken, turkey, calf, deer or duck, being a mixture of different meat types, fruits and vegetables.

Samples were cultured and then tested with a range of antibiotics. Enterococci (n=163) were identified in 19/46 (41%) of the samples: 8 of 15 (53%) in the dry foods; 2 of 22 (9%) of the wet samples, and 9 of 9 (100%) in the raw-frozen samples, and identified as the Enterococcus species E. faecium (91 isolates), E. faecalis (59 isolates) or other species (13 isolates).

Across the 9 raw-frozen meat samples, there were 30 E. faecium and 30 E. faecalis recovered. All nine carried multidrug-resistant (MDR) enterococci (20 E. faecium and 22 E. faecalis), including those resistant to a wide range of antibiotics, while only one MDR- E. faecium (resistant to erythromycin/tetracycline/gentamicin) was detected in one of the wet food samples and none in the dry food samples.

Resistance was found to the antibiotics ampicillin, ciprofloxacin, erythromycin, tetracycline, streptomycin and chloramphenicol in all 9 raw-type samples; seven of nine contained enterococci resistant to the last line antibiotic linezolid (78%), and six of nine contained enterococci resistant to gentamicin or quinupristin-dalfopristin. Resistance to clinically-relevant antibiotics such as linezolid, ampicillin or ciprofloxacin was only detected in raw-frozen samples.

The authors conclude: “Our study demonstrates that raw-frozen-foods for dogs carry MDR enterococci including to last-line antibiotics (linezolid) for the treatment of human infections. The close contact of pets with humans and the commercialisation of the studied brands in different EU countries pose an international public health risk if transmission of such strains occurs between dogs and humans. There is strong past and recent evidence that dogs and humans share common multidrug-resistant strains of E. faecium, and thus the potential for these strains to be transmitted to humans from dogs.”

Dr. Freitas adds: “These raw-frozen foods are supposed to be consumed after being thawed and could at least be cooked, to kill these drug-resistant and other bacteria. Although these foods seem to be regulated regarding their microbiological safety by EU authorities, risk assessment of biological hazards should also include antibiotic-resistant bacteria and/or genes besides only establishing the presence of bacterial pathogens, such as Salmonella.”

Human-to-cat COVID-19 virus transmission: Belgium

My Guelph (that’s in Canada) friend, hockey buddy and veterinarian, Scott Weese, has done an admirable job of updating the world on pets and coronavirus through his Worms and Germs Blog.

He notes that a cat in Belgium, owned by a person with COVID-19, has tested positive for the virus. The cat developed diarrhea, vomiting and respiratory difficulty about 1 week after the owner got sick, and SARS-CoV-2 was found in the cat’s feces. It’s not clear whether the test used was PCR (which can detected live or dead virus) or virus isolation (which only detects live virus), or if other samples were also tested. It’s also not clear whether the cat was sick because of the infection with SARS-CoV-2 or whether it had some other co-incidental problem (or whether the cat is still alive or not).  They were clear that this is another suspected case of human-to-animal transmission, and not the other way around.

Is this surprising?

Not really. We’ve been saying there’s likely going to be some human-to-pet transmission, and cats have been a concern because they are theoretically a susceptible species based on analysis of the virus and cell receptors.

Is this concerning?

I don’t have any more concern today than I did before this report, since it was likely that this was going to happen, and animals (still) presumably pose very limited risk. An infected cat isn’t a big concern in the household since the person who exposed the cat in the first place is the main risk. This virus is being transmitted very effectively person-person, so animals likely play little role, if any in the grand scheme of things.  But we still want to take basic steps to keep the risk as low as possible.

So, what do we do?

The same thing we’ve been saying all along. If you’re sick, stay away from animals just like you would other people. If you have COVID-19 and have been around your pets, keep your pets inside and away from other people. While the risk of transmission to or from a pet is low, we don’t want an exposed pet tracking this virus out of the household (just like we don’t want an infected person doing that).

This is completely unsurprising. It doesn’t mean things are changing or that we have more risk today than yesterday. It just emphasizes again the importance of paying attention to basic infection control measures.

If you’re worried about getting COVID-19, worry about your human contacts, not your pets. Keep pets away from high risk people, but otherwise, your risk is from exposure to people, not your pet.

Don’t kiss your guinea pigs; cute pets linked to Salmonella outbreak

Add the popular classroom pet, the guinea pig, to the list of kid-infecting-pathogen-factories with chicks, turtles, hedgehogs and puppies.

CDC reports today that whole genome sequencing has linked 9 cases of Salmonella Enteriditis to the furry rodents.

CDC began investigating in December 2017 when CDC PulseNet identified a cluster of three Salmonella Enteritidis infections that whole genome sequencing showed were closely related genetically.

A review of the PulseNet database identified six more closely related illnesses dating back to 2015. These illnesses were added to the outbreak case count. Nine people infected with the outbreak strain of Salmonella Enteritidis have been reported from eight states.Illnesses started on dates ranging from July 17, 2015 to December 15, 2017.
One person was hospitalized, and no deaths were reported.

Epidemiologic and laboratory evidence indicates that contact with pet guinea pigs is the likely source of this multistate outbreak.Four of the seven people interviewed reported contact with a guinea pig or its habitat in the week before getting sick. The outbreak strain of Salmonella was identified in a sample collected from an ill person’s pet guinea pig in Vermont.

Oh, and maybe think about Salmonella risks if you decide to eat guinea pig meat as well. In 2013, 81 people in Minnesota got sick after eating guinea pig meat sourced from an illegal back-room slaughtering operation.

I prefer my rodents talking and riding boats.

 

True: His idea of football is soccer, not gridiron

Who’s that smooth-talking Paraguayan (or Argentinian, or Spanish, or American, it was all confusing) dude talking on pet safety and Super Bowl parties on KSHB in Kansas City?

It’s Dr. Gonzalo Erdozain of Kansas City Veterinary Care, who tells you what is pet safe and what to look out for.

Gonzalo did his Masters of Public Health with me, published a couple of peer-reviewed papers on petting zoo safety, got his Doctor of Veterinary Medicine, and this one time, took me to the emergency room.

So he’s in Chapman-and-Blaine-land of students who help out their advisors.

All the best to you and your family.

Roundworm: The parasite on the playground

Amy, Sorenne and I were walking around Nouvea, New Caledonia this morning, and passed a sushi shop.

I said, no, I don’t eat raw fish, I’m not into worms.

If it’s frozen at sea it should control the worms, but that a long supply loop and I got enough problems.

Sorenne said, why would worms live inside us.

I started on an intro microbiology talk, but she soon became more interested in the next shop, despite my efforts to make it sound gross.

Maybe this story from today’s N.Y. Times by Laura Beil will help.

Millions of American children have been exposed to a parasite that could interfere with their breathing, liver function, eyesight and even intelligence. Yet few scientists have studied the infection in the United States, and most doctors are unaware of it.

The parasites, roundworms of the genus Toxocara, live in the intestines of cats and dogs, especially strays. Microscopic eggs from Toxocara are shed in the animals’ feces, contaminating yards, playgrounds and sandboxes.

These infectious particles cling to the hands of children playing outside. Once swallowed, the eggs soon hatch, releasing larvae that wriggle through the body and, evidence suggests, may even reach the brain, compromising learning and cognition.

The Centers for Disease Control and Prevention periodically tracks positive tests for Toxocara through the National Health and Nutrition Examination Survey. The latest report, published in September in the journal Clinical Infectious Diseases, estimated that about 5 percent of the United States population — or about 16 million people — carry Toxocara antibodies in their blood, a sign they have ingested the eggs.

But the risk is not evenly shared: Poor and minority populations are more often exposed. The rate among African Americans was almost 7 percent, according to the C.D.C. Among people living below the poverty line, the infection rate was 10 percent.

The odds of a positive test rise with age, but it’s unknown whether this reflects recent infections or simply an accumulation of antibodies from past encounters.

Dr. Peter Hotez, dean of the National School of Tropical Medicine at Baylor College of Medicine in Houston, calls Toxocara both one of the most common parasites in the country and arguably the most neglected.

“We know in some cases it is linked to lower intelligence and epilepsy,” he said. “So if you were to look at disadvantaged kids living in poverty who are also doing lower on tests of school performance, what percentage of that can be attributed to this worm?”

While much is still unknown, “there’s enough here to warrant doing a major study on a large number of children.”

At the moment, research into Toxocara among Americans is so lacking that the National Institutes of Health funding website lists no grants to study it. Even many of the most basic questions are unanswered, including how often ingested eggs progress to full-blown infection.

Among the country’s overlooked parasitic infections, “Toxocara is probably the one that affects the broadest range of people,” said Sue Montgomery, lead of the epidemiology team at the parasitic diseases branch of the C.D.C. “Dogs and cats are everywhere. Many of them may carry the parasites.”

Studies indicate that owned pets who receive regular veterinary care rarely carry Toxocara. Poorer neighborhoods bear a disproportionate share of strays. In one survey, 8,700 unowned dogs were said to be roaming parts of Dallas.

A survey of New York City playgrounds, presented at a medical conference last year, sampled 21 parks across the city. Toxocara eggs were found in nine parks. Three quarters of samples taken in the Bronx contained eggs in the larval stage, which are more infectious. No parks in Manhattan had eggs with larvae.

Kansas veterinarian says the same food safety rules that apply to humans also apply to pets

When I got fired as a full professor from Kansas State University in 2013, my department chair actually kept a straight face as he said, if I didn’t show up on campus, he would have no choice, and that “I didn’t work well with others.”

Bureaucratic BS.

They wanted my salary, didn’t like what I said to cattle folks, and started a whole on-line thingy I had proposed after getting dumped.

Best and brightest get promoted.

There were several colleagues in the college of veterinary medicine I worked quite well with.

One was Kate KuKanich, associate professor of clinical sciences in Kansas State University’s College of Veterinary Medicine.

We hit the road and did handwashing studies in hospitals, co-supervized vet students who did cool investigative work on petting zoos, and she brought us duck eggs.

Kate made K-State’s Thanksgiving of PR, and full kudos for going through the process.

“Thanksgiving is a time when a lot of people think that giving tidbits of the food to pets it thoughtful. A small piece of turkey breast, which is low in fat and salt, is OK for a dog or cat in moderation. But, because we love our pets, we can often overdo it and ignore food safety rules that affect both our health and the health of our pets.”

Each year around Thanksgiving, KuKanich and colleagues at Kansas State University’s Small Animal Hospital treat multiple cats and dogs that have pancreatitis — an inflammation of the pancreas. The condition often manifests in pets that have eaten fatty human foods, such as meat trimmings and bacon, rather than their normal diet. Foods high in salt can be hazardous to pets with heart disease.

I thought it was drunks that got pancreatitis.

KuKanich advises pet owners to keep pets’ meals and treats as normal as possible during the holidays in order to avoid a recipe for disaster. She also said that the same food safety rules that apply to humans also apply to pets. These include:

  • Turkey and other meats must be cooked to 165 degrees Fahrenheit before dogs, cats and humans eat it. Raw and undercooked meats as well as their juices can contain germs that can cause serious illness in both people and animals.

“Sometimes people think that it’s OK to give a pet raw or undercooked meat because pets’ ancestors come from the wild,” KuKanich said. “Any raw meat, such as the gizzard of the turkey, can make our pets sick because they can be contaminated with bacteria. A meat thermometer is best way to know our meats are food safe and cooked to the proper temperature for everyone’s safety.”

  • Bones, such as a hambone, drumstick or rib, also can be dangerous because they can become lodged in the esophagus of dogs, requiring emergency endoscopy or surgical removal.
  • Pet owners should wash their hands in warm, sudsy water before and after feeding their pet. Pets’ food and water bowls and measuring cups used to dispense their food also should be cleaned regularly.

“Handwashing prior to cooking, eating and food storage is important to keep food and family members safe,” KuKanich said. “It also is a good idea to either avoid petting our furry friends during food prep and meals or to wash hands frequently so that we keep both the food and the pets safe.”

  • Juices from raw turkey and other meats will contaminate anything it touches in the kitchen, including counter space, utensils, other food and pet dishes.
  • Pets and people should not eat cooked and dairy-based food that has been sitting at room temperature for longer than 2 hours. Two hours is the longest food should sit at room temperature before it is refrigerated or frozen, according to a food safety specialist at Kansas State University Olathe.

Additionally, while sweets and deserts may affect our waistline, they can be hazardous to an animal.

Kate’s got the basics right.

Kansas State is fortunate to have her.

Our publications can be found on-line.

Incidence of campy in pets and petting zoos

Animal contact is a potential transmission route for campylobacteriosis, and both domestic household pet and petting zoo exposures have been identified as potential sources of exposure.

courtlynn.petting.zooResearch has typically focussed on the prevalence, concentration, and transmission of zoonoses from farm animals to humans, yet there are gaps in our understanding of these factors among animals in contact with the public who don’t live on or visit farms.

This study aims to quantify, through a systematic review and meta-analysis, the prevalence and concentration of Campylobacter carriage in household pets and petting zoo animals. Four databases were accessed for the systematic review (PubMed, CAB direct, ProQuest, and Web of Science) for papers published in English from 1992–2012, and studies were included if they examined the animal population of interest, assessed prevalence or concentration with fecal, hair coat, oral, or urine exposure routes (although only articles that examined fecal routes were found), and if the research was based in Canada, USA, Europe, Australia, and New Zealand. Studies were reviewed for qualitative synthesis and meta-analysis by two reviewers, compiled into a database, and relevant studies were used to create a weighted mean prevalence value. There were insufficient data to run a meta-analysis of concentration values, a noted study limitation.

The mean prevalence of Campylobacter in petting zoo animals is 6.5% based on 7 studies, and in household pets the mean is 24.7% based on 34 studies. Our estimated concentration values were: 7.65x103cfu/g for petting zoo animals, and 2.9x105cfu/g for household pets. These results indicate that Campylobacter prevalence and concentration are lower in petting zoo animals compared with household pets and that both of these animal sources have a lower prevalence compared with farm animals that do not come into contact with the public.

There is a lack of studies on Campylobacter in petting zoos and/or fair animals in Canada and abroad. Within this literature, knowledge gaps were identified, and include: a lack of concentration data reported in the literature for Campylobacter spp. in animal feces, a distinction between ill and diarrheic pets in the reported studies, noted differences in shedding and concentrations for various subtypes of Campylobacter, and consistent reporting between studies.

 

A systematic review and meta-analysis of the Campylobacter spp. prevalence and concentration in household pets and petting zoo animals for use in exposure assessments

18.dec.15

PLoS ONE 10(12): e0144976

Pintar KDM, Christidis T, Thomas MK, Anderson M, Nesbitt A, Keithlin J, et al.

http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0144976

 

It’s in poop: Campylobacter jejuni in urban wild birds and pets in New Zealand

Greater attention has been given to Campylobacter jejuni (C. jejuni) prevalence in poultry and ruminants as they are regarded as the major contributing reservoirs of human campylobacteriosis.

sadie.dog.powellHowever, relatively little work has been done to assess the prevalence in urban wild birds and pets in New Zealand, a country with the highest campylobacteriosis notification rates. Therefore, the aim of the study was to assess the faeco-prevalence of C. jejuni in urban wild birds and pets and its temporal trend in the Manawatu region of New Zealand.

Findings: A repeated cross-sectional study was conducted from April 2008 to July 2009, where faecal samples were collected from 906 ducks, 835 starlings, 23 Canadian goose, 2 swans, 2 pied stilts, 498 dogs and 82 cats. The faeco-prevalence of C. jejuni was 20% in ducks, 18% in starlings, 9% in Canadian goose, 5% in dogs and 7% in cats. The faeco-prevalence of C. jejuni was relatively higher during warmer months of the year in ducks, starlings and dogs while starlings showed increased winter prevalence. No such trend could be assessed in Canadian goose, swans, pied stilts and cats as samples could not be collected for the entire study period from these species.

Conclusions: This study estimated the faeco-prevalence of C. jejuni in different animal species where the prevalence was relatively high during warmer months in general. However, there was relative increase in winter prevalence in starlings.

The urban wild bird species and pets may be considered potential risk factors for human campylobacteriosis in New Zealand, particularly in small children.

Faeco-prevalence of Campylobacter jejuni in urban wild birds and pets in New Zealand

BMC Research Notes 2015, 8:1

 

 

Investigation of Listeria, Salmonella, and toxigenic E. coli in various pet foods

The Veterinary Laboratory Investigation and Response Network (Vet-LIRN), in collaboration with the Food Emergency Response Network (FERN) and its Microbiology Cooperative Agreement Program (MCAP) laboratories, conducted a study to evaluate the prevalence of selected microbial organisms in various types of pet foods.

sadie.car.10The goal of this blinded study was to help the Center for Veterinary Medicine prioritize potential future pet food–testing efforts. The study also increased the FERN laboratories’ screening capabilities for foodborne pathogens in animal feed matrices, since such pathogens may also be a significant health risk to consumers who come into contact with pet foods. Six U.S. Food and Drug Administration FERN MCAP laboratories analyzed approximately 1056 samples over 2 years.

Laboratories tested for Salmonella, Listeria, Escherichia coli O157:H7 enterohemorrhagic E. coli, and Shiga toxin–producing strains of E. coli (STEC). Dry and semimoist dog and cat foods purchased from local stores were tested during Phase 1. Raw dog and cat foods, exotic animal feed, and jerky-type treats purchased through the Internet were tested in Phase 2. Of the 480 dry and semimoist samples, only 2 tested positive: 1 for Salmonella and 1 for Listeria greyii. However, of the 576 samples analyzed during Phase 2, 66 samples were positive for Listeria (32 of those were Listeria monocytogenes) and 15 samples positive for Salmonella. These pathogens were isolated from raw foods and jerky-type treats, not the exotic animal dry feeds. This study showed that raw pet foods may harbor food safety pathogens, such as Listeria monocytogenes and Salmonella. Consumers should handle these products carefully, being mindful of the potential risks to human and animal health.

Foodborne Pathogens and Disease. Volume: 11 Issue 9: September 4, 2014

Sarah M. Nemser, Tara Doran, Michael Grabenstein, Terri McConnell, Timothy McGrath, Ruiqing Pamboukian, Angele C. Smith, Maya Achen, Gregory Danzeisen, Sun Kim, Yong Liu, Sharon Robeson, Grisel Rosario, Karen McWilliams Wilson, and Renate Reimschuessel

http://online.liebertpub.com/doi/abs/10.1089/fpd.2014.1748#utm_source=ETOC&utm_medium=email&utm_campaign=fpd

Cats and Cook and counters

Who knows what Captain James Kirk Cook saw when he first landed on Australia’s northern coast in May, 1770.

sorenne.cook.jul.14We spent a couple of days at Agnes Water, just south of the Town of 1770, which became electrified in 1986.

But I know what I saw when I returned home: crazy cats.

A friend stayed in the house for a week, and apparently the cats had free reign.

I emerged from the toilet to find the fluffy male lollygagging on the kitchen counter.

I said get down, which is usually enough to instill fear.

He didn’t move.

Just gave me a cat look.

Eventually he got a swat on the ass and got down.

For food safety sakes, don’t let pets on counters.

cook.landing.aust.jul.14