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27.07.2009: Get the H1N1 Flu, it is good for you and it is for free
Do
not wory about the H1N1. This flu is mild and updates your immune
system. Reacting against the virus you build up immunity against any
other virulent H1N1 mutations.. Our society exchanges continuously
bacteria, viruses and parasites through water, air, food, dust and
direct contact. Our natural defences cope with pathogens.
The
WHO, governments and health officials panic and make reckless decisions
spending money desperately needed in health care and combat other
deadly epidemics like Tb, cancer, cardiovascular diseases or stroke.
They should let the virus do its job and boost the immune system of the
population.
Being a weedy person you can, however protect
yourself cancelling your trip to Mexico, USA Spain and UK. But if you
are strong, standing on both your feet, do not be afraid to get the
H1N1 flu. Your body can manage that and gets fit for the next virus
epidemic. Give the government, the health departments and the
pharmaceutical industry the cold shoulder. Say NO to vaccine and
Tamiflu.
27.07.2009: Importance of Giardia and Cryptosporidium in water manegement
From
approximately 40 names of Giardia spp only five to six morphologically
distinct species are recognised. Giardia lamblia (=G. intestinalis, =G.
duodenalis) infect humans and other mammals, Giardia muris is found
from other mammals, Giardia ardeae and Giardia psittaci from birds,
Giardia agilis from amphibians and Giardia microti from voles. Recent
studies demonstrated genetic heterogeneity among Giardia isolates and
brought a better understanding of the role of wild and domestic animals
as sources of human infection. [1]
Genotypes of Giardia duodenalis [2]
According
to Caccio and Rian there are seven genetic groups within the species
Giardia duodenalis identified by molecular assays. The groups A and B
are found in both humans and animals, and the remaining groups C to G
are host-specific. Sequence-based surveys have identified a number of
genotypes within assemblages A and B in animal species which may be
infectious to humans.
Giardia and Cryptosporidium
Giardia
and Cryptosporidium are common enteric parasites of domestic animals,
particularly dogs, cats and livestock. The epidemiology of infections
was recently cleared using molecular epidemiological. [3]
These
data support the hypothesis that Cryptosporidium hominis is spread only
between humans. However domestic livestock, predominantly cattle is
reservoir for Cryptosporidium parvum. Transmission takes place by
direct contact with infected cattle but also indirectly through
drinking water. Giardia duodenalis zoonotic transmission is not
considered as a major risk for human infections. [4]
Cryptosporidium
has become the most important contaminant found in drinking water, and
12 waterborne outbreaks in North America since 1985 with a mortality
rate in the immunocompromised the ranged from 52% to 68%. The
immunofluorescence antibody assay (IFA) using epifluorescence
microscopy has been used to examine the occurrence of Cryptosporidium
in sewage. [5]
O'Handley
and Olson 2009 describe the effects of giardiasis and cryptosporidiosis
in ruminats. The authors report that Giardia duodenalis infections are
acquired during the first few months of life, tend to be chronic, and
may be a production-limiting disease of ruminants. Cryptosporidia
parvum infections causes diarrhoea in neonatal ruminants and
Cryptosporidia andersoni, is seen as an emerging disease of cattle. [6]
Giardia and Cryptosporidium spp agents of waterborne diseases [7]
Brandonisio
2006 stresses that Giardia and Cryptosporidium spp. are parasitic
protozoa which are frequent etiologic agents of waterborne diseases,
particularly in Italy The author reviews current methods for evaluating
the presence of Giardia cysts and Cryptosporidium oocysts in water and
new methods for cyst/oocyst removal from drinking water and wastewater.
The
resistant stages produced by Cryptosporidium and Giardia (oocysts and
cysts, respectively) are remarkably stable, and can survive for weeks
to months in the environment. The infective dose is low, even a single
oocyst or cyst may cause an infection. Most faeces that contain
(oo)cysts end up in the environment and can be spread to foods by
irrigation or by direct contact, and can persist in the water, as
routine treatments eliminate only a fraction of these stages. [11]
Smith
and Nichols 2006 refer to the reasons why outbreaks of water- and
foodborne diseases caused by Cryptosporidium, Giardia and Toxoplasma
are successful. They are pathogen for many hosts including man and have
a low infectious dose their infectious stages are small and resistant
to the linking media, and they resistant to usual water disinfectants.
The authors also refers to infection of humans by the microsporidia,
Balantidium and Blastocystis being transported by food and water. [8]
Fayer,
Dubey and Lindsay 2004 drawed attention upon Giardia, Cryptosporidium,
Toxoplasma and the worldwide pollution of coastal marine environment
when great amounts of feces from humans, their pets, and their
domesticated animals enter estuaries and coastal waters. The authors
stress that sewage carries encysted zoonotic protozoan parasites
contaminating bathing beaches, are filtered and concentrated by
shellfish eaten by humans and marine mammals, and infect a wide range
of marine animal hosts. [9]
Appelbee
and colleagues looked at the diversity of free-living and captive
terrestrial and marine mammalian wildlife species infected with Giardia
and Cryptosporidium. The authors highlight the importance of
environmental pollution with human and domestic-animal fecal material
as a pathway for wildlife infections with protozoan parasites such as
Giardia and Cryptosporidium. Molecular-genotyping techniques offer
deeper insights to host specificity and possible transmission routes of
these parasites. [10]
Methods for the diagnosis of Cryptosporidium and Giardia [11]
Caccion
2004 highlights the necessity of the accurate identification of a
parasite at the species and/or genotype level in human and veterinary
parasitology, including the diagnosis, the taxonomy, the treatment and
the control. Giardia and cryptosporidium, despite differing in biology,
share a complex series of transmission routes turning molecular assays
very useful to clarifie their epidemiology.
The author stresses
that PCR does not provide information on the viability and infectivity
of the pathogen. These informations may be obtained using indirect
methods, such as inclusion/exclusion assays using vital dyes or the
Reverse-Transcriptase PCR (RT-PCR) RT which usually targets the heat
shock protein (hsp) 70 gene. Heat shock proteins hsps are efficiently
formed by stressed organisms, such as (oo)cysts exposed to a thermal
shock. The hsps wehich are formed under such conditions increase the
detection sensitivity and are an index of viability of the cysts.
The
real-time PCR allows the continuous monitoring of amplicon which are
pieces of DNA formed during the amplification reaction, quantitative
aspect of the infection could be studied with exquisite sensitivity.
Molecular characterization of Giardia duodenalis and Cryptosporidium spp [12]
A
high prevalence of G. duodenalis of 42.0%, Cryptosporidium parvum 21.7%
and Cryptosporidium bovis 1,4% was found by Coklin and colleagues 2007
in Canadian cattle in Ontario. Mainly calves were affected. Molecular
characterization of the genotypes confirmed a frequent infestation of
humans by these parasites.
Methodology used by the authors:
Following DNA extractions from faecal samples, nested-PCR protocols
were used to amplify fragments of the 16S rRNA gene and the heat-shock
protein 70 (HSP-70) gene for determining the prevalence of G.
duodenalis and Cryptosporidium spp. infections, respectively. Genotypes
of G. duodenalis, and species of Cryptosporidium, were determined by
means of DNA sequencing of amplicons, and subsequent sequence alignment.
The
authors concluded that there risk of transmission of Giardia duodenalis
and Cryptosporidium parvum between cattle and humans by contaminated
water or food, or direct faecal-oral transmission.
In
2009 Coklin and colleagues found 6.2% infections of Cryptosporidium
parvum in dairy calves in Prince Edward Island, Canada. The authors
stress the potential risk of zoonotic transmission between dairy calves
and humans in this region.The presence of oocysts in the fecal samples
was determined , using immunofluorescence microscopy. Molecular
characterization was done using a nested-PCR protocol to amplify
fragments of the Cryptosporidium heat-shock protein 70 gene, followed
by DNA sequencing. [13]
New sub-genotype of Cryptosporidium parvum [14]
In
cattle from the Qazvin province , Iran 72.6% of the positive samples as
Cryptosporidium parvum, 17.7% as Cryptosporidium andersoni, 7.8% as
Cryptosporidium bovis. were found by Keshavarz and colleagues. The
authors report the finding of a novel genotype of C. parvum possessing
a single mutation on MboII restriction. This new sub-genotype
represented 1.9% of the analysed samples. The authors used microscopic
characterization and ocysts were analyzed using PCR assay of 18S SSU
rRNA, restriction fragment length polymorphism (RFLP) and sequencing.
In
Teheran Pirestani and colleagues 2007 found a zoonotic or 2 genotype
(C. parvum) in isolates from bovine samples. In human samples
anthroponotic or 1 (C. hominis) and zoonotic genotype or 2 (C. parvum)
were found. Ooicysts were isolated and genotyped by means of a
Nested-polymerase chain reaction/restriction fragment length
polymorphism analysis of the 18s rRNA gene [15].
Eastwood
and colleagues 2008 identified two subgenotypes of Cryptosporidium
hominis and four subgenotypes of Cryptosporidium parvum species from
humans from farms in New South Wales. All four of the C. parvum
subtypes found in humans were also found in the cattle. This suggests
that zoonotic transmission is an important factor of Cryptosporidium
transmission in rural regions.
PCR sequence analysis of the 18S rRNA
was used to determine species/genotype and subgenotype by sequence
analysis of the GP60 gene [16].
Geurden
and colleagues 2009 report that Cryptosporidium and Giardia are
frequently found in the stool of domestic ruminants, especially young
animals. The authors assessed the occurrence of these protozoan in
captive wild ruminats at the Antwerp Zoo (Belgium) where 8.9 % for
Giardia duodenalis assemblage A and American bison (Bison bison) calves
on a commercial breeding farm and 23.2% for Giardia duodenalis
assemblage A and E.
Cryptosporidium-positive
cases were 7.5% in the Antwerp Zoo animals and 3.7% in the Bisons from
the breeding farm. The authors concluded that captive wild ruminants
can serve as reservoir Cryptosporidium and Giardia. Detailed
methodology is described by the authors. [17]
Solar UV inactivates Cryptosporidium oocysts [18]
King
and colleagues 2008 found that natural sunlight inactivated up to 90%
of Cryptosporidium parvum oocysts in drinking water and environmental
waters within the first hour. The solar ultraviolet UV-B wawelength had
the highest germicidal effect, whereas dissolved organic material
decreased the effect of solar light.
Water treatments to control Cryptosporidium and Giardia [19]
Betancourt
and Rose 2004 report that Cryptosporidium parvum oocysts are
particularly more resistant than Giardia lamblia cysts to removal and
inactivation by conventional water treatment (coagulation,
sedimentation, filtration and chlorine disinfection). Success of
conventional treatment depends on the effectiveness of coagulation
pretreatment and properly functioning conventional filters. Additional
disinfection procedures, such as chlorination, chlorine dioxide,
ozonation and ultra violet [UV] irradiation) disinfection procedures by
chemical or physical methods are required.
The effectiveness of inactivation of protozoan parasites in food, water and environment [20]
According
to Erickson and Ortega 2006 treatments used to inactivate protozoan
parasites (Giardia, Cryptosporidium, and Cyclospora) in food, water,
and environmental systems include freezing, heating, filtration,
sedimentation, UV light, irradiation, high pressure, and ultrasound.
The authors stress that ozone is a more effective than chlorine or
chlorine dioxide. However, one should have in mind that synergistic
effects of sequential inactivation treatments of conventional systems
may increase their efficiency.
Effect of temperature on the die-off rate for Cryptosporidium parvum oocysts in water, soils, and feces [21]
Oocysts survival in water:
Cryptosporidium parvum oocysts are inactivated when exposed to a
temperature of 72.4°C for 1 min or 64.2°C for more than 2 min. The
lowest die-off rate was found at 4°C. Freezingt is predicted to
inactivate 99.99% of oocysts in 853 days at –4°C or 64 days at –22°C.
The
die-off rate for oocysts in river water at 5°C is similar to that in
autoclaved river water, but at 15°C, oocyst die-off occurs more rapidly
in natural than in autoclaved river water. The difference is perhaps
due to increased biological or biochemical activity at 15°C.
Oocysts survival in soil: Desiccation
is probably lethal to oocysts . Reports say that decreasing the soil
water potential by adjusting NaCl solution linearly increases the rate
of population degradation.
Oocysts survival in faecis: Temperature
is a key factor influencing oocyst survival in feces. A strong
exponential relationship between the die-off rate and the temperature
was found, being stronger in faeces than in water. The viability of
oocysts excreted by calves in solar housing did no differ from those in
conventional housing.
Giardia canis virus as genetic tool to alter Giardia canis
Chen and colleagues 2006 described the cultivation of Giardia canis trophozoites infected with Giardia canis virus. [22]
Chen and colleagues 2009 explain the structure of this virus and its
effects on Giardia canis trophozoites being released to the media as
mature infectious viral particles. The authors suggest that Giardia
canis virus may be used for gene manipulation of Giardia canis. [23]
Sewage treatment [24]
According
to Arthurson 2007 sewage sludge intended for arable land use needs to
be rigorously assessed for quality due to the high content of metals
(cadmium, arsenic, copper, lead, mercury, and zinc), persistent organic
pollutants (the organochlorines aldrin, dieldrin, heptachlor,
dichlorodiphenyltrichloroethane, and lindane), and pathogenic
microorganisms (bacteria, viruses, protozoa, and helminths) to ensure
no transmission of harmful elements to humans through entry into the
food chain via crops or grazing animals. According to European Union
regulations (EEC 1774/2002) [25], stabilized organic residues must be
adequately treated and proven hygienically safe, prior to the
application of sewage sludge to arable land.
Storage of Sewage: According
to the authors storage of sewage sludge was applied as the sole
treatment, with the aim of sanitization in terms of destroying
pathogenic microorganisms, a method proven not effective and therefore
discontinued. The most frequently used stabilization methods for sewage
sludge are biological anaerobic and aerobic digestion. However, neither
of these two procedures generates sludge that is better quality than
class B grade, promoting a future shift to the use of alternative
methods, such as alkaline stabilization and heat drying, to further
reduce pathogen levels, resulting in class A sludge with fewer user
restrictions. An additional promising option of producing hygienically
safe material for arable recycling is to combine stabilization
procedures, such as digestion, with pasteurization or liquid composting.
Chemical treatment: Lime
stabilization (calcium hydroxide) to raise the pH to 12.0 for at least
2 hours. It is an interesting alternative to anaerobic and aerobic
digestion.
Composting; In composting, liquid sludge is treated with a bulking agent, such as wood chips, dry compost, or municipal refuse.
Pasteurization: Pasteurization of biowaste at 70°C for at least 1 h is an effective approach to eliminate most pathogens.
[1]
Monis PT, Caccio SM, Thompson RC.: Variation in Giardia: towards a
taxonomic revision of the genus. Trends Parasitol. 2009
Feb;25(2):93-100. Epub 2009 Jan 8.
http://www.ncbi.nlm.nih.gov/pubmed/19135417
[2] Cacciò SM, Ryan U.: Molecular epidemiology of giardiasis. Mol Biochem Parasitol. 2008 Aug;160(2):75-80. Epub 2008 May 5.
http://www.ncbi.nlm.nih.gov/pubmed/18501440
[3]
Thompson RC, Palmer CS, O'Handley R.The public health and clinical
significance of Giardia and Cryptosporidium in domestic animals. Vet J.
2008 Jul;177(1):18-25. Epub 2007 Nov 26.
http://www.ncbi.nlm.nih.gov/pubmed/18032076
[4] Hunter PR, Thompson RC.: The zoonotic transmission of Giardia and Cryptosporidium.
Int J Parasitol. 2005 Oct;35(11-12):1181-90.
http://www.ncbi.nlm.nih.gov/pubmed/16159658
[5] Rose JB.: Environmental ecology of Cryptosporidium and public health implications.
Annu Rev Public Health. 1997;18:135-61.
http://www.ncbi.nlm.nih.gov/pubmed/9143715
[6]
O'Handley RM, Olson ME.: Giardiasis and cryptosporidiosis in ruminants.
Vet Clin North Am Food Anim Pract. 2006 Nov;22(3):623-43.
http://www.ncbi.nlm.nih.gov/pubmed/17071357
[7] Brandonisio O.: Waterborne transmission of Giardia and Cryptosporidium. Parassitologia. 2006 Jun;48(1-2):91-4.
http://www.ncbi.nlm.nih.gov/pubmed/16881405
[8] Smith H, Nichols RA.: Zoonotic protozoa-food for thought. Parassitologia. 2006 Jun;48(1-2):101-4
http://www.ncbi.nlm.nih.gov/pubmed/16881407
[9] Fayer R, Dubey JP, Lindsay DS.: Trends Parasitol. 2004 Nov;20(11):531-6.
http://www.ncbi.nlm.nih.gov/pubmed/15471705
[10]
Appelbee AJ, Thompson RC, Olson ME.: Giardia and Cryptosporidium in
mammalian wildlife--current status and future needs. Trends Parasitol.
2005 Aug;21(8):370-6.
http://www.ncbi.nlm.nih.gov/pubmed/15982929
[11] Cacciò SM.: New methods for the diagnosis of Cryptosporidium and Giardia. Parassitologia. 2004 Jun;46(1-2):151-5
http://www.ncbi.nlm.nih.gov/pubmed/15305706
[12]
Coklin T, Farber J, Parrington L, Dixon B.: Prevalence and molecular
characterization of Giardia duodenalis and Cryptosporidium spp. in
dairy cattle in Ontario, Canada. Vet Parasitol. 2007 Dec
25;150(4):297-305. Epub 2007 Oct 26.
http://www.ncbi.nlm.nih.gov/pubmed/17964724
[13]
Coklin T, Uehlinger FD, Farber JM, Barkema HW, O'Handley RM, Dixon BR.:
Prevalence and molecular characterization of Cryptosporidium spp. in
dairy calves from 11 farms in Prince Edward Island, Canada. Vet
Parasitol. 2009 Mar 23;160(3-4):323-6. Epub 2008 Nov 5.
http://www.ncbi.nlm.nih.gov/pubmed/19070965
[14]
Keshavarz A, Haghighi A, Athari A, Kazemi B, Abadi A, Mojarad EN.:
Prevalence and molecular characterization of bovine Cryptosporidium in
Qazvin province, Iran. Vet Parasitol. 2009 Mar 23;160(3-4):316-8. Epub
2008 Nov 13.
http://www.ncbi.nlm.nih.gov/pubmed/19091477
[15]
Pirestani M, Sadraei J, Dalimi Asl A, Zavvar M, Vaeznia H.Molecular
characterization of Cryptosporidium isolates from human and bovine
using 18s rRNA gene in Shahriar county of Tehran, Iran. Vet Parasitol.
2007 Dec 25;150(4):297-305. Epub 2007 Oct 26.
http://www.ncbi.nlm.nih.gov/pubmed/18478266
[16]
Ng J, Eastwood K, Durrheim D, Massey P, Walker B, Armson A, Ryan U.:
Evidence supporting zoonotic transmission of Cryptosporidium in rural
New South Wales.Exp Parasitol. 2008 May;119(1):192-5. Epub 2008 Feb 2.
http://www.ncbi.nlm.nih.gov/pubmed/18343369
[17]
Geurden T, Goossens E, Levecke B, Vercammen F, Vercruysse J, Claerebout
E.: Occurrence and molecular characterization of Cryptosporidium and
Giardia in captive wild ruminants in Belgium. J Zoo Wildl Med. 2009
Mar;40(1):126-30
http://www.ncbi.nlm.nih.gov/pubmed/19368251
[18]
King BJ, Hoefel D, Daminato DP, Fanok S, Monis PT.: Solar UV reduces
Cryptosporidium parvum oocyst infectivity in environmental waters. J
Appl Microbiol. 2008 May;104(5):1311-23. Epub 2008 Jan 31.
http://www.ncbi.nlm.nih.gov/pubmed/18248370
[19]
Betancourt WQ, Rose JB.: Drinking water treatment processes for removal
of Cryptosporidium and Giardia. Vet Parasitol. 2004 Dec
9;126(1-2):219-34.
http://www.ncbi.nlm.nih.gov/pubmed/15567586
[20]
Erickson MC, Ortega YR.: Inactivation of protozoan parasites in food,
water, and environmental systems. J Food Prot. 2006 Nov;69(11):2786-808.
http://www.ncbi.nlm.nih.gov/pubmed/17133829
[21]
Peng X, Murphy T, Holden NM.: Evaluation of the effect of temperature
on the die-off rate for Cryptosporidium parvum oocysts in water, soils,
and feces. Appl Environ Microbiol. 2008 Dec;74(23):7101-7. Epub 2008
Oct 10.
http://aem.asm.org/cgi/content/full/74/23/7101?view=long&pmid=18849452
[22]
Chen LF, Li JH, Zhang XC, Liu Q, Zhao YP, Cao LL.: Establishment of in
vitro cultivation of Giardia canis trophozoites infected with Giardia
canis virus
Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2006 Aug;24(4):261-5
http://www.ncbi.nlm.nih.gov/pubmed/17094593
[23] Cao L, Gong P, Li J, Zhang X, Zou X, Tuo W, Liu Q, Wang Q, Zhang G, Chen L, Li L, Su L.
Giardia
canis: ultrastructural analysis of G. canis trophozoites transfected
with full length G. canis virus cDNA transcripts. Exp Parasitol. 2009
Jul 17.
http://www.ncbi.nlm.nih.gov/pubmed/19619539
[24]
Arthurson, Veronica: Proper sanitization of sewage sludge: a critical
issue for a sustainable society.Appl Environ Microbiol. 2008
Sep;74(17):5267-75. Epub 2008 Jul 7.
http://www.ncbi.nlm.nih.gov/pubmed/18606792
[25]
Regulation (EC) No 1774/2002 of the European Parliament and of the
Council of 3 October 2002 laying down health rules concerning animal
by-products not intended for human consumption
http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2002:273:0001:0095:EN:PDF
25.07.2009: High fish oil diet rich in EPA and DHA deduces risk of age-related macular degeneration[1]
Tuo
and colleagues 2009 report that high n-3 fatty acid enriched EPA and
DHA diet slowed progression of age-related macular degeneration in
mice. Also reversion of some retinal lesions were found. The authors
suggest that the arachidonic acid metabolism decreased pro-inflammatory
derivatives (prostaglandin E2 and leukotriene B4) and increased
anti-inflammatory derivative (prostaglandin D2). Their results support
other findings in human studies on the effect of omega-3 fatty acids on
age-related macular degeneration.
[1] Tuo J, Ross RJ, Herzlich
AA, Shen D, Ding X, Zhou M, Coon SL, Hussein N, Salem N Jr, Chan CC: A
High Omega-3 Fatty Acid Diet Reduces Retinal Lesions in a Murine Model
of Macular Degeneration. American Journal Of Pathology, 2009; Am J
Pathol. 2009 Jul 16. [Epub ahead of print] DOI:
10.2353/ajpath.2009.090089
http://www.ncbi.nlm.nih.gov/pubmed/19608872
24.07.2009: German Health officials act hysteric ordering senselessly non-existent H1N1 vaccine [1]
German
health officials ordered 50 million doses for 700 Million Euro. It is
not enough for everyone. To avoid panic the government considers to buy
sufficient doses for the whole German population investing 2 Billion
Euro.
The panic reaction of the German Government followed WHO
recommending vaccination. WHO had failed to issue a travail warning to
USA and Mexico. Both countries are still exporting the virus to the
rest of the world.
According to the BBC the UK has about
100.000 cases of H1N1 infections with 31 death tolls. Professor Peter
Openshaw, of Imperial College London, says about one in every three
people who become infected will not realise they have had swine flu
because they will have had no or only very few symptoms. He stresses
that there is no additional concern, because healthy people can die of
any flu-related virus if it causes complications such as pneumonia.
About 98% of people who get infected will recover fully without any
hospital treatment. The virus has not mutated so far, but and seasonal
flu often poses a serious threat to public health, killing each year
250,000 – 500,000 [2].
The
British flu expert Thomas Jefferson, working for the international
Cochrane Collaboration, says that effect of vaccination is uncertain.
One should better focus on hygiene measures which had been effective
during the epidemic of SARS. These measures were washing hands
frequently and bearing surgical mask. He says that the strong focus on
this specific virus looks as if the WHO, virologists and the
pharmaceutical industry were longing for a pandemic. [3]
[1] Spiegel Online: Deutschland bestellt 50 Millionen Impfdosen gegen Schweinegrippe
http://news.bbc.co.uk/2/hi/health/8021958.stm
[2] BBC News: Q&A: Advice about swine flu. 23.07.2009
http://news.bbc.co.uk/2/hi/health/8021958.stm
[3] Spiegel Online: Haendewasche schuetzt viel besser . 22.07.2009
http://www.spiegel.de/wissenschaft/mensch/0,1518,637567-2,00.html
24.07.2009: The big H1N1 hype of Roche
Now
that tension concerning swine flu in media revives, some conclusions
become evident. Marketing department of leading pharmaceutical
corporations performed a spectacular job heating up media and politics.
Nobody dared to argue about the necessity of a vaccine and stockpiles
of Tamiflu.
CNBC on his morning business ticker of 23.07.2009
reported a net profit of 4.05 Billion Swiss francs at Swiss drugmaker
Roche on account of H1N1 vaccine. [1]
Global
sales of the antiinfluenza medicine Tamiflu (oseltamivir) rose 203% to
1.0 billion Swiss francs in the first half-year. Sales to governments
and corporations for pandemic stockpiling amounted to 653 million
francs (609 million francs in the second quarter of 2009 compared with
49 million francs in the second quarter of 2008).
Roche,
working with the World Health Organization (WHO) and national
governments, started in May 2009 to supply Mexico and 71 other
countries with the stocks of Tamiflu, and by the start of 2010 Roche
will be able to supply up to 400 million packs annually. Oseltamivir
will also be produced for China, India. [2]
Germany's
health ministers on 21.07.2009 agreed on a plan to order some 50
million units of flu vaccine units. That's enough to immunize 25
million people against the H1N1 swine flu - a person has to be injected
twice in order for the vaccine to be effective. The vaccines will
provide protection for 30 percent of the German population.
In
Germany 3.000 cases of swine flu have been reported, none were fatal.
Authorities fear a mutation of the swine flu virus, could prove deadly.
The H1N1 hype continues, boosted by governments and the WHO which
warned that the spread of swine flu was unstoppable [3].
Mutation:
Flu viruses mutate continuously. That is why vaccination of “common”
cold is considered ineffective. Brazilian Adolfo Lutz Bacteriological
Institute identified a new strain of the H1N1 called A/Sao
Paulo/1454/H1N1 and compared it with samples of the A(H1N1) swine flu
from California. According to Terezinha Maria de Paiva (June 16, 2009)
the mutation comprised alterations in the Hemagglutinin protein which
allows the virus to infect new hosts. However, it was not yet known
whether the new strain was more aggressive than the current A(H1N1)
virus. [4]
Severity is of no concern, says WHO [5]
At
this time, WHO considers the overall severity of the influenza pandemic
to be moderate. This assessment is based on scientific evidence
available to WHO, as well as input from its Member States on the
pandemic's impact on their health systems, and their social and
economic functioning.
The moderate assessment reflects that:
- Most people recover from infection without the need for hospitalization or medical care.
-
Overall, national levels of severe illness from influenza A(H1N1)
appear similar to levels seen during local seasonal influenza periods,
although high levels of disease have occurred in some local areas and
institutions.
Vaccination for H1N1 is unnecessary
Looking
at the costs and the results, it immediately becomes clear that there
were rare global cases of death. Comparing with death tolls of other
contagious diseases such as tuberculosis, malaria, viral hepatitis,
early summer meningocephalitis and others, H1N1 is of no concern. Note
hat Germany having diagnosed more than 3.000 cases had no even one
single fatal case. Swine flu is thus a mild, often asymptomatic
disease. The risk of adverse effects of vaccination is high, compared
with flu risk. Contact with the swine flu trains the immune system
building up barriers against flu viruses.
WHO and German health
officials in an last effort to hide the wrong decision stress that
mutation of the actual mild H1N1 virus may mutate to a more virulent
variant. The pharmaceutical industry awaits hopefully this hype to be
spread by the media.
[1] CNBC: Roche Profit Misses Forecasts, but Ups Guidance. 23.07.2009.
http://www.cnbc.com/id/32096080/site/14081545
[2] Roche Global Website: Pharmaceuticals Division growth twice as fast as market. Media release 23.07.2009.
http://www.roche.com/media/media_releases/med-cor-2009-07-23.htm
[3] Deutsche Welle.de: Germany plans to order 50 million swine flu vaccination units. 14.07.2009.
http://www.dw-world.de/dw/article/0,,4486961,00.html
[4] Instituto Adolfo Lutz: Nota Tecnica
http://www.ial.sp.gov.br/gripe/gripe.html
[5] World Health organisation: What about severity?
http://www.who.int/csr/disease/swineflu/frequently_asked_questions/levels_pandemic_alert/en/index.html
21.07.2009: Security of BioSafety Level 4 laboratories [1]
LeDuc
and colleagues 2009 report that BioSafety Level 4 (BSL-4) laboratories
directors in the United States reviewed in 2008 the current status of
biocontainment laboratory operations. Various approaches to strengthen
the safety and security of maximum-containment laboratory workers and
their environment have been proposed and were considered in this
review:
(1) Having 2 persons physically present within the
BSL-4 facility any time that work is being performed (the 2-person
rule). This was discarded as being to expensive, challenged its value
and considered the risks that would result from a requirement that 2
persons be physically present in the laboratory at all times.
2)
Use of surveillance cameras to monitor workers in the BSL-4 facility;
and 3) use of radios or other means of communication between workers
inside the laboratory and qualified contact persons outside the actual
BSL-4 environment. This was found to present the best results, because
the video material can be achieved for years and video cameras are
already present in these departments, presenting no additional expenses.
All
BSL-4 laboratories today are equipped with remote-controlled
surveillance cameras that can track a person within the
maximum-containment laboratory.
3) Use of radios or other
means of communication between workers inside the laboratory and
qualified contact persons outside the actual BSL-4 environment. All
BSL-4 laboratories have telephones, and most BSL-4 facilities in the
United States have some form of radio communication available to
persons working in the suite,
Personnel screening
According
to CDC persons who have gained the right of independent access to
maximum-containment facilities are highly trained professionals who
have earned the confidence of the laboratory director and are generally
well respected and trusted by their colleagues. In addition, all such
persons have had satisfactory background investigations and have
obtained Department of Justice numbers in compliance with the Centers
for Disease Control and Prevention Select Agent Program requirements.
Furthermore, several BSL-4 laboratories are enacting some form of
enhanced psychological screening and formal periodic monitoring of
these persons.
US Biosafety Level 4 (BSL-4) maximum-containment
laboratories work with biologic war organisms like Anthrax, plague,
smallpox, botulism, Viral Hemorrhagic Fevers, tularemie. Although no
clinical infections, or major incidents in operation of the physical
facilities were publicly known, a serious lack of security of these
laboratories is its own personal which can steal powerful bacteria and
viruses from their working place to use it as blackmail, avenge or even
selling it to terrorists.
The anthax terror attacks 2001/2002 were caused by a security leak of a government laboratory [2] [3]
Such
a lack of security has been crucially demonstrated by Dr. Bruve Ivins
working for years at Fort Detrick, Maryland, known for military
research and development of infectious pathogens and biological
weapons. The anthrax bacteria of this laboratory killed five people and
sickened 17 others. This incidence demonstrates the eminent public
threat of keeping, multiplying and potentiating virulence of disease
agents for biologic weapons.
The anthrax spores used in the
2001/2002 attacks came from a single flask of spores known as Bacillus
anthracis RMR-1029 that was created and solely maintained by Dr. Ivins.
While working inordinate hours alone at night and on the weekend in the
lab where the flask of spores and production equipment were stored.
Ivins had a history of mental health problems, including paranoid
delusions. The government closed the case after Dr. Ivins committed
suicide in 2008.
The threat is still existent and it comes from
the evil created by the US public paranoia of self defence building up
an arsenal of fire arms scattered at households all over the country,
together with government activities building up biologic chemical and
nuclear weapons. The USA must now be protect against itself, so as
happened in 2001 with Anthrax bacteria from Fort Detrick.
[1]
LeDuc JW, Anderson K, Bloom ME, Carrion R Jr, Feldmann H, Fitch JP, et
al. Potential impact of a 2-person security rule on BioSafety Level 4
laboratory workers. Emerg Infect Dis. Volume 15, Number 7–July 2009.
Doi: 10.3201/eid1507.081523
http://www.cdc.gov/eid/content/15/7/e1.htm
[2] Years After Anthrax Attacks, Bioterrorism Threat Still Looms. Trnascript August 7. 2008.
http://www.pbs.org/newshour/bb/terrorism/july-dec08/bioterrorprep_08-07.html
[3] Justice Department, Unsealed Papers Outline Anthrax Case Against Dead Scientist. Auguist 6. 2008.
http://www.pbs.org/newshour/updates/law/july-dec08/anthrax_08-06.html
20.07.2009: Methicillin-Resistant Staphylococcus aureus carriage in Belgian swine farms [1]
Denis
and colleagues 2009 found a prevalence of methicillin-resistant
Staphylococcus aureus ST 398 (MRSA) carriage in 37,8% of persons
working on Belgian pig farms. On farms with MRSA-colonized pigs the
prevalence of carriage was 50% versus 3% on farms without colonized
pigs. Swine, exposed farmers and veterinarians are thus high risk
factors for carriage of MRSA from Belgian pig farms. Notably these MRSA
strains are genetically unrelated to hospital- or community-acquired
clones.
The authors stress that risk factors for MRSA ST398
carriage was associated with being a farmer or farm co-worker, being
male, having regular contact with animals (including goats, sheep,
dogs, or cats) and, paradoxically, wearing gloves and apron and
reporting occasional or regular hand disinfection with an antimicrobial
product. This suggests that different animals could be MRSA ST398
reservoirs or vectors, at least on pig farms.
The authors call
for more studies to determine other routes of transmission such as
airborne transmission and contact with contaminated surfaces and
companion animals which apaerntly reduce the effectiveness of the
protection of gloves and apron.
[1] Denis, Olivier; Suetens,
Carl; Hallin, Marie; Catry, Boudewijn; Ramboer, Ilse; Dispas, Marc;
Willems, Glenda; Gordts, Bart; Butaye, Patrick; Struelens, Marc J. :
Methicillin-Resistant Staphylococcus aureus ST398 in Swine Farm
Personnel, Belgium. CDC Emerging Infectious Diseases. Volume 15, Number
7–July 2009.
http://www.cdc.gov/eid/content/15/7/1098.htm
19.07.2009: Plant sterol intake and low-fat diet [1]
Chen
and colleagues 2009 studied the effect of low-fat diet and plant
sterols on plasma lipids, lipoproteins and carotenoids.
Effect of
low-fat diet: Plasma total cholesterol (TC), high density lipoprotein
(HDL) cholesterol, low density lipoprotein (LDL) cholesterol, Apo A1
and Apo B were lower with a fat reduction diet (26.4% fat and 7.7% of
energy) compared with the typical American diet (33.5% fat and 13.2% of
energy). TC/HDL cholesterol was found by the authors to remain
inaltered.
Effect of plant sterol: Plant sterol intake lowered
TC, LDL cholesterol, Apo B and TC/HDLC by without affecting HDL
cholesterol and Apo A1.
The authors stress that the effect of
phytosterol intake and low-fat diet lower independently plasma LDL
cholesterol lipids and their effects are summed. The authors comment
further that their findings support foregoing studies in relation to
the effect of phitosterols on plasma carotenoids.
Phhytosterol and carotinoids [2]
Ntanios
and colleagues 2002 studying side-effects associated with the
consumption of PS-enriched spreads had found a small reduction in
plasma levels of the most lipophilic carotenoids such as ß-carotene,
but no changes in plasma vitamins A and E levels.
[1] Chen SC,
Judd JT, Kramer M, Meijer GW, Clevidence BA, Baer DJ.: Phytosterol
intake and dietary fat reduction are independent and additive in their
ability to reduce plasma LDL cholesterol. Lipids. 2009 Mar;44(3):273-81.
http://www.ncbi.nlm.nih.gov/pubmed/19145455
[2]
Ntanios FY, Homma Y, Ushiro S.: A spread enriched with plant
sterol-esters lowers blood cholesterol and lipoproteins without
affecting vitamins A and E in normal and hypercholesterolemic Japanese
men and women. J Nutr. 2002 Dec;132(12):3650-5.
http://jn.nutrition.org/cgi/content/full/132/12/3650
19.07.2009: Raman spectroscopy to detect viruses [1]
A
new rapid system for detecting and identifying viruses in near-real
time is being developed by Tripp and colleagues. It is based on
surface-enhanced Raman spectroscopy to measure the frequency of
near-infrared laser light. It detects and classifies microRNAs
(miRNAs), which are regulators of gene expression during development
and cell differentiation as well as biomarkers of disease.
miRNAs were first described in 1993 by Lee and colleagues, and the term microRNA was only introduced in 2001. [2]
The
authors stress that the SERS-based sensor can detect extremely low
number of viruses and provides its molecular fingerprint. The rapid
response system can detect viruses from a nasal swab in one minute or
less. A device which is now being developed can help to control disease
outbreaks and bioterrorism, monitoring passengers at airports or speed
up a diagnosis.
Fourier reflection infrared spectroscopy (FTIR-ATR) detection of bacteria [3]
Li
and Tripp 2008 used an alumina-coated ZnSe internal reflection element
(IRE) to detect spores of Bacillus globigii by attenuated total
reflection infrared spectroscopy (FTIR-ATR). The interaction between
the carboxylate groups of the bacterium and the positively charged
sites on the alumina modulates the adsorption which is highly dependent
on pH having ist maximum value at pH 5 a detection limit of 10(7)
spores per cm2 is reported by the authors.
[1] Driskell JD, Seto
AG, Jones LP, Jokela S, Dluhy RA, Zhao YP, Tripp RA: Rapid microRNA
(miRNA) detection and classification via surface-enhanced Raman
spectroscopy (SERS). Biosens Bioelectron. 2008 Dec 1;24(4):923-8. Epub
2008 Aug 6.
http://www.ncbi.nlm.nih.gov/pubmed/18799303
[2] Wikipedia: MicroRNA
http://en.wikipedia.org/wiki/MicroRNAs
[3]
Li H, Tripp CP.: Detection of Bacillus globigii spores using a Fourier
transform infrared-attenuated total reflection method. Appl Spectrosc.
2008 Sep;62(9):963-7.
http://www.ncbi.nlm.nih.gov/pubmed/18801234
19.07.2009: Vaccination reduces severity of rotavirus infections [1]
Pitzer
and colleagues 2009 developed a mathematical modelling based on
changing patterns of rotavirus transmission in the United States. The
model includes regional birth rates and predicted vaccination levels
and effectiveness. It says that when 80 percent or more of children in
a given population are vaccinated, annual epidemics may occur on a less
regular basis and more unvaccinated children will be protected. The
study explains the timing of rotavirus epidemics dependent on the birth
rate in the population because newborns infants have an untrained
immune system.
With the introduction of vaccination the
rotavirus outbreaks may become less frequent and less pronounced as it
was before vaccination. Pitzer stresses that despite uncertainties in
the demographic differences and unpredictable conditions the
introduction of vaccination in the developing world will decrease
rotavirus death rates which is high in children under 5 years in
developing countries.
[1] Pitzer VE, Viboud C, Simonsen L,
Steiner C, Panozzo CA, Alonso WJ, Miller MA, Glass RI, Glasser JW,
Parashar UD, Grenfell BT:.Demographic variability, vaccination, and the
spatiotemporal dynamics of rotavirus epidemics. Science. 2009 Jul
17;325(5938):290-4.
http://www.ncbi.nlm.nih.gov/pubmed/19608910
18.07.2009: New perceptions on the pathogenicity of Bordetella hinzii [1]
According
to Register and Kunkel 2009 Bordetella hinzii was believed to be
non-pathogenic in poultry. However, recent studies say that the
bacterium caused severe disease causing 100 percent morbidity in
turkeys which was formerly attributed to Bordetella avium, a pathogenic
bacterium that causes upper respiratory disease in poultry and wild
birds.
To distinguish between B. hinzii and B. avium DNA-based tests were used. [2]
Register
and Kunkle found four bordetella hinzii strains which were able to to
grow and persist in the trachea and also caused clinical disease. The
strains varied in severity, although none demonstrated 100 percent
morbidity.
Another study found that Bordetella hinzii is not pathogenic for chickens.
Further
researches will clarify how pathogenic strains differ from
non-pathogenic once. And will look after the virulence factors
affecting turkey poults.
Bordetella hinzii pathogenicity to humans [3]
Funke
and colleagues 1996 highlight the importance of the genus Bordetella
comprising species such as B. pertussis and B. parapertussis which are
the causative agents of whooping cough in humans, B. bronchiseptica is
primarily a respiratory pathogen found in animals but may also cause
pneumonia and bacteremia in humans. B. avium causes coryza in poultry
but has never been described as causing infections in humans. B.
holmesii have been isolated from young adults with septicemia. B.
hinzii was proposed as the species of some strains isolated from
poultry with respiratory disease, The authors report two isolates of B.
hinzii which, together with two other cases demonstrate that Bordetella
hinzii can cause disease in humans. They caution, however, the role of
B. hinzii in human infections but is still not completely understood.
Fry
and colleagues 2007 describe a clinical isolate of Bordetella hinzii in
the UK from a patient which had no known avian exposure, and the source
of the organism remains unknown. The authors stress that human
infection with Bordetella hinzii is rare. Genotypic methods, and the
greater mutational variation of the ompA gene compared to other genes
(e.g. 16S rRNA gene) is being suggested by the authors to differentiate
Bordetella hinzii from Bordetella avium and other non-classical
Bordetella species. [4]
[1] Register, K.B.; Kunkle, R.A.: Strain-specific virulence of Bordetella hinzii in poultry. Avian Dis. 2009 Mar;53(1):50-4.
http://www.ncbi.nlm.nih.gov/pubmed/19432003
[2]
Register, K.B.; Sacco, R.E.; Nordholm, G.E.: Comparison of ribotyping
and restriction enzyme analysis for inter- and intraspecies
discrimination of Bordetella avium and Bordetella hinzii. J Clin
Microbiol. 2003 Apr;41(4):1512-9.
http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=12682138
[3]
Funke, G,; Hess, T,; von Graevenitz, A,; Vandamme, P.: Characteristics
of Bordetella hinzii strains isolated from a cystic fibrosis patient
over a 3-year period. Journal of Clinical Microbiology, Apr. 1996, p.
966–969
http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=228927&blobtype=pdf
[4]
Fry NK, Duncan J, Edwards MT, Tilley RE, Chitnavis D, Harman R,
Hammerton H, Dainton L.: A UK clinical isolate of Bordetella hinzii
from a patient with myelodysplastic syndrome. J Med Microbiol. 2007
Dec;56(Pt 12):1700-3.
http://jmm.sgmjournals.org/cgi/content/full/56/12/1700
17.07.2009: Aspartame High Court judgement at London backs artificial ingredients ban [1]
AHigh
Court judgement has found in favour of Asda supermarket chain approving
the labelling of the “Good For You” product rage claiming "no hidden
nasties","no artificial colours or flavours, no aspartame, and no
hydrogenated vegetable oils". Ajinomoto had launched a malicious
falsehood action against Asda supermarket in 2008.
Ajinomoto
searched for a ruling on what the statements by Asda mean in law,
alleging that the “natural and ordinary” meaning of the words is that
aspartame is “an especially harmful or unhealthy, or potentially
harmful or unhealthy, sweetener and is one which consumers concerned
for their own health and that of their families would do well to
avoid.”
Ajinomoto tried to defend the reputation of aspartame,
and products that are sweetened with aspartame “maliciously” classified
as “nasty”.
The High Court did not call into question the safety
of aspartame, which is being considered as safe by the the European
Food Safety Authority. The High Court interpreted the Asda claim as“if
you the consumer think that aspartame may be bad for you, or unpleasant
to taste or consume, then this product is for you”.
The
adjective “nasty” could mean anything from “unpleasant” to “dangerous”
and coupling the word “Good for you” and “nasty” was inviting approval
of products which did not contain aspartame and disapproval of those
that did.
Two meanings to the term "nasties" were analised.
The "natural and ordinary" meaning would be understood as meaning that
it was potentially harmful or unhealthy.
The Court's own
meaning of the terms, however was that "no reasonable reader could
understand the words as a statement by Asda that all artificial colours
and flavours are especially or actually harmful or unhealthy."
This
judgement backs claims which highlight the exclusion of artificial
supplement unwanted by the consumer following subjective arguments.
In
face of the aspartame judgement, Asda renewed its call for other
manufacturers and retailers to remove unnecessary, artificial additives
from food and soft drink products.
Artificial sweeteners, train
the gustatory senses to look after sweet products. Craving sets in and
overeating follows. Adjusting to the natural sweetness of raw foods
themselves it is possible to avoid artificial ingredients such as
colours, flavour enhancers and sweeteners which have food value and
trick the body thinking it is eating something delicious.
Asda already removed the six artificial colours shown by the Southampton Study to increase hyperactivity in children:
- E102 Tartrazine
- E104 Quinoline Yellow
- E110 Sunset Yellow
- E122 Carmoisine
- E124 Ponceau 4R
- E129 Allura Red
It removed all artificial colours and flavours. It was first to hit FSA salt reduction targets. It was first to remove monosodium glutamate, hydrogenated fat and aspartame (90 tonnes) from its own label products.
The originat tradename is Nutrasweet and it appears on ingredient lists as “aspartame'”or “E951”.
New aspartame study by the UK Food Standards Agency FSA [2]
The Food Standards Agency announces at its website that it is to begin a new study looking at aspartame. The research will focus on people who have reported bad reactions to the artificial sweetener and will be published in 2011.
[1] Asda Press Centre: Sweet Victory as Asda Wins Court Fight Over Sweetener Claim. Supermarket calls on the industry to follow its lead and remove unnecessary, artificial additives from food and soft drink products. 15. July 2009.
http://www.asda-press.co.uk/pressrelease/310
[2] FSA: Aspartame study to begin. 22 June 2009
http://www.food.gov.uk/news/newsarchive/2009/jun/aspartame
14.07.2009 Prediction of drinking water needs [1]
The US army is engaged in operations all over the world. Transporting water to troops accounts for about one-third of costs of war activities. To make these activities less expensive Cheuvront and colleagues 2009 from The Institute of Medicine (IOM) developed sweating rate prediction models that calculate hourly and daily water needs based on metabolic rate, clothing and environment. It improves the Shapiro equation, which often over-predicts fluid needs.
The Shapiro equation (OSE): OSE was developed by the US army in 1982. It is expressed as
where:
- Ereq is evaporative heat loss required to maintain proper body temperature
- Emax is the evaporative potential of the environment
- msw represents sweat loss
- g*m-2 is grams of sweat multiplied by the body’s surface area
- * is multiplied
The new sweat equations
The authors published two new equations which are 58 and 65% more accurate with minimal error.
The corrected OSE: The corrected OSE is : (OSE,C): msw = 147*exp (0.0012*OSE)
The new equation PW: The new equation is: (PW): msw = 147+1.527*(Ereq) - 0.87*(Emax)
The authors stress that the two new equations provide for more accurate sweat predictions over a broader range of conditions with applications to public health, military, occupational and sports medicine settings.
Cheuvront and colleagues try to develop a public online application program calculating the sweat loss using individual variables such as height and weight, how hard and long they would be active, temperature, humidity, sunlight, wind and fitness levels.
[1] Gonzalez, Richard R.; Cheuvront, Samuel N.; Montain, Scott J. ; Goodman, Daniel A.; Blanchard, Laurie A. ; Larry G. Berglund, Michael N. Sawka: Expanded prediction equations of human sweat loss and water needs. Journal of Applied Physiology, 2009; DOI: 10.1152/japplphysiol.00089.2009
http://jap.physiology.org/cgi/content/abstract/00089.2009v1
08.07.2009: Consumers feel no health benefits of bottled water over tap water, says study [1]
Bottled water became an important business. It is a bulky department of food stores.
Ward and colleagues 2009 assessed the health beliefs of consumers concerning bottled mineral water. The authors found that drinking bottled water was motivated by the believe it may confer general health benefits linked to the minerals in bottled water. This, however, plays a minor role in the decision to buy bottled water, where convenience, cost and taste are the important criterion. Links between plastic bottle and cancer, also detrimental effect on the environment were of concern.
This study supports an earlier study of Napier and Kodner 2008 which say that health benefits of bottled water for routine use is unclear. The authors stress, however the importance of bottled water in handling emergencies or natural disasters, compromising safety of tap water. [2]
US Regulations for bottled water [3]
The Institute of Food Technologists: published in 2008 an overview of drinking water standards and regulations, freshwater resources, water pollution and predominant sources of contamination, and the effects of agriculture and food processing on water quality and wastewater treatment. The overview also describes bottled water as defined by the U.S. Food and Drug Administration (FDA) as water intended for human consumption that is enclosed in a sanitary container, contains no added ingredients (except or optional antimicrobial agents or FDA-specified amounts of fluoride), and meets all applicable federal and state standards. It must comply with FDA’s standards of quality, standards of identity (including labelling requirements), and current good manufacturing practices, and FDA’s standards of quality (21 CFR § 165.110[b]) [4] establishing maximum allowable levels of contaminants such asd chemical, physical, microbiological, and radiological in bottled water.
[1] Ward, L.A.; Cain, O.L.; Mullaly, R.A.; Holliday, K.S.; Wernham, A.G.; Baillie, P.D.; Greenfield, S.M.: Health beliefs about bottled water: a qualitative study. BMC Public Health. 2009 Jun 19;9(1):196.
http://www.ncbi.nlm.nih.gov/pubmed/19545357
[2] Napier, G.L.; Kodner, C.M..: Health risks and benefits of bottled water. Prim Care. 2008 Dec;35(4):789-802.
http://www.ncbi.nlm.nih.gov/pubmed/18928830
[3] Tarver, T.: "Just add water": regulating and protecting the most common ingredient. The Institute of Food Technologists:Vol. 73, Nr. 1, 2008—JOURNAL OF FOOD SCIENCE
http://members.ift.org/NR/rdonlyres/54EF1203-B11E-4A0B-A78B-525CB8D98ED3/0/JustAddWater.pdf
[4] 21 CFR 165.110 - Bottled water.
http://cfr.vlex.com/vid/165-110-bottled-water-19705533
05.07.2009: Late blight disease affecting U.S. Northeast tomatoes and potatoes [1]
The University of Cornell warns for late blight, caused by Phytophthora infestans affecting tomato and potato around the world. The New Jersey Agricultural Experiment Station of the Cornell University stresses that the 2009 cool summer with frequent rains, weather have facilitated late
blight development in the Northeast of the U.S.A.
According to the report commercial growers spray fungicides to prevent its spread, however many homeowners are not aware of the disease. Their affected plants provide spores for their neighbor’s gardens and for commercial farms. The disease is reported over a broad area of the Northeast.
Infected plants have been distributed to large local retail stores from Ohio to Maine, facilitating the dissemination of the disease.
Spraying regularly with fungicides based on chlorothalonil is being recommended..
The symptoms develop on tomato leaves, stems and fruit. The leaf lesions are water-soaked when exposed to watering or heavy overnight dews. White fungal growth may appear at the affected parts of the plant.
Other plants related to tomatoes and potatoes, such as petunias are also at risk of the disease.
Downy mildew of basil [2]
Downy mildew of basil was reported at farms in the northeast USA in 2008. Yellowing of the plant were often attributed to nutritional problems, therefore the disease was often ignored.
The basil downy mildew pathogen can be spread in contaminated seed, in infected basil leaves, and as wind-dispersed spores. Downy mildew also was observed recently on ornamental plants related to basil, in particular coleus and salvia. These plants all belong to the Lamiaceae family, which includes basils (Ocimum spp.), mints (Menta spp.), sages (Salvia spp.) and other aromatics.
Contaminated seed is most likely the way that the basil downy mildew pathogen has been able to move between geographically-separated areas. Phosphorous acid fungicides, ProPhyt and K-Phite and Actinovate AG are being recommended to control downy mildew on herbs..
[1] Irish Potato Famine Disease affecting Gardens and Farmers throughout the Greater Northeast
Revised by A. Wyenandt, NJAES, Rutgers University and M.T McGrath, Cornell University
Original article by Thomas A. Zitter, Cornell University, Ithaca, NY
http://plantclinic.cornell.edu/Late%20blight%20alert%20for%20gardeners1.pdf
[2] The Cornell University: Basil Downy Mildew - a new disease to prepare for.
http://vegetablemdonline.ppath.cornell.edu/NewsArticles/BasilDowny.html
04.07.2009 Warning from untreated oysters
A bacteria from the marine and and estuarine environments Vibrio vulnificus is being found in untreated oysters from the Gulf Coast. For people with compromise the immune system the bacteria is deadly for 50% of infections.
The Vibrio vulnificus is a bacterium is present in seawater, sediments, plankton and shellfish (oysters, clams and crabs) in the Gulf of Mexico, the Atlantic Coast and the entire U.S. West Coast. As a member of the Vibrionaceae family, Vibrio vulnificus it is related to Vibrio cholerae and Vibrio parahaemolyticus which produce diarrhea. Vibrio vulnificus causes wound infections, gastroenteritis, or a syndrome known as primary septicemia.
The CSPI says untreated oysters harvested from Gulf Coast waters from April to October should be subject to state bans and, meanwhile, consumers should avoid consuming such oysters. [1]
Raw shellfish northern regions are seen less dangerous as untreated shellfish from the Mexican Gulf because the water temperatures are lower than what is found in the Gulf. However, rising temperatures caused by the climate change will turn northern waters also a potential hazzard.
Pathogenic bacteria in Brazilian coastal waters [2]
Ristori and colleagues 2007 analized oysters and estuarine water samples from coastal waters of São Paulo, Brazil., The authors found Aeromonas spp., Plesiomonas shigelloides, Vibrio cholerae O1, Vibrio parahaemolyticus, Vibrio vulnificus Salmonella, Shigella, Escherichia coli O157:H7 in oysters and in water samples too. The authors point out the Vibrio vulnificus was present in 10% of the samples, and Vibrio parahaemolyticus Kanagawa-negative was detected in all oyster samples. The study highlight the true microbial hazard in the aquatic environment and oysters.
Vibrio vulnificus risk from untreated shellfish throughout the year [3]
Ramirez and colleagues 2009 determined the occurrence of Vibrio vulnificus, in south Texas coastal waters. During this study Vibrio vulnificus was isolated at all sites throughout the year even with water temperature was down to 9.71 degrees C. However there was a correlations between concentrations of V. vulnificus and water temperature and dissolved oxygen, as well as between concentrations of V. vulnificus and enterococci. The authors concluded that the risk of infection of Vibrio vulnificus exists throughout the year.
Monitoring of data such as water temperatur, dissolved oxygen and enterococciu count are being suggested to predict rising risk.
Treated and untreated marine products pose a health risk according to a German scientist [4]
Uwe Janssen, in a period from 1994 and 1996 examined various edible fishery- and aquaculture-products from the North Sea and the Atlantic Ocean, and several exotic species of fish from Africa and Southeast Asia.
The incidence of Vibrionaceae was 43 % in the untreated products, and 11 % in the ready-to-eat foodstuff.
According to the author the high variety of pathogenic species found such as Plesiomonas shigelloides, Aeromonas hydrophila, Aeromonas caviae, Aeromonas sobria,Vibrio cholerae, Vibrio parahaemolyticus, Vibrio vulnificus, Vibrio mimicus, and Vibrio alginolyticus indicate a potential heath risk posed by Vibriuonaceae untreated as well as treated fishery products, such as frozen, cooked, fermented, and cold-smoked products.
Vibrio vulnificus in German coastal waters [5]
Ruppert and colleagues 2004 reported two severe cases of Vibrio vulnificus wound infection with secondary septicemia in 2003 on the German island of Usedom in the southwestern Baltic Sea by wading in contaminated sea water. High concentrations of V. vulnificus in the sea water was found when water temperature exceeded 20°C for more than 2 weeks.
Other pathogens from shellfisch [6]
Plesiomonas shigelloides is a Gram-negative, rod-shaped bacterium which has been isolated from freshwater, freshwater fish, and shellfish and from many types of animals.
Infections from this organism cause gastroenteritis, followed by septicemia in immune deficient patients. It is placed among the Enterobacteriaceae. Some Plesiomonas strains share antigens with Shigella sonnei, and cross-reactions with Shigella antisera occur. Plesiomonas can be distinguished from Shigella in diarrheal stools by an oxidase test: Plesiomonas is oxidase positive and Shigella is oxidase negative. Plesiomonas is positive for DNAse; this and other biochemical tests distinguish it from Aeromonas sp.
Other pathogenic microorganisms in Greece seafood [7]
Papadoupolou and colleagues 2007 report in Greece marine fish and shellfish the presence of Aeromonas hydrophilia, Klebsiella ozonae, Escherichia coli, Yersinia enterocolitica, Hafnia alvei, Enterobacter agglomerans, Citrobacter freundii, Proteus vulgaris, Proteus mirabilis, Morganella morganii, Pseudomonas fluorescens, Pseudomonas putida, Plesiomonas shigelloides, Listeria innocua, Vibrio parahaemolyticus, Clostridium perfringens, Staphylococcus aureus and Candida quillermondi, Candida albicans, Penicillium oxalicum and Penicillium italicum.
[1] CSPI: Governors Urged to Block Sale of Untreated Gulf Coast Oysters. Deadly Vibrio Bacteria Common in Summer Months. 02.07.2009
http://cspinet.org/new/200907021.html
[2] Ristori, Christiane A.; Iaria, Sebastião T.; Gelli, Dilma S.; Rivera, Irma N. G.: Pathogenic bacteria associated with oysters (Crassostrea brasiliana) and estuarine water along the south coast of Brazil. International Journal of Environmental Health Research, Volume 17, Number 4, August 2007 , pp. 259-269(11)
http://www.ingentaconnect.com/content/tandf/cije/2007/00000017/00000004/art00002;jsessionid=1f3jrpl9u7gvn.alexandra
[3] Ramirez GD, Buck GW, Smith AK, Gordon KV, Mott JB.: Incidence of Vibrio vulnificus in estuarine waters of the south Texas Coastal Bend region. J Appl Microbiol. 2009 May 20
http://www.ncbi.nlm.nih.gov/pubmed/19566724
[4] Uwe Janssen: Investigations on Vibrionaceae in Wholesale- and Retail-Seafood, and their Importance for Human Health. pdf Download
[5] Ruppert, J.; Panzig, B.; Guertler, L.; Hinz, P.; Schwesinger, G.; Felix, S.; Friesecke, S.: Two cases of severe sepsis due to Vibrio vulnificus wound infection acquired in the Baltic Sea. European Journal of Clinical Microbiology and Infectious Diseases, Volume 23, Number 12, December 2004 , pp. 912-915(4)
http://www.ingentaconnect.com/content/klu/10096/2004/00000023/00000012/art00009
[6] Wikipedia: Plesiomonas shigelloides.
http://en.wikipedia.org/wiki/Plesiomonas_shigelloides
[7] Papadoupolou, C.; Economou, E.; Zacas, G.; Salamoura, C.; Dontorou, C.; Apostolou, J.: Microbiological and Pathogenic Contaminants of Seafood in Greece. Journal of Food Quality, Volume 30 Issue 1, Pages 28-42 Published Online: 23 March 2007
http://www3.interscience.wiley.com/journal/118520357/abstract?CRETRY=1&SRETRY=0
01.07.2009: Oak processionary moth may pose risk to European trees says EFSA [1]
According to an opinion of the European Food Safety Authority (EFSA) the oak processionary moth (Thaumetopoea processionea) pose a potential risk to oak trees in southern areas of the UK, and may be considered eligible for addition to the EU list of harmful organisms.
The Panel says that the absence of natural barriers facilitates the spread of the moth by natural dispersal, such as flight, to adjacent areas. The availability of oak and low summer temperatures might hinder the dispersal, but due to changing climate conditions the pest may also spread to southern parts of the most northern European States.
The opinion notes that the oak processionary moth lays eggs on branches of oak trees and its larvae live in groups and form a nest from which they migrate in procession to feed in the canopy of the tree resulting in partial or complete tree defoliation. The caterpillar is also a heath risk for humans and animals because they produce hairs which may cause allergic reactions.
[1] EFSA: Oak processionary moth may pose risk to plant health. 29.06.2009
http://www.efsa.europa.eu/EFSA/efsa_locale-1178620753812_1211902621248.htm?WT.mc_id=EFSAHL01
30.06.2009: Bacterium E.coli H7:157 detected in refrigerated cookie dough [1]
The deadly bacteria was found in a tub of Nestle’s chocolate cookie dough expiration date of June 10, made in February. The contaminated sample was examined on June 25, after 69 people from 29 states have been infected with the outbreak strain.
Thirty-four have been hospitalized, nine with a severe complication called hemolytic uremic syndrome. There have been no reported deaths.
The products involved in the voluntary recall include all varieties of Nestlé TOLL HOUSE refrigerated Cookie Bar Dough, Cookie Dough Tub; Cookie Dough Tube; Limited Edition Cookie Dough items; Seasonal Cookie Dough and Ultimates Cookie Bar Dough. Variety information is included in the list below. [2]
This outbreak of the pathogen Escherichia coli highlights the importance of the HACCP system which must be performed meticulously also in so called “low risk products”.
[1] Nestlé Toll House refrigerated cookie dough voluntary recall. June 29, 2009.
http://www.verybestbaking.com/products/tollhouse/dough.aspx
[2] FDA U.S. Food and Drug Administration: Nestlé USA’s Baking Division Initiates Voluntary Recall. June 19, 2009
http://www.fda.gov/Safety/Recalls/ucm167954.htm