salmonella enteritidis control -in layers
TRANSCRIPT
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The Danish experience in Salmonella Enteritidis control - in layersHenrik C Wegener
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2 DTU Food, Technical University of Denmark
SE is the most commonly occurring salmonella in human disease globally
Galanis E., et al. EID 2006
WHO Estim. > 100 million cases of human disease each year
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3 DTU Food, Technical University of Denmark
Salmonella can be
effectively controlled
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4 DTU Food, Technical University of Denmark
Prevalence of Salmonella infected Danish broiler flocks
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5 DTU Food, Technical University of Denmark
Incidence of human salmonellosis attributable to broilers in Denmark
Intervention
888888 05 06 07 08 09
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6 DTU Food, Technical University of Denmark
Linking diseases and food/animal reservoirs Linking diseases and food/animal reservoirs
Principle of the Danish Salmonella Source Principle of the Danish Salmonella Source Attribution modelAttribution model
Compare the number of (reported) human cases caused by different Salmonella subtypes
with the distribution of Salmonella subtypes isolated from the various food (-animal) sources
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7 DTU Food, Technical University of Denmark
Salmonella prevalence in fresh pork – introduction of serology
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8 DTU Food, Technical University of Denmark
Pork associated human salmonellosis in Denmark
Intervention
939393
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9 DTU Food, Technical University of Denmark
Egg associated human salmonellosis in Denmark, 1988-1997
979797
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10 DTU Food, Technical University of Denmark
The table egg production pyramide
- When a good thing turns bad
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11 DTU Food, Technical University of Denmark
Hundreds of thousands of
cases
1
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12 DTU Food, Technical University of Denmark
Locally Infected pedigree >>
A global public health problem
”think globally, act locally”– begin by eradicating SE from all pedigree!
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13 DTU Food, Technical University of Denmark
Import of 80.000 day old parent birds to six locations
3 hatcheries 4,5 mill day old layers
Rearing 4,5 million layers
400 producers1 billion shell eggs
Danish shell-egg production system
5.2 Million consumers
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14 DTU Food, Technical University of Denmark
Danish SE eradication
strategy
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15 DTU Food, Technical University of Denmark
Top Down Eradication Strategy
– Test and destroy infected imports of day old layer breeders
– Monitor and destroy infected breeding flocks
– Test and destroy infected layer flocks, alternatively decontaminate table eggs (heat treat)
– Cleaning and disinfection of infected premises
– All Danish producers involved
– All serotypes, but special emphasis on S. Typhimurium and S. Enteritidis
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16 DTU Food, Technical University of Denmark
Table-egg control programme - Technical task force
•Equal representation of industry and public sector
•Responsibility for technical aspects, e.g. – sampling plans, – detection techniques, – sanitation, – training, – improvements
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17 DTU Food, Technical University of Denmark
The Danish salmonella surveillance programme of table-egg production (2009)
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18 DTU Food, Technical University of Denmark
BootswabsBoot
swabs
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19 DTU Food, Technical University of Denmark
A Danish speciality - ”boot swabs”
Skov et al., J. Applied Microbiol. 1999, 86:695-700.
A highly sensitive sampling method for bacteriological detection of salmonella in poultry houses
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20 DTU Food, Technical University of Denmark
Sero- logy
Sero- logy
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21 DTU Food, Technical University of Denmark
21
Serological testing of egg yolk - the key to succes
•Mix-ELISA using LPS from S. Enteritidis and S. Typhimurium
•Samples are defined as seropositive if the calculated OD% > 40; specificity = 0.999
•Flocks are defined as seropositive if two or more samples are seropositive; specificity = 0.997
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22 DTU Food, Technical University of Denmark
Receipt and registration in laboratory
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23 DTU Food, Technical University of Denmark
23
Punching a hole (so the tip can get in)
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24 DTU Food, Technical University of Denmark
24
Drawing egg yolk
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25 DTU Food, Technical University of Denmark
ELISA testing
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26 DTU Food, Technical University of Denmark
Salmonella control in breeders and laying hen flocks
Serological positive samplesUnder suspicion Re-testing
Infected central-rearing, parent flocks and rearing flocksSlaughtered
Infected/suspected table-egg layersIntensive sampling for bacteriological testingEggs are heat-treated (pasteurisation)Flocks and eggs from flocks are destroyed if:
Symptoms of salmonellosis Infected with DT104
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27 DTU Food, Technical University of Denmark
Effect of Salmonella control program in
table-egge production
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28 DTU Food, Technical University of Denmark
Occurrence of Salmonella in Danish table egg production
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29 DTU Food, Technical University of Denmark
Human health benefits
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30 DTU Food, Technical University of Denmark
Egg associated human salmonellosis in Denmark, 1988-2009
National surveillance
979797
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31 DTU Food, Technical University of Denmark
Public costs of the Danish salmonella control program in table-egg production
X 1000 €
Surveillance costs assumed by industry (estimated)
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32 DTU Food, Technical University of Denmark
Ten-year cost-benefit assessment SE control in eggs in DK (1997-2006)
•1997: ~ 3.000 registered egg associated cases•2006: ~ 100 registered egg associated cases
•Avoided societal costs: 23.3 mio. € (31,5 mio. $)–Lost labour and health care
•Public control costs: ~12-13 mio. €
•Continuingly decreasing cost-benefit ratio
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33 DTU Food, Technical University of Denmark
Antibiotic use in the danish poultry production
• 0.04 ADDkg (DK layers)ADD: Defined Animal Daily Doses
• 0.15 ADDkg (DK broilers)• 5.0 ADDkg (NL broilers)
No use of vaccines in DK or in imported breeders
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34 DTU Food, Technical University of Denmark
Friday, 22 May 2009 14:34
Breaking News
All eggs to be salmonella-free
Denmark receives a special allowance from the EU to require all egg imports to be free of salmonella bacteria
European Union health authorities okayed a Danish application for ‘special status’ that will ensure all eggs imported to the country are guaranteed by their distributors as being 100 percent salmonella-free.
Eva Kjer Hansen, the food and veterinary minister, called the approval from Brussels a ‘breakthrough’ and said Denmark would also be seeking special status for chicken imports as well.
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35 DTU Food, Technical University of Denmark
EU baseline study of SE in holdings of laying hens2004-2005
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36 DTU Food, Technical University of Denmark
Recipee for succesful control of SE in eggs in Denmark
Salmonella
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37 DTU Food, Technical University of Denmark
Conclusions
•Control of Salmonella in table egg and broiler production highly succesful
•Top-down eradication strategy feasible
•No need for antimicrobials, vaccines and other anti- infectives
•No need for post-harvest control if on-farm control is effective
•Major public health benefits
•Cost-beneficial
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38 DTU Food, Technical University of Denmark
Publications• Feld NC, et al. 2000. Evaluation of a serological salmonella mix-
ELISA for poultry used in a national surveillance programme. Epidemiol. Infect. 125:263-68
• Wegener HC, et al. 2003. Salmonella control programs in Denmark. Emerg. Infect. Dis. 9:774-780.
• Hald TM, et al. 2004. A Bayesiean approach to quantify the contribution of animal-food sources to human salmonellosis. Risk Analysis. 24:255-69
• Korsgaard H. et al. 2009. The effects, costs and benefits of Salmonella control in the Danish table-egg sector. Epidemiol. Infect. 137:828-36
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39 DTU Food, Technical University of Denmark
Thank you for your attention!