Abstract

BackgroundSalmonella is an important human pathogen in Australia and annual case rates continue to increase. In addition to foodborne exposures, cases have been associated with animal and contaminated environment contact. However, routine surveillance in Australia has tended to focus on humans and food, with no reported attempts to collate and compare Salmonella data from a wider range of potential sources of exposure.MethodsSalmonella data from humans, food, animals and environments were collated from a range of surveillance and diagnostic sources in New South Wales (NSW). Data were categorised to reflect one of 29 sample origins. Serotype diversity was described for each category, and the distribution of serotypes commonly isolated from humans was examined for each sample origin. The distribution of serotypes along the livestock-food-human continuum and at the companion animal-wildlife interface was also examined.ResultsIn total, 49,872 Salmonella isolates were included in this analysis, comprising 325 serotypes. The vast majority of these isolates were from humans (n = 38,106). Overall S. Typhimurium was the most frequently isolated serotype and was isolated from all sample categories except natural environment and game meat. S. Enteriditis was not isolated from any livestock animal, however sporadic cases were documented in food, companion animals and a reptile. Many serotypes that were frequently isolated from livestock animals and associated food products were only rarely isolated from humans. In addition, a number of key human serotypes were only sporadically isolated from livestock and food products, suggesting alternative sources of infection. In particular, S. Paratyphi B Java and S. Wangata were more often isolated from wild animals. Finally, there was some overlap between serotypes in companion animals and wildlife, with cats in particular having a large number of serotypes in common with wild birds.ConclusionsThis is the most comprehensive description of Salmonella data from humans, food, livestock, wildlife, companion animals and various environments in Australia reported to date. Results confirm that livestock and food are important sources of salmonellosis in humans but that alternative sources - such as contact with wildlife and environments - warrant further investigation. Surveillance in NSW is largely human-focussed: major knowledge gaps exist regarding the diversity and frequency of serotypes in animals. More systematic surveillance of domestic animals and wildlife is needed to inform targeted control strategies and quantitative source attribution modelling in this state.

Highlights

  • Salmonella is an important human pathogen in Australia and annual case rates continue to increase

  • 863 isolates were excluded from National Enteric Pathogen Surveillance System (NEPSS) and 1 isolate was excluded from electronic Wildlife Health Information System (eWHIS) as they met the criteria for a duplicate in another data set

  • Non-serotyped positive results were excluded from Notifiable Conditions Incident Management System (NCIMS) (n = 2201), State Veterinary Diagnostic Laboratory (SVDL) (n = 123), Australian Registry of Wildlife Health (ARWH) (n = 12) and NEPSS (n = 1)

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Summary

Introduction

Salmonella is an important human pathogen in Australia and annual case rates continue to increase. Routine surveillance in Australia has tended to focus on humans and food, with no reported attempts to collate and compare Salmonella data from a wider range of potential sources of exposure. Foodborne gastroenteritis in Australia is estimated to cost ~ $811 million annually due to cost of treatment, morbidity, business productivity, and government surveillance and investigation [1]. Salmonella is the second leading cause of gastroenteritis in the country [2] and is the most common cause of death from foodborne-related diseases worldwide [3]. Incidence of salmonellosis continues to rise in Australia each year despite notable reductions in incidence in other developed countries [4,5,6]. Enteritidis in poultry [8, 9], which is the most common serotype reported in the US [4]

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