Quantitative microbial risk assessment for Escherichia coli O157:H7 in Mutton in Qatar: an example of application of One Health approach

H. Mohammed, Kenlyn Peter, A. Salem, S. Doiphode, A. Sultan
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Abstract

The objectives of the study were to evaluate the risk of illness from the consumption of Mutton contaminated with Escherichia coli O157:H7 in Qatar and to highlight intervention points that would contribute to mitigating its associated risk. The quantitative risk assessment (QRA) methodology was employed to address this objective. Our approach consisted of a combination of deterministic and stochastic approaches. Data on the probability of E. coli O157:H7 in animals, animal products, retail, and humans were obtained through repeat cross-sectional studies. Estimates of the adverse health effects were computed using risk characterization which integrated data on hazard characterization and exposure assessment, including dose-response models. The probability of illness for a healthy female from the consumption of mutton contaminated with E. coli O157:H7 eating at a restaurant ranged from 7×10-3 to 28×10-2 depending on the amount of food consumed. However, the risk for the same female eating at home is less (5×10-3 to 24×10-2). The estimates of illness are three times higher for immunocompromised females exposed either at a restaurant or at home. The risk of illness due to this pathogen could be significantly reduced for either gender under different scenarios by increasing the efficacy of roasting the mutton before consumption.
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卡塔尔羊肉中O157:H7大肠杆菌的定量微生物风险评估:一种健康方法的应用实例
该研究的目的是评估卡塔尔食用受O157:H7大肠杆菌污染的羊肉的患病风险,并强调有助于降低相关风险的干预点。定量风险评估(QRA)方法用于实现这一目标。我们的方法包括确定性和随机性方法的组合。通过重复的横断面研究获得了动物、动物产品、零售和人类感染O157:H7大肠杆菌的概率数据。使用风险表征计算不良健康影响的估计值,该风险表征整合了危害表征和暴露评估的数据,包括剂量反应模型。健康女性因食用被O157:H7大肠杆菌污染的羊肉而患病的概率在7×10-3到28×10-2之间,具体取决于所食用的食物量。然而,同一女性在家吃饭的风险较小(5×10-3至24×10-2)。无论是在餐馆还是在家里,免疫功能低下的女性的患病估计都要高出三倍。在不同的情况下,通过提高食用前烤羊肉的功效,可以显著降低任何性别因这种病原体而患病的风险。
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