Probabilistic modelling of Escherichia coli concentration in raw milk under hot weather conditions

Escherichia coli O157:H7, a Common Contaminant of Raw Milk from Ecuador: Isolation and Molecular Identification

Escherichia coli (E. coli), especially the Shiga toxin-producing O157:H7 strain, poses severe health risks. In rural Ecuador, raw milk consumption heightens contamination risks. This study analyzed 633 raw milk samples from Pichincha and Manabí to assess E. coli O157:H7 prevalence. The samples were enriched using BHI broth, and then specific culture media were used to isolate E. coli O157:H7. The pathogen in the enriched raw milk was identified, and the isolates were specifically confirmed through the application of a newly designed qPCR assay. The novel qPCR assay demonstrated remarkable sensitivity, capable of detecting up to one copy of genetic material, and specificity (no amplification of other bacteria). An extremely high E. coli O157:H7 prevalence of 0.63 (n = 401) was detected, where the province with the highest number of positive samples was Manabí with 72.8% (n = 225/309) and 54.3% (n = 179/324) for Pichincha. In both provinces, the presence of E. coli O157:H7 contamination exhibited a favorable correlation with small-scale farms and elevated temperatures. This research provides valuable data on the microbiological contamination of E. coli O157:H7 present in raw milk, in addition to an improved method that has been demonstrated to be faster, more sensitive, and more specific than conventional and previously published methods, highlighting the associated risk of food-borne infections and pointing out potential shortcomings in the regulation of agricultural practices and the need for periodic monitoring of bacterial contamination levels with updated methods.

The One Health aspect of climate events with impact on foodborne pathogens transmission

The ongoing effects of climate change have exacerbated two significant challenges to global populations: the transmission of foodborne pathogens and antimicrobial resistance (AMR) through the food chain. Using the latest available scientific information this review explores how climate-related factors such as rainfall, floods, storms, hurricanes, cyclones, dust, temperature and humidity impact the spread of the foodborne pathogens Salmonella, E. coli, Campylobacter, Vibrio, Listeria, and Staphylococcus aureus. We explore the complex dynamics between environmental changes and the heightened risk of foodborne diseases, analysing the contribution of wildlife, insects and contaminated environments in the proliferation of AMR and climate change. This review paper combines a thorough analysis of current literature with a discussion on findings from a wide variety of studies to provide a comprehensive overview of how climatic factors contribute to the survival, persistence and transmission of bacterial pathogens in the food chain. In addition, we discuss the necessity for effective mitigation strategies and policies. By providing insights into the interrelationships between climate change and food safety, this review hopes to inform future research and policy development to promote safer and more sustainable food systems and further integration within the One Health approach.

Does climate change transform military medicine and defense medical support?

Background

Climate change has effects on multiple aspects of human life, such as access to food and water, expansion of endemic diseases as well as an increase of natural disasters and related diseases. The objective of this review is to summarize the current knowledge on climate change effects on military occupational health, military healthcare in a deployed setting, and defense medical logistics.

Methods

Online databases and registers were searched on August 22^nd, 2022 and 348 papers retrieved, published between 2000 and 2022, from which we selected 8 publications that described climate effects on military health. Papers were clustered according to a modified theoretical framework for climate change effects on health, and relevant items from each paper were summarized.

Results

During the last decades a growing body of climate change related publications was identified, which report that climate change has a significant impact on human physiology, mental health, water- and vector borne infectious diseases, as well as air pollution. However, regarding the specific climate effects on military health the level of evidence is low. The effects on defense medical logistics include vulnerabilities in the cold supply chain, in medical devices functioning, in need for air conditioning, and in fresh water supply.

Conclusions

Climate change may transform both the theoretical framework and practical implementations in military medicine and military healthcare systems. There are significant knowledge gaps on climate change effects on the health of military personnel in operations of both combat and non-combat nature, alerting the need for prevention and mitigation of climate-related health issues. Further research within the fields of disaster and military medicine is needed to explore this novel field. As climate effects on humans and the medical supply chain may degrade military capability, significant investments in military medical research and development are needed.

Quantifying current and future raw milk losses due to bovine mastitis on European dairy farms under climate change scenarios

Bovine mastitis is an infectious disease that causes udder inflammation and is responsible for raw milk losses across European dairy farms. It is associated with reduced cow milk yield and contributes to elevated Somatic Cell Count (SCC) in raw milk. Staphylococcus aureus is one of the most prevalent mastitis pathogens that cause subclinical and clinical mastitis and can be present as a coloniser bacterium in cows. Climate change and geographical variability may influence the prevalence of this pathogen. Thus, this research aimed to predict the raw milk losses in three major dairy-producing regions across Europe (i.e. Mediterranean, Atlantic and Continental) under climate change scenarios. An exposure assessment model and a stepwise probabilistic model were developed to predict potential cow milk yield reduction, S. aureus and SCC concentrations in the bulk tank milk at dairy farms. Baseline (i.e. present) and future climate change scenarios were defined, and the resultant concentrations of SCC and S. aureus were compared to the actual European regulatory limits. Across the three regions, raw milk losses ranged from 1.06% to 2.15% in the baseline. However, they increased up to 3.21% in the climate change scenarios when no on-farm improvements were considered. Regarding geographical variation, the highest potential milk losses were reported for the Mediterranean and the lowest for the Continental region. Concerning the fulfilment of the regulatory limits, the mean of S. aureus and SCC levels in milk did not exceed them either in any region or scenario. Nevertheless, when looking at percentiles, the 10th percentile remained above the limits of S. aureus in Atlantic and Mediterranean, but not in the Continental region. The findings provide a snapshot of climate change impacts on raw milk losses due to mastitis. They will allow farmers to detect weaknesses and prepare them to develop adaptation plans to climate change.