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Sura S, Larney FJ, Charest J, McAllister TA, Headley JV, Cessna AJ. Veterinary antimicrobials in cattle feedlot environs and irrigation conveyances in a high-intensity agroecosystem in southern Alberta, Canada. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:12235-12256. [PMID: 36107301 PMCID: PMC9898329 DOI: 10.1007/s11356-022-22889-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Accepted: 09/01/2022] [Indexed: 06/15/2023]
Abstract
The South Saskatchewan River Basin (SSRB) is considered one of the most intensively farmed regions in Canada, with high densities of livestock and expansive areas of irrigated cropland. We measured concentrations of seven veterinary antimicrobials (VAs) in 114 surface water samples from feedlot environs and 219 samples from irrigation conveyances in the SSRB. Overall, detection frequencies in feedlot environs were 100% for chlortetracycline (CTC) and tetracycline (TC), 94% for monensin (MON), 84% for tylosin (TYL), 72% for lincomycin (LIN), 66% for erythromycin (ERY), and 23% for sulfamethazine (SMZ). For irrigation conveyances, detection frequencies for CTC and TC remained high (94-100%), but dropped to 18% for ERY, 15% for TYL, 10% for MON, and 4% for SMZ. Lincomycin was not detected in irrigation conveyance water. Maximum concentrations of VAs ranged from 1384 µg L-1 (TC) to 17 ng L-1 (SMZ) in feedlot environs while those in irrigation conveyances were 155 ng L-1 (TC) to 29 ng L-1 (ERY). High detection frequencies and median concentrations of VAs in both feedlot environs and irrigation conveyances were associated with high amounts of precipitation. However, an irrigation district (ID) with high livestock density (Lethbridge Northern) did not exhibit higher concentrations of VAs compared to IDs with less livestock, while levels of VAs in irrigation conveyances were less influenced by the degree of surface runoff. The ubiquity of CTC and TC in our study is likely a reflection of its widespread use in intensive livestock operations. Additional investigation is required to link environmental concentrations of VAs with livestock densities and increase our understanding of potential antimicrobial resistance in high-intensity agroecosystems.
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Affiliation(s)
- Srinivas Sura
- Agriculture and Agri-Food Canada, Morden Research and Development Centre, 101 Route 100, Morden, MB, R6M 1Y5, Canada.
| | - Francis J Larney
- Agriculture and Agri-Food Canada, Lethbridge Research and Development Centre, 5403 1st Avenue S, Lethbridge, AB, T1J 4B1, Canada
| | - Jollin Charest
- Natural Resource Management Branch, Alberta Agriculture, Forestry, and Rural Economic Development, 5401 1st Avenue S, Lethbridge, AB, T1J 4V6, Canada
| | - Tim A McAllister
- Agriculture and Agri-Food Canada, Lethbridge Research and Development Centre, 5403 1st Avenue S, Lethbridge, AB, T1J 4B1, Canada
| | - John V Headley
- Environment and Climate Change Canada, National Hydrology Research Centre, 11 Innovation Blvd, Saskatoon, SK, S7N 3H5, Canada
| | - Allan J Cessna
- Agriculture and Agri-Food Canada, Saskatoon Research and Development Centre, 107 Science Place, Saskatoon, SK, S7N 0X2, Canada
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Vander Meer L, DeHeer K, Mellinger J, Gibes S, Paasch B, Wildschut J, Miller WL, He SY, DuBois KN. Indicator species characterization and removal in a detention pond in the Plaster Creek watershed. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2021; 298:113503. [PMID: 34426212 DOI: 10.1016/j.jenvman.2021.113503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 08/05/2021] [Accepted: 08/06/2021] [Indexed: 06/13/2023]
Abstract
Microbial pathogen contamination is a leading cause of impairment for urban rivers and streams in Michigan. Reports on the ability of green infrastructure best management practices to remove microbial pathogens have been highly variable. This study evaluated the influence of a detention basin (Kreiser Pond) on microbial dynamics in the Plaster Creek watershed in West Michigan. High levels of fecal indicator bacteria and coliphage were documented in influent and effluent water, with significant increases in indicator microbe concentrations during storm events. In dry conditions, Kreiser Pond efficiently reduced the number of indicator microbes flowing through the basin. Rainfall volume had a greater influence on the diversity of bacteria than sampling location. Antibiotic resistance was prevalent in culturable E. coli from Kreiser Pond, demonstrating a potential public health risk and highlighting the need for identifying the ultimate sources of microbial pollution.
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Affiliation(s)
- Luke Vander Meer
- Biology Department, Calvin University, 3201 Burton St. SE, Grand Rapids, MI, 49546, USA.
| | - Katherine DeHeer
- Biology Department, Calvin University, 3201 Burton St. SE, Grand Rapids, MI, 49546, USA.
| | - Joseph Mellinger
- Biology Department, Calvin University, 3201 Burton St. SE, Grand Rapids, MI, 49546, USA.
| | - Sarah Gibes
- Biology Department, Calvin University, 3201 Burton St. SE, Grand Rapids, MI, 49546, USA.
| | - Bradley Paasch
- Department of Energy Plant Research Laboratory, Michigan State University, East Lansing, MI, 48824, USA; Department of Biochemistry and Molecular Biology, Michigan State University, East Lansing, MI, 48824, USA; Department of Biology, Duke University, Durham, NC, 27708, USA.
| | - Julie Wildschut
- Engineering Department, Calvin University, 3201 Burton St. SE, Grand Rapids, MI, 49546, USA.
| | - William L Miller
- Biology Department, Calvin University, 3201 Burton St. SE, Grand Rapids, MI, 49546, USA.
| | - Sheng-Yang He
- Department of Biology, Duke University, Durham, NC, 27708, USA; Howard Hughes Medical Institute, Durham, NC, 27708, USA.
| | - Kelly N DuBois
- Biology Department, Calvin University, 3201 Burton St. SE, Grand Rapids, MI, 49546, USA.
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Bacterioplankton Community as a Biological Element for Reservoirs Water Quality Assessment. WATER 2021. [DOI: 10.3390/w13202836] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The Water Framework Directive (WFD) is used to evaluate the water quality of aquatic ecosystems. Phytoplankton is the only biological element considered in the reservoirs water quality assessment. In this study, we aimed to assess the use of the bacterioplankton community as an indicator of water quality, using a culture-independent assay (denaturing gradient gel electrophoresis, DGGE). Four Portuguese reservoirs (Miranda, Pocinho, Aguieira and Alqueva) were analysed in four periods (autumn 2018, spring and autumn 2019, and spring 2020). Bacterial total abundance had similar values for Miranda, Pocinho and Aguieira, and generally lower values for Alqueva. Diversity and richness values did not show a clear trend. Negative correlations were observed between some nutrients and the bacterial community. Overall, members of Actinobacteria, Bacteroidetes, Cyanobacteria, Nitrospirae and Proteobacteria were identified in all sampling sites. In Alqueva, no spatial, temporal or water body quality relationships with bacterial community were observed, which may be due to its higher size, low water velocity rate and higher residence times. However, in Miranda, Pocinho and Aguieira, a strong spatial and temporal bacterial community dynamic was observed. Furthermore, the presence of some species (e.g., Acinetobacter sp.) may reflect the poor water quality that was not detected by the WFD approach.
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Bacterial Abundance and Physicochemical Characteristics of Water and Sediment Associated with Hydroelectric Dam on the Lancang River China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16112031. [PMID: 31181632 PMCID: PMC6603985 DOI: 10.3390/ijerph16112031] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 05/31/2019] [Accepted: 06/02/2019] [Indexed: 11/17/2022]
Abstract
Research on bacterial abundance in water column and sediment of dammed rivers remain poorly understood, despite their importance to biogeochemical processes, benthic ecology, and bioremediation. The present study investigates the water and sediment bacteria by epifluorescence microscopy in the reservoir (above the dam site), as well as in the downstream river stretches (below-dam site) at the middle reach of Lancang River during the wet, the normal and the dry seasons. The results demonstrated that the reservoir operating regime (water discharge variations) and strong precipitation promoted significant differences in the conditions of the river below the dam, especially for the concentration of dissolved oxygen, redox potential, electric conductivity, turbidity, and total dissolved solids in water and concentration of microbial activity in sediment. The seasonal variations were also key factors influencing water quality at the below-dam sampling sites. Nutrients concentration did not induce a significant response in bacterial abundance when inorganic nutrients were sufficient. Bacterial density in sediment was regulated by hydropower-related discharge, particle size, and type of sediments, while bacterial abundances in water were strongly linked with the physicochemical characteristics of the water, such as total dissolved solids and conductivity.
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Rochelle-Newall E, Nguyen TMH, Le TPQ, Sengtaheuanghoung O, Ribolzi O. A short review of fecal indicator bacteria in tropical aquatic ecosystems: knowledge gaps and future directions. Front Microbiol 2015; 6:308. [PMID: 25941519 PMCID: PMC4400915 DOI: 10.3389/fmicb.2015.00308] [Citation(s) in RCA: 114] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2015] [Accepted: 03/28/2015] [Indexed: 11/22/2022] Open
Abstract
Given the high numbers of deaths and the debilitating nature of diseases caused by the use of unclean water it is imperative that we have an understanding of the factors that control the dispersion of water borne pathogens and their respective indicators. This is all the more important in developing countries where significant proportions of the population often have little or no access to clean drinking water supplies. Moreover, and notwithstanding the importance of these bacteria in terms of public health, at present little work exists on the persistence, transfer and proliferation of these pathogens and their respective indicator organisms, e.g., fecal indicator bacteria (FIB) such as Escherichia coli and fecal coliforms in humid tropical systems, such as are found in South East Asia or in the tropical regions of Africa. Both FIB and the waterborne pathogens they are supposed to indicate are particularly susceptible to shifts in water flow and quality and the predicted increases in rainfall and floods due to climate change will only exacerbate the problems of contamination. This will be furthermore compounded by the increasing urbanization and agricultural intensification that developing regions are experiencing. Therefore, recognizing and understanding the link between human activities, natural process and microbial functioning and their ultimate impacts on human health are prerequisites for reducing the risks to the exposed populations. Most of the existing work in tropical systems has been based on the application of temperate indicator organisms, models and mechanisms regardless of their applicability or appropriateness for tropical environments. Here, we present a short review on the factors that control FIB dynamics in temperate systems and discuss their applicability to tropical environments. We then highlight some of the knowledge gaps in order to stimulate future research in this field in the tropics.
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Affiliation(s)
- Emma Rochelle-Newall
- iEES-Paris, UMR 7618 (IRD-UPMC-CNRS-INRA-Université Paris-Est, Université Paris 7), Centre IRD Bondy, France
| | - Thi Mai Huong Nguyen
- iEES-Paris, UMR 7618 (IRD-UPMC-CNRS-INRA-Université Paris-Est, Université Paris 7), Centre IRD Bondy, France ; Institute of Natural Products Chemistry, Vietnam Academy of Science and Technology Hanoi, Vietnam
| | - Thi Phuong Quynh Le
- Institute of Natural Products Chemistry, Vietnam Academy of Science and Technology Hanoi, Vietnam
| | - Oloth Sengtaheuanghoung
- Agriculture Land Research Center, National Agriculture and Forestry Research Institute Vientiane, Laos
| | - Olivier Ribolzi
- Institut de Recherche pour le Développement, Géosciences Environnement Toulouse, UMR 5563, Université Paul Sabatier Toulouse, France
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Wittman J, Weckwerth A, Weiss C, Heyer S, Seibert J, Kuennen B, Ingels C, Seigley L, Larsen K, Enos-Berlage J. Evaluation of land use and water quality in an agricultural watershed in the USA indicates multiple sources of bacterial impairment. ENVIRONMENTAL MONITORING AND ASSESSMENT 2013; 185:10395-10420. [PMID: 23873513 DOI: 10.1007/s10661-013-3340-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2012] [Accepted: 07/04/2013] [Indexed: 06/02/2023]
Abstract
Pathogens are the number one cause of impairments of assessed rivers and streams in the USA and pose a significant human health hazard. The Dry Run Creek Watershed in Northeast Iowa has been designated as impaired by the State of Iowa because of high levels of Escherichia coli bacteria. To investigate the nature of this impairment, land use and stream bank assessments were coupled with comprehensive water quality monitoring. Physical, chemical, and biological parameters were measured at 13 different sites in the watershed, including pH, temperature, conductivity, dissolved oxygen, turbidity, total Kjeldahl nitrogen, ammonia-N, nitrate + nitrite-N, total phosphorus, and E. coli. In addition, benthic macroinvertebrate communities were analyzed at seven sites, and optical brightener tests were performed late in the season. Results identified segments of the watershed that were more prominent contributors of E. coli, and correlations were observed between levels of E. coli and several chemical parameters, including ammonia-N, total Kjeldahl nitrogen, and total phosphorus. Interestingly, distinct sites emerged as more prominent contributors of these elements during rain vs. non-rain events, suggesting different types of sources. Both the amount of rainfall and the time elapsed between the rain event and the sampling influenced E. coli levels during wet weather conditions. Nitrate + nitrite-N displayed a unique response to rain events compared with the other parameters, suggesting a different delivery route. Analyses of benthic macroinvertebrate communities were consistent with pollution trends. Collectively, these data suggest distinct agriculturally related E. coli contributions, as well as specific areas and practices for water quality improvement strategies. This study can serve as a resource for evaluating agricultural watersheds that are impaired for bacteria.
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Affiliation(s)
- Jacob Wittman
- Department of Biology, Luther College, 700 College Dr, Decorah, IA, 52101, USA
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Kovalchuk I, Walz P, Thomas J, Kovalchuk O. Genomic instability in liver cells caused by an LPS-induced bystander-like effect. PLoS One 2013; 8:e67342. [PMID: 23874414 PMCID: PMC3706549 DOI: 10.1371/journal.pone.0067342] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2013] [Accepted: 05/15/2013] [Indexed: 12/21/2022] Open
Abstract
Bacterial infection has been linked to carcinogenesis, however, there is lack of knowledge of molecular mechanisms that associate infection with the development of cancer. We analyzed possible effects of the consumption of heat-killed E. coli O157:H7 cells or its cellular components, DNA, RNA, protein or lipopolysaccharides (LPS) on gene expression in naïve liver cells. Four week old mice were provided water supplemented with whole heat-killed bacteria or bacterial components for a two week period. One group of animals was sacrificed immediately, whereas another group was allowed to consume uncontaminated tap water for an additional two weeks, and liver samples were collected, post mortem. Liver cells responded to exposure of whole heat-killed bacteria and LPS with alteration in γH2AX levels and levels of proteins involved in proliferation, DNA methylation (MeCP2, DNMT1, DNMT3A and 3B) or DNA repair (APE1 and KU70) as well as with changes in the expression of genes involved in stress response, cell cycle control and bile acid biosynthesis. Other bacterial components analysed in this study did not lead to any significant changes in the tested molecular parameters. This study suggests that lipopolysaccharides are a major component of Gram-negative bacteria that induce molecular changes within naïve cells of the host.
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Affiliation(s)
- Igor Kovalchuk
- Department of Biological Sciences, University of Lethbridge, Lethbridge, Canada.
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Jokinen CC, Edge TA, Koning W, Laing CR, Lapen DR, Miller J, Mutschall S, Scott A, Taboada EN, Thomas JE, Topp E, Wilkes G, Gannon VPJ. Spatial and temporal drivers of zoonotic pathogen contamination of an agricultural watershed. JOURNAL OF ENVIRONMENTAL QUALITY 2012; 41:242-52. [PMID: 22218192 DOI: 10.2134/jeq2011.0203] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
In regions where animal agriculture is prominent, such as southern Alberta, higher rates of gastrointestinal illness have been reported when compared with nonagricultural regions. This difference in the rate of illness is thought to be a result of increased zoonotic pathogen exposure through environmental sources such as water. In this study, temporal and spatial factors associated with bacterial pathogen contamination of the Oldman River, which transverses this region, were analyzed using classification and regression tree analysis. Significantly higher levels of fecal indicators; more frequent isolations of Campylobacter spp., Escherichia coli O157:H7, and Salmonella enterica spp.; and higher rates of detection of pig-specific Bacteroides markers occurred at downstream sites than at upstream sites, suggesting additive stream inputs. Fecal indicator densities were also significantly higher when any one of these three bacterial pathogens was present and where there were higher total animal manure units; however, occasionally pathogens were present when fecal indicator levels were low or undetectable. Overall, Salmonella spp., Campylobacter spp., and E. coli O157:H7 presence was associated with season, animal manure units, and total rainfall on the day of sampling and 3 d in advance of sampling. Several of the environmental variables analyzed in this study appear to influence pathogen prevalence and therefore may be useful in predicting water quality and safety and in the improvement of watershed management practices in this and other agricultural regions.
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Fremaux B, Boa T, Chaykowski A, Kasichayanula S, Gritzfeld J, Braul L, Yost C. Assessment of the microbial quality of irrigation water in a prairie watershed. J Appl Microbiol 2009; 106:442-54. [DOI: 10.1111/j.1365-2672.2008.04012.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Knox AK, Dahlgren RA, Tate KW, Atwill ER. Efficacy of natural wetlands to retain nutrient, sediment and microbial pollutants. JOURNAL OF ENVIRONMENTAL QUALITY 2008; 37:1837-1846. [PMID: 18689745 DOI: 10.2134/jeq2007.0067] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Wetlands can improve water quality through natural processes including sedimentation, nutrient transformations, and microbial and plant uptake. Tailwater from irrigated pastures may contribute to nonpoint source water pollution in the form of sediments, nutrients, and pathogens that degrade downstream water quality. We examined benefits to water quality provided by a natural, flow-through wetland and a degraded, channelized wetland situated within the flood-irrigation agricultural landscape of the Sierra Nevada foothills of Northern California. The non-degraded, reference wetland significantly improved water quality by reducing loads of total suspended sediments, nitrate, and Escherichia coli on average by 77, 60, and 68%, respectively. Retention of total N, total P, and soluble reactive P (SRP) was between 35 and 42% of loads entering the reference wetland. Retention of pollutant loads by the channelized wetland was significantly lower than by the reference wetland for all pollutants except SRP. A net export of sediment and nitrate was observed from the channelized wetland. Decreased irrigation inflow rates significantly improved retention efficiencies for nitrate, E. coli, and sediments in the reference wetland. We suggest that maintenance of these natural wetlands and regulation of inflow rates can be important aspects of a best management plan to improve water quality as water runs off of irrigated pastures.
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Affiliation(s)
- A K Knox
- Dep. of Land Air and Water Resources, Univ. of California, Davis, CA, USA.
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Cooley M, Carychao D, Crawford-Miksza L, Jay MT, Myers C, Rose C, Keys C, Farrar J, Mandrell RE. Incidence and tracking of Escherichia coli O157:H7 in a major produce production region in California. PLoS One 2007; 2:e1159. [PMID: 18174909 PMCID: PMC2174234 DOI: 10.1371/journal.pone.0001159] [Citation(s) in RCA: 233] [Impact Index Per Article: 12.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2007] [Accepted: 10/13/2007] [Indexed: 11/18/2022] Open
Abstract
Fresh vegetables have become associated with outbreaks caused by Escherichia coli O157:H7 (EcO157). Between 1995-2006, 22 produce outbreaks were documented in the United States, with nearly half traced to lettuce or spinach grown in California. Outbreaks between 2002 and 2006 induced investigations of possible sources of pre-harvest contamination on implicated farms in the Salinas and San Juan valleys of California, and a survey of the Salinas watershed. EcO157 was isolated at least once from 15 of 22 different watershed sites over a 19 month period. The incidence of EcO157 increased significantly when heavy rain caused an increased flow rate in the rivers. Approximately 1000 EcO157 isolates obtained from cultures of>100 individual samples were typed using Multi-Locus Variable-number-tandem-repeat Analysis (MLVA) to assist in identifying potential fate and transport of EcO157 in this region. A subset of these environmental isolates were typed by Pulse Field Gel Electrophoresis (PFGE) in order to make comparisons with human clinical isolates associated with outbreak and sporadic illness. Recurrence of identical and closely related EcO157 strains from specific locations in the Salinas and San Juan valleys suggests that transport of the pathogen is usually restricted. In a preliminary study, EcO157 was detected in water at multiple locations in a low-flow creek only within 135 meters of a point source. However, possible transport up to 32 km was detected during periods of higher water flow associated with flooding. During the 2006 baby spinach outbreak investigation, transport was also detected where water was unlikely to be involved. These results indicate that contamination of the environment is a dynamic process involving multiple sources and methods of transport. Intensive studies of the sources, incidence, fate and transport of EcO157 near produce production are required to determine the mechanisms of pre-harvest contamination and potential risks for human illness.
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Affiliation(s)
- Michael Cooley
- Produce Safety and Microbiology Research Unit, United States Department of Agriculture-Agricultural Research Service, Western Regional Research Center, Albany, California, United States of America
| | - Diana Carychao
- Produce Safety and Microbiology Research Unit, United States Department of Agriculture-Agricultural Research Service, Western Regional Research Center, Albany, California, United States of America
| | - Leta Crawford-Miksza
- California Department of Health Services, Food and Drug Laboratory Branch, Richmond, California, United States of America
| | - Michele T. Jay
- California Department of Health Services, Food and Drug Laboratory Branch, Richmond, California, United States of America
| | - Carol Myers
- California Department of Health Services, Food and Drug Branch, California, United States of America
| | - Christopher Rose
- Central Coast Regional Water Quality Control Board, California Environmental Protection Agency, San Louis Obispo, California, United States of America
| | - Christine Keys
- Food and Drug Administration/Center for Food Safety and Applied Nutrition (CFSAN)/Office of Plant and Dairy Foods (OPDF)/DMS, College Park, Maryland, United States of America
| | - Jeff Farrar
- California Department of Health Services, Food and Drug Branch, California, United States of America
| | - Robert E. Mandrell
- Produce Safety and Microbiology Research Unit, United States Department of Agriculture-Agricultural Research Service, Western Regional Research Center, Albany, California, United States of America
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Potera C. Cell scenario: a new look at microarrays. ENVIRONMENTAL HEALTH PERSPECTIVES 2006; 114:A172-5. [PMID: 16507449 PMCID: PMC1392258 DOI: 10.1289/ehp.114-a172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
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