First Detection of Salmonella enterica Serovar Choleraesuis in Free Ranging European Wild Boar in Sweden

Strategic risk factor selection in disease risk mapping applied to the African swine fever outbreak in Sweden

Risk mapping in epidemiology is a strategic tool that identifies high-risk areas for disease outbreaks, guiding preventive, surveillance, and control measures. In this study, we investigated how the selection of risk factors in ASF risk mapping affected the output of risk maps using the outbreak in Fagersta, Sweden as a study area. We identified ASFV risk factors by considering the sequence of introduction, release, and spread. Introduction was linked to pathways through which the virus could enter new areas, while release was associated with human activities and infrastructure that may lead to environmental contamination. Spread was then examined in relation to wild boar populations and environmental conditions that influence virus transmission. We demonstrated how previously overlooked human activities, such as the management of residual waste in areas accessible to wild boar, contributed to the risk of ASF in Fagersta, an area classified as low risk, and how this affected the calculation of disease risk. This study emphasizes the need for robust risk assessment frameworks that take into account ecological and socio-demographic factors, as well as emerging research findings. In addition, the existence of region-specific threats or vulnerabilities point out the necessity of frequent revisions of risk maps by incorporating new threats or vulnerabilities and adapting regional features to environmental changes. These findings are meant to improve preparedness and response strategies for ASF and other infectious disease events, ultimately contributing to animal as well as public health protection.

Perceptions and practices of Swedish wild boar hunters in relation to African swine fever before the first outbreak in Sweden

BACKGROUND

The first outbreak of African Swine Fever (ASF) in Sweden was detected in 2023 in wild boar. This study was conducted before the first ASF outbreak with the objective of investigating Swedish hunters' perceptions and practices pertaining to ASF ahead of any potential future outbreak. A mixed-methods interview study with Swedish wild boar hunters, consisting of focus group discussions and a questionnaire, was undertaken between October 2020 and December 2021. Six focus groups were conducted online, and an online questionnaire with questions related to practices and habits concerning hunting, the use of bait and hunting trips was sent to all members of the Swedish Hunting and Wildlife Association. A total of 3244 responses were received.

RESULTS

Three general themes were identified in a thematic analysis of the data from the focus groups: hunters are willing to engage in ASF prevention and control, simplicity and feasibility are crucial for the implementation of reporting, sampling and control measures, and more information and the greater involvement of the authorities are required in ASF prevention and control. Results from the questionnaire showed that the use of bait was common. Products of animal origin were rarely used for baiting; the most common product used was maize. Hunting trips abroad, especially outside of the Nordic countries, were uncommon.

CONCLUSIONS

Hunting tourism and the use of bait do not seem to constitute a major risk for the introduction of ASF to wild boar populations in Sweden. The accessibility of relevant information for each concerned stakeholder and the ease of reporting and sampling are crucial to maintain the positive engagement of hunters.

Phenotypic and genetic characterization of antimicrobial resistance in Salmonella enterica serovar Choleraesuis isolates from humans and animals in Spain from 2006 to 2021

OBJECTIVES

While an increase in the levels of MDR in Salmonella enterica sevorar Choleraesuis has been reported in Europe, little is known about the situation in Spain. Therefore, we first aimed to assess the phenotypic resistance profile and to determine the presence of genetic determinants of resistance of S. Choleraesuis isolates collected in animal and human. Our second objective was to identify and characterize clusters of highly related isolates.

METHODS

We analysed 50 human and 45 animal isolates retrieved from 2006 to 2021 using the disc diffusion method and performed WGS followed by analyses of genetic determinants and phylogenetic analysis.

RESULTS

All isolates were of ST145 and corresponded to the variant Kunzendorf. Swine isolates harboured a significantly higher number of antimicrobial resistance genes than human isolates, and often carried plasmid replicons of the IncHI2/IncHI2A type (42% of all animal isolates). In addition, we identified several MDR S. Choleraesuis strains circulating in humans and swine between 2006 and 2021. The phylogenetic analyses identified four clades associated with specific patterns of resistance genes and plasmid replicons. The clades also included isolates that differed in terms of year and region of isolation as well as host of origin.

CONCLUSIONS

This One Health approach highlights that reducing human MDR S. Choleraesuis infections may require the adoption of strategies that not only seek to prevent cases in humans but also to characterize and reduce the infection burden in swine.

Salmonella Infection in Pigs: Disease, Prevalence, and a Link between Swine and Human Health

Salmonella is one of the most spread foodborne pathogens worldwide, and Salmonella infections in humans still represent a global health burden. The main source of Salmonella infections in humans is represented by contaminated animal-derived foodstuffs, with pork products being one of the most important players. Salmonella infection in swine is critical not only because it is one of the main causes of economic losses in the pork industry, but also because pigs can be infected by several Salmonella serovars, potentially contaminating the pig meat production chain and thus posing a significant threat to public health globally. As of now, in Europe and in the United States, swine-related Salmonella serovars, e.g., Salmonella Typhimurium and its monophasic variant Salmonella enterica subsp. enterica 1,4,[5],12:i:-, are also frequently associated with human salmonellosis cases. Moreover, multiple outbreaks have been reported in the last few decades which were triggered by the consumption of Salmonella-contaminated pig meat. Throughout the years, changes and evolution across the pork industry may have acted as triggers for new issues and obstacles hindering Salmonella control along the food chain. Gathered evidence reinforces the importance of coordinating control measures and harmonizing monitoring programs for the efficient control of Salmonella in swine. This is necessary in order to manage outbreaks of clinical disease in pigs and also to protect pork consumers by controlling Salmonella subclinical carriage and shedding. This review provides an update on Salmonella infection in pigs, with insights on Salmonella ecology, focusing mainly on Salmonella Choleraesuis, S. Typhimurium, and S. 1,4,[5],12:i:-, and their correlation to human salmonellosis cases. An update on surveillance methods for epidemiological purposes of Salmonella infection in pigs and humans, in a "One Health" approach, will also be reported.

Salmonella enterica subspecies enterica serovar Choleraesuis in a Swedish gilt-producing herd, a case report

BACKGROUND

When Salmonella enterica subspecies enterica serovar Choleraesuis (S. Choleraesuis) was detected in faecal samples collected within the Swedish Salmonella surveillance program from a gilt multiplying herd in September 2020, S. Choleraesuis had not been detected in domestic pigs or wild boar in Sweden for over 40 years. This report describes the subsequent investigation, identification of possible entry routes and measures undertaken to eliminate the pathogen from the herd.

CASE PRESENTATION

In accordance with Swedish regulations, pig movements to and from the farm were restricted, internal biosecurity measures were enhanced, and a test-and-remove strategy was implemented. Testing included repeated faecal sampling, tissue samplings from all dead or euthanized pigs, and serological sampling of replacement gilts. Epidemiological investigations included scrutinising of production records, employee interviews, analysing feed and environmental samples, faecal samples from the herd's purebred gilt supplier, and tissue and faecal samples from wild boars in the adjacent area. Testing of in-contact herds receiving gilts (n = 15) or 30-kg pigs (n = 7) from the multiplier included whole-herd faecal sampling and tissue cultures from pigs that died with signs of septicaemia. In total, S. Choleraesuis was detected in 12/4200 faecal and 5/1350 tissue samples from the herd, and the corresponding groups of pigs were euthanized. All feed and environmental samples as well as samples from the gilt supplier were negative. Testing of contact herds resulted in the identification and culling of one group of S. Choleraesuis-positive gilts. Replacement gilts introduced to the herd from January until May 2021 remained serologically negative during a surveillance-period of five months.

CONCLUSION

Although speculative, the epidemiological investigation identified indirect transmission from wild boar as possible source of introduction to the herd. Whole-genome sequencing of S. Choleraesuis isolates from wild boar in the area showed that they clustered with isolates from the herd. Repeated testing of the herd indicated that the test-and-remove strategy was successful. In August 2021, all restrictions were removed, and the herd was re-instated as a gilt producing herd. Compensation from the Swedish state to the farmer for production losses, culled animals and extra costs associated with the elimination cost totalled SEK 7 992 234.

Exogenous D-ribose promotes gentamicin treatment of several drug-resistant Salmonella

The metabolic microenvironment of bacteria impacts drug efficacy. However, the metabolic mechanisms of drug-resistant Salmonella spp. remain largely unknown. This study characterized the metabolic mechanism of gentamicin-resistant Salmonella Choleraesuis and found that D-ribose increased the gentamicin-mediated killing of this bacteria. Non-targeted metabolomics of homologous gentamicin-susceptible Salmonella Choleraesuis (SCH-S) and gentamicin-resistant S. Choleraesuis (SCH-R) was performed using UHPLC-Q-TOF MS. The metabolic signature of SCH-R included disrupted central carbon metabolism and energy metabolism, along with dysregulated amino acid and nucleotide metabolism, vitamin and cofactor metabolism, and fatty acid synthesis. D-ribose, the most suppressed metabolite in SCH-R, was shown to strengthen gentamicin efficacy against SCH-R and a clinically isolated multidrug-resistant strain. This metabolite had a similar impact on Salmonella. Derby and Salmonella. Typhimurium. D-ribose activates central carbon metabolism including glycolysis, the pentose phosphate pathway (PPP), and the tricarboxylic acid cycle (TCA cycle), increases the abundance of NADH, polarizes the electron transport chain (ETC), and elevates the proton motive force (PMF) of cells, and induces drug uptake and cell death. These findings suggest that central carbon metabolism plays a critical role in the acquisition of gentamicin resistance by Salmonella, and that D-ribose may serve as an antibiotic adjuvant for gentamicin treatment of resistant bacterial infections.