The approach be<strong>in</strong>g taken is to use the United States FDA Draft Risk Assessment on the PublicHealth Impacts of V. parahaemolyticus <strong>in</strong> Raw Molluscan Shellfish model (FDA-VPRA) (Anonymous,2001) as the base and further develop it to accommodate data <strong>in</strong>puts from other countries. The FDA-VPRA conta<strong>in</strong>s several key l<strong>in</strong>kages between prevalence of V. parahaemolyticus <strong>in</strong> oysters andtemperature, most notably temperature of harvest waters and of oysters throughout the post-harvest-retailconsumptioncont<strong>in</strong>uum. Temperature profiles <strong>in</strong> the oyster <strong>in</strong>dustry of other countries e.g. New Zealandand Australia <strong>in</strong>dicated the opportunity for growth of pathogenic V. parahaemolyticus to potentiallydangerous numbers. However, the public health statistics of these countries do not reflect any impact dueto this <strong>org</strong>anism <strong>in</strong> oysters. Accord<strong>in</strong>gly, an exposure assessment will be undertaken onV. parahaemolyticus <strong>in</strong> oysters us<strong>in</strong>g data from Australia, Canada, Japan, New Zealand and the UnitedStates.The model <strong>in</strong>corporates all phases <strong>in</strong> the harvest - post-harvest - consumption cont<strong>in</strong>uum us<strong>in</strong>g amodular approach. A schematic representation of the pathway to be modelled is presented <strong>in</strong> Figure 2.1.Much of the <strong>in</strong>formation presented <strong>in</strong> the follow<strong>in</strong>g pages is based on the FDA-VPRA. Data from othercountries for the exposure assessment have and cont<strong>in</strong>ue to be obta<strong>in</strong>ed via a call for data issued by <strong>FAO</strong>and WHO. The data are then be<strong>in</strong>g analysed for <strong>in</strong>corporation <strong>in</strong>to the risk assessment model. Thisprocess is ongo<strong>in</strong>g and will be completed <strong>in</strong> 2002.Thus the objectives of this exposure assessment are;• to quantify the exposure of consumers to pathogenic V. parahaemolyticus fromconsumption of raw oysters, and• to take a model that was developed for one particular country scenario and extend it toconsumers <strong>in</strong> other countries that have oyster <strong>in</strong>dustries.2.2.1 Microbial ecology<strong>Vibrio</strong> parahaemolyticus is found <strong>in</strong> the estuar<strong>in</strong>e environment <strong>in</strong> the tropical to temperate zones.Several studies have been published on the concentration of V. parahaemolyticus <strong>in</strong> shellfish grow<strong>in</strong>gareas (Davis & Sizemore. 1982; DePaola et al., 1990; Kaneko & Colwell, 1978; Kaysner et al., 1990a;Kaysner et al., 1990b; Kaysner & Weagant, 1982: Kelly, 1999; Lev<strong>in</strong>e et al., 1993). The <strong>org</strong>anism hasbeen isolated from a number of fish species and is associated primarily with the <strong>in</strong>test<strong>in</strong>al contents (Nair etal., 1980).areas:There are several pathways by which V. parahaemolyticus stra<strong>in</strong>s may enter <strong>in</strong>to shellfish grow<strong>in</strong>g• It may be <strong>in</strong>troduced by terrestrial and aquatic animals, some of which may harbour virulentstra<strong>in</strong>s and act as <strong>in</strong>termediate hosts (Sarkar et al., 1985).• It may be <strong>in</strong>troduced through “relay<strong>in</strong>g” shellfish or by release of ballast water. Cargo vesselscarry substantial quantities (10 6 litres) of ballast water from the body of water where the voyageorig<strong>in</strong>ates. This water is reta<strong>in</strong>ed until the ship is about to load cargo, when it is discharged.Thus, if present, V. parahaemolyticus is also released <strong>in</strong>to the load<strong>in</strong>g port. A report that stra<strong>in</strong>s of<strong>Vibrio</strong> cholerae, <strong>in</strong>dist<strong>in</strong>guishable from the Lat<strong>in</strong> American epidemic stra<strong>in</strong>, were found <strong>in</strong> nonpotablewater taken from a cargo ship docked <strong>in</strong> the Gulf of Mexico <strong>in</strong>dicate that ballast watermay have been responsible for the spread of an epidemic stra<strong>in</strong> of V. cholerae to the Gulf ofMexico (McCarthy & Khambaty, 1994). A similar mechanism could account for the spread ofV. parahaemolyticus.Once <strong>in</strong>troduced, a number of factors <strong>in</strong>fluence the establishment of V. parahaemolyticus<strong>in</strong>clud<strong>in</strong>g:6
• Interactions of environmental conditions;• Species and physiology of the shellfish;• Genetics of the micro-<strong>org</strong>anism.Certa<strong>in</strong> areas may have more favourable environmental conditions that support establishment,survival and growth of the <strong>org</strong>anism such as temperature, sal<strong>in</strong>ity, zooplankton, tidal flush<strong>in</strong>g (<strong>in</strong>clud<strong>in</strong>glow tide exposure of shellfish) and dissolved oxygen (Amako et al., 1987; Garay et al., 1985; Kaneko &Colwell, 1978; Venkateswaran et al., 1990).Regional, seasonal andyearl y vari ationWatertemperatureWatersal<strong>in</strong>ityTotalV.parahaemolyticus./gPathogenicV.parahaemolyticus./gV.parahaemolyticus./gat har vestTime to re frigerationV.parahaemolyticus./gat 1 st refrigerationAir temperatureV.parahaemolyticus./gat c ool downV.parahaemolyticus./gat consumptionCooldown timeStorage timeFigure 2.1. A schematic representation of the process pathway to be modeled <strong>in</strong> the exposureassessment of V. parahaemolyticus <strong>in</strong> oysters.7
- Page 1 and 2: Food and Agriculture Organization o
- Page 3: 4.2.5 Simulation Results...........
- Page 6 and 7: United States prior to 1997 illness
- Page 8 and 9: 2 RISK ASSESSMENT OF VIBRIO PARAHAE
- Page 12 and 13: 2.2.2 Growth and survival character
- Page 14 and 15: given average temperature and predi
- Page 16 and 17: strains have been identified as a p
- Page 18 and 19: 2001) and so this assumption may ha
- Page 20 and 21: States. The study was undertaken on
- Page 22 and 23: The estimated relationships between
- Page 24 and 25: Clearly, in order to predict the di
- Page 26 and 27: expected. Differences in these dist
- Page 28 and 29: measurements were recorded for any
- Page 30 and 31: egions of the country the average p
- Page 32 and 33: etained. A corresponding air temper
- Page 34 and 35: Frequency of duration of oysterharv
- Page 36 and 37: 2.2.5.4.5 Die-off of V. parahaemoly
- Page 38 and 39: V. parahaemolyticus cause illness -
- Page 40 and 41: and four of those patients died. Pa
- Page 42 and 43: Vomiting 52 17-79Headache 42 13-56F
- Page 44 and 45: 2.3.3.2 Dose-response model2.3.3.2.
- Page 46 and 47: While these assumptions are not rep
- Page 48 and 49: Bean, N. H., Maloney, E. K., Potter
- Page 50 and 51: Gjerde, E.P. and Bøe, B. 1981. Isp
- Page 52 and 53: Levine, W. C., Griffin, P. M., and
- Page 54 and 55: Abstract of the National Shellfishe
- Page 56 and 57: 3.1.2 Prevalence in foodAlthough li
- Page 58 and 59: The concentration of V. parahaemoly
- Page 60 and 61:
Figure 3.3. Schematic representatio
- Page 62 and 63:
3.2.4 Preparation and consumption m
- Page 64 and 65:
• Frequency of consumption of raw
- Page 66 and 67:
Sarkar, B. L., G. B. Nair, et al..
- Page 68 and 69:
foodborne case has been associated
- Page 70 and 71:
(Cook and Ruple, 1992). However, th
- Page 72 and 73:
4.2.4.1 HarvestLike V. parahaemolyt
- Page 74 and 75:
Although not incorporated in the pr
- Page 76 and 77:
increase in log of Vv density32.521
- Page 78 and 79:
Figure 4.6 shows typical distributi
- Page 80 and 81:
1.5Probability Density0.7501 2 3 4
- Page 82 and 83:
Table 4.6. Prevalence rates of V. v
- Page 84 and 85:
4.3.3 Dose-response relationship4.3
- Page 86 and 87:
Dec 15 0.76 0.61 1,841,000 1,025,00
- Page 88 and 89:
• Does virulence vary by season,
- Page 90 and 91:
ICMSF. 1996. Microorganisms in Food
- Page 92 and 93:
Appendix.Analytica 2.0.5 Model Simu
- Page 94 and 95:
The chance nodes representing varia
- Page 96 and 97:
5.2.2.2 Death or inactivationV. cho
- Page 98 and 99:
Table 5.3. Instances of fish implic
- Page 100 and 101:
Shrimp harvested fromcoastal areas
- Page 102 and 103:
O1 through poor quality water, and
- Page 104 and 105:
5.3.1.2 Characteristics of the host
- Page 106 and 107:
5.3.3.1.4 Probability of death give
- Page 108 and 109:
Resampled Beta-Poisson dose-respons
- Page 110 and 111:
De Paola, A. 1981. Vibrio cholerae
- Page 112:
Reilly, L.A. and Hackney, C.R. 1985