United States prior to 1997 illness was most commonly associated with crabs, oysters, shrimp and lobster(Twedt, 1989; Oliver and Kaper, 1997). Four V. parahaemolyticus outbreaks associated with theconsumption of raw oysters were reported <strong>in</strong> the United States <strong>in</strong> 1997 and 1998 (DePaola et al., 2000). Anew V. parahaemolyticus clone of O3:K6 serotype emerged <strong>in</strong> Calcutta <strong>in</strong> 1996. It has spread throughoutAsia and to the United States elevat<strong>in</strong>g the status of V. parahaemolyticus to pandemic (Matsumoto et al.,2000). In Australia, <strong>in</strong> 1990 and 1992, there were two outbreaks of gastroenteritis caused byV. parahaemolyticus <strong>in</strong> chilled, cooked shrimps imported from Indonesia (Kraa, 1995) and there was also adeath <strong>in</strong> 1992 associated with the consumption of oysters.V. vulnificus has been associated with primary septicaemia <strong>in</strong> <strong>in</strong>dividuals with chronic pre-exist<strong>in</strong>gconditions, follow<strong>in</strong>g consumption of raw bivalves. This is a serious, often fatal, disease. To date,V. vulnificus disease has almost exclusively been associated with oysters (Oliver, 1989; Oliver and Kaper,1997). Recently, V. vulnificus <strong>in</strong>fections have been associated with a variety of raw <strong>seafood</strong> products <strong>in</strong>Korea and Japan (Personal Communication, Dr. Yamamoto, Japan). Toxigenic V. cholerae O1 and O139are the causative agents of cholera, a water- and food-borne disease with epidemic and pandemic potential.Non-O1/non-O139 stra<strong>in</strong>s may also be pathogenic but are not associated with epidemic disease. Non-O1stra<strong>in</strong>s are generally nontoxigenic, usually cause a milder form of gastroenteritis than O1 and O139 stra<strong>in</strong>s,and are usually associated with sporadic cases and small outbreaks rather than epidemics (Desmarchelier,1997).Outbreaks of cholera have been associated with consumption of <strong>seafood</strong> <strong>in</strong>clud<strong>in</strong>g oysters, crabsand shrimp (Oliver and Kaper, 1997). The largest outbreak was a pandemic <strong>in</strong> South America <strong>in</strong> the early1990s when V. cholerae O1 caused more than 400,000 cases and 4,000 deaths, <strong>in</strong> Peru (Wolfe, 1992).Contam<strong>in</strong>ated water used to prepare food, <strong>in</strong>clud<strong>in</strong>g the popular, lightly mar<strong>in</strong>ated fish ceviche, was thecause of the outbreak.Given the forego<strong>in</strong>g, it was concluded that four pathogen-product risk assessments should bedeveloped:• <strong>Vibrio</strong> parahaemolyticus <strong>in</strong> raw oysters• <strong>Vibrio</strong> parahaemolyticus <strong>in</strong> f<strong>in</strong>fish consumed raw• <strong>Vibrio</strong> vulnificus <strong>in</strong> raw oysters• <strong>Vibrio</strong> cholerae <strong>in</strong> shrimp from develop<strong>in</strong>g countries for domestic and export consumption.Accord<strong>in</strong>gly, the expert draft<strong>in</strong>g group prepared an exposure assessment and hazardcharacterization for each these pathogen-commodity comb<strong>in</strong>ations.1.1 ReferencesDalsgaard, A. 1998. The occurrence of human pathogenic <strong>Vibrio</strong> spp. and Salmonella <strong>in</strong> aquaculture.International Journal of Food Science and Technology, 33: 127-138.DePaola, A., C.A. Kaysner, J.C. Bowers, and D.W. Cook. 2000. Environmental <strong>in</strong>vestigations of <strong>Vibrio</strong>parahaemolyticus <strong>in</strong> oysters follow<strong>in</strong>g outbreaks <strong>in</strong> Wash<strong>in</strong>gton, Texas, and New York (1997, 1998).Applied and Environmental Microbiology, 66: 4649-4654.Desmarchelier, P.M. 1997. Pathogenic <strong>Vibrio</strong>s. In A.D. Hock<strong>in</strong>g, G. Arnold, I. Jenson, K. Newton and P.Sutherland, eds. Foodborne Micro<strong>org</strong>anisms of Public Health Significance 5 th Edition, p 285 -312.North Sydney, Australian Institute of Food Science and Technology Inc..Kraa, E. 1995. Surveillance and epidemiology of foodborne illness <strong>in</strong> NSW, Australia. Food Australia, 47(9):418-423.Matsumoto, C., J. Okuda, M. Ishibashi, M. Iwanaga, P. Garg, T. Rammamurthy, H. Wong, A. DePaola, Y.B.Kim, M.J. Albert, and M. Nishibuchi. 2000. Pandemic spread of an O3:K6 clone of <strong>Vibrio</strong>2
parahaemolyticus and emergence of related stra<strong>in</strong>s evidenced by arbitrarily primed PCR and toxRSsequence analysis. Journal of Cl<strong>in</strong>ical Microbiology, 38: 578-585.M<strong>in</strong>istry of Health, Labour and Welfare, Japan. 2000. Statistics of Food Poison<strong>in</strong>g Japan <strong>in</strong> 2000.Oliver, J. D. 1989. <strong>Vibrio</strong> vulnificus. In M. P. Doyle, ed.. Foodborne Bacterial Pathogens, p569-600. NewYork, Marcel Decker, Inc..Oliver, J. D., and Kaper, J.B. 1997. <strong>Vibrio</strong> Species. In M. P. Doyle, L. R. Beuchat, and T. J. Montville, eds.Food Microbiology: Fundamentals and Frontiers, p228-264. Wash<strong>in</strong>gton, D.C., ASM Press.Twedt, R. M. 1989. <strong>Vibrio</strong> parahaemolyticus. In M. P. Doyle, ed. Foodborne Bacterial Pathogens, p543-568.New York, Marcel Decker, Inc.Wolfe, M. 1992. The effects of cholera on the importation of foods: Peru- a case study. PHLS MicrobiologyDigest, 9: 42-44.Yamamoto, S. 2001. Personal communication <strong>Vibrio</strong> vulnificus <strong>in</strong> Japan.3
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The concentration of V. parahaemoly
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Figure 3.3. Schematic representatio
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foodborne case has been associated
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(Cook and Ruple, 1992). However, th
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Figure 4.6 shows typical distributi
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Dec 15 0.76 0.61 1,841,000 1,025,00
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De Paola, A. 1981. Vibrio cholerae
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Reilly, L.A. and Hackney, C.R. 1985