Trends and sources of Campylobacter in the EU, covered by EFSA s Community zoonoses summary report CRL Campylobacter workshop I 24 th of October 2006, Uppsala, Sweden Frank Boelaert and Pia Mäkelä, EFSA
Outline EU zoonoses legislation EFSA s objectives and zoonoses web-database Trends and sources of zoonoses: Community summary report, 2005 Trends and sources of Campylobacter in the EU, 2005
Outline EU zoonoses legislation EFSA s zoonoses web-database Trends and sources of zoonoses: Community summary report, 2005 Trends and sources of Campylobacter in the EU, 2005
EU zoonoses legislation The new EU Directive on the monitoring of zoonoses and zoonotic agents (2003/99/EC) gives EFSA the task to examine the zoonoses data collected from the Member States and to publish an annual Community summary report.
New zoonoses Directive Data collection mandatory for 8 zoonoses: brucellosis campylobacteriosis (new!) echinococcosis (new!) listeriosis (new!) salmonellosis trichinellosis tuberculosis due to Mycobacterium bovis verotoxigenic Escherichia coli (new!)
Outline EU zoonoses legislation EFSA s zoonoses web-database Trends and sources of zoonoses: Community summary report, 2005 Trends and sources of Campylobacter in the EU, 2005
EFSA s zoonoses web-database
Data collected on: zoonoses and zoonotic agents in food, feedingstuffs and animals antimicrobial resistance foodborne outbreaks
Result EFSA s annual Community summary report on Trends and sources of zoonoses, zoonotic agents and antimicrobial resistance in the EU
Outline EU zoonoses legislation EFSA s zoonoses web-database Trends and sources of zoonoses: Community summary report, 2005 Trends and sources of Campylobacter in the EU, 2005
Animal, food and feed monitoring Member States Foodborne outbreaks Communicable diseases DSNs -Enter-Net -EuroTB Zoonoses BSN Z C C
Community Summary Report 2005 Campylobacter (21 MS), Echinococcus (22 MS), Listeria (23 MS), VTEC (20 MS) antimicrobial resistance in Salmonella (21 MS), in Campylobacter (14 MS) foodborne outbreaks 22 MS additional new ones: Q-fever (2 MS), Cysticercus/Sarcocystis (1 MS)
The reported incidences of the zoonoses in humans in EU, 2005 Incidence of human zoonoses cases Campylobacteriosis N cases = 194,695 Salmonellosis 168,929 Yersiniosis 9,628 VTEC 2,974 Zoonoses Listeriosis 1,458 Brucellosis 1,218 Echinococcosis 320 Trichinellosis 175 Tuberculosis due to M.bovis 119 Rabies 4 0 5 10 15 20 25 30 35 40 45 50 55 incidence per 100,000 population
Outline EU zoonoses legislation EFSA s zoonoses web-database Trends and sources of zoonoses: Community summary report, 2005 Trends and sources of Campylobacter in the EU, 2005
Campylobacter humans remains the most frequently reported zoonotic disease in humans: a total of 194,695 laboratory confirmed human cases reported by 22 MS an overall increase compared to 2004 (+7%) no common trend within the Member States EU incidence: 50.9 per 100,000 population [<0.1 302.7] C. jejuni, C. coli highest number of cases: age group 25-44
Campylobacter food the highest proportions of positive samples obtained from poultry meat and poultry products fresh broiler meat: up to 66% fresh pig and bovine meat: lower (resp. up to 7 and 2%) Also isolates from: cow milk, cheese, fishery products and vegetables no general trend, over the past years
Campylobacter 100.0 90.0 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 Proportion positive Campylobacter units Broilers flocks Pig herds Cattle herds Fresh poultry meat Fresh pig meat Fresh poultry meat Fresh pig meat Fresh poultry meat Fresh pig meat Fresh bovine meat at farm slaughter processing retail Animal species and foodstuff category
animals Campylobacter the highest proportions of positive samples obtained from: poultry flocks (up to 85%) but also: pig and cattle herds (resp. up to 85 and 47%) isolates? poultry and cattle: C. jejuni, pigs: C. coli, but also isolates from pets and wildlife
Campylobacter resistance isolates from animals highest proportions of resistance: poultry and pigs, and: of main concern is the relatively high level of resistance towards ciprofloxacin in isolates from those animals and from foodstuffs (broiler meat) highest proportions of resistance: towards tetracycline and ciprofloxacin isolates from food high proportions of resistance: towards tetracycline and ciprofloxacin isolates from humans resistance to ciprofloxacin : common (about 40%) Risk for foodborne transmission of resistant Campylobacter to humans
Thank you for your attention!