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Quantitative modeling for risk assessment of Vibrio parahaemolyticus in bloody clams in southern Thailand
Authors:Yamamoto Akio  Iwahori Jun'ichiro  Vuddhakul Varaporn  Charernjiratragul Wilawan  Vose David  Osaka Ken  Shigematsu Mika  Toyofuku Hajime  Yamamoto Shigeki  Nishibuchi Mitsuaki  Kasuga Fumiko
Affiliation:

aInfectious Disease Research Division, Hyogo Prefectural Institute of Public Health and Environmental Sciences, 2-1-29 Arata-cho, Hyogo-ku, Kobe, 652-0032, Japan

bKochi Medical School, Nankoku, Kochi 783-8505, Japan

cDepartment of Microbiology, Faculty of Science, Prince of Songkla University, Hat Yai, 90110, Thailand

dBVBA Vose Consulting (Belgium), Iepenstraat 98, 9000 Gent, Belgium

eGraduate School of Dentistry, Tohoku University, 4-1 Seiryo-machi, Aoba-ku, Sendai 980-8575, Japan

fInfectious Disease Surveillance Center, National Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku-ku, Tokyo 162-8640, Japan

gNational Institute of Health Sciences, 1-18-1 Kamiyoga, Setagaya-ku, Tokyo 158-8501, Japan

hCenter for Southeast Asian Studies, Kyoto University, 46 Shimoadachi-cho, Yoshida, Sakyo-ku, Kyoto 606-8501, Japan

Abstract:A risk assessment of Vibrio parahaemolyticus in bloody clams (Anadara granosa) consumed in southern Thailand was conducted. This study estimated the prevalence and concentration of pathogenic V. parahaemolyticus in bloody clams at harvest and retail stages; and during this process, methods to detect the total and pathogenic V. parahaemolyticus were investigated. Consumption of bloody clams and cooking efficiency were studied using interviews and onsite observation of consumers. A beta-Poisson dose–response model was used to estimate probability of illness applying estimation methods for the most likely parameter values presented by USFDA. Microbial and behavioral data were analyzed by developing a stochastic model and the simulation gave a mean number of times a person would get ill with V. parahaemolyticus by consuming bloody clams at 5.6 × 10− 4/person/year. Sensitivity analysis demonstrated the fraction of people who did not boil the clams properly was the primary factor in increasing risk. This study serves as an example of how a microbiological risk assessment with limited data collection and international cooperation leads to valuable local insight.
Keywords:Quantitative microbiological risk assessment   Vibrio parahaemolyticus   Bloody clams   Bayesian method   International cooperation
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