4. CONTENTS
Introduction
Zoonotic diseases
Classification of zoonotic diseases
People at risk of zoonoses
Food borne zoonoses
Routes of pathogen contamination
Bacterial food borne zoonoses
Viral food borne zoonoses 4
5. CONTENTS
Parasitic food borne zoonoses
Overview of food borne zoonoses in Pakistan
Effective mitigation strategies for food borne pathogens
Role of EFSA against food-borne zoonoses
Preventive control measures
Conclusion
References
5
6. INTRODUCTION
Recent emerging COVID pandemic reminds us about zoonotic
pathogens
Many global factors pave the way to pandemics such as
• climate change
• intensive farming and mechanization
• migration and urbanization
• increasing interaction between livestock, wildlife, people and pathogens
Pathogenic diseases turned out to be foremost concern to mankind as a
global health pandemic
6
7. ZOONOTIC DISEASES
Diseases that can be transmitted directly or indirectly from animals
to humans
• by consuming contaminated foodstuffs
• through contact with infected animals
Research indicates that between one third and one half of all
human infectious diseases have a zoonotic origin
7
8. 75% of the new diseases that have affected humans over the past 10
years have originated from animals or products of animal origin
8
10. PEOPLE AT RISK OF ZOONOSES
Abattoir
workers
Poultry
workers
Farmers Veterinarians Pet owners
10
11. FOOD-BORNE ZOONOSES
Diseases caused by consuming food or drinking water
contaminated by pathogenic micro-organisms
Common micro-organisms causing foodborne diseases are
• Campylobacter
• Salmonella
• Shiga toxin-producing Escherichia coli (STEC)
• Viruses such as hepatitis A virus and norovirus
Severity of these diseases in humans varies from
• mild symptoms to life-threatening conditions
11
12. CONTI…
Food acts as an important medium to transmit
pathogens known as food-borne pathogens
Many food-borne illnesses are caused by zoonotic
pathogens
Food-borne pathogens can cause significant
morbidity and mortality
Mortality is often associated with diarrheal diseases
600 million people annually consume contaminated
food and water
12
13. CONTI….
412 per 100,000 cases being reported annually in
Pakistan
Risk factors influencing food-borne zoonoses
include
• handling and slaughtering of animals without
appropriate precautions
• consuming undercooked animal-based food
More than 90% of bacteria-triggered food-borne
illnesses are caused by Salmonella spp. and
Campylobacter spp.
13
14. ROUTES OF PATHOGEN CONTAMINATION
Zoonotic pathogens enter, transmit and may cross contaminate at
any stage of food chain
Major sources of contamination
• irrigation water
• feed and manure
• rodents, birds, animals, insects and pests
• harvesting equipment, soil, crops and agricultural fields
Water is a major source of infection in food supply chain by
transporting transmissible parasites 14
16. CONTI…
Occurrence of pathogens for foodborne outbreaks is always a concern
to consumers
• in foodstuffs and new food vehicles
Food naturally contains bacteria, viruses, protozoa, and parasites
acquired during
• farm growth to processing to retails
Mixed crop livestock farming is more prone to contamination than
conventional farming
16
17. BACTERIAL FOOD BORNE ZOONOSES
Disease Causative agent Source of infection Symptoms
Campylobacteriosis Campylobacter
spp.
under-cooked poultry meat,
water and raw milk
Diarrhea, abdominal pain and
cramps, fever and vomiting
Salmonellosis Salmonella spp. contaminated eggs, poultry
meat and pork
Diarrhea, Stomach(abdominal)
cramps, fever, nausea,
vomiting, chills, headache,
blood in the stool
STEC infection Escherichia
coli.
Raw or undercooked
beef product, unpasteurized
(raw) milk, apple juices
Diarrhea (often bloody)
vomiting and abdominal cramps
17
18. CONTI….
Disease Causative agent Source of infection Symptoms
Brucellosis Brucella spp. unpasteurized milk,
milk products or
meat, cheese prepared
from unpasteurized milk
Fever, sweats,
anorexia, headache, pain
in muscles, joint, and/or
back, fatigue
Clostridium perfringens
infection
C.perfringens
bacteria
Meat and poultry
products
Stomach cramps and
watery diarrhea
Tuberculosis Mycobacterium
tuberculosis,
Mycobacterium
bovis
Unpasteurized
raw milk
pain in the chest,
weakness or fatigue,
weight loss, no appetite
18
19. CONTI…
Disease Causative agent Source of infection Symptoms
Listeriosis Listeria monocytogenes Hot dogs, fresh
vegetables fresh
fruits, especially
melons, unpasteurized
dairy products
Diarrhea, vomiting,
fever
Staph food poisoning Staphylococcus aureus Foods that are not
cooked after
handling, such as
sliced meats,
puddings, pastries,
and sandwiches
nausea, vomiting, and
stomach cramps,
diarrhea
19
20. VIRAL FOOD BORNE ZOONOSES
Disease Causative agent Source of infection Symptoms
Norovirus infection Norovirus eating contaminated
food, drinking
contaminated water,
being in close contact
with a person who has
norovirus infection
nausea, vomiting,
stomach pain or
cramps, loose diarrhea,
feeling ill, low-grade
fever, muscle pain
Hepatitis A and Hepatitis E HAV, HEV via contact with
infected animals,
consumption of
contaminated food of
animal origin
Fatigue, muscle pain,
vomiting, fever, cough,
abdominal pain
20
22. PARASITIC FOOD BORNE ZOONOSES
Disease Causative agent Source of infection Symptoms
Trichinosis Trichinella spiralis undercooked or raw
meat (usually pork)
abdominal pain,
diarrhea, nausea,
muscle pain and
vomiting
Cysticercosis Taenia solium undercooked pork cysts in the muscles,
eyes, brain and spinal
cord
Toxoplasmosis Toxoplasma gondii consumption of raw
milk or under-cooked
meat
flu, muscle aches and
pains, reduced vision,
redness of eyes
22
23. OVERVIEW OF FOOD-BORNE ZOONOSES
IN PAKISTAN
Prevalence of food-borne infections common in Pakistan caused by
• Norovirus (44%)
• Toxoplasma gondii (18%)
• Listeria monocytogenes (15%)
• Salmonella spp. (8%)
• Clostridium spp. (8%)
• Campylobacter spp. (7%)
Brucellosis is a zoonosis with high priority by the Pakistan National
Institute of Health during 2018-2023 23
24. CONTI…
Significant proportion of human TB infections throughout the 19th
and 20th centuries
• caused by Mycobacterium bovis and raw cow milk consumption
Pakistan ranks fifth among countries with a high TB burden
• with 510,000 new TB cases emerging annually
Only 20% of the population has access to safe drinking water in
Pakistan
24
25. EFFECTIVE MITIGATION STRATEGIES
FOR FOOD BORNE PATHOGENS
Purpose of modern food production is to reduce human illness by
controlling pathogens
Several intervention and mitigation strategies have been carried out
in recent years at
• both pre-harvest or postharvest levels
These would be advantageous and an impactful approach from the
perspective of outbreak prevention
25
26. Pre-harvest or
on-farming
mitigation
strategies
Pre-harvest/on farm mitigation strategies include
sanitization and disinfection of animal structures
Passive immune protection to animals using
antibodies are used to reduced pathogens
Electrochemical disinfection and electrolyzed
oxidizing water are identified as emerging
disinfection strategies
Feed supplements show promising results in
pathogen reduction
26
27. Pre-harvest or
on-farming
mitigation
strategies
Organic acids have emerged as pathogen
deactivators and health improvers in pig
production
Bacteriophages appear to be promising new
food safety tool in the poultry industry
Bacteriocins inhibit the growth of some other
strains through membrane depolarization
Prebiotics and probiotics are benefiting
pathogen reduction in animals
27
28. Postharvest
management
strategies
Hand hygiene and sanitation must be practiced at
agricultural and animal fairs as well as each step
of food chain
Intervention of advanced novel processing and
preservation techniques to mitigate pathogens
and fulfil HACCP requirements
Proper handling and management after post
processing is necessary
28
30. ROLE OF EFSA AGAINST FOOD-BORNE
ZOONOSES
EFSA’s (The European Food Safety Authority) main role is:
• to assess risks associated with the EU food chain
• ensures a high level of consumer protection and animal health
EFSA works with the European Centre for Disease prevention and
Control (ECDC) and EU Member States
Provide independent scientific advice on foodborne zoonotic diseases
One Health strategy can assist governmental agencies
• to adopt innovative and practical plans to control or prevent zoonotic diseases
in Pakistan
30
31. PREVENTIVE CONTROL MEASURES
Some essential measures could be effective in reducing the
contamination risk
1. hygienic management practices and sorting out sick animals
2. precautions at both the farm and processing levels
3. carefully organized measures including animal testing, widespread domestic
and wildlife vaccination
4. chilling after slaughtering of animals
5. animal health education
31
32. CONTI…
6. application of phyto-nutrient rich feed and antibiotics
7. advanced processing techniques in food processing
8. proper cooking, cleaning and sanitization practices in the kitchen
9. regular inspection, monitoring and sampling of products
32
33. CONCLUSION
Globally, food-borne diseases pose a significant threat to public
health and socioeconomic development
Prevention and control measures should be initiated by the
veterinarians stating from primary production through
• Good Animal Husbandry Practices (GAHP)
• Good Manufacturing Practices (GMP)
• Good Hygienic Practices (GHP)
• Implementation of HACCP
33
34. REFERENCES
Mekonnen, S. A., Gezehagn, A., Dejene, H., Nigatu, S & Jemberu, W.
T. (2021). Health and economic burden of foodborne zoonotic diseases
in Amhara region, Ethiopia. PLoS One
Sahoo, M., Panigrahi, C., & Aradwad, P. (2022). Management
strategies emphasizing advanced food processing approaches to
mitigate food borne zoonotic pathogens in food system.
Mazzeo, A., Tremonte, P., Lombardi, S. J., Caturano, C., &
Sorrentino, E. (2022). From the Intersection of Food-Borne Zoonoses
and EU Green Policies to an In-Embryo One Health Financial Model.
Foods
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