Zoonoses in the workplace: A Seroprevalence study of Coxiella, Brucella, and Leptospira among marine mammal rescue and rehabilitation workers in California.

Adam Bjork, Robyn A Stoddard, Alicia D Anderson, Marie A de Perio, Richard Todd Niemeier, Joshua S Self, Kelly A Fitzpatrick, Frances M D Gulland, Cara L Field, Gilbert J Kersh, John D Gibbins
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Abstract

Background: Q fever, brucellosis, and leptospirosis are zoonoses typically associated with terrestrial animal reservoirs. These bacterial agents are now known to infect marine mammal species, though little is known about potential human health risks from marine mammal reservoir species. We investigated potential risks of these bacteria in humans associated with marine mammal exposure.

Methods: The Marine Mammal Center (TMMC) in Sausalito, California, requested a Health Hazard Evaluation by the National Institute for Occupational Safety and Health. In June 2011, an investigation occurred, which included a written questionnaire and serosurvey among workers for Coxiella burnetii, Brucella spp., and Leptospira spp., and an environmental assessment for C. burnetii.

Results: Serologic evidence of past exposure was detected in 4% (C. burnetii), 0% (Brucella), and 1% (Leptospira) of 213 participants, respectively. One of 130 environmental samples tested positive for C. burnetii. No significant marine mammal-specific risk factors were identified, but some safety deficiencies were noted that could lead to a higher risk of exposure to zoonotic diseases.

Conclusion: Although this study did not identify disease exposure risks associated with marine mammals, additional studies in different settings of other groups with frequent exposure to marine mammals are warranted. Some deficiencies in safety were noted, and based on these, TMMC modified protocols to improve safety.

工作场所人畜共患病:加州海洋哺乳动物救援和康复工作人员中克希氏菌、布鲁氏菌和钩端螺旋体的血清患病率研究
背景:Q热、布鲁氏菌病和钩端螺旋体病是人畜共患病,通常与陆生动物宿主有关。这些细菌病原体现在已知会感染海洋哺乳动物物种,尽管人们对海洋哺乳动物水库物种对人类健康的潜在风险知之甚少。我们调查了与海洋哺乳动物接触有关的这些细菌对人类的潜在风险。方法:加州索萨利托海洋哺乳动物中心(TMMC)向美国国家职业安全与健康研究所申请了一份健康危害评估。2011年6月开展了一项调查,其中包括对工人进行伯纳氏克希菌、布鲁氏菌和钩端螺旋体的书面问卷和血清调查,以及伯纳氏克希菌的环境评估。结果:在213名参与者中,分别有4%(布氏梭菌)、0%(布鲁氏菌)和1%(钩端螺旋体)检测到过去暴露的血清学证据。在130个环境样本中,有一个检测出伯纳氏杆菌呈阳性。没有确定海洋哺乳动物特有的重大风险因素,但注意到一些安全缺陷可能导致接触人畜共患疾病的风险更高。结论:虽然这项研究没有确定与海洋哺乳动物相关的疾病暴露风险,但有必要在其他经常接触海洋哺乳动物的群体中进行不同环境的额外研究。注意到一些安全性方面的不足,并在此基础上,TMMC修改了协议以提高安全性。
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