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United
States East And Gulf Coast Study Of Cryptosporidium
In Shellfish – The Rest Of The StoryEarl J. Lewis1,
Ronald Fayer2, James M. Trout2, Lihua Xiao3,
Dorothy W. Howard1, Robert Palmer2, Kristie Ludwig2,
and Suzanne S. Tyler1 1NOAA, NOS, Coastal Center for
Environmental Health and Biomolecular Research, Oxford, MD 21654; 2USDA,
Agriculture Research Station, ANRI, Animal Waste Pathogen Laboratory,
Beltsville, MD 20705; 3Centers for Disease Control and Prevention,
Chamblee, GA 30341
Results of a 1997 study conducted by the
National Oceanic and Atmospheric Administration (MNOAA), the United States
Department of Agriculture (USDA),Johns Hopkins University School of Public
Health, and the Center for Disease Control showed a high prevalence of Cryptosporidium
parvum in tissues of oysters Crassostrea
virginica at 13 Maryland sites in Chesapeake Bay, 9 of which were open to
shellfish harvest. In several
instances, oocysts recovered from oysters were infectious in laboratory
mice. Oocysts of C. parvum were
also found in hard clams and hooked mussels.
The presence of these organisms in shellfish growing waters indicates
contamination by human or animal feces.
These findings were viewed as an environmental and potential public
health issue that required further investigation. To better understand the distribution of Cryptosporidium
on a multi-state basis, a 2001 and 2002 study by NOAA, USDA, and CDC scientists
investigated Cryptosporidium spp. in oysters and hard clams obtained
from retail markets along the East and Gulf coasts of the U.S.Forty-nine shellfish samples, 33 oyster and 16
clam, were examined from 17 coastal states from Maine to Texas and 1 from New
Brunswick, Canada. Cryptosporidium
oocysts were detected in at least 1 sample of shellfish from New Brunswick,
Canada and 13 of 17 states. In all, 4%
of 1225 oysters and clams examined by immunofluorescent antibody (IFA)
methodology were found to harbor Cryptosporidium. Cryptosporidium DNA was also detected
by polymerase chain reaction (PCR) in 13% of 245 pools of shellfish
examined. Multiple species of Cryptosporidium, some potentially infectious for
humans, were found in commercial shellfish from 59% (29/49) of sites examined
along the Atlantic and Gulf coasts by either microscopy or molecular assays As a one-time sample acquired during a time of
drought, these results may or may not be indicative of the long-term prevalence
of Cryptosporidium in coastal shellfish. In addition, there have been no reports of cryptosporidiosis
linked to eating raw shellfish.
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