Brucellosis risk factors: Difference between revisions
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==Overview== | ==Overview== | ||
Common risk factors in the development of brucellosis are: consuming unpasteurized dairy products, hunting practices and occupational risks such as slaughther house workers, meat-packing employees, veterinarian and laboratory workers.<ref name="a">Brucellosis. CDC. http://www.cdc.gov/brucellosis/exposure/index.html. Accessed on February 1, 2016</ref> | Common [[risk factors]] in the development of brucellosis are: consuming [[Unpasteurized milk|unpasteurized]] [[Dairy product|dairy products]], hunting practices and occupational risks such as slaughther house workers, meat-packing employees, [[veterinarian]] and [[laboratory]] workers.<ref name="a">Brucellosis. CDC. http://www.cdc.gov/brucellosis/exposure/index.html. Accessed on February 1, 2016</ref> | ||
== Risk Factors == | == Risk Factors == | ||
Common risk factors in the development of brucellosis are: | Common [[risk factors]] in the development of brucellosis are: | ||
*Countries at | *''Countries at risk:'' | ||
**Although brucellosis can be found worldwide, it is more common in countries that do not have effective public health and domestic animal health programs. Areas currently listed as high risk are: | **Although brucellosis can be found worldwide, it is more common in countries that do not have effective [[public health]] and domestic [[Animals|animal]] health programs. Areas currently listed as high risk are: | ||
***Mediterranean Basin (Portugal, Spain, Southern France, Italy, Greece, Turkey, North Africa) | ***Mediterranean Basin (Portugal, Spain, Southern France, Italy, Greece, Turkey, North Africa) | ||
***Mexico, South and Central America | ***Mexico, South and Central America | ||
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***The Caribbean | ***The Caribbean | ||
***The Middle East | ***The Middle East | ||
*Occupational Risks: | *''[[Occupational safety and health|Occupational Risks]]:'' | ||
**People in certain occupations or settings may face increased exposure to the bacteria that cause brucellosis. These include: | **People in certain occupations or settings may face increased exposure to the [[bacteria]] that cause brucellosis. These include: | ||
***Slaughterhouse workers | ***Slaughterhouse workers | ||
****Contamination of skin wounds may be a problem for persons working in slaughterhouses | ****[[Contamination]] of [[Skin lesions|skin wounds]] may be a problem for persons working in slaughterhouses | ||
***Meat-packing employees | ***Meat-packing employees | ||
****Contamination of skin wounds may be a problem for persons working in meat packing plants | ****[[Contamination]] of [[Skin lesions|skin wounds]] may be a problem for persons working in meat packing plants | ||
***Veterinarians | ***[[Veterinarian|Veterinarians]] | ||
****Contamination of skin wounds may be a problem for veterinarians | ****[[Contamination]] of [[Skin lesions|skin wounds]] may be a problem for [[Veterinarian|veterinarians]] | ||
****B. canis is the species of Brucella species that can infect dogs. This species has occasionally been transmitted to humans, but the vast majority of dog infections do not result in human illness. Although veterinarians exposed to blood of infected animals are at risk, pet owners are not considered to be at risk for infection. This is partly because it is unlikely that they will come in contact with blood, semen, or placenta of the dog. | ****B. canis is the species of [[Brucella]] species that can [[infect]] dogs. This [[species]] has occasionally been transmitted to humans, but the vast majority of dog [[infections]] do not result in [[human]] [[illness]]. Although [[Veterinarian|veterinarians]] exposed to [[blood]] of [[infected]] animals are at risk, pet owners are not considered to be at risk for [[infection]]. This is partly because it is unlikely that they will come in contact with [[blood]], [[semen]], or [[placenta]] of the dog. | ||
***Laboratory workers | ***[[Laboratory]] workers | ||
****Inhalation of Brucella organisms is not a common route of infection, but it can be a significant hazard for people working in laboratories | ****[[Inhalation]] of [[Brucella]] [[organisms]] is not a common route of [[infection]], but it can be a significant hazard for people working in [[laboratories]] | ||
*Unpasteurized Dairy Products: | *''Unpasteurized [[Dairy product|Dairy Products]]:'' | ||
**Unpasteurized cheeses (sometimes called "village cheeses") from areas at increased risk for brucellosis may represent a particular risk for tourists. | **Unpasteurized cheeses (sometimes called "village cheeses") from areas at increased risk for brucellosis may represent a particular risk for tourists. | ||
**Developing countries often do not have safeguards that can help prevent or monitor possible outbreaks, such as pasteurization laws, animal control/slaughter regulations, and brucellosis surveillance programs. | **Developing countries often do not have safeguards that can help [[Prevention|prevent]] or monitor possible [[outbreaks]], such as [[pasteurization]] laws, animal control/slaughter regulations, and brucellosis surveillance programs. | ||
**When traveling in areas with high risk, some people may unknowingly consume unpasteurized dairy products. People from the U.S. who travel to these areas should: | **When traveling in areas with high risk, some people may unknowingly consume unpasteurized [[Dairy product|dairy products]]. People from the U.S. who travel to these areas should: | ||
***Recognize that milk and dairy products may not be pasteurized and could be unsafe to consume. | ***Recognize that [[milk]] and [[Dairy product|dairy products]] may not be [[Pasteurize|pasteurized]] and could be unsafe to consume. | ||
***Only consume meat products which are thoroughly cooked, since many countries cannot ensure brucellosis-free meat products. | ***Only consume meat products which are thoroughly cooked, since many countries cannot ensure brucellosis-free meat products. | ||
*Risks for Expecting Mothers: | *''[[Risks]] for Expecting Mothers:'' | ||
**While rare, human-to-human transmission from lactating mothers to their breastfed infants has been reported. | **While rare, human-to-human [[transmission]] from lactating mothers to their breastfed infants has been reported. | ||
**Prompt diagnosis and treatment of brucellosis during pregnancy can be lifesaving for the fetus. | **Prompt [[diagnosis]] and treatment of brucellosis during [[pregnancy]] can be lifesaving for the [[fetus]]. | ||
*Hunters Risks: | *''Hunters [[Risks]]:'' | ||
**Some game animals that can transmit brucellosis include: | **Some game [[animals]] that can transmit brucellosis include: | ||
***Wild hogs (feral swine) | ***Wild hogs (feral swine) | ||
***Elk | ***Elk | ||
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***Caribou | ***Caribou | ||
***Moose | ***Moose | ||
**Hunters may be infected through skin wounds or by accidentally ingesting the bacteria after cleaning animals that they have killed.<ref name="a">Brucellosis. CDC. http://www.cdc.gov/brucellosis/exposure/index.html. Accessed on February 1, 2016</ref> | **Hunters may be [[infected]] through [[Skin lesions|skin wounds]] or by accidentally ingesting the [[bacteria]] after cleaning [[animals]] that they have killed.<ref name="a">Brucellosis. CDC. http://www.cdc.gov/brucellosis/exposure/index.html. Accessed on February 1, 2016</ref> | ||
==Reference== | ==Reference== | ||
Revision as of 14:33, 3 February 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2] Danitza Lukac
Overview
Common risk factors in the development of brucellosis are: consuming unpasteurized dairy products, hunting practices and occupational risks such as slaughther house workers, meat-packing employees, veterinarian and laboratory workers.[1]
Risk Factors
Common risk factors in the development of brucellosis are:
- Countries at risk:
- Although brucellosis can be found worldwide, it is more common in countries that do not have effective public health and domestic animal health programs. Areas currently listed as high risk are:
- Mediterranean Basin (Portugal, Spain, Southern France, Italy, Greece, Turkey, North Africa)
- Mexico, South and Central America
- Eastern Europe
- Asia
- Africa
- The Caribbean
- The Middle East
- Although brucellosis can be found worldwide, it is more common in countries that do not have effective public health and domestic animal health programs. Areas currently listed as high risk are:
- Occupational Risks:
- People in certain occupations or settings may face increased exposure to the bacteria that cause brucellosis. These include:
- Slaughterhouse workers
- Contamination of skin wounds may be a problem for persons working in slaughterhouses
- Meat-packing employees
- Contamination of skin wounds may be a problem for persons working in meat packing plants
- Veterinarians
- Contamination of skin wounds may be a problem for veterinarians
- B. canis is the species of Brucella species that can infect dogs. This species has occasionally been transmitted to humans, but the vast majority of dog infections do not result in human illness. Although veterinarians exposed to blood of infected animals are at risk, pet owners are not considered to be at risk for infection. This is partly because it is unlikely that they will come in contact with blood, semen, or placenta of the dog.
- Laboratory workers
- Inhalation of Brucella organisms is not a common route of infection, but it can be a significant hazard for people working in laboratories
- Slaughterhouse workers
- People in certain occupations or settings may face increased exposure to the bacteria that cause brucellosis. These include:
- Unpasteurized Dairy Products:
- Unpasteurized cheeses (sometimes called "village cheeses") from areas at increased risk for brucellosis may represent a particular risk for tourists.
- Developing countries often do not have safeguards that can help prevent or monitor possible outbreaks, such as pasteurization laws, animal control/slaughter regulations, and brucellosis surveillance programs.
- When traveling in areas with high risk, some people may unknowingly consume unpasteurized dairy products. People from the U.S. who travel to these areas should:
- Recognize that milk and dairy products may not be pasteurized and could be unsafe to consume.
- Only consume meat products which are thoroughly cooked, since many countries cannot ensure brucellosis-free meat products.
- Risks for Expecting Mothers:
- While rare, human-to-human transmission from lactating mothers to their breastfed infants has been reported.
- Prompt diagnosis and treatment of brucellosis during pregnancy can be lifesaving for the fetus.
- Hunters Risks:
Reference
- ↑ 1.0 1.1 Brucellosis. CDC. http://www.cdc.gov/brucellosis/exposure/index.html. Accessed on February 1, 2016