As I mentioned in previous posts, the emergence of new infectious--especially zoonotic--disease isn't limited to poor countries. Exact numbers vary depending on whose estimates you use, but this source puts the number of pet dogs in the United States alone at roughly 63 million, with over 76 million pet cats. This source is almost 10 years old and thus outdated, but we can use it as a ballpark: it claims almost 100 million cattle and calves in the U.S. Similarly, over 60 million hogs; almost 8 million sheep; 2.5 million horses and ponies; 366 million chickens. We have a lot of animals here, and a good portion of our population in regular contact with them. This brings the potential for a lot of disease transfer.
I mentioned previously a study carried out here that suggested inapparent infection of humans with swine influenza viruses. And of course, we can contract a number of infections from the food we eat every day--Salmonella, E. coli, Campylobacter--even if we aren't in direct contact with it as a living animal.
Farm animals aren't just for eating, either. Petting zoos abound, exposing people to live animals and the microbes they carry. And while you may think that, all these years after Semmelweis and Lister, people would understand the importance of washing their hands, you would be incorrect.
CDC researchers, in a case-control study, identified the direct or indirect risk factors that were the most important for coming down with illness related to Escherichia coli 0157:H7 after a visit to a petting zoo.
A South Carolina observational study found that - despite extensive warning signs -- a large proportion of people visiting a petting zoo at a state fair were engaged in risky behavior.
Another observational study, in Tennessee, showed that visitors to several petting zoos put themselves at risk while visiting the facility and most did not wash their hands when leaving.
Not surprisingly, touching and feeding animals resulted in the highest risks of contracting diarrheal illness (including hemolytic uremic syndrome), while handwashing was protective. In one study, they found that almost a quarter of visitors to the petting zoos were eating or drinking. (Aargh). Knowing this, the stats quoted that the CDC has identified more than 50 outbreaks associated with petting zoos and fairs over the past decade--many of them likely very preventable.
Similarly, bacteria that cause diarrhea aren't the only ones to worry about picking up from animals--or passing along to them. Another study described at the conference noted the increasing prevalence of methicillin-resistant Staphylococcus aureus (MRSA) found in pet dogs and cats, likely transferred to them by their owners. Though we tend to think of disease transmission as flowing from animals to humans, we must keep in mind that it can go both ways.
To deal with all this, we need closer ties between human and veterinary health providers. Indeed, it's been suggested that dogs can play a role as disease sentinels, alerting providers to potential problems looming in human health. (Seed elaborates on this here). This is part of the "one world, one health" model--making it clear that we need a more holistic approach to disease control, inclusive of global human and animal health.
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Tara,
I like that picture you use. Is that border collie yours. He's cute.
GE
How can you mention diseases and kitties, and not toxoplasmosis gondii?
http://loom.corante.com/archives/2006/01/17/the_return_of_the_puppet_ma…
I always wondered how cats managed to make billions of people their willing slaves.
It's all about brain parasites... just possibly. :-)
Tara,
another thing about dogs: they apparently serve as a reservoir for E. coli that cause urinary tract infections.
GE,
Nope, not my dog. I have a chihuahua--not quite as photogenic. :)
Paul, I've actually linked that very story previously, here. But indeed, that's another good one. I could probably write a whole series just on this one topic alone.
Mike--interesting; I'd not seen that one before. Do you know if anyone's done the epi studies to go along with that--check out dog owners for higher levels of UTIs, or match strains from the human UTI and their pet dog?
Tara,
yes. I think Jim Johnson's other papers on dogs deal with this (the strain matching, not frequencies of UTIs).
Fido is also a very happy carrier of beta-strep, and very happy to share with a swipe of his tongue. Sometimes treating recurrent strep throat in a family means medicating Fido also.
Have you heard of any linkage yet of dog and cat food from downer cattle or sheep with prion disease to disease in family pets? That is just an area of interest to me, and I haven't seen anything about it. Really enjoy your site and all the info you present. mary
Hi Mary--I've not seen anything about it either, but admittedly it's not an area where I've done a lot of looking.
Guitar Eddie --
Hate to nitpick, but are you sure that's a collie? I looked at it and thought Bernese Mountain Dog, myself...