From Farm to Fork . Common Practises and Food Consumers Behaviours- BSE versus Toxoplasmosis - Maria Vitale Istituto Zooprofilattico Of Sicily " ...

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From Farm to Fork . Common Practises and Food Consumers Behaviours- BSE versus Toxoplasmosis - Maria Vitale Istituto Zooprofilattico Of Sicily " ...
From Farm to Fork .
Common Practises and Food Consumers
           Behaviours-
     BSE versus Toxoplasmosis

               Maria Vitale
     Istituto Zooprofilattico Of Sicily
         “ Adelmo Mirri” Palermo
                   Italy
From Farm to Fork . Common Practises and Food Consumers Behaviours- BSE versus Toxoplasmosis - Maria Vitale Istituto Zooprofilattico Of Sicily " ...
FROM THE MAXIMUM SYSTEMS

                      TO…
From Farm to Fork . Common Practises and Food Consumers Behaviours- BSE versus Toxoplasmosis - Maria Vitale Istituto Zooprofilattico Of Sicily " ...
…everyday life
From Farm to Fork . Common Practises and Food Consumers Behaviours- BSE versus Toxoplasmosis - Maria Vitale Istituto Zooprofilattico Of Sicily " ...
GENERAL LIFE
FOOD RELATED (every                       only?
         day life)                 n  Telegraph and
Fire discovery and control            Telephone
      Higher food safety !!!
                               n   n   ( communication
                                              n        )
          Agricolture              n  Printing press
                                   Wheel
  n    Steam Engine                Automobile
      n Antibiotics                Airplanes
                                   The Light Bulb
      n   Computer
        n Internet

  n   Social network!
From Farm to Fork . Common Practises and Food Consumers Behaviours- BSE versus Toxoplasmosis - Maria Vitale Istituto Zooprofilattico Of Sicily " ...
Milestones in religions
• BC and AC ( Anno Domine) for Christians.
  • BH or AH for Muslims- (Hijra when Muhammad moved
                        from Mecca to Medina) (AD 622)

            Milestones in society
         • Before and after Agricolture
  • Before and after the invention of the wheel
     • Before and After Industrial revolution
From Farm to Fork . Common Practises and Food Consumers Behaviours- BSE versus Toxoplasmosis - Maria Vitale Istituto Zooprofilattico Of Sicily " ...
In Food Safety ?
Maybe in the near future
Before and After Whole Genome Sequencing?
 • BBC and ABC for Scientist
 Or
 • BMC and AMC for Consumers
 • ??????
From Farm to Fork . Common Practises and Food Consumers Behaviours- BSE versus Toxoplasmosis - Maria Vitale Istituto Zooprofilattico Of Sicily " ...
Before and After BSE Crisis

commonly known as Madcow Crisis
From Farm to Fork . Common Practises and Food Consumers Behaviours- BSE versus Toxoplasmosis - Maria Vitale Istituto Zooprofilattico Of Sicily " ...
Bovine Spongiform Encephalopathy (BSE)

Affecting the central nervous system of adult
cattle

Causing a variant of Creutzfeldt-Jakob (vCJD)
disease in human
No known cure for vCJD
225 cases, 177 in UK avarage age 28
From Farm to Fork . Common Practises and Food Consumers Behaviours- BSE versus Toxoplasmosis - Maria Vitale Istituto Zooprofilattico Of Sicily " ...
Prion Diseases
                 Creutzfeldt-Jakob
                 FFI ( Fatal Familiar
                 Insomnia) In
                 humans
                 Scrapie in small
                 ruminant.
                 BSE in cattle
                 WCD (Wasting
                 Chronic Disease)
                 in cervids
From Farm to Fork . Common Practises and Food Consumers Behaviours- BSE versus Toxoplasmosis - Maria Vitale Istituto Zooprofilattico Of Sicily " ...
History of BSE
First identified in UK in 1986
In the year following the crisis the economic loss was
estimated to be between £740 million and £980
million.
Meat and bone meal in animal feeding was identified
as the cause of BSE epidemic in 1987

In 1989, an official investigation concluded that BSE
pose no threat to human
History of BSE
In 1994 meat and bone meal (MBM) was banned on
the feeding of ruminants first
in 2001 was extended to all mammalian species

In 1996, the relationship between BSE and vCJD was
recognized

The threat of a disease with no cure and involving
particularly teenagers alarmed all Consumers
Sources of Economic Impact In E.U.
    Decrease demand in beef meat
Loss of exportation (related to consumer’s behaviour)
      Cost for crisis management
  Feeding producing rearrangements
            Cost for control

Estimate cost over 5 Billion Euros in EU
What happened AFTER?
• from Farm: Intervention in animal breeding:
• Banning of animal flours from mammalian feeding
• A systematic control of cattle population in all
  Member states was established
• Effective National Informatic Anagraphic data set for
  cattle was implemented with a consequent reduction
  of cattle rustling (stealing cattle)
• Breeding programs for genetic resistance in
  sheep for full scrapie eradication ( in the near
  future also for Goats)
What happened AFTER?
At abbattoirs:
• Elimination of Specific risk materials
• (all nervous system, Limphonodes etc. )
• Sampling of Stem brains to send to the labs
  for rapid analysis
What happened AFTER?
At Laboratories
rapid analysis and negative animals were
  authorized for the distribution at retail stores.
At sale distribution :
 Sale at supermarkets or at butcheries for the
  consumers tables (excluding vegetarians)…to fork
What happened AFTER?

The European Food Safety Authority was
established for risk analysis related to food of
animal and vegetable origin. (2002)
Panel of experts for the Controls and evaluation
for
Microbiology Hazards.
Chemical Hazards
Biotecnology Hazards
Current Situation
                 • Large scale
                outbreak no likely
               • The consumers
                   gain trust on
                 Public Authorities
                   controlling all
                steps from Farm to
                        Fork
WHO -OIE
• One WORLD
• One HEALTH
BSE versus Toxoplasmosis
No Before and After Story we could say
Since EVER. (neverending Story !!!!)
When warm-blooded animals evolved (Big Bang
and Darwin) maybe Toxoplasma was just there!!
Life cycle of T. gondii

                              TWO STAGES :
                                                     1: Sessuata
                            Sexual and Asexual
                                                     2: Asessuata
                                                     Asessuata

      Sexual stage

Entero-epitelial cells of
    definitive hosts
represented by Felines                    Cats: the definitive host strictly in
                                                 contact with humans
Asexual stage

         Different tissues
Intermediate and definitive hosts
   Several warm-blooded host
    Relevant to food safety
Cattle, sheep and goat, chikens,
               swine
>60%   40-60%   20-40%   10-20%
It is among us and it is diffused
But not many people feel it as hazard
Risk = Hazard + Outrage

 Individual’s perception or assessment of risk
   is based on a combination of hazard and
                     outrage
                    factors.
         Individual react emotionally.
The perception of consumers is different from
the experts

  Source:Canadian Food Inspection Agency
Outcome Acquired Toxoplasmosis

                                  Asymptomatic
                           common in immunocompetent

                                 Mild symptoms
                             Fever; lymphadenopathy
  Infected                       Occasionally in
(after birth)                  immunocompetent

                          Severe symptoms: sepsis/shock,
                             encephalitis, myocarditis,
                               hepatitis, pneumonia
                            Rare in immunocompetent

                                Chorioretinitis
Ocular Toxoplasmosis
         • Frequently observed eye
           disease
         • Affects retina
         • 2/3 acquired 1/3 congenital
         • Treatments ineffective
         • 24 % affected eyes blind
Recent developments disease burden
• Presence of cysts in the brain can lead
  to behavioral changes and even
  psychotic diseases such as
  Schizophrenia and some cases of
  Epilepsy

• This would make the economic and
  social impact of toxoplasmosis much
  higher than previously anticipated

         Fuller Torrey and Yolken 2003
Interaction T. gondii
   Central Nervous System
     Host Manipulation
Infected mice are less afraid of cat’ odours and become easy
prays for Cats

                Suicide mouse Behaviour
Maybe our ancestors the monkeys
dance in front of big felines when
  infected with T. gondii…????

Nobody has addressed this
question
Risk perception in Toxoplasmosis
                    • only
  • women become aware during pregnancy
  • if they do not carry IgG against T. gondii.
• (in some countries such as Italy and France the
    screening for Toxoplasma during pregnancy
           • is routinaly performed.)
Congenital
Toxoplasmosis in Humans

    Abortion in animals

                          baby hydrocephalus

                             Abortion in animals
Pregnancy over precautions
• Raw fresh produce consumption, salads and fruit
               are important in pregnancy.
  • Most seronegative pregnant women however
         prefer to avoid eating raw vegetables.
 • This behavior is adopted also by Female Doctors
   in their pregnancy although they think that is not
                       rationale.

               • Is it the best thing?
‘Very safe’ food
                                                                                 Trust in
Cumulative percentages

                                                                                 food in
                                                                                 Europe,
                                                                                   2003

                         http://europa.eu.int/comm/research/press/2004/pr0504en.cfm
Public demand for improved
         animal welfare

Regular (“bio-industry”):   Organic or Free range:
                               Pigs allowed outside
 Pigs always inside
                               Improved welfare but higher
 Conventional feed             exposure to the environment
 Welfare low
Effect of farm type on toxoplasma infection of slaughter
                 pigs (Netherlands 2001)
            700              635         660
                  621
            600
            500
            400                                            total tested
     pigs

            300                                            infected

            200
            100
                                   30          8
                        0
              0
                  regular   free-range   organic

             Kijlstra et al. Invest. Ophth. Vis. Sci, 45: 3165-9, 2004
Animal Toxoplasmosis in Europe

 Meat        Seroprevalence with   Isolation of parasite from meat cuts
animal              range            from naturally infected animals
Game            56% (0-100%)                       yes

Sheep           36% (4-92%)                        yes

                                   Recent isolation of viable parasites
 Cow           34% (2%-92%)
                                     in 2 out of 207 tested samples

 Goat           33% (0-77%)                        yes
Horse           26% (0-80%)                        yes
Chicken         10% (5-36%)                        yes
  Pig            6% (0-64%)                        yes
La tartare in France

                          ITALY Piedmont

Carpaccio

      Insalata di carne
      cruda all’Albese
Killing of T. gondii tissue
       cysts in meat

 • heat treatment
 • freezing
• To prevent toxoplasmosis eat always well
  cooked meat!
• Anedoct: a pregnant woman tell us that she does not
  taste raw sausage but she eats barbecued sausage.

                      But meat on barbecue is
                     usually undercooked in the
                             inner parts!
Sicilian sausage

                   A very special dish!!!!!
Consumer Education for Toxoplasmosis
 Several education intervention are addressed
   to pregnant women.
 They are highly motivated and behave even in
   a more precautious way than rationality
   suggests.
 Our interviews showed that several of them
 Do not care about toxoplasma after
   pregnancy and somehow they hope to
   become seropositive.
Common practices in rural areas in Italy

      Back garden farming of pigs, chickens, goats.

 Taste raw sausages while is «prepared» by the butcher

 Consuming barbecued meat of different animals during
                 Open air events.

    During questionnaire administration several cases
     of acute Toxoplasmosis were probably related
                  to fresh pork sausage

        In a case of Toxoplasmosis in a teeneager
T. gondii DNA was detected in a frozen sample of sausage.
      (Vitale et al., Journal of Food Protection 2014)
Italy is particularly sensitive to food aspect
                            Italian cuisine
                              considered
                   one of the best in the WORLD
Feeding the Planet is the topic
of EXPO in Milan
http://www.ciaa.be/ciaa_summit/pages/hetherington.pdf   45
http://www.ciaa.be/ciaa_summit/pages/hetherington.pdf
Consumer Education for
             Food Safety
              In general

Different targets , different groups ,different messages

         Food safety campaigns mainly
          toward women because they
                   are mainly
         involved in food handling and
                     cooking
                         But!
What about the increasing involvement of men on
      food preparation in recent years in
             Developed Countries?

             What about Single or
               Divorced Men?

              Fathers that divide
             responsibilities with
            mothers in baby caring
                 and cuisine

               Male Chefs and
               Masterchefs are
            continuosly incresing!
Pantelleria As A Study Model
             For A Comprehensive Analysis On
               Food Habits And Food Safety.
  In a small and isolated community the basic concepts for
 good nutrition and food safety topics are capillary diffused
                  among people of all ages.
Children of elementary schools were more involved than high
        schools students in the questionnaire answers,
    suggesting that probably more effective educational
   interventions can be obtained by targeting the younger
                          population
No conflict of Interest!
• During presentation some Advertisements
  appeared
                     • But
• not personal interest is in place…
Thanks for the attention !

                                   Pantelleria
                                   Zibibbo small tree grapes
Pantelleria                        UNESCO patrimony
                                   since August 2014
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