REVIEWS ON ENVIRONMENTAL HEALTH VOLUME 16, NO. 2, 2001
Direct Exposure to Animal Enteric Pathogens
Carlos Enriquez
lf
, Nena Nwachuku
2
, and Charles P. Gerba
1
1
Department ofSoil, Water & Environmental Science, University of Arizona, Tucson, AZ 85721;
2
U.S. Environmental Protection Agency, Health and Ecological Criteria Division/
Office of Water, 401 Μ Street SW (4304), Washington, D.C. 20460, USA.
SUMMARY
Humans have very close interactions with
working, food-producing, and companion
animals. According to the American Veterinary
Medical Association, there are more than one
hundred million cat and dog pets in the United
States. Furthermore, non-traditional pets like
reptiles and exotic birds are not unusual
companion animals in households. In addition to
sharing with animals our living and/or working
space and time, we also share, unfortunately,
many disease causing microorganisms. In the past
few years, we have become aware that several
enteric pathogens that were thought to be mostly
restricted to animals are a major cause of human
disease. Examples of such pathogens include the
protozoan parasiteyxvutsrponmlihgedcbaTSHGEC Cryptosporidium parvum and
bacteria such as Campylobacter spp. This review
will examine the characteristics of zoonotic enteric
pathogens including bacterial (Helicobacter spp.,
Campylobacter spp., Salmonella spp., and vero-
toxin-producing Escherichia coli); parasitic
(Toxoplasma gondii, Giardia spp., Cryptosporidium
spp.); and viral (rotavirus, norwalk-like virus,
hepatitis Ε virus), and the status of our knowledge
with regard to the impact of such pathogens on
human health.
Present correspondence address:
The Clorox Company, Technical Center
P.O. Box 493, Pleasanton, CA 94566
fax: +(925) 847-6382
e-mail: carlos.enriquez@clorox.com
KEYWORDS
zoonoses, animals, enteric pathogens, bacteria,
viruses, parasites, gastroenteritis
INTRODUCTION
Zoonoses are infectious diseases that under
natural conditions are transmitted from vertebrate
animals to humans /l/. Although this definition
includes indirect transmission through contaminated
foods of animal origin, this review will consider
only the direct exposure of humans to infected
animals.
Most direct enteric zoonoses are pet-related
/2/. Pets have been an important part of human
society. In the United States (U.S), more than 58
million households have a dog, cat, bird, or other
companion animal as a family member /3/. The
most common pets in the U.S. are cats (59.1
million), followed by dogs (52.9 million), birds
(12.6 millions) and horses (4 million) /3/ (Table
1). Although such traditional pets remain the most
common, specialty- or exotic-pet ownership increased
from 6.7% of all U.S. households in 1991 to
10.7% in 1996 /3/. Fish, ferrets, rabbits, and
rodents top the list, but such reptiles as turtles,
© Freund Publishing House Ltd. 2001
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