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Mycobacterium avium ssp. paratuberculosis in the Food Supply: A Public Health Issue

This article examines the policy implications of Mycobacterium avium subspecies paratuberculosis (MAP) as a zoonotic pathogen and the public health risks posed by the presence of MAP in food, particularly milk products. Viable MAP has been cultured from commercially pasteurized milk in the US. Dairy...

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Detalles Bibliográficos
Autores principales: Kuenstner, Lauren, Kuenstner, John Todd
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8319643/
https://www.ncbi.nlm.nih.gov/pubmed/34336758
http://dx.doi.org/10.3389/fpubh.2021.647448
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author Kuenstner, Lauren
Kuenstner, John Todd
author_facet Kuenstner, Lauren
Kuenstner, John Todd
author_sort Kuenstner, Lauren
collection PubMed
description This article examines the policy implications of Mycobacterium avium subspecies paratuberculosis (MAP) as a zoonotic pathogen and the public health risks posed by the presence of MAP in food, particularly milk products. Viable MAP has been cultured from commercially pasteurized milk in the US. Dairy pasteurization standards and regulations are examined in light of this finding. On the basis of the precautionary principle, the authors suggest options to reduce exposure to MAP, including (1) increased federal authority to regulate pasteurization of all dairy products, (2) modification of pasteurization standards in order to more effectively kill MAP, (3) removal of the Pasteurized Milk Ordinance (PMO) provision that allows states to override federal policy in intrastate dairy sales, and (4) creation of a mandatory Johne's Disease Control Program. These measures would reduce human exposure to MAP and may reduce the risk of diseases associated with MAP.
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spelling pubmed-83196432021-07-30 Mycobacterium avium ssp. paratuberculosis in the Food Supply: A Public Health Issue Kuenstner, Lauren Kuenstner, John Todd Front Public Health Public Health This article examines the policy implications of Mycobacterium avium subspecies paratuberculosis (MAP) as a zoonotic pathogen and the public health risks posed by the presence of MAP in food, particularly milk products. Viable MAP has been cultured from commercially pasteurized milk in the US. Dairy pasteurization standards and regulations are examined in light of this finding. On the basis of the precautionary principle, the authors suggest options to reduce exposure to MAP, including (1) increased federal authority to regulate pasteurization of all dairy products, (2) modification of pasteurization standards in order to more effectively kill MAP, (3) removal of the Pasteurized Milk Ordinance (PMO) provision that allows states to override federal policy in intrastate dairy sales, and (4) creation of a mandatory Johne's Disease Control Program. These measures would reduce human exposure to MAP and may reduce the risk of diseases associated with MAP. Frontiers Media S.A. 2021-07-15 /pmc/articles/PMC8319643/ /pubmed/34336758 http://dx.doi.org/10.3389/fpubh.2021.647448 Text en Copyright © 2021 Kuenstner and Kuenstner. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Kuenstner, Lauren
Kuenstner, John Todd
Mycobacterium avium ssp. paratuberculosis in the Food Supply: A Public Health Issue
title Mycobacterium avium ssp. paratuberculosis in the Food Supply: A Public Health Issue
title_full Mycobacterium avium ssp. paratuberculosis in the Food Supply: A Public Health Issue
title_fullStr Mycobacterium avium ssp. paratuberculosis in the Food Supply: A Public Health Issue
title_full_unstemmed Mycobacterium avium ssp. paratuberculosis in the Food Supply: A Public Health Issue
title_short Mycobacterium avium ssp. paratuberculosis in the Food Supply: A Public Health Issue
title_sort mycobacterium avium ssp. paratuberculosis in the food supply: a public health issue
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8319643/
https://www.ncbi.nlm.nih.gov/pubmed/34336758
http://dx.doi.org/10.3389/fpubh.2021.647448
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