Veterinary Science Collected Works - Theses

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    Coxiella burnetii environmental contamination from a large multi-site goat farm and its spatial risk profile
    Abeykoon, A. M. Hasanthi ( 2022)
    Coxiella burnetii is a zoonotic bacterial pathogen that can infect multiple animal species. Animals rarely develop clinical disease from infection with C. burnetii. When infection occurs in animals, C. burnetii can be found in relatively high concentrations in the reproductive tract and are released into the environment during parturition. Intensively managed small ruminant farms can play an important role in the epidemiology of C. burnetii due to the potential for abundant release of the bacteria into the environment when large numbers of animals give birth during synchronized kidding/lambing events. Outside the host, C. burnetii can attach itself to dust particles and travel by the wind to places distant from the site of disposition. Human infection, Q fever, manifests itself as clinical disease in about 40% of cases and has the potential to be fatal if not treated. Q fever is endemic in Australia, with 2 cases per 100,000 population notified annually and Q fever seroprevalence in Australia is (at the time of writing) the second highest in the world. However, the knowledge of its spatial transmission from infected sources and validated methods to detect C. burnetii in the environment are limited. This thesis assesses the level of C. burnetii environmental contamination in and around a known infected intensively managed multi-site dairy goat farm in Victoria, Australia. The overarching aim of this work was to improve understanding of the environmental epidemiology of C. burnetii using as a case example the geographic distribution of contamination around a known C. burnetii-positive source. As a first step in addressing this aim, a systematic review (Chapter 3) was conducted to identify the main environmental substrate types, sampling, and testing methods available. Critical appraisal of the available evidence showed that a variety of factors play a role in the ability to detect the organism during field sampling and laboratory testing. Chapter 3 concludes with a framework that can be used by future researchers as a guide for environmental field sampling to detect C. burnetii. Given that the primary mode of transmission of C. burnetii is inhalation, determining the level of bacteria circulating in air is important when considering environmental contamination. In Chapter 4, three air sampling devices were compared and validated in a laboratory-based experiment to determine their ability to detect known concentrations of C. burnetii. This chapter showed that the air samplers performed similar at detecting aerosolized C. burnetii and provided detection and quantitation limits for each sampler with the PCR protocol validated in the study. Chapters 5 and 6 were field sampling studies centred around the dairy goat farm in which coxiellosis was endemic. In Chapter 5, an understanding of the level of environmental contamination in and around the kidding sheds was obtained while standardizing laboratory testing methods for different environmental substrates. Chapter 5 served as an assessment of the feasibility and assisted in the design of the larger-scale geospatial field study presented in Chapter 6. The field study found that C. burnetii soil positivity was higher closer to rivers and creeks. The detected association could be due to either contamination of the environment arising from wildlife preferentially aggregating around waterways or runoff of deposited material on topsoil accumulating in and around waterways. Considering the findings of this thesis and previous work in this field, it is evident that C. burnetii environmental contamination is context specific, depending on many factors including but not limited to the source of bacterial release, surrounding terrain and weather conditions. Overall, the work presented in this dissertation serves as a guiding model for research on C. burnetii geospatial contamination elsewhere.