Viability of Baylisascaris procyonis eggs.
Worms were harvested from the intestines of infected raccoons from Goleta, California, USA. Eggs were removed from adult female worms and allowed to embryonate in sterile saline at room temperature for 3 weeks.
To determine the thermal death point, 150 [micro]L each of embryonated eggs, at a concentration of 100 eggs per [micro]L were added to six 1-mL polypropylene tubes of sterile water. The 6 tubes were then added to a water bath at 35[degrees]C and allowed to sit for 10 min to equilibrate. Temperature of the water bath was increased at a rate of [approximately equal to] 5[degrees]C every 7 min, and 1 tube was removed at 5[degrees] increments from 37[degrees]C to 62[degrees]C. Eggs were then examined by light microscopy to determine viability as judged by larval motility. A minimum of 50 eggs were examined per assay, and larval motility was judged as +/-. The experiment was repeated using a more objective assessment of viability through examination of hatched larvae. Inactivation was measured by using a viability dye (methylene blue) exclusion method where uptake of dye indicates cell death and inactivation. After the eggs were removed from the heat, the mammilated layer was removed through exposure to undiluted household bleach (6% sodium hypochlorite) to promote subsequent emerging of larvae, then washed 5 times in 0.85% saline for 1 min at 600 x g. Hatching was achieved by the glass bead method (6,7). Hatched larvae were then removed and mixed 1:1 with a 1:10,000 dilution of methylene blue. Viable larvae remained motile and remained unstained (Figure 1), whereas nonviable larvae absorbed the methylene blue stain (Figure 2) (8).
The experiment was repeated by adding the heated water, in 5[degrees] increments from 37[degrees]C to 62[degrees]C, directly into the tube containing the eggs. Eggs were exposed to the water for <1 min. Eggs were then processed as described and examined by light microscopy. All experiments were replicated.
To determine the ability of eggs to withstand freezing temperatures, 150 [micro]L each of embryonated eggs at a concentration of 100 eggs per [micro]L were added to ten 1-mL polypropylene tubes of sterile water. The tubes of eggs were exposed to an environment of -15[degrees]C. Every 30 days, 1 tube was removed and thawed at room temperature. Viability was evaluated by using both motility and methylene dye exclusion as described above. After examination, tubes were refrozen. Each month, in addition to the evaluation of a fresh tube, tubes from the previous months were reevaluated to examine the effects of freeze-thaw. A total of 5 freeze-thaw cycles were evaluated.
[FIGURE 1 OMITTED]
[FIGURE 2 OMITTED]
To assess survival of eggs to total desiccation, 150 [micro]L each of embryonated eggs, at a concentration of 100 eggs per [micro]L, were added to ten 1-mL wells of sterile water in a microtiter plate. The plates were stored at room temperature and allowed to dehydrate to complete desiccation over a 1-week period. Monthly, 1 mL of sterile water was added and evaluated for eggs and assessed for viability. Assessments were made until complete inactivation occurred.
All larvae remained viable to 47[degrees]C; >90% of the larvae were viable at 52[degrees]C, and 50% were viable at 57[degrees]C. Larve were completely inactivated at 62[degrees]C (Table). When the heated water was added directly to the eggs, all larvae remained viable through 42[degrees]C, and most larvae were viable at 47[degrees]C and 52[degrees]C. Complete inactivation occurred at 57[degrees]C (Table).
Eggs survived complete desiccation for at least 6 months at room temperature. Total loss of viability was observed after 7 months of desiccation. Eggs frozen at -15[degrees]C for 6 months demonstrated no reduction in viability. Freeze-thaw, including exposure to 5 cycles, did not affect survival. Although we did not specifically design experiments to assess the effect of chlorine on inactivation of B. procyonis eggs, exposure to undiluted household bleach for 90 min to remove the mammillated layer did not affect viability.
These findings indicate that B. procyonis eggs have a low thermal death point at [less than or equal to] 62[degrees]C, similar to that reported for other ascarids (5,9). Moreover, inactivation was achieved at relatively short exposure times. However, the eggs are highly resistant to desiccation. Additionally, extended freezing or freeze-thaw exposure is unlikely to have affect viability, similar to Parascaris equorum (10). Exposure to undiluted bleach had no observable effect on survival.
In North America, the prevalence of B. procyonis is high, and infection is possible wherever raccoons are found (11-14). Given the close association of raccoons with human populations and the serious nature of infection, identification of the parameters of viability of B. procyonis larvae has public health implications (15). Potential for human infection can be mitigated by decontamination of areas known to be contaminated with raccoon feces. Such contamination of yards, pools, and homes is commonly reported. Hyperchlorination of contaminated swimming pool water is unlikely to be effective. However, current recommendations are to completely drain water and refill pools or to allow complete filtration and turnover of water and to discard and replace the filter material. Given the low thermal death point of B. procyonis eggs, the use of readily available steam-producing devices may be of value in disinfecting contaminated areas. Moreover, because freezing and freeze-thaw do not affect viability, contamination in areas that have cold winters represents potential risk. Because eggs can survive periods of prolonged desiccation, areas contaminated with raccoon feces that have dried cannot be considered safe. However, the recognition of complete inactivation of eggs at relatively low temperatures provides guidance in circumstances where contamination with B. procyonis eggs requires disinfection efforts and indicates that approaches well short of incineration or boiling will be effective. Furthermore, these results suggest that temperatures achievable in point-of-use hot water heaters (household units) can deactivate infectious B. procyonis eggs and provide an option for maintaining safe drinking water during a possible bioterrorism event or a boil water advisory. Further studies are needed to determine the effectiveness of heat and other possible disinfection methods on inactivation of eggs in natural circumstances, such as contaminated play areas and soil.
We thank Lawrence Ash for reviewing the manuscript and critiquing the experimental design of the study.
This study was supported by grant S3049 from the Associated Schools of Public Health and the Centers for Disease Control and Prevention and by the UCLA Weisman Fund.
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Address for correspondence: Shira C. Shafir, Department of Epidemiology, Center for Health Sciences, UCLA School of Public Health, Rm 21-245, 650 Charles E. Young Dr, Los Angeles, CA 90024, USA; email: firstname.lastname@example.org
Author affiliations: University of California Los Angeles School of Public Health, Los Angeles, California, USA (S.C. Shafir, F.J. Sorvillo, T. Sorvillo); Los Angeles County Department of Public Health, Los Angeles (F.J. Sorvillo); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (M.L. Eberhard); and Trident University International, Cypress, California, USA (F.J. Sorvillo)
Dr Shafir recently completed her PhD in infectious disease epidemiology at the UCLA School of Public Health and is working there as an assistant professor in the Department of Epidemiology. Her primary research interest is parasitic diseases.
Table. Viability of Baylisacaris procyonis eggs in sterile water when exposed to 2 different heating conditions Temperature water emperature of hot slowly heated to, water added, [degrees]C % Viable [degrees]C % Viable 37[degrees]C 100 37 100 42[degrees]C 100 42 100 47[degrees]C 100 47 98 52[degrees]C 94 52 92 57[degrees]C 50 57 0 62[degrees]C 0 62 0
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|Author:||Shafir, Shira C.; Sorvillo, Frank J.; Sorvillo, Teresa; Eberhard, Mark L.|
|Publication:||Emerging Infectious Diseases|
|Date:||Jul 1, 2011|
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