Jonathan Porter Edyta Bartkowska Rob Bonsor Andy Gawler Matilda La Trobe Rachel Long Natalie Nicholson Louise Pearce
Nick Pye Keith Salter Steve Wilde
National Laboratory Service Starcross Devon Tel 01626 892742 jonathanporterenvironment-agencygovuk
Developments in Microbial Source Tracking
Sta
rcro
ss a
nd the B
runel P
um
pin
g S
tation f
rom
the E
xe -
geogra
pho
rgu
k -
1285641
by S
ara
h C
harlesw
ort
h
Lic
ensed u
nder
CC
BY
-SA
20
via
Com
mons
Devo
n U
K locatio
n m
ap
by C
onta
ins O
rdnance S
urv
ey d
ata
copy C
row
n c
opyri
ght and d
ata
base r
ight L
icensed u
nder
CC
BY
-SA
30
via
Com
mons
Source Tracking If we know where the bacteria are coming from we can target our work bull 04-08 humans ruminants bull 08-09 dogs birds bull 10-12 cows sheep pigs
Well that just about wraps things up then All UK microbiological water quality issues can now be resolved
Hum Rum
33 67
1 99
13 87
4 96
80 20
18 82
6 94
16 84
What does MST data tell you ndash case study
gt40 bathing water samples collected
Eight samples had high bacti counts
Agricultural sources dominated seven out of eight
We are NOT able to state (67+99+87hellip)7 = 79
of the faecal bacteria are from ruminant sources
We ARE able to state that faecal bacteria associated with ruminant animals dominated in these samples
Interpret the pattern with local knowledge
This recommendation is still in place
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST for sea birds Catellicoccus marimammalium
[Catmar]
_________________________________________
Sample Catmar _____________________________________ Water (expected positive) 435 Water (expected negative) 191
Gull 870 Goose 335 Swan 356 Pheasant 0 Duck 384 Pigeon 381 ____________________________________
Example Catmar data known samples
Data are log10 copies litre or g wet weight
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using culturable E coli
Sim
on
Davis
DF
ID
A G C G G A T A G C G G
C A T C G C C A T C G C T T
EXPECTED
MST using culturable E coli
C
T A G C G G
A T C G C C A T C G C T T
G C G G A A
BUT SOME ISOLATES
ldquoUnclassifiedrdquo isolates ndash 2 main types Animal E coli ndash 2 mismatches in probe Human E coli ndash 3 mismatches in forward primer and final base in forward primer overlaps with probe sequence One isolate ndash excellent match to E fergusonii and various Salmonella enterica serovars Clearly contains the uid gene and phenotypically β-glucuronidase positive
MST using culturable E coli
y = 08x + 09 Rsup2 = 087
150
200
250
300
350
400
450
500
550
150 200 250 300 350 400 450 500 550
Total E coli by the bathing water directive
Hu
man
+ a
nim
al
E co
li b
y D
NA
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Source Tracking If we know where the bacteria are coming from we can target our work bull 04-08 humans ruminants bull 08-09 dogs birds bull 10-12 cows sheep pigs
Well that just about wraps things up then All UK microbiological water quality issues can now be resolved
Hum Rum
33 67
1 99
13 87
4 96
80 20
18 82
6 94
16 84
What does MST data tell you ndash case study
gt40 bathing water samples collected
Eight samples had high bacti counts
Agricultural sources dominated seven out of eight
We are NOT able to state (67+99+87hellip)7 = 79
of the faecal bacteria are from ruminant sources
We ARE able to state that faecal bacteria associated with ruminant animals dominated in these samples
Interpret the pattern with local knowledge
This recommendation is still in place
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST for sea birds Catellicoccus marimammalium
[Catmar]
_________________________________________
Sample Catmar _____________________________________ Water (expected positive) 435 Water (expected negative) 191
Gull 870 Goose 335 Swan 356 Pheasant 0 Duck 384 Pigeon 381 ____________________________________
Example Catmar data known samples
Data are log10 copies litre or g wet weight
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using culturable E coli
Sim
on
Davis
DF
ID
A G C G G A T A G C G G
C A T C G C C A T C G C T T
EXPECTED
MST using culturable E coli
C
T A G C G G
A T C G C C A T C G C T T
G C G G A A
BUT SOME ISOLATES
ldquoUnclassifiedrdquo isolates ndash 2 main types Animal E coli ndash 2 mismatches in probe Human E coli ndash 3 mismatches in forward primer and final base in forward primer overlaps with probe sequence One isolate ndash excellent match to E fergusonii and various Salmonella enterica serovars Clearly contains the uid gene and phenotypically β-glucuronidase positive
MST using culturable E coli
y = 08x + 09 Rsup2 = 087
150
200
250
300
350
400
450
500
550
150 200 250 300 350 400 450 500 550
Total E coli by the bathing water directive
Hu
man
+ a
nim
al
E co
li b
y D
NA
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Well that just about wraps things up then All UK microbiological water quality issues can now be resolved
Hum Rum
33 67
1 99
13 87
4 96
80 20
18 82
6 94
16 84
What does MST data tell you ndash case study
gt40 bathing water samples collected
Eight samples had high bacti counts
Agricultural sources dominated seven out of eight
We are NOT able to state (67+99+87hellip)7 = 79
of the faecal bacteria are from ruminant sources
We ARE able to state that faecal bacteria associated with ruminant animals dominated in these samples
Interpret the pattern with local knowledge
This recommendation is still in place
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST for sea birds Catellicoccus marimammalium
[Catmar]
_________________________________________
Sample Catmar _____________________________________ Water (expected positive) 435 Water (expected negative) 191
Gull 870 Goose 335 Swan 356 Pheasant 0 Duck 384 Pigeon 381 ____________________________________
Example Catmar data known samples
Data are log10 copies litre or g wet weight
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using culturable E coli
Sim
on
Davis
DF
ID
A G C G G A T A G C G G
C A T C G C C A T C G C T T
EXPECTED
MST using culturable E coli
C
T A G C G G
A T C G C C A T C G C T T
G C G G A A
BUT SOME ISOLATES
ldquoUnclassifiedrdquo isolates ndash 2 main types Animal E coli ndash 2 mismatches in probe Human E coli ndash 3 mismatches in forward primer and final base in forward primer overlaps with probe sequence One isolate ndash excellent match to E fergusonii and various Salmonella enterica serovars Clearly contains the uid gene and phenotypically β-glucuronidase positive
MST using culturable E coli
y = 08x + 09 Rsup2 = 087
150
200
250
300
350
400
450
500
550
150 200 250 300 350 400 450 500 550
Total E coli by the bathing water directive
Hu
man
+ a
nim
al
E co
li b
y D
NA
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Hum Rum
33 67
1 99
13 87
4 96
80 20
18 82
6 94
16 84
What does MST data tell you ndash case study
gt40 bathing water samples collected
Eight samples had high bacti counts
Agricultural sources dominated seven out of eight
We are NOT able to state (67+99+87hellip)7 = 79
of the faecal bacteria are from ruminant sources
We ARE able to state that faecal bacteria associated with ruminant animals dominated in these samples
Interpret the pattern with local knowledge
This recommendation is still in place
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST for sea birds Catellicoccus marimammalium
[Catmar]
_________________________________________
Sample Catmar _____________________________________ Water (expected positive) 435 Water (expected negative) 191
Gull 870 Goose 335 Swan 356 Pheasant 0 Duck 384 Pigeon 381 ____________________________________
Example Catmar data known samples
Data are log10 copies litre or g wet weight
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using culturable E coli
Sim
on
Davis
DF
ID
A G C G G A T A G C G G
C A T C G C C A T C G C T T
EXPECTED
MST using culturable E coli
C
T A G C G G
A T C G C C A T C G C T T
G C G G A A
BUT SOME ISOLATES
ldquoUnclassifiedrdquo isolates ndash 2 main types Animal E coli ndash 2 mismatches in probe Human E coli ndash 3 mismatches in forward primer and final base in forward primer overlaps with probe sequence One isolate ndash excellent match to E fergusonii and various Salmonella enterica serovars Clearly contains the uid gene and phenotypically β-glucuronidase positive
MST using culturable E coli
y = 08x + 09 Rsup2 = 087
150
200
250
300
350
400
450
500
550
150 200 250 300 350 400 450 500 550
Total E coli by the bathing water directive
Hu
man
+ a
nim
al
E co
li b
y D
NA
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST for sea birds Catellicoccus marimammalium
[Catmar]
_________________________________________
Sample Catmar _____________________________________ Water (expected positive) 435 Water (expected negative) 191
Gull 870 Goose 335 Swan 356 Pheasant 0 Duck 384 Pigeon 381 ____________________________________
Example Catmar data known samples
Data are log10 copies litre or g wet weight
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using culturable E coli
Sim
on
Davis
DF
ID
A G C G G A T A G C G G
C A T C G C C A T C G C T T
EXPECTED
MST using culturable E coli
C
T A G C G G
A T C G C C A T C G C T T
G C G G A A
BUT SOME ISOLATES
ldquoUnclassifiedrdquo isolates ndash 2 main types Animal E coli ndash 2 mismatches in probe Human E coli ndash 3 mismatches in forward primer and final base in forward primer overlaps with probe sequence One isolate ndash excellent match to E fergusonii and various Salmonella enterica serovars Clearly contains the uid gene and phenotypically β-glucuronidase positive
MST using culturable E coli
y = 08x + 09 Rsup2 = 087
150
200
250
300
350
400
450
500
550
150 200 250 300 350 400 450 500 550
Total E coli by the bathing water directive
Hu
man
+ a
nim
al
E co
li b
y D
NA
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
MST for sea birds Catellicoccus marimammalium
[Catmar]
_________________________________________
Sample Catmar _____________________________________ Water (expected positive) 435 Water (expected negative) 191
Gull 870 Goose 335 Swan 356 Pheasant 0 Duck 384 Pigeon 381 ____________________________________
Example Catmar data known samples
Data are log10 copies litre or g wet weight
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using culturable E coli
Sim
on
Davis
DF
ID
A G C G G A T A G C G G
C A T C G C C A T C G C T T
EXPECTED
MST using culturable E coli
C
T A G C G G
A T C G C C A T C G C T T
G C G G A A
BUT SOME ISOLATES
ldquoUnclassifiedrdquo isolates ndash 2 main types Animal E coli ndash 2 mismatches in probe Human E coli ndash 3 mismatches in forward primer and final base in forward primer overlaps with probe sequence One isolate ndash excellent match to E fergusonii and various Salmonella enterica serovars Clearly contains the uid gene and phenotypically β-glucuronidase positive
MST using culturable E coli
y = 08x + 09 Rsup2 = 087
150
200
250
300
350
400
450
500
550
150 200 250 300 350 400 450 500 550
Total E coli by the bathing water directive
Hu
man
+ a
nim
al
E co
li b
y D
NA
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
_________________________________________
Sample Catmar _____________________________________ Water (expected positive) 435 Water (expected negative) 191
Gull 870 Goose 335 Swan 356 Pheasant 0 Duck 384 Pigeon 381 ____________________________________
Example Catmar data known samples
Data are log10 copies litre or g wet weight
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using culturable E coli
Sim
on
Davis
DF
ID
A G C G G A T A G C G G
C A T C G C C A T C G C T T
EXPECTED
MST using culturable E coli
C
T A G C G G
A T C G C C A T C G C T T
G C G G A A
BUT SOME ISOLATES
ldquoUnclassifiedrdquo isolates ndash 2 main types Animal E coli ndash 2 mismatches in probe Human E coli ndash 3 mismatches in forward primer and final base in forward primer overlaps with probe sequence One isolate ndash excellent match to E fergusonii and various Salmonella enterica serovars Clearly contains the uid gene and phenotypically β-glucuronidase positive
MST using culturable E coli
y = 08x + 09 Rsup2 = 087
150
200
250
300
350
400
450
500
550
150 200 250 300 350 400 450 500 550
Total E coli by the bathing water directive
Hu
man
+ a
nim
al
E co
li b
y D
NA
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using culturable E coli
Sim
on
Davis
DF
ID
A G C G G A T A G C G G
C A T C G C C A T C G C T T
EXPECTED
MST using culturable E coli
C
T A G C G G
A T C G C C A T C G C T T
G C G G A A
BUT SOME ISOLATES
ldquoUnclassifiedrdquo isolates ndash 2 main types Animal E coli ndash 2 mismatches in probe Human E coli ndash 3 mismatches in forward primer and final base in forward primer overlaps with probe sequence One isolate ndash excellent match to E fergusonii and various Salmonella enterica serovars Clearly contains the uid gene and phenotypically β-glucuronidase positive
MST using culturable E coli
y = 08x + 09 Rsup2 = 087
150
200
250
300
350
400
450
500
550
150 200 250 300 350 400 450 500 550
Total E coli by the bathing water directive
Hu
man
+ a
nim
al
E co
li b
y D
NA
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
MST using culturable E coli
Sim
on
Davis
DF
ID
A G C G G A T A G C G G
C A T C G C C A T C G C T T
EXPECTED
MST using culturable E coli
C
T A G C G G
A T C G C C A T C G C T T
G C G G A A
BUT SOME ISOLATES
ldquoUnclassifiedrdquo isolates ndash 2 main types Animal E coli ndash 2 mismatches in probe Human E coli ndash 3 mismatches in forward primer and final base in forward primer overlaps with probe sequence One isolate ndash excellent match to E fergusonii and various Salmonella enterica serovars Clearly contains the uid gene and phenotypically β-glucuronidase positive
MST using culturable E coli
y = 08x + 09 Rsup2 = 087
150
200
250
300
350
400
450
500
550
150 200 250 300 350 400 450 500 550
Total E coli by the bathing water directive
Hu
man
+ a
nim
al
E co
li b
y D
NA
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
A G C G G A T A G C G G
C A T C G C C A T C G C T T
EXPECTED
MST using culturable E coli
C
T A G C G G
A T C G C C A T C G C T T
G C G G A A
BUT SOME ISOLATES
ldquoUnclassifiedrdquo isolates ndash 2 main types Animal E coli ndash 2 mismatches in probe Human E coli ndash 3 mismatches in forward primer and final base in forward primer overlaps with probe sequence One isolate ndash excellent match to E fergusonii and various Salmonella enterica serovars Clearly contains the uid gene and phenotypically β-glucuronidase positive
MST using culturable E coli
y = 08x + 09 Rsup2 = 087
150
200
250
300
350
400
450
500
550
150 200 250 300 350 400 450 500 550
Total E coli by the bathing water directive
Hu
man
+ a
nim
al
E co
li b
y D
NA
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
C
T A G C G G
A T C G C C A T C G C T T
G C G G A A
BUT SOME ISOLATES
ldquoUnclassifiedrdquo isolates ndash 2 main types Animal E coli ndash 2 mismatches in probe Human E coli ndash 3 mismatches in forward primer and final base in forward primer overlaps with probe sequence One isolate ndash excellent match to E fergusonii and various Salmonella enterica serovars Clearly contains the uid gene and phenotypically β-glucuronidase positive
MST using culturable E coli
y = 08x + 09 Rsup2 = 087
150
200
250
300
350
400
450
500
550
150 200 250 300 350 400 450 500 550
Total E coli by the bathing water directive
Hu
man
+ a
nim
al
E co
li b
y D
NA
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
ldquoUnclassifiedrdquo isolates ndash 2 main types Animal E coli ndash 2 mismatches in probe Human E coli ndash 3 mismatches in forward primer and final base in forward primer overlaps with probe sequence One isolate ndash excellent match to E fergusonii and various Salmonella enterica serovars Clearly contains the uid gene and phenotypically β-glucuronidase positive
MST using culturable E coli
y = 08x + 09 Rsup2 = 087
150
200
250
300
350
400
450
500
550
150 200 250 300 350 400 450 500 550
Total E coli by the bathing water directive
Hu
man
+ a
nim
al
E co
li b
y D
NA
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
MST using culturable E coli
y = 08x + 09 Rsup2 = 087
150
200
250
300
350
400
450
500
550
150 200 250 300 350 400 450 500 550
Total E coli by the bathing water directive
Hu
man
+ a
nim
al
E co
li b
y D
NA
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
MST using viruses
Adenovirus
Norovirus (GI and GII)
Enterovirus (coxsackievirus)
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
MST using viruses ndash data
Censored data ltX values (also applies to gtX but very few of these) Geometric mean used as general descriptor Cannot substitute zero have substituted data points one sig fig below LOD (eg lt10 becomes 9 lt1 becomes 09) Frequency of detection approach used as part of the detailed analysis
0
10
20
30
40
50
60
70
80
000-099 100-199 200-299 300-399 400-499
Overall
Winter
Summer
Ob
serv
ed f
req
uen
cy
log10 Virus gene copies per litre
River water
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Viruses ndash can show exceptional host specificity - huge array of viruses as MST options - lack of basic ldquoenvironmentalrdquo data on most of them - not the sole or ultimate answer for MST but useful information - indicators vs pathogens
Md
k5
72
lic
en
se
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n-S
ha
re A
like
30
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
MST data analysis
We often get queries asking for guidance on MST data
- Partly because itrsquos ldquonewrdquo
- Partly because it is sometimes apparently confused
(Rare we get boxes of chocolates)
Data requires more than just general descriptors
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Shellfish waters south Devon Data from adjacent catchment consistently suggested ruminant sources were significant This dataset apparently much more confused
0
2
4
6
8
0 2 4 6
HuBac
RuBac
log10 Escherichia coli per 100 ml
log 1
0 M
ST m
arke
r p
er
10
0 m
l
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
0
20
40
60
80
100
Human
Ruminant
Early Late
M
ST m
arke
r
Explored the data looking for patterns
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
48h rainfall a key variable human when dry ruminant when wet but extent of change was sub-catchment specific __________________________________________ Site rainfall HumgtRum Mean E coli ( of samples) 100 ml ___________________________________________ Site 1 dry 75 243 Site 2 wet 50 329 Site 2 dry 100 076 Site 2 wet 20 157 Site 3 dry 84 169 Site 3 wet 11 208 ___________________________________________
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
__________________________________ mtBird Catmar BirdCatmar __________________________________ Duck 655 509 2918 Gull 525 914 0000 Pigeon 716 345 303848 Swan 682 588 2881 __________________________________
Exploring MST data ratios of markers
Data are log copies 1000 ml or g wet weight
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Exploratory MST data analysis 2 bathing waters approx 10 km apart multiple sample sites for each bathing water E coli and IE as standard directive parameters MST various data points from _________________________________________________________ HuBac - human-specific bacteria mtHuman - human DNA RuBac ndash ruminant-specific bacteria mtBird - bird DNA Catmar - sea-bird bacterial _________________________________________________________
Local knowledge ndash birds may be important wanted to differentiate (ducks andor pheasants) from (seabirds)
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Exploratory MST data analysis
Basic plots of the data looking for patterns Site-specific data has helped the investigation very strong Catmar signal at one sample point different sample site with possible pheasantduck impact mtBirdCatmar anything gt1 is non-seabird species anything lt 1 is from seabirds Local duck and pheasant samples support this claim (mtBirdCatmar 42 - 170000) Data from water samples all suggest mtBirdCatmar lt1 therefore bird pollution more likely to be seabirds
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Exploratory MST data analysis
Can we produce an ldquooverallrdquo picture Probably too few data points All data combined RuBac decreased over time HuBac increased Sorting data according to HuBac when HuBac is high HuBac correlates with E coli when HuBac is low Catmar correlates with IE
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses (and other pathogens) o data analysis o horses
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Linking MST data with the presence of pathogens Bear with me while I ramble
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Pathogenic E coli Diversity of mechanisms causing illness Specific phage carry toxin genes Plasmid DNA carries adherence genes Toxin genes VT1 and VT2 Adherence gene(s) eae Typically E coli O157H7 in the UK are VT2 positive eae positive
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Pathogenic bacteria Pathogenic bacteria - enrichment cultures (presenceabsence)
E coli pathogenicity genes VT1 amp VT2 (toxins) eae (attachment) Campylobacter jejuni hipO Campylobacter coli cadF C
DC
D
r P
atr
icia
Fie
lds D
r C
olle
tte
Fitzg
era
ld P
ho
to C
red
it
Ja
nic
e C
arr
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Linking MST data with the presence of pathogens When does bear become bore
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Bringing this bit together Combining MST data and pathogen data
MST marker Pathogen a b c d
Low Present 1 0 0 0
High Present 0 1 0 0
Low Absent 0 0 1 0
High Absent 0 0 0 1
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Associations of pathogens with different sources
HuBacgtRuBac eae High HuBac Low HuBac Total
Present 8 12 20 Absent 28 19 47 Total 36 31 67
ab 067 cd 147
Odds Ratio 045
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Associations of pathogens with different sources Shellfish waters south Devon _________________________________________________________ Pathogenicity marker Odds ratio (High ruminant pollution) _________________________________________________________ VT1 088 VT2 221 eae 156 VT1VT2eae 163 VT2eae 272 _________________________________________________________
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Associations of pathogens with different sources Some ldquojumpsrdquo in the chain but an increased likelihood (times27) of finding VT2 and eae when ruminant pollution exceeded human pollution Many clinical cases of E coli O157 are VT2eae positive Not absolute ndash but interesting
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
____________________________________________________________ Bacterial pathogen Odds ratio Viral pathogen Odds ratio ____________________________________________________________ VT1 108 Enterovirus na VT2 6 NV GI 04 eae 38 NV GII 10 VT1VT2eae 92 Adenovirus 07 VT2eae 6 hipO 51 cadF 15 cadFhipO 39 ____________________________________________________________ Odds ratios for the presence of the microbial pathogens when ruminant-specific pollution exceeds human-specific pollution
Thus emboldened we marched bravely on
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
MST ndash a work in progress
o bird markers unsatisfactory o bacterial isolates (E coli) o viruses and pathogens o data analysis o horses
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
Ima
ge
co
urt
esy o
f B
ria
n S
ne
lso
n H
ockle
y E
sse
x
En
gla
nd
lice
nse
d u
nd
er
the
Cre
ative
Com
mo
ns A
ttri
bu
tio
n
20
Ge
ne
ric lic
en
se
MST for horses
bull Mitochondrial
bull Bacterial
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
MST ndash a work in progress
o seabird marker ndash Catmar o E coli isolates ndash a step closer o viruses and pathogens o data analysis ndash slowly gaining confidence o horses ndash mitochondrial and bacterial
icrew
Thank you
icrew
Thank you
Thank you