havelock north waterborne outbreak august 2016 · acknowledgements ministry of health hawkes bay...
TRANSCRIPT
![Page 1: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/1.jpg)
Havelock North Waterborne Outbreak
August 2016The Worlds Largest Campylobacteriosis Outbreak
Brent [email protected]
17 May 2017Health Related Water Microbiology Conference
Chapel Hill
![Page 2: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/2.jpg)
Thursday 18th August 2016
![Page 3: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/3.jpg)
![Page 4: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/4.jpg)
CampylobacteriosisCampylobacter jejuni
![Page 5: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/5.jpg)
Campylobacteriosis
Health Intelligence Team, ESR
![Page 6: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/6.jpg)
10
20
BV3 BV2 BV1
![Page 7: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/7.jpg)
Water
Saturday Monday Wednesday Friday
![Page 8: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/8.jpg)
Water samples (sampled 12 Aug)
DescriptionTotal
coliforms E. coli CampylobacterBore 1 37 10 Not detectedBore 2 30 13 C. jejuni41 Hikanui Dr 110 23 C. jejuni31 Endsleigh Rd 48 12 C. jejuni92 Endsleigh Rd 51 23 C. jejuniLibrary 46 14 C. jejuni
![Page 9: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/9.jpg)
MBiT – 18 genes
![Page 10: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/10.jpg)
MBiT results (Friday 19 Aug)Water
Human
Chicken
Ovine
Deer
Bovine
Wildfowl
Porcine
Turkey
Ostrich
Kiwi
Alpaca
Havelock Clinical
Havelock Water
Water
Human
Chicken
Ovine
Deer
Bovine
Wildfowl
Porcine
Turkey
Ostrich
Kiwi
Alpaca
Havelock Clinical
Havelock Water
![Page 11: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/11.jpg)
![Page 12: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/12.jpg)
Human,
Surface w ater,
Human,1
Ovine,
Pit,
Bore w ater,
Ovine,1
Reticulated Water,
Reticulated Water,1
Bovine,
Surface w ater,1
Bore w ater,1
Animal,
Bovine,1
Pit,1
MB
iTA
nal
ysis
Whole Genome Sequencing
![Page 13: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/13.jpg)
coreMLST (>1200 genes)
688830
744
859
21
Whole Genome Sequencing
(SNP Analysis)
![Page 14: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/14.jpg)
![Page 15: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/15.jpg)
Perfect Storm
![Page 16: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/16.jpg)
![Page 17: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/17.jpg)
![Page 18: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/18.jpg)
![Page 19: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/19.jpg)
![Page 20: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/20.jpg)
10
20
BV3 BV2 BV1
![Page 21: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/21.jpg)
Mangateretere Stream Pond 6th Sep 2016
![Page 22: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/22.jpg)
![Page 23: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/23.jpg)
Acknowledgements
Ministry of HealthHawkes Bay DHB Nick JonesHawkes Bay Regional Council Stephen SwabeyTonkin & Taylor Tony CussinsClinical LaboratoriesESR Kirsten Thom, Hayley Erskine, Wendy Williamson, Susan Lin, Paula Scholes, Maurice Wilson, Rob Lake, Chris Nokes, Murray Close, Margaret MacKenzie, Erin McGill, Judith Webber, Beth Robson,, Angela Cornelius, Lucy Rivas, Christina Bir; Graham Mackereth; Graeme Benny; Virginia Hope; Angela Brounts; Chris Hewison; Nadia Anderson; Jill Sherwood; Rebecca Roos; Tim Wood; Shevaun Paine; Tammy Hambling, Jenny Draper, Marilyn Piercy, Una Ren, Nicole Moore, Kristin Dyet, Muriel Dufour, Dave Duncan, Naveena KarkiMassey University Jonathan Marshall, Patrick Biggs, David Hayman, Nigel French, David Wilkinson, Ji Zhang
![Page 24: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/24.jpg)
https://www.dia.govt.nz/Government-Inquiry-into-Havelock-North-Drinking-Water
![Page 25: Havelock North Waterborne Outbreak August 2016 · Acknowledgements Ministry of Health Hawkes Bay DHB Nick Jones Hawkes Bay Regional Council Stephen Swabey Tonkin & Taylor Tony Cussins](https://reader035.vdocuments.mx/reader035/viewer/2022071011/5fc940395bbeab0f2847c596/html5/thumbnails/25.jpg)
End of May