Human salmonellosis is one of the most significant foodborne illnesses worldwide. In Japan, Salmonella-related foodborne diseases have decreased during 2000-2010; however, it still ranks as one of the top three bacterial agents causing foodborne disease. Salmonella Enteritidis has been the most frequently isolated serotype over the past 10 years and the foodborne disease outbreaks caused by S. Enteritidis in Japan have been mainly attributed to the consumption of foods associated with contaminated eggs [1].
In 2006, the Food Safety Commission of Japan started to organize the risk profile of S. Enteritidis contamination in eggs in order to conduct a risk assessment. In this process, it was pointed out that a nationwide estimate of S. Enteritidis contamination in eggs was necessary for the risk assessment. In the present study, commercial eggs were collected across Japan and tested for S. Enteritidis.
Commercial eggs were collected at 15 of 47 prefectures (Hokkaido, Aomori, Miyagi, Gunma, Ibaraki, Tokyo, Kanagawa, Mie, Kyoto, Osaka, Hiroshima, Ehime, Oita, Kumamoto, Kagoshima) across Japan. A total of 600 eggs of 15 different types of package labels (40 eggs/package label) were purchased at retail stores in each area and 9000 eggs were collected in 15 areas at every sampling time. In total, 108 000 eggs were collected during 12 samplings from June 2010 to January 2011. Eggs were collected twice monthly from September to December. These eggs were transported to our laboratory at room temperature. Tests for S. Enteritidis were started within 3 days of receiving the eggs. When egg shell cracks were detected, those eggs were discarded, leaving 105 033 of 108 000 collected eggs for testing. These shell cracks were mainly due to accidents during the transport of the eggs.
Tests of the egg contents were performed according to methods described by the Salmonella enteritidis Pilot Project [Reference Schlosser2]. Contents of 20 eggs were pooled and homogenized in a sterile plastic bag and incubated for 3 days at room temperature (26 °C). After the incubation, one loop (10 μl) of each culture was inoculated onto CHROMagar Salmonella agar (Becton Dickinson, USA) and desoxycholate-hydrogen sulphate-lactose agar (Eiken Co. Ltd, Japan) supplemented with novobiocin (20 mg/l), then incubated at 37°C for 24 h. Suspected Salmonella colonies were isolated and identified biochemically with API20E (Sysmex bioMérieux Co. Ltd, Japan) and Salmonella isolates were then tested for agglutination with O antisera and tube agglutination with H antisera. S. Enteritidis was confirmed according to the Kauffman–White scheme [Reference Grimont and Weill3]. Phage typing of S. Enteritidis was performed at the National Institute for Infectious Diseases, which is the reference laboratory for phage typing of Salmonella in Japan.
The Clopper–Pearson exact test was used to calculate 95% confidence intervals (CI) for the prevalence of S. Enteritidis in liquid eggs [Reference Clopper and Pearson4].
A total of 105 033 eggs (5400 pooled samples) were tested and S. Enteritidis was isolated from three of the pooled egg samples. These three cases of S. Enteritidis contamination seem to be independent as the farm of origin, grading and packaging centre, distributor and place of purchase were all different from each other. The phage types of these S. Enteritidis isolates were PT1 (two isolates) and PT47 (one isolate) which were two major phage types of S. Enteritidis isolates recovered from foodborne diseases in Japan, 2010.
Assuming that only one egg out of 20 was contaminated with S. Enteritidis in each of the three positive samples, 0·0029% (95% CI 0·0025–0·0032) is the prevalence of S. Enteritidis of liquid eggs in Japan. This postulation appears reasonable because Salmonella egg contamination was not detected during a recent survey conducted by the Ministry of Agriculture, Forestry and Fisheries (MAFF) of Japan [Reference Sasaki5] which tested 20 300 eggs, making the rate less than 1/20 300. The prevalence of S. Enteritidis obtained from a 1990–1992 survey was 0·03% (7/26 400), and this decreased to about 0·003% (3/90 100) in a 2004 study [Reference Nakanishi6, Reference Lapuz7]. These surveys were performed in limited areas of Japan, and the prevalence of 2004 was biased because eggs from known Salmonella-contaminated farms were also tested. In the present study, the eggs were randomly collected across Japan and the rate of S. Enteritidis egg isolation would be the nearest to the true national contamination rate in data obtained so far.
The decrease of Salmonella contamination from the late 1990s to 2000s might be the result of various efforts for Salmonella control in the late 1990s. In 1998, S. Enteritidis and S. Tyhimurium were designated as notifiable infectious diseases by the revision of the Act on Domestic Animal Infectious Disease Control. Moreover, the standards of chicken egg or household egg handling guidelines (e.g. the setting of best-before date) were set and the use of inactivated Salmonella vaccine for S. Enteritidis or S. Typhimurium was approved. In response to these measures, producers increased efforts to produce clean eggs. After these approaches, the detection rate of S. Enteritidis in layer farms had decreased by half [Reference Sato8] and foodborne diseases caused by Salmonella decreased by 90% (757 cases in 1998 to 73 cases in 2010).
In summary, the rate of S. Enteritidis contamination in commercial eggs is estimated at 0·003% following the Japan-wide surveillance. The decreased rate of S. Enteritidis egg contamination mirrors decreases in foodborne illness in humans due to Salmonella in Japan over this time. These decreases of Salmonella contamination could be the results of various approaches for Salmonella control from farm to table. To the best of our knowledge, the results of the present study provide the most recent dataset of the prevalence of S. Enteritidis in shell eggs at retail shops in Japan.
DECLARATION OF INTEREST
None.
ACKNOWLEDGEMENTS
This research was supported by grants-in-aid from the Food Safety Commission, Japan. The authors acknowledge Dr H. Izumiya, Dr M. Ohnishi and Dr H. Watanabe of the National Institute of Infectious Diseases for performing phage typing. We are grateful to Dr P. Holt of the Agricultural Research Service of the U.S. Department of Agriculture for critical reading of the manuscript and suggestions for improvement.