District Veterinary Office, Enniscorthy, Co, Wexford, Ireland.
Ir Vet J. 2009 Jun 1;62(6):390-7. doi: 10.1186/2046-0481-62-6-390.
Bovine tuberculosis is an ongoing problem in Ireland, and herd incidence has remained at approximately 5% for some years. Spillover of infection from cattle to people remains an ever-present possibility, given the ongoing pool of infection in the Irish cattle population. This paper describes an outbreak of tuberculosis affecting cattle and people on a dairy farm in southeastern Ireland following the consumption of milk from a seven-year-old cow with tuberculous mastitis. Twenty-five of 28 calves born during autumn 2004 and spring 2005 were subsequently identified as TB reactors, and five of six family members were positive on the Mantoux test. During 2005, milk from this cow had mainly been used to feed calves, and was added only occasionally to the bulk tank. Therefore, the calves each received infected milk on an almost continuous basis between birth and weaning. The family collected milk from the bulk milk tank, and consumed it without pasteurisation. This case highlights the risks associated with the consumption of raw milk. In this family, TB has had a very significant impact on the health of two young children. These risks are well recognised, and relevant information for farmers is available. It is of concern, therefore, that raw milk consumption remains prevalent on Irish farms. New strategies are needed, in partnership with industry, to address this important issue.
bovine tuberculosis, Ireland, mastitis, milk, Mycobacterium bovis, pasteurisation, TB, zoonosis.
牛结核病是爱尔兰目前存在的一个问题，其畜群发病率在过去几年中一直维持在 5%左右。考虑到爱尔兰牛群中持续存在的感染源，牛向人群的感染溢出仍然是一个随时可能发生的情况。本文描述了爱尔兰东南部一个奶牛场在食用患有结核乳腺炎的 7 岁奶牛的牛奶后，牛和人结核病爆发的情况。2004 年秋季和 2005 年春季出生的 28 头小牛中，有 25 头随后被鉴定为结核病反应者，6 名家庭成员中有 5 人曼托氏试验阳性。在 2005 年，这头奶牛的牛奶主要用于喂养小牛，偶尔会添加到大桶中。因此，小牛从出生到断奶期间几乎连续地接受了受感染的牛奶。这家人从大桶奶中收集牛奶，未经巴氏消毒就饮用。该病例突出了与饮用生奶相关的风险。在这个家庭中，结核病对两个年幼孩子的健康产生了非常重大的影响。这些风险是众所周知的，并且为农民提供了相关信息。因此，生奶消费在爱尔兰农场仍然很普遍，这令人担忧。需要与行业合作，制定新的策略来解决这个重要问题。
牛结核病、爱尔兰、乳腺炎、牛奶、牛分枝杆菌、巴氏消毒、结核病、人畜共患病。
