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SPECIAL TOPICS |


* Food Safety Center of Excellence and Department of Animal Science, The University of Tennessee, Knoxville 37996;
and
Food and Feed Safety Research Unit, Southern Plains Agricultural Research Center, USDA-ARS, College Station, TX 77845; and
National Program Leader, Food Safety, USDA-ARS, Beltsville, MD 20705-5138
| Abstract |
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Key Words: Campylobacter jejuni Escherichia coli O157:H7 foodborne pathogen control Listeria monocytogenes preharvest food safety preharvest food safety research
| INTRODUCTION |
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More than 200 known diseases are transmitted through food by a variety of agents, including fungi, viruses, parasites, and bacteria. The threats are numerous and varied, such as Escherichia coli O157:H7 in meat and apple juice; Salmonella in eggs and on meat, vegetables, and poultry; Campylobacter in poultry, swine, and cattle; Vibrio in shellfish; Cyclospora and the hepatitis A virus on fruit; Cryptosporidium in drinking water; the safety and consumer perceptions of genetically modified foods; the impact of farming practices on chemical uptake in food; the migration of agricultural chemicals through soil, air, and water; and the overall impact of farming practices on human health.
Foodborne illness is a major factor contributing to morbidity and mortality in the United States and worldwide. Advances in science and technology, food production, and processing have made the food supply in the United States one of the safest in the world. However, in spite of this, every year people die and countless others suffer because of breaches in food safety. Consequently, the economic and public health burden of foodborne disease remains substantial [Economic Research Service (ERS), 2000). Estimates of food-related illness and deaths in the United States indicate that foodborne diseases cause approximately 76 million illnesses, 325,000 hospitalizations, and 5,000 deaths each year (Mead et al., 1999
). The demographic picture of the United States is also changing rapidly, with an increasing number of elderly people and immunocompromised individuals who are more susceptible to foodborne pathogens. A major challenge in food safety today is the complexity of the problem, because many zoonotic and nonzoonotic sources of microbial pathogens could breach the food safety barrier. Food safety begins with the soil, plant, or animal, and continues within the plant or animal through various stages of production and processing. Maintaining food safety is further exacerbated by the myriad methods of food production, processing, storage, distribution, and service; the variety of foods available and demanded; and the number of people involved with food preparation. Thus, it is evident that reducing the bacterial pathogen contamination of our food supply could save both lives and billions of dollars in costs annually.
The multibillion-dollar costs, together with the increasing frequency of foodborne disease outbreaks and the need for a modern system of food inspection, prompted a massive reform for pathogen reduction that resulted in implementation of the Hazard Analysis Critical Control Points System, more commonly referred to as HACCP. Consequently, there has been a surge of research activity into pathogen reduction strategies that were mainly inspired by the HACCP initiative. The nature of these systems affects not only food-processing plants, but also the food production unit, because this system is based on the evaluation of raw product received from the producer. In January of 2000, all food-processing plants were required to have an HACCP system in place that included the ability to trace foodborne pathogens back to the production unit. Thus, the food production unit needs a system(s) to detect the origin of the contamination as well as effective measures to reduce microbial contamination.
Food can become contaminated by a variety of factors (zoonotic or nonzoonotic, direct or indirect; Figure 3
). It is apparent that many factors are beyond the farm environment and farm operations and involve other aspects of food delivery, logistics, training, and education. Nevertheless, farm-associated pathogenic bacteria are directly or indirectly associated as risk factors in the entire commercial food chain. For example, pathogens carried on the hides or skin of animals or their raw products introduce pathogens into the food production environment. This may lead to direct contamination caused by faulty methods of food preparation or inadequate processing, or by indirect contamination through a buildup in the environment as biofilms. Animal activity on the farm, manure management, and effluent discharge influence bacterial populations in farm soil as well as associated pathogenic flora. Salad greens often harbor animal pathogens, and inadequate sanitation or treatment washes may lead to the presence of pathogens in the finished produce. Consumers rightfully deserve and expect a safe product each time, all the time. From a public health point of view, a reduction in foodborne and associated illnesses is paramount. To achieve this goal, animal farm operations need to share in their responsibility of producing a safe, healthy, and nutritious product. To address this goal in a practical and economical framework is a significant challenge for all stakeholders, including government, academia, the food and farm industry, consumers, and other advocacy groups.
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| FOODBORNE PATHOGENS OF INTEREST |
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From the standpoint of preharvest food safety in general and human health in particular, Salmonella spp., E. coli, Campylobacter jejuni, and Listeria monocytogenes are important foodborne pathogens affecting public health (Bean and Griffin, 1990
; Mead et al., 1999
; Bryan, 2001
). According to the Centers for Disease Control and Prevention, these pathogens are the leading causes of foodborne morbidity and mortality. Dairy and beef cattle can harbor and shed E. coli O157:H7, yet animals can remain asymptomatic. Campylobacter jejuni, L. monocytogenes, and Salmonella spp. are carried by cattle, poultry, and swine and are found in their associated farm environments (Figure 3
). Epidemiological data suggest that other pathogens, including Staphylococcus aureus, Clostridium perfringens, and Bacillus cereus are important pathogens that have origins on farms. The Streptococcus suis encountered in swine production is now recognized as a human pathogen. Viruses such as norovirus and hepatitis E, and parasites such as Cryptosporidium purvum and Toxoplasma gondii that are encountered in the farm environment are considered emerging pathogens because of their negative association with human health (Tauxe, 2002
; Koopmans and Duizer, 2004
).
The major pathogenic bacteria of animal origin transmitted through food in the United States include Salmonella, E. coli, C. jejuni, and L. monocytogenes (Wesley, 2006
). These pathogens are found in animal feces (Murinda et al., 2004
; Hutchison et al., 2005
); therefore, contamination of carcasses and food products by animal feces is likely to be a principal mode by which foodborne pathogens reach the consumer. Cattle, sheep, swine, chickens, and turkeys are principal reservoirs, but wild birds and various mammals that are common in farm environments can also be a source of these pathogens (DAoust et al., 2008
; Meng et al., 2008
; Nachamkin, 2008
; Swaminathan et al., 2008
). The contamination cycle in food-producing animals is through ingestion of contaminated feeds and water that can be contaminated by feces. The use of nontreated manure as fertilizer, the spread of slurry, and the use of recycled wastewater disseminate these pathogens even more. Stresses on animals caused by poor management and the types and quantities of animal feeds increase susceptibility to infection and shedding of foodborne pathogens (Cray et al., 1998
). All these environmental and management factors should be considered when attempting to identify farm practices and critical control points on the farm where contamination occurs, and then appropriate interventions can be implemented.
Salmonella spp. have been linked with illness among many animal species and humans, and are one of the most commonly reported causes of human foodborne disease (Bean and Griffin, 1990
). Salmonella live in the intestinal tract of various animal species and therefore represent a major reservoir for human foodborne disease. Studies have shown that Salmonella infection may be present on farms in the absence of clinical disease. In beef cattle, Salmonella was detected in 38 of 100 feedlots and in 21 of 187 beef cow-calf operations (Fedorka-Cray et al., 1998
; Dargatz et al., 2000
). On swine farms, Salmonella was detected on 58 of 152 farms, with a greater prevalence observed in states in the Southeast (65.5%) compared with states in the Midwest (29.9%; Bush et al., 1999
). Poultry is considered an important source of Salmonella. In a nationwide broiler chicken and raw ground chicken microbiological baseline data collection by USDA-Food Safety and Inspection Service, Salmonella was detected in 20% of broiler carcasses and 45% of ground chicken meat (Rabsch et al., 2003
). In addition, healthy animals can become carriers and shed Salmonella for long periods. Humans become infected primarily through fecal contamination of food products or water; however, direct contact with infected animals is another source of contamination, especially for farm families. Although a great percentage of human salmonellosis occurs through consumption of raw milk or dairy products manufactured with raw milk, human illnesses are frequently linked with consumption of poultry and pork products (Vugia et al., 2007
). Many of the >2,500 Salmonella enterica serotypes are isolated frequently from clinically infected animals. Salmonella enterica serovars Typhimurium, Enteritidis, Javiana, Hadar, Kentucky, and Anatum are among these serotypes, and Salmonella Typhimurium DT 104 is of particular concern to public health agencies because of its multiple antibiotic resistance genes (Besser et al., 2000
).
Because fecal shedding of Salmonella is one of the principal modes of on-farm contamination (Murinda et al., 2002a
), the question of how fecal shedding can be reduced is very relevant to human health. Research has demonstrated that reduction of Salmonella fecal shedding in poultry and swine production units is possible through the modification of management practices. A common approach used in the control of infectious disease is identifying infected and carrier animals and culling them from the herd. However, widespread distribution of Salmonella in the environment hampers the success of identification-and-culling programs. Therefore, it seems more appropriate to use identification and removal of infectious sources and the adoption of quality assurance programs that ensure use of this process, such as HACCP-based programs. This approach also has limitations, because Salmonella appear to be established in several environments. For instance, Salmonella have been shown to be common in outflows from human sewage treatment plants, with the possibility of surface water contamination and contamination of animals downstream. In addition, animal feeds may be contaminated off site with Salmonella because the use of untreated manure for fertilization of grain or forage-producing farmland is common (McChesney et al., 1995
). Wild birds and rodents also have been described as sources of Salmonella contamination (Warnick et al., 1996
; Murinda et al., 2004
). Collectively, all these factors complicate the development of control strategies, because a prevention program should include all farm environment inputs. However, several control points that could be important for on-farm reduction of Salmonella include the presence of carrier animals, the exposure of neonates to feces from sick animals, environmental hygiene, the use of recycled water, contaminated feeds, the use of contaminated water to irrigate forage crops, the spreading of nontreated manure, and infected birds and rodents.
Several strains of E. coli cause a variety of diseases in humans and animals. Escherichia coli O157:H7 is a type associated with a particularly severe form of human disease. Enterohemorrhagic E. coli infection can lead to hemorrhagic colitis, hemolytic uremic syndrome, and thrombotic thromocytopenic purpura. This type of E. coli was first identified as a human pathogen in 1982 and as the etiology of human diseases that range from hemorrhagic colitis to life-threatening hemolytic uremic syndrome. Healthy cattle sporadically harbor E. coli O157:H7 in their gastrointestinal tracts, shedding this pathogen in their feces. The majority of human outbreaks caused by E. coli O157:H7 were linked to the consumption of contaminated ground meat and raw milk (Dorn, 1993
; Boyce et al., 1995
). Still, in several outbreaks a variety of nonruminant foods were identified as the source of contamination, although in many of these, the source of E. coli O157:H7 was traced to ruminant manure. For instance, the outbreak that occurred in 1991 in Massachusetts and the multistate outbreak that occurred in 1996 were found to be directly linked to the use of contaminated manure as fertilizer (Besser et al., 1993
; Centers for Disease Control and Prevention, 1996
). In another outbreak associated with contaminated vegetables, it was found that vegetables were grown in soil layered with manure contaminated with E. coli O157:H7 (Tarr, 1995
). Fecal contamination of meat at slaughter plants and cross-contamination of other food products at retail shops were indicated as another possible source of contaminated foods. In addition, direct contact with ruminant feces has been associated with E. coli O157:H7 human infections on farms (Banatvala et al., 1996
). Thus, cattle are currently considered a reservoir for E. coli O157:H7, and manure is an important vehicle for spreading contamination. Escherichia coli O157:H7 is also detected in other hosts, such as sheep, goats, horses, dogs, reindeer, deer, birds, and rabbits (Hancock et al., 1998
; Pritchard et al., 2001
). However, the association of domestic and wild animals in the epidemiology of E. coli O157:H7 in cattle remains unknown.
The prevalence of E. coli O157:H7 in cattle has been reported to be 0.3 to 6.1%, and the average time that the feces of an animal remained culture positive was 30 d (Wells et al., 1991
; USDA-Animal and Plant Health Inspection Service, 1997
). However, some animals remained intermittently culture positive for more than 1 yr (Zhao et al., 1995
). The influence of the diet (grains vs. forage) on the shedding of Shiga toxin-producing E. coli in feces suggests that an amplification stage also occurs in the gastrointestinal tract of ruminants. The terminal rectum of the gastrointestinal tract is an important site where this pathogen has shown specific tropism (Naylor et al., 2003
). Escherichia coli O157:H7 was detected in the terminal rectum, regardless of whether animals were experimentally or naturally infected. The pathogen was detected in feces up to 4 wk after experimental inoculation or up to 22 d in those that cohabited with infected animals. These findings led authors to propose the existence of "supershedders," and colonization of the terminal rectum was a precondition for this status (Naylor et al., 2003
). Thus, it is very likely that feces from infected cattle serve as a primary source for E. coli O157:H7 contamination of food products. In fact, there are reports indicating that contamination of nonruminant feed sources is most often from ruminant manure (Tarr, 1995
). Effluents from dairy farm operations include raw manure and slurry (a mixture of manure, urine, feed, and water). These effluents are often used as fertilizer for land used for growing corn for silage, grazing, or cultivation. Unless appropriately treated, manure is a potential biohazard capable of transmitting infective agents, including E. coli O157:H7, to humans and animals (Murinda et al., 2002b
). The current opinion is that because of the link to bovine products, cattle are thought to be a principal reservoir of E. coli O157:H7.
Several investigations aimed at the identification of possible intervention strategies to control the prevalence of E. coli O157:H7 on farms have linked production practices (critical points) with persistence of this foodborne pathogen in cattle and the generation of reservoirs in the farm environment (Garber et al., 1995
; Zhao et al., 1995
; Hancock et al., 1997
; Shere et al., 1998
; Elder et al., 2000
; Arthur et al., 2007
). Among these, diet (Cray et al., 1998
; Diez-Gonzalez et al., 1998
), age of cattle (Cray and Moon, 1995
; Garber et al., 1995
), management of manure and fecal slurry, contaminated animal drinking water (Faith et al., 1996
; Shere et al., 1998
; Murinda et al., 2002b
; Murinda et al., 2004
), and management of pre- and postweaned calves (Garber et al., 1995
; Faith et al., 1996
; Shere et al., 1998
) have been identified as risk factors for the infection and shedding of E. coli O157:H7 by cattle.
Especially important is the use of manure as fertilizer or contaminated water to irrigate field crops. Contaminated manure and irrigation water were probable vehicles for the pathogen in many human disease outbreaks. Supporting data were obtained from a study in which the occurrence and persistence of E. coli O157:H7 was determined on lettuce and parsley grown in soil fertilized with contaminated poultry or bovine manure composts or treated with contaminated irrigation water. Results from this study indicated that E. coli O157:H7 could persist for 154 to 217 d in soils fertilized with contaminated composts. After seedlings were planted, E. coli O157:H7 could be detected on lettuce and parsley for up to 77 and 177 d, respectively. In addition, E. coli O157:H7 persisted in soil for more than 5 mo after application of contaminated compost or irrigation water, regardless of the source or crop type (Islam et al., 2004
).
Campylobacter is the most frequently identified cause of acute infectious diarrhea in developed countries and is the most commonly isolated bacterial intestinal human pathogen in the United States. It has been estimated that between 2 and 4 million cases of campylobacteriosis occur each year, and Campylobacter is associated with 120 to 360 deaths. Campylobacter jejuni and Campylobacter coli are commonly foodborne and are the infectious agents most frequently described in association with Guillain-Barré syndrome. Campylobacter foodborne disease is characterized by sporadic cases of chronic gastritis, enterocolitis, and septicemia. Humans become infected by ingesting contaminated foods, untreated water, or contaminated nonpasteurized or improperly pasteurized milk (Fahey et al., 1995
). Several zoonotic sources have been identified, and C. jejuni has been isolated from cattle, swine, poultry, dogs, cats, birds, ferrets, hamsters, wild birds, mule deer, and houseflies (Altekruse, 1994
). The most common foodborne source of Campylobacter infection in humans remains poultry meat products (Vugia et al., 2007
). The prevalence of Campylobacter in the United States is 32 to 53% in poultry, 45% in cattle, 6% in beef, and 27% in swine operations (Miller and Mandrell, 2005
). Physiological characteristics of Campylobacter suggest that these organisms have evolved to optimally colonize the avian gut (Newell and Davison, 2003
). The number of Campylobacter in feces can be as great as 1010 cfu/g (Cawthraw et al., 1996
). Surveys of swine farms and abattoirs demonstrated a great prevalence of Campylobacter (70 to 89%) in intestinal or fecal samples (Young et al., 2000
). Campylobacter jejuni is excreted in feces and animal secretions, and animals are infected through ingestion of water and feeds contaminated with manure. Enumeration studies have shown that a critical amplification stage in the Campylobacter cell cycle occurs in the intestines of asymptomatic animals. Once bacteria are excreted into the environment, they must use survival strategies until ingested by a susceptible host. Thus, the intestinal tract and feces of susceptible animals (carriers) are considered the major reservoir of this foodborne pathogen. In addition to the many outbreaks and isolates linked to poultry products (Jacobs-Reitsma, 1997
; Atterbury et al., 2003b
), several have been linked to pork and beef (Bolton et al., 1985
; Zhao et al., 2001
). Outbreaks linking C. jejuni with consumption of unpasteurized, contaminated milk have also been reported (Fahey et al., 1995
; Djuretic et al., 1997
; Centers for Disease Control and Prevention, 2001
; Oliver et al., 2005
). Direct excretion of C. jejuni in milk by clinically healthy cows was described and implicated in the etiology of human enteritis after the consumption of contaminated milk (Orr et al., 1995
). A few reports on dairy farm management practices related to C. jejuni contamination of the environment and the role of these practices in the contamination of drinking water sources have been published (Stanley et al., 1998
; Wesley et al., 2000
; Murinda et al., 2004
). Application of manure with broadcast spreaders; feeding of whole cottonseed, cottonseed hulls, or alfalfa; accessibility of feed to birds; and contamination of ground water with farm effluents contaminated by C. jejuni were identified as possible risk factors for C. jejuni infection. As with other foodborne pathogens, animal manure is a principal reservoir, and farm practices using manure as fertilizer or spreading manure on the ground of the farm are considered a significant risk factor for the occurrence of foodborne disease. In addition, an increasing proportion of human infections caused by C. jejuni are resistant to antimicrobial therapy (Altekruse et al., 1999
).
Listeria monocytogenes causes serious foodborne illness (listeriosis) in humans at risk, primarily pregnant women and their fetuses, the elderly, and the immunocompromised. In addition, the resistance of the pathogen to antimicrobials has emerged as a public health concern. The World Health Organization informal working group on foodborne listeriosis indicated that foodborne listeriosis is transmitted predominantly by nonzoonotic means. Although the natural habitat of the organism appears to be the soil and vegetation, listeriosis cannot be categorically stated to be a soilborne disease. Listeria monocytogenes should be considered an environmental contaminant whose primary means of transmission to humans is through food, which can become contaminated during production and processing. However, the ultimate sources of such contamination and the relative contributions of food-producing animals remain unknown. Ready-to-eat (RTE) foods that are refrigerated before consumption and do not receive substantial treatment, such as soft cheese, RTE meats, and RTE seafoods, have been implicated in outbreaks of listeriosis (Kathariou, 2002
). The cumulative 10-yr prevalence rate of L. monocytogenes based on USDA-Food Safety and Inspection Service microbiological testing of RTE meats and poultry products at approximately 1,800 federally inspected plants was as follows: uncured poultry products, 2.1%; cooked beef, roast beef, and cooked corned beef, 3.1%; jerky, 0.5%; large-diameter cooked sausage, 1.3%; small-diameter cooked sausage, 3.6%; salads, spreads, and pâtés, 3.0%; and sliced ham and luncheon meat, 5.2% (Levine et al., 2001
). The species is partitioned into 2 major genomic divisions (lineages), and most clinical cases involve just 3 serotypes (1/2a, 1/2b, 4b; reviewed in Kathariou, 2002
). This pathogen has been isolated from mammals, including sheep, cattle, swine, poultry, and dogs, as well as from birds, fish, crustaceans, and insects. The presence of L. monocytogenes on carcasses is usually attributed to contamination by fecal matter during slaughter. A large percentage (11 to 52%) of animals are reported to be healthy but silent carriers, whereas healthy human intestinal carriers occur at a rate of 1 to 5% (Martin, 2003
; Swaminathan et al., 2008
). As many as 45% of pigs harbor L. monocytogenes in the tonsils, and 24% of cattle have contaminated internal retropharyngeal nodes (Skovgaard and Norrung, 1989
; Bunci
, 1991
). In addition, Listeria spp. are widespread in nature and live naturally in plants and soil environments. Listeria can grow in a wide range of temperatures and pH. This adaptability enables Listeria to grow in refrigerated raw milk and in low-quality silos with a pH >4.5. At greater bacterial concentrations, L. monocytogenes can survive minimum high-temperature, short-time pasteurization (Bunning et al., 1988
). Listeria monocytogenes can cause mastitis in cows and it can be shed in milk from all quarters of carrier asymptomatic cows. Similar to E. coli and Salmonella, human contamination occurs through consumption of raw milk or products manufactured with raw milk. In dairy and beef units, infection of animals occurs through ingestion of contaminated feed, especially low-quality and spoiled silage (Fenlon, 1985
). In cattle, L. monocytogenes can cause neurological disease, abortion, or no symptoms of disease. Healthy but infected animals shed Listeria in feces, and fecal contamination of pastures or vegetables was also incriminated as a source of contamination for humans and ruminants. Therefore, farm practices, such as spreading of untreated manure, are regarded as risk factors for foodborne disease (Murinda et al., 2004
).
What Do These Foodborne Pathogens Have in Common, and How Can They Be Controlled on Farms?
Several epidemiological characteristics are common to Salmonella, E. coli O157:H7, C. jejuni, and L. monocytogenes. Among these are the following:
Information published thus far supports the model in which the presence of pathogens depends on ingestion of contaminated feed, followed by amplification in animal hosts and fecal dissemination in the farm environment (Figure 3
). Colonization of the gastrointestinal tract and amplification of E. coli O157:H7, Salmonella, C. jejuni, and L. monocytogenes appear to be required stages in the cell cycles. Shedding of foodborne pathogens in feces and distribution in the environment where food-producing animals live lead to animal reinfection and persistence of the pathogen on the farm. This, coupled with infection of other mammals, birds, and insects that live on the farm, demonstrates that production units are major reservoirs for foodborne pathogens. The final outcome of this cycle is a constantly maintained reservoir of foodborne pathogens that can reach the human population by direct contact, ingestion of raw contaminated food, or contamination during the processing of milk. Isolation of bacterial pathogens with similar biotypes from farms and from outbreaks of human disease substantiates this hypothesis. Management of manure, which includes feces, urine, saliva, and other animal secretions or excretions, is central for the control of contamination in food-producing animals. By breaking the infection-reinfection cycle, it is possible to reduce foodborne pathogen shedding and therefore the spread of foodborne pathogens among food-producing animals and in the farm environment. Designing on-farm foodborne control programs based on the control of common points of transmission and the spread of foodborne pathogens should reduce the introduction of foodborne pathogens into processing plants. However, the lack of knowledge on critical control points where infection-reinfection and contamination occur hampers the development of on-farm foodborne control programs.
It is apparent that despite the complexity and diversity of the microbial community, major human pathogens with their origin in farm operations are now known. From a management point of view, it is practicable to focus on selected groups of pathogens. However, many of the pathogens are asymptomatic for the animal harboring or shedding them. Previous experience in pathogen reduction strategies, pathogen eradication strategies, or both amply testifies that postharvest packing or processing in itself is not adequate to reduce the risk of food safety consistently. Many experts now believe that pathogen reduction and HACCP strategies have resulted in noticeable changes in food safety risk reduction. It is imperative that even if human pathogens cannot be completely eliminated preharvest, their intended reduction is a logical end point that could reduce morbidity and mortality.
| FOOD PATHOGEN INTERVENTION AND REDUCTION STRATEGIES |
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Current Strategies to Reduce Foodborne Pathogens in Food Animals
Some of the most promising improvements aimed at enhancing food safety have focused on the development of interventions that work at the live-animal level. Live-animal, or on-farm, intervention strategies can be loosely grouped into 2 categories: procommensal strategies or directly antipathogen strategies. Procommensal strategies use a native (or introduced) microbial ecosystem against pathogens by capitalizing on competition for nutrients and environmental niches. Directly antipathogenic strategies, on the other hand, specifically kill (or inhibit) pathogens via a variety of mechanisms.
Current Procommensal Strategies
A procommensal strategy is defined as the establishment of a nonpathogenic microbial intestinal population that reduces, excludes, or kills pathogenic bacteria, including foodborne pathogens. Simply put, procommensal strategies promote the growth of groups of bacteria that are competitive with, or even antagonistic to, the pathogens of interest. The goal of procommensal methods in food animals is simply to fill all ecological niches within the gut, preventing opportunistic pathogens from colonizing or remaining within the gut.
Procommensal strategies used in food animals include probiotics, which are microbial cultures that are fed to animals to maintain a constant flow of commensal organisms through the gut environment; competitive exclusion (CE), defined as the establishment of a microbial population in a naive food animal gut; and prebiotics. Unfortunately, all too often the benefits of procommensal strategies have been squandered by using cheaper antibiotics, which can alter the gut microbial ecology (Steer et al., 2000
). However, because of increasing fears concerning the dissemination of antimicrobial resistance, it is expected that in the future, prophylactic antibiotic use in food animals will become more closely regulated and economically expensive, causing procommensal strategies to become more feasible and more widely accepted across the food animal production industry.
Probiotics
Probiotics are a broad category of products included in animal rations that are defined as a "live microbial feed supplement which beneficially affects the host animal by improving intestinal microbial balance" (Fuller, 1989
). An alternative definition of a probiotic is "preparation of or a product containing viable, defined microorganisms in sufficient numbers, which alter the micro-flora (by implantation or colonization) in a compartment of the host and that exert beneficial health effects in the host" (Schrezenmeir and De Vrese, 2001
). Today, hundreds of probiotics are marketed for use in humans and food animals to provide a broad spectrum of benefits, and these are usually 1) live cultures of yeast or bacteria, 2) heat-treated (or otherwise inactivated) cultures of yeast or bacteria, or 3) fermentation end products from incubations of yeast or bacteria.
Foodborne pathogens have been reported to be affected by some probiotic products (Ohya et al., 2000
; Brashears and Galyean, 2002
; Tkalcic et al., 2003
). Swine are stricken by postweaning E. coli diarrhea, which causes significant morbidity and mortality (Amezcua et al., 2002
). A culture of Lactobacillus casei significantly reduced E. coli diarrhea symptoms in gnotobiotic pigs (Bomba et al., 1999
; Kyriakis et al., 2001
). Other types of probiotic cultures have subsequently been used to reduce postweaning E. coli diarrhea in swine as well (Kyriakis et al., 2001
). The use of probiotics to control foodborne pathogens specifically has been limited because there has been no economic incentive for producers to limit pathogen populations. Outbreaks and lawsuits have since provided adequate incentives; however, probiotics still must demonstrate production enhancement to be economically successful, and few of these commercially successful probiotics have been demonstrated to reduce foodborne pathogens effectively.
The cattle industry has used probiotics widely for many years to increase growth rate, milk production, and production efficiency (Tournut, 1989
; Dawson et al., 1990
; Yoon and Stern, 1996
). In research comparing several commercially available probiotics, Keen and Elder (2000)
found that these probiotics provided neither a benefit nor a detriment to E. coli O157:H7 shedding in cattle. A commercial Saccharomyces cerevisiae direct-fed microbial (DFM) culture reduced E. coli O157:H7 populations in batch culture, but not in a continuous flow culture system that simulated the bovine gut (Bach et al., 2003
). A probiotic that contained Streptococcus faecium or a mixture of S. faecium, Lactobacillus acidophilus, L. casei, Lactobacillus fermentum, and Lactobacillus plantarum significantly reduced fecal shedding of E. coli O157:H7 in sheep from 2 to 4 log10 cfu/g of feces, but a L. acidophilus monoculture was ineffective in this study (Lema et al., 2001
). Other researchers demonstrated that a DFM L. acidophilus culture isolated from cattle ruminal fluid reduced E. coli O157:H7 shedding by more than 50% when provided to feedlot cattle (Brashears and Galyean, 2002
; Brashears et al., 2003a
,b
). In a further refinement of this DFM, when L. acidophilus cultures were combined with Propionibacterium freudenreichii, the prevalence of E. coli O157:H7 in feces and on hides was reduced by approximately 50% and 3-fold, respectively (Elam et al., 2003
; Younts-Dahl et al., 2004
; Stephens et al., 2007
). Research has shown this DFM to improve the growth efficiency of cattle such that it economically balances the cost of its inclusion in cattle rations thus making a food safety enhancement economically viable.
CE
In neonatal animals, the digestive tract is initially sterile but is quickly colonized by gastrointestinal microflora from the environment or the dam (Jayne-Williams and Fuller, 1971
; Fuller, 1989
). Once a stable intestinal population is established, the gut is more resistant to pathogen colonization (Fuller, 1989
). This effect of a microbial population has been described as "bacterial antagonism" (Freter et al., 1983
). Competitive exclusion is a technique that involves the presentation of a nonpathogenic mixed bacterial culture to the intestinal tract of neonatal food-producing animals to colonize the gastrointestinal tract and provide pathogen exclusion (Fuller, 1989
; Nurmi et al., 1992
; Steer et al., 2000
). Depending on the maturity of the gut and food animal species, the goal of CE can be the exclusion of pathogens from the naive gut of a neonatal animal or displacement of an established pathogenic population (Nurmi et al., 1992
). As is typical of Darwinian selection, there are several proposed modes of action for CE in eliminating pathogenic bacteria, but the most likely appear to be 1) direct and indirect competition for limiting nutrients, 2) competition for physical attachment sites along the epithelial wall, and 3) the production of antimicrobial compounds, including colicins, bacteriocins, antibiotics, and VFA.
Competitive exclusion is effective across several animal species, but most CE research has focused on controlling Salmonella in newly hatched chicks. Salmonella colonization in chickens was reduced by administration of a CE preparation of bacteria derived from the gut of healthy adult chickens (Nurmi and Rantala, 1973
). Other CE cultures similarly isolated have provided some protection against pathogen colonization in newly hatched poultry (Lloyd et al., 1977
; Weinack et al., 1982
; Nisbet et al., 1993
; Stavric and DAoust, 1993
). In the United States, a mixed commercial CE product composed of several defined species of bacteria (Preempt, MS BioScience, Dundee, IL) has been used to reduce the Salmonella colonization of chicks (Nisbet et al., 1993
, 1996
).
In swine, a S. faecium CE culture reduced intestinal colonization by diarrheagenic enterotoxigenic E. coli (Underdahl et al., 1982
; Ushe and Nagy, 1985
). Other researchers found that adding a mixed CE culture reduced Salmonella populations in newly weaned pigs (Fedorka-Cray et al., 1999
). A cecally derived swine CE culture reduced the incidence of Salmonella cholerasuis (Anderson et al., 1999
) and enterotoxigenic E. coli in young pigs (Genovese et al., 2003
; Harvey et al., 2003
). Researchers have also used CE in cattle as a strategy to eliminate E. coli O157:H7 as well as Salmonella (Zhao et al., 2003
). Researchers used a defined population of multiple (non-O157:H7) E. coli strains that were isolated from cattle, and found this CE culture could displace an established E. coli O157:H7 population and could reduce the populations of E. coli O157:H7 in calves (Zhao et al., 1998
). To date, this is the only true CE culture for cattle that is able to reduce foodborne pathogens and that is being developed as a commercial product.
Prebiotics
Sugars or other organic compounds not digested by the host animal but digestible by members of the microbial population are generally known as prebiotics (Walker and Duffy, 1998
; Steer et al., 2000
). Prebiotics can provide energy or other limiting nutrients to the intestinal mucosa and colonic or cecal bacterial fermentation, which can produce vitamins and antioxidants that benefit the host (Collins and Gibson, 1999
; Crittenden, 1999
). Additionally, some prebiotics can provide specific members of the native microflora (e.g., Bifidobacteria, Lactobacillus) that produce antimicrobial substances with a competitive advantage (Willard et al., 2000
) that can directly inhibit pathogenic bacteria in a fashion similar to CE (Zopf and Roth, 1996
). Coupling the use of CE and prebiotics, in a process known as synbiotics, could yield a synergistic effect in the reduction of foodborne pathogenic bacterial populations in food animals before slaughter. To date, however, the use of prebiotics in food animals to reduce foodborne pathogens has been somewhat cost prohibitive.
Current Antipathogenic Strategies
Antipathogenic strategies are the most straightforward of the intervention strategies because they directly attack the pathogen of interest. However, because food-borne pathogenic bacteria typically do not have any unusual properties within the gut of food animals, they are difficult to target directly without significant "collateral damage" on the rest of the microbial population. However, a variety of antipathogen strategies can be used to address pathogen populations in food animals, including antibiotics and bacteriocins, bacteriophages, specific inhibition of pathogens, and vaccines.
Antibiotics and Bacteriocins or Colicins
The use of broad-spectrum antibiotics to control gastrointestinal pathogens, including foodborne pathogens, can so disrupt the intestinal microbial ecosystem that opportunistic pathogens are provided an opportunity to affect animal health, performance, or food safety deleteriously (Aarestrup and Wegener, 1999
; Chopra and Roberts, 2001
). Bacteria have many complex mechanisms to resist antibiotics, and the widespread use of antibiotics in both human medicine and animal agriculture has led to the widespread dissemination of antimicrobial resistance genes (Salyers and Shoemaker, 2006
). Because of concerns about the dissemination of antimicrobial resistance, it is likely that prophylactic use of medically important antibiotics as growth promotants in food-producing animals will become completely prohibited.
Neomycin sulfate, an antibiotic approved for use in cattle, has a 24-h withdrawal period. Cattle that were fed neomycin for 48 h and that went through a 24-h withdrawal period shed significantly fewer generic E. coli and E. coli O157:H7 populations in their feces (Elder et al., 2002
; Ransom et al., 2003
). Ionophores are antimicrobials that improve cattle production efficiency by inhibiting gram-positive bacteria (Callaway et al., 2003
), and it has been suggested that ionophores could provide gram-negative pathogens, such as Salmonella and E. coli O157:H7 pathogens, a competitive advantage. However, research has shown that ionophores do not alter pathogen populations in sheep or cattle, or in vitro (Edrington et al., 2003a
,b
, 2006
; McAllister et al., 2006
).
Some bacteria produce antimicrobial proteins that can inhibit the growth of foodborne pathogenic bacteria, including E. coli, Salmonella, and Listeria (Schamberger and Diez-Gonzalez, 2002
; Stahl et al., 2004
; Patton et al., 2007
). These proteins are referred to as bacteriocins or colicins depending on their mode of action; however, these compounds open pores in susceptible bacterial membranes, causing these targets to "bleed" to death (Jack et al., 1995
; Stroud et al., 1998
). It has been shown that these antimicrobial proteins can inhibit E. coli strains pathogenic to swine in the gut (Stahl et al., 2004
). These proteins can be protected to bypass ruminal or gastric degradation, and can be specifically released in the lower gut to target foodborne pathogens. Molecular techniques have allowed a scaling up of bacteriocins or colicin production to produce the proteins in sufficient quantities for use as feed additives to reduce foodborne pathogens in live animals (Hagens and Loessner, 2007
).
Bacteriophages
Bacteria can be infected by bacterial viruses (or bacteriophages) that have very narrow target spectra, and some phages may be active against only a specific strain. This great degree of specificity allows phages to be used against targeted microorganisms in a mixed population without perturbing the microbial ecosystem, and phages have been used in place of antibiotics around the world. Bacteriophages are common natural members of the gastrointestinal microbial ecosystem of food animals (Adams et al., 1966
; Orpin and Munn, 1973
; Klieve and Bauchop, 1988
). Bacteriophages have been used to control foodborne pathogenic bacteria in several species of food-producing animals, and have been used against specific animal pathogens (Smith and Huggins, 1987
; Kudva et al., 1999
; Huff et al., 2002
). Several studies have examined the effect of phages on conditions or diseases that affect production efficiency or animal health (Smith and Huggins, 1982
, 1983
; Huff et al., 2002
). To date, the effectiveness of phage treatment in the gut of animals has been variable (Raya et al., 2003
, 2006
). In 2007, a phage spray produced by Omnilytics (Salt Lake City, UT) specifically against E. coli O157:H7 on live cattle before slaughter was approved for use by the US Food and Drug Administration (FDA). Other researchers have developed phages as methods to reduce Campylobacter and Salmonella in live poultry and swine (Loc Carrillo et al., 2005
; Toro et al., 2005
; Wagenaar et al., 2005
; Callaway et al., 2007
) and by spraying them onto commercial meat products (Atterbury et al., 2003a
; Goode et al., 2003
). The use of phages as a pathogen reduction strategy has also been suggested as a spray on vegetables that are exposed to manure or farm runoff via irrigation.
Specific Inhibition of Pathogens via Metabolic Pathways
Salmonella and E. coli respire under anaerobic conditions by converting nitrate to nitrite via a dissimilatory nitrate reductase (Stewart, 1988
). The intracellular bacterial enzyme nitrate reductase does not differentiate between nitrate and its analog chlorate, which is reduced to chlorite in the cytoplasm; chlorite accumulation kills bacteria (Stewart, 1988
). Chlorate addition to swine diets reduced experimentally inoculated Salmonella and E. coli O157:H7 fecal and intestinal populations (Anderson et al., 2001a
,b
). Other studies demonstrated that chlorate administered in drinking water significantly reduced E. coli O157:H7 populations in both cattle and sheep in the rumen, intestine, cecum, and feces (Callaway et al., 2002
). Preliminary results examining the use of chlorate in broilers and in turkeys have yielded promising results as well (Byrd et al., 2003
; Moore et al., 2006
). Currently, chlorate has been licensed as a product and is under review by the US FDA.
Immunization to Prevent Pathogen Colonization
Methods to exploit the immune system of the animal to reduce foodborne pathogens have been studied. Traditionally, most veterinary vaccines for food animals were constructed to inhibit viruses and bacteria or their toxins that cause morbidity or mortality in animals; however, specific immunization has shown great promise in reducing concentrations of disease-causing pathogens in food animals. Vaccines against Salmonella strains responsible for disease have been developed for use in swine and dairy cattle (House et al., 2001
). Vaccination has also been used successfully to combat postweaning E. coli edema disease in young pigs (Gyles, 1998
) and to reduce Salmonella colonization in poultry (Zhang-Barber et al., 1999
). More recently, vaccines that reduce fecal shedding of E. coli O157:H7 have been developed for use in cattle (Moxley et al., 2003
; Judge et al., 2004
). However, because E. coli O157:H7 and other enterohemorrhagic E. coli are shed sporadically by cattle, natural exposure to E. coli O157:H7 does not appears to confer protection to the host (Gyles, 1998
). An anti-E. coli O157:H7 vaccine developed by Bioniche (Belleville, Ontario, Canada) was given conditional approval by the US FDA early in 2008.
Until recently, these anti-foodborne-pathogen vaccines have not been widely implemented in animal production systems because an economic incentive has been lacking. The introduction of "edible vaccines" has the potential to make immunization of food animals economically viable for many diseases, including food-borne pathogens. Thus, the use of vaccines specifically to eliminate or reduce targeted foodborne pathogens on the farm will likely increase in the future.
| CURRENT RESEARCH ON FOOD SAFETY |
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Current research includes the development of methodologies to detect and quantify pathogens, as well as the development of technologies for pathogen reduction both preharvest and postharvest. A close relationship with industry and other stakeholders provides the opportunity to transfer newly developed methodologies and technologies where needed in the field. Specific pre-harvest food safety research activities include the role of diet in the reduction of E. coli O157:H7, the development and use of probiotics for Salmonella reduction in poultry and swine, and understanding the risk factors and potential interventions for Campylobacter in poultry. Agricultural Research Service scientists, along with researchers at the University of California and funding from the Cooperative State Research Education and Extension Service (CSREES, USDA), provided expertise when the spinach outbreak occurred in 2006. An epidemiological study was conducted to evaluate the interactions of humans, animals, and the environment in the production of spinach and other leafy greens (Jay et al., 2007
). The CSREES is the primary extramural research agency with a strong partnership with the land grant university system, which enables leadership in research, education, and extension programs. Through its competitive food safety grant programs [the National Research Initiative (NRI) and the National Integrated Food Safety Initiative] as well as other special grants, CSREES provides needed funding and direction for food safety research. The NRI is a major competitive granting program of CSREES. The Ensuring Food Safety Grant Program of the NRI funds more basic laboratory research, including molecular research or biotechnology. A strong emphasis has been on mechanisms, pathogenesis, and the use of new methods, such as biosensors, for the detection and reduction of foodborne pathogens. The Epidemiologic Approaches for Food Safety Grant Program within the NRI was established in 1999 and provides larger grants (up to $1.5 million) for epidemiological (population-type) studies. This is the only program funding these large epidemiological studies in food safety. The National Integrated Food Safety Initiative provides researchers an opportunity to link basic or applied research with an educational or extension program.
The Animal and Plant Health Inspection Agency (USDA) is primarily responsible for animal health issues and conducts National Animal Monitoring System Studies on different animal species each year. Although studies are focused on animal health issues, these national surveys provide useful preharvest food safety information, such as management practices and demographic data (http://www.aphis.usda.gov; last accessed Feb. 26, 2008). The Office of Public Health and Science within the Food Safety and Inspection Service (USDA) gathers and uses data in risk assessment development and implementation for decision and policy making. Several of these risk assessments have used preharvest data, but animal data continue to be incomplete. Within FDA, the Center for Veterinary Medicine has used food safety funding for research. Currently, the major component of funding is to continue and expand the National Antimicrobial Resistance Monitoring System. This system is a partnership among FDA, Centers for Disease Control and Prevention, and USDA to provide surveillance on the amounts of antimicrobial resistance among animals, humans, and now retail foods.
Future Directions of Food Safety Research
Despite all the research on preharvest food safety, there are still many unanswered questions. Preharvest food safety remains an important factor in the approach to food production and food safety from farm to table. Although an impact at the preharvest level will not solve all food safety issues, a reduction at one stage of production should logically produce an impact further down the production chain. Because of the complexity of the food production process, no one single prevention or intervention will eliminate foodborne risk. A major goal should be to determine a way to measure the impact of interventions at different phases of the production chain. Research is also needed to look at individual interventions and then interventions in combination. Economic analyses are also essential. Over the years, research has evolved from simply measuring the prevalence of foodborne organisms to identifying and evaluating risk factors, to understanding the transmission and persistence of foodborne organisms, to the development and implementation of interventions or mitigations and prevention or control strategies. This continues to be a major goal of research, with the ultimate goal of providing a reduction in foodborne illness.
As research questions have changed, so have the development and enhancement of methodological tools, yet this needs to continue, both in microbiology and in epidemiology. Although microbiological methods have improved, there is still a need for rapid, more sensitive and specific diagnostic tests for many of the foodborne pathogens. The ability to perform tests quickly and efficiently at the preharvest level would benefit researchers and producers. A major barrier for microbiologists at the pre- and postharvest levels is developing tests that can detect foodborne pathogens in complex matrices, such as in feces or in foods such as lettuce or cantaloupe. In parallel, epidemiologists need to provide more expertise in the development and implementation of sampling methods and designs so that new molecular techniques can be used for the best detection.
As data become more complex and more detailed, better analytical methods must be developed and used for interpretation. For example, enhanced molecular methods such as DNA fingerprinting, pulsed-field gel electrophoresis fingerprinting, and PCR have enabled researchers to determine intraspecific genomic diversity to study genotypes as well as phenotypes of foodborne pathogens, and to evaluate the clonal dissemination of genes. There is still confusion about how to interpret some of these data. Geographical information systems have also become a more popular tool. This technology has allowed epidemiologists to combine spatial and temporal data to follow the flow of organisms and to provide a better understanding of the role of the environment and ecology in foodborne disease. More advanced molecular tools will aid in the study of microbial ecology, genomics, and perhaps even cloned animals.
In summary, the goal of developing and implementing intervention and management strategies is the ideal, but to maintain visibility and gain resources for preharvest food safety research, measuring the impact and outcomes of these strategies is critical. The Institute of Medicine released a report in 2003 titled, "Scientific Criteria to Ensure Safe Food" (Committee on the Review of the Use of Scientific Criteria and Performance Standards for Safe Food, NRC, 2003
). This report suggested developing microbiological standards and performance standards, food safety objectives, and public health objectives for food safety. Researchers in the postharvest area were quick to respond to these possibilities, particularly as regulatory agencies have provided standards, yet at the same time, this report also provides a needed framework for discussion at the preharvest level (Torrence, 2005
). For example, can we determine a microbiological standard at the preharvest level? What is the most relevant measurement, and does it differ among microbial organisms? More important, how can we link a microbiological standard to a food safety objective or public health objective given that the food production chain contains many phases and multiple factors? Can we ultimately link preharvest interventions or prevention and control programs to a public health objective? This may be an unattainable goal, but it is important that some thought be given to even a simple measurement of outcome, not only for food safety, but also for ongoing research. The ability to measure and then present the success of research findings as well as the outcomes of interventions, preventions, and mitigations is important for universities and the government. Ultimately, these measurements can influence future funding, and even policy and decision making. The future of preharvest food safety research depends on the applicability to foodborne disease, food-borne illness, and public health.
Morality, Ethics, Food Safety, and the Future of Society and of the American Society of Animal Science
At the time the American Society of Animal Science was founded, the term food safety meant "Is this meat spoiled?" or "Will it kill consumers immediately?" Clearly, it was a market to which caveat emptor applied on a daily basis. The publication of The Jungle set in motion a flurry of events that are still active today. Food safety has evolved over the course of the century of existence of the American Society of Animal Science and the American Dairy Science Association, from being regarded as a luxury to being a fundamental human right. As a matter of course, the responsibility for food safety has shifted from being solely on the consumer to being on the government and the producer. This "three-legged stool" of shared responsibility has become more tilted in recent years, given that, with the litigious nature of society, someone is sought to blame for all foodborne illnesses. Thus, food producers are aware of the legal, ethical, and moral obligation to produce a safe product. Although the food supply in the United States is among the safest in the history of the world, which continues to grow safer, rare outbreaks of food-borne disease have become more widespread because of efficient distribution systems at the same time our tools for assigning direct responsibility for these tragic events have been sharpened.
Where do we go from here? That is largely up to us in the American Society of Animal Science and American Dairy Science Association as we develop new animal management systems to feed a growing world. As the number of people involved in agriculture continues to dwindle, the consumer disconnect with the reality of food supply chains will grow. Consequently, the core of our future mission as producers, researchers, and educators involved in food production is 1) to provide consumers with information about how to protect themselves (extending their leg of the "safety stool") and about how food is produced so they can make choices from a bewildering array of options in the marketplace today (organic vs. free range vs. the cheapest food available); and 2) to develop new methods to include consumers in our industry so that they understand the economic and moral issues faced by food producers in a globalized economy.
Conclusions
Knowledge derived through research in the last century has resulted in the development and use of new technologies that have markedly increased the efficiency of food production and created a huge animal production and food manufacturing industry capable of feeding the US population while also providing significant quantities of high-quality food for export to other countries. This has also created challenges to providing a safe and nutritious food supply. Given the considerable national and international demand and expectations for food safety and the formidable challenges of producing and maintaining a safe food supply, food safety research and educational programs have taken on a new urgency. Future scientific breakthroughs will no doubt have a profound impact on animal agriculture and on the production of high-quality food, but we will also be faced with moral, ethical, and societal dilemmas that must be reconciled. As the system of food production and distribution changes, the food safety system needs to change with it. A strong science-based approach that addresses all the complex issues involved in continuing to improve food safety and public health is necessary to prevent foodborne illnesses. Not only must research be conducted to solve complex food safety issues, but results of that research must also be communicated effectively to producers and consumers. Research and educational efforts identifying potential on-farm risk factors will better enable producers to reduce or prevent foodborne pathogen contamination of products leaving the farm. The identification of on-farm reservoirs and intervention strategies will aid in implementing farm-specific pathogen reduction programs. There is little doubt that solutions to these and many other complex issues will be delineated through science-based research that will be conducted during the next century. Members of the American Society of Animal Science and American Dairy Science Association will continue to be integral in finding and communicating solutions to complex food safety issues that will invariably result in a safe food supply for consumers.
| Footnotes |
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2 Corresponding author: soliver{at}utk.edu
Received for publication May 2, 2008. Accepted for publication August 13, 2008.
| LITERATURE CITED |
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, S. 1991. The incidence of Listeria monocytogenes in slaughtered animals, in meat, and meat products in Yugoslavia. Int. J. Food Microbiol. 12:173–180.[CrossRef][Medline]
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