{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T17:12:58Z","timestamp":1750871578293,"version":"3.37.3"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,8,24]],"date-time":"2018-08-24T00:00:00Z","timestamp":1535068800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In July 2015, a cluster of five suspect cases of clinically diagnosed <jats:italic>Mycobacterium marinum<\/jats:italic> (<jats:italic>M. marinum<\/jats:italic>) skin infections were reported to the Haliburton, Kawartha, Pine Ridge District Health Unit (HKPRDHU), Ontario, Canada, with two additional cases subsequently identified through case finding. All seven cases presented with cutaneous lesions located on the finger, hand and\/or elbow regions typical of <jats:italic>M. marinum<\/jats:italic> infection. Specimens were collected by skin biopsy for two of the seven cases; both cases tested positive for <jats:italic>M. marinum<\/jats:italic> by molecular detection (hsp65 gene amplification and sequencing), and one was confirmed positive for <jats:italic>M. marinum<\/jats:italic> by culture. All seven cases reported handling raw shrimp from an aquaculture facility in the Health Unit's jurisdiction. <jats:italic>M. marinum<\/jats:italic> is not a reportable disease in Ontario, and there are no known previous reports of a cluster of <jats:italic>M. marinum<\/jats:italic> reported in Ontario, Canada. A cluster investigation working group was struck that included representation from various agencies including Public Health Ontario (PHO), Public Health Ontario Laboratories (PHOL), Ontario Ministry of Agriculture and Rural Affairs (OMAFRA) and the two health units involved in case investigations. Several public health and aquaculture farming recommendations were made to mitigate further risks associated with handling of raw shrimp from the facility. Several challenges were faced during the investigation process. The paper discusses these challenges and public health recommendations made in order to mitigate occupational and public health risks related to the hazard identified.<\/jats:p>","DOI":"10.1111\/zph.12521","type":"journal-article","created":{"date-parts":[[2018,8,25]],"date-time":"2018-08-25T01:29:38Z","timestamp":1535160578000},"page":"164-168","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Investigation of a community cluster of cutaneous <i>Mycobacterium marinum<\/i> infection, an emerging zoonotic pathogen in aquaculture industry, Haliburton, Kawartha, Pine Ridge District Health Unit, Ontario, Canada, July\u2013August 2015"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6377-6346","authenticated-orcid":false,"given":"Vidya","family":"Sunil","sequence":"first","affiliation":[{"name":"Haliburton, Kawartha, Pine Ridge District Health Unit Port Hope Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew W.","family":"Harris","sequence":"additional","affiliation":[{"name":"Haliburton, Kawartha, Pine Ridge District Health Unit Port Hope Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bob","family":"Sine","sequence":"additional","affiliation":[{"name":"Haliburton, Kawartha, Pine Ridge District Health Unit Port Hope Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Marie","family":"Holt","sequence":"additional","affiliation":[{"name":"Haliburton, Kawartha, Pine Ridge District Health Unit Port Hope Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. Lynn","family":"Noseworthy","sequence":"additional","affiliation":[{"name":"Haliburton, Kawartha, Pine Ridge District Health Unit Port Hope Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doug","family":"Sider","sequence":"additional","affiliation":[{"name":"Public Health Ontario Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frances B","family":"Jamieson","sequence":"additional","affiliation":[{"name":"Public Health Ontario Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shelley","family":"White","sequence":"additional","affiliation":[{"name":"Haliburton, Kawartha, Pine Ridge District Health Unit Port Hope Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassandra","family":"Johnston","sequence":"additional","affiliation":[{"name":"Haliburton, Kawartha, Pine Ridge District Health Unit Port Hope Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivia","family":"Spohn","sequence":"additional","affiliation":[{"name":"Haliburton, Kawartha, Pine Ridge District Health Unit Port Hope Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,24]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Acklesberg J. &Varma J. K.(2014).Outbreak of Mycobacterium infections after preparing live of raw fish or seafood health alert #6. NYC Department of Health & Mental Hygiene March 2014."},{"key":"e_1_2_9_3_1","first-page":"473","article-title":"Study on the relationship between isolation of Mycobacteria and classical indicators of water quality in swimming pools","volume":"171","author":"Dailloux M.","year":"1980","journal-title":"Zentralblatt F\u00fcr Bakteriologie, Mikrobiologie Und Hygiene. Serie B"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1976.tb06122.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.9.2.177"},{"key":"e_1_2_9_6_1","unstructured":"Francis\u2010Floyd R.(2011).Mycobacterial infections of fish. SRAC Publication No. 4706. Retrieved fromhttps:\/\/fisheries.tamu.edu\/files\/2013\/09\/SRAC-Publication-No.-4706-Mycobacterial-Infections-of-Fish.pdf."},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.20506\/rst.32.2.2245"},{"key":"e_1_2_9_8_1","first-page":"505","article-title":"Mycobacteria in semipublic swimming\u2010pools and whirlpools","volume":"180","author":"Havelaar A. H.","year":"1985","journal-title":"Zentralblatt F\u00fcr Bakteriologie, Mikrobiologie Und Hygiene. Serie B"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1086\/313972"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-015-0776-8"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/zeb.2015.1218"},{"key":"e_1_2_9_12_1","first-page":"390","article-title":"The recovery of Mycobacterium marinum from swimming pool water and its resistance to chlorine","volume":"38","author":"Park U. 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