# Prevalence of Campylobacter and non-typhoidal Salmonella along broiler chicken production and distribution networks, Northern Vietnam

## TL;DR

This study found high levels of Campylobacter and non-typhoidal Salmonella in broiler chicken production and markets in northern Vietnam, highlighting the need for better control measures to prevent foodborne illness.

## Contribution

The study uses a Bayesian approach to estimate contamination levels and identifies key points in the production chain with the highest risk of pathogen spread.

## Key findings

- C. jejuni and C. coli prevalence was highest on farms and at slaughter points and wholesale markets.
- NTS contamination was more frequent in markets and slaughter facilities than on farms.
- S. Infantis and S. Kentucky were the most common NTS serotypes identified.

## Abstract

Campylobacter and non-typhoidal Salmonella (NTS) are among the most common foodborne pathogens found in chickens at any production stage and cause gastroenteritis in humans. This study aimed to estimate the prevalence of Campylobacter spp. (C. coli and C. jejuni) and NTS in broiler production and distribution networks (PDNs) using a Bayesian approach. It also investigated the NTS serotypes circulating in these PDNs. A cross-sectional study was conducted in four provinces in northern Vietnam between March 2021 and March 2022. A total of 102 sites, including live bird markets, slaughter facilities (slaughterhouses and slaughter points), and their supplying farms, were randomly selected for sampling. Cecal and environmental samples were cultured for isolation of Campylobacter and NTS, with serotypes of NTS determined by targeted analysis of whole genome sequences. Bayesian models were developed to estimate the prevalence of Campylobacter at two levels (bird-level and site-level) and NTS at site-level. The selected best-fitted models indicated that C. jejuni prevalence was primarily influenced by site type, while C. coli was affected by both province and site types. For NTS, only site type was included. The highest overall prevalence of infected broilers was estimated on farms for C. coli (26.2% [95% High Density Interval (HDI): 19.0-36.0%]) and C. jejuni (19.9% [95%HDI 13.0-27.0%]). Slaughter points (97.6% [95%HDI 63.3-99.9%]) and wholesale markets (91.7% [95%HDI 28.2-99.9%]) had the highest probability of C. coli and C. jejuni contamination, respectively, but retail markets had the highest proportion of infected broilers at contaminated sites. NTS contamination was more frequent in markets and slaughter facilities (42.8% [95%HDI 30.8-57.1%]) than on farms (18.6% [95%HDI 9.5-30.1%]). Among 16 detected NTS serotypes, S. Infantis and S. Kentucky were the most common. These findings highlight the widespread contamination of broiler PDNs with Campylobacter and NTS in northern Vietnam, emphasizing the need for enhanced surveillance and control measures in PDNs to mitigate the risk of foodborne transmission.

Campylobacter spp. and non-typhoidal Salmonella (NTS) are enteric pathogens that are key global pathogens causing diarrheal diseases. The Campylobacter species that are most frequently responsible for human diseases (campylobacteriosis) are Campylobacter jejuni (C. jejuni) and Campylobacter coli (C. coli). The severity of the salmonellosis depends on host factors and the serotype of NTS. Poultry and poultry products are recognized as major sources of NTS and Campylobacter infections in humans. In Vietnam, these pathogens have been detected in the broiler production and distribution networks (PDN). Factors that may increase the risk of transmission of those pathogens include low biosecurity practices, inadequate waste management, and high farm density. In this work, we estimated the prevalence of Campylobacter spp. (C. coli and C. jejuni) and NTS in PDN markets and slaughterhouses and farms supplying these facilities in four provinces in northern Vietnam. We estimated a high prevalence of Campylobacter contamination in slaughter points and wholesale markets and higher NTS contamination in slaughter facilities and markets than in farms. S. Infantis was one of the most frequently identified serovars. However, it was not reported as being frequently detected in humans in Vietnam. Therefore, serovar may vary depending on the source and region of contamination. Our results help us look at levels of infection/contamination with Campylobacter and NTS in the broiler PDNs, thus informing stakeholders to prevent and control campylobacteriosis and salmonellosis.