Industrial Food Animal Production and Community Health.
Industrial Food Animal Production and Community Health.
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DOI：
10.1007/s40572-015-0061-0
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发表时间：
2015-09-01
影响因子：
7.9
通讯作者：
Nachman, Keeve E
中科院分区：
文献类型：
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作者：
Casey, Joan A;Kim, Brent F;Nachman, Keeve E
工业化食用动物生产（IFAP）是环境微生物和化学危害的来源。越来越多的文献表明，生活在这些作业和施用粪肥的农田附近的人口面临着几种健康后果的高风险。我们回顾了自2000年以来发表的文献，并确定了与IFAP附近生活一致且正相关的四种健康结果：呼吸结果，耐甲氧西林金黄色葡萄球菌（MRSA），Q热和压力/情绪。我们发现了IFAP与生活质量相关的中度证据，以及与认知障碍、艰难梭菌、肠球菌、出生结局和高血压相关的有限证据。审查的33项研究中有17项使用了基于距离的暴露指标。未来的工作应该调查通过饮用水的暴露，必须通过直接环境采样、建模和高分辨率DNA分型方法改进暴露评估。研究人员不应将研究局限于MRSA等高知名度病原体，而应包括更广泛的病原体以及其他疾病结局。
Industrial food animal production (IFAP) is a source of environmental microbial and chemical hazards. A growing body of literature suggests that populations living near these operations and manure-applied crop fields are at elevated risk for several health outcomes. We reviewed the literature published since 2000 and identified four health outcomes consistently and positively associated with living near IFAP: respiratory outcomes, methicillin-resistant Staphylococcus aureus (MRSA), Q fever, and stress/mood. We found moderate evidence of an association of IFAP with quality of life and limited evidence of an association with cognitive impairment, Clostridium difficile, Enterococcus, birth outcomes, and hypertension. Distance-based exposure metrics were used by 17/33 studies reviewed. Future work should investigate exposure through drinking water and must improve exposure assessment with direct environmental sampling, modeling, and high-resolution DNA typing methods. Investigators should not limit study to high-profile pathogens like MRSA but include a broader range of pathogens, as well as other disease outcomes.