Vibrio information, guidance, and management in Connecticut

Vibrio bacteria naturally occur in coastal waters and are more abundant during the summer as the water warms. Vibrio species can cause a wide range of infections in humans, including Vibriosis, which is the leading cause of seafood-associated morbidity and mortality in the U.S. Vibrio parahaemolyticus is the leading cause of seafood-associated gastroenteritis in the U.S and world. Other important Vibrio species include Vibrio vulnificus, which can cause severe wound and blood infections, and Vibrio cholerae, of which nontoxigenic strains can cause gastroenteritis and toxigenic strains can cause cholera. Molluscan shellfish are highly efficient filter feeders and can concentrate Vibrio when present in the water column, which can potentially sicken consumers that eat raw or undercooked seafood. National shellfish sanitation programs monitor Vibrio concentrations in shellfish; implement control plans to reduce the risk of Vibrio illnesses; and conduct traceback illness investigations when Vibrio illnesses are reported to identify implicated states and shellfish growing areas, promptly close harvesting in these growing areas, and recall and destroy contaminated shellfish harvested from these growing areas to prevent further illnesses.

More information about Vibrio parahaemolyticus and other Vibrio species can be found on the Center for Disease Control (CDC) website.

 

Prior to 2012, Vibrio parahaemolyticus infections from shellfish consumption was rare in Connecticut. In 2012, pathogenic Vibrio parahaemolyticus strains originating on the U.S. Pacific Coast were detected in New England waters and correlated to higher Vibrio parahaemolyticus infections (Martinez-Urtaza et al. 2013). Connecticut precautionarily closed growing areas in 2012 to prevent Vibrio parahaemolyticus illnesses and implemented control plans that limited time from harvest to refrigeration to 5 hours and required oysters to be cooled to <50°F within 5 hours of refrigeration. In 2013, 104 cases of a specific Pacific coast Vibrio parahaemolyticus strain were associated with an unprecedented outbreak across 13 states, including 7 New England states (CDC 2013). Connecticut shellfish growing waters in Westport, Norwalk, and Darien were the implicated in 23 confirmed Vibrio parahaemolyticus illnesses in 2013. Since 2013, the Bureau of Aquaculture developed extremely effective rapid-cooling procedures and adapted control plans to significantly reduce Vibrio parahaemolyticus illnesses associated with Connecticut shellfish. Connecticut harvesters have not been implicated in an outbreak since 2013.

CDC 2013 Vibrio Outbreak Map

CDC 2013 Vibrio parahaemolyticus Outbreak Map (all rights reserved)

Connecticut Vibrio Cases

Confirmed Vibrio parahaemolyticus shellfish consumption cases (Bureau of Aquaculture) and confirmed Vibrio vulnificus wound cases (Department of Public Health) in Connecticut from 2009-2020.

 

Connecticut shellfish growing areas are annually managed with Vibrio parahaemolyticus Control Plans when water temperatures exceed 68°F, due to the 2013 outbreak. Vibrio vulnificus can cause infections from consumption of raw or undercooked seafood, or through wound contact with seawater or raw or undercooked seafood. To date, there have been no Vibrio vulnificus outbreaks in Connecticut associated with seafood consumption. However, Vibrio vulnificus naturally occurs in Long Island Sound, and can cause wound infections that can lead to limb amputation and sepsis in severe cases. In 2020, there were 5 confirmed Vibrio vulnificus wound infections, while there were only 7 total cases from 2010-2019 (Connecticut Department of Public Health). To minimize the risk of Vibrio vulnificus wound infections, the Department of Public Health recommends staying out of salt and brackish water when wounds are present, or cover wounds with a waterproof bandage if avoidance is not possible. Protective gloves can be worn when crabbing, fishing, and shellfishing. If a wound is sustained, wash the are thoroughly with soap and water.

 

The Bureau of Aquaculture has prepared a Guidance Document for Recreational Shellfish Harvesting and Vibrio.

References

Centers for Disease Control and Prevention (CDC). Vibrio parahaemolyticus illnesses associated with consumption of shellfish, United States, 2013. Page last reviewed: October 21, 2013. Vibrio parahaemolyticus illnesses associated with consumption of shellfish, United States, 2013 | Investigation - Increase in Vibrio parahaemolyticus illnesses | Vibrio Illness (Vibriosis) | CDC

Martinez-Urtaza J., Baker-Austin C., Jones J.L., Newton A.E., DePaola A. 2013. Spread of Pacific Northwest Vibrio parahaemolyticus Strain. The New England Journal of Medicine. 369: 1573-1574. DOI: 10.1056/NEJMc1305535. Spread of Pacific Northwest Vibrio parahaemolyticus Strain | NEJM