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Revista da Sociedade Brasileira de Medicina Tropical

Print version ISSN 0037-8682

Rev. Soc. Bras. Med. Trop. vol.47 no.6 Uberaba Nov./Dec. 2014

http://dx.doi.org/10.1590/0037-8682-0044-2014 

Short Communications

Detection of intestinal parasites on field-grown strawberries in the Federal District of Brazil

Sandra Regina Morais da Silva [1]  

Iriani Rodrigues Maldonade [2]  

Verônica Cortez Ginani [3]  

Sônia Alves Lima [4]  

Vinícios Silveira Mendes [1]  

Maria Lidiane Ximendes Azevedo [1]  

Rodrigo Gurgel-Gonçalves [3]  

Eleuza Rodrigues Machado [1]   [3]  

[1]Faculdade Anhanguera de Brasília, Unidade de Taguatinga, Brasília, DF

[2]Laboratório de Ciência de Alimentos, Empresa Brasileira de Pesquisa Agropecuária (Embrapa) Hortaliças, Brasília, DF

[3]Laboratório de Parasitologia Médica e Biologia de Vetores, Faculdade de Medicina, Universidade de Brasília, Brasília, DF

[4]Empresa de Assistência Técnica e Extensão Rural, Brasília, DF

ABSTRACT

Introduction

This study evaluated the presence of pathogenic human parasites on field-grown strawberries in the Federal District of Brazil.

Methods

A total of 48 samples of strawberries and 48 soil samples from 16 properties were analyzed.

Results

Contaminated strawberries were detected in 56% of the properties. Schistosoma mansoni, Ascaris lumbricoides or Ascaris suum, Balantidium coli, Endolimax nana, and Entamoeba spp. were detected. Soil was contaminated with Entamoeba spp., Entamoeba coli, Strongyloides spp., Ancylostomatidae, and Hymenolepis nana.

Conclusions

Producers should be instructed on the safe handling of strawberries in order to reduce the incidence of strawberries that are contaminated with enteroparasites.

Key words: Enteroparasites; Strawberries; Transmission

Fruits and vegetables provide important nutritional value for humans, but when they are consumed raw and without being peeled, they may transmit human pathogens. Evaluating the pathogen load of fresh produce is of great importance for public health because it indicates the hygienic conditions during production, storage, transport, and handling1.

Ascaris lumbricoides, Entamoeba coli, Entamoeba histolytica, Endolimax nana, and Giardia lamblia have been found on strawberries (Fragaria ananassa Duch) in Mexico2. In Costa Rica, microsporidia were detected on strawberries3, and in Norway, 20% of strawberries were contaminated with G. lamblia cysts4. Strawberries in Turkey were heavily contaminated with Enterobius vermicularis5. Salmonella, Escherichia coli6, noravirus, rotavirus, swine hepatitis E virus7, and hepatitis A virus8 have also been detected in strawberries in North America.

In Brazil, the cultivation of strawberries has increased in recent years. However, the contamination of Brazilian strawberries by protozoa and helminthes that pose a risk to public health has not been investigated. The Brazlândia Administrative Region of the Federal District of Brazil (FD) is the largest production center of strawberries in the Central-West Region of Brazil. Strawberries produced there are sold in the FD and are also exported to the States of Bahia, Goiás, Pará, and Amazonas. As strawberries can carry pathogenic organisms, the aim of this study was to evaluate the presence of pathogenic human parasites on field-grown strawberries in FD, Brazil.

Samples of field-grown strawberries were collected in the rural area of Brazlândia, FD. Brazlândia has approximately 54,000 inhabitants. It has a total area of 474.83km2 and is 45km from Brasília (15° 47′ 56″ S, 47° 52′ 0″ W). The region includes 1,446 hectares of vegetables and fruit, of which 141 hectares produce approximately 4,700 tons of strawberries annually; they are the most commonly cultivated fruits in Brazlândia [Empresa de Assistência Técnica e Extensão Rural (EMATER)/DF].

The producers included in this study were selected using registration data from EMATER. Data were collected from 16 out of 38 registered strawberry producers, during visits that occurred from June to September, 2013. We selected the largest producers in the region. In each selected property, three samples of 20-22 strawberries were collected manually. Each sample weighed approximately 0.2kg. These fruits were packed in clean plastic bags, labeled, and stored in coolers at 4°C until examination.

The strawberries were washed using one of two methods. The first washing method required a clean glass bowl, brushes, and tweezers. Each strawberry was handled with the tweezers and washed with a brush and distilled water. In total, each sample (20-22 strawberries) was washed with 300mL of distilled water. The used water was then placed in a conical flask to allow sediment to settle for 24h9.

In the second washing method, the pre-washed strawberries (which had already been washed using the first method) were placed in a transparent plastic bag containing 300mL of distilled water and 30mL of neutral detergent (Uselimp™). The contents of the bags were stirred and left to stand, with a gentle stirring every 20 minutes, for 1h at room temperature. After 1h, the strawberries were removed from the bags and the used water was deposited into the conical sedimentation flask for 24h9.

The sediments of the three samples (20-22 strawberries) from each property were recovered and constituted approximately 2mL of content, which was stained by Lugol and examined until depletion using a microscope (Olympus BX 41) at 200x to 400x magnification. Each strawberry sample generated six slides that were analyzed under the microscope. The protozoa and helminthes that were detected were identified, measured using an ocular micrometer, and photographed using a digital camera (Sony™ Cyber-shot 5.1Mp) attached to the microscope.

Soil samples were also taken from the surface layer of soil, to a depth of approximately 3cm, at three sampling sites in the strawberry field of each property. The samples, which were about 0.3kg each, were placed in clean plastic bags, labeled, and transported to the laboratory, where they were analyzed using two parasitological methods, Hoffmann et al.9 and Willis10. The parasitological diagnostic procedure was the same as that described for the strawberries.

Contaminants were detected in samples from nine (56%) of the 16 properties. Schistosoma mansoni (egg), Ascaris lumbricoides/Ascaris suum (egg), Balantidium coli (trophozoite), Entamoeba coli, Entamoeba hartmanni, Endolimax nana, and Entamoeba spp. (cysts) were detected, in addition to free-living amoebae and unidentified nematodes and mites (Figure 1). More strawberries were contaminated by protozoa than helminthes (Table 1). The first strawberry washing method was insufficient to remove parasites; A. lumbricoides and E. nana were detected after the second washing method (Table 1).

FIGURE 1 Helminthes, protozoan, and mites detected on field-grown strawberries in the Federal District of Brazil. A: Schistosoma mansoni egg; B: Ascaris lumbricoides/Ascaris suum egg; C: Unidentified nematode egg; D: Balantidium coli; E: Entamoeba coli cyst; F: Unidentified mite. 

TABLE 1- Occurrence of helminthes, protozoa, and mites on field-grown strawberries and soil samples, Brazlândia, Federal District, Brazil, 2013. 

Property Strawberries Samples Soil Samples
First washing Second washing Willis Hoffmann et al.
1 Entamoeba coli Ascaris lumbricoides/ A. suum Negative Entamoeba spp.
Entamoeba hartmanni Entamoeba hartmanni
Entamoeba spp. Mites*
Free-living amoeba* Nematode egg*
Schistosoma mansoni
2 Entamoeba spp. Entamoeba coli Negative Nematode larvae*
Balantidium coli
Mites* Mites*
3 Negative Entamoeba coli Nematode eggs* Ancylostomatidae larvae
Nematode larvae*
4 Entamoeba coli Entamoeba coli Negative Entamoeba spp.
Entamoeba spp. Entamoeba spp.
Free-living amoeba* Free-living amoeba*
Mites*
5 Entamoeba spp. Endolimax nana Negative Entamoeba spp.
Mites*
6 Negative Negative Negative Negative
7 Negative Negative Entamoeba spp. Negative
8 Negative Entamoeba spp. Negative Nematode larvae*
9 Entamoeba spp. Negative Negative Negative
10 Negative Negative Negative Entamoeba spp.
Hymenolepis nana
11 Entamoeba hartmanni Negative Negative Nematode larvae*
12 Negative Negative Negative Negative
13 Entamoeba spp. Negative Negative Entamoeba spp.
14 Negative Negative Entamoeba coli Entamoeba coli
Entamoeba spp.
Nematode larvae*
Strongyloides spp. larvae
15 Negative Negative Negative Entamoeba spp.
16 Negative Negative Negative Ancylostomatidae larvae
Nematode larvae*

*Unidentified.

Soil samples from 13 (81%) properties were contaminated with protozoa and helminthes, mostly identified from the sedimentation-concentration method of Hoffmann et al.9 (Table 1). Hymenolepis nana, Strongyloides spp., Ancylostomatidae, and Entamoeba spp. were found in soil samples (Figure 2).

FIGURE 2 Helminthes and protozoan detected on soil samples in the Federal District of Brazil. A: Hymenolepis nana egg; B: Ancylostomatidae larvae; C: Entamoeba coli cyst; D: Strongyloides spp. (arrow indicates the detail of the larvae tail). 

Both soil and strawberries from eight properties were positive for helminthes, protozoa, or mites. However, some properties yielded positive results for soil samples and negative results from strawberries samples, or vice versa; for example, H. nana, Strongyloides spp., and Ancylostomatidae were detected only in soil samples (Table 1).

The results indicate that inappropriate sanitization of the strawberries can favor human infection by intestinal parasites in the FD and in other states that consume strawberries produced by this region.

Amoebae (Entamoeba spp.) were the most frequently found protozoan on the strawberries analyzed. The high frequency of Entamoeba spp. in the samples analyzed may be explained by the properties' failure to follow Good Agricultural Practices (GAP) during cultivation, when field-grown strawberries come in contact with soil and water that is contaminated with human and animal feces. Amoebae remained on the fruit surface after the first washing was complete, suggesting that they were strongly adhered. The mechanisms of amoebae adhesion to strawberries and other fruits and vegetables should be analyzed in future studies1.

Balantidium coli is transmitted by contact with pigs at the locations where they are bred and in slaughterhouses. Humans are infected when they ingest the cysts in food or water that is contaminated by feces from humans or animals that host the parasite, a scenario that may be occurring in Brazlândia, FD.

The presence of Ascaris lumbricoides/Ascaris suum may be related to the morphology of the eggs, which are able to adhere to fruits, and to its resistance to unfavorable environmental conditions, facilitating its survival and spread. Ascaris lumbricoides have also been detected in strawberries in Mexico2. This is the first report of A. lumbricoides/A. suum in strawberries in Brazil.

Schistosoma mansoni eggs found on the strawberries would not infect humans; however, their presence is relevant, as it indicates that their hosts are present in the area. Although cases of autochthonous schistosomiasis and records of infection by Biomphalaria glabrata in aquatic environments have been reported in FD11, only a few cases of schistosomiasis have been detected during the last few years in this region.

The contamination of strawberries may occur due to 1) insufficient hygiene among the strawberry handlers; 2) contact between the strawberry and contaminated soil, 3) irrigation with contaminated water, or 4) cross-contamination after harvest during storage. In this study, the strawberries were collected according to the GAP procedures: technicians wore gloves while harvesting the fruits and placed them in sterile plastic bags in order to avoid cross-contamination. Our results suggest that contact with the soil is a likely route of contamination, because the soil is a favorable environment for the helminthes. Therefore, strawberry contact with the ground, a common situation during conventional cultivation, likely promotes contamination.

To prevent the transmission of intestinal parasites to consumers, vegetables and fruits should first be cleaned by washing. Washing in running water of good quality can reduce the microbial load, but by itself it is not sufficient to reduce contamination to a safe level. In our study, the first strawberry washing was not enough to remove all parasites (Table 1). In addition, conventional sanitizers have been shown to have limited efficacy at removing spoilage and pathogenic microbes from the strawberry surface12.

It is important to consider that the morphological structure of the strawberries might hamper their capacity to be sanitized. Moreover, fresh produce and fruits, such as strawberries, are very perishable and highly vulnerable to microbial attacks. As conventional methods of decontamination are not effective, it is necessary to evaluate novel technologies. Pulsed ultraviolet light has the potential to be used to decontaminate raspberries and strawberries13. Furthermore, Luksiene and Paskeviciute14 showed that photosensitization may be an effective, nonthermal, and environmentally friendly microbial decontamination technique. This method can extend the shelf life of strawberries without any negative impact on antioxidant activity, amounts of phenols and anthocyanins, or color. Yoon et al.15 suggest that food safety practices in strawberry greenhouses and packaging centers should be improved, and their suggestions may be useful in the establishment of a good agricultural practice system for strawberry production.

Parasitological assessment of the quality of water used for strawberry irrigation should be performed in order to clarify the source of contamination. Further studies evaluating bacterial contamination6 are needed to understand the role of strawberries in spreading pathogens in Brazil.

The results of this survey show that a considerable number of strawberry samples are contaminated by enteroparasites, suggesting that it is necessary to conduct ongoing education for strawberry producers and harvesters, as well as providing guidance to ensure that good practices are followed. The consumer population should also be alerted to the risks of consuming strawberries that have not been properly washed and sanitized.

ACKNOWLEDGMENTS

We thank the Empresa de Assistência Técnica e Extensão Rural (EMATER) employees for their dedication in organizing and scheduling the harvesting of the strawberries and collection of soil samples from the properties of producers. We also thank Dr. Andrey Andrade (Universidade de Brasília) for reviewing the manuscript.

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Received: February 22, 2014; Accepted: June 5, 2014

Address to: Dra. Eleuza Rodrigues Machado. Laboratório de Parasitologia Médica e Biologia de Vetores/Área Patologia/FM/UnB. Caixa Postal 4569. Campus Universitário Darcy Ribeiro, Asa Norte, 70904-970 Brasília, DF, Brasil. Phone: 55 61 3107-1787. e-mail: eleuzarodriguesmachado498@gmail.com

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