Salmonella in surface and drinking water: Occurrence and water-mediated transmission

Salmonella is one of the leading causes of intestinal illness all over the world as well as the etiological agent of more severe systemic diseases such as typhoid and paratyphoid fevers. While water is known to be a common vehicle for the transmission of typhoidal Salmonella serovars, non-typhoidal salmonellae are mainly known as foodborne pathogens. This paper provides a brief review of the last ten years of peer reviewed publications on the prevalence of Salmonella in natural freshwaters and drinking waters, and on the relevance of these sources for Salmonella dissemination. In industrialized countries, Salmonella was rarely reported in water-borne outbreaks despite it being frequently detected in surface waters including recreational waters and waters used for irrigation or as a drinking water source. Consistent contamination with irrigation waters has been shown to be a common route of crop contamination in produces related Salmonella outbreaks. Multiple drug resistant (MDR) Salmonella strains, that represent an increased hazard for human health and that may contribute to the dissemination of drug resistances were also detected in surface water in developed countries. Surface runoff was shown to play a main role as driver of Salmonella load in surface waters. Accordingly, analysis of serovars indicated a mixed human and animal origin of Salmonella contribution to surface waters, emphasizing the role of wild life animals in water contamination. Data relating to Salmonella prevalence in surface and drinking water in developing countries are quite rare. Nevertheless, data on water-borne outbreaks as well as case control studies investigating the risk factors for endemic typhoid fever confirmed the relevance of water as source for the transmission of this disease. In addition epidemiological studies and Salmonella surveys, consistently provided an undeniable evidence of the relevance of MDR Salmonella Typhi strains in water-borne typhoid fever in developing countries.

► Salmonella occurrence in surface/drinking waters and water mediated infections were revised.
► Salmonella was frequent in surface waters but rarely caused waterborne epidemics in developed world.
► Contaminated irrigation waters were often associated to produces related Salmonella outbreaks.
► The relevance of MDR Salmonella Typhi in waterborne typhoid fever in developing nations was shown.
► There are still limitations on the understanding of Salmonella in water and their potential sources.