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      Dirty Money on Holy Ground: Isolation of Potentially Pathogenic Bacteria and Fungi on Money Collected from Church Offerings

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          Abstract

          Background:

          Fomites (including money) can transmit diseases to humans. How the nature of money influences contamination has not been adequately demonstrated. Moreover, such studies in church settings are non-existent. Thus, we studied how money collected from a church could serve as human disease transmission vehicles.

          Methods:

          Overall, 284 money samples (currency notes and coins) were collected during two Sundays in the months of Nov and Dec 2015 from a church congregation in Pretoria, Gauteng, South Africa. The presence of potentially pathogenic bacteria and fungi were investigated using culture (Colilert ® method) and molecular methods (Sanger sequencing). Scanning Electron Microscopy (SEM) was used to visualize the possible positions of the bacteria on various parts of a currency note.

          Results:

          Of the 192 samples (first sampling round), 76 (39.6%) were positive for E. coli. Smaller notes (R10) recorded the highest E. coli counts per note. Of the 92 notes analyzed for potentially pathogenic bacteria and fungi (second sampling round), 76 (82%) showed growth on at least one of the six culture media used. Sequencing revealed three bacterial ( Bacillus, Staphylococcus and Corynebacterium) and two fungal ( Clavispora and Rhodotorula) genera. SEM revealed that microorganisms could enter cracks of creased notes.

          Conclusion:

          Unlike previous studies conducted where recent contamination could occur, the current study shows that microorganisms can survive on money; samples were collected from a church, where little or no exchange takes place. Moreover, using SEM demonstrates that aged and creased notes favor attachment of bacteria to money and could be of public health concern by transmitting disease within a given population.

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          The skin microbiome

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            Role of nonhost environments in the lifestyles of Salmonella and Escherichia coli.

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              Use of 16S rRNA Gene for Identification of a Broad Range of Clinically Relevant Bacterial Pathogens

              According to World Health Organization statistics of 2011, infectious diseases remain in the top five causes of mortality worldwide. However, despite sophisticated research tools for microbial detection, rapid and accurate molecular diagnostics for identification of infection in humans have not been extensively adopted. Time-consuming culture-based methods remain to the forefront of clinical microbial detection. The 16S rRNA gene, a molecular marker for identification of bacterial species, is ubiquitous to members of this domain and, thanks to ever-expanding databases of sequence information, a useful tool for bacterial identification. In this study, we assembled an extensive repository of clinical isolates (n = 617), representing 30 medically important pathogenic species and originally identified using traditional culture-based or non-16S molecular methods. This strain repository was used to systematically evaluate the ability of 16S rRNA for species level identification. To enable the most accurate species level classification based on the paucity of sequence data accumulated in public databases, we built a Naïve Bayes classifier representing a diverse set of high-quality sequences from medically important bacterial organisms. We show that for species identification, a model-based approach is superior to an alignment based method. Overall, between 16S gene based and clinical identities, our study shows a genus-level concordance rate of 96% and a species-level concordance rate of 87.5%. We point to multiple cases of probable clinical misidentification with traditional culture based identification across a wide range of gram-negative rods and gram-positive cocci as well as common gram-negative cocci.
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                Author and article information

                Journal
                Iran J Public Health
                Iran. J. Public Health
                IJPH
                IJPH
                Iranian Journal of Public Health
                Tehran University of Medical Sciences
                2251-6085
                2251-6093
                May 2019
                : 48
                : 5
                : 849-857
                Affiliations
                [1. ] Antimicrobial Research Unit, College of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban 4000, South Africa
                [2. ] Department of Biotechnology, University of Johannesburg, Gauteng, South Africa
                [3. ] Water Research Commission, Pretoria, South Africa
                Author notes
                [* ] Corresponding Author: Email: euniceubombajaswa@ 123456yahoo.com
                Article
                ijph-48-849
                6717425
                7dcf6d2b-0541-4861-a3ea-cc1399d17d01
                Copyright© Iranian Public Health Association & Tehran University of Medical Sciences

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 16 December 2017
                : 27 February 2018
                Categories
                Original Article

                Public health
                money,disease transmission,church,microbial contamination,public health
                Public health
                money, disease transmission, church, microbial contamination, public health

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