The Consensus from the Mycobacterium avium ssp. paratuberculosis (MAP) Conference 2017
On March 24 and 25, 2017 researchers and clinicians from around the world met at Temple University in Philadelphia to discuss the current knowledge of Mycobacterium avium ssp. paratuberculosis (MAP) and its relationship to human disease. The conference was held because of shared concern that MAP is a zoonotic bacterium that poses a threat not only to animal health but also human health. The conference proceedings may be viewed at www.Humanpara.org.
A summary of the salient work in this field is followed by recommendations from a majority of the conferees. A majority of the conferees strongly urge that the possibility that MAP causes human disease no longer be ignored. Should further compelling evidence become available, it is recommended that the FDA and USDA (and their counterparts in other nations) have contingency plans in place to rapidly eliminate MAP from the milk and meat supply through effective MAP control measures including biosecurity and hygiene, vaccination, and test-and-cull programs. Even if public health measures are not put in place by the appropriate regulatory agencies, food producers are encouraged to offer food products from animals in MAP control programs. Many food producers are already undertaking voluntary control practices and this effort is encouraged and commended. The international representation in the authorship of this article attests to the observation that Crohn’s Disease is now a worldwide epidemic.
The article has 70 coauthors, including the past (Collins) and current (Juste) Presidents of the International Association for Paratuberculosis. This is an open-access article distributed under the terms of the Creative Commons Attribution License.