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FAD Simon J. Kenyon Ross University

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Page 1: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

FAD

Simon J. Kenyon

Ross University

Page 2: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Learning Objectives

• Understand the global context of FADs and their importance

• Recognize the clinical signs of important FADs• Know what to do if you encounter an unusual

disease that is possibly and FAD

Page 3: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important
Page 4: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

FAD Myths

• FADs are a problem for large animal veterinarians

• FADs look like the pictures• USDA/APHIS/VS doesn’t like false alarms• It can’t happen to me

Page 5: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Jan - Jan 2010 - 2011

Page 6: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

IAHSolid colour = PanAsian strain present

Hashed colour = Type O present, PanAsian strain suspected

Spread of the PanAsia lineage of the Middle East-South Asian (ME-SA) topotype of FMDV-O

200019991998199719961995199419931990

First appearance

N.J. Knowles, 15 October 2001

2001

Page 7: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important
Page 8: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important
Page 9: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Some recent cases

• Screwworm, Sept 2007, Mississippi • Avian Influenza HPAI, 2004 - H5N2 Texas, H7N3

British Columbia• Exotic Newcastle Disease 2003 – California,

Texas • BSE, 2003 - 2007 – imported and US bred cattle• Monkey Pox, multi-state, June 2003• Bluetongue – Montana, Wyoming 2007

Page 10: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Monkey Pox

• Imported Gambian Giant Rat• Prairie Dogs• Humans

Page 11: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important
Page 12: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Screwworm

Image from “The Gray Book”, University of Georgia

Page 13: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Screwworm

Screwworm - Third instar larvae, Cochliomyia hominivorax

Page 14: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Recent Outbreaks

Exotic Newcastle Disease – California 2002-2003

Moynihan Report on Collaborative Networks, 2005

“On average 40 new employees joined the task force daily”

Page 15: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

www.EDEN.lsu.edu

Page 16: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important
Page 17: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Opportunities for Veterinarians

• Initial Accreditation Training Course• USDA/APHIS/VS and State Animal Health Depts.• Animal Surveillance Emergency Response Teams

(ASERT)• Purdue’s Graduate Certificate Program in Veterinary

Homeland Security

Page 18: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

FMD - Cattle

Page 19: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Vesicles or blisters on tongue, dental pad, or teats

Page 20: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

FMD

Page 21: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Hogs and other species – vesicles on coronary band

Page 22: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Hog - Vesicle on snout

Page 23: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Clinical Comparisons: Snouts

• Swine Vesicular Disease

• Vesicular Stomatitis

• Foot and Mouth Disease

• Vesicular Exanthema

Page 24: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

FMD

Page 25: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Swine Vesicular Disease

Page 26: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Sheep – disease may be very mild

Page 27: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important
Page 28: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important
Page 29: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important
Page 30: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important
Page 31: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Public Information

Page 32: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

FMD Issues

• Early Diagnosis• Time from diagnosis to slaughter• Models• Vaccination• Carcass disposal• Societal change

Page 33: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

North Carolina Live Animal Shipments

SwineGoats

Sheep and LambsPoultry

Beef CattleDairy Cattle

CanadaMexico

South America

CanadaMexico

Live animals are shipped to a total of 27 states, Puerto Rico, Mexico, Canada and South America!

Puerto Rico

Page 34: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Diff. Diagnosis of Vesicular Dis.

Cattle Sheep Swine Horse

FMD S S S R

Vesicular stomatitis S S S S

Vesicular Exanthema of Swine R R S R

Swine Vesicular Disease R R S R

Page 35: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Sources of Primary Outbreaks

SourceSource Percent of OutbreaksPercent of Outbreaks

1870-1968 1969-1993

Meat, meat products, garbage 71 23

Airborne (wind) or migrating birds 24 9

Livestock importations 2 36

Contaminated objects, persons 3 4

Vaccines 1 25

Wildlife <1 3

FMD, Worldwide

Source: USDA

Page 36: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Airborne Spread?

“O Lausanne 1965”

Page 37: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

National Animal Health Laboratories Network (NAHLN) 2003

Page 38: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Proposed Biosafety Level 4 sites

• Flora, Mississippi• Athens, Georgia

• San Antonio, Texas• Butner, North Carolina

Manhattan, Kansas

Page 39: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

African Horse Sickness

Page 40: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important
Page 41: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

African Horse Sickness

Page 42: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

African Horse Sickness

Page 43: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

African Horse Sickness

Page 44: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

African Horse Sickness

Page 45: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Low Pathogenicity (LPAI) High Pathogenicity (HPAI)

Avian influenza

• Natural Host: Waterfowl (ducks, geese etc.)• Domestic species affected

– Chickens, ducks, geese, turkeys, guinea fowl, quail and pheasant

– Some pet birds

Page 46: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

• 16 H (hemagglutinin antigens) and 9 N (neuraminidase antigens)

• All subtypes can be found in birds, but only subtypes H5 and H7 have caused severe outbreaks of disease in birds

Type A Influenza

Page 47: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Avian Influenza

Page 48: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Symptoms of HPAI• A lot of birds affected

– Dead birds– Very sick birds– Coughing and sneezing– Swollen combs and wattles– Discolored and swollen joints– Diarrhea

Page 49: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Avian Influenza

Page 50: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Avian Influenza

Cyanotic Comb

Page 51: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important
Page 52: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Avian Influenza H5N1

Page 53: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

H5N1 - WHO mortality stats January 13 2011

Page 54: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Avian Influenza and the U.S.

Could enter as:

A bird disease

A human disease

Page 55: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important
Page 56: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important
Page 57: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important
Page 58: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

VVND

Edema and hemorrhage of the head esp. eyelids

Page 59: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

VVND

Hemorrhages in proventriculus

Page 60: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

VVND

Necrosis of cecal tonsil and Peyer’s patches

Page 61: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

African Swine Fever

Reddening of ears and skin (non-specific)

Page 62: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

African Swine Fever

Enlarged dark red or black spleen. Note kidney

Page 63: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

African Swine Fever

Hemorrhagic gastro-hepatic lymph nodes

Page 64: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

African Swine Fever

Enlarged, hemorrhagic peri-renal lymph nodes

Page 65: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Hog Cholera

Conjunctivitis and exudate at medial canthus

Page 66: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Hog Cholera

Tonsillar necrosis

Page 67: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Hog Cholera

Splenic infarcts

Page 68: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Hog Cholera

Petechial hemorrhages in renal cortex

Page 69: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Rinderpest

Page 70: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

BVD

Page 71: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

EHD in a cow

Page 72: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Bluetongue

EHD

Page 73: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Rinderpest

Necrosis of Peyer’s patches

Page 74: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Rinderpest

Zebra stripe hemorrhages of colonic mucosa

Page 75: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Peste des Petits Ruminants

Zebra stripe hemorrhages of colonic mucosa - goat

Page 76: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Stomatitis-Enteritis Case Definition

Ocular Discharge

Nasal Discharge

And

Fever

Oral Erosions/Lesions

Salivation

Corneal Opacity

Diarrhea

Death

Outbreaks of contagious disease exhibiting discharge (ocular and nasal) and any two of the above-mentioned symptoms should be reported as stomatitis-enteritis outbreaks. Note that it is the outbreak that must meet the case definition, not individual animals.

The stomatitis-enteritis case definition is used to ensure that all case that could be Rinderpest are investigated

Page 77: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

How to Do the Gel Diffusion Test for Rinderpest

Page 78: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Rinderpest 1980’s

Rinderpest 2003

Page 79: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Contagious Bovine Pleuropneumonia

Page 80: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Contagious Bovine Pleuropneumonia

Page 81: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Contagious Bovine Pleuropneumonia

Page 82: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Malignant Catarrhal Fever

Page 83: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Malignant Catarrhal Fever

Page 84: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Cutaneous lymphosarcoma

Page 85: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Lumpy Skin Disease

Page 86: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Lumpy skin disease

massive lymphadenopathy and edema of the forelimb is common

Page 87: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Lumpy Skin Disease

Page 88: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

From: The Gray Book

Sheep pox lesions on underside of tail of a sheep

Page 89: FAD Simon J. Kenyon Ross University. Learning Objectives Understand the global context of FADs and their importance Recognize the clinical signs of important

Recovered case of lumpy skin disease. The scars are called “sitfasts”