what to do when you encounter a new

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    What to Do When YouEncounter a New Disease in

    poultry flocks:

    Dr.Kedar Karki

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    Backgroumd

    New diseases are potential threats impacting theeconomy of the poultry industry and ruralcommunities. Some come and go creating littleimpact while others have a significant effect. Most

    affect breeders, either directly by reducingproductivity (decreased egg production, decreasedfertility, increased mortality, increased costs, poorchick viability or productivity, etc.),or indirectlythrough genetics, inadequate immunity, or vertical

    transmission. New diseases occur with astonishingfrequency on average at least one new poultrydisease is described each year.

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    new poultry diseases that have affected

    the

    industry during the past 25 years:

    1. Turkey Coryza (Bordetellosis)

    2. Avian Nephritis

    3. Zoonotic Avian Influenza

    4. Highly Virulent . Infectious BursalDisease Syndrome

    5. Variant Inf. Bursal Disease6. Variant Infectious Bronchitis

    7. Ornithobacterium rhinotracheale

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    affected the

    industry during the past 25 years:

    8. Angara (Hydropericardium)

    Disease

    9. Runting Stunting Syndrome10. Chicken Infectious Anemia

    11. Transmissible Viral

    Proventriculitis12. Variant MG and MS Infections

    13. Dermal Squamous Cell

    Carcinoma

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    affected the

    industry during the past 25 years:

    14. Myeloid Leukosis

    15. Turkey Rhinotracheitis

    16. Cryptosporidiosis

    17. Spiking Mortality-Hypoglycemia

    18. Very Virulent Mareks Disease

    19. Pulmonary Hypertension Syndrome20. Big Liver and Spleen Disease

    21. Salmonella enteritidis phage type 4

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    affected the

    industry during the past 25 years:

    22. Equine Encephalitis Virus in

    Turkeys

    23. Stunting Syndrome in Turkeys

    24. Poult Enteritis Mortality Syndrome

    25. Multicentric Histiocytosis

    26. Hepatitis-SplenomegalySyndrome

    27. Turkey Osteomyelitis Complex

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    Recognizing a New Disease

    New diseases are most readily

    recognized when disease

    surveillance is already in place. We

    are fortunate in Nepal to have an

    excellent and virtually no-cost

    diagnostic service available to the

    poultry industry, which makes diseasesurveillance readily available through

    Bird flu surveillance.

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    Recognizing a New Disease

    New diseases will be seen by the

    grower initially, service person, farm

    manager or other person who

    interacts on a continuous basis with

    the birds.

    Experience and training will help the

    individual to recognize that a newdisease may have occurred.

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    Recognizing a New Disease

    New diseases will be different insome way from diseases that haveoccurred previously.

    They can be an emerging disease(truly new) or a re-emerging disease(a variation of a known disease).

    Recognizing how a disease isdifferent from what is known isessential to identifying a new disease.

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    Steps to be Taken

    1) Is the problem really a new disease

    or is it a known disease? Careful and

    complete diagnostic workups of

    affected flocks will help to determinethis question. It is important to

    consider management and

    environment as well as search forinfectious agents.

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    Steps to be Taken

    2)The new disease needs to be

    described, defined, and named to

    make communication possible.

    What are the salient features of the

    new disease that distinguish it from

    previously known diseases?

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    Steps to be Taken

    3) An epidemiologic study needs to

    be done. In most situations,

    something has been changed to

    permit the new disease to emerge orre-emerge. What is different now from

    when the disease was not occurring?

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    Types of New Diseases

    a) Well-known classical diseases in

    unusual situations. Either a previously

    known disease occurs in a different

    class of poultry or in a geographicarea where it has not occurred

    previously. This includes the

    introduction of foreign diseases suchas exotic Newcastle disease or Highly

    Pathogenic Avian Influenza

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    Types of New Diseases

    b) Production diseases. Mosteconomic loss from disease in poultryflocks results from a failure of the bird

    to achieve its genetic potential, i.e.,morbidity, and not from outright death(mortality). Collectively these ill-defined diseases that adversely affect

    production are called productiondiseases to differentiate them fromclassical diseases with known cause

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    Types of New Diseases

    c) Polymicrobial diseases. Few diseases

    result solely from the effects of a single

    agent. In most instances there is a primary

    pathogen, which initiates the diseaseprocess, and opportunistic microbes or

    non-infectious factors that complicate or

    intensify the clinical severity of the

    condition. Polymicrobial diseases require atleast two infectious agents for the disease

    to occur.

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    Types of New Diseases

    d) Emerging and reemerging diseases.Infectious agents are constantly interactingwith their host(s) in the process ofadaptation and with each other to form new

    organisms through transfer of geneticmaterial.

    Coinfection of a bird with two similarviruses can result in a recombinant viruswith properties of both viruses, effectivelyresulting in a new virus.Variants also result from mutations duringreplication.

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    Emerging and reemerging diseases

    In fact the mutation rate in coronaviruses isso high that it is unlikely that any two virusparticles have completely identicalgenomes. For virologists, evolution is adaily reality not a theory, according toDr. M. C. Horzinek (2000). Fortunatelymost genetic variants do not develop intounique pathogens or vary significantly from

    the original virus, however, the few that dobehave differently can be the cause of anemerging or reemerging disease.

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    Types of New Diseases

    e) Diseases that jump from anotherspecies. Another means by which aninfectious agent acquires newcharacteristics is when it adapts to a new

    host. Several pathogens spread betweendifferent avian species, most notablyviruses such as avian adenovirus type 3,avian influenza viruses, avianmetapneumoviruses, and Newcastle

    disease virus that commonly infectwaterfowl with little or no effect, to poultryin which they cause clinical disease.

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    Diseases that jump from another

    species.

    Spread between mammals and

    poultry is less common although it is

    well recognized that influenza viruses

    common to pigs can cause egg-dropsand mortality in turkeys and avian

    influenza viruses can infect people,

    occasionally with fatal results.

    T bl 1 Ch t i ti f

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    Table 1. Characteristics of

    production and classical diseases.

    Usuallypresent

    and readily

    recognized

    Not present or mild

    and not

    considered

    significant

    ClinicalSigns

    Simple, usually one,

    or lescommonly, two

    agents; may b

    infectious or non-

    infectious

    Complex,

    multifactorial,interactions between

    noninfectious

    & infectious factors

    Cause

    ClassicalDisease

    Production Disease

    Ch t i ti f d ti d

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    Characteristics of production and

    classical diseases.

    Typical

    lesions

    usually

    present

    Not

    present or

    mild and

    nonspecifi

    Pathology

    Variable,

    butusually

    present

    Typically

    nil to low

    Mortality

    Classical

    Disease

    Productio

    n Disease

    Ch t i ti f d ti d

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    Characteristics of production and

    classical diseases.

    Often possible,

    moderate to high

    success

    Rarely possible, often

    too late,

    usually of little valueTreatment

    Signs, lesions

    recognized, ID ofcause; deductive

    (many findings

    lead to specific

    cause)

    Production below

    geneticpotential; inductive

    (few findings

    lead to generalities

    about flock)

    Diagnosis

    ClassicalDisease

    Production Disease

    Ch t i ti f d ti d

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    Characteristics of production and

    classical diseases.

    Generally easy to

    experimentally

    reproduce; proven by

    Kochs

    postulates

    Difficult to

    impossible to

    experimentally

    reproduce and

    confirm; proven byEvans

    Experimental

    Reproduction

    Vaccines and

    medications often

    useful

    Requires high

    biosecurity,

    excellent

    management, very

    good nutrition

    Preventio

    n/

    Control

    ClassicalDisease

    Production Disease

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    Characteristics of production and

    classical diseases.

    Natural or

    experimental

    disease,

    emphasis on

    microbiology,

    pathology,

    toxicology, etc.

    In flocks on farms,

    good records

    essential, emphasis

    on

    population medicine,

    epidemiology, etc.

    Methods

    of

    Study

    ClassicalDisease

    Production Disease

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    Getting Help?

    To minimize the impact of newdiseases, early detection and controlare essential.

    Unlike the situation with emerginghuman diseases, there exists nocomprehensive systematicinvestigative approach to quicklyidentify and combat new food animaldiseases.

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    Getting Help?

    The current approach is fragmented

    and dependent on individual

    production companies and individual

    researchers, which often results in anuncoordinated effort that can result in

    severe economic losses due to

    delays in recognition and control ofthe disease.

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    Getting Help?

    Health care for poultry can be thought

    of as a three-tier system that mirrors

    health care for people. Primary health

    care, provided at the flock or complexlevel, is analogous to that provided by

    the family physician. Individuals

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    Getting Help?

    Individuals within the company,

    consultants, or extension personnel

    handle the day-to-day health issues

    including preventative healthprograms.

    Often this is a poultry veterinarian

    assisted by the service people whovisit flocks and complex managers.

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    Getting Help?

    Unfortunately, primary care for

    poultry, which is when a possible new

    disease would initially be recognized,

    continues to decrease. The numberof poultry veterinarians working in

    production has decreased even

    though live production has increased.

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    Getting Help?

    Poultry veterinarians also have

    increased responsibilities that may

    span breeders to processing plants or

    a number of complexes in differentgeographic areas, and regulatory or

    other governmental duties that can

    consume considerable time andprevent attention being given to bird

    health.

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    Getting Help?

    Medical specialists, following referral

    of a patient from the primary

    physician, provide secondary health

    care for people.

    Veterinary diagnosticians provide

    secondary health care for poultry

    following submission of affected birdsto a diagnostic laboratory.

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    Getting Help?

    The number of diagnostic labs,

    diagnosticians, and capabilities of the

    labs continues to decrease, even in

    areas where poultry production issignificant.

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    Getting Help?

    An important aspect for controlling new

    diseases is partnerships between local

    government, academia, and industry.

    No one group alone has the requisiteresources needed to identify and control a

    new disease. These relationships are best

    established and maintained prior to a new

    disease problem occurring.

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    Getting Help?

    Poultry extension personnel play a

    key role in the identification of

    possible new diseases.

    They span all levels of health care

    and connect companies that have a

    potentially new disease problem with

    resources, secondary and/or tertiary,that can help solve the problem.

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    Getting Help?