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10: Zoonoses
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Veterinary Medicine
Graduate
11/04/2015

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Term
Zoonoses
Definition

WHO defines zoonoses as diseases and infections that are naturally transmitted between vertebrate animals and humans

DOES NOT include: 

- fish and reptile toxins

- allergies to invertebrates

- diseases transmitted by animals acting as vehicles for human pathogens

- experimentally transmitted diseases 

Term
Anthropozoonoses:
Definition

 

 The diseases in which animals act as reservoir hosts and humans

become accidentally infected, e.g. hydatidosis, visceral larvae migrans. 

Term
Zooanthroponoses:
Definition

 

 These diseases are normally present in humans but could be transmitted to animals, e.g. amoebosis 

Term
Amphixenosis
Definition
the diseases in which both man and animals could act as reservoir hosts, eg. staph
Term
Classification based on reservoir host
Definition

Anthropozoonoses

zooanthroponoses

amphixenosis

Term
Classification based on life cycle
Definition

arthrosoonoses

cyclozoonoses

metazoonoses 

Term

arthrosoonoses

 

Definition
perpetuated by a single vertebrate host  ( RAbies, brucellosis)
Term
Cyclozoonoses
Definition
require more than 1 vertebrate species but no invertebrate host
Term
Metazoonoses
Definition
require both vertebrate and invertebrate to complete transmission ( west nile)
Term
The social context for zoonoses
Definition

- growing and ageing human population

- growing animal pop. 

- increased pet ownership

- increased interaction with animals

- growing number of immunocompromised people

- new disease continue to emerge

- occupational risk 

Term
how many human pathogens are zoonotic?
Definition
61%
Term
What percent of emerging diseases are zoonotic?
Definition
75%
Term
what percent of agents with potential bioterroist use are zoonotic pathogens?
Definition
80%
Term
Why are zoonoses important
Definition

- economic loss- high costs to control disease, compromised trade during outbreaks, produce loss

- social impact: movement restrictions, morbidity, mortality, reduced workforce due to infection

 

Term
Routes of transmission
Definition

Direct: 

- inhalation, ingestion, percutaneous inoculation, MM, blood and body fluids, transplacental

Indirect: fomites

environment, vectors 

REMEMBER: animals might not always express the disease clinically, not all pathogens can be transmitted through all routes. 

Term
Emerging zoonoses
Definition

diseases that are newly recognized, newly evolved or that have occurred previously but show an increase in incidence or expansion. 

- spread -> leading to pandemics

 

Term
How do Pandemics Occur
Definition

 

 [image]
Term
Reservoirs for emerging zoonotic pathogens
Definition

 

About 71,8 % of new diseases emerge from wild life population
Organism must have ability to cross species barrier and opportunity to do so by either spill over events (incidental human outbreaks without sustained humanhuman transmission) or

specie jump (pathogen evolution to efficiently transmit amongst human hosts) Bats are reservoirs for 61 highimpact viral zoonosis:

Nipah virus, Hendra virus, Ebola, SARS

Rodents are a similar comparison group (68 viral zoonosis)
Lassa fever, Argentine, Bolivian, Venezuelan, Brazilian haemorrhagic fevers 

Term
Disease Hot spots
Definition

 

Emerging disease ‘hot spots’ are regions where diseases are more likely to originate.
Usually regions that have high population density and/or are ill
equipped to cope. Global effort for EID surveillance and investigation should be allocated to high risk zones before largescale emergence. 

Term
Zoonotic disease preparedness
Definition

WHO members must report any emergent infectious disease with potential international spread

- WHO notifies other countries through its global alert and response network ( GOARN)

- WHO and notified countries assess the risk of transmission

- establish control measures 

Term
Prevention measures at the farm
Definition

 

  •   Clean food and water; avoid dung and urine get into drinking bowls or hay racks

  •   Remove faeces from animal enclosures frequently

  •   Make sure that the air is well ventilated.

  •   Do not keep animals overcrowded.

  •   Vaccinate animals against important diseases

  •   Bury or burn the dead animals. Always investigate when an animal dies suddenly.

  •   Keep animals in clean, dry places. Move enclosures and stables regularly and keep them clean

  •   Quarantine newly purchased animals

  •   Strict biosecurity 

Term
Disease control
Definition
[image]
Term
Avian Influenza
Definition

 

Orthomyxoviridae: influenza viruses: A, B, C 

Hemagglutinin (H) and neuraminidase (N) proteins: H5N1 

Highly mutagenic virus; antigenic drift produce small genetic 

changes to evade the immune system

By antigenic shift a new subtype (can produce pandemics)

Epidemiology

In animals: last incident in 2008 due to HPAI H7N7

No fatalities observed in the UK, H5N1 pandemic in 2009

 

Mode of transmission:
Wildbirdsasreservoir
In animals: Direct contact (secretions and excretions) or
indirect (fomites)
In humans: close contact with highly pathogenic (HPAI) infected birds

Disease in animals:

HPAI:respiratorysigns,headoedema,nasaldischarges,respiratorydistress,cyanosisof the wattles.

LPAI:asymptomatic

Disease in humans:

Fever,lethargy,cough,nasaldischarge,jointpain; 

 

Control and prevention
Prevent access of wild to domestic birds
Correct biosecurity on farm
National programs for surveillance of HPAI
Notifiable disease
Preventive vaccination ?
Movement restrictions if suspected (protection and surveillance zone) Culling of affected birds 

Term
Echinococcosis
Definition

 

Cystic Echinococcosis (hydatic disease): infection with the larval stage of Echinococcus granulosus

Definitive hostdogs; Intermediate hosts: sheep, cattle, goats, humans

Alveolar Echinococcosis: infection with the larval stage of Echinococcus multilocularis

Definitive hosts: dogs, foxes, coyotes; intermediate hosts: rodents, humans

Transmission to humans

:consumption of viable eggs from infected animal faeces, 

handtomouth

contaminated food or water, fomites

Transmission to animals:

Intermediate: ingestion of eggs from the environment

Final : eating affected parts of intermediate host 

 Cystic echinococcosis - granulosus - cyst have stronger capsuleAnimals:

hydatic cyst can develop in liver, heart, lungs, kidney; asymptomatic

Humans:

cyst slowgrowing, clinical signs depending on

the location: , swelling and compression, pain,

nausea, vomiting, anaphylactic shock

liver and lungs usually but can also appear in the

spleen, kidneys, heart, bone

Alveolar echinococcosis ( not in uk) doesnt have thick cyst capsule Humans

Affect liver with possible spread to lungs and brain

pain, weight loss, and malaise; can cause liver failure; mortality 50% 75% 

 

Diagnosis:
Ultrasonography/serologytesting

Treatment:
Surgicalremoval Albendazole

Prevention:
Surveillanceatabattoirs
Avoidfeedingdogswithsheepoffal Dewormingofdogs
Pet scheme
Controlofstraydogs
Hygienicmeasuresandeducation 

Term
Glanders
Definition

NOTIFIABLE 

 

Causative agent: Burkholderia mallei MiddleEast, South America, India

Transmission- highly transmissable
Reservoir is infected Equidae
to humans via discharges from infected horses Entry via skin abrasions, mucous membranes Aerosols
Vets, horseworkers, butchers at particular risk, water troughs

Symptoms:
Acuteandchronicforms
Localisedandsystemicforms
Cutaneous and subcutaneous nodules that ulcerate are characteristic

Prevention:

Banningimportsfromcountrieswherethediseasehasbeenreported

cull affected animals

Notifiabledisease


UseadequatePPE 



 

Term
Trichinosis
Definition

 

Parasite (Nematode) Trichinella spiralis

Transmission:

Associatedwithpigs(alsowildpigs),humanandhorses.Rats,wildcarnivoresasreservoirs. consumptionofraw/undercookedmeat
19752005:39confirmedcasesintheUKbyconsumptionofproductsabroadorimported

Symptoms: variable
Musclepain,fever,swellingofeyelids.
Mostcommonsites:diaphragm,ribs,tongueandjaw


Treatment:
Symptomatic treatment and support

Prevention:
Cooking of meat at least at 75oC
Pest control of rats and wild animals in pig units

Hygienic measures including isolation and removal of sick individuals Inspection of meat sample (wild and uncontrolled housing conditions Cold treatment (freezing) of meat


 

Term
Lyme disease
Definition

 

Caused by spirochete Borrelia burgdorferi Epidemiology:

Endemic in south of England, Lake District, Scottish Highlands and Islands

1,163 human cases reported in the UK in 2012

Very common zoonose in northern hemisphere

and wet climates

Transmission:

Reservoir: rodents, dogs might be reservoirs too

Bite of tick Ixodes ricinus

prefer to feed on deer

  • Life cycle of the tick and Borrelia spp. are

    closely linkedtransmission is seasonal

    At least 24 h tick attachment for transmission 


     

    Disease in animals:

    • Dogs, horses, cattle rabbits

      unspecific symptoms: fever, lethargy, lameness,

      anorexia. Disease in humans:

      erythema migrans (red expanding skin reaction). Flu like symptoms with fever, malaise, headache

      days to weeks: widespread EM lesions, neurological: meningitis, cranial nerve damage and facial paralysis

      Chronic: arthritis 



       

      Diagnosis:
      Difficult: not always erythema migrans, tick missing

      Treatment:
      antibiotics

      Prevention:

      • Prevent tick attachment to large mammals and humans

      • Controlling undergrowth around footpaths

      • Inspect and treat livestock for ticks

      • Control access of rodents to farmed deer

      • Permethrintreated cotton balls to decrease tick population on rodents

      • Personal protection: adequate clothing, prompt removal of ticks, avoid humid area with abundant vegetation

Term
Cutaneous Larva migrans
Definition

by dogs -> humans 

 

Etiology: Hookworms( Ancylostoma brazilense, Ancylostoma caninum) Epidemiology: Worldwide but more frequent in warmer climates Transmission: direct penetration of skin by larvae

Clinical signs:
relate to migration of larvae through skin: itching, pain, local inflammation; usually heals spontaneously
Children at greater risk

Prevention: regular deworming, don’t walk barefoot, removal of faeces


 

Term
Notifiable diseases
Definition

Anthrax

Brucellosis

Glanders

Influenza

Rabies

TB

West nile Virus

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