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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 human‐human transmission) or

specie jump (pathogen evolution to efficiently transmit amongst human hosts) • Bats are reservoirs for 61 high‐impact 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 large‐scale 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 host‐ dogs; 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, 

hand‐to‐mouth

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 capsule• Animals:

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

• Humans:

cyst slow‐growing, 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 •Middle‐East, 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, horse‐workers, 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
• 1975‐2005:39confirmedcasesintheUKbyconsumptionofproductsabroadorimported

• 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 linked‐ transmission 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

      • Permethrin‐treated 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 de‐worming, don’t walk barefoot, removal of faeces


 

Term
Notifiable diseases
Definition

Anthrax

Brucellosis

Glanders

Influenza

Rabies

TB

West nile Virus

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