Module 6 - Control & Prevention of One Health events Flashcards
Disease control “end games”
- Prevention - lack of disease occurrence despite exposure to, or transmission of a pathogen.
- Eradication - Disease can no longer reappear
- Elimination - absence of a disease in a time period or geographic region. Reproductive number below 1!
- Control - Strategies implemented to reduce the magnitude, spread, and progression of a pathogen in a
population – disease reduction (e.g. vaccination) - Asset Protection - Control strategies to reduce health and economic impacts of large scale pathogen dissemination – death reduction (e.g. stay at home + support money)
Vaccinations
Routine vaccination – endemic disease
Non-routine vaccination – exotic disease
- Suppressive vaccination
– Vaccinate animals within and around infected
area - Ring/barrier vaccination
– Vaccinate animals in area surrounding infected
area
– Barrier to spread of infection - Strategic vaccination
– Prevent incursion from endemic area
– Prevent spread in face of epidemic
Herd immunity threshold (HIT)
the proportion of a population that need to be immune in order for an infectious disease to become stable in that population
If HIT is reached, average of cases is less than a single new cases (R0 <=1)
Herd immunity threshold = 1 − (1 /R0)
Movement of Susceptibles
Hosts are moved away from biological vectors/exposure sites
– E.g. Livestock moved away from tsetse fly corridors in the
wet season Animal Africa Trypanosomiasis
Mechanism = Reduce transmission
Improved Husbandry
E.g. Good milking parlour practices reduce mastitis
E.g. High plane of nutrition reduces susceptibility to gastrointestinal nematodes
Mechanism = Reduce susceptibility + Reduce transmission
Genetic Improvements
E.g Fly strike - Wrinkle freesheep
Mechanism = Reduce susceptibles
Prophylactic Drugs
E.g. Coccidiostats in feed – calves/poultry
E.g. Dry cow Antimicrobial treatments
Mechanism = Reduce susceptibles
Health Education/Promotion
Improves understanding & compliance!
e.g. Websites, Presentations/Workshops
Avoid Contact with reservoirs of infection
E.g. Hendra virus – Avoid contact between horses and bats
E.g. Australian bat lyssavirus – Humans avoid contact with bats
Mechanism = Reduce transmission
Control of Biological Vectors / Intermediate Hosts
Break life cycle/prevent transmission by removing biological vector/intermediate host
Biological vector
– E.g – Ross River Virus, Japanese encephalitis
* Kill mosquitoes/midges insecticide
Intermediate host
– E.g – Fasciola hepatica
* Drain land to remove snails
Mechanism = Reduce transmission
Disinfection of fomites and mechanical transmission
- Hand washing
- Disinfection of vehicles, farm equipment
- Disinfection of surgical instruments
- Human mechanical vectors – Hygiene
- Personal Protective Equipment (PEP)
Mechanism = Reduce transmission
Grazing Strategies
- Alternate grazing between cattle and sheep
- if the worms are trying to infect sheep, then ingestion by cows kills it and visa versa (can’t infect both) - Rotational grazing of sheep
- Rest periods long enough to allow many of the larvae on
the pasture to die
Slaughter
Test and Removal
– All animals in herd are tested, only those testing
positive are slaughtered
– E.g. TB
Pre-emptive slaughter
– Culling of infected and those exposed to
infection
– Direct contact/in close proximity
– E.g. FMD in UK
Quarantine
Duration
– Incubation period
– Time for diagnosis
– Time to become noninfectious
Mechanism = Prevents introduction + reduces transmission
Isolation levels
– Individual level: suspect cases until diagnosis established
– Herd level: New animals kept separate before mixing with rest of herd
– National level: Animals coming from countries where disease are endemic (e.g. rabies)
What is Biosecurity?
QLD: mitigating the risks and impacts to the economy, the
environment, social amenity or human health associated with pests and diseases.
WHO: Biosecurity is a strategic and integrated approach
to analysing and managing relevant risks to human, animal and plant life and health and associated risks for the environment.
Biosecurity Contexts
- Agricultural:
* Livestock
* Plant and soil
* Aquatic/marine - Medical:
* Natural diseases
– Incl. zoonoses
* Biosafety / bioterrorism
* Laboratory
* Clinical - Environmental:
* Conservation
* Biodiversity - Other animals:
* Companion animals
* Wildlife
* Other
Biohazard
Biological substance that poses a threat – human health,
animal health, agricultural production, trade, etc.
* Typically derived from a biological entity, not just a
hazard to a biological entity
* Though often overlapping and confused
* e.g. radiation: not covered here
Main types of significance:
* Infectious, including genetic
* Pests
* Chemical
Biosafety
The safe handling and containment of biohazards
Protection of people from biological hazards
* Those directly handling materials
* Indirect exposure via release, dissemination, etc.
* Mainly refers to laboratory context
Refers to:
* Physical, facilities type aspects (biocontainment)
* Other processes, practices, e.g. training, certification
Biocontainment
Physical and operational mechanisms to prevent release of or exposure to biohazards
Mainly refers to labs, mainly microbiological
Facilities: Physical containment levels: PC1 - PC4
Equipment: Biological Safety Cabinets, biosafety suits, containment, etc.
Procedures: SOPs for samples, isolates, waste, etc.
Intentional Misuse
Bioweapons
Biowarfare
Bioterrorism
* Primary objective is fear, not harm
* Might just be threat of use
Biodefense
Disease: Rinderpest
Epidemics: 100% morbidity, 90% mortality
GIT erosions: slow, painful death, dehydration, starvation
Widespread, significant impacts:
* Continental epidemics: livestock, livelihoods, food security
* War, colonisation, cattle movements
Transmission:
* Close contact
Control & prevention:
* Quarantine
* Slaughter
* Vaccination
* Eradication
Legacy of Rinderpest
Establishment of 1st veterinary school: Lyon, 1762
Creation of the World Organization for Animal Health (WOAH, ex-OIE), 1924
2nd disease eradicated globally
Basis of mass animal quarantine and vaccination campaigns
Biosecurity Continuum
- Pre-border
- Know trading partner disease
status (risk assessment - RA)
- Engage with international trade
regulations
- Capacity building (diagnosis, RA,
surveillance, response)
- Relationships
- Awareness campaigns - Border
- Classical “quarantine”
- Transport & import controls
- Inspection and seizure/treatment (some pre-border)
- Import RA & certification
- Surveillance (e.g. NAQS) - Post-border
- Early detection & response
- Surveillance (e.g. abattoir)
- Proof of freedom programs
- Reporting (State, National,International)
- Risk factor analysis
Typical Vaccine Components
Antigen
– Whole pathogen
– A component of the pathogen
Adjuvant
– Create danger signals
– Stronger, not necessarily better
– Influence type of immune response
Route of vaccination
– Intramuscular (IM)
– Subcutaneous (SubCut)
– Intranasal
– Oral (mucosal)