Module 6 - Control & Prevention of One Health events Flashcards

1
Q

Disease control “end games”

A
  1. Prevention - lack of disease occurrence despite exposure to, or transmission of a pathogen.
  2. Eradication - Disease can no longer reappear
  3. Elimination - absence of a disease in a time period or geographic region. Reproductive number below 1!
  4. Control - Strategies implemented to reduce the magnitude, spread, and progression of a pathogen in a
    population – disease reduction (e.g. vaccination)
  5. Asset Protection - Control strategies to reduce health and economic impacts of large scale pathogen dissemination – death reduction (e.g. stay at home + support money)
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2
Q

Vaccinations

A

Routine vaccination – endemic disease

Non-routine vaccination – exotic disease

  1. Suppressive vaccination
    – Vaccinate animals within and around infected
    area
  2. Ring/barrier vaccination
    – Vaccinate animals in area surrounding infected
    area
    – Barrier to spread of infection
  3. Strategic vaccination
    – Prevent incursion from endemic area
    – Prevent spread in face of epidemic
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3
Q

Herd immunity threshold (HIT)

A

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)

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4
Q

Movement of Susceptibles

A

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

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5
Q

Improved Husbandry

A

E.g. Good milking parlour practices reduce mastitis
E.g. High plane of nutrition reduces susceptibility to gastrointestinal nematodes

Mechanism = Reduce susceptibility + Reduce transmission

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6
Q

Genetic Improvements

A

E.g Fly strike - Wrinkle freesheep

Mechanism = Reduce susceptibles

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7
Q

Prophylactic Drugs

A

E.g. Coccidiostats in feed – calves/poultry
E.g. Dry cow Antimicrobial treatments

Mechanism = Reduce susceptibles

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8
Q

Health Education/Promotion

A

Improves understanding & compliance!

e.g. Websites, Presentations/Workshops

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9
Q

Avoid Contact with reservoirs of infection

A

E.g. Hendra virus – Avoid contact between horses and bats
E.g. Australian bat lyssavirus – Humans avoid contact with bats

Mechanism = Reduce transmission

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10
Q

Control of Biological Vectors / Intermediate Hosts

A

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

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11
Q

Disinfection of fomites and mechanical transmission

A
  • Hand washing
  • Disinfection of vehicles, farm equipment
  • Disinfection of surgical instruments
  • Human mechanical vectors – Hygiene
  • Personal Protective Equipment (PEP)

Mechanism = Reduce transmission

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12
Q

Grazing Strategies

A
  1. 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)
  2. Rotational grazing of sheep
    - Rest periods long enough to allow many of the larvae on
    the pasture to die
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13
Q

Slaughter

A

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

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13
Q

Quarantine

A

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)

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14
Q

What is Biosecurity?

A

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.

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15
Q

Biosecurity Contexts

A
  1. Agricultural:
    * Livestock
    * Plant and soil
    * Aquatic/marine
  2. Medical:
    * Natural diseases
    – Incl. zoonoses
    * Biosafety / bioterrorism
    * Laboratory
    * Clinical
  3. Environmental:
    * Conservation
    * Biodiversity
  4. Other animals:
    * Companion animals
    * Wildlife
    * Other
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16
Q

Biohazard

A

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

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17
Q

Biosafety

A

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

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18
Q

Biocontainment

A

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.

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19
Q

Intentional Misuse

A

Bioweapons
Biowarfare
Bioterrorism
* Primary objective is fear, not harm
* Might just be threat of use
Biodefense

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20
Q

Disease: Rinderpest

A

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

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21
Q

Legacy of Rinderpest

A

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

22
Q

Biosecurity Continuum

A
  1. Pre-border
    - Know trading partner disease
    status (risk assessment - RA)
    - Engage with international trade
    regulations
    - Capacity building (diagnosis, RA,
    surveillance, response)
    - Relationships
    - Awareness campaigns
  2. Border
    - Classical “quarantine”
    - Transport & import controls
    - Inspection and seizure/treatment (some pre-border)
    - Import RA & certification
    - Surveillance (e.g. NAQS)
  3. Post-border
    - Early detection & response
    - Surveillance (e.g. abattoir)
    - Proof of freedom programs
    - Reporting (State, National,International)
    - Risk factor analysis
23
Q

Typical Vaccine Components

A

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)

24
Whole "Cell" Vaccine AND Toxoid Vaccine
Adjuvant + Antigen Advantages – No risk of disease – Not affected by prior exposure – Multivalent – Cost effective Disadvantages – Multiple doses (3 to 4 weeks) – Antibody response Examples of Whole Cell – Pestigard (BVDV), $4.50 – Leptoshield (Leptospirosis), $1.70 – Ultravac 5-in-1 (Clostridia), $0.50 Examples of Toxoid – Longrange Botulinum (Botulism), $1.50 – Singvac 3 Year botulism, $2.45
25
Subunit Vaccine
Adjuvant + Antigen Advantages – No risk of disease – Not affect prior exposure – Multivalent Disadvantages – Multiple doses (3 to 4 weeks) – Antibody responses – Costly to produce Examples – TickGuardPlus (Cattle ticks) – BarbervaX (Barber’s Pole worms)
25
Modified Live Vaccine
Antigen Advantages – Mimics infection without disease – Balanced immune response – Single-dose (mostly) Disadvantages – Reversion to virulence – Cold chain requirements – Prior exposure – Immunocompromised animals Examples – Rhinogard (bovine herpesvirus) – Ultravac BEF (virus), $8-10 – Tick Fever (parasites), $5.60
26
Genetically Modified Vaccine
Antigen Advantages – Mimics infection without disease – Balanced immune response – Single-dose – Engineer safety controls – Multivalent Disadvantages – Reversion to virulence – Cold chain requirements – Prior exposure – Immunocompromised animals immune response Examples – None to date – Chickens (final approval stages) – BRD (commercialisation)
27
mRNA Vaccine
Antigen Advantages – Antigen integrity – Not affected by prior exposure – Scalable – Flexible Disadvantages – New – Multidose – Cold chain requirements – Innate immunity Examples – None for animals – Covid for Humans
28
Immune Response
Innate immune response – Rapid with a short duration – Not pathogen specific Adaptive immune response - antibody – Slow to develop with long duration – Matures to generate specific antibodies to antigens – Extracellular impact on pathogen – Easy to measure Adaptive immune response – cell mediated – Slow to develop with long duration – Intracellular impact on pathogen – Difficult to measure Vaccination
29
Immune Response to Vaccination
“Tradition” vaccine – Two or more doses – Strong antibody response – Limited cell mediated response – Interval to protection Modified live vaccine (attenuated) – Infects – Single dose – Balanced immune response – Shorter interval to “protection”
30
Differentiation of Infected and Vaccinated Animals (DIVA)
a way to tell whether they have the disease or whether they have been vaccinated (don't quite understand this yet)
31
Bovine Respiratory Disease
idk tbc
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Multiple risk factors support vaccination
- Prior exposure reduces risk ‒ Timing of mixing (pathogen exposure) ‒ Saleyard exposure (timing of exposure) ‒ Presence of PI animals ‒ Vaccines reduce risk
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Innate and Adaptive
Innate ‒ Rapid, non-specific, short-term Adaptive ‒ Slow, specific, long-term
34
Main objectives of Surveillance
1. Describe (Time, Place, and Population (TPP)) 2. Alert 3. Evaluate (control measures)
35
Type of surveillance activities
Source: Passive + Active Focus: General surveillance Representative surveillance Targeted surveillance Risk-based surveillance Outcome: Case-based surveillance Syndromic surveillance
36
Passive Surveillance
Let the data come to you Ads: Low cost Baseline data Monitoring trends Monitoring impact Negs: Under-reporting Asymptomatic illness Access Logistical issues Variation
37
Active Surveillance
You go towards the data Ads: Complete and better quality data Negs: Resource intensive
38
General system
= all providers High-frequency diseases or less-severe diseases
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Representative system
= selected providers E.g.: sampling for salmonella/campylobacter at abattoirs Severe diseases or low-frequency diseases requiring timely action
40
Targeted System
= selected populations Severe diseases or low-frequency diseases requiring timely action
41
Risk-Based System
= population most at risk Severe diseases or low-frequency diseases requiring timely action
42
Case system
(traditional system) Targets a defined health-related event
43
Syndromic system
(“before diagnosis”) - For early detection, evaluation of event impact - Based on existing activity data, real-time collection, analysis and interpretation data
44
Case definition
Clinical Biological Epidemiological - time, place, population
45
Multiple case definitions
Confirmed = meets all criteria Probable = meets epidemiological and clinical Possible = meets only epidemiological
46
What is an outbreak ?
Occurrence of a number of cases of a disease that is unusually large or unexpected among a specific group of individuals over a particular period of time in a given area
47
Steps of an outbreak investigation
1. Confirm outbreak and diagnosis 2. Define a case 3. Identify cases & obtain information 4. Describe data collected and analyse 5. Develop hypothesis 6. Test hypothesis: analytical studies 7. Special studies 8. Implement control measures 9. Communicate results (including outbreak report)
48
TIME: Epicurves and disease source/aetiology
diagram
49
Testing hypothesis: how to decide on which study type?
Case-control: KNOWN: sick vs healthy UNKNOWN: exposure Cohort: KNOWN: exposure UNKNOWN: sick vs healthy Cross-sectional: KNOWN: nothing UNKNOWN: sick vs healthy + exposure
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horizontal transmission
viruses are transmitted among individuals of the same generation
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Vertical transmission
vertical transmission occurs from mothers to their offspring