Emerging and Emergency Animal Diseases of the Pig - VET 451 Lecture 12 Intensive Animal Industries 2014
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Emerging and Emergency Animal Diseases of the Pig Lecture 12 VET 451 Intensive Animal Industries 2014 kim@portec.com.au kate@portec.com.au susan@portec.com.au www.portec.com.au
Learning Objectives • What are the emergency and emerging diseases of significance in the pig • How to diagnose these disorders • How to prevent, and appropriately respond to, these conditions
EAD Outbreak • Unusually high number of sick animals • Unusually high number of deaths • Blisters or vesicles on animals’ snout, or feet • Unusually high number of lame animals • Unusually high number of animals with fevers • Unusually high number of animals not eating • Unusually high number of recumbent animals • Discoloration of the ears, belly, rump, legs, or tail
EAD & Emerging Diseases • PMWS/PCVAD – PCVAD has emerged in Australia, PMWS is still classed as exotic • Classical Swine Fever • African Swine Fever • Nipah virus • Aujeszky’s Disease (Pseudorabies) • PRRS • Swine Influenza • TGE/PED • Foot and Mouth Disease • Japanese Encephalitis
PMWS / PCV2 Associated Disease Causal Agent Porcine Circovirus II Circovirus are small non-enveloped DNA virus containing a unique single stranded circular genome Characteristics Post Weaning Multi-Systemic Wasting Syndrome (renamed PCV2AD in USA….because of chronic wasting disease in elk) Post weaning from 4 to 16 weeks of age. Especially 8-12 weeks of age (15 -40 kg) as maternal antibodies decline at 8 weeks. Males more susceptible (generally)
PMWS / PCV2 Associated Disease Disease versus Infection PCV2 strain? - The spread of PCV2 a and b worldwide (c, d, e). PCV2 concentration in tissues determines subclinical vs clinical disease (as well as the strain of PCV2). Genetic susceptibility – Large White vs Pietrain/Hampshire as terminal sire (UK) Immune system stimulation • Activated T cells required for PCV2 replication • Virus accumulates in follicular dendritic cells, histiocytes and macrophages • Immune system no longer responds to infection (recognition)
PMWS / PCV2 Associated Disease Clinical Signs • Wasting after successfully weaning • Fever • Anaemia • Jaundice • Lymphadenopathy • Respiratory Symptoms • Gastric ulcers • PDNS • Doubling of Mortality • Poor response to antibiotic therapy
PMWS / PCV2 Associated Disease Thoughts on “Agent X” PCV2 capitalizes on inflammatory process • Inflammation / immune stimulation can be notable or mild • Other factors suggested: “PCV2 goes where inflammation is” o Pestivirus o Teschnovirus / Enterovirus o Parvovirus o Retrovirus o Adjuvants o MORE…
PMWS / PCV2 Associated Disease Incubation Difficult to determine (lots of variables) Period 4-10 days (maybe) Pathogenesis See following slides Post mortem Varied Findings Lymphadenopathy Gastric ulcers (not eating) May have mix of the following • Loss of myocardial tone • Jaundice • Intralobular filling
Diagnosis of PCV2AD (PMWS) Diagnosis Requires all 3 elements 1. Clinical signs/picture 2. Histological evidence of lymphoid depletion 3. Isolation of Virus (IHC)
Diagnosis of PCVAD 1. Clinical signs: 2. Histologic lesions: 3. PCV2 infection: Wasting / Depletion of Demonstration of PCV2 weight loss/ ill lymphoid tissues antigen (IHC) and thrift / failure to +/- lymphohistiocytic or characteristic lesions thrive, with or granulomatous without other inflammation in any signs organ
Multinucleated giant cells Inclusion bodies PCV2 antigen Lymphoid depletion and granulomatous lymphadenitis Normal lymph node 13
PCVAD
PCVAD
mediastinal LN iliac LN inguinal LN Pigs with PCVAD typically (not always) have enlarged lymph nodes 16
18
Gastric ulcers are common Severe ulcer stage
So this porcine parvovirus….. isn’t it….? PCV2 reproductive disorder
Submission for a Multisystemic Disease Investigation Liver Colon Lung Ileum Heart Kidney ADD lymph nodes Spleen and tonsil
Coinfections Immune Host Differences stimulation susceptibility between PCV2 isolates PCV2 PCV2 Infection of Lymphoid depletion + histiocytic PCV2 lymphoid replacement tissues 5-10-20% Low viremia High viremia + leukopenia Significant Co-infections • PPRS • Porcine Parvovirus +/-Seroconversion Seroconversion • Salmonella • Influenza Systemic • M. hyopneumonia spread • L.intracellularis Infection cleared • +/- H.parasuis 70-80% • +/- S.suis Clinical • +/- B.pilosicoli Subclinical Mortality
Control Minimize Address Host Coinfections Immune susceptibility stimulation PCV2 PCV2 Infection of Lymphoid depletion + histiocytic PCV2 lymphoid replacement tissues 5-10-20% Low viremia High viremia + leukopenia Eliminate or decrease PCV2 load with PCV2 +/-Seroconversion vaccines Seroconversion Systemic spread Infection cleared 70-80% Clinical Subclinical Mortality
PCV2AD Treatment & Vaccination of progeny Control Role in vaccinating breeders? One shot product (s) available in Australia Two shot options elsewhere in the world Hygiene is very important (as are the other components of environmental medicine) Madec’s 20 Point Principles for PMWS control Eradication Has not been demonstrated Would need good disinfection Down time? PCV2 freedom in replacement stock?
Madec’s Principles
Acknowledgement For the use of their photos & information on PCV2, many thanks to………………… • Howard Hill DVM • John Kolb DVM • Iowa State University • Boehringer Ingleheim
African Swine Fever (ASF) Causal Agent Caused by an Asfarviridae (enveloped DNA virus) Some 22 genotypes Characteristics First described in Kenya in 1921 & History (retrospective to 1907) Moved from warthog population into domestic pigs Asymptomatic in warthogs Involves biting arthropods (soft bodied ticks) Spread to Portugal in 1957 Eradicated from Europe (apart from Sardinia) Different genotype emerged in Russia in 2007
African Swine Fever (ASF) Epidemiology • The disease can be spread by ticks (Ornithodoros spp.), fomites, swill feeding and direct contact with infected animals (not aerosol) • Recovered animals remain infective for at least 6 months • Virus lasts for a long time in pig products and the environment • Different strains – high to low virulence • Carriers – warthogs, bush pigs, giant forest hogs and the peccary. Incubation 4-19 days Period
African Swine Fever (ASF) Pathogenesis Virus replicated in the monocytes & macrophages of the lymph nodes closest to the site of infection. Spreads through blood and lymphatics Clinical Signs Impossible to distinguish clinically from CSF • Sudden death • Fever, off feed • Necrosis & haemorrhage in lymphoid tissue (tonsils) • Skin haemorrhage (ears & flanks) • Can see laboured breathing, nasal bleeding (vomiting, constipation & diarrhoea - blood)
African Swine Fever (ASF) Post Mortem Dependant on virus virulence Findings • Haemorrhage in spleen, lymph nodes & myocardium • Petechial haemorrhages in kidney, bladder and pleura • Excess fluid in thoracic cavity & pericardial sac Treatment and • The virus is inactivated by approved Control disinfectants • No vaccine or treatment • Notifiable Disease • Control is by depopulation and site clean up
Classical Swine Fever (CSF) Causal Agent Caused by a Flaviviridae, genus Pestivirus (enveloped RNA virus) Also called Swine Fever or Hog Cholera Characteristics Severity depends on virus virulence, age of animal, and immunity of herd. The virus is quite resistant in the environment, surviving a couple of days Other members of the Pestivirus genus can cause disease in pigs, notably Bovine Viral Diarrhoea. The virus is excreted from pigs for 10-20 days post-infection in large amounts Carriers – wild boar in parts of Europe
Classical Swine Fever (CSF) Epidemiology • Pig is the natural host • Normally pig to pig contact (or uncooked pig products) • Excreted in nasal and occular secretions • Also in urine and faeces • Wild pig populations can be a reservoir of infection • Exotic to Australia, NZ, Canada, USA & western & central Europe Incubation 3-7 days (some debate) Period
CSF Clinical Signs - Naïve Herds • Initially a few pigs appear drowsy and less active, with some anorexia and they may appear chilled • Within days, pigs will present with a marked fever (41-42•C), sometimes with a reddening of the skin • The pigs develop a conjunctivitis and constipation leading to yellowish diarrhoea • The pigs appear chilled and will huddle together. • A few pigs may convulse before they die
CSF Clinical Signs - Naïve Herds • Pigs start to die with a spreading purple discoloration of the skin. • Death often occurs some 10 to 20 days post- infection • Pigs which survive will be chronically affected with severe retardation of growth and often present with arched backs • In the adult herd, returns, abortions, and an increase in mummified and stillborn piglets
CSF Clinical Signs – Established Herds • Abortion • Piglets infected from their mothers during pregnancy can result in, mummification, malformations (may present with a congenital tremor with cerebral hypoplasia with CSF), stillbirths and weak born piglets. • Piglets born from CSF infected mothers may remain healthy but continually spread the disease through out their lives
Classical Swine Fever (CSF) Post Mortem The pigs may die so rapidly that there are Findings few post-mortem signs Multiple haemorrhages through out the carcase Swollen, oedematous and haemorrhagic lymph nodes Infarction of the spleen (large areas where the blood supply has been cut off resulting in blood filled blebs on the surface of the spleen) In CSF ulceration (button ulcers) can be seen in the large intestine
Classical Swine Fever (CSF) Treatment and • Vaccines – Subunit and modified live Control vaccines. • The virus is quite readily inactivated by approved disinfectants • Notifiable • Slaughter out policy
Classical Swine Fever (CSF) Differential Dx • ASF • PDNS • Salmonellosis • Acute Pasteurellosis • Erysipelas • Acute septicaemic streptococcal infections • Thrombocytopaenia • Warfarin poisoning • Reproductive diseases • Other causes of congenital tremor
Nipah Virus Causal Agent • A paramyxovirus closely related to the Hendra virus Epidemiology • From the village, Sungai Nipah where the virus was isolated from the first human victim – a pig farmer with encephalitis (ZOONOTIC) • Can affect weaners, growers and finishers and adults • Carriers – Pteropus bats (flying foxes)
Nipah Virus Clinical Signs Weaners • Mild to severe coughing. High morbidity but low mortality Adult Pigs • Moderate to severe respiratory signs with dyspnoea, convulsions and death. • Death can occur within several hours.
Nipah Virus Post Mortem & Varying degrees of consolidation of the Diagnosis lungs, primarily the diaphragmatic lobes (prominently thickened interlobular septa) Kidneys show signs of congestion Other organs normal Diagnosis from virus isolation and serology Treatment None
Nipah Virus Zoonosis • Very fatal to man, out of 258 people infected 100 died (1998-1999) • Mild to severe clinical signs, characterised by fever and headaches of varying severity • Patients become drowsy and disoriented leading to coma. • Majority of patients developing coma die. • Incubation period in man one to three weeks • Close contact required with pig or bat. Not transmitted person to person.
Aujeszky’s Disease Causal Agent Herpes Virus (Alphaherpesvirinae) Pseudorabies (PRV) Characteristics Can affect all classes of pig (primary host) EAD in Australia and many other pig producing countries Can survive 3 weeks outside the pig Clinical Signs Piglets Range of CNS signs (fitting to paddling) inc dog sitting (paralysis) Sneezing/Coughing Diarrhoea High mortality Weaner/Growers Sneezing/Coughing Reduction in CNS signs with increase in respiratory signs Usually associated with secondary opportunists Mortality not as high Stunted/wasted animals Incubation Can remain dormant in endemic herds for a long time Period
Aujeszky’s Disease Route of Carrier pigs Infection Airborne (3 km) Fomites – people, equipment, vehicles Semen (AI) Feral pigs Birds? Pathogenesis Virus will cross the placenta in breeding stock and infect the foetus Nose to nose between progeny pigs Replicates in the epithelia of the upper respiratory tract Deseminates either in free form or via infected leukocytes Also enters CNS via trigeminal & olfactory nerve endings Post Mortem Often minimal Findings Necrotic tonsillitis, laryngitis, tracheitis & sero –fibrinonecrotic rhinitis Respiratory lesions associated with other pathogens
Aujeszky’s Disease
Aujeszky’s Disease Diagnosis Clinical picture Virus isolation (brain, tonsils, nasal swabs) ELISA serology may help but virus isolation better PRV will kills non host species such as cats, mice & rats Dogs present with signs of rabies (thus the name) Cattle & sheep (sometimes horses) suffer from mad itch Not a zoonotic disease Treatment & No treatment in Australia Control Reportable disease Vaccination in endemic countries
Porcine Reproductive & Respiratory Syndrome Causal Agent PRRS virus (Arteriviridae) RNA virus (Blue Ear) Two distinct strains European (LV ) & the Nt American (VR - 2332) Chinese strain is derived from Nth America Characteristics Appeared in the late 1980s Presumably entered the swine population from a yet to be identified wild life species Exotic to Australia (present in most other pig producing countries)
Porcine Reproductive & Respiratory Syndrome Clinical Signs Vary due to strain differences, host factors, management Sows Fever, anorexia, reproductive (stillborn, weak, mummified, normal) Piglets Weak/sickly, high mortality, CNS, thumping Weaner/Growers Dyspnoea, anorexia, lethargy, reduced growth rates (secondary respiratory infections are common), conjunctivitis Route of Intranasal, intramuscular, oral, intrauterine & vaginal Infection Breaks in skin, insect bites Vertical transmission (third trimester)
Porcine Reproductive & Respiratory Syndrome Incubation Can be as short as 12 hours (virulent strains) Period Pathogenesis Replication in lymphoid tissue (thus immunosuppression) Targets the lung macrophage (kills them for 26 days) After 7 weeks the lung macrophages become resistant to PRRSv infection Post Mortem Respiratory Findings Interstitial pneumonia (lack of air space histologically) Enlarged lymph nodes Diagnosis Clinical picture Gross and histopathology Virus isolation (PCR plus other) Serology
PRRS
Porcine Reproductive & Respiratory Syndrome Treatment & None in Australia Control Reportable Disease – Eradication In endemic countries – ideal is to keep herd negative Testing of source herds Quarantine (minimum 30 days) & testing prior to release Good farm biosecurity (positive pressure ventilation and filters) Positive herds need a combination of gilt/boar acclimatization and vaccination. Antibiotics are only supportive in the face of an outbreak Eradication can be achieved when known negative replacement stock are introduced at a time when the herd had stopped shedding virus (PRRS can not persist within an immune population)
PRRS (EAD) – eliminating the myths • there is no carrier state • immune sows recover from disease quickly • environmentally unstable so it is easy to kill with any disinfectant, heat etc. • Can survive in water for 8-14 days. •
PRRS – in naïve herd PHASE 1 • Phase 1 (lasts 2 weeks) • 5-75% pigs viraemia with lethargy/anorexia • “rolling inappetence” – spreads within 3-7 days to all groups of pigs • Pyrexia (39-41˚C), hyperpneic/dyspneic, 1-2% develop cutaneous hyperaemia or cyanosis of ears/nose (“blue ear disease”). • Increase in returns-to-oestrous, abortions, decreased farrowing rate • BOARS = lack libido, reduction in semen quality, virus in semen.
PRRS – in naïve herd PHASE 2 • Phase 2 (lasts 1-4 months) • 5-80% sows late term pregnancy abortions (100-118 days) – premature farrowings • Pre-weaning piglet mortality up to 60% • Premature piglets die within a couple of days • Majority of piglet deaths are first 7 days but continue afterwards • Swelling of eyelids • Emaciation • Dyspnoea • Secondary infections!!!
PRRS (EAD) diagnosis • PRRS is suspected on the basis of the clinical signs • The presence of PRRS on a unit is confirmed by the use of antibody tests. • However, it can take 2-3 weeks for the antibody level to rise before the test becomes positive. • Unfortunately the antibodies may also disappear 6 months after exposure. • Examination of the lung tissue by histology and special staining techniques (immunoperoxidase) can reveal the organism in the lung • PCR examination of tissues, in particular used for semen examination
PRRS (EAD) treatment • There is no specific anti viral treatment for PRRS virus infection • The treatment regimes aim to minimise the effect of secondary infections. • Aim to keep the pigs warm and in the draught free environment and possibly increase feed density to compensate for the anorexia. • Review the control measures for the secondary infections with the practice • SEW programmes can help to control the spread of the disease around the farm and minimise the effect of the disease on the farm's economy • All-in/ all-out and hygiene are essential precursors to controlling the disease
PRRS (EAD) control • Current live vaccines result in excretion from vaccinated pigs and therefore cannot be used on PRRS negative herds. • The use of live vaccines in incoming breeding animals in PRRS +ve herds helps to maintain farm stability • The vaccinated stock must be kept separate from the farm until shedding has stopped • Autogenous vaccines from serum or tonsilar scrape therapy may be utilised to help gilt and boar introduction programmes. These should be restricted to the single farm • Gilts and boars must be stabilised before service so an acclimatisation program is essential
PRRS (EAD) • Killed vaccines generally confer no or little protection in naive animals, but it will reduce excretion of virus and assist reducing farm clinical signs in infected herds. • Modified live vaccines – these can be very variable in response depending on the modification carried out. • Several MLV can cause severe clinical signs without field virus. In addition, there can be little protection provided for heterolous virus strains. • Allowing sufficient time between vaccination and field infection essential part of control.
PRRS (EAD) • MLV general reduce excretion of virus particles. • Review fly and mosquito control programmes • Before purchasing breeding or other incoming stock ensure you match serostatus. • Practice on-farm AI collection, do not rely on a commercial AI stud
Swine Influenza COVERED IN DISEASES OF THE CHEST LECTURE • Nasal discharge and puffy eyes • Fever 40.5-41.5•C • As the disease progresses loss of weight may be seen • Mortality is generally low • The high rectal temperature in breeding stock can result in abortions, infertility (a boar can become sub-fertile for 6 weeks), production of small weak litters and increased stillbirths • Recovery generally starts 5 to 7 days after the first clinical signs
Swine influenza Source: Iowa State University
TGE/PED WILL COVER IN GREATER DEPTH IN ENTERIC LECTURES • Both are corona viruses • When first enters a herd: • Piglets less than 21 days generally all die • Weaners unthrifty • Growers, finishers and adults mildly affected • Endemic in herd – post-weaning diarrhoea • Spread by starlings? (trucks?).
Foot and Mouth Disease Causal Agent Picornovirus (Aphthovirus) (A,O,C, Asia 1 & SAT 1, 2 &3) Note other vesicular diseases can resemble FMD Swine Vesicular Disease (SVD) caused by Picornovirus (Enterovirus) Vesicular stomatitis (VS) caused by Rhabdovirus (Vesiculovirus) Incubation 1 to 5 days but can be up to 21 days Period Major Clinical Affects all cloven-hoofed animals - pigs, cattle, sheep Signs and goats Fever to 40.5˚C Skin around the snout, lips, tongue, inside the mouth, around the coronary band and soft skin on the feet becomes whiter (blanched) and vesicles develop Lesions in the mouth may not be obvious in the pig The animals are lame….very painful (pigs squeal) Vesicles may develop on the sow's teats
SAT3 • 7 serotypes: +++ Strains SAT2 • No cross-protection A • Multiple serotypes at SAT1 the same time O C • Multiple vaccine Asia1 strains required
Where is the world?
Day 1
FMD Vesicles rupture up to 24 hours after development and if no secondary infection occurs healing is rapid 45
Day 3
Foot and Mouth Disease • With the feet, the hoof may detach, revealing the painful raw tissues underneath. • The hoof can re-grow, but is often deformed. This can take several weeks • The disease affects nearly all susceptible animals, but few animals will die specifically with the disease
Day 9 Day 20 If lesion is at coronary band < 1 week old Thereafter measure distance from coronary band to lesion Horn grows at 1mm per week- adults 2mm per week- weaners
Foot and Mouth Disease • DDx - VS also affects horses Route of Infection Rapidly spread through the air, animal contact and vectors, such as clothing, utensils, vehicles Can be spread through meat and meat by-products Spread through semen High humidity, cloud cover and moderate temperatures favour airborne spread (over 20 km) Pigs produce aerosols 3000 times more concentrated than cattle Carrier status occurs in cattle FMD can be excreted in the milk for up to 7 weeks Diagnosis Virus isolation (dependant on time pig • Ag ELISA has been • PCR infected………….and the Antibody Government Authorities • Ab ELISA will be calling the shots) • VNT
Principals of FMD Diagnosis Uninfected FMD Virus infected Recovered (or vaccinated) Probang samples Lesion, swab, probang or Clotted blood samples clotted blood samples (saliva) Virus or viral Anti-viral antibodies can components can be be detected detected Live Virus Viral Proteins by LFD or double Viral Nucleic Acid Anti-FMD antibodies can be by virus isolation antibody sandwich ELISA by RT-PCR detected in serum by ELISA or in cell cultures VNT 10-30 minutes (LFD) 1-4 days Within a day 5-18 hours (ELISA) 4 hours (ELISA) 2-3 days (VNT)
Foot and mouth disease
Diagnosis • This is generally left to the appropriate government body / laboratory to attend the suspect farm to collect samples. • Generally samples collected will include vesicular fluid or epithelium from oral, nasal or hoof lesions.
Creating an FMD Timeline 1. Based on OLDEST lesion observed in the herd 2. Establish a time window of likely introduction of virus using the INCUBATION PERIOD: 1-14 days most likely 2-5 days 3. Establish a time window of likely spread to other units using the PERIOD OF VIRUS EXCRETION: 4 days before clinical signs most likely 2 day prior first lesion to 4-5 days after first clinical signs seen in individual animal
Creating an FMD Timeline
Foot and Mouth Disease Notifiable Scorched earth Disease response Endemic in areas of Africa, Asia, Middle East and South America.
Control – in endemic countries • For endemic countries – palliative care is the only treatment option for affected animals and vaccination is available for prevention. • With vaccination, have to ensure that the oil formulation is used (not aqueous) for pigs (cattle respond to either) and that the inactivated antigens in the vaccine are representative of the circulating viruses in the region. • Diagnostics can differentiate between vaccinated and naturally infected animals.
If an EAD is suspected? • CONTACT - Department of Agriculture and Food veterinary officer or stock inspector, or contact the Emergency Disease Watch Hotline on 1800 675 888 (Free call 24 hours). • AUSVETPLAN – technical response plans – Australia’s response to incursion of each exotic disease of importance.
So how real is the risk? • ASF in Belarus, Kenya, central Russia • CSF in Colombio (South America) • FMD in Amur (Russia) • PEDv in America – sweeping across the states. • Others…
Prevention of exotic diseases • Eliminate or minimise the sources of infection: • Live pigs from overseas – banned • Semen from overseas - banned • Embryos from overseas - banned • Meat products from overseas – fresh pork is banned • Legally imported product has to be cooked and not contain bones • Feeding of ‘swill’ to pigs is banned
Swill feeding risk – large scale 2013 - A man has been convicted and sentenced in Australia for illegally importing over 20 tonnes of pork and chicken into Australia from Korea. • Tim Chapman - First Assistant Secretary, Border Compliance Division “Given that Korea has had outbreaks of this highly contagious disease, these meat products posed a potentially significant risk to Australia. “To put this into perspective, we estimate that a small Foot and Mouth Disease outbreak, controlled in 3 months, could cost Australia around $7.1 billion, while a large 12 month outbreak would cost $16 billion.” • The case comes from an investigation by the Department of Agriculture, Fisheries and Forestry that uncovered large-scale and deliberate illegal imports of foods across businesses in Brisbane, Melbourne and Sydney.
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