Page 547 - The Veterinary Laboratory and Field Manual 3rd Edition
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484  Susan C. Cork

            anthrax                                  of these can be found in birds but H17 N10 and
                                                     H18 N 11 have only been isolated from bats.
            Cause: Bacillus anthracis                Most mammalian species have common strains
                                                     of influenza but can occasionally be infected by
            Epidemiology: The spores of the organism sur-  avian strains. Many infections are asymptomatic.
            vive for long periods in the soil. If the soil is   Virulent strains, known as ‘highly pathogenic
            later disturbed by ploughing or grazing stock   avian influenza’ (HPAI) are usually subtypes H5
            there may be an outbreak of the disease. Such   or H7 and are associated with disease outbreaks
            outbreaks usually occur in areas where animals   in domestic poultry. The virus is transmitted
            have previously died of anthrax and the vegeta-  by aerosol but can also be transmitted through
            tive organisms have been exposed to the air and   the oral-faecal route. Although there are vac-
            dispersed by scavengers.
                                                     cines  available  against  influenza  A  viruses  in
            Signs in animals: Sudden death. Swollen carcass.   humans and animals these are not always fully
            Bloody discharges from body orifices (that is,   protective due to changes in the antigenic struc-
            mouth, nostrils, rectum).                ture of the virus. This can occur as a result of
                                                     antigenic drift (common over time) or due to
            Diagnosis: If anthrax is suspected, do not   ‘antigenic shift’ (more rapid but less common)
            open the carcass or spore formation will occur   as a result of genetic reassortment between
            resulting in long term contamination of the sur-  viruses infecting the same host. Poultry and pigs
            rounding area. Send a blood smear, taken from   are considered to be potential ‘mixing vessels’
            an ear vein, to the laboratory. It is important   for the development of strains that can infect
            to ask specifically for anthrax to be looked for   humans, this is because strains adapted to pigs
            (microscopy +/– culture) and if possible speak   (including H9N2) have characteristics that allow
            to the nearest veterinary unit about the case.   attachment to the epithelial lining of the human
            PCR can also be used to confirm a diagnosis   respiratory tract. In 2003, pan-zoonotic strains
            of anthrax. Control: Where and when feasible/  of avian influenza H5N1 resulted in a number of
            desirable vaccination is available for livestock. If   human deaths across Asia.
            the diagnosis of anthrax is confirmed the carcass
            should be buried in a deep pit and the hole filled   Signs in animals: May be clinically in apparent. In
            in with lime.                            domestic poultry, the virus can act locally caus-
                                                     ing mild disease (for example, ruffled feathers,
                                                     off food) but virulent strains are more invasive
            avian Influenza                          causing systemic infections with neurological,
                                                     respiratory and gastrointestinal signs.
            Cause: Orthomyxovirus, influenza A       Diagnosis: Diagnosis can be confirmed at nec-
                                                     ropsy  using  PCR  or  traditional  virological
            Epidemiology: Influenza A viruses cycle natu-
            rally in wild aquatic birds, especially waterfowl.   techniques. There are also a number of serologi-
            Many strains are non-pathogenic. The avian   cal tests including kit tests for rapid diagnosis.
            influenza viruses are divided into subtypes   Egg inoculation is used to culture strains. Typing
            based on the structure of two proteins on the   is often done using either PCR or HI. (See also
            surface of the virus: haemagglutinin (HA) and   Chapter 6.)
            neuraminidase (NA). To date, there have been   Control: Quarantine poultry flocks sus-
            18 HA and 11 NA proteins identified and these   pected to have highly virulent avian influenza.
            can occur in a wide range of combinations. Most   Vaccinations are available for poultry and other







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