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Avian Influenza Virus |   23

          Additional information and recommendations about biosecurity,   in all states where LPAIV cases were detected. The last isolation
          surveillance, and reporting AI activity can be found at the Animal   of H5N2 HPAIV in Mexico was in May 1995 and by December
          and Plant Health Inspection Service, United States Department   1995 the Mexican government declared the country to be free of
          of Agriculture (http://www.aphis.usda.gov).           the virus (Villarreal, 2009). It is important to note that although
            If infection is detected in a flock, the OIE Terrestrial Animal   vaccination is a useful tool, it is not sufficient to eradicate the
          Health Code recommends culling infected and contact animals   disease if not properly implemented. Vaccination should be
          (or within a short radius around infected premises), appropriate   used for a short duration and always be coupled to stringent,
          disposal of carcasses and all animal products, as well as quarantine   reliable, and transparent monitoring programmes and appropri-
          and  movement  restrictions  (OIE,  2015).  Some  measurements   ate management. Unsuccessful vaccination programs can be a
          can reduce the virus environmental contamination in live mar-  result of poor-quality vaccines or vaccine antigen mismatch, as
          kets, such as the separation of aquatic and poultry species, the   well as improper administration (Swayne et al., 2014). Vaccina-
          prohibition of selling live aquatic birds, and the incorporation of   tion is used routinely in some countries where avian influenza
          monthly rest days, where markets are completely emptied and dis-  viruses have become endemic to prevent spread and protect
          infected before new birds are brought in. Prevention programmes   at-risk populations, most commonly against H5, H7, and H9
          in some countries include some form of incentive or financial   viruses (Domenech et al., 2009; Spackman and Pantin-Jackwood,
          compensation to farmers and producers affected by mandatory   2014). Almost all vaccine doses used in the field have been used
          culling of their animals, which is important to stimulate transpar-  in Mexico (H5N2 and H7N3) and China, Egypt, Vietnam and
          ent reporting and early detection; however not all countries have   Indonesia (H5N1) in response to epizootics; however, the dis-
          an indemnification program in place for AI.           ease remains endemic in these countries (Swayne et al., 2011).
            The same measures taken to prevent the spread of AI in poultry   The vast majority of poultry influenza vaccines used in the
          can reduce the risk for human exposure to the virus. The World   field are inactivated whole virus products combined with potent
          Health Organization, through its Global Influenza Surveillance   oil-based adjuvants delivered by the i.m. route in multiple doses
          Program, together with other national and international agencies,   (Swayne et al., 2011). Several inactivated avian influenza vac-
          assists in reducing the risks of AI for public health. Poultry work-  cines are licensed in the USA and other countries, in addition to
          ers, as well as people involved in the culling of infected poultry   live recombinant vectors (fowlpox, Avian paramyxovirus type 1
          flocks should wear protective clothing and also receive antiviral   -NDV, Duck enteritis virus, Turkey Herpesvirus) (Swayne et al.,
          drugs  as a  prophylactic  measure.  In  addition,  vaccination  of   2000, 2001; Halvorson, 2002). Recombinant vector vaccines
          people at high risk of exposure to infected poultry (e.g. poultry   against avian influenza are not as commonly used in poultry as
          workers, live market workers, veterinarians, etc.) using seasonal   inactivated vaccines. However, this type of vaccine could be
          vaccines can reduce the likelihood of co-infection with human   administered  by  automated  methods  as  a  spray  or  in  drinking
          and avian influenza strains, and thus reduce the risk of reassort-  water for mass-immunization, providing a  rapid, efficient,  and
          ment.                                                 economical immunization method. NDV-vectored H5 and H7
                                                                vaccines induced high levels of HI antibodies and protected
                                                                chickens from challenge with a H7N9 or HPAI H5N1 viruses,
          Vaccination                                           respectively (Liu et al., 2015a). However, pre-existing immunity
          Vaccination can be considered the third line of defence against   to the NDV vector could limits the protective efficacy of these
          avian influenza; however, vaccination of poultry is still seen with   vectored vaccines in the field (Spackman and Pantin-Jackwood,
          reluctance because they usually protect against clinical signs but   2014). An alternative chimeric NDV-vectored with F and HN
          not against infection and, therefore, could mask outbreaks and   ectodomains replaced by those of avian paramyxovirus serotype-2
          favour the spread of HPAIV. Obstacles to effective implementa-  was shown to be safe, not cross-react with NDV, and to partially
          tion of vaccine programs include the interference of maternal   protect 1-day-old immunized chickens against H5N1 HPAIV
          antibodies on  vaccine immune  response, costs to  implement   challenge (Kim et al., 2017). Additionally, a recombinant turkey
          program, the prohibitive withdrawal period post-vaccination, the   herpesvirus vector vaccine expressing the HA gene of H5N1
          difficulty to differentiate vaccinated from infected animals and the   HPAIV consistently demonstrated a high degree of homologous
          masking of clinical signs that can result in trade restrictions (De   protection as well as cross-protection against heterologous clades
          Vriese et al., 2010; Spackman and Pantin-Jackwood, 2014).  of the H5N1 HPAIV (Gardin et al., 2016). Recently, a single-
            Vaccination  has  been  successfully  used  in  countries  where   cycle, propagation-defective alphavirus-like (Venezuelan equine
          the regular stamping-out protocols are not enough to control   encephalitis virus) replicon particle vaccine expressing the H5
          spread, may cause an irreversible impact on the poultry industry   HA was shown to provide partial protection against a HPAIV
          or pose a threat to food supply (Naeem and Siddique, 2006;   H5N2 strain in turkeys vaccinated with an alphavirus replicon
          Villarreal, 2007). Such approach was used in Mexico during the   (Santos et al., 2017).
          H5N2 HPAIV outbreak in 1994–1995. Between January and   Alternative  approaches  for  avian  influenza vaccines have
          December 1995, approximately 380 million vaccine doses were   included the use of subunit HA protein, DNA immunization and
          administered, in both affected and at-risk bird populations, cover-  live vaccines (Brown et al., 1992; Fynan et al., 1993; Kodihalli et
          ing approximately 55% of the country and 70% of the commercial   al., 1994, 1997; Bright et al., 2003). These different approaches
          poultry population. Vaccination was performed in layer farms   have shown promising results  protecting  against disease and
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