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Bovine TB
BVA Parliamentary briefing
Tuesday 27 October 2015
Sean Wensley
BVSc MSc Grad DMS MRCVS
BVA President
John Blackwell
BVSc MRCVS
BVA Senior Vice-President
Overview
• Bovine TB: what is the problem?
• How bTB spreads
• Controls:
• cattle
• badgers
• other species
• Government approaches across the UK
• BVA position
• Questions
What is bovine TB?
• A complex infectious zoonotic disease of
animals and humans
• Caused by the bacterium Mycobacterium
bovis
• Maintenance hosts: cattle, badgers
• Spillover hosts: various mammals inc humans,
deer, camelids, goats, pigs, dogs, cats
• Direct effects on cattle
• Production efficiency
• Indirect effects of disease
• Business viability in face of control measures
• Trade within and beyond the European Union
What is the problem?
bTB: the problem
All
herds
tested
3y Scot &
Wal, 2y
Eng
M bovis tuberculin
replaces M
tuberculosis
4 yr testing
FM
D
120,000 herds 80,000
herds
Badgers
Act 1973
bTB: the problem
bTB: the problem
Regions of England
• High Risk Area (HRA)
• Edge Area (EA)
• Low Risk Area (LRA)
How does bTB spread?
The Randomised Badger Culling Trial report (2007)
established:
•that badgers “contribute significantly to the
disease in cattle” and
•that “cattle-to-cattle transmission is also very
important in high incidence areas and is the main
cause of disease spread to new areas”.
How does bTB spread?
• Transmission
• Cattle to cattle
• Badger to cattle (& vice versa)
• Translocation
• Locally
• Greater distance
• Amplification
Spoligotype
translocation
Post FMD
2001
How does bTB spread?
Critical
control points
• Translocation
• Transmission
• Amplification
• Transmission
• Amplification
Controls in cattle
TB Testing
•Routine
•Pre-movement
•Post-movement
Risk based
trading
Surveillance
Biosecurity
Farm
Health
Planning
Questions around TB testing
• Accuracy of the test
• Frequency
• Quality assurance
Controls in cattle
• Cattle vaccination?
• BCG (vaccine) does not fully protect any species
• Differentiating Infected from Vaccinated Animals
(DIVA) test is not yet validated
• Currently illegal in EU
European Commission (2013): “Possible EU rules on
vaccinated animals… to enter intra-Union trade…. [2023]”
Controls in badgers
• Biosecurity
• Culling
• Vaccination
• Other?
Badger control: Culling
• Randomised Badger Culling Trial (1998-2006)
• Proactive culling of badgers reduces the incidence
of bTB in cattle herds
• Net benefit 4.5 years post culling = 16% (Key
conclusions from a meeting of scientific experts held at Defra on 4th
April 2011)
Badger control: Vaccination
• Injectable BCG
• Not proven to protect from infection
• Reduces the severity of the disease in infected
animals
• Test to differentiate is unreliable
• No evidence of impact on bTB in cattle
• Oral vaccine?
Badger control: Other
Research:
•Contraception
•Oral vaccine
•Humane whole sett culling methods
•Trap- and sett-side diagnostics
Control in other species
• Spillover hosts, eg:
• Deer
• Camelids (llamas and alpacas)
• Goats
• Pigs
• Dogs
• Cats
• Control measures inc biosecurity, testing,
notification, and compulsory slaughter
A comprehensive approach
TB Testing
•Routine
•Pre-movement
•Post-movement
Risk based
trading
Surveillance
Biosecurity
Farm Health
Planning
Vaccination
Culling
•Targeted
•Humane
Research
•Cattle vaccine
•Oral badger vaccine
•Badger contraception
•Improved diagnostics
Policy approaches across the UK:
England
Regionalisation
• High Risk Area (HRA)
• Edge Area (EA)
• Low Risk Area (LRA)
Policy approaches across the UK:
England
Cattle controls
•High risk = Annual herd testing
•Edge = Annual herd testing
•Low risk = Four yearly testing
•High & edge = Routine pre-
movement tests
•Post-movement tests
•Targeted use of interferon-gamma
assay (IFN-γ)
•Defra consultation on increased
cattle controls (Oct 2015)
Badger controls
•Two pilot cull areas (from 2013) to
test method of culling
•Independent Expert Group
assessment of safety, efficacy and
humaneness
•New cull area in Dorset (from 2015)
•Badger Vaccine Deployment Project
to test deliverability
Policy approaches across the UK
Scotland
•Officially
tuberculosis free
• Decision Sept
2009
• Implementation
Feb 2010
•Risk-based testing
Wales
•“Intensive Action Area”
•Badger vaccination
deployment
•Cattle testing: Check
Test Wales
NI
•Separate epidemiological unit
•Cattle testing
•Modelling a “TVR” policy =
Test and vaccinate or remove
badgers
BVA position: the ethics of culling
Ethical review process
•Ethically justifiable?
•Scientific basis?
•Feasible and deliverable?
•Exit strategy?
•Area of cull?
•Cost benefit analysis?
•Ecological impact?
Ethical framework – the 3 Rs
(reduce, refine, replace)
Targeted,
effective
and
humane
BVA position: Badger culling
• We support badger culling as part of a comprehensive
strategy provided it is targeted, effective and humane
• We have withdrawn support for the use of controlled
shooting BUT acknowledge there are different views
with the veterinary profession
• We have called for the wider roll-out of culling using
cage trapping and shooting only, in carefully selected
areas
BVA position:
A comprehensive approach
TB Testing
•Routine
•Pre-movement
•Post-movement
Risk based
trading
Surveillance
Biosecurity
Farm Health
Planning
Vaccination
Culling
•Targeted
•Humane
Research
•Cattle vaccine
•Oral badger vaccine
•Badger contraception
•Improved diagnostics
Questions?
publicaffairs@bva.co.uk
020 7908 6340

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Bovine TB - BVA Parliamentary briefing

  • 1. Bovine TB BVA Parliamentary briefing Tuesday 27 October 2015 Sean Wensley BVSc MSc Grad DMS MRCVS BVA President John Blackwell BVSc MRCVS BVA Senior Vice-President
  • 2. Overview • Bovine TB: what is the problem? • How bTB spreads • Controls: • cattle • badgers • other species • Government approaches across the UK • BVA position • Questions
  • 3. What is bovine TB? • A complex infectious zoonotic disease of animals and humans • Caused by the bacterium Mycobacterium bovis • Maintenance hosts: cattle, badgers • Spillover hosts: various mammals inc humans, deer, camelids, goats, pigs, dogs, cats
  • 4. • Direct effects on cattle • Production efficiency • Indirect effects of disease • Business viability in face of control measures • Trade within and beyond the European Union What is the problem?
  • 5. bTB: the problem All herds tested 3y Scot & Wal, 2y Eng M bovis tuberculin replaces M tuberculosis 4 yr testing FM D 120,000 herds 80,000 herds Badgers Act 1973
  • 7. bTB: the problem Regions of England • High Risk Area (HRA) • Edge Area (EA) • Low Risk Area (LRA)
  • 8. How does bTB spread? The Randomised Badger Culling Trial report (2007) established: •that badgers “contribute significantly to the disease in cattle” and •that “cattle-to-cattle transmission is also very important in high incidence areas and is the main cause of disease spread to new areas”.
  • 9. How does bTB spread? • Transmission • Cattle to cattle • Badger to cattle (& vice versa) • Translocation • Locally • Greater distance • Amplification Spoligotype translocation Post FMD 2001
  • 10. How does bTB spread? Critical control points • Translocation • Transmission • Amplification • Transmission • Amplification
  • 11. Controls in cattle TB Testing •Routine •Pre-movement •Post-movement Risk based trading Surveillance Biosecurity Farm Health Planning
  • 12. Questions around TB testing • Accuracy of the test • Frequency • Quality assurance
  • 13. Controls in cattle • Cattle vaccination? • BCG (vaccine) does not fully protect any species • Differentiating Infected from Vaccinated Animals (DIVA) test is not yet validated • Currently illegal in EU European Commission (2013): “Possible EU rules on vaccinated animals… to enter intra-Union trade…. [2023]”
  • 14. Controls in badgers • Biosecurity • Culling • Vaccination • Other?
  • 15. Badger control: Culling • Randomised Badger Culling Trial (1998-2006) • Proactive culling of badgers reduces the incidence of bTB in cattle herds • Net benefit 4.5 years post culling = 16% (Key conclusions from a meeting of scientific experts held at Defra on 4th April 2011)
  • 16. Badger control: Vaccination • Injectable BCG • Not proven to protect from infection • Reduces the severity of the disease in infected animals • Test to differentiate is unreliable • No evidence of impact on bTB in cattle • Oral vaccine?
  • 17. Badger control: Other Research: •Contraception •Oral vaccine •Humane whole sett culling methods •Trap- and sett-side diagnostics
  • 18. Control in other species • Spillover hosts, eg: • Deer • Camelids (llamas and alpacas) • Goats • Pigs • Dogs • Cats • Control measures inc biosecurity, testing, notification, and compulsory slaughter
  • 19. A comprehensive approach TB Testing •Routine •Pre-movement •Post-movement Risk based trading Surveillance Biosecurity Farm Health Planning Vaccination Culling •Targeted •Humane Research •Cattle vaccine •Oral badger vaccine •Badger contraception •Improved diagnostics
  • 20. Policy approaches across the UK: England Regionalisation • High Risk Area (HRA) • Edge Area (EA) • Low Risk Area (LRA)
  • 21. Policy approaches across the UK: England Cattle controls •High risk = Annual herd testing •Edge = Annual herd testing •Low risk = Four yearly testing •High & edge = Routine pre- movement tests •Post-movement tests •Targeted use of interferon-gamma assay (IFN-γ) •Defra consultation on increased cattle controls (Oct 2015) Badger controls •Two pilot cull areas (from 2013) to test method of culling •Independent Expert Group assessment of safety, efficacy and humaneness •New cull area in Dorset (from 2015) •Badger Vaccine Deployment Project to test deliverability
  • 22. Policy approaches across the UK Scotland •Officially tuberculosis free • Decision Sept 2009 • Implementation Feb 2010 •Risk-based testing Wales •“Intensive Action Area” •Badger vaccination deployment •Cattle testing: Check Test Wales NI •Separate epidemiological unit •Cattle testing •Modelling a “TVR” policy = Test and vaccinate or remove badgers
  • 23. BVA position: the ethics of culling Ethical review process •Ethically justifiable? •Scientific basis? •Feasible and deliverable? •Exit strategy? •Area of cull? •Cost benefit analysis? •Ecological impact? Ethical framework – the 3 Rs (reduce, refine, replace) Targeted, effective and humane
  • 24. BVA position: Badger culling • We support badger culling as part of a comprehensive strategy provided it is targeted, effective and humane • We have withdrawn support for the use of controlled shooting BUT acknowledge there are different views with the veterinary profession • We have called for the wider roll-out of culling using cage trapping and shooting only, in carefully selected areas
  • 25. BVA position: A comprehensive approach TB Testing •Routine •Pre-movement •Post-movement Risk based trading Surveillance Biosecurity Farm Health Planning Vaccination Culling •Targeted •Humane Research •Cattle vaccine •Oral badger vaccine •Badger contraception •Improved diagnostics

Editor's Notes

  1. JOHN This graph shows The number of cattle tests in blue The number of reactors (which is those reacting to the skin test) in orange And the number of cattle slaughtered in red In Great Britain since the mid-1950s. It shows that the disease has been on the increase since the 1990s and dramatically so since 2001 when we had the Foot and Mouth Disease outbreak. It also shows that disease incidence fluctuates so we need to be very careful focusing on a single year’s results or couple of years; we need to look at the general trends. Since 2010 when this graph ends we have seen numbers of cattle slaughtered in the mid to low 30,000s each year. NOTE: ADDITIONAL STATS IF NEEDED 2011 - 33,453 cattle slaughtered as reactors 2012 - 37,050 2013 - 31,715 2014 - 31,733 2015 - 19,458 so far
  2. JOHN Not only does the incidence keep going up, but it is spreading northwards and eastwards across the country. And…….
  3. JOHN Another control method in badgers is vaccination and it is deployed using an injectable vaccine. However, as with BCG vaccine in other species it does not confer immunity but reduces the severity of the disease. A test to differentiate infected from vaccinated badgers exists but it is unreliable (50/50). We have no evidence of the impact on cattle. And deployment is difficult, time consuming and costly, which is why research is ongoing into an oral vaccine.
  4. JOHN DON’T READ THESE OUT And there are a number of other control methods in badgers that are currently being researched – some new options and some to improve existing options, such as better diagnostics.