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Transboundary disease risks in the
European Region
Situation report, co-ordination arrangements and
priorities for future actions to reduce risk
43rd EuFMD General Session, 2019
South East Europe
Serotype O :306; Serotype A :1; PCR (+) :75
FMD/type A/Asia/IRAN 05/ SIS 13
FMD/type A/Asia/G VII
FMD/type O/ ME-SA/ panasia 2 / Qom 15
FMD/type Asia 1/ Asia/ Sindh 08
No outbreaks since 2016 (Arm). Candidate
zone for PCP 3 and reduced virus circulation
Foot and Mouth Disease
FMD distribution ‘13-’17 for ME and WE (A-O)
Year 2018
East Mediterranean
54 outbreaks (Feb-March 2017)
O/ME-SA/Ind-2001
FMD sero – type 2016 2017
O 44 89
A 5 0
SAT2 5 5
Pan FMD 10 30
Total 64 124
Outbreaks 2018-2019
Israel: O/Panasia -2 (two substrains)
Palestine: O/EA-3
PCP stages
North Africa
14 outbreaks (40 LR and 75 SR)
from 15/12/2018 to 07/03/2019
32 outbreaks (82 LR) from
05/01/2019 to 09/03/2019
FMD outbreaks 119 in 28 wilayas (1226 LR) from
20 June 2018. From Sept 2018 cocirculation of
FMD-PPR in 36 wilayas affected and 477
municipalities (3310 SR dead, slaughtered,
destroyed.)
How to ensure that GF-TADs process is applied in North Africa ?
(Importance of provide indicators of progress and addressed gaps)
FMDV
Type
FMDV
Topotype
Region Country
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
FMDV
Type
FMDV
Topotype
Region Country
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Middle East Egypt Egypt
Algeria ISRAEL
Tunisia Palestine
Egypt Algeria
ISRAEL Libya
Palestine Mauritania
Afghanistan Morocco
Armenia Egypt
IRAN IRAQ
Kazakhstan ISRAEL
Russia Jordan
Turkey Palestine
Afghanistan Algeria
IRAN Libya
IRAQ Morocco
Turkey Tunisia
Egypt Afghanistan
Oman Georgia
Palestine IRAN
North Africa Libya Kazakhstan
Mauritania Russia
Turkey
O SEA West Eurasia Russia
Middle East
North Africa
O ME-SA
Middle East
North Africa
West Eurasia
SAT2 SAT2VII
Middle East
O
O EA-3
Asia1 Asia1ASIA West Eurasia
A
A AFRICA North AFrica
A ASIA
Middle East
West Eurasia
Region Type O Type A
Type
SAT2
Type
Asia1
period
Middle East 68% 44% 36% -
84 months
(2012-2018)
North Africa 22% 5% 2% -
110 months
(2011 – 2019)
WestEurasia
(TCC , Turkey, Russia)
80% 84% - 42%
108 months
(2011 – 2018)
Peste des Petits Ruminants
Sheep and Goat Pox
Six monthly report (Jan-Jun 2018, WAHIS)
Lumpy Skin Disease
Number of years od PPR presence 2005 – 2018 (OIE)
EFSA, LSD in South East Europe
Aedes and Culex
ANIMALS
Abortions
Death (100% young)
HUMANS
Febrile illness
Haemorrhagic fever
More recent events
’17 Nigeria – Niger - MaliCDC - Centre for disease control and prevention
Rift Valley Fever
ExCom97
Results from recent study on Landscape suitability to RVF epidemics
The risk is derived from the ecological niche of RVF outbreaks
(Walsh et al, 2017)
‱ Landscapes suitable to RVFV (N.African
and Middle East countries);
‱ Sustained virus transmission outside
the endemic region is real if
introduction events coincide with
optimal conditions
 In southern Morocco, a serological survey
conducted in 2009 showed a 15% prevalence in
camels nearby regions of Mauritania, with regular
illegal transboundary movements of this countries
to Morocco (El-Harrak et al., 2011)
 Samples taken from the Sahara in 2008 showed a
seroprevalence ranging from 1 to 10% in goats,
sheep and camels (Di Nardo et al., 2014)
 A serological survey (A. Bosworth et al., 2015) in
humans conducted during the summer of 2014 in
regions in Tunisia showing that:
 8.3% of unexplained febrile patients had IgM
(indicating recent infection)
 7.8% of sera collected from slaughterhouse
workers (healthy status) had IgG against this
virus
Virus circulation
Risk for RVFV introductions in N.African and Middle East countries
remains high and continuous,
Sustained virus transmission outside the endemic regions is real if
these introduction event(s) coincide with optimal conditions
Bovine Ephemeral Fever
Fever, abortion, lameness.
drooling, lethargy, milk drop
(high morbidity)
Culicoides
Known geographical occurrence of BEF (Walker and Klement 2015)
The extent of BEFV distribution is not necessarily country-wide (as shown) and may include
neighbouring countries from which there are no known formal reports of disease (not shown). The
distribution may also vary seasonally and from year to year.
Likely general directions of seasonal spread of BEFV for S.Africa and Middle East
Pathways in the Middle East are less clear and may be complex with potential for
epizootics to originate in either East Africa or West Asia. Dashed arrows indicate
possible pathways in this region.
Source: https://veterinaryresearch.biomedcentral.com/articles/10.1186/s13567-015-0262-4
THE BEF THREAT TO EUROPE IS REALISTIC
‱ Big epidemic recorded in Turkey 2012, with
outbreaks in many regions (unlike previous
Turkey epidemics).
‱ Frequency of new epidemics increased over
the year
Importance of rapid detection/confirmation if introduced in
Europe, as for the RVF
Recent accelerated climate change has
exacerbated existing environmental
problems in the Mediterranean Basin that
are caused by the combination of changes
in land use, increasing pollution and
declining biodiversity.
Slide of R.Bouguedour (OIE)
Basin-wide, annual mean
temperatures are now 1.4 °C
above late-nineteenth-
century levels, particularly
during the summer months.
Heat waves now occur more
frequently, and the frequency
and intensity of droughts have
increased since 1950. For
each of the most recent
decades, the surface of the
Mediterranean Sea has
warmed by around 0.4 °C
Slide of R.Bouguedour (OIE)
Priorities to reduce the risk
Early Warning Systems for major threats
Regular collection and sharing of relevant risk information
including submission of isolates
Improved networking between centres of expertise and Ref
Laboratories
Training programme for national staff (epi-lab-PVM-etc.)
Assist definition of integrated control and surveillance
Emergency arrangements for vaccine supply
Thank you

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GS43_03. Transboundary disease risks in the European region

  • 1. Transboundary disease risks in the European Region Situation report, co-ordination arrangements and priorities for future actions to reduce risk 43rd EuFMD General Session, 2019
  • 2. South East Europe Serotype O :306; Serotype A :1; PCR (+) :75 FMD/type A/Asia/IRAN 05/ SIS 13 FMD/type A/Asia/G VII FMD/type O/ ME-SA/ panasia 2 / Qom 15 FMD/type Asia 1/ Asia/ Sindh 08 No outbreaks since 2016 (Arm). Candidate zone for PCP 3 and reduced virus circulation Foot and Mouth Disease FMD distribution ‘13-’17 for ME and WE (A-O) Year 2018
  • 3. East Mediterranean 54 outbreaks (Feb-March 2017) O/ME-SA/Ind-2001 FMD sero – type 2016 2017 O 44 89 A 5 0 SAT2 5 5 Pan FMD 10 30 Total 64 124 Outbreaks 2018-2019 Israel: O/Panasia -2 (two substrains) Palestine: O/EA-3 PCP stages
  • 4. North Africa 14 outbreaks (40 LR and 75 SR) from 15/12/2018 to 07/03/2019 32 outbreaks (82 LR) from 05/01/2019 to 09/03/2019 FMD outbreaks 119 in 28 wilayas (1226 LR) from 20 June 2018. From Sept 2018 cocirculation of FMD-PPR in 36 wilayas affected and 477 municipalities (3310 SR dead, slaughtered, destroyed.)
  • 5. How to ensure that GF-TADs process is applied in North Africa ? (Importance of provide indicators of progress and addressed gaps)
  • 6. FMDV Type FMDV Topotype Region Country 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 FMDV Type FMDV Topotype Region Country 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Middle East Egypt Egypt Algeria ISRAEL Tunisia Palestine Egypt Algeria ISRAEL Libya Palestine Mauritania Afghanistan Morocco Armenia Egypt IRAN IRAQ Kazakhstan ISRAEL Russia Jordan Turkey Palestine Afghanistan Algeria IRAN Libya IRAQ Morocco Turkey Tunisia Egypt Afghanistan Oman Georgia Palestine IRAN North Africa Libya Kazakhstan Mauritania Russia Turkey O SEA West Eurasia Russia Middle East North Africa O ME-SA Middle East North Africa West Eurasia SAT2 SAT2VII Middle East O O EA-3 Asia1 Asia1ASIA West Eurasia A A AFRICA North AFrica A ASIA Middle East West Eurasia Region Type O Type A Type SAT2 Type Asia1 period Middle East 68% 44% 36% - 84 months (2012-2018) North Africa 22% 5% 2% - 110 months (2011 – 2019) WestEurasia (TCC , Turkey, Russia) 80% 84% - 42% 108 months (2011 – 2018)
  • 7. Peste des Petits Ruminants Sheep and Goat Pox Six monthly report (Jan-Jun 2018, WAHIS) Lumpy Skin Disease Number of years od PPR presence 2005 – 2018 (OIE) EFSA, LSD in South East Europe
  • 8. Aedes and Culex ANIMALS Abortions Death (100% young) HUMANS Febrile illness Haemorrhagic fever More recent events ’17 Nigeria – Niger - MaliCDC - Centre for disease control and prevention Rift Valley Fever
  • 9. ExCom97 Results from recent study on Landscape suitability to RVF epidemics The risk is derived from the ecological niche of RVF outbreaks (Walsh et al, 2017) ‱ Landscapes suitable to RVFV (N.African and Middle East countries); ‱ Sustained virus transmission outside the endemic region is real if introduction events coincide with optimal conditions
  • 10.  In southern Morocco, a serological survey conducted in 2009 showed a 15% prevalence in camels nearby regions of Mauritania, with regular illegal transboundary movements of this countries to Morocco (El-Harrak et al., 2011)  Samples taken from the Sahara in 2008 showed a seroprevalence ranging from 1 to 10% in goats, sheep and camels (Di Nardo et al., 2014)  A serological survey (A. Bosworth et al., 2015) in humans conducted during the summer of 2014 in regions in Tunisia showing that:  8.3% of unexplained febrile patients had IgM (indicating recent infection)  7.8% of sera collected from slaughterhouse workers (healthy status) had IgG against this virus Virus circulation Risk for RVFV introductions in N.African and Middle East countries remains high and continuous, Sustained virus transmission outside the endemic regions is real if these introduction event(s) coincide with optimal conditions
  • 11. Bovine Ephemeral Fever Fever, abortion, lameness. drooling, lethargy, milk drop (high morbidity) Culicoides Known geographical occurrence of BEF (Walker and Klement 2015) The extent of BEFV distribution is not necessarily country-wide (as shown) and may include neighbouring countries from which there are no known formal reports of disease (not shown). The distribution may also vary seasonally and from year to year.
  • 12. Likely general directions of seasonal spread of BEFV for S.Africa and Middle East Pathways in the Middle East are less clear and may be complex with potential for epizootics to originate in either East Africa or West Asia. Dashed arrows indicate possible pathways in this region. Source: https://veterinaryresearch.biomedcentral.com/articles/10.1186/s13567-015-0262-4
  • 13. THE BEF THREAT TO EUROPE IS REALISTIC ‱ Big epidemic recorded in Turkey 2012, with outbreaks in many regions (unlike previous Turkey epidemics). ‱ Frequency of new epidemics increased over the year Importance of rapid detection/confirmation if introduced in Europe, as for the RVF
  • 14. Recent accelerated climate change has exacerbated existing environmental problems in the Mediterranean Basin that are caused by the combination of changes in land use, increasing pollution and declining biodiversity. Slide of R.Bouguedour (OIE)
  • 15. Basin-wide, annual mean temperatures are now 1.4 °C above late-nineteenth- century levels, particularly during the summer months. Heat waves now occur more frequently, and the frequency and intensity of droughts have increased since 1950. For each of the most recent decades, the surface of the Mediterranean Sea has warmed by around 0.4 °C Slide of R.Bouguedour (OIE)
  • 16. Priorities to reduce the risk Early Warning Systems for major threats Regular collection and sharing of relevant risk information including submission of isolates Improved networking between centres of expertise and Ref Laboratories Training programme for national staff (epi-lab-PVM-etc.) Assist definition of integrated control and surveillance Emergency arrangements for vaccine supply