Epidemiology


In April 2010, Miyazaki prefecture in Southwest Japan experienced an outbreak of foot-and-mouth disease, one of the most contagious animal diseases. Although the outbreak was successfully contained in just four months, by July 2010 there were 292 cases and 300,000 cows and pigs had been slaughtered. This resulted in an economic loss of about 2 billion US dollars.

In addition to the economic impact of the epidemic, the mental and psychosocial well-being of individuals and the community at large was also affected. For example, the sudden death of large numbers of animals caused considerable mental stress among farmers as well as the veterinarians and municipal government teams involved in the slaughter and disposal of infected cattle and pigs.

Restrictions on movement were imposed as part of efforts to prevent the disease from spreading; this led to stress-related symptoms among some residents, particularly the elderly. In addition, many farmers experienced depression and anxiety about the future following the loss of their livelihoods.

Recognizing the multiple impacts of the disease epidemic, a coordinated multisectoral approach was adopted, under the One Health concept, to tackle the disease as well as manage the mental health and psychological well-being of the residents of Miyazaki.

In a video titled Responding to an animal disease epidemic: Lessons from Miyazaki, various stakeholders who were involved in responding to the epidemic reflect on the usefulness of a One Health approach in helping to successfully respond to and overcome the challenges of the disease outbreak.

Featured in the video is Kohei Makita, an associate professor of veterinary epidemiology at Rakuno Gakuen University who is on a joint appointment at the International Livestock Research Institute (ILRI). Makita and colleagues had earlier published work on the collaborative response of veterinary and psychiatry experts to the 2010 foot-and-mouth disease outbreak.

The video was produced by the World Bank Tokyo Development Learning Center, the United Nations University International Institute for Global Health, the National Center for Neurology and Psychiatry, Japan and Rakuno Gakuen University.

Farming in the highlands of Ethiopia

Farming scene in the highlands of Ethiopia (photo credit: ILRI/Apollo Habtamu).

 

Zoonotic diseases, or zoonoses, are diseases that can be passed from animals to people. Nearly two-thirds of emerging infectious diseases affecting people are zoonotic and about 60% of all human pathogens are zoonotic.

Zoonoses such as brucellosis, anthrax and rabies are endemic in eastern Africa and yet formally published research studies on zoonoses in the region are hard to come by; useful research findings remain tucked away in the libraries of universities and other research institutions in form of working papers and students’ theses: the so-called ‘grey literature’.

In order to bring to the fore the wealth of unpublished research on zoonoses from studies carried out in Burundi, the Democratic Republic of the Congo, Ethiopia, Kenya, Rwanda, South Sudan, Tanzania and Uganda, the first-ever regional conference on zoonotic diseases in eastern Africa was held in Naivasha, Kenya on 9-12 March 2015.

The conference brought together academicians, researchers and graduate students from across Africa who presented on topics such as the One Health approach to disease prevention and control, the global health security agenda, the recent Ebola outbreak and its control, and control of rabies in East Africa.

Some 80 oral and poster presentations covered a wide range of aspects of research on zoonotic diseases including epidemiology, antimicrobial resistance, diagnosis, surveillance, outbreak investigations, disease modelling and foodborne zoonoses.

Bernard Bett, a veterinary epidemiologist at the International Livestock Research Institute (ILRI), gave a keynote presentation on behalf of the institute’s director general Jimmy Smith detailing how research by ILRI is contributing towards healthy people, animals and ecosystems.

Food insecurity remains a challenge for millions of people in the region. Animal-source foods can play a role in improving food and nutritional security, particularly in developing countries where demand for meat, milk and eggs is on the rise. Thus, food security is linked to the health of the livestock that produce these food products.

However, because of the threat of endemic and emerging zoonotic diseases, human health is influenced by animal health. Furthermore, changing patterns of land use, such as irrigation and intensified farming, can have an impact on the life cycles of vectors that spread diseases that affect both animals and people. Therefore, the impact of agriculture on ecosystem health also needs to be considered when tackling animal and human health challenges.

View the presentation “Healthy people, animals and ecosystems: The role of CGIAR research
.

 

Annie Cook is a graduate fellow at the International Livestock Research Institute in Kenya. In this blog post she describes a day in the life of her PhD project.

“I am a veterinary epidemiologist which means I investigate the behaviour of diseases in animal populations. I am particularly interested in zoonoses: diseases that pass from animals to people.”

“The research project I am conducting was requested by the community. During a previous study that looked at zoonotic diseases in pigs at slaughter, our research group was asked to develop a project examining disease in the workers themselves. The workers wanted to know the occupational risks they faced at work.”

Read the full post on the CGIAR Development Dialogues blog

Local breed sow and piglets on a farm in Masaka district, Uganda

Local breed sow and piglets on a farm in Masaka district, Uganda. A new research report assesses the risk of Ebola in the pig value chain in Uganda. (photo credit: ILRI/Eliza Smith).

Scientists from the International Livestock Research Institute (ILRI) have published a report of a risk assessment to determine the threat of the deadly Ebola virus in the pig value chain in Uganda.

Uganda is currently witnessing a rise in demand for pork and this has led to increased pig production in the country, mostly under smallholder production systems.

These higher pig populations raised under free-range or tethering systems may create overlap of fruit bat habitats where the pigs scavenge for food, thereby presenting a possible risk of Ebola transmission as some bat species have been identified as reservoir hosts of the Ebola virus.

Uganda has experienced outbreaks of Ebola virus disease in the past. However, there are still many unanswered questions on the ecology and mode of transmission of the Ebola virus.

The risk assessment study, based on a systematic review of literature, identified possible routes of transmission of the Ebola virus if pigs are involved, for example, spread between wild and domestic pigs, direct contact between infected pigs and humans, and contact between pigs and fruit bats.

The study recommends more research on the possible role of pigs in Ebolavirus transmission, an area that is not well understood at the moment.

“The present data suggest that pigs may act as amplifying hosts, but likely not reservoir hosts. This suggests the conditions under which pigs become infected with Ebolavirus and the role they play in transmission may have many variables that will have to be elucidated,” the report states.

Further research is underway to investigate the possible role of domestic pigs in the ecology of Ebola virus in Uganda and understand the public health significance of the virus to the pig value chain in this country.

The work includes laboratory diagnostics from a large sample of blood from domestic pigs collected as part of the initial wider value chain disease assessment.

This will be accompanied by a risk mapping study using spatial epidemiology and key informant surveys as well as some participatory techniques with key stakeholders to better understand risk factors and to serve as a ‘ground-truthing’ exercise for the risk map.

It is hoped that this research will lead to further collaborations with other public health organizations and serve as a potential predictive tool in the event of future outbreaks of Ebola in Uganda.

Access the research report here

Citation
Atherstone C, Roesel K and Grace D. 2014. Ebola risk assessment in the pig value chain in Uganda. ILRI Research Report 34. Nairobi, Kenya: ILRI.

John Muthii Muriuki

John Muthii Muriuki, ILRI graduate fellow attached to the Dynamic Drivers of Disease in Africa project (photo credit: ILRI/John M. Muriuki).

The South African Centre for Epidemiological Modelling and Analysis (SACEMA) has invited John Muthii Muriuki, a graduate fellow at the International Livestock Research Institute (ILRI), to attend its fifth annual clinic on the meaningful modelling of epidemiological data. The clinic takes place on 2-13 June 2014 at the African Institute for Mathematical Sciences (AIMS) in Muizenberg, Cape Town, South Africa.

The highly competitive training course is offered in collaboration with the International Clinics on Infectious Disease Dynamics and Data (ICI3D) program and AIMS. Participants will include graduate students, postdoctoral students and researchers from Africa and North America.

The clinic focuses on the use of data in understanding infectious disease dynamics. Participants will work on epidemiological modelling projects that use real data to grapple with practical questions in a meaningful way.

Muriuki is studying for a Master’s degree in veterinary epidemiology and economics at the University of Nairobi. He was attached to the Kenya team of the Dynamic Drivers of Disease in Africa project that is exploring the drivers of Rift Valley fever in the country and took part in sampling and community surveys in Garissa and Tana River.

He is excited at the opportunity to take part in the clinic and expects to learn more about modelling the transmission dynamics of infectious diseases.

“This clinic could not have come at a better time because I’m now developing a malaria transmission model in an irrigated set-up. Through this training, I expect to get more ideas to refine the model,” said Muriuki.

“I have a lot of interest in epidemiological modelling. The knowledge and skills gained from the clinic will enable me further my research work in this noble area,” he added.

Bernard Bett, a veterinary epidemiologist at ILRI and one of Muriuki’s supervisors, is confident that the training will enable Muriuki to refine the malaria transmission model being developed.

“It will also be a good opportunity for him to build networks with other professionals working on infectious disease research,” said Bett, who also leads the Kenya team of the Dynamic Drivers of Disease project.

Smallholder pig production in northern Viet Nam

Farmer Ma Thi Puong feeds her pigs on her farm near the northern town of Meo Vac, Vietnam. Intensification of livestock farming has been found to increase the risk of zoonotic disease transmission (photo credit: ILRI/Stevie Mann).

Modern farming practices, such as intensified livestock production, as well as environmental and biodiversity changes can be linked to the new wave of zoonotic diseases, according to a new study published in the 21 May 2013 edition of the Proceedings of the National Academy of Sciences (PNAS).

Human population growth and the expansion of agriculture to meet the ever-rising demand for food have been identified as the key drivers of recent outbreaks of emerging and re-emerging zoonotic diseases.

These human behavioural changes have led to encroachment of wildlife habitats, resulting in greater interactions between people, livestock and wildlife and increased chances of spillover of potential pathogens from wildlife to livestock and, consequently, people.

“Intensive livestock farming, especially of pigs and poultry, increases the risk of disease transmission due to increased population size and density,” the study reveals.

Environmental changes arising from settlement and agriculture, including land fragmentation, deforestation and replacement of natural vegetation with crops, alter the structure of wildlife population, giving rise to new environmental conditions that favour specific hosts, vectors and pathogens.

The study was carried out in form of a systematic review by a multidisciplinary team of researchers from the International Livestock Research Institute (ILRI) and the Royal Veterinary College, University of London.

The research team sought to analyze qualitatively scientific evidence on the effect of agricultural intensification and environmental change on the risk of zoonoses transmission at the interface of humans, livestock and wildlife.

While the study has identified a clear link between the threat of zoonotic disease and the wildlife-livestock interface, it does not adequately address the complex interactions between the environmental, social and biological drivers of pathogen emergence.

For this reason, there is need to carry out local interdisciplinary studies that can come up with locally relevant solutions to tackle the threat of emerging and re-emerging zoonoses, the authors conclude.

Delia Grace, veterinary epidemiologist and food safety expert at ILRI, is among the co-authors of the study. Grace also leads the agriculture-associated diseases theme of the CGIAR Research Program on Agriculture for Nutrition and Health.

Read the full-text article

Citation: Jones BA, Grace D, Kock R, Alonso S, Rushton J, Said MY, McKeever D, Mutua F, Young J, McDermott J and Pfeiffer DU. 2013. Zoonosis emergence linked to agricultural intensification and environmental change. Proceedings of the National Academy of Sciences of the United States of America (PNAS) 110(21): 8399-8404.

Typical mixed crop-livestock farming of western Kenya

Typical mixed crop-livestock farming of western Kenya. Many smallholder farmers in western Kenya are taking advantage of the growing demand for pork to keep free-ranging pigs as a commercial enterprise (photo credit: ILRI/Pye-Smith).

Many people are familiar with the use of global positioning system (GPS) technology as a security measure to track the movement of vehicles, mobile phones and sophisticated high-tech gadgets and assets.

But researchers at the University of Edinburgh and the International Livestock Research Institute are using GPS technology to track the movement of a different kind of asset that, though not motorized or electronic, is nonetheless of great value to resource-poor farmers in rural western Kenya: free-ranging domestic pigs.

In western Kenya, as in many parts of the developing world, rural households keep pigs under extensive, low-input systems where the animals are left free to roam and scavenge food outside the homestead.

Such low capital investment production systems enable smallholder farmers to benefit from pig production by taking advantage of the growing demand for pork, especially in urban areas.

It is well known that irrespective of the production system under which they are kept, pigs can be the host of a variety of disease-causing microorganisms.

However, pigs that are left to roam freely and scavenge food have a much higher risk of picking up diseases and infections like the pork tapeworm and African swine fever and passing them on to other domestic and wild animals as well as to people.

Understanding the movement patterns of free-ranging pigs in a rural setting can help animal health researchers develop effective disease control policies for smallholder pig production systems, based on a better understanding of the patterns of disease transmission within populations of free range pigs.

The results of a year-long pig tracking study carried out in Busia, western Kenya between March 2011 and February 2012 are now available in the March 2013 issue of the open access journal BMC Veterinary Research.

The pigs were fitted with GPS collars that tracked their movements and recorded their location coordinates every 3 minutes for one week. The location data were then transmitted to a central GPS server for analysis. Blood samples were also collected from the pigs to check for infection with gastrointestinal parasites.

“This is the first study to use GPS technology to collect data on the home range of domestic pigs kept under a free range system and the data will give us new insights into the behaviour of free-ranging pigs in a resource-poor setting,” the authors say.

The study found that the free-ranging pigs spent almost half their time outside their homestead of origin, travelling an average of 4,340 metres in a 12 hour period.

This result shows that with respect to pathogen transmission, the village environment beyond the farm matters just as much as the environment on the farm itself.

In addition, the researchers found that free range domestic pigs spend a lot of energy while foraging and this reduced their potential for weight gain and economic benefit to their owners.

This is because the sale price is normally pegged on the live weight of the pigs: a heavier pig translates into more cash for the farmer.

“The movement data can also be combined with information on ration formulation and daily weight gain to provide farmers with advice on how to change their animal husbandry practices to improve the profitability of pig production,” the authors conclude.

Read the abstract here

Citation: Thomas LF, de Glanville WA, Cook EA and Fèvre EM. 2013. The spatial ecology of free-ranging domestic pigs (Sus scrofa) in western Kenya. BMC Veterinary Research 9: 46. doi:10.1186/1746-6148-9-46

Find out more about the Zoonotic and Emerging Diseases Research Group which is led by co-author Eric Fèvre.

Poultry seller in a 'wet market' in Indonesia

A woman sells live ducklings in a ‘wet market’ in Indonesia (photo credit: ILRI/Christine Jost).

On 10–11 January 2013, over 50 international experts from science, policy, the media and academia met at Sussex University for a workshop to discuss what recent controversies can teach us about possible future responses to pandemic influenza outbreaks.

The workshop, convened by the Economic & Social Research Council STEPS Centre and the Centre for Global Health Policy, examined in depth why controversies have emerged around pandemic flu, in order to inform future approaches.

Veterinary epidemiologist Jeff Mariner represented the International Livestock Research Institute (ILRI) at the workshop as an invited panellist speaking on experiences with participatory surveillance in control of highly pathogenic avian influenza (HPAI).

Mariner said that HPAI has largely settled down to become endemic in those countries with dense and complex poultry populations and faded out from countries that were not very well suited to sustained transmission.

“The HPAI control programs had little impact in changing the epidemiological course of evolution of the epidemic, and the response to HPAI to large extent ignored key lessons from previous successful disease control activities,” he observed.

“The emergency response approach led investments to have limited sustained impact as they did not address the fundamental institutional issues and the limited capacity of host-country services to absorb the large amounts of money allocated,” he added.

In conclusion, Mariner proposed that in the future, pandemic preparedness should focus on long-term capacity building rather than short-term emergency responses.

Access the workshop report here

Maasai father and son tend to their cattle in Kenya

Maasai father and son tend to their cattle in their paddock in Kitengela, Kenya (photo credit: ILRI/Stevie Mann).

Brucellosis, also referred to as undulant fever, is a highly contagious zoonotic disease caused by the microorganism Brucella which infects multiple animal species including cattle, sheep, pigs, small ruminants, camels, water buffaloes and yaks.

Brucellosis affects both humans and animals, causing chronic fever and joint and muscle pain in humans and abortion in animals.

Cases of brucellosis in humans are often linked to consumption of unpasteurized milk and soft cheese made from the milk of infected cows.

Brucella infection in some developing countries can reach 30% of the human population, making it a serious public health disease.

In response to the problem of this disease in Africa, some 60 animal health experts from across Africa, the United States and other countries gather in Addis Ababa, Ethiopia from 29 to 31 January 2013 for a workshop to discuss an integrated approach to controlling brucellosis.

The workshop aims to identify gaps in brucellosis epidemiology, diagnosis, surveillance and control programs.

This will assist in designing research programs and intervention strategies to aid in the control of brucellosis at national and regional levels.

Specific topics that will be addressed include:

  • Transmission of infection from animals to humans
  • Laboratory biosafety practices
  • Diagnostics assays, serology and organism identification
  • Vaccination strategies
  • Potential research collaborations

The workshop is co-organized by the Agricultural Research Service of the United States Department of Agriculture (USDA-ARS), the International Livestock Research Institute (ILRI) and the United States Agency for International Development (USAID).

It is sponsored by the US Department of State Biosecurity Engagement Program.

ILRI scientists Delia Grace, Eric Fèvre and Roger Pellé will attend the workshop.

Additional information is available on the USDA-ARS website

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