Monday, 28 December 2015

FOOT-AND-MOUTH DISEASE




                                                                                                                             28th Dec. 2015

Foot and Mouth Disease (FMD) is a highly infectious disease caused by a virus in the genus Aphthovirus, family Picornaviridae. There are seven serotypes of FMD virus (FMDV) namely O, A, C, SAT1, SAT2, SAT3 and Asia1 that affects cloven-hoofed animals and causes disease in important domestic livestock species including; cattle, pigs, Goats and sheep and wild bovids.  In the Greater Horn of Africa region, all the listed strains are present except Asia 1 though serotype C is now less frequent and was last reported in Kenya in the year 2004. Infection with any one serotype does not confer immunity against another and in essence the serotype and their many sub-serotypes are like different FMD diseases in the region. FMD is considered a Transboundary Animal Disease (TAD) with threat to trade of live animals and their products, and is also considered a livestock production disease because of its negative impact on meat and milk production. 


Close contact of livestock in watering points and in limited pastures during drought periods.
Unregulated trade, livestock movement and proximity between open endemic and closed systems of livestock management
Breed and immunological status: Severity of FMD outbreaks varies with breeds and immunological status of the susceptible population. Improved breeds and exotic breeds show more severe disease compared with local breeds.
Presence of a naive livestock population: Infection of isolated naive populations is usually more severe when compared to endemic populations.
Closed and open management systems: Endemicity is supported by open systems and frequent livestock movements and mixing of different herds as seen in pastoral areas. Closed systems, like in the dairy systems may give rise to epidemic situations of FMD when biosecurity is breached.



Different susceptible species have different epidemiological roles in the maintenance, transmission and spread of FMD. Domestic pigs, wild pigs and warthogs act as amplifier hosts, while the African buffalo can maintain sub-clinical infection with low intermittent viral excretion and act as a reservoir for the SAT viruses. The disease is spread by infected animals through aerosols, contact with contaminated farm equipment, vehicles, clothing or feed, and by domestic and wild predators. Animal movement and wildlife reservoirs are important for transmission of FMD in the region.


FMD should be  suspected in cattle, sheep, goats, pigs and other cloven-hoofed animals if any one or more of the following clinical signs are encountered: Fever (40oC); unruptured vesicles; blisters and sores in the mouth, tongue, teats and feet at the coronary band and interdigital space; lameness, salivation, discharges from the nose and the mouth.


Field diagnosis of FMD in cattle, sheep, goats, pigs and other cloven-hoofed animals is based on the main clinical signs which include: Vesicles, blisters and sores in the mouth, interdigital space and coronary band in the feet; Salivation; and Sudden death in young animals. Laboratory diagnosis is based on serological tests (Virus Neutralization, competitive ELISA) and virus isolation, detection and nucleic acid recognition methods (Sandwich ELISA, RT-PCR).


There is no specific treatment for FMD, but supportive care may be allowed in FMD endemic areas. FMD out- breaks are typically combated through a combined strategy of mass vaccination and animal culling. Livestock movement restriction from outside the ecosystem is important in reducing incursion of new serotypes and sub-serotypes. Ring vaccination within 10 km radius should be applied around outbreak areas starting from clean areas inward during outbreaks. Vaccination should not be done in infected farms.
Containment of FMD will demand considerable efforts in movement restrictions, including quarantine and vaccination. And FMD being endemic throughout the Greater Horn of Africa, regional coordination is essential for its improved control.

Dr. Moses Bwana
Post-grad at the University of Nairobi [Applied Microbiology]
Cell: +254729246187; Email: bwanamoses@gmail.com

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