Brucellosis: Epidemiology and Control in india
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Transcript of Brucellosis: Epidemiology and Control in india
BOVINE BRUCELLOSIS: EPIDEMIOLOGY & CONTROL
PROGRAMMES IN INDIA
PRUTHVISHREE B. S., M.V.Sc. ScholarBHOJ R SINGH, Head
Division of EpidemiologyIVRI, Izatnagar
Overview
Organism
Transmission
Disease manifestations
Epidemiology
Vaccination
Constraints in control of brucellosis
National brucellosis control programme.
Introduction
In India, brucellosis was 1st recognized in 1942.
Bovine brucellosis is caused by Brucella abortus.
Eradicated from most of the European countries, Japan, Australia, Canada & New Zealand.
Economic losses to the tune of Rs.350 million/year in India.
Causal organism: Category B bioterrorism agent. ( PD ADMAS, 2012)
Disease Attributes
Risk factors - breed, herd size, management practices, breeding methods & source of replacement stock.
Strains of Pathogen: Cattle & buffaloes harbor predominantly B. abortus biotype-1; followed by biotype-3; rarely biotypes-2, 4, 5,6 and 9.
Principal manifestation of animal brucellosis are reproductive failure, abortion in primaparous cows in third trimester. epididymitis and orchitis in males.
History of Brucellosis
450 BC: Described by Hippocrates
1914: B. suis. Indiana, United States
1953: B. ovis. New Zealand, Australia
1966: B. canis. Dogs, caribou, and reindeer
Cont.,,,
Sir William Burnett(1779-1861)
Sir David Bruce (1855-1931)Micrococcus melitensis
Bernhard Bang Bacterium abortus
The Organism
Brucella abortus Gram negative , coccobacillus 9 biovars The genome organization
characterized by the presence of 2 chromosomes
Can persist in the environment
Brucella species
Species Biovar/serovar Natural host Human pathogen
Brucella abortus 1-6,9 cattle, bison, buffalo yes
B. melitensis 1-3 Sheep, goat yes
B. suis 1,2,3245
SwineEuropean haresReindeer, caribourodents
YesYesYesyes
B.canis none Dogs,other canids yes
B.ovis none sheep no
B. neotomae none rodents no
B. pinnipediaeB. CetiB.microtiB.inopinata
SealCetaceansCommon voleBreast implant
Yes
Centre for food security and public health(CFSPH), Lawa state university, 2012
Disease in Bovines
Cows Abortion, stillbirth Weak calves Retained placenta Decreased lactation
Bulls Epididymitis, orchitis
Infertility, arthritis
LABORATORY DIAGNOSISof Brucella spp.
IDENTIFICATION
SEROLOGY OTHER TESTS
Biochemical Tests Dye Tolerance
Slide Agglutination
Gel Formation
Requirement of CO2
Tbilisi Phage Lysis
H2S test
Nucleic acid recognition methods- PCR,RFLPIdentification of vaccine strains
Brucellin skin testSATNative hap ten based gel precipitation testMilk test
MRT, Milk- ELISAInterferon gamma assay
Stamp's stainingCulture-
Ferrell's medium
Buffered plate agglutination testsCFTELISA
A-B ELISAFPA
Rose Bengal plate agglutination test (RBPT)
Epidemiology Poor farm hygiene
Unrestricted trade movement
Seasonal maintenance
AI with infected semen
Brucellosis Situation in Animals
Serological survey of brucellosis was performed in 23 states of India. A total of 30,437 bovine samples were screened with RBPT and STAT which reveals 1.9% prevalence in cattle and 1.8% in buffaloes. (Isloor et al., 1998).
PD-ADMAS conducted long-term serological studies which indicated 5% of cattle and 3% of buffaloes are infected with brucellosis. (Rajasekhar et al., 2002).
Sero-prevalence of brucellosis in Mithun (Bos frontalis) in Nagaland state by ELISA, STAT and RBPT is 34%, 20% and 11% respectively. (Rajkhowa et al., 2004)
•Brucellosis in India
Prevalence rate for brucellosis was 8.58% in cattle, 8.85% in goat and 7.08% in sheep from the states of Rajasthan and Bihar. (Singh, 2007)
The overall herd & animal prevalence in peri-urban areas of Gujarath was 33.70% & 11.90% respectively. (Patel,2014)
Prevalence was 40.4% in bovines by AB-ELISA in Maharashtra State. (Lodhe et al., 2011)
Brucellosis in India
The Avidin biotin ELISA in sera samples from 52 villages of Punjab state revealed prevalence in Buffaloes was 13.4% and in Cattle was 9.9%. (Dhand et al., 2005)
Milk-ELISA in 345 cattle and buffalo from 32 villages, 18.26% of animals were found positive in Punjab. (Aulakh et al., 2008).
Examination of 4580 animals of 119 dairy farms by RBPT & ELISA revealed , overall herd prevalence was 65.54% & individual animal prevalence was 26.50%.
Individual animal prevalence in Punjab(34.15%) was higher than Haryana(22.34%). (Chand,2013)
Sero-prevalence of brucellosis in Yak in Arunachal Pradesh by A-B ELISA, RBPT & STAT is 23.29%, 21.11% and 18.98% respectively. (Bandyopadhyay et al., 2008).
Brucellosis in India
Seroprevelence range from 6.6% in Madhya Pradesh to 60% in Assam.
6.5% prevalence in cattle from organized farms compared to 5.1% in unorganized farms. (Mehra, 2000)
Seroprevelence study of bovine brucellosis using indirect- ELISA shows 45.80%, 22.39%, 8.57% seropositivity in Karnataka, Uttar Pradesh & UttaraKhand respectively. (Jagapur, 2013)
Brucellosis in cattle and buffalo
B. abortus biotype-1 appears to be the predominants biotype(21 out of 39) in most parts of the country, followed by B. abortus biotype-3 (8 of 39) in northern states of uttar pradesh and Haryana and the eastern states of Orissa.
B. abortus biotype 9 in orrisa and B. abortus biotypes 4,6 and 9 and B. melitensis biotype-2 in the Southern state of Tamilnadu.
B. melitensis biotype-1 was encountered in cattle and buffalo from haryana and in the Southern state of Andhra pradesh and Karnataka. (Sen and Sharma, 1975; Hemashettar et al., 1987)
National survey of cattle brucellosiscumulative results (1994-2001)
402 247 199 122 243 91 232 43 109 49 9 27 2
10567
3750 34052843 2622 2615
19421336 1361 1121 920 764 700
3.8 6.6 5.8 4.3 9.3 3.5 12 3.2 8 4.4 1 3.5 0.30
2000
4000
6000
8000
10000
12000
Positive Sample tested Percentage
(Renukaradhya et al.,)
National survey of cattle brucellosiscumulative results (1994-2001)
38 5 2 115 0 0 8 4 0 4 0 11952676 665 636 592 402 395 348 325 142 121 66 5
38319
5.6 0.8 0.3 19.4 0 0 2.3 1.2 0 3.3 0 20 50
50001000015000200002500030000350004000045000
Positive Sample tested Percentage
( Renukaradhya et al.,)
National survey of Buffalo brucellosis cumulative results (1994-2001)
41 14 111 47 1 16 3 3 13 25 7281
1678
222
2233 1961
190 569 542 173911 675
30
9456
2.4 6.3 5 2.4 0.5 2.8 0.6 1.7 1.4 3.7 23.3 30
100020003000400050006000700080009000
10000
Positive Sample tested Percentage
(Renukaradhya et al., 2002)
Seroprevalence of Cattle brucellosis in different States of India
6066
2246 2091 2032 1869
920 865 794 764 700183 40 14 18 47 9 19 20 27 2
3 1.8 0.7 6.9 2.5 1 2.2 2.5 3.5 0.30
1000
2000
3000
4000
5000
6000
7000Sample tested Positive Percentage
( Isloor et al., 1998)
676 665 636 541 455 342 220 70
23284
38 5 2 2 4 7 1 2 440
5.6 0.8 0.3 0.4 0.9 2 0.5 2.9 1.90
5000
10000
15000
20000
25000
Sample tested Positive Percentage
Isloor et al.,1998
Seroprevalence of Cattle brucellosis in different States of IndiaSeroprevalence of Cattle brucellosis
in different States of India
Seroprevalence of Buffalo brucellosisin different States of India
13531832 1561
221743 433 173 488
7153
39 34 15 14 13 3 3 7 128
2.9 1.9 1 6.3 1.7 0.7 1.7 1.4 1.80
10002000300040005000600070008000
Sample tested Positive Percentage
( Isloor et al., 1998)
Seroprevalence of Cattle brucellosis in Uttar Pradesh
27
14
41
2125
44
26
36
0 1 1 0 1 0 0 1 14
0
7.14
25
0
4.760 0
50
16.6711.11
0
10
20
30
40
50
60Sample tested Positive Percentage
( Upadhyay et al., 2007).
Seroprevalence of Cattle brucellosis in Uttar Pradesh
6 618
89
17 34 23
373
1 2 3
47
0 0 1
6316.67 33.33
16.67
52.81
0 0 4.3516.89
0
50
100
150
200
250
300
350
400
Sample tested Positive Percentage
( Upadhyay et al., 2007)
Seroprevalence of Buffalo brucellosisin Uttar Pradesh
73 48 38 2083
40
512
2 2 2 2 7 2 17
2.74 4.17 5.26 10 8.43 5 3.320
100
200
300
400
500
600
Sample tested Positive Percentage
( Upadhyay et al,, 2007)
Sero-prevalence of Brucellosis in Northern States
19692
1496816806
13906
18611615564 122 431 1638.2 3.7 1.1 3.09 8.760
5000
10000
15000
20000
25000
2003-04 2004-05 2005-06 2006-07 2008-09
Random sample tested positive percentage
(Annual report-NRDDL)
Seroprevalance of Brucellosis in Western States
0
500
1000
1500
2000
2500
3000
Gujarat Maharashtra Rajasthan Madhya Pradesh
Uttar Pradesh
260
941
39
2795
712
82
328
5
575
29431.54
34.86 12.82 20.57 41.29
Sample tested Positive Percentage
(Gajendragad , 2007)
Seroprevalence of Brucellosis
in Eastern States
0
100
200
300
400
500
600
700
Manipur Assam Mizoram
700
395
676
2 038
0.28 0 5.62
Sample tested Positive Percentage
(Gajendragad , 2007)
Seroprevalence of Brucellosis
in southern States
0
2000
4000
6000
8000
10000
12000
Andhra pradesh Kerala Karnataka
2843
1361
10767
122 109402
4.3 8 3.8
Sample tested Positive Percentage
(Gajendragad , 2007)
Seroprevalence of brucellosis in animals
2013
3425
1595
679
348 28756 5017.28 2 3 50
500
1000
1500
2000
2500
3000
3500
4000
2004-05 2005-06 2006-07 2010-11
sample tested positive percentage
(CADRAD,2012)
Vaccination for Control ofbovine brucellosis
Brucella abortus S-19 (calf hood vaccine)
Not recommended in pregnancy
Persistent vaccinal antibody titre
Infective in humans
Brucella abortus RB51 differentiate “wild type”
exposure from immunization
Infectious to humans Not Validated in
buffaloes
Constraints in control of brucellosis
1 •Disease confirmation – distress sale
2 •Increased trade movement & commercial dairy farming.
3 •No policy for slaughter of infected animals/compensations
4 •Lack of public awareness
5 •Calf hood vaccination is not practiced
Biannual village level screening of pooled milk samples. For differentiation in clean and non clean herds
Biannual B.abortus S-19 vaccination for female calves of 4-8 M age
NATIONAL CONTROL PROGRAMME ON
BRUCELLOSIS
Mass screening & castration of infected bulls
Reduce the impact of disease on human health and to reduce economic losses.
NCPB is a time bound 5-year intensive location targeted control program.
Intends to involve village milk cooperatives in diagnosis and control through vaccination.
Periodical surveillance using milk ring test for pooled milk and ELISA for random or herd screening.
Targets B. abortus S19 vaccination for all the female calves of 4 to 8 months in infected villages.
Program assures very high & sustained cost benefit ratio to farmer & dairy industry & helps to establish accredited herds/ villages.
Expected benefits of NCPB
Why the NCPB in India have high probability for failure?
1. No solid plan for disposal of Brucella positive animals.2. No administrative control of animal rearing, management and
movement can be implemented.3. Farmers hardly know about NCPB and its benefits.4. Failure of vaccine and vaccination programme (even on well
organized dairy herds in National Institutes brucellosis is rampant despite of regular vaccination).
5. Brucella has a wide host range, just screening and vaccination of dairy animals can not be sufficient. Sheep, goat, pigs and other animals are often reared by the farmers in the same village in the same locality.
6. Dearth of assured quality semen. 7. Poverty, lack of education and inability to opt for hygiene are at
the top of every plan to fall.
And---and---and---many----many---many---more reasons.
Future prospective:Targets to be looked in
•Development of good Vaccines & Diagnostics.
•Formulation & execution of viable eradication programmes
•Development of Vaccines for all species of animals.
•Development of honest Reporting system for brucellosis in animals to health authorities
•Good animal husbandry practices
•Mass vaccination of livestock.