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Foot-And-Mouth: Anatomy of An Epidemic

Apr. 05, 2001 (United Press International via COMTEX) -- As the number of animals facing slaughter in Britain as a result of foot-and-mouth disease passes the one million mark, United Press International presents an in-depth multipart survey on the causes and likely implications of the epidemic, the worst disaster to hit British agriculture in modern times. Here, Science Reporter Kurt Samson explains what foot-and-mouth disease is, and why it is so dangerous.

Foot-and-mouth disease is a highly contagious disease caused by the picorna virus. It was last reported in 1929 in the United States, 1952 in Canada and 1954 in Mexico. In Britain there was a large outbreak in 1967 and another small one in 1981. After each outbreak, Britain was able to eradicate the disease.

The disease can be transmitted from animal to animal, or via contaminated personnel, equipment or feed. Wind may spread the virus over long distances. Once breathed in by animals, the virus replicates and gains access to the bloodstream where it spreads to the mouth, feet, stomach and teats as well as the heart muscle, especially in younger animals. Infected animals are highly contagious even before they show symptoms -- an incubation period that can last for up to three weeks.

Nearly any animal exposed to foot-and-mouth will develop the infection, though the death rate in adult animals is only about 5 percent. Three-quarters of young animals do not, however, survive. Surviving animals can carry the virus for up to two years without showing any symptoms. The virus is resistant to cold temperatures and survives even freezing, but it can be killed by acidic substances of less than PH 5, such as beer, milk or tomato juice.

Cloven-hoofed livestock including cattle, pigs, sheep and goats as well as several wild animals (deer, water buffaloes, bears, antelopes, llamas, camels, giraffes, elephants, rats, hedgehogs) of all ages and sexes are susceptible to infection. Humans in very rare cases may develop very mild forms of disease. Horses do not get the disease.

Occasionally, the virus is imported to disease-free countries by contaminated frozen meat or garbage. Several outbreaks could be traced to consumption by livestock of uncooked waste or swill from ships or airplanes originating from infected countries. Even contaminated medicines such as vaccines against hog cholera or insufficiently inactivated foot-and-mouth vaccines have been a source of infection in the past.

The highest risk of entry of the disease is through the import of susceptible live animals, and contaminated meat or dairy products from infected countries. The virus can survive for long periods in a range of fresh, partially cooked, cured and smoked meats and in inadequately pasteurized dairy products. These could be brought in with passengers on aircraft and ships, through the mail or on fishing vessels or yachts.

The virus can survive for relatively long periods of time in the air, in food and garbage, and even in hides, hair, and wool, so draconian measures have to be taken to control the disease. A diagnosis of the affected animals must be made quickly and the area quarantined, after which all infected or susceptible animals in the area are slaughtered and their carcasses burned. Other contaminated objects are cleaned and disinfected, and the farm or other quarantined area is left uninhabited for several months.

According to Alex Donaldson, director of the British-based World Reference Laboratory for Foot-and-Mouth Disease, scientists in that country are unsure about the source of the current outbreak. The most likely scenario is that it was brought into the country illegally in an animal product. The Pan-Asian type O virus strain associated with the British cases has a wide geographical distribution, particularly in the Middle and Far East, though specific links have not been established.

The outbreak began with 24 suspected cases in pigs at an Essex slaughter house on Feb. 19. By April 4, the number of cases had jumped to more than 1000.

As of April 3, there had also been 10 outbreaks in the Netherlands; two in France; one in Scotland; and one in Ireland. Argentina has had 75 confirmed outbreaks, Brazil had 54 and Peru reported 44 outbreaks. In the Middle East, Saudi Arabia has reported 2,000 outbreaks, Iran 455 outbreaks and 22 reported in Kuwait.

Outbreaks are determined by new incidence of the disease in a given geographic area. The estimated number of infected and susceptible animals that must be destroyed in Britain now totals 1,010,000.

A major contributing factor to foot-and-mouth becoming widespread in Britain was the delayed reporting of disease on the source farm. By the time the disease was confirmed, infection had been transmitted through markets, primarily by sheep that were carrying the virus but not yet showing symptoms.

In cattle, the primary sites of infection are mainly the nostrils, following inhalation of virus-laden air. After an incubation period of two to 21 days (in most cases three to five days), infected animals develop fever, depression, nasal discharge and anorexia.

Blisters may appear on the muzzle, teats, udder, pili of the rumen, inter-digital area and coronary band. They contain a straw-colored fluid, are painful and cause anorexia and lameness in affected cattle. Two or three days after appearance, the blisters rupture, leaving denuded areas, erosions and painful ulcers.

Frequently, the healing is delayed by a secondary bacterial infection of the wounds. Severe forms of mastitis, bronchopneumonia and lameness may occur subsequent to the initial viral infection. Miscarriage and weight loss as well as a drastic decline of milk production are common. Calves up to six months and piglets up to two months frequently develop fatal degeneration of the heart muscle and die within a few days without showing any other clinical signs.

Inactivated vaccines have been successfully used in many parts of the world, however development of effective vaccines has helped control epidemics but has not eliminated the disease.

Although protected against disease, vaccinated animals are not totally resistant and can still become infected and infectious. Resistance falls fairly quickly, so animals must be revaccinated at regular intervals (four to six months) to maintain immunity.

The disease is endemic to Asia, Africa, parts of Europe, the Middle East and South America. The virus strain that recently arrived in Britain (serotype 0) is native to the Indian subcontinent.

Trans-boundary diseases often originate in the Middle East and Asia. In 1999, foot-and-mouth disease caused extensive cattle losses in Iraq. Turkey and Iran play an essential role in the fight against cross-border diseases in the Middle East, because viruses frequently pass through these two countries and then threaten Europe, according to health officials.

Globally, the foot-and-mouth disease situation deteriorated in 2000 with the appearance of cases in Japan, South Korea, South Africa and in some countries in South America, which were free of the disease until very recently. Countries affected by outbreaks in the past 12 months include Britain, France, the Netherlands, Butan, Brazil, Columbia, Egypt, Georgia, Japan, Kazakhstan, Korea, Kuwait, Malawi, Malaysia, Mongolia, Namibia, Russia, South Africa, Taipei, Tajikstan, Uruguay and Zambia. The last major outbreak of the disease in the 15-nation European Union was in Greece last year.


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