石家庄市高致病性禽流感综合防控措施

禽流感是禽流行性感冒的简称,是由甲型流感病毒引起的禽类传染性疾病。禽流感病毒可分为高致病性、低致病性和非致病性三大类。其中高致病性禽流感是由H5和H7亚毒株(以H5N1和H7N7为代表)引起的疾病。高致病性禽流感因其在禽类中传播快、危害大、病死率高,被世界动物卫生组织     

基于层次分析法的高致病性禽流感免疫预防风险评估模型

影响高致病性禽流感传播的因素众多,增加了免疫预防工作的难度。为了减少防控工作的被动性和盲目性,有必要对这些风险因子进行识别,并形成总体风险评估的标准。本文通过统计分析已发生的高致病性禽流感相关数据,确定了高致病性禽流感发生的主要风险因素,并通过层次分析法确定各风险因素的层内权重和总体权重,从而通过对已发生的高致病性禽流感相关数据的统计分析,结合头脑风暴法,确定高致病性禽流感发生的风险因素,并通过层次分析法确定各风险因素的权重,建立了高致病性禽流感免疫风险评估模型。该模型实现了对国内养殖机构的高致病性禽流感发生风险的定量评价,从而有效地指导有关机构的防控工作。     

香港活禽市场的管理措施

香港于1997年发生全球首例人感染H5N1禽流感事件,随后几年又陆续从当地活禽市场分离到H5N1高致病性禽流感病毒。为降低人和家禽感染H5N1等高致病性禽流感病毒的风险,香港根据相关的研究和调查,对活禽市场陆续采取了一系列针对性措施,并对所采取的管理措施进行了科学的评估,有效地控制了高致病性禽流感疫情。笔者对香港活禽市场的管理措施、实施的技术依据、实施后的效果评估等方面进行了综述,以期为内地调整活禽市场管理措施,降低人和家禽通过其感染H5N1等高致病性禽流感的风险提供参考和借鉴。     

2014年全球禽流感流行状况

本文对2014年全球禽流感的发生情况进行了介绍,并分析了其流行特点。H5N1亚型高致病性禽流感疫情持续在东南亚暴发流行,造成严重的损失;H5N8亚型高致病性禽流感病毒首次在日韩以及德荷英等国家出现,引发全球广泛关注;H5N2、H5N3和H5N6等3种亚型高致病性禽流感病毒引发的疫情也对发病国家造成巨大损失;H5N2、H7N1等多种亚型低致病性禽流感病毒的共存,对禽流感防控形成了更加严峻的挑战。     

野鸟源H5N8禽流感病毒遗传变异分析与致病性评估

本试验在野鸟禽流感病毒紧急疫情检测过程中鉴定并分离到1株H5N8高致病性禽流感病毒,利用病毒全基因组测序、系统发育及关键氨基酸位点分析解析了该野鸟源H5N8禽流感病毒分离株遗传进化情况,通过体外复制动力学试验及小鼠感染试验,评价了该野鸟源H5N8禽流感病毒分离株对哺乳动物致病性。进化分析显示,该病毒株属于Clade 2.3.4.4,可以不经适应直接感染小鼠并在呼吸系统内复制,表现出有限的组织嗜性,对小鼠呈低致病性。其在体内外复制能力较低。结果表明,本试验加深了对野生鸟携带H5N8禽流感病毒的认识和理解、对野鸟源H5N8禽流感病毒生物学特性的评价,为预测野鸟源H5N8禽流感病毒遗传进化趋势及其生物安全风险评估提供借鉴和参考。     

不同NA亚型H5禽流感疫苗在鸭群的免疫效力及母源抗体对免疫效力的影响

研究以H5N2和H5N1两种油乳灭活疫苗免疫鸭群对高致病性禽流感H5N1 AIV的攻毒保护效力进行了比较。结果表明，在同等免疫剂量下，从发病率、死亡率和泄殖腔排毒规律三项指标综合评价来看，H5N1疫苗免疫组对高致病性禽流感H5N1流行株攻毒的保护效率较H5N2免疫组理想，故针对高致病性禽流感H5N1流行的情况，宜采用H5N1禽流感疫苗。水禽禽流感母源抗体对灭活苗免疫具有一定的干扰作用。     

H5N1亚型禽流感病毒起源及演化关系的探讨

通过综述感染人类的H5N1亚型高致病性禽流感病毒起源及演化关系,表明感染人的A/Hongkong/97(H5N1)株及目前流行的高致病性禽流感病毒可能起源于禽源的A型流感病毒株(A/Goose/Guangdong/1/96)。自1996年以来,H5N1亚型禽流感病毒的基因型经Gs/Gd,A,B,C,D,E,V,W,X0-X3,Y,Z和Z 不断的演化为目前流行的基因型Z。高致病性禽流感病毒(H5,H7和H9亚型)在禽,特别是水禽体内的重组或重配而相互传播,并随候鸟的迁徙而传播不易消灭,H5N1亚型的禽流感在不同地区的不断暴发与流行已严重威胁着养禽业的发展及人类的健康,需要进行长期监控。     

国外

正FAO呼吁提高对非洲H5N1的警惕随着高致病性H5N1禽流感的持续传播,西非和中非的国家提高了对疫情的警惕。喀麦隆是新近首个检测到H5N1禽流感的非洲国家。H5N1疫情使得喀麦隆及其邻国的家禽生产面临巨大风险。这是自2006年以来中非首次发现H5N1疫情。迄今为止,西非和中非受禽流感侵袭的国家增加到了6个,这些国家包括布吉纳法索、科特迪瓦、加纳、尼日     

以GIS为基础的禽流感预测预警研究进展

GIS是一种对地理环境等方面数据进行储存、分析、加工和呈现的综合工具。利用GIS可以把流感病例的相关数据与气候、环境和社会等数据进行整合和分析，通过统计学或数学模型，找到影响流感发生和传播的风险因素，对流感的发生趋势进行预测和可视化预警。国内外学者利用GIS在禽流感风险因素分析和预测等方面做了大量研究，包括对人感染H7N9流感、高致病性H5亚型禽流感、野禽流感风险因素和预测的研究，不同基因型病毒分布特征的研究，兽医决策辅助应用研究等。这些研究对指导兽医流行病学研究人员将GIS更好地应用于禽流感防控具有帮助意义。     

水禽流感的流行特点及防控措施

大量研究表明,当AIV从自然宿主传染给家禽后,能引起家禽发生低致病性禽流感,H5和H7亚型低致病性禽流感通过变异或重组从而产生了高致病性禽流感。众所周知,水禽是流感病毒的主要贮存库,在H5N1亚型HPAI的传播和演变中发挥了重要作用,成为H5N1亚型流感病毒的"特洛伊木     

Anthropogenic factors and the risk of highly pathogenic avian influenza H5N1: prospects from a spatial-based model

Beginning in 2003, highly pathogenic avian influenza (HPAI) H5N1 virus spread across Southeast Asia, causing unprecedented epidemics. Thailand was massively infected in 2004 and 2005 and continues today to experience sporadic outbreaks. While research findings suggest that the spread of HPAI H5N1 is influenced primarily by trade patterns, identifying the anthropogenic risk factors involved remains a challenge. In this study, we investigated which anthropogenic factors played a role in the risk of HPAI in Thailand using outbreak data from the “second wave” of the epidemic (3 July 2004 to 5 May 2005) in the country. We first performed a spatial analysis of the relative risk of HPAI H5N1 at the subdistrict level based on a hierarchical Bayesian model. We observed a strong spatial heterogeneity of the relative risk. We then tested a set of potential risk factors in a multivariable linear model. The results confirmed the role of free-grazing ducks and rice-cropping intensity but showed a weak association with fighting cock density. The results also revealed a set of anthropogenic factors significantly linked with the risk of HPAI. High risk was associated strongly with densely populated areas, short distances to a highway junction, and short distances to large cities. These findings highlight a new explanatory pattern for the risk of HPAI and indicate that, in addition to agro-environmental factors, anthropogenic factors play an important role in the spread of H5N1. To limit the spread of future outbreaks, efforts to control the movement of poultry products must be sustained.     

Estimating spatial and temporal variations of the reproduction number for highly pathogenic avian influenza H5N1 epidemic in Thailand

Since 2003, highly pathogenic avian influenza (HPAI) H5N1 virus has spread, causing a pandemic with serious economic consequences and public health implications. Quantitative estimates of the spread of HPAI H5N1 are needed to adapt control measures. This study aimed to estimate the variations of the reproduction number R in space and time for the HPAI H5N1 epidemic in Thailand. Transmission between sub-districts was analyzed using three different and complementary methods. Transmission of HPAI H5N1 was intense (R(t)>1) before October 2004, at which point the epidemic started to progressively fade out (R(t)<1). The spread was mainly local, with 75% of the putative distances of transmission less than 32km. The map of the mean standardized ratio of transmitting the infection (sr) showed sub-districts with a high risk of transmitting infection. Findings from this study can contribute to discussions regarding the efficacy of control measures and help target surveillance programs.     

Legislation for the control of avian influenza in the European union

In the light of experience gained with avian influenza (AI) outbreaks in Europe and elsewhere in the world, the European Union (EU) legislation has recently been updated. The strategy to control the introduction and spread of AI relies on rapid disease detection, killing of infected birds, movement restrictions for live birds and their products, cleaning and disinfection and vaccination. Measures are not only to be implemented in case of outbreaks of highly pathogenic AI (HPAI), but are now also directed against occurrence of low pathogenic AI of H5 and H7 (LPAI) subtypes in poultry, albeit in a modified manner proportionate to the risk posed by these pathotypes. Enhanced surveillance in poultry holdings and wild birds, as well as preventive vaccination, has also been introduced. EU Measures are flexible and largely based on risk assessment of the local epidemiological situation. The occurrence of HPAI H5N1 of the Asian lineage in the EU and its unprecedented spread by wild migratory birds necessitated the adoption of additional control measures. Although HPAI H5N1 has affected wild birds and poultry holdings in several EU Member States, EU legislation and its implementation in Member States has so far successfully limited the impact of the disease on animal and human health.     

Evaluation of effectiveness and efficiency of wild bird surveillance for avian influenza

This study aimed to assess which method of wild waterbird surveillance had the greatest probability of detecting highly pathogenic avian influenza (HPAI) H5N1 during a period of surveillance activity, the cost of each method was also considered. Lake Constance is a major wintering centre for migratory waterbirds and in 2006 it was the site of an HPAI H5N1 epidemic in wild birds. Avian influenza surveillance was conducted using harmonised approaches in the three countries around the lake, Austria, Germany and Switzerland, from 2006–2009. The surveillance consisted of testing birds sampled by the following methods: live birds caught in traps, birds killed by hunters, birds caught in fishing nets, dead birds found by the public and catching live Mute Swans (Cygnus olor); sentinel flocks of Mallards (Anas platyrhynchos) were also used. Scenario tree analysis was performed including sensitivity analysis, followed by assessment of cost-effectiveness. Results indicated that if HPAI H5N1 was present at 1% prevalence and assuming HPAI resulted in bird mortality, sampling dead birds found by the public and sentinel surveillance were the most sensitive approaches despite residual uncertainty over some parameters. The uncertainty over the mortality of infected birds was an influential factor. Sampling birds found dead was most cost-effective, but strongly dependent on mortality and awareness of the public. Trapping live birds was least cost-effective. Based on our results, we recommend that future HPAI H5N1 surveillance around Lake Constance should prioritise sentinel surveillance and, if high mortality is expected, the testing of birds found dead.     

Effect of species,breed and route of virus inoculation on the pathogenicity of H5N1 highly pathogenic influenza (HPAI) viruses in domestic ducks

H5N1 highly pathogenic avian influenza (HPAI) viruses continue to be a threat to poultry in many regions of the world. Domestic ducks have been recognized as one of the primary factors in the spread of H5N1 HPAI. In this study we examined the pathogenicity of H5N1 HPAI viruses in different species and breeds of domestic ducks and the effect of route of virus inoculation on the outcome of infection. We determined that the pathogenicity of H5N1 HPAI viruses varies between the two common farmed duck species, with Muscovy ducks (Cairina moschata) presenting more severe disease than various breeds of Anas platyrhynchos var. domestica ducks including Pekin, Mallard-type, Black Runners, Rouen, and Khaki Campbell ducks. We also found that Pekin and Muscovy ducks inoculated with two H5N1 HPAI viruses of different virulence, given by any one of three routes (intranasal, intracloacal, or intraocular), became infected with the viruses. Regardless of the route of inoculation, the outcome of infection was similar for each species but depended on the virulence of the virus used. Muscovy ducks showed more severe clinical signs and higher mortality than the Pekin ducks. In conclusion, domestic ducks are susceptible to H5N1 HPAI virus infection by different routes of exposure, but the presentation of the disease varied by virus strain and duck species. This information helps support the planning and implementation of H5N1 HPAI surveillance and control measures in countries with large domestic duck populations.     

Experimental infection and pathology of clade 2.2 H5N1 virus in gulls

During 2006, H5N1 HPAI caused an epizootic in wild birds, resulting in a die-off of Laridae in the Novosibirsk region at Chany Lake. In the present study, we infected common gulls (Larus canus) with a high dose of the H5N1 HPAI virus isolated from a common gull to determine if severe disease could be induced over the 28 day experimental period. Moderate clinical signs including diarrhea, conjunctivitis, respiratory distress and neurological signs were observed in virus-inoculated birds, and 50% died. The most common microscopic lesions observed were necrosis of the pancreas, mild encephalitis, mild myocarditis, liver parenchymal hemorrhages, lymphocytic hepatitis, parabronchi lumen hemorrhages and interstitial pneumonia. High viral titers were shed from the oropharyngeal route and virus was still detected in one bird at 25 days after infection. In the cloaca, the virus was detected sporadically in lower titers. The virus was transmitted to direct contact gulls. Thus, infected gulls can pose a significant risk of H5N1 HPAIV transmission to other wild migratory waterfowl and pose a risk to more susceptible poultry species. These findings have important implications regarding the mode of transmission and potential risks of H5N1 HPAI spread by gulls.     

Infectious dose‐dependent accumulation of live highly pathogenic avian influenza H5N1 virus in chicken skeletal muscle—implications for public health

Highly pathogenic avian influenza viruses (HPAIV) of H5N1 subtype are a major global threat to poultry and public health. Export of poultry products, such as chicken and duck meat, is a known source for the cross‐boundary spread of HPAI H5N1 viruses. Humans get infected with HPAI H5N1 viruses either by close contact with infected poultry or through consumption of fresh/undercooked poultry meat. Skeletal muscle is the largest soft tissue in chicken that has been shown to contain virus during systemic HPAIV infection and supports productive virus infection. However, the time between infection of a chicken with H5N1 virus and presence of virus in muscle tissue is not yet known. Further, it is also not clear whether chicken infected with low doses of H5N1 virus that cause non‐fatal subclinical infections continue to accumulate virus in skeletal muscle. We investigated the amount and duration of virus detection in skeletal muscle of chicken experimentally infected with different doses (10², 10³ and 10⁴ EID₅₀) of a HPAI H5N1 virus. Influenza viral antigen could be detected as early as 6 hr after infection and live virus was recovered from 48 hr after infection. Notably, chicken infected with lower levels of HPAI H5N1 virus (i.e., 10² EID₅₀) did not die acutely, but continued to accumulate high levels of H5N1 virus in skeletal muscle until 6 days post‐infection. Our data suggest that there is a potential risk of human exposure to H5N1 virus through meat from clinically healthy chicken infected with a low dose of virus. Our results highlight the need to implement rigorous monitoring systems to screen poultry meat from H5N1 endemic countries to limit the global spread of H5N1 viruses.     

Molecular and phylogenetic analysis of the H5N1 avian influenza virus caused the first highly pathogenic avian influenza outbreak in poultry in the Czech Republic in 2007

On 19th July 2007 re-occurrence of the H5N1 highly pathogenic avian influenza (HPAI) virus was noticed in Europe. The index strain of this novel H5N1 lineage was identified in the Czech Republic where it caused historically the first HPAI outbreak in commercial poultry. In the present study we performed molecular and phylogenetic analysis of the index strain of the re-emerging H5N1 virus lineage along with the Czech and the Slovak H5N1 strains collected in 2006 and established the evolutionary relationships to additional viruses circulated in Europe in 2005-2006. Our analysis revealed that the Czech and the Slovak H5N1 viruses collected during 2006 were separated into two sub-clades 2.2.1 and 2.2.2, which predominated in Europe during 2005-2006. On the contrary the newly emerged H5N1 viruses belonged to a clearly distinguishable sub-clade 2.2.3. Within the sub-clade 2.2.3 the Czech H5N1 strains showed the closest relationships to the simultaneously circulated viruses from Germany, Romania and Russia (Krasnodar) in 2007 and were further clustered with the viruses from Afghanistan and Mongolia circulated in 2006. The origin of the Czech 2007 H5N1 HPAI strains was also discussed.