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DOI: 10.1515/ats-2015-0006 AGRICULTURA TROPICA ET SUBTROPICA, 48/1-2, 37-43, 2015 Review article Irreparable global spread of pathogens and international trade – facilitating factors Václav Kouba Department of Animal Science and Food Processing in Tropics and Subtropics, Faculty of Tropical AgriSciences, Czech University of Life sciences Prague, Czech Republic Former Chief, Animal Health Service, Food and Agriculture Organization of the United Nations, Rome, Italy Abstract The worldwide trade in non-pathogen-free animals and their products has led to irreparable global spread of animal infections. Among factors supporting this spread belong: countless pathogen species able to reproduce and spread horizontally and to the next generations causing immense number of sufferings and premature deaths of affected animals and humans; increasing long distance export of animals and their products due also to not requiring by relevant international organizations healthy and innocuous pathogen-free commodities; illegal export/import of animals and their products; deficiencies related to diagnosis of pathogen-free status; inability to discover all imported infections, to control and eradicate them; international sanitary certificates without pathogenfree guarantee; inability of public animal health services to control on the spot the international trade with animal commodities; minimum of successfull animal infection eradications and absence of information about global spreading of pathogens to alert the countries in question. Huge daily flow of exported non-pathogen-free animal commodities conduces to permanent deterioration of global epizootiological situation. Irreparable man-made global spread of invisible pathogens with continuous multiplying sanitary, economic, social and ecological consequences represents a worldwide ecological disaster contributing to shortening life on Earth and survival of species, including self-destruction of humankind. Extraordinary existential significance requires international control of epizootics to be dealt with at the highest decision-making level of the United Nations Organization. Keywords: diagnosis deficiency; planet ecological disaster; humankind survival; global bioterror; global pathogenic microflora; eradications, innocuous commodity, pathogen-free status, sanitary certificates. INTRODUCTION is getting worse as never. The analysis is based on official data related to legal trade as reported by the governments to international organizations such as Food and Agriculture Organization of the United Nations (FAO), International Office of Epizootics (OIE) and World Trade Organization (WTO). Other sources are represented by several selected publications such as that of Blancou et al. (1995). Experience of the author as former United Nations officer and Editor, FAO/WHO/OIE Animal Health Yearbook has been considered as well. The global spread of pathogens through international trade is due to mass export of animals that are not pathogen-free and their products. This difficult-to-solve problem is arising from the peculiarities of pathogens as biological dynamic phenomena and human activities giving priority to economic profit at the expense of health in importing countries. The introduction of pathogens is easy (even in a moment) but their eradication is very difficult if not impossible. The imported invisible pathogens are able to reproduce and spread horizontally and vertically causing to actual and future generations of animals and humans incalculable numbers of sufferings and premature deaths with sanitary, economic, social and ecologic serious to catastrophic consequences. Imported pathogens signify in a specific disease free country longdistance spread (possibly also inter-continental) or posteradication reappearance thus depreciating the work of previous generations of experts, and in specific affected territories worsening of the epizootiological situation. Imported pathogen spread represents multiplying and continuing consequences unknown in any other trade commodity. Thus, paradoxically, in spite of rapidly increasing scientific knowledge, the situation in the world The term “pathogen” used in the text means an infectious agent - a microorganism such a virus, bacterium, prion, fungus and protozoan as well as parasite, causing transmissible disease in its host – animal or human. Enormous number of uncontrolled pathogen and animal species Nobody knows how many species of pathogens exist, and a vast number of them are uncontrollable. Some pathogens are on the list of biological weapons (e.g. Bacillus anthracis). The pathogens are extremely complex dynamic biological phenomena with infinite variability and in permanent unpredictable development. About one thousand pathogen species causing infections in animals have been described, including almost two hundred transmissible to humans. Many of them have a series of 37 Unauthenticated Download Date | 6/18/17 3:42 AM AGRICULTURA TROPICA ET SUBTROPICA VOL. 48 (1-2) 2015 subtypes which differ from one another. All pathogens are able to change their characteristics, e.g. through passages in susceptible populations increasing their virulence (e.g. becoming reproduction interrupters or even killers), creating new serotypes through mutation, etc. Thus different strains continue to emerge. Particular problems are related to conditionally pathogenic agents and new emerging diseases, i.e. unknown pathogens being not detected before the export of specifically infected animal commodities. Pathogens as living organisms have their origin and extinction. instruments, etc.), chained, branched, radial, from very slow up to very fast, from local up to territorial, short-term or in phases or continuous, with arithmetic to exponential progression etc. Some pathogens are able to cause a specific disease in more animal species creating very complex postimport problems. The control and eradication of imported pathogens in wild animals is much more difficult than in the domestic ones, if feasible at all. Even worse situation can occur when imported pathogens create a long-lasting natural reservoir. Examples: Salmonella enterica has more than one thousand serovars; 1978 penetrated from domestic pigs in wild boar population creating natural foot and mouth disease virus has 7 immunologically distinct types: O, A, C, reservoir and the virus is still circulating there threatening mainly European SAT-1, SAT-2, SAT-3 and Asia-1 (with more than 60 subtypes). countries. In spite of this Italy increased pork export many times (e.g. 1980 – The imported pathogens spread due to human interventions or naturally (e.g. through wild animals). The pathogens spread at different speed and extent, often unnoticed thanks to sub-clinical “carriers”. Communicable diseases outside of animal health control can be exported and spread almost freely (unnoticed). The grade of spread can be measured by the “post-import ratio primary/secondary outbreaks”. Some pathogens are able to penetrate even the barriers of the best isolated and controlled laboratories. 1,221 MT; 2000 – 50,179 MT). Example: Imported African swine fever (ASF) virus in Sardinia, Italy in The presently known occurrence of transmissible diseases represents only a “tip of the iceberg”. The real epizootiological situation in the whole world is unknown. No one knows how many species of animals exist on Earth. This paper deals only with a few vertebrate terrestrial species (from a total of known 5,416 mammals and 9,956 birds). The number of described species of amphibians has reached 6,199 and of reptiles 8,240 (IUCN 2007). When considering the enormous number of pathogens and of animal species, then it can be understood that their polyetiological interactions are uncontrollable. Examples: In Taiwan in 1997 imported foot and mouth disease (FMD) virus stormed the whole island during four months; the post-import ratio reached 1: 6,147. FMD virus escaped from Plum Island Animal Disease Research Center, New York, USA on September 15, 1978 and from FMD Increasing international trade in animal commodities Increasing spread of pathogens follows the size of international trade in animal commodities. Between 1990 and 2010 the reported number of exported cattle increased 1.3 times, that of exported pigs 2.8 times (Figure 1) and Word Reference Laboratory - Institute for Animal Health, Pirbright Laboratory, United Kingdom in 2007. Imported pathogens can spread via different forms of transmission such as direct (contact), indirect via contaminated inanimate objects (e.g. water, feedstuff, Table 1. Global numbers of selected domestic animals exported in 1990, 2000 and 2010 in the world, FAOSTAT 2014 Species 1990 2000 2010 Ratio 2010/1990 Cattle Buffaloes Camels Sheep+goats Pigs Chickens 7,971,806 33,381 59,530 21,046,663 12,902,228 433,130,000 9,383,254 56,615 96,764 19,785,636 15,747,091 702,976,000 10,686,530 39,969 273,798 20,452,972 37,321,920 1,383,744,000 1.3405 1.1973 4.5993 0.9717 2.8926 3.1948 2010 daily 29,278 110 750 50,036 102,252 3,791,079 Table 2. Quantity and value of exported fresh meat in 2000 and 2010 in the world, FAOSTAT 2014 20002010 Meat2010 Tonnes USD Tonnes USD 2010/2000 daily tonnes Beef+Veal 1 858 327 3 845 812 000 5 061 898 23 388 989 000 2,7239 13 868 Pork 2 300 211 3 578 863 000 4 733 033 15 450 011 000 2,0576 12 967 Chickens 5 915 086 6 069 528 000 10 430 348 18 011 632 000 1,7633 28 576 38 Unauthenticated Download Date | 6/18/17 3:42 AM AGRICULTURA TROPICA ET SUBTROPICA VOL. 48 (1-2) 2015 10 M Head 30 M 20 M 19 90 19 91 19 92 19 93 19 94 19 95 19 96 19 97 19 98 19 99 20 00 20 01 20 02 20 03 20 04 20 05 20 06 20 07 20 08 20 09 20 10 20 11 10 M M = Million, k = Thousand World Figure 1. Pig export in the world during 1990-2011. FAOSTAT Gateway 2014. of exported chickens 3.2 times. In 2010, the daily average number of exported animals reached 29,278 heads of cattle, 102,252 pigs, 3,791,000 chickens, 13,868 tons of beef and veal, 12,967 tons of pork and 28,576 tons of poultry meat (Tables 1 and 2). A similar export increase was reported also in several other species of animals and their products. The increase has been also due to relevant international organizations not requiring pathogen-free export. Illegal export of animal commodities must be added to these numbers. Example: “The magnitude of the global movement of animals is staggering. In terms of sheer numbers, 37,858,179 individually counted live amphibians, birds, mammals, and reptiles were legally imported to the United States from 163 countries in 2000–2004. For the most of these animals, there are no requirements for zoonotic disease screening either before or after arrival into the United States. ” (Marano et al. 2007) Over time, animal transport has changed: from slow (time for clinical manifestation of pathogen carriers after incubation period) and controlled by public services to speedy (even in one day) almost uncontrollable by these Figure 2. Intercontinental spread of African swine fever during 1957-1995. The outbreaks in American and European continents were eradicated except of the Island of Sardinia, where the disease remains enzootic since 1978. (L. Mur Gil and J,M. Sanchez Viscaíno, Reference Centre for African Swine Fever, Madrid, Spain, 2010). 39 Unauthenticated Download Date | 6/18/17 3:42 AM AGRICULTURA TROPICA ET SUBTROPICA VOL. 48 (1-2) 2015 services; from limited to enormous numbers of animal commodity origin, destination and distribution localities and territories very difficult to control; from limited up to inter-continental distances – anywhere on the planet etc. (see Figure 2). The trade used to have much more demanding import sanitary conditions and was under much stricter control by much better staffed, equipped and organized public services. The present huge global international trade in animal commodities, without strict uncompromising public animal health service control not admitting export of pathogens, is causing mass introduction of animal communicable diseases into importing countries. Example: Professor Caporale, former President, OIE Scientific Commission for Animal Diseases wrote in 1994: “The need to remove technical obstacles to the free circulation of animals and their products”; “It is no longer possible to apply the old system under which animals and animal products had to come from specific free zones, and were subjected to isolation, quarantine, inspection and diagnostic testing before and after export.” Hazard analysis and critical control points (HACCP), hygienic control method, cannot discover invisible pathogens in animal products. Therefore, the knowledge of epizootiological situation in the herd/flock of origin is of extraordinary importance. International animal health certificates without pathogen-free guarantee OIE certificates are only informative documents without any written guarantee as is usual for any other items. Thus the exporter cannot be responsible for non-pathogen-free export. The investigating and certificating officer can sign anything while not being supervised by public service inspection on the spot. There have been many cases when specific diseases have been introduced into a (disease) “free country” in spite of certification according to OIE Code (not requiring guarantee of full sanitary innocuousness, i.e. pathogen-free status). This type of “certificate” does not inform the importers what is guaranteed sanitary and what is not. This complicates any claims concerning import of pathogens. In spite of this, they must pay as for a pathogen-free commodity. Different pathogens have different importance. But in 1998, the OIE abolished classification of internationally notifiable animal diseases according to their importance (e.g. Group A included killing diseases). OIE texts supporting trade without pathogen-free guarantee mention: “facilitate international trade by unimpeded flow of trade of animals and animal products” (Code 2001, Art. 1.2.1.1); “...to ensure unimpeded trade...” (Code 2007, Art. 1.2.1.1) and “Certifying veterinarians should only certify matters that are within their own knowledge at the time of signing the certificate, ...; have no conflict of interest in the commercial aspects of the animals or animal products being certified...” (Code 2007, Art. 1.2.2.3). In OIE documents, many other texts can be found, unilaterally favouring exporting countries, such as: “The international veterinary certificate should not include requirements for the exclusion of pathogens or animal diseases ...”;“International veterinary certificates are intended to facilitate trade and should not be used to impede it by imposing unjustified health conditions”; “It would be irresponsible and contrary to the principles of encouraging international trade to insist on guarantee as to the absence of commonly found infections that are present in the importing country.”; “inadmissible health protection measures”; “irresponsible behaviour of importing countries” etc. Requiring full sanitary quality, i.e. healthy animals and innocuous products without pathogens, Deficiencies related to diagnosis of pathogen-free status of animal commodities There are not any fully reliable indirect diagnostic methods for etiological diagnosis such as clinical, serological, allergy, etc. They have certain error grade not being able to detect all animals – pathogen carriers or all animal products containing pathogens. The grade of false negative results can be estimated when knowing the values of sensitivity and specificity. Their knowledge is of paramount importance for international trade in animal commodities. Animals – pathogen carriers, considered as specifically healthy due to false negative results, are the most dangerous for pathogen spread. Note: Dr J. Blancou, DG OIE in a letter dated 18 September 1998 refused this author’s proposal to include sensitivity/specificity values in all indirect diagnostic methods described in the otherwise excellent “OIE Manual of Standards for Diagnostic Tests and Vaccines”. The possibility of human errors and diagnosis errors should be also considered when using: non-standard (nonuniform) methods and tools (objective errors), when different investigators using the same methods report different results in the same animals or samples (subjective errors), when methods with low sensitivity and specificity are used, when logical interpretation of the results in missing, etc. Postimport infection discovery delay due to incubation periods can be of several days, weeks, months or even years. The importing country specialists have often more demanding criteria than the exporting country ones when interpreting diagnostic test results. Example: In the 1960s, atrophic rhinitis was detected by X-ray examination among breeder boars imported from Sweden to Czechoslovakia. Swedish authorities refused to take the animals back and sent Professor Swan who did not agree with the diagnosis; autopsies (attended also by this author) confirmed the disease and the Sweden returned the money paid. Etiological diagnosis usually requires expensive laboratory investigations. The diagnosis confirming wholesomeness of the exported commodity (pathogen-free status) is much more demanding than the discovery of specific diseases. Due to economic reasons the frequency of etiological investigations has been significantly reduced instead of being extended. 40 Unauthenticated Download Date | 6/18/17 3:42 AM AGRICULTURA TROPICA ET SUBTROPICA VOL. 48 (1-2) 2015 is according to OIE “unjustified sanitary barrier”. Sanitary barriers of importing country against pathogen introductions are targeted at exporting country diseases, not at pathogenfree commodities. Every case is different and therefore the certification should be based on bilateral agreement without any external interference or dictate. The importing countries need commodities free of organisms causing diseases. The OIE Code and its Glossary in 2014 (135 terms) does not even contain basic terms for trade conditions such as “healthy animal”, “innocuous animal product” or “pathogen-free”. infections. On one hand mass spreading of the pathogens through international trade and on the other hand minimum or zero eradication programmes against imported diseases at first due to difficulties to detect and isolate them on time. Example: European Union has not any time-bounded programme for the eradication of ASF imported in 1978 in Sardinia (only 12 km distance from France). “Doing nothing” policy (except papers) was in this case applied also by the OIE. This author was visiting the island and did not find any measures against ASF virus escape that happened in 2007 into Georgia (most probable hypothesis) continuing in Russia, Ukraine, Belarus, Lithuania and Poland. Examples: Between the years 1990 and 1996, among 326 shipments of Only one animal disease has been globally eradicated so far – rinderpest in 2010 after one century of very intensive, difficult and extraordinary costly international programme. cattle (19,350 heads) imported to Czech Republic from western European countries were 181 (55.52%) found affected by infectious diseases including those not previously existing in the importing country such as paratuberculosis, bovine tuberculosis and hypodermosis. Simultaneously imported sheep introduced maedi-visna and scrapie (never diagnosed in the Weak public animal health services During the 1990s, under the pressure from the World Bank (WB) and International Monetary Fund (IMF) in almost all countries the role of governments and their services was substantially reduced. The OIE, being the international organization for epizootic control, accepted the abovementioned policy minimizing public animal health services without any reaction. As a result, the epizootiological situation in the world has been deteriorating and the intensity of the global spread of pathogens has increased. country before) also in spite of “international certificates”. New Zealand managed to agree with European Union the following “Health attestation”: “I the undersigned hereby certify that the animal products herein described, comply with the relevant New Zealand public health standards and requirements which have been recognized as equivalent to the European Community standards and requirements as prescribed in Council Decision 97/132/EC, specifically, in accordance with the Animal Products Act 1999.” (i.e. guaranteeing nothing). OIE WAHID website dated 3 February 2007: Animal Health Situation - “New Zealand, Year 2005: No information”. How the risk of pathogen introduction can be assessed? (MacDiarmid, actual Secretary General, OIE Commission for the Terrestrial Animal Health Code, wrote in 1992: “Salmonellae are already widespread and common in New Zealand. … between 1 and 5% of sheep and cattle are unapparent carriers).” According to OIE Code 2007, Article 1.2.1 “The Head of the Veterinary Service of the exporting country is ultimately accountable for veterinary certification used in international trade.” This is just a theory when the certifications are carried out by private veterinarians who are not employees of government animal health service. Example: “... the privatization of veterinary services, thus aiming at drastically diminishing the role of the state in these activities. Surveillance, early warning, laboratory diagnostic services, planning, regulation and management of disease control programme, as well as ensuring the quality and safety of animal products were secondary considerations. The chain of veterinary command that required notification of disease outbreaks enabling a response to disease emergency and which also ensured the management of national disease control programme, was often dismantled.” as stated by Rweyemamu and Astudillo (2003). Similar opinion was published by Ozawa et al. (2003). Private veterinarians have been entrusted with a number of public service official activities. Compared with public service mission of responsibility for animal health protection (Griffiths et al. 1974), they are largely dependent on the breeder, producer and trader, who provide them with work. Therefore, they are easier to be corrupt, especially if they are not under direct public service control. The selection of private veterinarians for the “accreditation” is often not sufficiently demanding and based on proof of very good practical knowledge and skills. Absence of animal infection eradication programmes Unfavourable epizootiological situation in exporting countries due to lack of eradication programmes is making it more difficult to find pathogen-free animal commodities to be exported. Among the reasons belong mainly: the lost of motivation owing to very benevolent WTO and OIE animal commodity trade conditions, lack of suitable and feasible eradication methods, difficulties of eradication programmes, lack of necessary resources such as staff, money and facilities, lack of public support, weak public animal health services etc. The international benevolent trade policy facilitating export of pathogens has allowed preferring the cheapest and easiest “doing nothing” strategy against animal Example: USA reported in OIE World Animal Health 1998, page 340: “The National Veterinary Accreditation Programme has almost 50 000 qualified veterinary practitioners who carry out official tests and vaccinations; conduct herd and flock health programmes; and prepare animal health certification.” The USA in the same year reported 42,825 private veterinarians and 5,783 veterinarians in laboratories, universities and training institutions. 41 Unauthenticated Download Date | 6/18/17 3:42 AM AGRICULTURA TROPICA ET SUBTROPICA VOL. 48 (1-2) 2015 again documented by: “Import risk analysis is preferable to a zero risk approach” (Code Special Edition, 1997, art. 1.4.1.1). This principle not requiring full quality is unknown in any other trade commodity. Inability to control effectively animal commodity export represents the major gap in anti-pathogen-export filter. Certifying veterinarians practically have no any criminal or financial liability for false certificate. It is very difficult to detect invisible pathogens in imported commodities and to convince exporters when claiming this fault. Illegal export is difficult to control when government authorities and public services are unable to discover it. CONCLUSION Global consequences of two decades of officially admitting pathogen export by WTO and OIE are irreparable. Critical analysis of global poly-etiological pathogen spread through legal international trade is obviously not of interest of any international organization. Even in the OIE monographic publication “The spread of pathogens through international trade” (2011) is missing any word critically evaluating the impact of WTO and OIE trade policy. Illegal export/import of animal commodities outside of international information system cannot be the object of anti-epizootic control. Very few successful eradication programmes are far from being able to compensate the huge daily flow of exported nonpathogen-free animal commodities conducing to continuous deterioration of animal population health situation in the world. It is obvious that the global epizootiological situation covering full spectrum of pathogen species is getting worse as never before. There is an urgent need for the world to be truthfully informed about pathogen spreading through international trade and about its consequences for the global health and life. The world should be alerted not to admit continuation of actual international policy conducing to conscious manmade spread of pathogens. Continuous deterioration of global epizootiological situation requires a review of actual international trade policy. Firstly, it is necessary to abolish without any delay all documents and provisions of relevant international organizations admitting or supporting spread of pathogens through trade and start applying fair trade policy requiring full sanitary quality of exported animal commodities, i.e. innocuous. Secondly, there is a need to transfer as quickly as possible the mandate of international epizootic control (including problems of pathogen spread through trade) into executive system of the United Nations Organization to be dealt at the highest decision-making level as one of the key problems of life on Earth and survival of humanity. Public animal health services need to be significantly strengthened to be able to effectively control international trade as well as epizootiological situation. Example: “A large United Kingdom rendering company continued and expanded its export of meat and bone meal, which may have been contaminated with BSE, for 8 years after EU ban in 1988, to 70 countries in the Middle and Far East.” (Hodges, 2001). Not respecting a natural conflict of interest between government and private services the OIE in its documents does not distinguish this phenomenon equalling both services and thus contributing to degradation of already weak public services instead of strengthening them. The amount of their legislative and administrative work significantly limits the time left for their practical control activities. Only strong public services are able to organize national eradication programmes and effectively control the international trade. Notes: Evaluation of global animal health workforce was not possible due to missing data in OIE WAHID (e.g. in 2013 from France, the key country dominating OIE since its foundation in 1924). The author initiated and edited a 141-page publication “Guidelines for Strengthening of Animal Health Services in Developing Countries”, FAO, 1991 (translated to Spanish and French) supporting veterinary workforce development. International organization admitting legal export of pathogens The OIE as inter-governmental organizations outside the United Nations Organization played an important role before the era of globalization. Unfortunately, in the mid-nineties when it became dominated by major exporting countries, it changed its programme. It became a sort of WTO servicing agency admitting export of pathogens leading to deterioration of the epizootiological situation in the world, i.e. in breach of its original and only mission for which it is responsible. The OIE, instead of consistently implementing its only duty as “international office of epizootics for the control of infectious animal diseases”, self-decided in May 2003, without any official clearances by all member country governments, to significantly expand its activities arguing that “the scope of the OIE’s missions has evolved beyond the prevention and control of epizootic diseases to include all animal health issues”. Countless “other animal health issues” are not of OIE international responsibility. They are in competence of individual governments. Distracting global activities and attention from the epizootic control in time of world-wide epizootiological emergency, instead of concentrating them on OIE main duty, is hardly acceptable. The OIE main policy during last two decades has been to facilitate trade also at the expense of health in importing countries. This can be once REFERENCES Blancou J., Meslin F.X. 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(1992): The importation into New Zealand of Meat and Meat Products: A Review of the Risk to Animal Health. Ministry of Agriculture and Fisheries, New Zealand, 180 p. More information in http://vaclavkouba.byl.cz/tradeinfo.htm and http://vaclavkouba.byl.cz/orgglobalization.htm. Received: September 2, 2014 Accepted after revisions: June 19, 2015 Corresponding author: Václav Kouba Czech University of Life Sciences Prague Faculty of Tropical AgroSciences Kamýcká 129 165 21 Prague 6 Czech Republic e-mail: [email protected] 43 Unauthenticated Download Date | 6/18/17 3:42 AM