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Peste des petits ruminants - a disease foreign to South Africa, but spreading southwards in Africa Dr Sunelle Strydom (BVSc) Sub-directorate of Epidemiology, Directorate Animal Health, Department of Agriculture, Forestry and Fisheries Email: [email protected] Intoduction Peste des petits ruminants (PPR), also known as "goat plague" or Rinderpest of small ruminants, is a highly contagious transboundary viral disease of goats, sheep and some captive wild ruminants. This disease is of increasing importance in Africa where there is heavy reliance on subsistence farming for food supply. During 2009 PPR outbreaks were reported in Tanzania, leaving only one country, Mozambique, between a PPR affected country and South Africa. There is therefore a serious risk that PPR may spread to South Africa, especially by the illegal smuggling of small ruminants. Clinical signs Outbreaks tend to be associated with direct contact of immuno-naïve animals with animals from PPR endemic areas. Transmission of the PPR virus is mainly by aerosols, but fomites may be another means by which infection spreads. The PPR virus does, however, not survive for long outside the host. The PPR virus is excreted in all secretions and excretions of incubating and sick animals. Since PPR infected animals excrete the PPR virus before showing clinical signs of the disease, it can be spread by movement of infected animals. All animals in a flock may be affected during a PPR outbreak, with a resultant mortality rate of 20 to 90%. The incubation period of PPR is 2 to 10 days, followed by: Pyrexia, depression and anorexia; Oculonasal discharges; Crusting around the nose resulting in the blocking of nostrils and respiratory distress; Matting together of the eyelids; Hyperaemic ocular and oral mucous membranes; Multifocal pin-point necrosis of the epithelium of the gingiva, dental pad, palate, lips, inner aspects of the cheeks, and the upper surface of the tongue; Profuse salivation with a foul smell exuding from the mouths of infected animals; Diarrhoea characterised by faeces that are initially soft, becoming watery, foul-smelling, containing blood streaks and pieces of sloughed necrotic gut tissue; Bronchopneumonia; The formation of small nodular skin lesions on the outside of the lips and around the muzzle during the later stages of the disease; Abortions; and Death within 7 to 10 days or recovery after a period of convalescence. Post mortem findings The lesions are very similar to those that were observed in cattle affected with rinderpest (prior to the global eradication of rinderpest during May and June 2011): Extensive erosions lesions, extending from the oral cavity to the retirculo-rumen junction; Necrotic or haemorrhagic enteritis with zebra stripes located in the colon; Apical pneumonia; Pleuritis and hydrothorax may be present; and Congested spleen with/without necrotic lesions. Diagnosis Diagnostic tests: The diagnostic tests include viral isolation and polymerase chain reaction (PCR). Samples from live animals: Swabs of the conjunctival discharges and nasal- and oral mucous membranes are recommended. Whole blood may also be collected in anticoagulant during the early stages of the disease. Samples at post mortem: Aseptical collection of lymph nodes, especially the mesenteric and bronchial lymph nodes; lungs; spleen and intestinal mucosae, from 2 to 3 animals. These samples must be chilled on ice and transported under refrigeration. Samples may also be collected in 10% formalin for immunofluorescence or immunochemical testing. Differential diagnoses Contagious caprine pleuropneumonia; Bluetongue; Pasteurellosis; Contagious ecthyma; Foot-and-mouth disease; Heartwater; Coccidiosis; and Mineral poisoning. Conclusion PPR is a controlled animal disease in terms of the Animal Diseases Act, 1984 (Act No 35 of 1984), and the incidence or suspected incidence of PPR must be immediately reported to the nearest state veterinarian. PPR is frequently confused with other diseases that cause respiratory problems and mortality in small ruminants and hence it is essential that PPR be added to the differential diagnostic lists for these respiratory conditions, in order to facilitate early detection and control in the event of introduction of PPR into South Africa. References 1. Artz J, White W R, Thomsen B V and Brown C C. 2010. Agricultural Diseases on the Move Early in the Third Millenium. Veterinary Pathology Online [website]. Available at http://vet.sagepub.com/content/47/1/15 as accessed on 29 February 2012 2. Banyard A C, Parida S, Batten C, Oura C, Kwiatek O and Libeau G. 2010. Global distribution of peste des petits ruminants virus and prospects for improved diagnoses and control. Journal of General Virology 91: 2885 - 2897 3. Gür S and Albayrak H. 2010. Seroprevalence of Peste des Petits Ruminants (PPR) in Goitered Gazelle (Gazella subgutturosa subgutturosa) in Turkey. Journal of Wildlife Diseases 46(2): 673 - 677 4. Kwiatek O, Ali Y H, Saeed I K, Khalafalla A I, Mohamed O I, Obeida A A, Abdelrahman M B, Osman H M, Taha K M, Abbas Z, Harrak M E, Lhor Y, Diallo A, Lancelot R, Albina M and Libeau G. 2011. Asian Lineage of Peste des Petits Ruminants Virus, Africa. Emerging Infectious Diseases 17(7): 1223 - 1231 5. Ogunsanmi A O, Awe E O, Obi T U and Taiwo V O. 2003. Peste des petits ruminants (PPR) virus antibodies in African grey duiker (Sylvicapra grimmia). African Journal of Biomedical Research 6(1): 59 - 61 6. OIE Terrestrial Manual 2008. Chapter 2.7.11. Peste des petits ruminants [website]. Available at http://www.oie.int/international-standard-setting/terrestrial-manual/access-online/ as accessed on 9 March 2012 7. Peste des Petits Ruminants (PPR) - A challenge for small ruminant production [website]. Available at http://www.fao.org/ag/againfo/resources/documents/AH/PPR_flyer.pdf as accessed on 9 March 2012 8. Peste des Petits Ruminants. OIE General Disease Information Sheets [website]. Available at http://www.oie.int/fileadmin/Home/eng/Media_Center/docs/pdf/Disease_cards/PPR-EN.pdf as accessed on 29 February 2012 9. Peste des Petits Ruminants. OIE Technical disease card [website]. Available at http://www.oie.int/fileadmin/Home/eng/Animal_Health_in_the_World/docs/pdf/PESTE_DES_PETITS_RUMINAN TS_FINAL.pdf as accessed on 29 February 2012 10. Recognizing Peste Des Petits Ruminants A field manual [website]. Available at http://www.fao.org/DOCREP/003/X1703E/X1703E00.HTM as accessed on 9 March 2012 11. Pictures: Peter Roeder