Survey
* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project
C 2015 Poultry Science Association, Inc. Bird flu (H7N9) outbreak and its implications on the supply chain of poultry meat in China Shahid G. Khokhar,1 Qingfei Min, and Chao Su Faculty of Management & Economics, Dalian University of Technology, Dalian 116024, China Primary Audience: Researchers, Policymakers, Government authorities SUMMARY During the past two decades, food safety issues in China not only posed serious threats to Chinese consumers but also damaged the image of Chinese products internationally. In China, food safety is not only about scientific discoveries, advanced laboratories, and sanitation equipment; it is more about the role of different players in the food supply chain. The poultry meat supply chain is instrumental in the spread of the avian influenza A virus (H7N9), raising questions about how policymakers respond to such threats and whether industries need to be restructured to manage and control this epidemic so that it does not recur. As a short-term measure, to prevent the spread of this disease, government authorities enforced the closure of live bird markets (LBM) in disease-affected areas of China. However, in the long term, the poultry meat supply chain needs to be restructured. The aim of the current study was to analyze distribution channels for chicken meat in China and then describe arrangements in poultry meat sectors that incorporate small- and medium-scale producers into the supply chain while responding to shifts in LBMs. We also assessed the role of LBMs in spreading H7N9 and how these interventions affect the poultry meat supply chain in the Chinese market. Key words: H7N9, live bird market, poultry meat, supply chain 2015 J. Appl. Poult. Res. 24:215–221 http://dx.doi.org/10.3382/japr/pfv007 DESCRIPTION OF PROBLEM Highly pathogenic avian influenza (HPAI) appeared in the news at the end of 2003 in Asia and in a short time spread to more than 60 countries. In 2013, there were 136 confirmed cases of humans infected with the avian influenza A virus (H7N9) and 45 deaths in mainland China [1]. The recent emergence of H7N9, which is a novel influenza A virus, in China has caused concerns about the possibility of a pandemic not only in China but around the world. The poultry sector is associated with public health risks arising from zoonotic diseases, and it has suffered 1 Corresponding author: [email protected] huge economic losses because of the necessity of investing in the prevention and control of H7N9. To manage these risks, adjustments in the way poultry meat is produced and marketed are required along the entire supply chain, including both small- and large-scale producers. The H7N9 virus is one subgroup among the larger group of H7 viruses, which normally circulate among birds [2]. Many scientists are trying to identify the source of this virus; however, there is consensus among researchers that live bird markets (LBM) are instrumental in its transmission to humans. Even though to date there is no evidence of human-to-human transmission, a very recent study at the City University of Hong Kong revealed that H7N9 can be transmitted not 216 only through close contact but also through the air [3]. Poultry-to-human and human-to-human transmission of H7N9 triggered new concerns about shifting the current distribution system of poultry meat in China. Considering the pathological nature of this disease, biosecurity practices related to the production, distribution, and marketing of poultry meat in LBM play a significant role in the control of H7N9. In China, the large number of small-scale poultry producers, traders, wholesale market agents, and LBM makes it difficult to implement biosecurity measures across the poultry meat supply chain. Under these conditions, it is hard to establish product standardization and traceability systems. To address the problems of traceability in the poultry meat supply chain, drastic changes may need to be made in the systems related to marketing and distributing poultry meat in China. In this study, we examined the current poultry meat distribution system of China and how this distribution system plays a pivotal role in spreading zoonotic diseases, including H7N9. Finally, we examined the effects of the recent outbreak of H7N9 on the poultry meat supply chain. We addressed future trends and challenges faced by the poultry meat supply chain in the Chinese market. CHINA’S POULTRY DISTRIBUTION SYSTEM China’s poultry sector plays an important role in the national economy. The poultry sector is characterized by a traditional husbandry system (including backyard operations), which plays a key role in people’s livelihood and represents a significant part of the overall poultry output [4]. However, in the past decade, large-scale commercial poultry farms have also worked to meet increasing consumer demand due to rapid economic development in China. Because of economies of scale, these large-scale commercial poultry farms have been a new trend in recent years. During past decades, growth in the poultry sector was attained by increasing the number of birds and the level of productivity. Intensifying the production process—including better feed quality, improved veterinary services, and breed- JAPR: Field Report ing Western poultry breeds—resulted in better feed conversion ratios, a lower mortality rate, and shorter production cycles. The majority of large-scale commercial producers have productivity levels similar to poultry sectors in more industrialized countries. Due to consumers’ increased buying power and awareness about food safety, new marketing networks have developed for poultry meat distribution in China. Consequently, there has been a shift in chicken meat sales from LBM to supermarkets, but LBM still sell most of the chicken meat in China. Large-scale poultry producers are highly vertically integrated. Their business operations cover production and the marketing chain, and they have more control over the supply chain. These large-scale producers have their own feed manufacturing plants, large-capacity environmentally controlled poultry farms, vehicles to transport live birds, and a fully automatic poultry slaughtering system that involves cutting and processing the meat. They sell frozen chicken meat in different cuts through small and large supermarkets. Most of these large-scale poultry producers supply chicken meat to international fast-food chains (e.g., McDonalds and KFC) and national meat-based fast-food restaurants through their own distribution system (Figure 1). After the bird flu (H7N9) outbreak in 2013, pilot projects were initiated with the help of large-scale producers to promote the sale of cold fresh chicken in Shanghai and Guangzhou. Although selling cold fresh chicken is not a new concept, its market share has been relatively low, mainly due to general eating habits; consumers think freshly slaughtered chicken tastes better than cold fresh or frozen chicken. However, the traditional husbandry system, which is comprised of small- and medium-scale producers, bring forth the majority of poultry in China. Chinese agricultural reforms adopted in the 1980s divided land among village households on an egalitarian basis to create a vast network of small fragmented landholdings [5]. Table 1 shows that of all broiler farms, 98% are of small and medium scale, though in 2011, they produced only 67% of all broilers. These producers do not have environmentally controlled farms and thus increase the risk of exposing live birds to infections and spreading disease. Gei et al. [6] have proposed that the risk of KHOKHAR ET AL.: BIRD FLU (H7N9) AND SUPPLY CHAIN 217 Day Old Chicken Small and Medium Scale Producers Large Scale Producers Biosecurity Wholesale Poultry Market Level Automatic Slaughtering Facility Super markets Live Bird Market Fast food chains Consumers Figure 1. Poultry meat supply chain in China. environmental exposure to avian influenza is closely related to poultry handling on small- and medium-scale farms, where some farmers raise poultry in common rooms, extra rooms, or restrooms. With the involvement of intermediaries and wholesale distributors, poor sanitary practices characterize the transport of live birds to wholesale markets and LBM (Figure 1). However, Table 1, increasing use of more efficient environmentally controlled farms results a yearly decrease in small- and medium-scale farms numbers and increase in large scale farm numbers. BIRD FLU (H7N9) OUTBREAK AND CLOSURE OF LBMS In China, the majority of poultry are produced by small- and medium-scale producers who use a traditional distribution system to sell chickens through LBM. As the name of this selling venue implies, poultry are sold live, and the markets are open daily except for a few days during festivals. They are located in urban and semiurban areas, and they obtain poultry from nearby wholesale markets. In Chinese culture, consumers view purchasing live poultry from LBM as more of a tradition than a necessity. LBM bring poultry and people into close contact, creating the potential for transmission of zoonotic diseases [7–9]. These LBM process and sell poultry to consumers. Bird processing includes many steps, including slaughtering, treating with hot water, removing feathers and viscera, and cutting and packaging the chicken meat. However, in LBM, these steps are generally performed without protective material such as overalls, head coverings, gloves, or rubber boots. Individuals involved in bird processing in these environments rarely use disinfecting techniques. Moreover, species of other birds are kept overnight in the same cages with the poultry, which increases the risk of spreading disease. Shi et al. [10] found solid JAPR: Field Report 218 Table 1. Share of Chinese broiler farm numbers, 2010–2011. evidence that H7N9 viruses come directly from live free markets that people visited before falling ill. To ascertain the relationship between H7N9 and exposure to poultry, we collected data from 136 confirmed cases of H7N9 about their demographics (Table 2) of those infected between March, 31, 2013, to October 16, 2013. When there is confirmation that particular poultry markets pose a disease risk to humans, immediate closure of said markets is required to prevent spreading the virus through poultry and to reduce human exposure to the virus. During such a temporary closure, short-term cleaning Table 2. Confirmed cases of H7N9 and demographics. Profession Retired people Farmers Live bird market workers Family cluster infection Others Unreported animal exposure cases Total Number 35 29 10 3 26 33 136 Percentage 25.73 21.32 7.35 2.20 19.11 24.26 100 Source: Data compiled from China’s Center for Disease Control and Prevention and China national health and family planning commission website through weekly news alerts, from March, 31, 2013, to October 16, 2013. KHOKHAR ET AL.: BIRD FLU (H7N9) AND SUPPLY CHAIN and disinfection practices must be implemented. Following the detection of the H7N9 virus in poultry in LBM in Shanghai on April 4–5, 2013, authorities initiated a series of public health measures that included closing all 3 wholesale poultry markets and LBM to stop live poultry sales on April 6; culling all live birds; safely disposing of culled birds, excreta, and polluted feed and water; and disinfecting the materials, transportation vehicles, and tools that had come in contact with live birds and the market environment [11]. The risk that H7N9 poses to human health is more serious than the risk from avian influenza A (H5N1) because H7N9 does not negatively affect domestic poultry or migratory birds; though the latter has not been reported to cause severe disease in poultry, in humans it can cause death. Because poultry carrying the H7N9 virus do not show negative effects, H7N9 cannot be easily detected in birds; thus H7N9—in contrast to H5N1, which kills birds—can spread silently [12]. Because the majority of confirmed early H7N9 infections were reported in Shanghai and Jiangsu Province, we assume that the virus may come from these two regions. As Shanghai’s annual poultry consumption is larger than its annual production, Shanghai does not distribute poultry to other regions. In earlier research we showed the relative risks of H7N9 infection estimated by poultry distribution [13]. Therefore, areas providing poultry to Shanghai should be tested and monitored. DISCUSSION Preliminary estimates show that the agriculture sector lost at least 57 billion RMB (about US$9 billion or 7 billion euros) between April to June 2013, because of market shutdown in order to prevent spread of H7N9 virus [14]. Therefore, this bird flu (H7N9) outbreak is not only a health problem, it is a serious strategic issue that should lead to restructuring the poultry meat supply chain. The traditional husbandry system includes a large number of small-scale poultry producers with low biosecurity levels. These producers sell live birds to wholesalers who use their own transportation to bring live birds in wholesale markets. Small retailers buy from wholesale markets to sell in LBM (Figure 1). 219 In China and many other countries (e.g., Thailand, Laos, and Singapore), primarily in urban areas, LPM (Live Poultry market) are common. A 2006 survey in Guangzhou—the provincial capital of Guangdong, which borders Hong Kong in southern China—showed that 80% of households reported purchasing poultry at LPM at least once a year, and more frequent purchases were common [15]. The complete supply chain providing chicken meat from small- and medium-scale producers to LBM is unregulated and has minimal biosecurity measures. LBM are flashpoints in the supply chain where slaughterers and consumers interact with birds, and if birds are carrying any pathogenic disease—including H7N9—it can easily be transmitted to humans. To determine the prevalence of H7N9, China’s Ministry Of Agriculture conducted a survey, collecting 84,444 samples from 473 LBM, 896 poultry farms, 32 poultry slaughterhouses, 36 pig slaughterhouses, 79 wild bird habitats, and 137 environmental sampling sites. Results of that survey announced on April 17, 2013, showed that only samples from wet markets (live bird markets) were positive for H7N9. As can be seen in Table 2, together, farmers and LBM workers represent 28% of those who were confirmed to be infected by H7N9 who had exposure to live poultry either on poultry farms or LBM. Similarly, retired people who used to go to markets for household shopping constitute 25% of those infected, patients from other professions represent 19%, and 24% of the total confirmed cases do not have a history of exposure to animals. Regulating live bird markets by implementing UN Food and Agricultural Organization (FAO) guidelines—which include rest days for markets, keeping poultry separate from other birds, cleaning cages, and using personal protective equipment while transporting, slaughtering, and processing chickens—can reduce the risk of transmitting H7N9 [17]. Using hygienic principles such as extensively cleaning cages and poultry transport materials reduces the risk of reinfecting poultry farms with H7N9 viruses present in LBM. The FAO-China public-private partnership program in Guangzhou to strengthen biosecurity in LBM successfully prevented the spread of H7N9 [18]. 220 Because of the Chinese tradition of purchasing poultry from LBM, these markets and distribution channels must be regulated and monitored in the fight against H7N9 in China. Targeted workshops and other training on biosecurity measures explaining elementary hygienic procedures are necessary for individuals who have close contact with live poultry as they slaughter and process chicken meat. Similarly, rest days that are used to clean and disinfect LBM needs to be strictly implemented. In contrast, large-scale producers use their own transportation system to bring live poultry to facilities where the birds are slaughtered and processed by automated machines with stringent biosecurity measures (Figure 1). Implementing biosecurity practices not only reduces contact between humans and pathogens, it also makes the entire poultry sector profitable. These slaughtering machines are designed to process a high volume of chicken meat; consequently, they are economically feasible only for large-scale poultry producers. These slaughtering systems can be used to standardize products, trace poultry meat, and provide a high level of biosecurity. The recent outbreak of bird flu (H7N9) in 2013 and the effective closure of LBM allowed some interested parties to consider making structural changes to the poultry meat supply chain. In the short term, however, closing LBM prevents the spread of pathogenic diseases but also inflicts economic losses on the poultry industry as the government culls birds from affected LBM and halts the buying and selling of poultry meat. In the long run, requiring live birds to be slaughtered under stringent biosecurity guidelines will result in an integrated poultry industry in which only large-scale poultry farmers can survive. Such changes would raise concerns about the sustainability of small-scale producers because of intense competition from large-scale producers as well as public perception that small units of production are responsible for the spread of disease. CONCLUSION AND APPLICATIONS This study’s brief portrait of China’s poultry meat supply chain provides a context for understanding the complex market and distribution JAPR: Field Report systems for chicken meat and the role of LBM in spreading the H7N9 virus. It also gives guidelines for further research on structural changes necessary for the Chinese market’s poultry meat supply chain. 1. The scope of public-private partnerships aimed at creating awareness about biosecurity measures in LBM should be expanded across China. 2. Small-scale farmers, wholesalers, and retailers need to be registered with government authorities so that spot checks can implement and regulate biosecurity practices. 3. Small retailers, with help from the government, can establish isolated slaughtering areas and centrally controlled, cooperative, large-scale slaughtering facilities. REFERENCES AND NOTES 1. WHO | Human Infection with Avian Influenza A (H7N9) Virus: Update. 2014. Accessed February 19, 2014. http://www.who.int/csr/don/2013_10_16/en/. 2. WHO | Background and Summary of Human Infection with Influenza A (H7N9) Virus. 2014. Accessed February 20, 2014. http://www.who.int/influenza/human_animal_ interface/latest_update_h7n9/en/. 3. Zhu, H., D. Wang, D. J. Kelvin, L. Li, Z. Zheng, S.-W. Yoon, and S.-S. Wong et al., 2013. Infectivity, transmission, and pathology of human-isolated H7N9 influenza virus in ferrets and pigs. Science 341:183–86. Doi:10.1126/science.1239844. 4. Narrod, C., Marites T., and Achilles C. 2008. Global poultry sector trends and external drivers for structural change. FAO Proceedings on Poultry in the 21st Century. http://www.fao.org/ag/againfo/home/events/bangkok2007/ docs/part1/1_1.pdf. 5. Gale, F., and Dinghuan H. 2012. Food safety pressures push integration in China’s agricultural sector. Am. J. Agr. Eco. 94:483–488. 6. Gai, R., X. Wang, Y. Zhang, and L. Xu. 2008. Knowledge and practice of poultry handling and living environments of rural residents in China. Bio. Trends 2:61–63. 7. Cardona, C., K. Yee, and T. Carpenter. 2009. Are Live Bird Markets Reservoirs of Avian Influenza? Poult. Sci. 88(4):856–859. doi:10.3382/ps.2008-00338. 8. Senne, D. A., J. E. Pearson, and B. Panigrahy 1992. Live Poultry Markets: A Missing Link in the Epidemiology of Avian Influenza. In Proceedings of the Third International Symposium on Avian Influenza, 27–29. http://birdflubook.com/resources/senne50.pdf. 9. Webster, Robert G. 2004. Wet Markets: A Continuing Source of Severe Acute Respiratory Syndrome and Influenza? Lancet 363(9404):234–236. doi:10.1016/S01406736(03)15329-9. KHOKHAR ET AL.: BIRD FLU (H7N9) AND SUPPLY CHAIN 10. Shi, Benyun, Shang Xia, Guo-Jing Yang, Xiao-Nong Zhou, and Jiming Liu. 2013. Inferring the Potential Risks of H7N9 Infection by Spatiotemporally Characterizing Bird Migration and Poultry Distribution in Eastern China. Infect. Dis. Poverty 2(1):8. doi:10.1186/2049-9957-2-8. 11. Shanghai Municipal Government City Hall announcement, Further Deployment of Seven Provisions for Prevention and Control of Avian Influenza Virus Transmission April 6, 2013. [In Chinese Language]. Accessed on February 20, 2014. http://www. shanghai.gov.cn/shanghai/node2314/node2315/node5827/ u21ai730528.html. 12. Gao, George F., and Pang-Chui Shaw. 2009. The Challenges of Avian Influenza Virus: Mechanism, Epidemiology and Control. Science in China. Series C, Life Sciences / Chinese Academy of Sciences 52(5):405–406. doi: 10.1007/s11427-009-0058-8. 13. Li, Jun, Xin Fen Yu, Xiao Ying Pu, Li Xie, Yong Xiang Sun, Hai Xia Xiao, and Fen Juan Wang et al., 2013. Environmental Connections of Novel Avian-Origin H7N9 Influenza Virus Infection and Virus Adaptation to the Human. Science China Life Sciences 56(6):485–492. doi: 10.1007/s11427-013-4491-3. 221 14. Wu, Ying, and George F. Gao. 2013. Lessons Learnt from the Human Infections of Avian-Origin Influenza A H7N9 Virus: Live Free Markets and Human Health. Science China Life Sciences 56(6):493–494. doi: 10.1007/s11427013-4496-y. 15. Liao, Qiuyan, Wing Tak Lam, Gabriel M. Leung, Chaoqiang Jiang, and Richard Fielding. 2009. Live Poultry Exposure, Guangzhou, China, 2006. Epidemics 1(4):207– 212. doi: 10.1016/j.epidem.2009.09.002. 16. Office news of Ministry of Agriculture, Beijing April 17, 2013. Livestock and Poultry Farms were Isolated from Avian Influenza Virus H7N9 [In Chinese Language]. Available from: http://www.moa.gov.cn/zwllm/zwdt/ 201304/t20130417_3436622.htm. Accessed on November 16, 2014. 17. World Health Organization. 2006. A Guide to Healthy Food Markets. Accessed on February 25, 2014. http://apps.who.int/iris/handle/10665/43393. 18. FAO, Food and Agriculture Organization, (ECTAD) Emergency Centre for Trans-boundary Animal Disease. 2013. China HPAI Highly Pathogenic Avian Influenza Highlights. Accessed February 19, 2014. www.fao.org/ docrep/018/aq696e/aq696e.pdf.