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NATO UNCLASSIFIED AMedP-26 VETERINARY GUIDELINES ON MAJOR TRANSMISSIBLE ANIMAL DISEASES AND PREVENTING THEIR TRANSFER AMedP-26 RATIFICATION DRAFT 1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (INTENTIONALLY BLANK) RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 VETERINARY GUIDELINES ON MAJOR TRANSMISSIBLE ANIMAL DISEASES AND PREVENTING THEIR TRANSFER AMedP-26 XXX 20xx i RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (INTENTIONALLY BLANK) ii RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 NORTH ATLANTIC TREATY ORGANISATION NATO STANDARDIZATION AGENCY (NSA) NATO LETTER OF PROMULGATION Xx xxx 20xx AMedP-26 – VETERINARY GUIDELINES ON MAJOR TRANSMISSIBLE ANIMAL DISEASES AND PREVENTING THEIR TRANSFER is a NATO/EAPC UNCLASSIFIED publication. The agreement of NATO nations to use this publication is recorded in STANAG 2557. 2. AMedP-1 is effective on receipt. iii RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (INTENTIONALLY BLANK) iv RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 RESERVED FOR NATIONAL LETTER OF PROMULGATION v RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (INTENTIONALLY BLANK) vi RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 RECORD OF CHANGES Change Date Date Entered Effective Date By Whom Entered vii RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (INTENTIONALLY BLANK) viii RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 RECORD OF RESERVATIONS BY NATIONS CHAPTER RECORD OF RESERVATIONS BY NATIONS ix RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 RECORD OF SPECIFIC RESERVATIONS NATION SPECIFIC RESERVATIONS x RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 TABLE OF CONTENTS CHAPTER 1-MULTINATIONAL POLICIES AND PROCEDURES 0101. Justification 0102. Current Worldwide Situation ANNEX A- OIE LISTED DISEASES ANNEX B- WORLD ANIMAL HEALTH INFORMATION SYSTEM 1-1 1-1 1 1 CHAPTER 2-PREVENTION AND CONTROL OF INFECTIOUS ANIMAL DISEASES 0201. General Information – Recommendations 0202. Disinfection and Disinsectisation -General Recommendations ANNEX A- GUIDELINES FOR MILITARY PERSONNEL ANNEX B- GUIDELINES TO AIRLINES, SHIPPING AND CATERING COMPANIES ETC. ANNEX C-ANIMAL DISEASES RESISTANCE TO PHYSICAL AND CHEMICAL ACTION ANNEX D -DESTRUCTION OF CAUSATIVE AGENT OF FOOT AND MOUTH DISEASE 2-1 2-3 1 1 1 1 CHAPTER 3-OVERVIEW OF TRANSMISSIBLE ANIMAL DISEASES 0301. Transmisible Diseases 3-1 ANNEX A-OFFICIAL PREVENTION AND CONTROL METHODS OF MAJOR OIE LISTED TRANSMISSIBLE DISEASES (FORMER OIE LIST A) 1 CHAPTER 4- THE WORLD ORGANISATION FOR ANIMAL HEALTH (OIE) 0401. General Description of OIE 4-1 1 ANNEX A- OIE’s MAIN OBJECTIVES AND STRUCTURE ANNEX B- OIE MEMBER’S LEGALITIES AND SPECIAL PROCEDURES 1 LEXICON 1 xi RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 LIST OF ILLUSTRATIONS Chapter 2 – ΑΝΝΕΧ Α - GUIDELINES FOR MILITARY PERSONNEL IN LEAFLET FORM Figure A-1. Guidelines for Military Personnel in Leaflet Form............................... Α-1 Chapter 2 – ΑΝΝΕΧ Β - GUIDELINES TO AIRLINES, SHIPPING AND CATERING COMPANIES ETC. IN LEAFLET FORM Figure B-1. Guidelines to Airlines, Shipping and Catering Companies etc. in Leaflet Form………………………… ……………………………………………..…Β-1 xii RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 CHAPTER 1 MULTINATIONAL POLICIES AND PROCEDURES 0101. Justification 1. Veterinarians serving on multinational operations have experienced severe problems in the area of controlling transmissible diseases which have the potential for very serious and rapid spread, irrespective of national borders, which are of serious socio-economic or public health consequence and which are of major importance in the international trade of animals and animal products, since no agreed multi – national policies and procedures exist. 2. Therefore, although to date this has been considered to be a matter for individual National Support Element (NSE), the problems are potentially international in their scope .It would therefore appear that an international approach to solving these problems would be more appropriate. 0102. Current Worldwide Situation 1. An intergovernmental organization, “Office International des Epizooties (OIE)”, created by the International Agreement signed by 28 countries on January 25th 1924, due to the need to fight animal diseases at global level. In May 2003 the Office became the World Organisation for Animal Health but kept its historical acronym OIE. 2. OIE is recognised as a reference organisation by the World Trade Organization (WTO) and as of April 2009, had a total of 174 Member Countries and Territories. The OIE maintains permanent relations with 36 other international and regional organisations and has Regional and sub-regional Offices on every continent. The OIE has established a warning system which enables Member Countries to act rapidly should the need arise. 3. The counties who participate at the multinational operations, are also members of the World Organisation for Animal Health (OIE). According to the OIE animal diseases with regards to their severity are incorporated into a list called OIE Listed Diseases. 4. The OIE members are obligated to report the diseases of the aforementioned list according to a set rhythm. The OIE informs, and advises National Veterinary services in order to protect the eradication of the diseases. 5. For the international approach of issuing, this study is based on the OIE documents, which will be expanded or specified to control hazards from returning personnel and equipment from multinational operations. 1-1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 6. Force Health Protection Organisation and/or Preventive Medicine departments, can provide data or address special risks making use of reliable information from any available source (e.g. Food and Agriculture Organisation, World Trade Organisation, World Health Organisation) in order to overlap information gaps, arising in cases where OIE procedures cannot provide sufficient knowledge of transmissible diseases’ situation, within the area of operations. 1-2 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ANNEX A OIE LISTED DISEASES 1. The OIE listed diseases are defined as transmissible diseases which have the potential for very serious and rapid spread, irrespective of national borders, which are of serious socio-economic or public health consequence and which are of major importance in the international trade of animals and animal products. 2. Reports are submitted to the OIE according to World Animal Health Information System. 3. The criteria for the inclusion of a disease in the OIE List are as follows: a. International spread of the disease has been proven on three or more occasions. b. More than three countries with populations of susceptible animals are free of the disease or facing impending freedom. c. OIE annual reports indicate that a significant number of countries with susceptible populations have reported absence of the disease for several consecutive years. d. Transmission to humans has been proven (with the exception of artificial circumstances). e. Human infection is associated with severe consequences (death or prolonged illness). f. The disease exhibits significant mortality at the level of a country or a zone. g. The disease exhibits significant morbidity at the level of a country or a zone. h. There are apparent zoonotic properties or there is a rapid spread of the disease. 4. The OIE list contains the following diseases: a. Multiple species diseases (1) Anthrax (2) Aujeszky's disease (3) Bluetongue 1-A-1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 b. (4) Brucellosis ( Brucella abortus ) (5) Brucellosis ( Brucella melitensis ) (6) Brucellosis ( Brucella suis ) (7) Crimean Congo haemorrhagic fever (8) Echinococcosis/hydatidosis (9) Epizootic haemorrhagic disease (10) Equine encephalomyelitis (Eastern) (11) Foot and mouth disease (12) Heartwater (13) Japanese encephalitis (14) Leptospirosis (15) New world screwworm ( Cochliomyia hominivorax ) (16) Old world screwworm ( Chrysomya bezziana ) (17) Paratuberculosis (18) Q fever (19) Rabies (20) Rift Valley fever (21) Rinderpest (22) Surra (Trypanosoma evansi) (23) Trichinellosis (24) Tularemia (25) Vesicular stomatitis (26) West Nile fever Cattle diseases 1-A-2 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (1) Bovine anaplasmosis (2) Bovine babesiosis (3) Bovine genital campylobacteriosis (4) Bovine spongiform encephalopathy (5) Bovine tuberculosis (6) Bovine viral diarrhoea (7) Contagious bovine pleuropneumonia (8) Enzootic bovine leukosis (9) Haemorrhagic septicaemia (10) Infectious bovine rhinotracheitis/infectious pustular vulvovaginitis c. (11) Lumpky skin disease (12) Theileriosis (13) Trichomonosis (14) Trypanosomosis (tsetse-transmitted) Sheep and goat diseases (1) Caprine arthritis/encephalitis (2) Contagious agalactia (3) Contagious caprine pleuropneumonia (4) Enzootic abortion of ewes (ovine chlamydiosis) (5) Maedi-visna (6) Nairobi sheep disease (7) Ovine epididymitis (Brucella ovis) (8) Peste des petits ruminants (9) Salmonellosis (S. abortusovis) 1-A-3 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 d. e. f. (10) Scrapie (11) Sheep pox and goat pox Equine diseases (1) African horse sickness (2) Contagious equine metritis (3) Dourine (4) Equine encephalomyelitis (Western) (5) Equine infectious anaemia (6) Equine influenza (7) Equine piroplasmosis (8) Equine rhinopneumonitis (9) Equine viral arteritis (10) Glanders (11) Venezuelan equine encephalomyelitis Swine diseases (1) African swine fever (2) Classical swine fever (3) Nipah virus encephalitis (4) Porcine cysticercosis (5) Porcine reproductive and respiratory syndrome (6) Swine vesicular disease (7) Transmissible gastroenteritis Avian diseases (1) Avian chlamydiosis 1-A-4 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (2) Avian infectious bronchitis (3) Avian infectious laryngotracheitis (4) Avian mycoplasmosis (M. gallisepticum) (5) Avian mycoplasmosis (M. synoviae) (6) Duck virus hepatitis (7) Fowl cholera (8) Fowl typhoid (9) Highly pathogenic avian influenza and low pathogenic avian influenza in poultry g. h. i. (10) Infectious bursal disease (Gumboro disease) (11) Marek's disease (12) Newcastle disease (13) Pullorum disease (14) Turkey rhinotracheitis Lagomorph diseases (1) Myxomatosis (2) Rabbit haemorrhagic disease Bee diseases (1) Acarapisosis of honey bees (2) American foulbrood of honey bees (3) European foulbrood of honey bees (4) Small hive beetle infestation (Aethina tumida) (5) Tropilaelaps infestation of honey bees (6) Varroosis of honey bees Fish diseases 1-A-5 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 j. k. (1) Epizootic haematopoietic necrosis (2) Infectious haematopoietic necrosis (3) Spring viraemia of carp (4) Viral haemorrhagic septicaemia (5) Infectious salmon anaemia (6) Epizootic ulcerative syndrome (7) Gyrodactylosis (Gyrodactylus salaris) (8) Red sea bream iridoviral disease (9) Koi herpesvirus disease Mollusc diseases (1) Infection with Bonamia ostreae (2) Infection with Bonamia exitiosa (3) Infection with Marteilia refringens (4) Infection with Perkinsus marinus (5) Infection with Perkinsus olseni (6) Infection with Xenohaliotis californiensis (7) Abalone viral mortality Crustacean diseases (1) Taura syndrome (2) White spot disease (3) Yellowhead disease (4) Tetrahedral baculovirosis (Baculovirus penaei) (5) Spherical baculovirosis (Penaeus monodon-type baculovirus) (6) Infectious hypodermal and haematopoietic necrosis (7) Crayfish plague (Aphanomyces astaci) 1-A-6 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 l. m. (8) Infectious myonecrosis (9) White tail disease Amphibians (1) Infection with Batrachochytrium dendrobatidis (2) Infection with ranavirus Other diseases (1) Camelpox (2) Leishmaniosis 1-A-7 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ANNEX B WORLD ANIMAL HEALTH INFORMATION SYSTEM 1. One of the OIE’s main missions is to ensure the transparency of the world animal health situation. To achieve this aim as effectively as possible, the OIE launched the new World Animal Health Information System in January 2005, based on the commitment of OIE Member Countries and Territories (the Members) to notify cases of the main animal diseases detected in their territories, including zoonoses. 2. The World Animal Health Information System, better known as WAHIS, is an internet-based computer system that processes data on animal diseases and then informs the international community, by means of “alert messages”, of relevant epidemiological events in OIE Members. Access to this secure site is only available to authorised users, namely the Delegates of OIE Members and their authorised representatives, who use WAHIS to notify the OIE of relevant animal disease information. 3. Whenever an important epidemiological event occurs in a Member, the Member must inform the OIE by sending an Immediate Notification (terrestrial and aquatic animals) which includes the reason for the notification, the name of the disease, the affected species, the geographical area affected, the control measures applied and any laboratory tests carried out or in progress. Diseases notifiable to the OIE used to be classified into two lists, List A and List B. In May 2004, OIE Members approved the creation of a single list of diseases notifiable to the OIE. Modifications to the List can be made annually, subject to the approval of the International Committee during its General Session. The modified List does not come into force until the following January, so as to ensure that the list of diseases remains the same for any given calendar year. Proposed changes to the List are based on a decision tree contained in an OIE international standard. A new list has been approved in May 2008 by the International Committee and came into force in 2009. 4. To improve the scope and efficiency of the OIE's early warning system, the events of epidemiological significance that Members should immediately notify to the OIE Central Bureau are the following: a. For terrestrial animals: (1) The first occurrence of an OIE-listed disease or infection in a country/territory or zone/compartment. (2) The re-occurrence of an OIE-listed disease or infection in a country/territory or zone/compartment following a report by the Delegate of the Member declaring the previous outbreak(s) closed. (3) The first occurrence of a new strain of a pathogen of an OIE-listed 1-B-1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 disease in a country/territory or zone/compartment. (4) A sudden and unexpected increase in morbidity or mortality caused by an existing OIE-listed disease. (5) An emerging disease with significant morbidity/mortality or zoonotic potential. (6) Evidence of a change in the epidemiology of an OIE-listed disease (including host range, pathogenicity, strain of causative pathogen), in particular if there is a zoonotic impact. b. For aquatic animals: (1) The first occurrence or the re-occurrence of an OIE-listed disease in a country or zone/compartment of the country previously considered to be free of the disease. (2) Any occurrence of an OIE-listed disease in a new host species. (3) Any occurrence of an OIE-listed disease caused by a new strain of the pathogen or in a new disease manifestation. (4) Any occurrence of an OIE-listed disease, if the disease has newly recognised zoonotic potential. (5) Any occurrence of an emerging disease or pathogenic agent if the event is of epidemiological significance to other countries. 5. Once they have been received, verified and validated by the OIE, the immediate notifications are published in the OIE's three official working languages (English, French and Spanish) under the heading Alerts and sent to everyone on the OIE-Info Distribution List, an electronic distribution list set up to facilitate and widen the dissemination of animal health information. This list is open not only to the Delegates of Members, the OIE Reference Laboratories and Collaborating Centres and international and regional organisations, but also, by subscription, to any institutions or individuals interested in receiving such information directly. 6. After having informed the OIE of a significant epidemiological event by means of an immediate notification report, the Member must send weekly Follow-up Reports so that the event can be monitored as it evolves. In all cases, the country must submit a final report to notify either that the event has been resolved or that the disease has become endemic. In the latter case, the country will continue to submit information in its six-monthly reports if the disease is on the OIE List. 7. Animal Health Information for 2005 and thereafter is accessible from the new WAHID (World Animal Health Information Database) interface. a. Six-monthly Reports provide information on the presence or absence of diseases on the OIE List and the prevention and control measures applied. For 1-B-2 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 diseases reported as being present in a country during a given six-month period, the country in question must provide quantitative data on the number of outbreaks, susceptible animals, cases, deaths, animals destroyed and animals vaccinated. For diseases that are present and are notifiable in the country, the OIE recommends that countries provide quantitative data by month and by first administrative division. Countries that so wish can enter their data in WAHIS each month during a given six-month period (i.e. without waiting until the end of the six-month period), thereby providing the international community with the most recent information on the diseases that are present and which Members consider are the most important. b. In this respect, Members are given other options for entering information in WAHIS on diseases that are present: by month and for the whole country, by first administrative level and for the entire six-month period, and by first administrative level for the whole country. The choice of one or other of these options will depend on the national surveillance and monitoring systems in the country in question and the type of information generated by these systems. These choices made by Countries and Territories will be reflected in the way the WAHID interface is presented whenever a request for information is made. c. Lastly, the two six-monthly reports will be combined in the part of the annual report dealing with OIE-listed diseases. Once a year, Members submit a variety of information on diseases that are not on the OIE List, the impact of zoonoses on the human population, animal population statistics, the structure of the Veterinary Services, national reference laboratories and the diagnostic tests they can perform, and, where appropriate, vaccine manufacturers and the vaccines they produce. d. The monthly and annual data supplied by Members on animal diseases and zoonoses prior to 2005 can be accessed in OIE database via the Web interface, Handistatus II. A synthesis of annual data is also contained in a publication entitled World 8. Animal Health, which also includes more detailed sanitary and general information. 9. As an adjunct to the World Animal Health Information (WAHIS) on-line reporting system, the data and information provided by Members are accessible via the Web interface WAHID (World Animal Health Information Database) and can be accessed by the public through the OIE Web site. 10. This unique new application is the cornerstone of the OIE's efforts to improve the transparency, efficacy and rapidity of the dissemination of animal health information throughout the world, by giving everyone easy access to all the available information on animal diseases, including zoonoses, presented by country/territory, by region, by month, by six-month period or by year. This interface gives access to a range of other information, including data on animal populations at a national or regional level, epidemiological maps of significant events, world distribution maps of animal diseases and control methods applied by disease, as well as tools to compare the animal health situation between countries. The latter application can help 1-B-3 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 determine potential risks of trade in live animals or in animal products between Members. 11. A special section is devoted to the bovine spongiform encephalopathy (BSE) situation worldwide in response to the many requests for information on the subject received by the OIE. 12. To improve transparency, the OIE has set up, in consultation with the competent national authorities, a verification procedure for non-official information from various sources on the existence of disease outbreaks that have not yet been notified to the OIE. 13. In order to encourage OIE Members to share their experience in developing and testing their contingency plans for major animal diseases, a section entitled Information on Disease Emergency Preparedness contains information on national contingency plans and on disease introduction simulation exercises provided by OIE Members. 1-B-4 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 CHAPTER 2 PREVENTION AND CONTROL OF INFECTIOUS ANIMAL DISEASES 0201. General Information - Recommendations 1. The following information and recommendation are applicable for the majority of the diseases and will reduce the danger of transmitting Foot and Mouth Disease and other infectious animal diseases from country to country. 2. Presentation – Analysis of danger elements a. General Elements of danger (1) Probable territories of virus origin. As they are notified by OIE along with the relevant inputs and data provided by the Preventive Medicine Deprtment, acting in every single mission. (2) Probable sources of virus origin in decline order. (a) Living animals (b) Edible or non-edible parts of animals. (c) Meat with bones. (d) Milk and dairy products. (e) Meat without bones. (f) Chase meat. (g) Hides (moist, crude) (h) Other products of animal origin. (i) Hunting trophies. (j) Arthropods vectors such as ticks, mosquitoes, sandflies, fleas lice. (3) Vehicles (a) Trucks 2-1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (b) Passenger (c) Personnel (d) All kind of military equipment, including containers, tents, field kitchen and more particularly, all equipment entering in contact with ground, should be considered. The main risk is to carry pathogens with dry mud or organic matter stitched to different surfaces. Only a thin layer of dust should be accepted on the equipment coming back to the home country. (4) (5) Periods of time with great danger (a) Vacations period (b) Returning of immigrant workers. (c) Periods of religious celebration. (d) Periods of peripheral conflicts and war. Probable routs and means of invasion (a) Points of illegal trespassing in the territorial borders (illegal immigrants) (b) Ferry boats and other ships (c) Ports (particular via disposal of kitchen food wastes of ships and feeding to animal in particular to pigs). (d) Tracks (particular via drivers’ food, clothes and objects). (e) Airports via waste of airplanes catering and luggage of passengers returning from countries of high risk. (6) Chain of contamination in the country of destination (a) Direct or indirect contact of infected animals with healthy ones (b) Direct or indirect contact of animal products originated from infected animals with healthy ones. (c) Rubbish buckets along national roads. (d) Contaminated vehicles. 2-2 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 b. (e) Contaminated clothes and objects. (f) By air transport. Special elements of danger. (1) risk. Shipment of foods as humanitarian help from countries of high (2) Supplies of multinational armies. (3) Armed forces transportation, army vehicles via borders. (4) Transit transportation of animal products via borders without veterinary inspection particularly from countries of high risk. (5) 3. Illegal trade of animal foods. Recommendations a. Close cooperation between the veterinary Service of the multinational Force and the Veterinary authorities of the countries from which military personnel and supplies are passing through. b. Strict enforcement of veterinary control procedures at the points of entering or exiting of personnel, supplies, humanitarian help, e.t.c from all the countries from which they go trough. c. Information of the military personnel and the catering companies about the danger of spreading animal diseases from one country to another, with informative documents, like the ANNEXES A and B, modified in case that is necessary. 0202. Disinfection and Disinsectisation-General Recommendations 1. The choice of disinfectants and procedures for disinfection should be made taking into account the causal agents of infection and the nature of the premises, vehicles and objects which are to be treated. 2. Disinfectants and insecticides should be used only if their use has been authorized by the Veterinary Authority, responsible at the arriving/departing area of the host country. 3. The following should be considered: a. Few universal disinfectants exist. 2-3 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 b. Whereas hypochlorite, which is very often used, may be regarded as a universal disinfectant, its effectiveness is diminished by prolonged storage and it is therefore necessary to check its activity before use. A concentration of 0.5% active chlorine appears necessary for satisfactory disinfection. Additionally, hypochlorite is only efficient on clean surfaces and thus a washing operation is required before it is applied. c. Foot and mouth disease virus is easily destroyed by a high or low pH but the disinfectants used may be caustic or corrosive in concentrated form; d. Tuberculosis bacillus is very resistant to disinfectants and a high concentration is required to destroy the organism, as well as prolonged action; e. No matter what substances are used, disinfection techniques should comprise the following: (1) Thorough soaking of bedding and litter as well as faecal matter with the disinfectant; (2) Washing and cleaning by careful brushing and scrubbing of the ground, floors and walls; (3) Further washing with the disinfectant; (4) Washing and disinfecting the exterior of vehicles. These procedures should be carried out if possible, with liquids applied under pressure. Washing, disinfecting or destroying of articles used for tying up the animals (ropes, reins, etc.) should not be omitted, in case that Military Working Animals are deployed. e. Special care should be given in rodent control, using methods and substances according to the current edition of AMedP-3. It is underlined, that rodents can be easily carried in the containers used by the forces. 2-4 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ANNEX A GUIDELINES FOR MILITARY PERSONNEL ATTENTION - DANGER YOU MAY BE CARRYING, DUE ΤΟ IGNORANCE OR NEGLIGENCE, FΟΟΤ- AND MOUTH DISEASE AND OTHER ANIMAL DISEASES WHICH CAN INFECT LIVESTOCK IN THIS COUNTRY OR IN THE COUNTRY OF YOUR FINAL DESTINATION. Foot-and-Mouth Disease and other animal diseases are not transmitted to humans, but are highly infectious viral animal diseases, capable of causing huge financial losses to a country if its livestock population becomes infected. You have possibly come from a country which is not free from the above diseases and you are entering a country which, at a great cost and effort, has eradicated these diseases. Foot-and-Μουth Disease and others, are transmitted mainly by infected animals but, also, bγ MEAT, MEAT PRODUCTS, MILK & DΑΙRΥ PRODUCTS, HIDES, SKINS, GAME TROPHIES CLOTHES & SHOES and OBJECTS originating from an infected area. You are encouraged to seek advice from the Border Veterinarian / Customs Officer a. In case you are carrying in your luggage products of animal origin intended either for your personal consumption during the trip, or as gifts, or for trade. or b. If yοu have visited, during the last twο weeks, a farm with cattle, sheep, goats or pigs either in the country you originated from οr in the country (-ies) you have traveled through. If you have indeed visited an animal farm, you should disinfect your clothes and shoes and refrain from visiting any farm in the cοuηtry of your final or subsequent destination for at least one week. In addition, you are advised to observe strictly the following principles: a. Never feed animals, and in particular pigs, with waste food during yουr trip. b. Waste food must be placed in plastic bugs and discarded in especially designed hermetically closing bins. Thank you for your understanding and cooperation. Figure A-1. Guidelines for Military Personnel in Leaflet Form. 2-A-1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ANNEX B GUIDELINES TO AIRLINES, SHIPPING AND CATERING COMPANIES ETC. ATTENTION - DANGER ! YOU MAY BE CONTRIBUTING, DUE ΤΟ IGNORANCE OR NEGLIGENCE, ΤΟ THE SPREAD OF FΟΟΤ- AND MOUTH DISEASE OR OTHER ANIMAL DISEASES WHICH MAY INFECT LIVESTOCK IN THIS COUNTRY. Foot-and-Mouth Disease and other animal diseases are not transmitted to humans, but are highly infectious diseases of animals capable of causing huge financial losses to a country, if its livestock population becomes infected. Your Company is connected with scheduled / special shuttle routes with [Country], which is free from the above diseases, with countries where the diseases is endemic. The animal diseases are transmitted mainly by infected animals but, also, by MEAT, MEAT PRODUCTS, ΜΙLΚ & DAIRY PRODUCTS, HIDES, SKINS and GAME TROPHIES originated in an infected area. With a view to reduce the risk of introducing these diseases into [Country], you are kindly requested to observe the following standard precautionary measures. Process, by heat treatment at 100° C for 20 min., all kitchen food wastes of your Ship/Airplane immediately after arrival. Never dispose kitchen food wastes of your Ships, Airplanes by using them as food for animals, and in particular to pigs. Advise and cooperate with the Local Veterinarian Authorities for safe disposal of your kitchen food wastes. Thank you for your understanding and cooperation. Figure B-1. Guidelines to Airlines, Shipping and Catering Companies etc. in Leaflet Form 2-B-1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ANNEX C ANIMAL DISEASES RESISTANCE TO PHYSICAL AND CHEMICAL ACTION 1. Disease Vesicular Stomatitis PH Stable between pH 4.0 and 10.0 Disinfectants Destroyed by formalin (1%) Chemicals Survive Sensitive to Ether and other organic solvents Survives for long periods at low temperatures 2. Foot and Mouth Disease Inactivated by pH <6.0 or >9.0 IInactivated by sodium hydroxide (2%) sodium carbonate (4%) citric acid (0.2%). Temperatures above 50°C Resistant to Iodophores Quaternary ammonium compounds Hypoclorite Phenol especially in the presence of organic matter Survives in lymph nodes and bone marrow at neutral pH, but destroyed in muscle when is pH <6.0 i.e. after rigor mortis. Can persist in contaminated fodder and the environment for up to 1 month, depending on the temperature and pH conditions 3. Rinderpest Stable between pH 4.0 and 10.0 Susceptible to lipid solvents Remains viable for long periods in chilled or frozen tissues 4. Peste des petits ruminants Stable between pH 4.0 and 10.0 Susceptible to most common disinfectants (phenol, cresol, sodium hydroxide 2%/24 hours used at a rate of 1 litre/m2) Small amounts of virus resist 56°C/60 min or 60°C/30 min Susceptible to most disinfectants, e.g. phenol, sodium hydroxide 2%/24 hours Some virus may resist 60°C/60 min Susceptible to alcohol, ether, detergents Survives for long periods in chilled and frozen tissues 5. Disease Lumpy skin disease Disinfectants PH Susceptible to Susceptible to Chemicals Susceptible to Survive ether Survives for long periods at 2-C-1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 highly alkaline or acid pH phenol (2%/15 min) 55°C/2 hours, 65°C/30 min 6. Rift Valley fever Resistant to alkaline pH but inactivated by pH <6.8 7. Bluetongue Sensitive to pH <6.0 and >8.0 8. Sheep pox and goat pox Susceptible to Inactivated by highly alkaline or Phenol (2%) in 15 min. acid pH Sensitive to detergents, e.g. Sodium dodecyl sulphate Susceptible to 56°C/2 hours 65°C/30 min 9. Disease Classical Swine Fever (hog cholera) PH Inactivated by pH <3.0 or pH >11.0 Inactivated by strong sodium or calcium (residual chlorine should ppm). In serum, inactivated by minutes. (20%), chloroform, ambient temperature, formalin (1%), and some especially in dried scabs detergents, e.g. sodium dodecyl sulphate solutions of Inactivated by ether and Survives in dried discharges and multiplies in some hypochlorite chloroform. arthropod vectors. Can exceed 5000 survive contact with 0.5% phenol at 4°C for 6 months 56°C for 120 Inactivated by Iodophores and phenolic compounds 50°C/3 hours; 60°C/15 minutes Disinfectants Inactivated by cresol sodium hydroxide (2%) Inactivated by ί-propiolactone Very stable in the presence of protein (e.g. has survived for years in blood stored at 20°C) Sensitive to ether (20%), Can survive for many years chloroform, and formalin in dried scabs at ambient (1%) temperatures. Virus remains viable in wool for 2 months and in premises for as long as 6 months. Chemicals Susceptible Survive Survives well in cold conditions and can survive some forms of meat 2-C-2 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 processing (curing and smoking) formalin (1%) sodium carbonate (4% anhydrous or 10% crystalline, with 0.1% detergent) ionic andd non-ionic detergents strong iodophors (1%) in phosphoric acid Partially resistant to moderate heat (56°C) 10. Highly pathogenic avian influenza Inactivated by acid pH Inactivated by Formalin and iodine compounds 56°C/3 hours 60°C/30 min Inactivated by oxidizing Remains viable for long agents, sodium dodecyl periods in tissues, faeces sulphate, lipid solvents, ί- and also in water propiolactone 11. Newcastle disease Inactivated by acid pH Inactivated by formalin and phenol 56°C/3 hours 60°C/30 min Ether sensitive Survives for long periods at ambient temperature, especially in faeces 2-C-3 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ANNEX D DESTRUCTION OF CAUSATIVE AGENT OF FOOT AND MOUTH DISEASE 1. Meat Procedures for inactivating viruses present in meat : a. Canning Meat is subjected to heat treatment in a hermetically sealed container to reach an internal core temperature of at least 70°C for a minimum of 30 minutes or to any equivalent treatment which has been demonstrated to inactivate the FMD virus. b. Thorough cooking Meat, previously deboned and defatted, shall be subjected to heating so that an internal temperature of 70°C or greater is maintained for a minimum of 30 minutes. After cooking, it shall be packed and handled in such a way that it cannot be exposed to a source of virus. c. Drying after salting When rigor mortis is complete, the meat must be deboned, salted with cooking salt (NaCl) and completely dried. It must not deteriorate at ambient temperature. “Drying” is defined in terms of the ratio between water and protein which must not be greater than 2.25:1. 2. Animal Products for Industrial Use For the inactivation of viruses present in animal products for industrial use, one of the following procedures should be used: a. Wool and hair (1) Industrial washing, which consists of the immersion of the wool in a series of baths of water, soap and sodium hydroxyde (soda) or potassium hydroxyde (potash). (2) Chemical depilation by means of slaked lime or sodium sulphide. (3) Fumigation in formaldehyde in a hermetically sealed chamber for at least 24 hours. The most practical method is to place potassium permanganate in containers (which must NOT be made of plastic or 2-D-1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 polyethylene) and add commercial formalin; the amounts of formalin and potassium permanganate are respectively 53 ml and 35 g per cubic meter of the chamber. (4) Industrial scouring which consists of the immersion of wool in a water-soluble detergent held at 60-70°C. (5) Storage of wool at 18°C for 4 weeks, or 4°C for 4 months, or 37°C for 8 days. b. Bristles (1) Boiling for at least 1 hour. (2) Immersion for at least 24 hours in a 1% solution of formaldehyde prepared from 30 ml commercial formalin per litre of water. c. Raw hides and skins Salted for at least 28 days in sea salt containing 2% sodium carbonate. 3. Milk and Cream For the inactivation of viruses present in milk and cream, one of the following procedures should be used: a. Milk or cream for human consumption (1) Ultra-high temperature (UHT) (UHT = minimum temperature of 132°C for at least 1 second). (2) If the milk has a pH less than 7.0, simple high temperature short time pasteurization (HTST). (3) b. If the milk has a pH of 7.0 or over, double HTST. Milk for animal consumption (1) Double HTST ( 72°C for at least 15 seconds). (2) HTST combined with another physical treatment, e.g. maintaining a pH<6 for at least 1 hour or additional heating to at least 72°C combined with desiccation. (3) UHT combined with another physical treatment referred to in paragraph b) above. 2-D-2 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 4. Skins and Trophies from Wild Animals Susceptible to Foot and Mouth Disease For the inactivation of viruses present in skins and trophies from wild animals susceptible to FMD, one of the following processes should be used prior to complete taxidermal treatment: a. Boiling in water for an appropriate time so as to ensure that any matter other than bone, horns, hooves, claws, antlers or teeth is removed; b. Gamma irradiation at a dose of at least 20 kiloGray at room temperature (20°C or higher); c. Soaking, with agitation, in a 4% (w/v) solution of washing soda (sodium carbonate - Na2CO3) maintained at pH 11.5 or above for at least 48 hours; d. Soaking, with agitation, in a formic acid solution (100 kg salt (NaCl) and 12 kg formic acid per 1,000 litres water) maintained at below pH 3.0 for at least 48 hours. Wetting and dressing agents may be added; e. In the case of raw hides, salting for at least 28 days with sea salt containing 2% washing soda (sodium carbonate – Na2CO3). 2-D-3 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 CHAPTER 3 OVERVIEW OF TRANSMISSIBLE ANIMAL DISEASES 0301. Transmissible Diseases 1. In ANNEX A there is a concise description of the most transmissible diseases according to the former OIE list A, amalgamating the official prevention and control methods, in a simple way in order to be practicable to military personnel. 2. The diseases described in ANNEX A are the following: a. Foot and mouth disease (FMD). b. Vesicular stomatitis (VS). d. Swine vesicular disease (SVD). e. Rinderpest (Rind). f. Peste des petits ruminants (PPR). g. Contagious bovine pleuropneumonia (CBP). h. Lumpy skin disease (LSD). i. Rift Valley fever (RVF). j. Bluetongue (BLT). k. Sheep pox and goat pox (SGPOX). l. African horse sickness (AHS). m. African swine fever (ASF). n. Classical swine fever (CSF). o. Highly pathogenic avian influenza (HPAI). p. Newcastle disease (NCD). 3-1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ANNEX A OFFICIAL PREVENTION AND CONTROL METHODS OF MAJOR OIE LISTED TRANSMISSIBLE DISEASES (FORMER OIE LIST A) 1. Foot and Mouth Disease a. Etiology (1) Classification of the causative agent A virus of the family Picornaviridae, genus Aphthovirus. Seven immunologically distinct serotypes: A, O, C, SAT1, SAT2, SAT3, Asia1. (2) b. Resistance to physical and chemical action (a) Temperature: Preserved by refrigeration and freezing and progressively inactivated by temperatures above 50°C. (b) pH: Inactivated by pH <6.0 or >9.0. (c) Disinfectants: Inactivated by sodium hydroxide (2%), sodium carbonate (4%), and citric acid (0.2%). Resistant to iodophores, quaternary ammonium compounds, hypoclorite and phenol, especially in the presence of organic matter. (d) Survival: Survives in lymph nodes and bone marrow at neutral pH, but destroyed in muscle when is pH <6.0 i.e. after rigor mortis. Can persist in contaminated fodder and the environment for up to 1 month, depending on the temperature and pH conditions. Epidemiology (1) One of the most contagious animal diseases, with important economic losses. (2) Low mortality rate in adult animals, but often high mortality in young due to myocarditis. 3-A-1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (3) Hosts: Bovidae (cattle, zebus, domestic buffaloes, yaks), sheep, goats, swine, all wild ruminants and suidae. Camelidae (camels, dromedaries, llamas, vicunas) have low susceptibility. (4) Transmission (a) Direct or indirect contact (droplets). (b) Animate vectors (humans, etc.). (c) Inanimate vectors (vehicles, implements). (d) Airborne, especially temperate zones (up to 60 km overland and 300 km by sea). (5) Sources of virus (a) Incubating and clinically affected animals. (b) Breath, saliva, faeces, and urine; milk and semen (up to 4 days before clinical signs). (c) 6.0. Meat and by-products in which pH has remained above (d) Carriers: particularly cattle and water buffalo; convalescent animals and exposed vaccinates (virus persists in the oropharynx for up to 30 months in cattle or longer in buffalo, 9 months in sheep). African Cape buffalo are the major maintenance host of SAT serotypes. (6) Occurrence FMD is endemic in parts of Asia, Africa, the Middle East and South America (sporadic outbreaks in free areas). c. Diagnosis (1) Incubation period is 2-14 days. (2) Clinical diagnosis (a) Cattle i. Pyrexia, anorexia, shivering, reduction in milk production for 2-3 days, then smacking of the lips, 3-A-2 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 grinding of the teeth, drooling, lameness, stamping or kicking of the feet: caused by vesicles (aphthae) on buccal and nasal mucous membranes and/or between the claws and coronary band. ii. After 24 hours: rupture of vesicles leaving erosions. iii. Vesicles can also occur on the mammary glands. iv. Recovery generally occurs within 8-15 days. v. Complications: tongue erosions, superinfection of lesions, hoof deformation, mastitis and permanent impairment of milk production, myocarditis, abortion, death of young animals, permanent loss of weight, loss of heat control. (b) Sheep and goats Lesions are less pronounced. Foot lesions may go unrecognized. Lesions in dental pad of sheep. Agalactia in milking sheep and goats is a feature. Death of young stock. (c) Pigs May develop severe foot lesions particularly when housed on concrete. High mortality in piglets a frequent occurrence. d. Lesions (1) Vesicles or blisters on the tongue, dental pad, gums, cheek, hard and soft palate, lips, nostrils, muzzle, coronary bands, teats, udder, snout of pigs, corium of dewclaws and interdigital spaces. (2) Post-mortem lesions on rumen pillars, in the myocardium, particularly of young animals (tiger heart). e. Differential diagnosis (1) Clinically indistinguishable: (a) Vesicular stomatitis. (b) Swine vesicular disease. (c) Vesicular exanthema of swine. 3-A-3 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (2) f. Other differential diagnosis: (a) Rinderpest. (b) Mucosal disease. (c) Infectious bovine rhinotracheitis. (d) Bluetongue. (e) Bovine mammillitis. (f) Bovine papular stomatitis. (g) Bovine viral diarrhea. Laboratory diagnosis (1) Procedures (a) Identification of the agent i. ELISA. ii. Complement fixation test. iii. Virus isolation: inoculation of primary bovine thyroid cells and primary pig, calf and lamb kidney cells; inoculation of BHK-21 and IB-RS-2 cell lines; inoculation of mice. (b) (2) Serological tests i. ELISA. ii. Virus neutralization test. Samples (a) 1 gr of tissue from an unruptured or recently ruptured vesicle. Epithelial samples should be placed in a transport medium which maintains a pH of 7.2-7.4 and kept cool. (b) Esophageal-pharyngeal fluid collected by means of a probang cup Probang samples should be frozen to below -40°C immediately after collection. 3-A-4 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (3) Special precautions are required when sending perishable suspect FMD material within and between countries. g. Prevention And Control (1) Sanitary prophylaxis (a) Protection of free zones by border animal movement control and surveillance. (b) Slaughter of infected, recovered, and FMD-susceptible contact animals. (c) Disinfection of premises and all infected material (implements, cars, clothes, etc.). (d) Destruction of cadavers, litter, and susceptible animal products in the infected area. (e) (2) Quarantine measures. Medical prophylaxis (a) Inactivated virus vaccine containing an adjuvant. (b) Immunity: 6 months after two initial vaccinations, 1month apart, depending on the antigenic relationship between vaccine and outbreak strains. 3-A-5 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 2. Vesicular stomatitis a. Etiology (1) Classification of the causative agent Virus family Rhabdoviridae, genus Vesiculovirus. Major serotypes: New Jersey, Indiana (2) b. Resistance to physical and chemical action (a) Temperature: Inactivated by 58°C for 30 min. (b) pH:Stable between pH 4.0 and 10.0. (c) Chemicals:Ether and other organic solvents sensitive. (d) Disinfectants: Destroyed by formalin (1%). (e) Survival:Survives for long periods at low temperatures. Epidemiology (1) Morbidity rate variable, up to 90% in a herd. (2) Low mortality rate. (3) Hosts (a) Human (minor zoonosis). (b) Domestic hosts: equidae, bovidae, suidae. (c) Wild hosts: white-tailed deer and numerous species of small mammals in the tropics. (4) Transmission (a) Contamination by transcutaneous or transmucosal route. (b) Arthropod transmission (Phlebotomus, Aedes, etc.). (5) Seasonal variations: VS is more frequent in the rainy season in tropical areas, although in some countries is also registered (6) during the dry season. Generally disappears at the first frosts in temperate zones. 3-A-6 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (7) (8) Sources of virus (a) Saliva, exudates or epithelium of open vesicles. (b) Vectors. (c) Soil and plants (suspected). Occurrence The disease is limited to the Americas. (It was described in horses in France in 1915 and 1917, and in South Africa in 1886 and 1887.). c. Diagnosis (1) Incubation period is up to 21 days. (2) Clinical diagnosis The symptomatology is similar to that of foot and mouth disease (FMD), with which it can easily be confused (but horses are resistant to FMD and susceptible to VS): i. Excessive salivation. ii. Blanched raised or broken vesicles of various sizes in the mouth: aa. Horses: Upper surface of the tongue, surface of the lips and around nostrils, corners of the mouth and the gums. ab. Cattle: Tongue, lips, gums, hard palate, and sometimes muzzle and around the nostrils. ac. Pigs: Snout. iii. Lesions involving feet of horses and cattle are not exceptional. iv. Teat lesions occur in dairy herds. v. Foot lesions and lameness are frequent in pigs. vi. Recovery in around 2 weeks. 3-A-7 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 vii. Complication: loss of production and mastitis in dairy herds due to secondary infections, lameness in horses. d. Lesions Limited to the epithelial tissues of the mouth, teats and feet. e. Differential diagnosis (1) Clinically indistinguishable: (a) Foot and mouth disease. (b) Swine vesicular disease. (c) Vesicular exanthema of swine. (2) f. Other differential diagnosis: (a) Infectious bovine rhinotracheitis. (b) Bovine viral diarrhea. (c) Bluetongue. Laboratory diagnosis (1) Procedures (a) Identification of the agent i. Virus isolation: inoculation into embryonated chicken eggs; mice; tissue culture systems (chick fibroblasts, pig kidney, BHK-21, Vero); footpad of guinea pigs; horses and cattle; snout of pigs. ii. Viral antigen detection by complement fixation test, ELISA or neutralization tests in tissue culture, embryonated chicken eggs, or suckling mice. (b) Serological tests i. Virus neutralization. ii. ELISA. iii. Complement fixation. 3-A-8 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (2) Samples (a) Identification of the agent i. Epithelial tissue covering the vesicles placed in buffered glycerol or frozen. ii. (b) Vesicular fluid aseptically collected and frozen. Serological tests Paired acute and convalescent serum samples. (c) NB!! Serum antibodies reach high levels but reinfection may occur. As for FMD special precautions are required when sending perishable suspect VS material within and between countries. g. Prevention and Control No specific treatment. Antibiotics may avoid secondary (1) infection of abraded tissues. (2) Sanitary prophylaxis Animal movement should be restricted and a laboratory diagnosis must be performed rapidly.Trucks and fomites should be disinfected. (3) Medical prophylaxis Inactivated and attenuated virus vaccines have been experimentally tested, but are not yet available commercially.NB!! Differentiation from FMD is very important. 3-A-9 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 3. Swine vesicular disease a. Etiology (1) Classification of the causative agent Virus family Picornaviridae, genus Enterovirus. (2) Resistance to physical and chemical action (a) Temperature:Preserved by refrigeration and freezing, inactivated by 56°C/1 hour. (b) pH: Stable over a wide range of pH. (c) Disinfectants: In the presence of organic matter, inactivated by sodium hydroxide (1% combined with detergent). For personal disinfection in the absence of gross organic matter, disinfectants, such as oxidizing agents, iodophores, acids etc., are suitable if combined with detergent. (d) Survival: Resistant to fermentation and smoking processes. May remain in hams for 180 days, dried sausages for >1 year, and in processed intestinal casings for >2 years. b. Epidemiology (1) Morbidity rate in herds may be low but high in groups of pigs (in pens). (2) Does not cause death. (3) Hosts: (4) (a) Pigs. (b) Humans: laboratory personnel may seroconvert. Transmission (a) Virus readily infects via lesions in skin and mucosa. Direct contact or contact with excretions from infected pigs. Faecal contamination is a major source of virus spread, often within contaminated vehicles. (b) Meat scraps and swill derived from infected pigs 3 - A - 10 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (5) Virulent material (a) Intestinal tract is the primary site of infection. (b) All tissues contain virus during the viraemic period. (c) Epithelium from vesicles, vesicular fluid, faeces, and blood of sick animals. (6) Occurrence The disease has been recorded in Hong Kong, Japan and several European countries. c. Diagnosis (1) Incubation period is 2-7 days. (2) Clinical diagnosis The clinical signs of SVD may easily be confused with those of Foot and mouth disease (FMD): (a) Sudden appearance of lameness in several animals in a group in close contact. (b) Elevation of body temperature by 2-4°C. (c) On hard surfaces, animals may be observed to limp, stand with arched back, or refuse to move even in the presence of food. Young animals are more severely affected. (d) Vesicles occur on the snout and along the coronary band and interdigital spaces of the feet, and rarely on the epithelium of the buccal cavity, the tongue and the teats. (e) Vesicle rupture results in erosions on the skin of the limbs and the coronary bands of the feet. Footpads may be loosened. Pigs, particularly young stock, may lose the horny hoof . (f) Recovery occurs usually within 1 week, with a maximum of 3 weeks. (g) Some strains produce only mild clinical signs or are asymptomatic. d. Lesions 3 - A - 11 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 Vesicle formation is the only known lesion directly attributable to the infection. e. f. Differential diagnosis (1) Vesicular stomatitis. (2) Vesicular exanthema of swine. (3) Foot and mouth disease. (4) Laboratory confirmation is necessary. Laboratory diagnosis (1) Procedures (a) (b) (2) Identification of the agent i. ELISA. ii. Direct complement fixation test. iii. Cell-culture isolation (pig-derived cell cultures). Serological tests i. Virus neutralization. ii. ELISA. Samples Although the virus is very stable, samples must be submitted under the same conditions as those suspected to contain FMD virus, i.e. at pH 7.2-7.4. (3) Virus isolation (a) Vesicular fluid. (b) Epithelium from vesicles: at least 1 g in PBS containing glycerin 50% (pH 7.2-7.4). (c) Unclotted whole blood samples, collected during the febrile period. (d) Faecal samples from animals with and without lesions. 3 - A - 12 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (4) Serological tests (a) Serum samples (1-2 ml). (b) Also collect serum from other pigs on the premises to test for evidence of subclinical disease. (5) NB!!As for FMD, special precautions are required when sending perishable suspect SVD material within and between countries. g. Prevention and Control (1) No treatment. (2) No vaccination. (3) Sanitary prophylaxis (a) Strict quarantine. (b) Elimination of infected and contact pigs. (c) Prohibition of feeding with ship or aircraft garbage. (d) Thorough cooking of garbage. (f) Control of movement of pigs and vehicles used for transporting pigs. (g) Thorough disinfection of premises, transport vehicles, and equipment. (4) Medical prophylaxis Laboratory workers should observe the same caution that applies to any microbiologically contaminated material that may have the potential to cause human infection. 3 - A - 13 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 4. Rinderpest a. Etiology (1) Classification of the causative agent Virus family Paramyxoviridae, genus Morbillivirus. (2) Resistance to physical and chemical action (a) Temperature: Small 56°C/60 min or 60°C/30 min. amounts of (b) pH: Stable between pH 4.0 and 10.0. (c) Chemicals: Susceptible to lipid solvents. virus resist (d) Disinfectants: Susceptible to most common disinfectants (phenol, cresol, sodium hydroxide 2%/24 hours used at a rate of 1 litre/m2). (e) Survival: Remains viable for long periods in chilled or frozen tissues. b. Epidemiology (1) High morbidity rate, mortality rate is high with virulent strains but variable with mild strains (3) Hosts (a) Cattle, zebus, water buffaloes and many species of wild animals: African buffaloes, eland, kudu, wilde-beest, various antelopes, bushpigs, warthog, giraffes, etc. (b) Sheep, goats are susceptible. (c) Asian pigs seem more susceptible than African and European pigs. (4) (d) Rinderpest is rare among camelidae. (e) No age- or sex-linked predisposition. Transmission By direct or close indirect contacts. 3 - A - 14 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (5) Sources of virus (a) Shedding of virus begins 1-2 days before pyrexia in tears, nasal secretions, saliva, urine and faeces. (b) Blood and all tissues are infectious before the appearance of clinical signs. (c) Infection is via the epithelium of the upper or lower respiratory tract. (d) (6) No carrier state. Occurrence The virus has never established itself in the Americas or Australia/New Zealand. Its distribution in other parts of the world is restricted. In Africa it has been eradicated from several countries and sub-regions, and is normally absent from the northern and southern parts of the continent. Rinderpest occurs in the Middle East and in southwestern and central Asia. c. Diagnosis (1) Incubation period is 3-15 days. (2) Clinical diagnosis (a) Cattle and big ruminants: i. Classic form: four stages aa. Incubation period. ab. Febrile period (40-42°C), lasting 2-3 days with depression, anorexia, reduction of rumination, increase of respiratory and cardiac rate. ac. Mucous membrane congestion (oral, nasal, ocular and genital tract mucosae). ad. Intense mucopurulent lachrymation and abundant salivation. ae. Anorexia - necrosis and erosion of the oral mucosae. 3 - A - 15 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 af. Gastrointestinal signs appear when the fever drops: profuse hemorrhagic diarrhea containing mucus and necrotic debris. Severe tenesmus. Dehydration, abdominal pain, abdominal respiration, weakness, recumbence and death within 8-12 days. In rare cases, clinical signs regress by day 10 and recovery occurs by day 20-25. ii. Peracute form No prodromal signs, high fever (>40-42°C), sometimes congested mucous membranes, and death. This form occurs in highly susceptible young and newborn animals. iii. Subacute form Clinical signs limited to one or more of the classic signs. Low mortality rate. iv. Atypical form Irregular pyrexia and mild or no diarrhea. The lymphotropic nature of rinderpest virus favors recrudescence of latent infections and/or increased susceptibility to other infectious agents. (b) (c) Sheep, goats and pigs i. Variable pyrexia and anorexia. ii. Inconsistent diarrhea. Pigs Pyrexia, prostration, conjunctivitis, erosions of buccal mucosa, death q. Lesions (1) Either areas of necrosis and erosions, or congestion and hemorrhage in the mouth, intestines and upper respiratory tracts. (2) Enlarged and edematous lymph nodes. (3) White necrotic foci in Pepper’s patches. 3 - A - 16 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 e. (4) Zebra striping' in the large intestine. (5) Carcass emaciation and dehydration. Differential diagnosis (1) (2) Cattle (a) Foot and mouth disease. (b) Bovine viral diarrhea / mucosal disease. (c) Infectious bovine rhinotracheitis. (d) Malignant catarrhal fever. (e) Vesicular stomatitis. (f) Salmonellosis. (g) Necrobacillosis. (e) Paratuberculosis. (f) Arsenic poisoning. Small ruminants Peste des petits ruminants f. Laboratory diagnosis (1) Procedures (a) Identification of the agent i. Antigen detection aa. Agar gel immunodiffusion test. ab. tests. Direct and indirect immunoperoxidase ac. Counter immunoelectrophoresis. ad. Immunohistopathology. 3 - A - 17 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ii. Virus isolation and identification aa. Virus isolation. ab. Virus neutralization. ac. Immunoperoxidase staining. ad. VERO or bovine kidney cell cultures. iii. Virus RNA detection aa. Rinderpest-specific cDNA probes. ab. Amplification reaction (PCR). (b) (2) by polymerase chain Serological tests i. ELISA. ii. Virus neutralization. Samples Sterile whole blood preserved in heparin (10 IU/ml) or (a) EDTA (0.5 mg/ml) and transferred to laboratory on ice (but not frozen). (b) Spleen, prescapular or mesenteric lymph nodes of dead animals chilled to sub-zero temperatures. (c) Ocular and nasal secretions of infected animals during either the prodromal or the erosive phase. g. Prevention And Control (1) No treatment. (2) Sanitary prophylaxis (a) Isolation or slaughtering of sick and in-contact animals. (b) Destruction of cadavers. (c) Disinfection. 3 - A - 18 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (d) (3) Protection of free zones. Medical prophylaxis (a) Cell-culture attenuated virus vaccines are highly effective. (b) The commonly used vaccine is an attenuated strain of rinderpest virus. In some countries a mixed rinderpest/contagious bovine pleuropneumonia vaccine is used Immunity lasts at least 5 years and is probably life-long. Annual revaccination is recommended in order to obtain a high percentage of immunized animals in an area Genetically engineered thermostable recombinant vaccines are currently undergoing limited field trials. 3 - A - 19 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 5. Peste des petits ruminants a. Etiology (1) Classification of the causative agent Virus family Paramyxoviridae, genus Antigenically close to rinderpest virus. (2) Morbillivirus. Resistance to physical and chemical action (a) Temperature:Some virus may resist 60°C/60 min. (b) pH: Stable between pH 4.0 and 10.0. (c) Chemicals: Susceptible to alcohol, ether, detergents. (d) Disinfectants: Susceptible to most disinfectants, e.g. phenol, sodium hydroxide 2%/24 hours. (e) Survival: Survives for long periods in chilled and frozen tissues. b. Epidemiology (1) Morbidity rate 90% (susceptible population). (2) Mortality rate 50-80% (susceptible population). (3) Hosts (a) Sheep and especially goats. To date diagnosed only in captive wild ungulates from families of Gazellinae (dorcas gazelle), Caprinae (Nubian ibex and Laristan sheep) and Hippotraginae (gemsbok). (b) Experimentally the American white-tailed (Odocoileus virginianus) is fully susceptible. deer (c) Cattle and pigs develop unapparent infections •Breedlinked predisposition in goats. (4) Transmission (a) Direct contact between animals. (b) No carrier state. (c) Seasonal variations: more frequent outbreaks during the rainy season or the dry cold season. 3 - A - 20 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (5) Sources of virus Tears, nasal discharge, coughed secretions, and all secretions and excretions of incubating and sick animals. (6) Occurrence PPR occurs in Africa, the Arabian Peninsula, the Middle East and India. c. Diagnosis (1) Incubation period is 3-10 days. (2) Clinical diagnosis (a) Acute form Sudden rise in body temperature (40-41°C) with i. effects on the general state: restlessness, dull coat, dry muzzle, depression of appetite. ii. Serous nasal discharge becoming mucopurulent and resulting, at times, in a profuse catarrhal exudate which crusts over and occludes the nostrils. Respiratory distress. iii. Small areas of necrosis on the visible nasal mucous membrane. iv. Congestion of conjunctiva, crusting on the medial canthus and sometimes profuse catarrhal conjunctivitis. v. Necrotic stomatitis with halitosis is common. vi. Severe non-hemorrhagic diarrhea. vii. Bronchopneumonia evidenced by coughing is a common feature. viii. Abortion. ix. Dehydration, emaciation, hypothermia and death within 5-10 days. (b) dyspnoea, Peracute form Frequent in goats 3 - A - 21 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (c) Subacute and chronic forms i. Frequent in some areas because of local breed susceptibility. ii. 10-15 days development with inconsistent symptoms. iii. d. Pneumopathy. Lesions (1) Emaciation, conjunctivitis, erosive stomatitis involving the inside of the lower lips and adjacent gum near the commisures and the free portion of the tongue. (2) Lesions on the hard palate, pharynx and upper third of the esophagus in severe cases. (3) Rumen, reticulum and omasum rarely have lesions. (4) Small streaks of hemorrhages and sometimes erosions: in the first portion of the duodenum and the terminal ileum. (5) Extensive necrosis and sometimes severe ulceration of Peyer's patches. (6) Congestion around the ileo-caecal valve, at the caeco-colic junction and in the rectum. 'Zebra stripes' of congestion in the posterior part of the colon. (7) Small erosions and petechiae on the nasal mucosa, turbinates, larynx and trachea. (8)Bronchopneumonia is a constant lesion. (9) Possibility of pleuritis and hydrothorax. (10) Congestion and enlargement of spleen. (11) Congestion, enlargement and edema of most of the lymph nodes. (12) e. Erosive vulvovaginitis may exist. Differential diagnosis (1) Rinderpest. (2) Contagious caprine pleuropneumonia . 3 - A - 22 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 f. (3) Bluetongue. (4) Pasteurellosis. (5) Contagious ecthyma. (6) Foot and mouth disease. (7) Heartworm. (8) Coccidiosis. (9) Mineral poisoning. Laboratory diagnosis (1) Procedures (a) Identification of the agent i. ii. Antigen detection aa. Agar gel immunodiffusion. ab. Counter immunoelectrophoresis. ac. Indirect fluorescent antibody test. ad. ELISA. ae. Immunohistopathology. Virus isolation and identification aa. In primary lamb kidney cells or VERO cell line. ab. Virus neutralization. ac. Electron microscopy. ad. Virus RNA detection. ae. PPR-specific cDNA probes. af. Amplification reaction (PCR). by polymerase chain 3 - A - 23 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (b) (2) Serological tests i. Virus neutralization. ii. Competitive ELISA. iii. Counter immunoelectrophoresis. iv. Agar gel immunodiffusion. v. Immunodiffusion inhibition test. Samples Swabs of the conjunctival discharges and from the (a) nasal, buccal and rectal mucosae. (b) Whole blood collected on anticoagulant should be mixed gently). heparin (blood and (c) Lymph nodes, especially the mesenteric and bronchial nodes. g. (d) Spleen. (e) Large intestine and lungs. (f) Samples should be transported under refrigeration. Prevention and Control (1) No specific treatment. (2) Antibiotics may prevent secondary pulmonary infections (oxytetracycline, chlortetracycline). (3) Sanitary prophylaxis Recommended when the disease appears in previously PPRfree countries (see Rinderpest). (4) Medical prophylaxis (a) Rinderpest vaccine is commonly used. (b) A homologous PPR vaccine is also available and is preferable, to avoid confusion when retrospective serological surveys are done. 3 - A - 24 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (c) Both vaccines give strong immunity. (d) Genetically engineered recombinant vaccines are currently undergoing limited field trials. 3 - A - 25 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 6. Contagious bovine pleuropneumonia a. Etiology (1) Classification of the causative agent Mycoplasma mycoides subsp. mycoides SC (bovine biotype). Mycoplasmas are microorganisms deprived of cell walls and are, therefore, pleomorphic and resistant to antibiotics of the beta-lactamine group, such as penicillin.Growth of the mycoplasma is relatively fastidious and requires special media rich in cholesterol (addition of serum).There is only one antigenic type (2) Resistance in the environment and to chemicals Mycoplasma mycoides subsp. mycoides (SC) is not (a) resistant in the environment and transmission requires close contact (b) Temperature: In saline solution - susceptible to 45°C/120 min and/or 47°C/2 min In lymph - susceptible to 45°C/240 min and/or 60°C/2 min. (c) pH: It is inactivated by acid and alkaline pH. (d) Chemicals: Susceptible to ether, mercuric chloride (0.01%), calcium hydroxide, phenol (1%/3 min), and formaldehyde solution (0.5%/30 seconds). (e) b. Survival: Survives well in frozen tissues. Epidemiology (1) Hosts Cattle (Bos taurus), zebu (Bos indicus) and water buffalo (Bubalus bubalis). Wild bovines and camels are resistant. (2) Transmission (a) Aerial, mostly by direct contact: droplets emitted by coughing animals, saliva, and urine. Transmission up to several kilometers has been suspected under favorable climatic conditions. (b) Transplacental infection can occur. (c) Unapparent carriers are a major source of infection. 3 - A - 26 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (d) Cattle movement is important in the spread of the disease. (3) Virulent material Lungs, pleuropneumonia lymph and possibly brain, liver, kidneys, lymph nodes, uterus, fetus and fetal membranes, and urine. (4) Occurrence CBPP is widespread in Africa and it is also present in other regions of the world, including southern Europe, the Middle East and parts of Asia. In Africa, its economic importance is particularly high in Sahelian and Sahelo-Sudanese countries. c. Diagnosis (1) Incubation period is 1-3 months (sometimes longer). (2) During an outbreak of natural disease, only 33% of animals present symptoms (hyperacute or acute forms), 46% are infected but have no symptoms (subclinical forms) and 21% seem to be resistant. (3) Clinical diagnosis (a) In adults i. Moderate fever with respiratory, pulmonary and pleuretic symptoms: polypnoea, characteristic attitude (elbows turned out, arched back, head extended), cough (at first dry, slight, and not fitful, becoming moist). ii. When the animal gets up or after exercise, breathing becomes labored and grunting can be heard. iii. At percussion, dull sounds can be noticed in the low areas of the thorax. (b) In calves i. Pulmonary tropism is not the general rule, and infected calves present arthritis with swelling of the joints. ii. Co-existence of pulmonary symptoms in adults and arthritis in young animals should alert the clinician to a diagnosis of CBPP. 3 - A - 27 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 d. Lesions (1) Important amount of yellow or turbid exudate in the pleural cavity (up to 30 litres) that coagulates to form large fibrinous clots. (2) Fibrinous pleurisy: thickening and inflammation of the pleura with fibrous deposits. (3) Interlobular edema, marbled appearance due to hepatisation and consolidation at different stages of evolution usually confined to one lung. (4) Sequestrae with fibrous capsule surrounding gray necrotic tissue in recovered animals. e. Differential diagnosis (1) Acute form (a) East Coast fever. (b) Acute bovine pasteurellosis. (c) Bronchopneumonia and pleuropneumonia resulting from mixed infections. (2) f. Chronic form (a) Hydatid cyst. (b) Actinobacillosis and tuberculosis, bovine farcy. Laboratory diagnosis (1) Procedures (a) Identification of the agent i. Isolation of pathogen and identification by metabolic and growth inhibition tests. (b) ii. MF-dot. iii. Polymerase chain reaction. Serological tests i. Complement fixation. This test should be used only at herd level and never for individual diagnosis. 3 - A - 28 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ii. Competitive ELISA (under validation by International Atomic Energy Agency and several reference laboratories), and haemagglutination. iii. Agglutination test can be used as penside test in active outbreaks at the herd level. (2) Samples (a) Lung lesions, pleural fluids, lymph nodes, lung tissue exudate - frozen for isolation of the organism. (b) g. Acute and convalescent sera. Prevention and Control (1) No efficient treatment. Antibiotic treatment should be prohibited. (2) Sanitary prophylaxis (a) In disease-free areas: i. Quarantine. ii. Serological tests (complement fixation) iii. Slaughtering of all animals of the herd in which positive animals have been found. (b) Control of cattle movements is the most efficient way of limiting the spread of CBPP. (3) Medical prophylaxis (a) In infected areas: a CBPP vaccine containing T1 strain is widely used. (b) used. (4) A CBPP-rinderpest combined vaccine is sometimes Surveillance Recommended Standards for Epidemiological Surveillance for Contagious Bovine Pleuropneumonia were drawn up by an OIE Ad hoc Group on 7-9 June 1993. After revision, these standards were approved by the International Committee during the 63rd General Session. 3 - A - 29 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 7. Lumpy skin disease a. Etiology (1) Classification of the causative agent Virus family Poxviridae, genus Capripoxvirus. (2) Resistance to physical and chemical action (a) min. Temperature: Susceptible to 55°C/2 hours, 65°C/30 (b) pH: Susceptible to highly alkaline or acid pH. (c) Chemicals: Susceptible to ether (20%), chloroform, formalin (1%), and some detergents, e.g. sodium dodecyl sulphate. (d) Disinfectants: Susceptible to phenol (2%/15 min). (e) Survival: Survives for long periods at ambient temperature, especially in dried scabs. b. Epidemiology (1) Morbidity rate 5-85%. (2) Mortality rate very variable. (3) Hosts (a) Cattle (Bos taurus, zebus, domestic buffaloes). (b) Oryx (Oryx beisa), giraffe (Giraffe camelopardalis) and impala (Aepyceros melampus) are susceptible to experimental infection, but the role of wild fauna still has to be clarified. LSD virus will also replicate in sheep and goats following inoculation. (4) Transmission Transmission may occur via infected saliva in the absence of an insect vector. Though no specific vector has been identified to date, mosquitoes (e.g. Culex mirificens and Aedes natrionus) and flies (e.g. Stomoxys calcitrans and Biomyia fasciata) could play a major role. (5) Sources of virus 3 - A - 30 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (a) Skin and cutaneous lesions (virus may survive 40 days in lesions), crusts. (6) (b) Saliva, nasal discharge. (c) Milk. (d) Semen. (e) Muscles. (f) Spleen. (g) Lymph nodes. (h) There is no carrier state. Occurrence Until 1988 LSD was confined to sub-Saharan Africa, but then spread into Egypt. As of 1995, there has been only one laboratory confirmed outbreak of LSD outside Africa, in Israel in 1989, which was eliminated by slaughter of all infected and in-contact cattle, and vaccination. c. Diagnosis (1) Incubation period is approximately 12 days. (2) Clinical diagnosis (a) LSD symptoms range from unapparent to severe disease. (b) Fever (40-41.5°C) either transitory or lasting up to 2 weeks. (c) Swellings or nodules of 1-5 cm in diameter and larger, in the skin. Generalization usually occurs. (d) Depression, anorexia, excessive salivation, oculonasal discharge, agalactia and emaciation. (e) Painful nodules, especially in the skin of the muzzle, nares, back, legs, scrotum, perineum, eyelids, lower ear, nasal mucosa, oral mucosa and tail. Nodules affect the whole skin, the subcutaneous tissue and sometimes the musculature. In the 3 - A - 31 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 course of the disease, the nodules may become necrotic and sometimes deep scabs form (which are called 'sitfast'). (f) Lameness resulting from inflammation and necrosis of tendons, and from severe edema of brisket and legs. (g) Superficial lymph nodes draining areas of the infected skin may become enlarged to four-to-ten times their normal size. (h) Complications: i. Secondary bacterial infection of teat - lesions that may lead to severe mastitis and loss of the quarter. ii. Secondary bacterial infection of tendon and joint, which may result in permanent lameness. iii. Abortion, intrauterine infection, and temporary sterility in bulls and cows may occur. d. Lesions (1) Nodules involving all layers of skin, subcutaneous tissue, and often adjacent musculature, with congestion, hemorrhage, edema, vasculitis and necrosis. (2) Enlargement of lymph nodes draining affected areas with lymphoid proliferation, edema, congestion and hemorrhage. (3) Pox lesions of mucous membrane of the oral and nasal cavities, and sometimes the pharynx, epiglottis and trachea. (4) Edema and areas of focal lobular atelectasis in lungs. (5) Pleuritis with enlargement of the mediastinal lymph nodes in severe cases. e. (6) Synovitis and tendosynovitis with fibrin in the synovial fluid. (7) Pox lesions may be present in the testicles and urinary bladder. Differential diagnosis (1) Pseudo lumpy skin disease. (2) Bovine herpes mammillitis. (3) Dermatophilosis. 3 - A - 32 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 f. (4) Ringworm. (5) Insect or tick bites. (6) Besnoitiosis. (7) Rinderpest. (8) Demodicosis. (9) Hypoderma bovis infection. (10) Photosensitisation. (11) Bovine papular stomatitis. (12) Urticaria. (13) Cutaneous tuberculosis. (14) Onchocercosis. Laboratory diagnosis (1) Procedures (a) Identification of the agent i. Electron microscopy. ii. Inoculation of primary cell culture of lamb or calf testis and: aa. Microscopic examination. ab. Haematoxylin and eosin staining of intracytoplasmic inclusion bodies. (b) ac. Direct immunofluorescent staining. ad. Virus neutralization. ae. ELISA. Serological tests i. Indirect fluorescent antibody test. 3 - A - 33 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (2) ii. Virus neutralization. iii. ELISA. Samples (a) Identification of the agent i. Skin biopsy from an early lesion: aa. A portion is fixed for histopathological examination. ab. A portion dispatched in a transport medium is used for virus isolation. ii. Lesions (even dry crusts) removed from the skin, subcutis, or oropharynx of dead animals. (b) Serological tests Frozen sera from both acute and convalescent animals. g. Prevention and Control (1) No specific treatment. Strong antibiotic therapy may avoid secondary infection. (2) Sanitary prophylaxis (a) Free countries: survey of importation of livestock, carcasses, hides, skins and semen. (b) Infected countries: i. Strict quarantine to avoid introduction of infected animals in to safe herds. ii. In cases of outbreaks, isolation and prohibition of animal movements. iii. Slaughtering of all sick and infected animals (as far as possible). iv. Correct incineration). v. disposal of dead animals (e.g. Disinfection of premises and implements. 3 - A - 34 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 vi. Vector control in premises and on animals. vii. With the exception of vaccination, control measures are usually not effective. (c) Vector control in ships and aircraft is highly recommended. (3) Medical prophylaxis (a) Homologous attenuated virus vaccine: i. Neethling strain: immunity conferred lasts up to 3 years. (b) Heterologous attenuated virus vaccine: i. Sheep pox vaccine, but may cause local, sometimes severe, reactions. ii. Follow manufacturer's instructions. Not advised in countries free from sheep and goat pox. 3 - A - 35 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 8. Rift Valley fever a. Etiology (1) Classification of the causative agent Virus family Bunyaviridae, genus Phlebovirus. (2) Resistance to physical and chemical action (a) Temperature: Survives several months at 4°C. In serum, inactivated by 56°C for 120 minutes. (b) <6.8. pH: Resistant to alkaline pH but inactivated by pH (c) Chemicals: Inactivated by ether and chloroform. (d) Disinfectants: Inactivated by strong solutions of sodium or calcium hypochlorite (residual chlorine should exceed 5000 ppm). (e) Survival: Survives in dried discharges and multiplies in some arthropod vectors. Can survive contact with 0.5% phenol at 4°C for 6 months. b. Epidemiology (1) High mortality rate in young animals. (2) High abortion rate in ruminants. (3) Hosts (a) Cattle, sheep, goats, dromedaries, several rodents. (b) Wild ruminants, buffaloes, antelopes, wildebeest, etc. (c) Humans are very susceptible (major zoonosis). (d) African monkeys and domestic carnivores present a transitory viraemia. (4) Transmission 3 - A - 36 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (a) Haematophagous mosquitoes of many genera (Aedes, Anopheles, Culex, Eretmapodites, Mansonia, etc.) can transmit fever as biological, competent vectors. Mosquitoes (Aedes) are the reservoir host. (b) Direct contamination: occurs in humans when handling infected animals and meat. (5) Sources of virus (a) For animals: wild fauna and vectors. (b) For humans: nasal discharge, blood, vaginal secretions after abortion in animals, mosquitoes, and infected meat. Possibly also by aerosols and consumption of raw milk. (6) Occurrence RVF has been recognized exclusively in African countries, with an underlying association with high rainfall and dense populations of vector mosquitoes. The only epizootic outbreaks of RVF outside subSaharan Africa were recorded in animals and humans in Egypt in 197778, Mauritania in 1987 and again in Egypt in 1993. Laboratory infections have been recorded in other parts of the world. c. Diagnosis (1) Incubation period varies from 1 to 6 days. (2) Clinical diagnosis (a) Cattle i. Calves: fever (40-41°C), depression. Mortality rate: 10-70%. ii. Adults: fever (40-41°C), excessive salivation, anorexia, weakness, fetid diarrhoea, fall in milk yield. Abortion may reach 85% in the herd. Mortality rate is usually less than 10%. (b) Sheep, goats and pigs Lambs: fever (40-42°C), anorexia, weakness, i. and death within 36 hours after inoculation. Mortality rate: for animals under 1 week of age - up to 90%; for animals over 1 week of age - up to 20%. 3 - A - 37 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ii. Adults: fever (40-41°C), mucopurulent nasal discharge, vomiting; in pregnant ewes, abortion may reach 100% and mortality may reach 20-30%. iii. Unapparent infections are quite frequent in other species than sheep. (c) Humans i. Influenza-like syndrome: fever (37.8-40°C), headache, muscular pain, weakness, nausea and epigastric discomfort, photophobia. Recovery occurs within 4-7 days. ii. Complications: retinopathy, blindness, meningoencephalitis, hemorrhagic syndrome with jaundice, petechiae and death. d. Lesions (1) Focal or generalized hepatic necrosis (white necrotic foci of about 1 mm in diameter). (2) Congestion, enlargement, and discoloration of liver with subcapsular hemorrhages • Brown-yellowish color of liver in aborted fetuses. (3) Widespread cutaneous hemorrhages, petechial to ecchymotic hemorrhages on parietal and visceral serosal membranes. (4) Enlargement, edema, hemorrhages and necrosis of lymph nodes. (5) Congestion gallbladder. e. and cortical (6) Hemorrhagic enteritis. (7) Icterus (low percentage). hemorrhages of kidneys and Differential diagnosis (1) Bluetongue. (2) Wesselsbron disease. (3) Enterotoxemia of sheep. 3 - A - 38 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 f. (4) Ephemeral fever. (5) Brucellosis. (6) Vibriosis. (7) Trichomonosis. (8) Nairobi sheep disease. (9) Heartwater. (10) Ovine enzootic abortion. (11) Towic plants. (12) Bacterial septicaemias. (13) Rinderpest and Peste des petits ruminants. Laboratory diagnosis (1) Procedures (a) Identification of the agent i. Virus isolation: aa. Inoculation of mice or hamsters preferred method. ab. Inoculation of 1-2-day-old lambs. ac. eggs. Inoculation of embryonated chicken ad. Tissue culture inoculation (Vero, CER, BHK-21, mosquito line cells or primary calf, lamb and goat kidney and testis cells) in combination with immunofluorescence. ii. Viral antigen identification by immunofluorescence in cryostat sections or in impression smears of liver, spleen and brain. Also by complement fixation and immunodiffusion on tissue suspensions. 3 - A - 39 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 iii. Antigen detection in blood: immunodiffusion, enzyme immunoassay. (b) (2) Serological tests i. IgM. Enyzme-linked immunosorbent assay - IgG and ii. Virus neutralization. iii. Fluorescent antibody test. iv. Haemagglutination inhibition. v. Plaque reduction neutralization. vi. Complement fixation. vii. Immunodiffusion. Samples (a) Heparinised or clotted blood. (b) Plasma or serum. (c) Tissue samples of liver, spleen, kidney, lymph node, heart blood and brain from aborted fetus. Specimens should be submitted preserved in 10% buffered formalin and in glycerol/saline and transported at 4°C. g. Prevention and Control No specific treatment. Symptomatic treatment in severe human (1) cases. (2) Sanitary prophylaxis Hygiene and vector control have had little effect. (3) Medical prophylaxis (a) Attenuated virus vaccine (Smithburn strain). i. One inoculation confers immunity lasting 3 years. ii. Residual pathogenicity for pregnant ewes (abortion). 3 - A - 40 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 iii. (b) Pathogenic for humans. Inactivated - virus vaccine. Requires two inoculations and annual revaccination. 3 - A - 41 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 9. Bluetongue a. Etiology (1) Classification of the causative agent Virus family Reoviridae, genus Orbivirus. 24 serotypes have been identified. (2) Resistance to physical and chemical action (a) Temperature: 60°C/15 minutes. (b) pH: (c) Chemicals: Inactivated by 50°C/3 hours; Sensitive to pH <6.0 and >8.0. Inactivated by ί-propiolactone. (d) Disinfectants: phenolic compounds. Inactivated by iodophores and (e) Survival: Very stable in the presence of protein (e.g. has survived for years in blood stored at 20°C). b. Epidemiology Mortality rate normally low in sheep but up to 10% in some (1) epizooties. (2) Noncontagious. (3) Hosts (a) Sheep: disease; variation in breed susceptibility. (b) Cattle, goats, dromedaries, wild ruminants: generally inapparent infection. (4) Transmission Biological vectors: Culicoides spp. (5) Sources of virus (a) Infected Culicoides. (b) Blood. 3 - A - 42 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (c) (6) Semen. Occurrence The virus is present in a broad band of countries extending approximately between 40°N and 35°S. The bluetongue virus has been shown by serology to be present in regions where the Culicoides vector is present (e.g. Africa, the Americas, Australia and some countries of southern Asia and Oceania). However, clinical disease with confirmation by virus isolation has been observed in a few countries only. c. Diagnosis (1) Incubation period is 5-20 days. (2) Clinical diagnosis (a) Acute form (sheep and some species of deer). i. Pyrexia up to 42°C, depression. ii. Inflammation, ulceration, erosion and necrosis of the mucosae of the mouth. iii. Swollen and sometimes cyanotic tongue. iv. Lameness due to coronitis or pododermatitis and myositis. v. Abortion. vi. Complications of pneumonia. vii. Emaciation. viii. Either death within 8-10 days or long recovery with alopecia, sterility and growth delay. (b) Unapparent infection Frequent in cattle and other species (cf. epidemiology). d. Lesions (1) Congestion, edema, hemorrhages and ulcerations of digestive and respiratory mucosae (mouth, esophagus, stomach, intestine, pituitary mucosa, tracheal mucosa). 3 - A - 43 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (2) Congestion of hoof laminae and coronary band. (3) Hypertrophy of lymph nodes and splenomegaly. (4) Severe bilateral complications occur). e. f. broncholobular pneumonia (when Differential diagnosis (1) Contagious ecthyma. (2) Foot and mouth disease. (3) Photosensitization. (4) Pneumonia. (5) Polyarthritis, footrot, foot abscesses. (6) Plant poisonings. (7) Peste des petits ruminants. (8) Coenurosis. (9) Epizootic hemorrhagic disease of deer. Laboratory diagnosis (1) Procedures (a) Isolation of the agent i. Inoculation of sheep. ii. Intravascular inoculation embryonated chicken eggs. (b) in 10-12-day-old Identification of the agent Plaque reduction serum neutralization (for serotyping many cross-reactions). (c) Serological tests i. Competitive ELISA. 3 - A - 44 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (2) ii. Agar gel immunodiffusion. iii. Virus neutralization. iv. Complement fixation. Samples (a) Isolation and identification of the agent i. Living animals: blood in heparin. ii. Freshly dead animals: spleen, liver, red bone marrow, heart blood, lymphnodes. iii. Aborted and congenitally infected newborn animals: precolostrum serum plus same samples as for freshly dead animals. iv. All samples have to be preserved at 4°C, and not frozen. (b) Serological tests Paired sample sera. g. Prevention And Control (1) Sanitary prophylaxis (a) No efficient treatment (b) Disease-free areas: (c) (2) i. Quarantine and serological survey. ii. Vector control, especially in aircraft. Infected areas: Vector control. Medical prophylaxis Vaccination with modified live virus vaccine. Serotypes incorporated into the vaccine must be the same as those causing infection in the field. 3 - A - 45 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 10. Sheep pox and goat pox a. Etiology (1) Classification of the causative agent Virus family Poxviridae, genus Capripoxvirus. (2) Resistance to physical and chemical action (a) min. Temperature: Susceptible to 56°C/2 hours; 65°C/30 (b) pH: Susceptible to highly alkaline or acid pH (c) Chemicals: Sensitive to ether (20%), chloroform, and formalin (1%). (d) Disinfectants: Inactivated by phenol (2%) in 15 min. Sensitive to detergents, e.g. sodium dodecyl sulphate. (e) Survival: Can survive for many years in dried scabs at ambient temperatures. Virus remains viable in wool for 2 months and in premises for as long as 6 months. b. Epidemiology (1) Morbidity rate: Endemic areas 70-90%. (2) Mortality rate: Endemic areas 5-10%, although can approach 100% in imported animals. (3) Hosts Sheep and goats (breed-linked predisposition and dependent on strain of capripoxvirus). (4) Transmission (a) Direct contact. (b) Indirect transmission by contaminated implements vehicles or products (litter, fodder). (c) Indirect transmission by insects (mechanical vectors) has been established (minor role). 3 - A - 46 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (d) Contamination by inhalation, intradermal or subcutaneous inoculation, or by respiratory, transcutaneous and transmucosal routes. (5) Sources of virus (a) Cutaneous lesions (crusts, nodules) resulting in aerosols. (6) (b) Saliva. (c) Nasal secretions from sick animals for 1 or 2 months. (d) Faeces. Occurrence Sheep pox and goat pox are endemic in most of Africa, the Middle East and Asia. c. Diagnosis (1) Incubation period is up to 21 days. Following contact, incubation period is approximately 12 days, but is shorter than this following intradermal inoculation by insects. (2) Clinical diagnosis (a) Subclinical cases. (b) Clinical cases vary from mild to severe: i. Fever, depression, polypnoea. ii. Conjunctivitis, lacrimation, rhinitis, edema of eyelids, photophobia. iii. Cutaneous eruption beginning with erythematous areas especially noticeable in hair or wool-free parts of the body, such as the perineum, inguinal area, scrotum, udder, muzzle, eyelids and axillae. iv. (c) Lesions evolve into papules Papulo-vesicular form. 3 - A - 47 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 i. Papules become a white-gray colour, desiccate and form crusts that are easy to remove. ii. Rarely, papules may transform into vesicles. After rupture of vesicles, a thick crust covers the lesions. (d) Nodular form ('stone pox'). i. Papules give rise to nodules involving all the layers of the skin and the subcutaneous tissue. ii. hairless scar Necrosis and sloughing of the nodules leaves a (e) In both forms, nodules develop in the lungs causing bronchopneumonia with cough, abundant nasal discharge, depression, anorexia and emaciation. (f) Animals may recover within 20-30 days. (g) Death is frequent when complications occur (abortion, which is rare, secondary infections, fly strike, septicaemia, digestive localization). d. Lesions (1) Skin lesions: congestion, hemorrhage, edema, vasculitis and necrosis. All the layers of epidermis, dermis and sometimes musculature are involved. (2) Lymph nodes draining infected areas: enlargement (up to eight times normal size), lymphoid proliferation, edema, and congestion, hemorrhage. (3) Pox lesions: on mucous membranes of the eyes, mouth, nose, pharynx, epiglottis, trachea, on the rumenal and abomasal mucosae, and on the muzzle, nares, in the vulva, prepuce, testicles, udder, and teats. Lesions may coalesce in severe cases. (4) Lung lesions: severe and extensive pox lesions, focal and uniformly distributed throughout the lungs; congestion, edema, focal areas of proliferation with necrosis, lobular atelectasis. Enlargement, congestion, edema and hemorrhages of mediastinal lymph nodes. e. Differential diagnosis (1) Bluetongue. 3 - A - 48 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 f. (2) Peste des petits ruminants. (3) Contagious ecthyma. (4) Photosensitisation. (5) Dermatophilosis. (6) Insect bites. (7) Parasitic pneumonia. (8) Caseous lymphadenitis. (9) Mange (scrabies). Laboratory diagnosis (1) Procedures (a) Identification of the agent i. Cell inoculation and identification by immunofluorescence staining of intracytoplasmic inclusion bodies. ii. Inhibition of cytopathic effect using positive serum. iii. Antigen detection ELISA. iv. Lamb testis and goat testis, and goat cells kidney. (b) Serological tests i. Virus neutralization. ii. Indirect fluorescent antibody test. iii. Agar gel immunodiffusion. iv. ELISA. v. NB!! Differentiation from lumpy skin disease is not possible by serological methods. 3 - A - 49 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (2) Samples (a) Full skin thickness biopsies taken within 1 week of the first appearance of the lesions. g. (b) Lesions in the lungs. (c) Paired sera. Prevention and Control (1) No treatment. (2) Sanitary prophylaxis (a) Isolation of infected herds and sick animals for at least 45 days after recovery. (b) Slaughtering of infected herd (as far as possible). (c) Proper disposal of cadavers and products. (d) Stringent disinfection. (e) Quarantine before introduction into herds. (f) Animal and vehicle movement controls within infected areas. (3) Medical prophylaxis (a) There are numerous attenuated virus vaccines delivered by subcutaneous or intradermal route. (b) The conferred immunity lasts up to 2 years. 3 - A - 50 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 11. African Horse Sickness a. Etiology (1) Classification of the causative agent Viscerotropic virus, family Reoviridae, genus Orbivirus. (3) Resistance to physical and chemical action (a) min. Temperature: Inactivated by 50°C/3 hours; 60°C/15 (b) pH: Survives between pH 6.0 and 12.0. (c) Chemicals: Inactivated by ether and ß-propiolactone 0.4%. (d) Disinfectants: Inactivated by formalin 0.1%/48 hours. Also phenol and iodophores. (e) b. Survival: Survives at 37°C/37 days. Epidemiology (1) Mortality rate in horses is 70-95%, in mules it is around 50%, and in donkeys it is around 10%. (2) Hosts (a) Reservoir host still unknown. (b) Usual hosts: horses, mules, donkeys, zebra. (c) Occasional hosts: elephants, onager, camels, and dogs (after eating infected blood or horsemeat). (3) Transmission (a) Not directly contagious. (b) Usual mode of transmission: Culicoides spp., i.e. biological vector. (c) Occasional mode of transmission: mosquitoes - Culex, Anopheles and Aedes spp.; ticks - Hyalomma, Rhipicephalus. 3 - A - 51 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (d) Moist mild conditions and warm temperatures favor the presence of insect vectors. (e) Virus movement over long distances via windborne infected vectors has been suggested. (4) Sources of virus (a) Viscera and blood of infected horses. (b) Semen, urine and all shed and secreted products. (c) Viraemia in horses may extend for as long as 18 days, but usually lasts for fewer days - about 4-8 days. In zebras and donkeys viraemia may last up to 28 days. (5) Occurrence As its name indicates, AHS is a truly African disease that is endemic in the central tropical regions of the continent, from where it spreads regularly to Southern Africa and occasionally to Northern Africa. A few outbreaks have occurred outside Africa, such as in the Near and Middle East (1959-63), in Spain (1966, 1987-90) and in Portugal (1989). c. Diagnosis (1) days. Incubation period is usually 7-14 days, but may be as short as 2 (2) Clinical diagnosis (a) Subclinical form: fever (40-40.5°C) and general malaise for 1-2 days. (b) Subacute or cardiac form: fever (39-41°C), swelling of the supraorbital fossa, eyelids, facial tissues, neck, thorax, brisket and shoulders. Death usually within 1 week. (c) Acute respiratory form: fever (40-41°C), dyspnoea, spasmodic coughing, dilated nostrils with frothy fluid oozing out, redness of conjunctivae, death from anoxia within 1 week. 3 - A - 52 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (d) A mixed form (cardiac and pulmonary) occurs frequently: pulmonary signs of a mild nature that do not progress, edematous swellings and effusions, death from cardiac failure, usually within 1 week. (e) In the majority of cases, the subclinical cardiac form is suddenly followed by marked dyspnoea and other signs typical of the pulmonary form. (f) d. A nervous form may occur, though it is rare. Lesions (1) Interlobular respiratory form: edema of the lungs, hydropericardium, pleural effusion, edema of thoracic lymph nodes, patchily hemorrhages in pericardium. (2) Cardiac form: subcutaneous and intramuscularly gelatinous edema, epicardial and endocardial ecchymoses, myocarditis, haemorrhagic gastritis. e. f. Differential diagnosis (1) Anthrax. (2) Equine infectious anemia. (3) Equine viral arteritis. (4) Trypanosomosis. (5) Equine encephalosis. (6) Piroplasmosis. (7) Purpura haemorrhagica. Laboratory diagnosis (1) Procedures (a) Virus isolation Suckling mice or cell culture (BHK, MS, VERO). (b) Virus identification i. ELISA. 3 - A - 53 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (c) (2) ii. Virus neutralization (Serotyping). iii. Polymerase chain reaction (PCR). Serological diagnosis i. ELISA. ii. Complement fixation. iii. Immunoblotting. Samples (a) Virus isolation i. Blood specimens obtained at the peak of the fever are preserved in OPG (50% glycerol, 0.5% potassium oxalate, 0.5% phenol) or heparin 10 IU/ml and transported at 4°C to the laboratory. ii. Spleen, lung and lymph node samples collected from freshly dead animals are preserved in 10% buffered glycerine and transported at 4°C to the laboratory. (b) Serology Serum: preferably paired samples should be taken 21days apart and kept frozen at -20°C. g. Prevention and Control (1) No efficient treatment. (2) Sanitary prophylaxis (a) Virus identification (group and type). (b) Slaughtering of affected horses and destruction of cadavers. (c) Vector control (insecticides, repellents, screens). (d) Identification of vaccinated horses. 3 - A - 54 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (3) Medical prophylaxis (a) Vaccination of non-infected horses: i. Polyvalent vaccine. ii. Monovalent vaccine (better when virus has been typed). iii. Monovalent inactivated vaccine (only for serotype 4). 3 - A - 55 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 12. African Swine Fever a. Etiology (1) Classification of the causative agent DNA virus not classified to date. Has characteristics of an Iridovirus and a Poxvirus. (2) Resistance to physical and chemical action (a) Temperature: Highly resistant to low temperatures. Heat inactivated by 56°C/70 min; 60°C/20 min. (b) PH: Inactivated by pH <3.9 or >11.5 in serum-free medium. Serum increases the resistance of the virus, e.g. at pH 13.4 - resistance lasts up to 21 hours without serum, and 7 days with serum. (c) Chemicals: Susceptible to ether and chloroform. (d) Disinfectants: Inactivated by 8/1,000 sodium hydroxide (30 min), hypochlorites - 2.3% chlorine (30 min), 3/1,000 formalin (30 min), 3% ortho-phenylphenol (30 min) and iodine compounds. (e) Survival: Remains viable for long periods in blood, faeces and tissues. Can multiply in vectors. b. Epidemiology (1) Hosts Pigs, warthogs, bush pigs, European wild boar, American wild pigs. Species-linked predisposition: African wild swine (warthogs and bush pigs) are usually inapparently infected (2) Transmission (a) Direct transmission: i. (b) Contact between sick and healthy animals. Indirect transmission: i. Feeding with garbage containing infected meat. 3 - A - 56 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ii. Biological vectors: soft ticks of the genus Ornithodoros. iii. Fomites: premises, vehicles, implements, clothes. (3) Sources of virus (a) Blood, tissues, secretions and excretions of sick and dead animals. (b) A carrier state exists, especially in African wild swine, and in domestic pigs in enzootic areas. (c) (4) Soft ticks of genus Ornithodorus. Occurrence African swine fever is enzootic in most countries of SubSaharan Africa. In Europe it has been reported in the Iberian Peninsula and in Sardinia. It was present in four South American and Caribbean countries, but has been eradicated. c. Diagnosis (1) Incubation period is 5-15 days. (2) Clinical diagnosis (a) Acute form (highly virulent virus) i. Fever (40.5-42°C). ii. Early leucopaenia and thrombocytopaenia (4872 hours). iii. Reddening of the skin (white pigs) - tips of ears, tail, distal extremities, ventral aspects of chest and abdomen. iv. Anorexia, listlessness, cyanosis and incoordination within 24-48 hours before death. v. Increased pulse and respiratory rate. vi. Vomiting, diarrhoea (sometimes bloody) and eye discharges may exist. 3 - A - 57 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 vii. Death within 6-13 days, or up to 20 days. viii. Abortion may occur in pregnant sow . ix. Survivors are virus carriers for life. x. In domestic swine, the mortality rate often approaches 100%. (b) Subacute form (moderately virulent virus) i. Less intense symptoms. ii. Duration of illness is 5-30 days. iii. Abortion in pregnant sows. iv. Death within 15-45 days. v. Mortality rate is lower (e.g. 30-70%, varies widely). (c) Chronic form i. Various signs: loss of weight, irregular peaks of temperature, respiratory signs, necrosis in areas of skin, chronic skin ulcers, arthritis. ii. Pericarditis, adhesions of lungs, swellings over joints. d. iii. Develops over 2-15 months. iv. Low mortality. Lesions (1) Acute form (not all lesions are seen; this depends on the isolate). (a) Pronounced hemorrhages in the gastrohepatic and renal lymph nodes. (b) Petechial hemorrhages of the renal cortex, also in medulla and pelvis of kidneys. (c) Congestive splenomegaly. 3 - A - 58 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (d) Edematous areas of cyanosis in hairless parts. (e) Cutaneous ecchymoses on the legs and abdomen. (f) Excess of pleural, pericardial and/or peritoneal fluid. (g) Petechiae in the mucous membranes of the larynx and bladder, and on visceral surfaces of organs. (h) Edema in the mesenteric structures of the colon and adjacent to the gall bladder; also wall of gall bladder. (2) Chronic form (a) Focal caseous necrosis and mineralisation of the lungs may exist. (b) e. Lymph nodes enlarged. Differential diagnosis (1) Classical swine fever (CSF) (hog cholera). It is not possible to differentiate ASF and CSF by clinical or post-mortem examination. It is essential to send samples for laboratory examination. f. (2) Erysipelas. (3) Salmonellosis. (4) Pasteurellosis. (5) All septicaemic conditions. Laboratory diagnosis (1) Procedures (a) Identification of the agent i. Isolation: aa. Cell culture inoculation (primary cultures of pig monocytes or bone marrow cells - most isolates produce haemadsorption). ab. Pig inoculation - unvaccinated and vaccinated against classical swine fever (hog cholera). 3 - A - 59 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ac. Antigen detection by direct immunofluorescence. ad. Detection of virus genome by polymerase chain reaction (PCR). ii. Serological tests (Group-specific) aa. ELISA. ab. Indirect fluorescent antibody test. ac. Immunoblotting (confirmatory test). ad. Counter immunoelectrophoresis test (only for screening of large groups). iii. use. (2) Type-specific tests - none available for routine Samples (a) Identification of the agent i. Blood collected during the early febrile stage in heparin (10 IU/ml) or EDTA (0.5%). ii. Small pieces (2-5 g) of spleen, kidney and lymph nodes kept at 4°C. (b) Serological tests Serum collected within 8-21 days after infection in convalescent animals. g. Prevention and Control (1) No treatment. (2) No vaccine to date. (3) Sanitary prophylaxis (a) Free countries 3 - A - 60 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 i. Careful import policy for animals and animal products. ii. Proper disposal of waste food from aircraft or ships coming from infected countries. iii. (b) Efficient sterilisation of garbage. In outbreaks i. Rapid slaughtering of all pigs and proper disposal of cadavers and litter is essential. ii. Thorough cleaning and disinfection. iii. Designation of infected zone, with control of pig movements. iv. Detailed epidemiological investigation, with tracing of possible sources (up-stream) and possible spread (down-stream) of infection. v. area. (c) Surveillance of infected zone, and surrounding Infected countries Avoid contact between pigs and soft tick vectors (Africa) - i.e. prevent pigs from wandering. 3 - A - 61 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 13. Classical Swine Fever (hog cholera) a. Etiology (1) Classification of the causative agent Virus Family Flaviviridae, genus Pestivirus. (2) Resistance to physical and chemical action (a) Temperature: Partially resistant to moderate heat (56°C). (b) pH: Inactivated by pH <3.0 or pH >11.0. (c) Chemicals: propiolactone 0.4%. Susceptible to ether, chloroform or (d) Disinfectants: Inactivated by cresol, sodium hydroxide (2%), formalin (1%), sodium carbonate (4% anhydrous or 10% crystalline, with 0.1% detergent), ionic and non-ionic detergents, strong iodophors (1%) in phosphoric acid. (e) Survival: Survives well in cold conditions and can survive some forms of meat processing (curing and smoking). b. Epidemiology (1) Hosts Pigs and wild boar are the only natural reservoir of classical swine fever virus (2) Transmission (a) Direct contact between animals (secretions, excretions, semen, blood). (b) Spread by farm visitors, veterinarians, pig traders. (c) Indirect contact through premises, implements, vehicles, clothes, instruments and needles. (d) Insufficiently cooked waste food fed to pigs. (e) Transplacental infection. 3 - A - 62 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (3) Sources of virus (a) Blood and all the tissues, secretions and excretions of sick and dead animals. (b) Congenitally infected piglets are persistently viraemic and may shed the virus for months. (c) Infection routes are: ingestion, contact with the conjunctiva, the mucous membranes, skin abrasions, insemination, percutaneous blood transfer. (4) Occurrence The disease occurs in much of Asia, Central and South America, and parts of Europe and Africa. Many countries are free of the disease. c. Diagnosis (1) Incubation period is 2-14 days. (2) Clinical diagnosis (a) Acute form i. Fever (41°C), anorexia, lethargy. ii. Multifocal hyperemia and hemorrhagic lesions of the skin, conjunctivitis. iii. Cyanosis of the skin especially of extremities (ears, limbs, tail, snout). iv. Transient constipation followed by diarrhea. v. Vomiting (occasional). vi. Dyspnoea, coughing. vii. Ataxia, paresis and convulsion. viii. Pigs huddle together. ix. Death occurs 5-15 days after onset of illness. x. Mortality in young pigs can approach 100%. 3 - A - 63 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (b) Chronic form i. Dullness, capricious appetite, pyrexia, diarrhea for up to 1 month. ii. Apparent recovery with eventual relapse and death. (c) Congenital form i. Congenital tremor, weakness. ii. Runting, poor growth over a period of weeks or months leading to death. iii. Clinically normal but persistently viraemic pigs, with no antibody response. (d) Mild form (sows) i. Transient pyrexia and inappetence. ii. Fetal stillbirth. d. death, resorption, mummification, iii. Birth of live, congenitally affected piglets. iv. Abortion (rare). Lesions (1) Acute form (a) Leucopaenia and thrombocytopaenia. (b) Widespread petechiae and ecchymoses, especially in the skin, lymph nodes, larynx, bladder, kidney, ileocaecal junction. (c) Multifocal infarction of the margin of the spleen is characteristic but not always present. (2) (d) Enlarged hemorrhagic lymph nodes are common. (e) Encephalomyelitis with perivascular cuffing. Chronic form 3 - A - 64 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (3) (a) Button ulcers in the caecum and large intestine. (b) Generalized depletion of lymphoid tissue. (c) Hemorrhagic and inflammatory lesions are often absent. Congenital form Central microencephaly, malformations. e. dysmyelinogenesis, cerebellar pulmonary hypoplasia, hydrops hypoplasia, and other Differential diagnosis African swine fever (indistinguishable clinico-pathologically. It (1) is essential to send samples for laboratory examination). f. (2) Infection with bovine viral diarrhea virus. (3) Salmonellosis. (4) Erysipelas. (5) Acute pasteurellosis. (6) Other viral encephalomyelitis. (7) Streptococcosis. (8) Leptospirosis. (9) Coumarin poisoning. Laboratory diagnosis (1) Procedures (a) Identification of the agent i. Direct immunofluorescence test on cryostat sections of organs from affected pigs. ii. Virus isolation in cell culture, with virus detection by immunofluorescence or immunoperoxidase. Confirmatory identification with monoclonal antibodies. (b) Serological tests 3 - A - 65 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (2) i. Neutralization peroxidase-linked assay. ii. Fluorescent antibody virus neutralization. iii. ELISA. Samples (a) Identification of the agent i. Tonsil. ii. Lymph nodes (pharyngeal, mesenteric). iii. Spleen. iv. Kidney. v. Distal ileum. vi. Blood in EDTA (live cases). vii. Kept under refrigeration and shipped to laboratory as quickly as possible. (b) Serological tests Serum samples from suspect recovered animals, from sows with suspected congenitally infected litters, or from pigs under surveillance. g. Prevention and Control (1) No treatment is possible. Affected pigs must be slaughtered and the carcasses buried or incinerated. (2) Sanitary prophylaxis (a) Effective communication between veterinary authorities, veterinary practitioners and pig farmers. (b) Effective disease reporting system. (c) Strict import policy for live pigs, and fresh and cured pig meat. (d) Quarantine of pigs before admission into herd. (e) Efficient sterilization (or prohibition) of waste food fed to pigs. 3 - A - 66 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (f) Efficient control of rendering plants. (g) Structured serological surveillance targeted to breeding sows and boars. (h) (3) Effective pig identification and recording system. Medical prophylaxis Vaccination with modified live virus strains is effective in preventing losses in countries where classical swine fever is enzootic, but is unlikely, on its own, to eliminate infection entirely. In countries which are free of disease, or where eradication is in progress, vaccination is normally prohibited. (4) Response to outbreaks (a) Slaughter of all pigs on affected farms. (b) Disposal of carcasses, bedding, etc. (c) Thorough disinfection. (d) Designation of infected zone, with control of pig movements. (e) Detailed epidemiological investigation, with tracing of possible sources (up-stream) and possible spread (down-stream) of infection. (f) Surveillance of infected zone, and surrounding area. 3 - A - 67 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 14. Highly pathogenic avian influenza a. Etiology (1) Classification of the causative agent Virus family Orthomyxoviridae, genus Influenza virus A, B. To date, all highly pathogenic isolates have been influenza A viruses of subtypes H5 and H7. (2) Resistance to physical and chemical action (a) min. Temperature: Inactivation by 56°C/3 hours; 60°C/30 (b) pH: Inactivated by acid pH. (c) Chemicals: Inactivated by oxidizing agents, sodium dodecyl sulphate, lipid solvents, ί-propiolactone. (d) Disinfectants: Inactivated by formalin and iodine compounds. (e) Survival: Remains viable for long periods in tissues, faeces and also in water. b. Epidemiology (1) Highly contagious. (2) Hosts (a) Highly pathogenic avian influenza isolates have been obtained primarily from chickens and turkeys. (b) It is reasonable to assume all avian species are susceptible to infection. (3) Transmission (a) Direct contact with secretions from infected birds, especially faeces. (b) Contaminated feed, water, equipment and clothing. (c) Clinically normal waterfowl and sea birds may introduce the virus into flocks. 3 - A - 68 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (d) Broken contaminated eggs may infect chicks in the incubator. (4) Sources of virus (a) Faeces, respiratory secretions. (b) Highly pathogenic viruses may remain viable for long periods of time in infected faeces, but also in tissues and water. (5) Occurrence Apathogenic and mildly pathogenic influenza A viruses occur worldwide. Highly pathogenic avian influenza A (HPAI) viruses of the H5 and H7 HA subtypes have been isolated occasionally from freeliving birds in Europe and elsewhere. Outbreaks due to HPAI were recorded in the Pennsylvania area, USA, in the years 1983-84. More recently outbreaks have occurred in Australia, Pakistan and Mexico. There is evidence that H5 viruses of low pathogenicity may mutate and become highly pathogenic. HPAI infections are very rarely seen, and should not be confused with viruses of low pathogenicity, which may also be of H5 or H7 subtypes. c. Diagnosis (1) Incubation period is 3-5 days. (2) Clinical diagnosis (a) Severe depression, inappetence. (b) Drastic decline in egg production. (c) Facial edema with swollen and cyanotic combs and wattles. d. (d) Petechial hemorrhages on internal membrane surfaces. (e) Sudden deaths (mortality can reach 100%). (f) Virus isolation needed for definitive diagnosis. Lesions (1) Chickens (a) Lesions may be be absent in cases of sudden death. 3 - A - 69 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (b) Severe congestion of the musculature. (c) Dehydration. (d) Subcutaneous edema of the head and neck area. (e) Nasal and oral cavity discharge. (f) Severe congestion of conjunctivae, sometimes with petechiae. (g) Excessive mucous exudate in the lumen of the trachea, or severe hemorrhagic tracheitis. (h) Petechiae on the inside of the sternum, on the serosa and abdominal fat, serosal surfaces and in the body cavity. (i) Severe kidney congestion, sometimes with urate deposits in the tubules. (j) Hemorrhages and degeneration of the ovary. (k) Hemorrhages on the mucosal surface of the proventriculus, particularly at the juncture with the gizzard. (l) Hemorrhages and erosions of the gizzard lining. (m) Hemorrhagic foci on the lymphoid tissues in the intestinal mucosa . (2) The lesions in turkeys are similar to those in chickens, but may not be as marked. (3) Ducks infected with HPAI and excreting the virus, may not show any clinical signs or lesions. e. f. Differential diagnosis (1) Acute fowl cholera. (2) Velogenic Newcastle disease. (3) Respiratory diseases, especially infectious laryngotracheitis. Laboratory diagnosis 3 - A - 70 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (1) Procedures (a) Identification of the agent i. Inoculation of 9-11-day-old chicken eggs followed by: aa. embryonated Demonstration of haemagglutination. ab. Immunodiffusion test to confirm the presence of influenza A virus. ac. Subtype determination monospecific antisera. with ad. Strain virulence evaluation: evaluation of the intravenous pathogenicity index (IVPI) in 48-week-old chickens. (b) Serological tests i. Haemagglutination inhibition tests. ii. (2) and haemagglutination Agar gel immunodiffusion. Samples (a) Identification of the agent Tracheal and cloacal swabs (or faeces) from live birds or from pools of organs and faeces from dead birds (b) Serological tests Clotted blood samples or serum. g. Prevention and Control (1) No treatment. (2) Sanitary prophylaxis (a) Avoidance of contact between poultry and wild birds, in particular waterfowl. (b) Avoidance of the introduction of birds of unknown disease status into flock. 3 - A - 71 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (c) Control of human traffic. (d) Proper cleaning and disinfection procedures. (e) One age group per farm ('all in-all out') breeding is recommended. (3) (4) In outbreaks (a) Slaughtering of all birds. (b) Disposal of carcasses and all animal products. (c) Cleaning and disinfection. (d) Allow at least 21 days before restocking. Medical prophylaxis In the past, it has been considered counterproductive to vaccinate against HPAI as some vaccinated individuals may, nonetheless, become infected and shed virulent virus. However, in the recent outbreaks in Pakistan and Mexico, inactivated vaccines have been employed to combat rapidly spreading disease. 3 - A - 72 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 15. Newcastle disease a. Etiology (1) Classification of the causative agent Virus family Paramyxoviridae, genus Rubulavirus (2) Resistance to physical and chemical action (a) min. Temperature: Inactivated by 56°C/3 hours, 60°C/30 (b) pH: Inactivated by acid pH. (c) Chemicals: Ether sensitive. (d) Disinfectants: Inactivated by formalin and phenol. (e) Survival: Survives for long temperature, especially in faeces. b. periods at ambient Epidemiology (1) Hosts (a) Many species of birds, both domestic and wild. (b) The mortality and morbidity rates vary among species, and with the strain of virus. (c) Chickens are the most susceptible poultry, ducks and geese are the least susceptible poultry. (d) A carrier state may exist in psittacine and some other wild birds. (2) Transmission Direct contact with secretions, especially faeces, from (a) infected birds. (b) Contaminated feed, water, implements, premises, human clothing, etc. (3) Sources of virus (a) Respiratory discharges, faeces. 3 - A - 73 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (b) All parts of the carcass. (c) Virus is shed during the incubation period and for a limited period during convalescence. (d) Some psittacine birds have been demonstrated to shed ND virus intermittently for over 1 year. (4) Occurrence Newcastle disease is endemic in many countries of the world. Some European countries have been free of the disease for years. c. Diagnosis (1) Incubation period is 4-6 days. (2) Clinical diagnosis (a) Respiratory and/or nervous signs: i. Gasping and coughing. ii. Drooping wings, dragging legs, twisting of the head and neck, circling, depression, inappetence, complete paralysis. (b) Partial or complete cessation of egg production. (c) Eggs are misshapen, rough-shelled, thin-shelled and contain watery albumen. (d) Greenish watery diarrhea. (e) Swelling of the tissues around the eyes and in the neck. (f) Morbidity and mortality depend on virulence of the virus strain, degree of vaccinal immunity, environmental conditions, and condition of the flock. d. Lesions (1) There are no pathognomonic gross lesions. (2) Several birds have to be examined to make a tentative diagnosis. (3) Final diagnosis must await virus isolation and identification. 3 - A - 74 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (4) Lesions that may be found are: (a) Edema of the interstitial or peritracheal tissue of the neck, especially near the thoracic inlet. (b) Congestion and sometimes hemorrhage on tracheal mucosa. (c) Petechiae and small ecchymoses on the mucosa of the proventriculus, concentrated around the orifices of the mucous glands. (d) Edema, hemorrhages, necrosis or ulcerations of lymphoid tissue in the intestinal wall mucosa. (e) e. f. Edema, hemorrhages or degeneration of ovaries. Differential diagnosis (1) Fowl cholera. (2) Avian influenza. (3) Laryngotracheitis. (4) Fowl pox (diphtheritic form). (5) Psittacosis (chlamydiosis) (psittacine birds). (6) Mycoplasmosis. (7) Infectious bronchitis. (8) Pacheco's parrot disease (psittacine birds). (9) Also management errors such as deprivation of water, air, feed. Laboratory diagnosis (1) Procedures (a) Identification of the agent i. Inoculation of 9-11-day-old chicken eggs followed by: aa. Examination activity. of embryonated haemagglutination 3 - A - 75 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ab. Inhibition of haemagglutination by ND virus-specific antiserum. (b) Pathogenicity assessment i. Plaque test in chicken embryo fibroblast cultures. ii. Mean death time of embryonated chicken eggs. iii. Intracerebral pathogenicity index in 1-day-old chickens. iv. Intravenous pathogenicity index (IVPI) in 6week-old chickens. (c) (2) Serological tests i. Haemagglutination inhibition test. ii. ELISA. Samples (a) Identification of the agent Tracheal and cloacal swabs (or faeces) from live birds or from pools of organs and faeces from dead birds. (b) Serological tests Clotted blood samples or serum. g. Prevention and Control (1) No treatment. (2) Sanitary prophylaxis (a) Strict isolation of outbreaks. (b) Destruction of all infected and exposed birds. (c) Thorough cleaning and disinfection of premises. (d) Proper carcass disposal. (e) Pest control in flocks. 3 - A - 76 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (f) Depopulation followed by 21 days before restocking. (g) Avoidance of contact with birds of unknown health status. (h) Control of human traffic. (i) One age group per farm ('all in-all out') breeding is recommended. (3) Medical prophylaxis (a) Vaccination with live and/or oil emulsion vaccines can markedly reduce the losses in poultry flocks. (b) Live B1 and La Sota strains are administrated in drinking water or as a coarse spray. Sometimes administered intranasally or intraocularly. Healthy chickens may be vaccinated as early as day 1-4 of life, but delaying vaccination until the second or third week increases its efficiency. (c) Some other infections (e.g. Mycoplasma) may aggravate the vaccine reaction. Killed virus vaccine should then be used. 3 - A - 77 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 CHAPTER 4 THE WORLD ORGANISATION FOR ANIMAL HEALTH (OIE) 0401. General Description of OIE 1. The OIE is the intergovernmental organisation responsible for improving animal health worldwide. 2. Headquarters Office International des Epizooties 12, rue de Prony 75017 Paris, France Tel.: 33 – (0)1 44.15.18.88 Fax: 33 – (0)1 42.67.09.87 E-mail: [email protected] 3. The main objects of the organisation are: a. To promote and co-ordinate all experimental and other research work concerning the pathology or prophylaxis of contagious diseases of livestock for which international collaboration is deemed desirable. b. To collect and bring to the attention of the Governments or their sanitary services, all facts and documents of general interest concerning the spread of epizootic diseases and the means used to control them. c. To examine international draft agreements regarding animal sanitary measures and to provide signatory Governments with the means of supervising their enforcement. 3. The organisation is placed under the authority and control of a World Assembly of Delegates consisting of Delegates designated by the Governments of all Member Countries 4. The day-to-day operation of the OIE is managed at the Headquarters situated in Paris and placed under the responsibility of a Director General elected by the International Committee. The Headquarters implements the resolutions passed by the International Committee and developed with the support of Commissions elected by the Delegates: 4-1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 a. Council b. Regional Commissions (5) c. Specialist Technical Commissions (4) 5. The OIE's financial resources are derived principally from compulsory annual contributions backed up by voluntary contributions from Member Countries and Territories. 6. The OIE enjoys permanent working relations with most international organisations, including the Food and Agriculture Organization of the United Nations (FAO), the World Health Organization (WHO), the World Trade Organization (WTO), the Inter-American Institute for Cooperation on Agriculture (IICA) and the Pan American Health Organization (PAHO). 7. The OIE has defined objectives (Annex A) and comprises member countries, almost equal to number of UN member countries, with certain legalities (Annex B). 4-2 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ANNEX A OIE’s MAIN OBJECTIVES AND STRUCTURE 1. The main objectives of OIE are: a. Transparency. b. Scientific information. c. International solidarity. d. Sanitary safety. e. Promotion of Veterinary Services. f. Food safety and animal welfare. 2. The priority function of the OIE is to inform Governmental Veterinary Services of the occurrence and course of epizootics which could endanger animal or human health. 3. The OIE has established a warning/informative system, the World Animal Health Information System, which enables Member Countries to act rapidly should the need arise. a. The Governments inform the OIE of the measures adopted by them to control epizootics, especially such measures enforced at their own frontiers to protect their territory against imports from infected countries. As far as possible they furnish information in reply to inquiries sent to them by the Organisation. b. All information collected by the OIE are to be brought to the attention of the participating States by means of a bulletin or by special notifications which shall be sent to them either automatically or upon request. 4. Scientific information is also disseminated through numerous other publications, listed in this Annex. 5. By collecting, processing and disseminating data on the world animal health situation, the OIE provides Member Countries with the essential information needed to launch national control programmes, and to formulate animal health regulations for international trade. 6. In the world economy, the unimpeded flow of international trade in animals and animal products requires: 4-A-1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 a. Veterinary regulations designed to prevent the spread of transmissible diseases to animals and to human beings. b. The harmonisation of requirements for such trade, in order to avoid unjustified trade barriers. 7. The Sanitary and Phytosanitary Agreement of the World Trade Organization explicitly recommends the use of standards, guidelines and recommendations developed under the auspices of the OIE. 8. The following normative works, approved by the OIE International Committee, promote the harmonisation of regulations applicable to trade in animals and animal products: a. The Code, prepared by the Terrestrial Animal Health Standards Commission provides standards for international trade. b. The Manual, prepared by the Biological Standards Commission, gives the standardised diagnostic techniques and vaccine control methods for use in international trade. c. A Code and a Manual for aquatic animals are prepared by the Aquatic Animal Health Standards Commission. 9. Expertise on animal diseases. The first objective assigned to the OIE by the International Agreement of 25 Jan. 1924 was to promote and coordinate research into the surveillance and control of animal diseases throughout the world. This task is undertaken by Specialist Commissions and Working Groups, with support from Collaborating Centers and Reference Laboratories, as well as by the organisation of meetings of experts and the publication of scientific articles. 10. Specialist Commissions. a. The role of the OIE's Specialist Commissions is to use current scientific information to study problems of epidemiology and the prevention and control of animal diseases, to develop and revise OIE's international standards and to address scientific and technical issues raised by Member Countries. b. The OIE is continuing to improve the transparency of its standards development process, in order to have the best scientific basis for its standards and to gain their widest possible support. All reports from OIE Specialist Commissions are published on the OIE public website and incorporate as appendices the accepted reports from relevant OIE working groups and ad hoc 4-A-2 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 groups. The OIE does not solicit comments on these reports other than from Delegates, but will not refuse comments from organisations with an interest in the OIE's work, as they often represent a very useful source of information. c. Four Specialist Commissions are currently active: (1) The Terrestrial Animal Health Standards Commission ("Code Commission") (a) Founded in 1960, the Code Commission is responsible for ensuring that the recommendations of the Terrestrial Animal Health Code (the Terrestrial Code) reflect current scientific information on the protection of international trade and surveillance methods for animal diseases and zoonoses. It works with internationally renowned specialists to prepare draft texts for new articles for the Terrestrial Code and to revise existing articles in light of advances in veterinary science. As well, the Code Commission collaborates closely with the Aquatic Animal Health Standards Commission on issues needing a harmonised approach, and with the Biological Standards Commission and the Scientific Commission for Animal Diseases to ensure the Code Commission is utilising the latest scientific information in its work. (b) The views of the Delegates of Member Countries are routinely sought through the circulation of draft and revised texts and, at each General Session, the Delegates discuss and formally adopt the draft texts as OIE standards. These texts are then incorporated into the next edition of the Terrestrial Code. (c) Members of the Commission are elected by the International Committee for a period of three years. (2) The Scientific Commission for Animal Diseases ("Scientific Commission") Founded in 1946, this Commission assists in identifying the most appropriate strategies and measures for disease prevention and control.. It also examines Member Country submissions regarding their animal health status for those countries that wish to be included on the OIE list of countries 'free' of certain diseases (see OIE 'Disease-free' status and 'Disease-free' recognition procedures). The Commission is elected by the International Committee for a three year term. (3) The Biological Standards Commission ("Laboratories Commission") 4-A-3 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 Founded in 1949, this Commission is responsible for establishing or approving methods for diagnosing diseases of mammals, birds and bees and for recommending the most effective biological products such as vaccines. It oversees the production of the Manual of Diagnostic Tests and Vaccines for Terrestrial Animals (the" Manual"), recognised as an international standard text by the SPS Agreement of the WTO. The Commission also selects OIE Reference Laboratories for disease of terrestrial animals, and promotes the preparation and distribution of standard reagents for diagnostic testing. The Commission is elected by the International Committee for a three year term. (4) Aquatic Animal Health Standards Commission (Aquatic Animals Commission) Founded in 1960, this Commission compiles information on diseases of fish, molluscs and crustaceans and on methods used to control these diseases. The Commission produces the Aquatic Animal Health Code (the "Aquatic Code") and the Manual of Diagnostic Tests and Vaccines for Aquatic Animals (the "Aquatic Manual"). The Commission also organises scientific meetings on diverse topics of importance to aquaculture. The Commission is elected by the International Committee for a three year term. 11. Working Groups a. OIE permanent Working Groups are responsible for continuingly reviewing developments in their fields, and for keeping OIE Member Countries informed of current issues through scientific meetings, seminars, workshops and training courses. b. Three Working Groups are currently operating: (1) Working Group on Wildlife diseases Founded in 1994, this Working Group informs and advises the OIE on all health problems relating to wild animals, whether in the wild or in captivity. It has prepared recommendations and oversees numerous scientific publications on the surveillance and control of the most important specific wildlife diseases. The Working Group comprises world-leading scientific experts in their subject areas. (2) Working Group on Animal Welfare A permanent Working Group on Animal Welfare was established in 2002 to coordinate and manage the animal welfare activities of the OIE. 4-A-4 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 (3) Working Group on Food Safety A permanent Working Group on Food Safety was established in 2002 to coordinate and manage the animal production food safety activities of the OIE. 12. Ad hoc Groups Ad hoc Groups are convened as required by the Director General of the OIE to examine specific scientific and technical issues. Comprising leading specialists from OIE Member Countries, their reports serve as guides for the Specialist Commissions and the International Committee in forming recommendations and making decisions. 13. OFFLU (Joint OIE/FAO worldwide scientific network for the control of avian influenza) a. In April 2005, the World Organisation for Animal Health (OIE) and the Food and Agriculture Organization of the United Nations (FAO) launched a new joint scientific worldwide network to support the veterinary services in the control Avian Influenza (OFFLU). b. The objectives of the new network are: (1) To exchange scientific data and biological materials (including virus strains) within the network, and to share such information with the wider scientific community. (2) To offer technical advice and veterinary expertise to Member Countries to assist in the prevention, diagnosis, surveillance and control of avian influenza. (3) To collaborate with the WHO influenza network on issues relating to the animal-human interface, including early preparation of human vaccine. (4) To highlight avian influenza research needs, promote their development and ensure co-ordination. c. Through an active and permanent scientific cooperation, the network will develop and harmonise synergistic research projects in different parts of the world. Sharing permanently updated scientific information and expertise on efficient control methods of the animal disease will provide a pro-active approach in helping infected countries to eradicate the disease and free countries to protect themselves. 14. Reference Laboratories a. OIE Reference Laboratories are designated to pursue all the scientific and technical problems relating to a named disease on the OIE lists. The role 4-A-5 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 of a Reference Laboratory is to function as a centre of expertise and standardisation of diagnostic techniques for its designated disease. The Expert, responsible to the OIE and its Member Countries with regard to these issues, should be a leading and active researcher helping the Reference Laboratory to provide scientific and technical assistance and expert advice on topics linked to surveillance and control of the disease for which the Reference Laboratory is responsible. They may also provide scientific and technical training for personnel from Member Countries, and coordinate scientific and technical studies in collaboration with other laboratories or organisations (see OIE Mandate and Internal Rules for Reference Laboratories). b. The OIE has a global network of 177 Reference Laboratories with 154 experts covering 95 diseases/topics in 32 countries, and 29 Collaborating Centres covering 27 topics in 18 countries. 15. The Collaborating Centres OIE Collaborating Centres are centres of expertise in a specific designated sphere of competence relating to the management of general questions on animal health issues (for example epidemiology, risk analysis, etc.). In its designated field of competence, they must provide their expertise internationally (see OIE Mandate and Internal Rules for Collaborating Centres). 16. Publications and documentation a. Publications produced by the World Organisation for Animal Health (OIE) constitute a valuable source of documentation for the international scientific community and facilitate progress in veterinary medicine worldwide. They cover the full spectrum of animal health issues throughout the world and include periodicals, OIE international standards, world conference proceedings, and publications dealing with important topical issues. b. OIE publications are divided into two categories: (1) Periodicals (a) Scientific and Technical Review. (b) Bulletin. (c) Disease Information. (d) World Animal Health. (e) Health standards i. Terrestrial Animal Health Code . ii. Aquatic Animal Health Code . 4-A-6 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 iii. OIE Quality Standard and Guidelines for Veterinary Laboratories: Infectious Diseases. iv. Manual of Diagnostic Tests and Vaccines for Terrestrial Animals. v. Manual of Diagnostic Tests for Aquatic Animals. (2) Non-periodicals: The technical series, thematic publications, joint publications, international scientific conference proceedings, and compendiums of technical items presented to the International Committee or to Regional Committees of the OIE. c. All titles published by or co-published with the OIE in English, French and/or Spanish, are presented in the OIE Publications Catalogue (accessible from the homepage of the OIE Website) and are available for sale from the OIE Online Bookshop. d. Documentation The OIE documentation database, identifies the collection of its periodicals and non periodicals, as well as some unofficial documents. It is estimated that is consisted of 4,500 documents and provides a useful search system with keywords, accessible via OIE’s homepage. 4-A-7 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 ANNEX B OIE MEMBER’S LEGALITIES AND SPECIAL PROCEDURES 1. Every Member Country of the OIE recognizes the right of the Organisation to communicate directly with the Veterinary Administration of its territory or territories. All notifications and all information sent by the OIE to the Veterinary Administration shall be regarded as having been sent to the country concerned and all notifications and all information sent to the OIE by the Veterinary Administration shall be regarded as having been sent by the country concerned. 2. Countries make available to other countries, through the OIE, whatever information is necessary to minimise the spread of important animal diseases and to assist in achieving better worldwide control of these diseases. 3. Countries also provide information on the measures taken to prevent the spread of diseases; including quarantine measures and restrictions on the movement of animals, animal products and biological products and other miscellaneous objects which could by their nature be responsible for transmission of disease. In the case of diseases transmitted by vectors, the measures taken against such vectors should also be specified. 4. OIE official procedures and policy for Members wishing to apply for recognition of animal disease status. a. In May 1994, the International Committee of the OIE requested the Foot and Mouth Disease and Other Epizootics Commission (now called the Scientific Commission for Animal Diseases) to develop a procedure for the official recognition by the OIE of the foot and mouth disease (FMD) free status of Members. The procedure has since been expanded to include official recognition of freedom from rinderpest, contagious bovine pleuropneumonia (CBPP) and bovine spongiform encephalopathy (BSE). In 1998, the official agreement between the World Trade Organization (WTO) and the OIE further confirmed the OIE’s mandate to recognise disease- and pest-free areas (Agreement on the Application of Sanitary and Phytosanitary Measures) for trade purposes. b. Any Member that wishes to be included in the list of disease-free countries or to change its status (for example, to move from the list of countries or zones free where vaccination is practised to the list of countries or zones where vaccination is not practised) sends a request to the OIE Director General, accompanied by specific documentation and the relevant questionnaires (FMD, Rinderpest, CBPP, BSE). The Director General then submits the Member’s request to the Scientific Commission for evaluation. Documentation including appendices should be in any of the three official 4-B-1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 languages of the OIE and should be supplied in hardcopy as well as in electronic format. c. Members wishing to submit dossiers for evaluation by the Scientific Commission should take note of the schedule of meetings of the Scientific Commission and ad hoc Groups. To facilitate work at the OIE Central Bureau and for optimal consideration by the respective ad hoc Group, Members are kindly requested to submit their dossier and request 3 weeks prior to the scheduled meeting. The Bureau of the Scientific Commission meets in June of each year and meetings of the full Scientific Commission for Animal Diseases are held in September and February. Meetings of the ad hoc Groups for country evaluations are usually scheduled for the period from July to the end of January to enable sufficient time for the Scientific Commission to evaluate the recommendations of the ad hoc Groups and to circulate the tentative lists of countries, territories or zones recommended for the allocation of disease status, to Members for comment. The list of recommendations that will be submitted to the International Committee for adoption during the General Session in May each year is usually circulated to Members following the meeting of the Scientific Commission and not later than the month of February prior to the General Session to allow for the 60-day period for comments by Members. d. The maintenance of a disease-free status is dependent on continued compliance with the requirements of the Terrestrial Code for that specific disease and immediate reporting by Members of any significant events that may change that status. Failure to comply could result in the deletion of the name of a Member from the official OIE list for that particular disease. Members are obliged to notify the OIE in writing during November of each year that the epidemiological situation in respect of each of the diseases for which disease-free status was allocated by the International Committee, has remained unchanged. e. The detailed and updated framework of the procedures for Members for the official recognition and maintenance of status for FMD, CBPP, BSE and rinderpest are described in Resolutions XXII (procedure) and XXIII (financial obligations for official disease status recognition), both adopted during the 76th General Session. No payment is required for the evaluation of disease status for rinderpest. 5. OIE procedures for self-declaration by a Member of freedom from OIE-listed diseases other than FMD, Rinderpest, CBPP and BSE. a. OIE Members also have the possibility to self-declare their entire territory or a zone within their territory free from certain OIE-listed diseases other than FMD, rinderpest, CBPP and BSE. In this case, Delegates are advised to consult the Terrestrial Code or the Aquatic Animal Health Code to verify whether specific requirements for self-declaration of freedom from that particular disease are available. By providing the relevant epidemiological 4-B-2 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 evidence, the OIE Member can prove to a potential importing country that the entire country or a zone under discussion, meet the provisions of thespecific disease chapter. Any submitted self-declaration should contain evidence demonstrating that the requirements for the disease status have been met in accordance with the OIE standards. The self-declaration of freedom from a given OIE-listed disease (other than FMD, rinderpest, CBPP and BSE) is under the responsibility of the Member concerned and the OIE is not responsible for inaccurate publication of self-declarations of country or zonal disease status based on inadequate information, changes in epidemiological status or other significant events that were not promptly reported to the Central Bureau subsequent to the time of self-declaration of freedom for that given disease. b. The self-declaration has to be signed by the Official OIE Delegate of the OIE Member concerned. The data provided must conform to the requirements described in the standard measures contained in the Terrestrial or Aquatic Codes, respectively. Upon request of the OIE Delegate, a selfdeclaration may be published in the OIE Bulletin for information of all OIE Members. The self-declaration for publication has to contain information demonstrating that the requirements are met as described in the OIE standards. 4-B-3 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 LEXICON The following terms and definitions are used in OIE s and for the purpose of this document: Animal: A mammal, bird or bee. Animal for breeding or rearing: A domesticated or confined animal which is not intended for slaughter within a short time. Animal for slaughter: An animal intended for slaughter within a short time, under the control of the relevant Veterinary Authority. Animal health status: The status of a country or a zone with respect to an animal disease, according to the criteria of the OIE Code dealing with the disease. Apiary: A collection of hives situated in the same bee-keeping establishment. Approved abattoir: Premises used for the slaughter of animals for human consumption or animal feeding and approved by the Veterinary Administration for export purposes. Area of direct transit: A special area established in a transit country, approved by the relevant Veterinary Administration and placed under its immediate control, where animals stay for a short time pending further transport to their final destination. Artificial insemination centre: A facility for the production of semen approved by the Veterinary Administration and used exclusively for donor animals which meet the conditions set out in OIE Code. Biological products: a. biological reagents for use in the diagnosis of certain diseases; b. sera for use in the prevention or treatment of certain diseases; c. inactivated or live vaccines for use in vaccination against certain animal diseases; d. microbial genetic material. Border post: Any airport, or any port, railway station or road check-point open to international trade of commodities, where import veterinary inspections can be performed. Breeding birds: Birds kept for the purpose of producing hatching eggs. Case: An individual animal affected by an infectious or parasitic disease. LEX - 1 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 Code: The OIE International Animal Health Code. Collecting centre: Premises or place where animals for breeding, rearing or slaughter coming from different establishments or markets are collected together. These premises should meet the following standards: a. Being under the control of an Official Veterinarian. b. Not located in an infected zone. c. Being used only for animals for breeding, rearing or slaughter which meet the conditions of the OIE Code. d. Being disinfected before and after use. Collection centre: A facility approved by the Veterinary Administration for the collection of embryos/ova and used exclusively for donor animals which meet the conditions of the OIE Code. Commodity: Animals, products of animal origin intended for human consumption, for animal feeding, for pharmaceutical or surgical use or for agricultural or industrial use, semen, embryos/ova, biological products and pathological material. Day-old birds: Birds aged not more than 72 hours after hatching. Disinfection: The application, after thorough cleansing, of procedures intended to destroy the infectious or parasitic agents of animal diseases, including zoonoses; this applies to premises, vehicles and different objects which may have been directly or indirectly contaminated. Disinsectisation: The application of procedures intended to eliminate arthropods which may cause diseases or are potential vectors of infectious agents of animal diseases, including zoonoses. Establishment: The premises in which animals are kept. Exporting country: A country from which commodities are sent to another country. Flock of birds: Any group of birds continuously housed in one building or part of a building separated from other parts of that building by a solid partition and having its own ventilation system, or, in the case of free range birds, any group of birds having common access to one or more buildings or houses. More than one flock of birds may exist in one establishment. Free zone: A clearly defined territory within a country in which no case of a disease included in the OIE Code has been reported during the period stated for such a LEX - 2 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 disease in the OIE Code, and within which and at the borders of which official veterinary control is effectively applied for animals and animal products, and their transportation. Fresh meat: Meat that has not been subjected to any treatment irreversibly modifying its organoleptic and physicochemical characteristics. This includes frozen meat, chilled meat, minced meat and mechanically recovered meat. Hatching eggs: Fertilised bird eggs, suitable for incubation and hatching. Importing country: A country that is the final destination to which commodities are sent. Incidence: The number of new cases or outbreaks of a disease that occur in a population at risk in a particular geographical area within a defined time interval. Incubation period: The longest period which elapses between the introduction of the pathogen into the animal and the occurrence of the first clinical signs of the disease. Infected zone: A clearly defined territory within a country in which a disease included in this Code has been diagnosed. This area must be clearly defined and decreed by the Veterinary Authority taking into consideration the environment, the different ecological and geographical factors as well as all the epidemiological factors and types of animal husbandry being practiced. The territory in question should be part of a country with a radius from the centre or centers of the disease of at least 10 kilometers in areas with intensive livestock-raising and 50 kilometers in areas where extensive livestock-raising is practiced. Within and at the border of an infected zone, there must be effective official veterinary control in operation for animals and animal products, and their transportation. The length of time during which the infected zone is maintained will vary depending on the disease and the animal health measures and control methods applied. Infective period: The longest period during which an affected animal can be a source of infection. International animal health certificate: A certificate issued by an Official Veterinarian of the exporting country, certifying the state of good health of the animal or animals, and giving particulars where applicable of the biological test or tests to which the animal or animals has or have been subjected and the vaccination or vaccinations carried out on the animal or animals which is or are the subject of the certificate, and which may be either individual or collective certificates depending on the species of animals under consideration or the particular conditions of the shipment; this term also applies to a LEX - 3 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 certificate covering semen, embryos/ova, hatching eggs, brood-combs of bees, giving particulars of the measures taken to prevent the spread of epizootics. International notification: The procedure of spreading information between the OIE Headquarters and the Veterinary Administrations of Member Countries, in case of of the suspicion or confirmation of an outbreak of an animal disease. International sanitary certificate: A certificate issued by an Official Veterinarian certifying that the meat or animal products destined for food conform with recognized international standards for veterinary food hygiene and/or animal health. International trade: Importation, exportation and transit of commodities. Laboratory: A properly equipped institution staffed by technically competent personnel under the control of a specialist in veterinary diagnostic methods, who is responsible for the validity of the results. The Veterinary Administration approves and monitors such laboratories with regard to the diagnostic tests required for international trade. Laying birds: Birds kept for the purpose of producing eggs not intended for hatching. Manual: The OIE Manual of Standards for Diagnostic Tests and Vaccines. Market: A market which complies with the following: a. Is placed under the control of an Official Veterinarian. b. Is not located in an infected zone. c. Is used only for animals for breeding, rearing or slaughter which conform with the conditions provided in the Code. d. Is disinfected before and after use. Meat: All edible parts of an animal. Meat-and-bone meal: The protein product obtained when waste animal tissues are treated by heat (rendered), and includes any intermediate protein product. Meat products: Meat that has been subjected to a treatment irreversibly modifying its organoleptic and physicochemical characteristics. Notifiable disease: A disease listed by the Veterinary Administration, and that, as soon as detected or suspected, must be brought to the attention of the Veterinary Authority. LEX - 4 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 Official Veterinarian: A veterinarian authorised by the Veterinary Administration of the country to perform animal health and/or public health inspections of commodities and, when appropriate, perform certification in conformity with the provisions set by OIE. Official veterinary control: The Veterinary Authority knows the location of the animals and the identity of their owner or responsible keeper and is able to apply appropriate animal health measures, as required. OIE Listed Diseases : The List of transmissible diseases which have the potential for very serious and rapid spread, irrespective of national borders, which are of serious socio-economic or public health consequence and which are of major importance in the international trade of animals and animal products. Reports are submitted to the OIE as often as necessary to comply with World Animal Health Information System. OIE Listed Diseases are set out in Chapter 1ANNEX A. Outbreak of disease: An occurrence of one of the OIE Listed diseases in an agricultural establishment, breeding establishment or premises, including all buildings and all adjoining premises, where animals are present. Where it cannot be defined in this way, the outbreak shall be considered as occurring in the part of the territory in which, taking local conditions into account, it cannot be guaranteed that both susceptible and non-susceptible animals have had no direct contact with affected or suspected cases in that area. For example, in the case of certain parts of Africa, an outbreak means the occurrence of the disease within a sixteenth square degree; the occurrence is still referred to as an outbreak even though the disease may occur in several places within the same sixteenth square degree. Pathological material: Samples obtained from live or dead animals, containing or suspected of containing infectious or parasitic agents, to be sent to a laboratory. Place of shipment: The place where the commodities are loaded into the vehicle or handed to the agency that will transport them to another country. Prevalence: The total number of cases or outbreaks of a disease that are present in a population at risk, in a particular geographical area, at one specified time. Products of animal origin intended for human consumption: Fresh meat, meat products, gelatin, eggs, egg products, milk, milk products and honey, when intended for human consumption. LEX - 5 RATIFICATION DRAFT NATO UNCLASSIFIED NATO UNCLASSIFIED AMedP-26 Products of animal origin intended for agricultural or industrial use: Products of animal origin, except those intended for food for human consumption, pharmaceutical or surgical purposes and animal feeding. Products of animal origin intended for pharmaceutical or surgical use: Animal organs, tissues and organic fluids to be used in the preparation of pharmaceutical products or of surgical devices. Products of animal origin intended for use in animal feeding: Meat-meal, livermeal, bone-meal, blood-meal, feather-meal, pork fat and milk products when intended for use in animal feeding. Quarantine station: A facility under the control of the Veterinary Authority where a group of animals is maintained in isolation, with no direct or indirect contact with other animals, in order to undergo observation for a specified length of time and, if appropriate, testing and treatment. Stamping-out policy: Carrying out under the authority of the Veterinary Administration, on confirmation of a disease, the killing of the animals which are affected and those suspected of being affected in the herd and, where appropriate, those in other herds which have been exposed to infection by direct animal to animal contact, or by indirect contact of a kind likely to cause the transmission of the causal pathogen. All susceptible animals, vaccinated or unvaccinated, on an infected premises should be killed and their carcasses destroyed by burning or burial, or by any other method which will eliminate the spread of infection. This policy should be accompanied by the cleansing and disinfection procedures defined in the OIE Code. The term modified stamping-out policy should be used in communications to the OIE whenever the above animal health measures are not implemented in full and details of the modifications should be given. Transit country: A country through which commodities destined for an importing country are transported or in which a stopover is made at a border post. Vehicle: Any method of transport by land, air or water. Veterinary Administration: The National Veterinary Service having authority in the whole country for implementing and supervising or auditing the carrying out of the animal health measures and certification process which the OIE Code recommends. Veterinary Authority ; A Veterinary Service, under the jurisdiction of the Veterinary Administration, which is directly responsible for the application of animal health measures and for supervising the issuing of international animal health and international sanitary certificates in a specified area of the country. LEX - 6 RATIFICATION DRAFT NATO UNCLASSIFIED