Abstract

BackgroundIn Italy, anthrax is endemic but occurs sporadically. During the summer of 2004, in the Pollino National Park, Basilicata, Southern Italy, an anthrax epidemic consisting of 41 outbreaks occurred; it claimed the lives of 124 animals belonging to different mammal species. This study is a retrospective molecular epidemiological investigation carried out on 53 isolates collected during the epidemic. A 25-loci Multiple Locus VNTR Analysis (MLVA) MLVA was initially performed to define genetic relationships, followed by an investigation of genetic diversity between epidemic strains through Single Nucleotide Repeat (SNR) analysis.Results53 Bacillus anthracis strains were isolated. The 25-loci MLVA analysis identified all of them as belonging to a single genotype, while the SNR analysis was able to detect the existence of five subgenotypes (SGTs), allowing a detailed epidemic investigation. SGT-1 was the most frequent (46/53); SGTs 2 (4/53), 3 (1/53) 4 (1/53) and 5 (1/53) were detected in the remaining seven isolates.ConclusionsThe analysis revealed the prevalent spread, during this epidemic, of a single anthrax clone. SGT-1 - widely distributed across the epidemic area and present throughout the period in question - may, thus, be the ancestral form. SGTs 2, 3 and 4 differed from SGT-1 at only one locus, suggesting that they could have evolved directly from the latter during the course of this epidemic. SGT-5 differed from the other SGTs at 2-3 loci. This isolate, thus, appears to be more distantly related to SGT-1 and may not be a direct descendant of the lineage responsible for the majority of cases in this epidemic. These data confirm the importance of molecular typing and subtyping methods for in-depth epidemiological analyses of anthrax epidemics.

Highlights

  • In Italy, anthrax is endemic but occurs sporadically

  • Our method of analysis involved the initial use of 25-loci Multiple Locus VNTR Analysis (MLVA) to define genetic relationships, and a subsequent investigation of genetic diversity between epidemic strains through Single Nucleotide Repeat (SNR) analysis

  • The epidemic under study was characterized by a single anthrax clone

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Summary

Introduction

During the summer of 2004, in the Pollino National Park, Basilicata, Southern Italy, an anthrax epidemic consisting of 41 outbreaks occurred; it claimed the lives of 124 animals belonging to different mammal species. In the region of Basilicata, Southern Italy, anthrax outbreaks are typically isolated, self containing, and involve unvaccinated herbivores. Often occur when a rainy spring is followed by a dry summer [1,2,3,4,5]. During the spring and summer of 2004, as a result of such weather conditions in the Pollino National Park, an anthrax epidemic occurred. The affected area included 13 towns and involved 41 farms over an area of about 900 Km2, with a livestock population numbering about 7,000 cattle and 33,000 between sheep and goats.

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