Highest Number Of Outbreaks Research Articles

Space-time cluster analysis and maximum entropy modeling of Peste des petits ruminants (PPR) in Türkiye.

Peste des petits ruminants (PPR) is an economically important highly serious transboundary disease that mainly occurs in small ruminants such as sheep and goats. The aim of this study was to identify the probability of risk and and space-time clusters of Peste des Petits Ruminants (PPR) in Türkiye. The occurrence of PPR in Türkiye from 2017 to 2019 was investigated in this study using spatial analysis based on geographic information system (GIS). Between these dates, it was determined that 337 outbreaks and 18,467 cases. The highest number of outbreaks were detected in the Central Anatolia region. It was determined that PPR is seen more intensely in sheep compared to goats in Türkiye. In this study, 34 environmental variables (19 bioclimatic, 12 precipitation, altitude and small livestock density variables) were used to explore the environmental influences on PPR outbreak by maximum entropy modeling (Maxent). The clusters of PPR in Türkiye were identified using the retrospective space-time scan data that were computed using the space-time permutation model. A PPR prediction model was created using data on PPR outbreaks combination with environmental variables. Nineteen significant (p < 0.001) space-time clusters were determined. It was discovered that the variables altitude, sheep density, precipitation in june, and average temperature in the warmest season made important contributions to the model and the PPR outbreak may be strongly related with these variables. In this study, PPR in Türkiye has been characterized significantly spatio-temporal and enviromental factors. In this context, the disease pattern and obtained these findings will contribute to policymakers in the prevention and control of the disease.

Foodborne Disease Outbreaks Caused by Biotoxins in Yantai City: A 10-Year Spatiotemporal Monitoring Study.

Unsafe food causes 600 million cases of foodborne diseases and 420,000 deaths every year. Meanwhile, biological toxins such as poisonous mushrooms, saponins, and aflatoxin can cause significant damage to humans. Therefore, it is particularly important to study foodborne disease outbreaks caused by biotoxins (FDOB). We collected FDOB in Yantai City from 2013 to 2022 and further established a corresponding database. Statistical analysis was carried out according to time, place, pathogen, and contamination of pathogenic factors. There were 128 FDOB, resulting in 417 patients and 6 deaths. The third quarter was a high season for foodborne disease outbreaks, the number of events, patients and deaths accounted for 65.63% (84/128), 55.88% (233/417), and 100% (6/6) of the total number, respectively. The highest number of outbreaks per 10,000 persons was Qixia (0.41), followed by Zhifu (0.36) and Laiyang (0.33). The top three causes of outbreaks were poisonous mushroom toxin, saponins and hemagglutinin, and Lagenaria siceraria (Molina) Standl. Sixty-five (50.78%) outbreaks were attributed to poisonous mushroom toxin, 18 (14.06%) outbreaks to saponin and hemagglutinin, and 12 (9.38%) outbreaks to L. siceraria (Molina) Standl. The largest number of outbreaks, patients and deaths all occurred in families, accounting for 82.81% (106/128) outbreaks, 66.19% (276/417) patients, and 100% (6/6) deaths, respectively. Followed by catering service establishments, accounting for 14.84% (19/128), 30.22% (126/417), and 0% (0/6), respectively. The main poisoning link of outbreaks was ingestion and misuse, accounting for 72.66% (93/128), followed by improper processing, accounting for 20.31% (26/128). It is necessary to carry out targeted family publicity and education, strengthen the integration of medical and prevention, explore innovative monitoring and early warning mechanisms for foodborne diseases, and reduce the occurrence of underreporting of foodborne disease outbreaks.

Spatio-temporal analysis of sheep and goat pox outbreaks in Uganda during 2011–2022

BackgroundSheep and goat pox (SGP) caused by sheep poxvirus (SPV) and goat poxvirus (GPV) respectively; are transboundary and World Organisation for Animal Health (WOAH)-notifiable viral diseases. There is barely any coherent information about the distribution and prevalence of SGP for Uganda. We therefore conducted this study to describe the temporal and spatial distribution of SGP suspected outbreaks in Uganda for the period 2011–2020 as well as serologically confirm presence of SGP antibodies in suspected SGP outbreaks reported in 2021–2022.ResultsThirty-seven [37] SGP outbreaks were reported across the country during the study period. North-eastern region [that comprises of Karamoja region] had the highest number of outbreaks [n = 17, 45%]; followed by Central [n = 9, 2.4%], Northern [n = 8, 2.2%] and Western region [n = 3, 0.08%]. Reports from district veterinary personnel indicate that the prevalence of; and mortality rate and case fatality rate associated with SGP were 0.06%, 0.02% and 32% respectively. There was a steady increase in the number of reported SGP outbreaks [x̄ = 4] over the study period. Seropositivity of SGPV antibodies in outbreak sheep and goats that were investigated during the study period [2021–2022] was [n = 41, 27%, 95 CI;]ConclusionOur analyses of SGPV passive and active reports indicate that SGP is present in Uganda with a decade long average of four outbreaks per annum. During this period, about a third of all SGPV-clinically infected animals died. SPG is therefore a major constraint to small ruminant health and productivity in Uganda. Introduction of animals from infected herds and breach in farm biosecurity were the most important predictors of SGP outbreaks. In addition to the already existing SGP commercial vaccines, small ruminant screening for SGPV before introducing them to naïve herds and ensuring on farm biosecurity should be part of the SGP control tool pack for Ugandan small ruminant farmers.

Attribution Analysis of Household Foodborne Disease Outbreaks in China, 2010-2020.

Foodborne diseases have become a serious public health problem worldwide, and foodborne disease outbreaks have placed a heavy disease burden on China. Foodborne disease outbreaks occur most frequently among families in China. The objectives of this study were to analyze the cause of household foodborne disease outbreaks in China from 2010 to 2020 and to identify where preventive measures could be targeted. All data were obtained from the China Foodborne Disease Surveillance System Report. A total of 17,985 outbreaks, which resulted in 73,252 illnesses, 38,829 hospitalizations, and 1269 deaths, were reported in this period. Most household outbreaks of foodborne diseases occurred in May-October, and the highest number occurred in July (3620 outbreaks, 20%). The province with the highest number of outbreaks was Yunnan Province (4829 outbreaks), followed by Hunan Province (2264 outbreaks). The attribution analysis revealed that fungi (mainly poisonous mushrooms) were the most implicated food category, with 8873 (49.3%) cases. The second was poisonous plants and their products, with 1552 (8.6%) cases. Fungi were the primary etiologic agent, with 31,125 illnesses, accounting for 42.5% of the incidents. Inedibility and misuse (9423 outbreaks), unknown origin (2505 outbreaks), and improper processing (2365 outbreaks) were the main contributing factors causing outbreaks of foodborne diseases. The results show that southwest China was a high-risk area for household foodborne diseases. Therefore, public health institutions should strengthen supervision and food safety education of residents to reduce the outbreaks of household foodborne diseases.

Institutional outbreaks of influenza-like illnesses in the state of São Paulo: an analysis of the epidemiological profile during the COVID-19 pandemic

ObjectivesThis study aimed to spatiotemporally analyze the profile of influenza-like illness (ILI) outbreaks in the state of São Paulo, Brazil, between 2020 and 2022. Study designThis was a cross-sectional retrospective study. MethodsOutbreaks of ILI with final diagnoses of COVID-19, influenza, or other respiratory viruses (ORVs) recorded between January 2020 and November 2022, obtained from the Notifiable Diseases Information System (SINAN NET) Outbreak module, were analyzed. Kernel density estimates and Getis-Ord Gi∗ statistics were performed to identify spatial clusters. ResultsA total of 13,314 ILI outbreaks were identified, involving 130,568 cases and 2649 deaths. Of these, 104,399 (80%) were confirmed as COVID-19, 15,861 (12%) were confirmed as ORV, and 10,308 (8%) were confirmed as influenza. The year 2021 had the highest number of outbreaks and cases. Schools recorded the most outbreaks and cases, followed by long-term care facilities for older adults (LTCs). The highest average number of cases per outbreak and the highest attack rates occurred at social gatherings and prisons. Prisoners were three times more likely to contract COVID-19 during outbreaks than people in other institutions. The highest hospitalization and mortality rates for all virus types occurred in the LTC group. The occurrence and intensity of outbreaks were highly heterogeneous among the different institutions after the introduction of new SARS-CoV-2 variants in the state. ConclusionsILI outbreaks were not randomly distributed; they clustered in specific areas. Transmissibility varied among different institutions with different responses to the COVID-19 pandemic. These results can be used as a basis for prioritizing actions and allocating resources during future pandemics.

Global Pattern of Epizootic Ulcerative Syndrome Outbreaks in Freshwater Farmed and Wild Fish from 2005 to 2012

Epizootic ulcerative syndrome (EUS) is an infectious disease of freshwater farmed and wild fish caused by a fungus, Aphanomyces invadans. This disease is an important economic disease causing huge socio-economic losses to fish farmers across the world. While this is an important fish disease, its global epidemiology is poorly understood. The objective of this study is understand the global spatiotemporal epidemiology of EUS outbreaks from 2005 to 2022. The data were retrieved from open access database of the World Organization for Animal Health (WOAH). Results showed that there were a total of 277 outbreaks of EUS reported to WOAH from 2005 to 2022 from 15 countries and territories with 76% outbreaks reported from African countries. Democratic Republic of Congo reported the highest number of EUS outbreaks. Higher number of outbreaks were reported during 2014 to 2017. The observed epidemiological pattern might be biased due to the underreporting of the disease. Nevertheless, it offers important insights to understand the latest global pattern of EUS. We suggest to increase country level awareness on EUS so that outbreaks are reported in a timely manner.

Epidemiological Analysis of Surveillance Data on Reportable Priority Cattle Disease Outbreaks and Vaccination Coverage in West Arsi Zone, Oromia, Ethiopia

A retrospective study was conducted from July 2022 to September 2022 at West Arsi Zone, Oromia Region, Ethiopia, to identify major reportable cattle disease outbreaks and to understand the incidence, seasonal distribution, vaccination coverage and the trend of cattle disease outbreaks using passive surveillance data (DOVAR). From 1,560 DOVAR reports expected to be obtained at West Arsi Zone Agriculture Office Epidemiology Unit between 2012 and 2021, only 1,476 (11%) reports were available. A total of 1,496 cattle disease outbreaks with 1,889 cases and 346 deaths were recorded. The outbreaks were caused by Lumpy Skin Disease (LSD) (35.7%), Blackleg (21.43%), Bovine pasteurellosis (15.71%), Foot and Mouth disease (FMD) (14.3%), Anthrax (11.42%) and Rabies (1.43%) in decreasing order. LSD was responsible for the highest cases (30.2%) followed by FMD (23.9%) while blackleg and LSD were the leading causes of cattle deaths, which accounted for 34.4% and 28.9% of the deaths recorded, respectively. In contrast, the lowest number of outbreaks, cases and deaths of cattle was caused by rabies. Disease outbreaks occurred in all the seasons of the year; however, a relatively higher number of outbreaks (60%) were recorded in the early dry season (September to November). This study has shown a very low level of disease outbreak reporting rate in the West Arsi Zone, which may be due to no reporting or no outbreak of diseases. Generally, this study generates information that will be used as a baseline for further epidemiological studies for the development of sustainable programs for the control of cattle disease outbreaks in the study area.

An 11-Year Analysis of Bacterial Foodborne Disease Outbreaks in Zhejiang Province, China.

Background: Foodborne diseases are a growing public health problem and contribute significantly to the global burden of disease and mortality. Bacteria are the most common foodborne pathogens. We aimed to explore characteristics of bacterial foodborne disease outbreaks (FBDOs) in Zhejiang Province and to provide data support for foodborne disease prevention and control. Methods: Descriptive statistical methods were used to analyze the data reported by centers for disease control (CDCs) at all levels in Zhejiang Province through Foodborne Disease Outbreaks Surveillance System (FDOSS) during 2010–2020. Results: CDCs in Zhejiang Province reported 517 bacterial FBDOs in 11 years, resulting in 7031 cases, 911 hospitalizations, and 3 deaths. Vibrio parahaemolyticus had the highest number of outbreaks, accounting for 58.41% of the total bacterial outbreaks, followed by Salmonella (18.38%). In all settings, restaurants (37.14%), staff canteens (11.99%), and households (11.80%) were responsible for the large number of outbreaks. Aquatic products (42.08%), meat and meat products (23.56%), cereals (10.81%), and flour products (9.27%) were the most common single foods reported. Further analysis showed that the settings and food vehicles of outbreaks caused by different pathogens were different. Conclusions: Bacterial outbreaks are the most common type of FBDOs in Zhejiang Province. By analyzing the epidemiological characteristics of common pathogenic bacteria, we can identify the etiology, food, and setting that the government needs to focus on, and issue relevant targeted policies to reduce the number of FBDOs.

Staff perceptions of the consequences of COVID-19 on quality of dementia care for residents in Ontario long-term care homes.

ObjectivesThe first wave of the COVID‐19 pandemic necessitated extensive infection control measures in long‐term care (LTC) and had a significant impact on staffing and services. Anecdotal reports indicate that this negatively affected LTC residents' quality of care and wellbeing, but there is scarce evidence on the effects of COVID‐19 on quality of dementia care in LTC.MethodsFrom December 2020 to March 2021, we conducted a cross‐sectional online survey among staff who worked in LTC homes in Ontario, Canada. Survey questions examined staffs' perceptions of the impact of COVID‐19 on dementia quality of care during the initial wave of the COVID‐19 pandemic (beginning 1 March 2020).ResultsThere were a total of 227 survey respondents; more than half reported both worsened overall quality of care (51.3%) and worsening of a majority of specific quality of care measures (55.5%). Measures of cognitive functioning, mobility and behavioural symptoms were most frequently described as worsened. Medical and allied/support staff had the highest odds of reporting overall worsened quality of care, while specialized behavioural care staff and those with more experience in LTC were less likely to. LTC home factors including rural location and smaller size, staffing challenges, higher number of outbreaks and less COVID‐19 preparedness were associated with increased odds of perceived worsening of quality of dementia care outcomes.ConclusionsThese findings suggest that COVID‐19 pandemic restrictions and related effects such as inadequate staffing may have contributed to poor quality of care and outcomes for those with dementia in LTC.

Characteristics of Settings and Etiologic Agents of Foodborne Disease Outbreaks - China, 2020.

IntroductionFoodborne diseases are a growing public health problem and have caused a large burden of disease in China. This study analyzed epidemiological characteristics of foodborne diseases in China in 2020 to provide a scientific basis for prevention and control measures.MethodsData were collected from 30 of 31 provincial-level administrative divisions (PLADs) in the mainland of China, excluding Xizang (Tibet) Autonomous Region, via the National Foodborne Disease Outbreaks Surveillance System. The number and proportion of outbreaks, illnesses, hospitalizations, deaths by setting, pathogen-food category pairs and etiology were calculated.ResultsIn 2020, 7,073 foodborne disease outbreaks were reported, resulting in 37,454 illnesses and 143 deaths. Among the identified pathogens, microbial pathogens were the most common confirmed etiology, accounting for 41.7% of illnesses. Poisonous mushrooms caused the largest proportion of outbreaks (58.0%) and deaths (57.6%). For venues where foodborne disease outbreaks occur, household had the highest number of outbreaks (4,140) and deaths (128), and catering service locations caused the largest proportion of illnesses (59.9%). Outbreaks occurring between June and September accounted for 62.8% of total outbreaks.ConclusionsFoodborne disease outbreaks mainly occurred in households. Microbial pathogens remained the top cause of outbreak-associated illnesses. Poisonous mushrooms were ranked the top cause of deaths in private homes in China. The supervision and management of food safety and health education should be strengthened to reduce the burden of foodborne diseases. Publicity should be increased to reduce the incidence of mushroom poisonings in families, and supervision and management of food should be strengthened to reduce microbial contamination.

A Report on Massive Outbreaks of FMD with Concurrent Mannhaemia hemolytica Infection among Cattle in Tamil Nadu

Back ground: India has a huge resource of livestock and stands first globally in milk production, but reemergence of diseases like foot and mouth disease (FMD) causes a great concern and economic losses to the farmers. Three serotypes of FMD virus (O, A and Asia 1) are prevalent and serotype O was responsible for 80 per cent of confirmed outbreaks /cases in India. The highest incidence of the disease was seen in Southern region (31.5%) and during the month of September. Highest number of outbreaks (201) occurred in Tamil Nadu in the year 2007-08 caused by serotype O virus. FMD causes very high morbidity and mortality rate among young animals and the mortality rate is generally low in adult animals and seen with manifestation of infection limited to epithelial sites. However, In the present study an unusually high mortality among adult cattle due to FMD, complicated with Mannheimia hemolytica infection with specific myocardial lesions were discussed in several outbreaks of FMD in the state of Tamil Nadu, India. Methods: Outbreaks of FMD occurred in various districts of Tamil Nadu during the period of October to December in the year 2013 causing large scale mortality among adult cross bred (Jersey cross and Holstein Friesian cross) cows, heifers and calves and detailed disease investigations were carried out .Samples were collected from ailing animals and dead animals for laboratory confirmation of the disease. The collected samples were subjected to isolation of bacteria, serology and molecular confirmation of the virus. Result:Affected animals showed characteristic lesions of FMD with multiple, focal to coalescing ulcers and erosions covered with shreds of epithelium and fibrin on the dorsum and lateral margins of the tongue, dental pad, hard palate, mucosa of lips and gums. Samples of vesicular fluid, oral and tongue epithelium and heart confirmed the presence of FMD type ‘O’ virus based on sandwich ELISA and multiplex PCR. Cultural examination of bacteriological samples revealed presence of Mannheimia hemolytica which was further confirmed by multiplex PCR. Out of 83 serum sample collected, 45 sera were positive for FMD by LPB ELISA, while 32 serum samples were positive for FMD by DIVA test. The sudden deaths among adult cattle and heifers during the FMD outbreak might be attributed to the severe myocarditis and the disease was controlled by following appropriate treatment and preventive measures.

Retrospective Study on the Occurrence of Reportable Priority Cattle Diseases in Southern Nations, Nationalities and Peoples’ Regional State, Southern Ethiopia

A retrospective study was conducted between October 2016 and March 2017 in Southern Nations, Nationalities and Peoples Regional State (SNNPRS) to identify major reportable cattle disease outbreaks. The retrospective study was based on a nine years (2007-2015) cattle disease outbreak report data retrieved from the Ministry of Livestock and Fisheries (MoLF) data bases. The retrospective study revealed that of the 15,840 disease outbreak reports expected from SNNPRS, only 1,578 (11%) reports were submitted to MoLF during the nine years’ time. According to the data retrieved from MoLF, a total of 1,496 cattle disease outbreaks with 44,646 morbidity cases and 4,709 mortalities were recorded in SNNPRS over the nine years period. The outbreaks were caused by blackleg (40.6%), hemorrhagic septicemia (HS) (26.3%), lumpy skin disease (LSD) (16%), anthrax (11.4%), foot and mouth disease (FMD) (4.7%), contagious bovine pleuropneumonia (CBPP) (0.8%) and rabies (0.3%) in decreasing order of their proportion. LSD was responsible for the highest proportion of morbidity cases (35.9%) followed by FMD (26.2%) while blackleg and LSD were the leading causes of cattle mortalities, which accounted for 31% and 30.2% of the deaths recorded, respectively. In contrast, the lowest number of outbreaks, morbidity and mortality of cattle was caused by rabies. Disease outbreaks were occurred in all the seasons of the year; however, relatively higher number of outbreaks (30.7%) was recorded in early dry season (September to November). &#x0D; In conclusion, the retrospective study has shown a very low level of disease outbreak reporting rate in SNNPRS, which may be due to misreporting or no outbreak of diseases.

Salmonellosis Outbreaks by Food Vehicle, Serotype, Season, and Geographical Location, United States, 1998 to 2015

Outbreaks due to S. enterica serotypes Braenderup and I 4,[5],12:i:- have increased. Deaths were most often due to seeded vegetables, nuts and seeds, and fruits. Multistate salmonellosis outbreaks were often due to nuts and seeds, sprouts, and fruits. Alaska, Minnesota, and Hawaii had the highest number of outbreaks per 100,000 people. Delaware and Wyoming had the lowest number of outbreaks per 100,000 people.

Epizootic features and control measures for lumpy skin disease in south-east Serbia in 2016.

Lumpy skin disease (LSD) is an infectious disease of cattle caused by virus of the Capripoxvirus genus (LSDV), family Poxviridae. Until 2015, it had not appeared in the Balkans. In June 2016, LSD spread throughout Serbia. This study analyses the first LSD occurrence, epizootic features, applied diagnostic procedures and control measures in five districts in south-east Serbia (Pcinja, Jablanica, Pirot, Toplica and Nisava). In total, there were 225 LSD outbreaks reported in Serbia, out of which 189 (84%) were located in the study area. The highest number of outbreaks was registered in Pcinja district (169), where LSD was first registered. The median distance and time between the nearest previous outbreak sites were calculated (4.32km and 9days). The median altitude of outbreak locations was 992m with more than 90% above 500m (p≤0.001). The average herd morbidity rate in the study area was 13.6% and the herd mortality rate was recorded only in Pcinja (0.5%) and Jablanica (1.6%) districts. Samples taken from the cattle suspected to LSD were subjected to real time PCR analysis. Out of 233 samples tested for LSDV 132 (56.7%) were positive. The LSDV genome was identified in skin nodules (85.4%), blood (72.7%) and nasal swabs (62.5%). Phylogenetic analysis indicated that the LSDV strain circulating in Serbia fell within the cluster of field LSDV found worldwide. In response to the LSD epizootic, animal trade and movement were prohibited, complete stamping out, disinfection, disinsection and an entire bovine population vaccination using the homologous Neethling live attenuated vaccine (OBP, South Africa) were conducted. A month and a half after the completion of the vaccination campaign, the LSD epizootic was stopped, and no new cases have been reported since.

Vaccination coverage of contagious bovine pleuropneumonia in Adamawa State, Northeastern Nigeria

Contagious bovine pleuropneumonia is an important, transboundary animal disease of high socio-economic impacts and vaccination has been recommended as one of the preferred option for its control. Twelve years (2006-2017) of data were retrieved from the Ministry of Livestock Production, Adamawa state. The relevant data collated included; estimated annual cattle population, number of cattle vaccinated against CBPP, number of CBPP outbreaks reported, number of mortality due to the disease, number of cattle slaughtered and examined for CBPP lesions and number of cattle with suspected CBPP lesions. The overall vaccination coverage of 4.80% was obtained with the highest vaccination coverage (20.57%) and the lowest vaccination coverage (1.03%) recorded in 2013 and 2015 respectively. A negative and insignificant correlation (r= -0.2346, p&gt; 0.05) was obtained between vaccination coverage and prevalence, whereas correlation between prevalence and reported outbreak of CBPP was positive (r= 0.7381). A total of 76 outbreaks representing an average of 6.33 outbreaks per year and a mortality of 456 were recorded. The highest number of outbreaks (15) was recorded in 2017 whereas the least number of outbreaks (1) was recorded in 2007. The study has established low and irregular vaccination coverage which resulted in increased outbreaks of the disease in the study area. The need for Government to procure CBPP vaccines that is affordable as well as accessible to cattle owners at subsidized rates, increased and compulsory vaccination coverage of 80% for 5 consecutive years and enlightenment of cattle owners through public media on the dangers of the disease was recommended.Keywords: Contagious bovine pleuropneumonia, outbreak, vaccination coverage, Adamawa state

Lumpy skin disease in cattle in central Ethiopia: outbreak investigation and isolation and molecular detection of the virus.

The study was a combination of two investigations into active outbreaks of lumpy skin disease (LSD) in cattle in central Ethiopia and a retrospective analysis of outbreak reports between January 2007 and December 2011 covering the entire country. Active outbreaks were investigated in four districts of central Ethiopia: Adama, Wenji, Mojo and Welenchiti. A semi-structured questionnaire was used to acquire data at individual and herd levels, and tissue samples were collected for viral isolation and characterisation. The retrospective analyses showed that, during the five-year period, a total of 1,675 outbreaks were reported, with 62,176 cases and 4,372 deaths. The highest number of outbreaks was reported in Oromia (1,066), followed by Amhara (365) and the Southern Nations, Nationalities and People's Region (123). Outbreaks were more frequently observed between September and December and the highest number of outbreaks was reported in 2010. During the period studied, a total of 2,174 local zebu cattle were clinically examined and morbidity and mortality rates of 13.61% (296) and 4.97% (108) were recorded, respectively. Analysis of the active outbreaks revealed a relatively consistent morbidity rate, with the highest observed in Adama (15.38%), followed by Wenji (10.26%). The highest mortality rates were also observed in Adama (5.89%) and Wenji (3.42%). The LSD virus was isolated from 22 samples and all tested positive in polymerase chain reaction analysis. The disease was observed in the cattle regardless of previous vaccination with Kenyan sheep- and goat-pox vaccine; thus, vaccine efficacy was assessed under field conditions and the authors' findings, together with a possible remedy, are presented in this paper.

Cholera Outbreaks in South and Southeast Asia: Descriptive Analysis, 2003&amp;ndash;2012

We conducted descriptive analysis of available information regarding the epidemiology of cholera outbreaks in South and Southeast Asia during 2003-2012. Information from 58 articles, 8 reports, and World Health Organization databases were analyzed. Overall, 113 cholera outbreaks were studied in South and Southeast Asia during the past 10 years. The majority of the outbreaks (69%) occurred in Southeast Asia, including India (52%). The highest number of outbreaks was observed in 2004 (25.7%). The most commonly identified source was contaminated water: however, in some countries, the spread of cholera was facilitated via contaminated seafood (e.g., Myanmar, Thailand, and Singapore). Several genotypes and phenotypes of Vibrio cholerae, the causative agent of cholera, were identified in the outbreaks, including V. cholerae O1 El Tor (Ogawa and Inaba) and V. cholerae O139. The emergence of multidrug-resistant V. cholerae strains was a major concern. Cholera-related mortality was found to be low across the outbreaks, except in Orissa, India (currently Odisha) during 2007, where the case fatality rate was 8.6%. Potential limitations included underreporting, discrepancies, possible exclusion of nonindexed reports, and incomprehensive search terms. The provision of safe water and proper sanitation appear to be critical for the control of further spread of cholera in South Asian and Southeast Asian regions.

Outbreak investigation and molecular characterization of African horse sickness virus circulating in selected areas of Ethiopia

The study was conducted from June 2011 to May 2012 in central, northern and western parts of Ethiopia to investigate and identify circulating serotypes of African horse sickness virus (AHSV). The indigenous knowledge of equine owners about AHS in the study areas was assessed and also the retrospective data of AHS outbreaks for 2011 were analyzed. Whole blood samples were collected for virus isolation and serotyping from diseased horses and mules showing typical signs of the AHS. Virus isolation on Vero cell and detection of AHSV genomes using conventional RT-PCR were conducted. Further molecular characterization and serotyping were done on positive isolates. The questionnaire survey revealed that equine owners do recognize AHS clinically and have a local name that varies in different regions. From the 72 equine owners interviewed about their knowhow of AHS, 48 (66.7%) of respondents were not aware of AHS disease mode of transmission. The retrospective disease report data showed that a total of 208 outbreaks were reported and 3036 cases and 1167 deaths were recorded in 2011. AHS outbreaks were more frequently observed from September to December and the highest number of outbreaks was recorded in October. During the study period totally six outbreaks were investigated and a total of 62 horses and 10 mules were found sick and all the four forms of AHS were observed. Cardiac form accounted for 52.8%, followed by African horse sickness fever form 31.9%, pulmonary form 8.4% and mixed form 6.9%. AHSV-9 was the only serotype circulating in the outbreak areas.

Prevalence of Classical Swine Fever Virus in Domestic Pigs in South Korea: 1999-2011

The major policy for eradication of classical swine fever (CSF) in South Korea has focused on the implementation of compulsory vaccination of the susceptible pig population. A vaccine strain of CSF virus, the LOM strain, is used to maintain high herd seroconversion, a practice complementary to the 'stamping-out policy' and restriction of animal movement during disease outbreaks. To survey for the prevalence of CSF in domestic pigs in South Korea over the past 13 years (1999-2011), we tested 4 193 782 and 1 162 645 samples for antibodies and antigens, respectively. Whereas seropositivity for CSF antibodies has been maintained at over 95% in the mainland, in Jeju Island, where no-vaccination has been administered since 1999, seroprevalence has been below 1% during the last 3 years of study (2009-2011). The highest number of outbreaks in South Korea occurred in 2002 and 2003; since then, outbreaks have decreased each year, with the last CSF outbreak recorded in 2009. No outbreaks have occurred during the past 3 years, and a high level of herd immunity has been maintained in the mainland pig population for 8 years; therefore, South Korea could now switch to a no-vaccination policy throughout the country. However, the constant threat of the re-emergence of the disease in the susceptible pig population should be the main consideration in planning and carrying out the last phase of the CSF eradication process.

Foot and mouth disease in the Lao People's Democratic Republic: I. A review of recent outbreaks and lessons from control programmes

Foot and mouth disease (FMD) causes sporadic disease outbreaks in the Lao People's Democratic Republic (Lao PDR). As the Lao PDR is a major thoroughfare for transboundary animal movements, regular FMD outbreaks occur, causing economic hardship for farmers and their families. In this review of the recent history of FMD in the Lao PDR between 1997 and 2006, the authors examine the virological and epidemiological aspects of the disease and appropriate control measures, including the distribution of outbreaks, causative serotypes and the molecular epidemiology of the viruses, as well as large-scale vaccination programmes. The dominant serotype, type O, was reported every year from 1998 to 2005. The majority of outbreaks occurred in Vientiane Capital (n = 42; 28%) and the highest number of outbreaks were reported in cattle (n = 94; 61%); followed by buffalo (n = 41; 27%) and pigs (n = 18; 12%). All type A outbreaks occurred in cattle. Type Asia 1 outbreaks were reported in the central provinces around Vientiane Capital between 1996 and 1998.