BENV - izs.it · PDF fileBENV National Veterinary Epidemiological Bulletin October 2016 Number...
Transcript of BENV - izs.it · PDF fileBENV National Veterinary Epidemiological Bulletin October 2016 Number...
BENVNational Veterinary Epidemiological Bulletin
October 2016Number 26
-CESMENational Reference Centrefor the study and verificationof Foreign Animal Diseases
-COVEPIOperational VeterinaryCentre for EpidemiologyProgrammingand Information
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
2 Index
INDEX EDITORIALThe BENV as a tool for disseminating information
Dear readers
this new issue of BENV will keep you company in the cold winter months with new interesting articles
In the section In recent months an article on Bluetongue presents the updated epidemiological situation of the outbreaks in Italy During 2016 BTV4 spread to areas not affected by viral circulation in previous years outbreaks were notified not only in central and southern Italy but also in the north The first outbreak reported outside the area affected by 2015 BTV4 circulation was confirmed on 4th June 2016 in Potenza (Basilicata region) Then the virus spread progressively to the north the first BTV4 outbreak was confirmed in a free grazing sheep on the 30th August in Veneto between Belluno and Treviso provinces Up to the 18th October a total of 161 outbreaks were notified in Belluno Treviso Vicenza Padova e Trento
The first confirmation of Lumpy Skin Disease (LSD) in the European Union was in Greece on August 20th 2015 counting 117 outbreaks in 7 different Regional Units (RUs) After an interval of 4 months (December 2015 ndash April 2016) without any new outbreaks during which the vaccination campaign was in progress LSD re-emerged in Greece in April in Central Macedonia Region close to the borders with Bulgaria where vaccination coverage was low The disease distributed to the east and the west in RUs with high vaccination coverage giving sporadic outbreaks and then it ldquojumpedrdquo to the peninsula of Peloponnesus far away from the other affected areas Overall the epidemic lasted from April to August 2016 98 outbreaks were confirmed in 12 RUrsquos and approximately 5500 bovine animals have been culled This second LSD epidemic is described in the section Around us of the Benv
In the same section another article is focused on Crimean Congo Haemorrhagic fever (CCHF) a widespread disease caused by a tick-borne virus of the genus Nairovirus The first evidence of CCHF in western Europe was documented in Spain with two cases of infection Both cases were confirmed by PCR at the Spanish National Centre for Microbiology and represent The European Centre for Disease prevention and control (ECDC) recently published a rapid risk assessment on CCHF taking into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action For more information we invite you to consult the document on the ECDC website
The distribution of the main animal diseases occurred in Italy up to the third quarter 2016 is shown in the section A look to the maps The Hand on Data section shows the data on the outbreaks of animal diseases the health status of the regions and the animal species involved in the outbreaks reported to SIMAN up to September 2016 In addition to BTV4 spread in Italy well described in the section In recent months Aethina tumida reoccurred from July to September counting 34 outbreaks in Calabria region The trend of Equine infectious Anaemia is stable with most of the outbreaks reported from March to July Also five outbreaks of Antrax were notified in the central-south of Italy Basilicata Abruzzo Lazio and Sicilia the regions involved
The Officially free territories section has been updated in agreement with Commission implementing Decision (EU) 20161811 of 11th October 2016 amending Annex II to Decision 9352EEC as regards the recognition of the Province of Brindisi in the Region Puglia of Italy as officially free of brucellosis (B melitensis)
We invite you once again to send us articles of interest in the section Submit your article where you can find the authorrsquos guidelines The BENV editorial staff wishes you a pleasant reading and gives you the appointment to the next year for the new issue
Simona Iannetti COVEPI
3 Editorial
-EDITORIAL 3
-IN THESE MONTHSEpidemiological situation of Blue tongue in Italy in 2016 4
-HAND ON DATANumber of outbreaks reported by regions to SIMAN up to 30th September 2016 10Number of outbreaks reported by Regions to SIMAN up to 30th September 2016 11Animals involved in outbreaks reported to SIMAN up to 30th September 2016 15
-A LOOK AT THE MAPS 16
-AROUND USRe-emergence of Lumpy Skin Disease in Greece April to August 2016 20First evidences of Crimean-Congo Haemorrhagic Fever (CCHF) in Western Europe (Spain) 25
-OFFICIALLY FREE TERRITORIES 28 -CONTACTS amp EDITORIAL STAFF 32
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
4 In these months 5 In these months
IN THESE MONTHSThe main events of epidemiological interest in the lastmonths in Italy and in the European Union
Epidemiological situation of Blue tongue in Italyin 2016In 2014 eastern Europe experienced a big Blue tongue (BT) epidemic due to serotype 4 (BTV4) At the same time BTV1 was circulating in Italy causing many outbreaks of the disease In October 2014 at the end of the epidemic season BTV4 was detected in southern Italy in Apulia region During 2015 in Italy was documented a residual BTV1 circulation (clinical cases were reported only in January) and BTV4 spread to Calabria Sicily Campania Lazio and Basilicata regions (Figures 1 and 2)
During 2016 BTV4 spread to areas not affected by viral circulation in previous years outbreaks have been notified not only in the Regions of central and southern Italy (Calabria Sicily Campania Lazio Basilicata Abruzzo Molise Marche Umbria Emilia Romagna Sardinia) but also in Tuscany Veneto and the Autonomous Province of Trento (Figure 3 Table 1)
The first outbreak notified outside the affected area by the circulation of BTV 4 in 2015 was confirmed in the province of Potenza (Basilicata region) on 4th June 2016
Starting from June the virus spread progressively to the north affecting several Provinces of central and southern Italy (Figure 1)
On August 30 2016 was confirmed by the National Reference Center the first outbreak of BTV-4 in sheep grazing in the Veneto region between Belluno and Treviso provinces Since the first positivity and until the 18 October 2016 in Northern Italy 161 outbreaks have been confirmed in the provinces of Belluno Treviso Vicenza Padova and Trento The last epidemic of BT in Northern Italy had been documented in 2008-2009 due to serotype 8
The graph shows the timeline of the viral circulation of BTV4 during 2016 most of the outbreaks was recorded in the summer-autumn period in which the epidemic spread to areas previously free In 2016 clinical outbreaks due to BTV1 were not notified while a large number of clinical cases due to BTV4 has been confirmed The median morbidity detected in every outbreak of BTV4 is 621 (25th and 75th percentiles 238 and 1244)
In 75 of the outbreaks of BTV4 the mortality value is less than 318
Figure 1Geographical and temporal evolution of BTV4 circulation in Italy (Source SIMAN 1012016 ndash 18102016)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
6 In these months 7 In these months
Figura 2Geographical distribution of clinical BTV4 outbreaks in Italy in 2016 (Source SIMAN 1012016 ndash 18102016)
Table 1 Detail of confirmed outbreaks in Italy (Source SIMAN 1012016 ndash 18102016) Table 1 Detail of confirmed outbreaks in Italy (Source SIMAN 1012016 ndash 18102016)
Region Serotype CATTLE BUFFALOES SHEEP GOATS
Outbreaks Susceptible Cases Clinical cases Dead Susceptible Cases Clinical
cases Dead
ABRUZZO BTV 4 12 250 10 0 0 1017 17 12 2
BASILICATA
Ongoing determination 10 190 7 0 0 378 69 67 12
BTV 1 11 1573 15 0 0 260 3 0 0
BTV 4 75 1903 49 0 0 5332 285 180 118
CALABRIA
Ongoing determination 2 242 14 3 0
BTV 1 4 83 3 0 0 60 1 0 0
BTV 4 31 329 18 0 0 1978 138 63 36
CAMPANIA
Ongoing determination 10 31 1 0 0 1818 86 86 14
BTV 1 36 1168 30 0 0 63 44 0 0
BTV 4 88 1947 131 0 0 8402 552 504 152EMILIA
ROMAGNA BTV 4 9 838 31 0 0
FRIULI VENEZIA GIULIA
Ongoing determination 1 47 6 5 1
LAZIO BTV 1 7 1230 9 0 0 243 2 0 0
BTV 4 19 454 18 0 0 3645 47 42 14
MARCHE BTV 4 4 51 1 0 0 110 5 2 2
MOLISE BTV 4 53 629 21 0 0 5510 649 626 326
PUGLIA Ongoing
determination 2 43 2 0 0
BTV 4 22 757 53 0 0 36 1 1 0
SARDINIA BTV 1 7 147 3 0 0 2104 8 0 0
SICILY
Ongoing determination 1 21 1 0 0
BTV 1 10 589 23 0 0
BTV 4 73 3421 247 0 0 1966 76 70 1
TUSCANY BTV 4 3 891 78 58 16
TRENTO BTV 4 1 12 1 1 1
UMBRIA BTV 4 6 511 7 0 0
VENETO BTV 4 160 4081 330 0 1 4829 102 93 13
Total 657 20203 1008 0 1 38986 2186 1813 708
Figure 3Timeline of the BTV 4 outbreaks of in Italy(Source SIMAN 1012016 ndash 18102016)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
8 In these months 9 In these months
References
1 A Giovannini P Calistri D Nannini C Paladini U Santucci C Patta amp V Caporale (2004) Bluetongue in Italy Part I Veterinaria Italiana Volume 40 (3) 252-259
2 Nota 0016156 del Ministero della salute del 18062015 Blue tongue ndash riformulazione del sistema di sorveglianza sierologica
3 Nota 0015742 del Ministero della salute del 12062015 Febbre catarrale degli ovini (Blue tongue) ndash Modifica e integrazione dispositivo dirigenziale prot n 5662 del 14 marzo 2014 e s m
--Edited byRossana Bruno e Daria Di SabatinoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
10 Hand on data 11 Hand on data
HAND ON DATA Processing date 25h October 2016
Number of outbreaks reported to SIMAN up to 30th September 2016
Number of outbreaks reported by Regions to SIMAN up to 30th September 2016
Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
Aethina tumida 4 30 34
African swine fever 32 1 3 7 8 1 2 54
American foulbrood of honey bees 1 2 4 8 3 4 7 2 31
Antrax 1 1 3 5
Avian cholera 2 2
Bluetongue 9 11 11 7 27 84 136 118 208 611
Bovine leucosis 1 1 2 1 1 1 7
Bovine tuberculosis 21 33 25 30 32 25 13 6 10 195
Brucellosis of cattle buffalo sheep goats and pigs 42 58 58 63 76 52 37 27 42 455
Caprine arthritisencephalitis 1 1
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
1 1
Clostridiosis (Enterotoxemia) 1 1
Contagious agalactia 8 6 7 5 7 8 14 3 5 63
Contagious bovine mastitis 1 1 2
EchinococcosisIdatidosis 1 2 1 1 1 1 7
Equine infectious anaemia 1 4 3 3 5 5 1 1 23
Equine rhinopneumonitis 1 1 3 5
Erysipelas 2 2 1 1 2 3 11
European foulbrood of honey bees 1 2 2 5
Fowl pox 1 1
High patogenicity Avian influenza in poultry 1 1 2
Infection with equine arteritis virus 1 1 2
Leptospirosis 1 1 2 5 1 2 1 2 15
Low patogenicity Avian influenza in poultry 2 2
Maedi-visna 1 1
Mixomatosis 1 1 2 4
Newcastle disease 1 1
Non-typhoidal avian salmonellosis 1 2 3 2 1 2 3 2 16
Paratuberculosis 2 1 1 1 1 6
Q fever 1 1
Rabbit haemorrhagic disease 1 4 1 2 4 7 4 23
Salmonellosis (S abortusovis) 2 4 2 1 1 10
Salmonellosis of animals 2 2 2 2 2 1 11
Schmallengberg disease 2 2
Scrapie 1 1 1 4 3 7 2 3 22
Swine vescicular disease 1 1
Trichinellosis 2 1 1 4
West Nile Disease 1 1 17 57 41 117
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
ABRUZZO
American foulbrood of honey bees 1 1
Antrax 1 1
Bluetongue 13 5 8
Brucellosis of cattle buffalo sheep goats and pigs 1 2 3
Contagious agalactia 1 1
EchinococcosisIdatidosis 1 2 1 1 5
Equine infectious anaemia 1 1 1 4 9 2
Non-typhoidal avian salmonellosis 1 2 1
Rabbit haemorrhagic disease 1 3 2
APULIA
Bluetongue 2 2 24 5 15
Bovine leucosis 1 2 1
Bovine tuberculosis 1 2 1 1 2 5 14 2
Brucellosis of cattle buffalo sheep goats and pigs 3 9 10 7 7 9 62 6 2 9
EchinococcosisIdatidosis 2 1 1
Equine infectious anaemia 1 1
Infection with equine arteritis virus 1 1
Non-typhoidal avian salmonellosis 1 1 3 1
Salmonellosis of animals 1 2 1
Scrapie 2 1 3
BASILICATA
Antrax 1 1
Bluetongue 1 2 2 1 30 70 18 12 4
Brucellosis of cattle buffalo sheep goats and pigs 1 1 2 3 3 10
Equine infectious anaemia 1 1
Scrapie 1 1
BOLZANOAmerican foulbrood of honey bees 1 2 1
Erysipelas 1 1
CALABRIA
Aethina tumida 34 4 30
Bluetongue 3 1 2 5 32 13 8
Bovine tuberculosis 3 3 3 3 3 20 2 1 2
Brucellosis of cattle buffalo sheep goats and pigs 6 8 6 8 13 8 64 4 4 7
Erysipelas 1 1
Non-typhoidal avian salmonellosis 1 1
Scrapie 1 1
CAMPANIA
Bluetongue 1 3 12 37 135 64 15 3
Bovine leucosis 1 1 1 3
Bovine tuberculosis 2 3 2 3 2 16 2 2
Brucellosis of cattle buffalo sheep goats and pigs 10 5 10 9 12 9 69 6 3 5
Equine infectious anaemia 1 2 1
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
13 Hand on data12 Hand on data
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
EMILIA ROMAGNA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
Fowl pox 1 1
High patogenicity Avian influenza in poultry 1 1 2
Low patogenicity Avian influenza in poultry 1 1
Paratuberculosis 1 1
Rabbit haemorrhagic disease 1 1
Schmallengberg disease 1 1
Scrapie 1 1
West Nile Disease 52 12 32 8
FRIULI VENEZIA GIULIA
Low patogenicity Avian influenza in poultry 1 1
LAZIO
Antrax 1 1
Bluetongue 2 2 1 1 1 29 3 12 7
Bovine leucosis 1 1 2
Bovine tuberculosis 1 2 1
Brucellosis of cattle buffalo sheep goats and pigs 1 2 1
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
1 1
Contagious agalactia 1 1
Equine infectious anaemia 1 1 2 1 9 3 1
Equine rhinopneumonitis 1 1 2
Infection with equine arteritis virus 1 1
Leptospirosis 1 1 1 1 4
Salmonellosis (S abortusovis) 1 1 4 1 1
Salmonellosis of animals 1 1
Scrapie 1 1 3 1
West Nile Disease 1 2 1
LIGURIA Leptospirosis 1 1
LOMBARDY
American foulbrood of honey bees 1 3 4
Equine rhinopneumonitis 2 2
Erysipelas 1 1
European foulbrood of honey bees 1 1
Leptospirosis 1 1 2
Mixomatosis 3 1 2
Non-typhoidal avian salmonellosis 1 1 1 4 1
Salmonellosis of animals 1 1
Scrapie 1 2 1
West Nile Disease 12 1 7 4
MARCHE
Bluetongue 2 2
Bovine tuberculosis 1 2 4 1
Non-typhoidal avian salmonellosis 1 1
MOLISE
Bluetongue 53 6 41 6
Bovine tuberculosis 3 1 5 1
Brucellosis of cattle buffalo sheep goats and pigs 1 2 1 4
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
PIEDMONT
American foulbrood of honey bees 1 1
Bovine tuberculosis 1 1 3 1
Non-typhoidal avian salmonellosis 1 1 2
Paratuberculosis 2 2
Salmonellosis of animals 1 1
Schmallengberg disease 1 1
Scrapie 3 3
West Nile Disease 6 6
SARDINIA
African swine fever 32 1 3 7 8 54 1 2
Bluetongue 1 2 2 6 1
Caprine arthritisencephalitis 1 1
Contagious agalactia 7 5 7 5 6 8 60 14 3 5
Erysipelas 2 1 3
Leptospirosis 2 4 8 2
Maedi-visna 1 1
Newcastle disease 1 1
Paratuberculosis 1 1 2
Salmonellosis (S abortusovis) 1 2 2 5
Salmonellosis of animals 1 1
Scrapie 2 3 1
Swine vescicular disease 1 1
Trichinellosis 2 1 4 1
West Nile Disease 1 3 1 1
SICILY
Antrax 2 2
Bluetongue 5 6 2 11 9 71 27 9 2
Bovine tuberculosis 15 21 18 19 25 19 131 5 4 5
Brucellosis of cattle buffalo sheep goats and pigs 21 32 28 35 41 25 241 20 18 21
Clostridiosis (Enterotoxemia) 1 1
Contagious agalactia 1 1
Mixomatosis 1 1
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 1 1 1 3
Salmonellosis of animals 2 1 1
Scrapie 1 3 2
TRENTO
American foulbrood of honey bees 1 9 1 6 1
Bluetongue 1 1
Contagious bovine mastitis 1 2 1
European foulbrood of honey bees 1 1 2
Paratuberculosis 1 1
Rabbit haemorrhagic disease 1 3 1 1
TUSCANY
American foulbrood of honey bees 1 2 4 1
Bluetongue 3 3
Equine infectious anaemia 1 1
Equine rhinopneumonitis 1 1
European foulbrood of honey bees 1 1
Q fever 1 1
Rabbit haemorrhagic disease 2 1 4 1
Salmonellosis (S abortusovis) 1 1
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 16 4 12
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
14 Hand on data
Animals involved in outbreaks reported to SIMAN up to 30th September 2016
Disease Animals involvedNo of animal in the
holding
No of diseased animals
No of died
animals
No of culled
animals
No of destroyed
animas
Aethina tumida Bees 3013 285 0 2861 2044
African swine fever Suidae 400 145 54 342 393
American foulbrood of honey bees Bees 592 221 24 254 265
Antrax Ruminants 1094 10 10 0 10
Avian cholera Poultry 66 6 6 0 0
Bluetongue Ruminants 59693 3439 803 0 431
Bovine leucosis Ruminants 200 9 0 1 0
Bovine tuberculosis Ruminants 12102 1408 9 320 121
Brucellosis of cattle buffalo sheep goats and pigs
Domestic carnviores 4 4 0 0 0
Ruminants 51735 8311 16 450 146
Caprine arthritisencephalitis Ruminants 143 7 0 0 0
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
Ruminants 230 3 0 0 0
Clostridiosis (Enterotoxemia) Ruminants 163 1 1 0 1
Contagious agalactia Ruminants 23083 3061 30 0 30
Contagious bovine mastitis Ruminants 126 3 0 0 0
EchinococcosisIdatidosis Ruminants 1286 27 0 0 0
Equine infectious anaemia Equines 219 34 0 2 2
Equine rhinopneumonitis Equines 87 49 0 3 1
Erysipelas Suidae 11653 47 16 11 27
European foulbrood of honey bees Bees 58 12 0 12 12
Fowl pox Birds 10258 50 1 0 0
High patogenicity Avian influenza in poultryBirds 49472 2170 170 0 170
Poultry 17500 700 500 17000 17500
Infection with equine arteritis virus Equines 40 2 0 0 0
Leptospirosis
Domestic carnviores 6 2 1 0 1
Equines 187 4 0 0 0
Ruminants 272 13 0 0 0
Suidae 8250 7971 0 0 0
Low patogenicity Avian influenza in poultryBirds 445 11 0 445 374
Poultry 619 5 1 618 371
Maedi-visna Ruminants 923 175 0 0 0
Mixomatosis Lagomorphs 2014 208 158 56 211
Newcastle disease Birds 2 2 2 0 2
Non-typhoidal avian salmonellosisBirds 4150 4150 0 0 0
Poultry 683025 101076 100 39834 39804
Paratuberculosis Ruminants 1429 43 9 0 9
Q fever Ruminants 105 2 0 0 0
Rabbit haemorrhagic disease Lagomorphs 28411 17166 16169 29 14134
Salmonellosis (S abortusovis) Ruminants 3729 101 7 0 7
Salmonellosis of animals
Equines 97 1 1 0 0
Poultry 10350 3350 0 0 0
Ruminants 3590 69 13 0 11
Suidae 4530 9 9 0 1
Schmallengberg disease Ruminants 176 4 0 0 0
Scrapie Ruminants 8623 161 8 2 7
Swine vescicular disease Suidae 22 1 0 0 0
Trichinellosis Wild animals 4 4 2 2 4
West Nile Disease
Birds 74 64 23 14 34
Equines 650 46 3 1 3
Insects 199 124 5 1 5
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
UMBRIA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
VENETO
American foulbrood of honey bees 1 1 3 1
Avian cholera 2 2
Bluetongue 157 1 156
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 3 9 4 2
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 26 4 13 9
15 Hand on data
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
16 A look at the maps 17 A look at the maps
A LOOK AT THE MAPSThe geographical distribution of the main animal diseasesreported to SIMAN up 30th September 2016
Processing date 25th October 2016
Aethina tumida
Equine Infectious Anaemia
--Geographical distribution of the outbreaks
--Geographical distribution of the outbreaks
Bluetongue
--Geographical distribution of the outbreaks
Carbonchio ematico
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
18 A look at the maps 19 A look at the maps
--Geographical distribution of the outbreaks
Avian Influenza high patogenicity African swine fever
--Geographical distribution of the outbreaks
Avian Influenza low patogenicity
--Geographical distribution of the outbreaks
West Nile Disease
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
21 Around us20 Around us
The first confirmation of Lumpy Skin Disease (LSD) in European Union was in Greece on August 20th 2015 (East Macedonia and Thrace Region Regional Unit (RU) of Evros) in two herds of free grazing cattle in close proximity to the Greek-Turkish borders Until the end of December 2015 the disease had been spread to the west counting 117 outbreaks in 7 different RUsrsquo (Evros Xanthi Kavala Lesvos Island Rodopi Chalkidiki and Thessaloniki) at the Northern-East part of Greece (167) In total 6085 animals were killed This ldquofirst waverdquo of the disease lasted for 18 weeks (based on the date of confirmation)
Emergency Vaccination had been decided by Greek Veterinary Authorities in cooperation with the European Commission since the beginning of the disease started on 5th September 2015 at Evros RU Measures described in Directive 92119EEC and in the National Contingency Plan were also applied to all RUrsquos where outbreaks had been confirmed including zoning (surveillance and protection zones) stamping out and sanitary burial on the spot in affected holdings movement controls disinfection and vector control (3)
Also Commissionrsquos Implementing Decision (EU) 20151500 as it has been modified by Implementing Decision (EU) 20152055 has been applied to all Regional Units which have been characterized as Restricted Zones (4 5) These measures included mainly restrictions on movements of the vaccinated animals and also of fresh meat hides milk dairy products and meat products coming from vaccinated animals
There was an interval of 4 months (15 December 2015 ndash 6 April 2016) without any new outbreaks (more than 4 incubation periods) and while the vaccination campaign was in progress (Figure 1)
AROUND USThe main events of epidemiological interest in the last months in the European Union and in the neighbour countries
Re-emergence of Lumpy Skin Disease in Greece April to August 2016
In the entire Greece passive and active surveillance was implemented and included
bull clinical examination of bovines in the protection and the surveillance zones bull clinical examination of bovines before vaccination against LSD and during the
implementation of other eradication and control programs bull laboratory investigation of the suspected cases
The findings of the surveillance confirmed the absence of LSD outbreaks during this period
Nevertheless on 6th of April 2016 the disease re-emerged in Greece in the RU of Serres in Central Macedonia Region close to the borders with Bulgaria where vaccination coverage was low (40 of bovine population) due to low availability of vaccines at that time In almost all cases (with an exception of one herd) it affected herds that were unvaccinated or vaccinated during the incubation period of the disease
The disease distributed to the east and to the west in RUs with high vaccination coverage close to 100 where it affected some herds which had remained unvaccinated (backyard family herds and free grazing herds) giving some sporadic outbreaks (3 in RU of Drama 4 in RU of Thessaloniki 3 in RU of Kavala and 1 in RU of Kilkis) (16) Then the disease crossed the high vaccinated areas (asymp100) of RU of Thessaloniki and Kilkis and entered RUrsquos of Pella and Imathia where the vaccination coverage was low
On 15th of July the disease ldquojumpedrdquo to the peninsula of Peloponissos in RU of Achaia far away from the other affected areas Up until today it remains the only outbreak in the area and no connection with previous outbreaks has been identified yet according to epidemiological surveys
During this ldquosecond waverdquo of the disease (April ndashAugust 2016) 98 outbreaks have been confirmed in 12 RUrsquos and approximately 5500 bovine animals have been culled (Table 1 and Figure 2)
Figure 1Number of outbreaks in Greece within a year (August 2015 toAugust 2016)
RUrsquosNumber
of outbreaks
Date of confirmation
of the 1st outbreak
Date of confirmation
of the last outbreak
Duration of the offset of the
outbreaks (days)
Serres 44 04-06-16 05-27-16 51
Thessaloniki 4 05-18-16 08-17-16 91
Kavala 3 05-18-16 06-23-16 36
Pella 18 05-23-16 08-08-16 77
Kilkis 1 05-26-16 - -
Drama 3 06-01-16 06-14-16 13
Imathia 14 06-16-16 08-03-16 48
Florina 4 06-30-16 08-03-16 34
Limnos 3 06-13-16 07-22-16 39
Achaia 1 07-15-16 - -
Kozani 1 08-26-16 - -
Larissa 2 08-26-16 -
Total 98
Table 1 Confirmed Outbreaks per Regional Unit (RU) with dates of confirmation of first and last outbreak and the duration of the offset of the outbreaks in each one (April ndash August 2016)
Clinical signs identified included fever nodules on the skin mucous and internal organs nasal and ophthalmic discharge salivation ulcers on the skin and around the eyes lameness due to oedema on legs depression loss of appetite and sometimes deaths (Figure 3 4 5)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
23 Around us22 Around us
Figure 2Map of Greece presenting the distribution of outbreaks (red pins) in Greece from April to August 2016
Figure 3Ophthalmic discharge and ulceration
around the eye
Figure 4Multiple nodules covering the entire
neck (lateral view)
Vaccination Campaign
Emergency vaccination for all susceptible species with homologous live attenuated virus vaccines decided since the beginning of the disease Two homologous live attenuated virus vaccines have been approved for import and used in Greece ldquoLumpy Skin Disease Vaccine for Cattlerdquo (Onderstepoort Biological Products South Africa) and ldquoLumpyvaxrdquo (MSD Animal Health Intervet South Africa)
Vaccination campaign started on 5 September 2015 in RU of Evros However soon after the confirmation of the disease it was extended to all other affected RUrsquos In November 2015 it was also extended to free RU (Thessaloniki Kilkis Serres Drama) in order to create a buffer zone The vaccination campaign extended to the rest of the Greece following the epidemiological evolution of the disease Up until August 2016 approximately 385000 bovine animals have been vaccinated for the first time During the same period the annual booster vaccination had started in RUrsquos of Evros Rodopi and Xanthi
Today vaccination campaign has been implemented to the entire mainland of Greece and also to Limnos Island where the disease re-emerged on 13 of June 2016
Despite vaccination campaign total stamping out policy is still implemented in vaccinated herds located in areas with high vaccination coverage due to EU legislation (Directive 92119EEC) Taken into consideration EFSArsquos recent opinion when vaccination is evenly applied so that 95 of the farms are vaccinated with 75 of vaccinated animals effectively protected then total stamping out and partial stamping out result in a similar probability of eradication of infection (2)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
24 Around us 25 Around us
Conclusions of the epizootic
OIE official recognition of disease status and endorsment of national official control Greek experience gained regarding LSD indicates that
bull vaccination was an effective measure for the control of the spread the disease and where it has been implemented before the appearance of the disease only few sporadic outbreaks occurred in unvaccinated animals
bull there is a need of amendment of legislation as regards the stamping out policy in vaccinated herds in order to be replaced by partial stamping out of affected animals c) the strict measures implemented to vaccinated animals and their products was an obstacle to convince farmers on the benefits of vaccination
bull cooperation and exchange of information among affected Countries is a key for the investigation of the epidemiology of the disease
References
1 Animal Disease Notification System (ADNS) httpswebgateeceuropaeu 2 Efsa 2016 Urgent advice on lumpy skin disease efsa jurnal29 July 2016 https
wwwefsaeuropaeuenefsajournalpub45733 Directive 92119EEC Council Directive 92119EEC of 17 December 1992
introducing general Community measures for the control of certain animal diseases and specific measures relating to swine vesicular disease
4 Decision No 20151500 EC Commission Implementing Decision (EU) 20151500 of 7 September 2015 concerning certain protective measures against lumpy skin disease in Greece and repealing Implementing Decision (EU) 20151423 (notified under document C(2015) 6221) (Text with EEA relevance)
5 Decision No 20152055 Commission Implementing Decision (EU) 20152055 of 10 November 2015 laying down the conditions for setting out the programme for emergency vaccination of bovine animals against lumpy skin disease in Greece and amending Implementing Decision (EU) 20151500 (notified under document C(2015) 7671) (Text with EEA relevance)
6 OIE (World Organization for Animal Health) Lumpy Skin Disease World Animal Health Information Database 2015 httpwwwoieintwahis_2publicwahidphpWahidhomeHome
7 Tasioudi KE Antoniou SE et all (2016) Emergence of Lumpy Skin Disease in Greece 2015 httpswwwncbinlmnihgovpubmed269913422016 Jun63(3)260-5
--Edited by
Sotiria-Eleni AntoniouDepartment of Infectious and Parasitic Diseases Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
Vangelis TsiamadisDepartment of Veterinary Medicine of Regional Unit of Thessaloniki Directorate of Rural Economy and Veterinary Services of RU of Thessaloniki Region of Central Macedonia Thessaloniki Greece and Department of Animal Production Faculty of Veterinary Medicine Thessaloniki Greece
Chrysoula DileDirector of Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
First evidences of Crimean-Congo haemorrhagic fever (CCHF) in Western Europe (Spain)
Crimean-Congo haemorrhagic fever (CCHF) is a widespread disease caused by a tick-borne virus of the genus Nairovirus The CCHF virus (CCHFV) causes severe haemorrhagic fever outbreaks The transmission is possible either by bite from infected ticks of the family Ixodidae and genus Hyalomma that are the principal vectors nevertheless a number of tick genera is capable of becoming infected with virus (Estrada-Pena et al 2012) CCHFV can also be transmitted by direct contact with blood or tissues from viremic livestock (Ftika et al 2013 Leblebicioglu et al 2016) The hosts of CCHFV include a wide range of wild and domestic animals such as cattle sheep and goats Animals generally become infected by the bite of infected ticks
People involved in livestock industry such as veterinarians slaughterhouse workers and agricultural workers constitute the most exposed category to CCHFV Person-to-person and nosocomial transmission is occasional but not unusual for CCHFV infection when risk is higher for the higher viral loads during the later stages of the disease (Celikbas et al 2014 Parlak et al 2015)
In Africa Balkans Middle East and Asian countries where CCHF is endemic seven genotypes have been recognized by genetic analysis In the European Union countries sporadic cases have been reported in Bulgaria and Greece (ECDC 2013 Papa et al 2008) while in the Balkans CCHFV has a widespread distribution In the World Health Organization (WHO) European Region Turkey remains the most affected country
The incubation period ranges may be different according to the type of transmission and viral load (Vorou et al 2007 Nabeth et al 2007) After tick bite transmission the incubation period is almost one to three days while after exposure to infected blood or bodily fluids may range between three and seven days This period can be shorter depending to viral load from infected blood (Naderi et al 2013) Symptoms of CCHF in humans include high fever muscle pain dizziness photophobia abdominal pain diarrhoea vomiting and in severe cases systemic haemorrhage (ECDC 2016)
On 31 August 2016 two cases of infection with CCHFV were reported in Madrid giving the first evidence of the disease in Spain The first case was a man of 62 years who likely got infected through a tick-bite while hiking around the community of San Juan del Molinillo (Avilla) Interestingly the virus was identified in Hyalomma lusitanicum in western Spain close to the border with Portugal (Estrada-Pena et al 2012) After first symptoms the man was admitted to the intensive care unit (ICU) of the Infanta Leonor Hospital in Madrid Afterwards the man was transferred to a high-level isolation ICU at the Gregorio Marantildeoacuten Hospital in Madrid where he died on 25 August 2016 (Figure 1)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
27 Around us26 Around us
5 Ftika L Maltezou HC (2013) Viral haemorrhagic fevers in healthcare settings J Hosp Infect83(3)185-92
6 Leblebicioglu H Sunbul M Guner R Bodur H Bulut C Duygu F (2016) Healthcare-associated Crimean-Congo haemorrhagic fever in Turkey 2002-2014 a multicentre retrospective cross-sectional study Clin Microbiol Infect22(4)387 e1-4
7 Nabeth P Thior M Faye O Simon F Human Crimean-Congo hemorrhagic fever Senegal (2014) Emerg Infect Dis10(10)1881-2
8 Naderi HR Sheybani F Bojdi A Khosravi N Mostafavi I (2013) Fatal nosocomial spread of Crimean-Congo hemorrhagic fever with very short incubation period Am J Trop Med Hyg88(3)469-71
9 Papa A Maltezou HC Tsiodras S Dalla VG Papadimitriou T Pierroutsakos I (2008) A case of Crimean-Congo haemorrhagic fever in Greece June 2008 Euro Surveill13(33)
10 Parlak E Koşan Z Ertuumlrk A Parlak M Oumlzkut Z (2015) A nosocomial outbreak of Crimean-Congo hemorrhagic fever Journal of Microbiology and Infectious Diseases5(1)5-9
11 Shayan S Bokaean M Shahrivar MR Chinikar S (2015) Crimean-Congo Hemorrhagic Fever Lab Med 2015 Summer46(3)180-9
12 Vorou R Pierroutsakos IN Maltezou HC Crimean-Congo hemorrhagic fever (2007) Curr Opin Infect Dis20(5)495-500
Websites
bull httpwwwpromedmailorgbull httpwwwwhointen
-Edited byGuido Di DonatoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
Figure 1The first evidence of CCHF virus in Spain
Avilla Spain first place where the patient most likely got infected through a tick-bite
Intensive care unit (ICU) of the Infanta Leonor Hospital Madrid where the first case was hospitalized and the second case was exposed
High-level isolation ICU at the Gregorio Marantildeoacuten Hospital Madrid where the first case was transferred)
Unfortunately one healthcare worker who took care of the CCHF affected patient while he was hospitalized in the ICU developed symptoms a few days later and was hospitalized presenting severe disease but with favourable evolution Both cases were confirmed by PCR at the Spanish National Centre for Microbiology
Both cases represent the first detection of autochthonous infection of CCHF in Spain and Western Europe
The European Centre for Disease prevention and control (ECDC) published on 8th September 2106 a Rapid risk assessment on CCHF The document takes into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action
Recent detection of CCHFV in ticks from the autonomous Community of Extremadura in western Spain indicates the circulation of CCHF virus among wildlife Therefore the occurrence of CCHFV infection is not an unexpected event in Spain Nosocomial transmission of CCHF can occur even in a non-endemic region when appropriate infection prevention and control (IPC) measures have not been observed The probability of CCHF virus infection in Spain is low However other sporadic cases are possible
References
1 Celikbas AK Dokuzoguz B Baykam N Gok SE Eroglu MN Midilli K (2014) Crimean-Congo hemorrhagic fever among health care workers Turkey Emerg Infect Dis20(3)477-9
2 Estrada-Pena A Palomar AM Santibanez P Sanchez N Habela MA Portillo A (2012) Crimean Congo hemorrhagic fever virus in ticks Southwestern Europe 2010 Emerg Infect Dis Jan18(1)179-80
3 European Centre for Disease Prevention and Control (2014) Annual Epidemiological Report Emerging and vector-borne diseases [Internet] Stockholm ECDC 2014
4 European Centre for Disease Prevention and Control (2016) Factsheet for health professionals Crimean-Congo haemorrhagic fever (CCHF)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
2 Index
INDEX EDITORIALThe BENV as a tool for disseminating information
Dear readers
this new issue of BENV will keep you company in the cold winter months with new interesting articles
In the section In recent months an article on Bluetongue presents the updated epidemiological situation of the outbreaks in Italy During 2016 BTV4 spread to areas not affected by viral circulation in previous years outbreaks were notified not only in central and southern Italy but also in the north The first outbreak reported outside the area affected by 2015 BTV4 circulation was confirmed on 4th June 2016 in Potenza (Basilicata region) Then the virus spread progressively to the north the first BTV4 outbreak was confirmed in a free grazing sheep on the 30th August in Veneto between Belluno and Treviso provinces Up to the 18th October a total of 161 outbreaks were notified in Belluno Treviso Vicenza Padova e Trento
The first confirmation of Lumpy Skin Disease (LSD) in the European Union was in Greece on August 20th 2015 counting 117 outbreaks in 7 different Regional Units (RUs) After an interval of 4 months (December 2015 ndash April 2016) without any new outbreaks during which the vaccination campaign was in progress LSD re-emerged in Greece in April in Central Macedonia Region close to the borders with Bulgaria where vaccination coverage was low The disease distributed to the east and the west in RUs with high vaccination coverage giving sporadic outbreaks and then it ldquojumpedrdquo to the peninsula of Peloponnesus far away from the other affected areas Overall the epidemic lasted from April to August 2016 98 outbreaks were confirmed in 12 RUrsquos and approximately 5500 bovine animals have been culled This second LSD epidemic is described in the section Around us of the Benv
In the same section another article is focused on Crimean Congo Haemorrhagic fever (CCHF) a widespread disease caused by a tick-borne virus of the genus Nairovirus The first evidence of CCHF in western Europe was documented in Spain with two cases of infection Both cases were confirmed by PCR at the Spanish National Centre for Microbiology and represent The European Centre for Disease prevention and control (ECDC) recently published a rapid risk assessment on CCHF taking into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action For more information we invite you to consult the document on the ECDC website
The distribution of the main animal diseases occurred in Italy up to the third quarter 2016 is shown in the section A look to the maps The Hand on Data section shows the data on the outbreaks of animal diseases the health status of the regions and the animal species involved in the outbreaks reported to SIMAN up to September 2016 In addition to BTV4 spread in Italy well described in the section In recent months Aethina tumida reoccurred from July to September counting 34 outbreaks in Calabria region The trend of Equine infectious Anaemia is stable with most of the outbreaks reported from March to July Also five outbreaks of Antrax were notified in the central-south of Italy Basilicata Abruzzo Lazio and Sicilia the regions involved
The Officially free territories section has been updated in agreement with Commission implementing Decision (EU) 20161811 of 11th October 2016 amending Annex II to Decision 9352EEC as regards the recognition of the Province of Brindisi in the Region Puglia of Italy as officially free of brucellosis (B melitensis)
We invite you once again to send us articles of interest in the section Submit your article where you can find the authorrsquos guidelines The BENV editorial staff wishes you a pleasant reading and gives you the appointment to the next year for the new issue
Simona Iannetti COVEPI
3 Editorial
-EDITORIAL 3
-IN THESE MONTHSEpidemiological situation of Blue tongue in Italy in 2016 4
-HAND ON DATANumber of outbreaks reported by regions to SIMAN up to 30th September 2016 10Number of outbreaks reported by Regions to SIMAN up to 30th September 2016 11Animals involved in outbreaks reported to SIMAN up to 30th September 2016 15
-A LOOK AT THE MAPS 16
-AROUND USRe-emergence of Lumpy Skin Disease in Greece April to August 2016 20First evidences of Crimean-Congo Haemorrhagic Fever (CCHF) in Western Europe (Spain) 25
-OFFICIALLY FREE TERRITORIES 28 -CONTACTS amp EDITORIAL STAFF 32
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
4 In these months 5 In these months
IN THESE MONTHSThe main events of epidemiological interest in the lastmonths in Italy and in the European Union
Epidemiological situation of Blue tongue in Italyin 2016In 2014 eastern Europe experienced a big Blue tongue (BT) epidemic due to serotype 4 (BTV4) At the same time BTV1 was circulating in Italy causing many outbreaks of the disease In October 2014 at the end of the epidemic season BTV4 was detected in southern Italy in Apulia region During 2015 in Italy was documented a residual BTV1 circulation (clinical cases were reported only in January) and BTV4 spread to Calabria Sicily Campania Lazio and Basilicata regions (Figures 1 and 2)
During 2016 BTV4 spread to areas not affected by viral circulation in previous years outbreaks have been notified not only in the Regions of central and southern Italy (Calabria Sicily Campania Lazio Basilicata Abruzzo Molise Marche Umbria Emilia Romagna Sardinia) but also in Tuscany Veneto and the Autonomous Province of Trento (Figure 3 Table 1)
The first outbreak notified outside the affected area by the circulation of BTV 4 in 2015 was confirmed in the province of Potenza (Basilicata region) on 4th June 2016
Starting from June the virus spread progressively to the north affecting several Provinces of central and southern Italy (Figure 1)
On August 30 2016 was confirmed by the National Reference Center the first outbreak of BTV-4 in sheep grazing in the Veneto region between Belluno and Treviso provinces Since the first positivity and until the 18 October 2016 in Northern Italy 161 outbreaks have been confirmed in the provinces of Belluno Treviso Vicenza Padova and Trento The last epidemic of BT in Northern Italy had been documented in 2008-2009 due to serotype 8
The graph shows the timeline of the viral circulation of BTV4 during 2016 most of the outbreaks was recorded in the summer-autumn period in which the epidemic spread to areas previously free In 2016 clinical outbreaks due to BTV1 were not notified while a large number of clinical cases due to BTV4 has been confirmed The median morbidity detected in every outbreak of BTV4 is 621 (25th and 75th percentiles 238 and 1244)
In 75 of the outbreaks of BTV4 the mortality value is less than 318
Figure 1Geographical and temporal evolution of BTV4 circulation in Italy (Source SIMAN 1012016 ndash 18102016)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
6 In these months 7 In these months
Figura 2Geographical distribution of clinical BTV4 outbreaks in Italy in 2016 (Source SIMAN 1012016 ndash 18102016)
Table 1 Detail of confirmed outbreaks in Italy (Source SIMAN 1012016 ndash 18102016) Table 1 Detail of confirmed outbreaks in Italy (Source SIMAN 1012016 ndash 18102016)
Region Serotype CATTLE BUFFALOES SHEEP GOATS
Outbreaks Susceptible Cases Clinical cases Dead Susceptible Cases Clinical
cases Dead
ABRUZZO BTV 4 12 250 10 0 0 1017 17 12 2
BASILICATA
Ongoing determination 10 190 7 0 0 378 69 67 12
BTV 1 11 1573 15 0 0 260 3 0 0
BTV 4 75 1903 49 0 0 5332 285 180 118
CALABRIA
Ongoing determination 2 242 14 3 0
BTV 1 4 83 3 0 0 60 1 0 0
BTV 4 31 329 18 0 0 1978 138 63 36
CAMPANIA
Ongoing determination 10 31 1 0 0 1818 86 86 14
BTV 1 36 1168 30 0 0 63 44 0 0
BTV 4 88 1947 131 0 0 8402 552 504 152EMILIA
ROMAGNA BTV 4 9 838 31 0 0
FRIULI VENEZIA GIULIA
Ongoing determination 1 47 6 5 1
LAZIO BTV 1 7 1230 9 0 0 243 2 0 0
BTV 4 19 454 18 0 0 3645 47 42 14
MARCHE BTV 4 4 51 1 0 0 110 5 2 2
MOLISE BTV 4 53 629 21 0 0 5510 649 626 326
PUGLIA Ongoing
determination 2 43 2 0 0
BTV 4 22 757 53 0 0 36 1 1 0
SARDINIA BTV 1 7 147 3 0 0 2104 8 0 0
SICILY
Ongoing determination 1 21 1 0 0
BTV 1 10 589 23 0 0
BTV 4 73 3421 247 0 0 1966 76 70 1
TUSCANY BTV 4 3 891 78 58 16
TRENTO BTV 4 1 12 1 1 1
UMBRIA BTV 4 6 511 7 0 0
VENETO BTV 4 160 4081 330 0 1 4829 102 93 13
Total 657 20203 1008 0 1 38986 2186 1813 708
Figure 3Timeline of the BTV 4 outbreaks of in Italy(Source SIMAN 1012016 ndash 18102016)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
8 In these months 9 In these months
References
1 A Giovannini P Calistri D Nannini C Paladini U Santucci C Patta amp V Caporale (2004) Bluetongue in Italy Part I Veterinaria Italiana Volume 40 (3) 252-259
2 Nota 0016156 del Ministero della salute del 18062015 Blue tongue ndash riformulazione del sistema di sorveglianza sierologica
3 Nota 0015742 del Ministero della salute del 12062015 Febbre catarrale degli ovini (Blue tongue) ndash Modifica e integrazione dispositivo dirigenziale prot n 5662 del 14 marzo 2014 e s m
--Edited byRossana Bruno e Daria Di SabatinoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
10 Hand on data 11 Hand on data
HAND ON DATA Processing date 25h October 2016
Number of outbreaks reported to SIMAN up to 30th September 2016
Number of outbreaks reported by Regions to SIMAN up to 30th September 2016
Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
Aethina tumida 4 30 34
African swine fever 32 1 3 7 8 1 2 54
American foulbrood of honey bees 1 2 4 8 3 4 7 2 31
Antrax 1 1 3 5
Avian cholera 2 2
Bluetongue 9 11 11 7 27 84 136 118 208 611
Bovine leucosis 1 1 2 1 1 1 7
Bovine tuberculosis 21 33 25 30 32 25 13 6 10 195
Brucellosis of cattle buffalo sheep goats and pigs 42 58 58 63 76 52 37 27 42 455
Caprine arthritisencephalitis 1 1
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
1 1
Clostridiosis (Enterotoxemia) 1 1
Contagious agalactia 8 6 7 5 7 8 14 3 5 63
Contagious bovine mastitis 1 1 2
EchinococcosisIdatidosis 1 2 1 1 1 1 7
Equine infectious anaemia 1 4 3 3 5 5 1 1 23
Equine rhinopneumonitis 1 1 3 5
Erysipelas 2 2 1 1 2 3 11
European foulbrood of honey bees 1 2 2 5
Fowl pox 1 1
High patogenicity Avian influenza in poultry 1 1 2
Infection with equine arteritis virus 1 1 2
Leptospirosis 1 1 2 5 1 2 1 2 15
Low patogenicity Avian influenza in poultry 2 2
Maedi-visna 1 1
Mixomatosis 1 1 2 4
Newcastle disease 1 1
Non-typhoidal avian salmonellosis 1 2 3 2 1 2 3 2 16
Paratuberculosis 2 1 1 1 1 6
Q fever 1 1
Rabbit haemorrhagic disease 1 4 1 2 4 7 4 23
Salmonellosis (S abortusovis) 2 4 2 1 1 10
Salmonellosis of animals 2 2 2 2 2 1 11
Schmallengberg disease 2 2
Scrapie 1 1 1 4 3 7 2 3 22
Swine vescicular disease 1 1
Trichinellosis 2 1 1 4
West Nile Disease 1 1 17 57 41 117
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
ABRUZZO
American foulbrood of honey bees 1 1
Antrax 1 1
Bluetongue 13 5 8
Brucellosis of cattle buffalo sheep goats and pigs 1 2 3
Contagious agalactia 1 1
EchinococcosisIdatidosis 1 2 1 1 5
Equine infectious anaemia 1 1 1 4 9 2
Non-typhoidal avian salmonellosis 1 2 1
Rabbit haemorrhagic disease 1 3 2
APULIA
Bluetongue 2 2 24 5 15
Bovine leucosis 1 2 1
Bovine tuberculosis 1 2 1 1 2 5 14 2
Brucellosis of cattle buffalo sheep goats and pigs 3 9 10 7 7 9 62 6 2 9
EchinococcosisIdatidosis 2 1 1
Equine infectious anaemia 1 1
Infection with equine arteritis virus 1 1
Non-typhoidal avian salmonellosis 1 1 3 1
Salmonellosis of animals 1 2 1
Scrapie 2 1 3
BASILICATA
Antrax 1 1
Bluetongue 1 2 2 1 30 70 18 12 4
Brucellosis of cattle buffalo sheep goats and pigs 1 1 2 3 3 10
Equine infectious anaemia 1 1
Scrapie 1 1
BOLZANOAmerican foulbrood of honey bees 1 2 1
Erysipelas 1 1
CALABRIA
Aethina tumida 34 4 30
Bluetongue 3 1 2 5 32 13 8
Bovine tuberculosis 3 3 3 3 3 20 2 1 2
Brucellosis of cattle buffalo sheep goats and pigs 6 8 6 8 13 8 64 4 4 7
Erysipelas 1 1
Non-typhoidal avian salmonellosis 1 1
Scrapie 1 1
CAMPANIA
Bluetongue 1 3 12 37 135 64 15 3
Bovine leucosis 1 1 1 3
Bovine tuberculosis 2 3 2 3 2 16 2 2
Brucellosis of cattle buffalo sheep goats and pigs 10 5 10 9 12 9 69 6 3 5
Equine infectious anaemia 1 2 1
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
13 Hand on data12 Hand on data
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
EMILIA ROMAGNA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
Fowl pox 1 1
High patogenicity Avian influenza in poultry 1 1 2
Low patogenicity Avian influenza in poultry 1 1
Paratuberculosis 1 1
Rabbit haemorrhagic disease 1 1
Schmallengberg disease 1 1
Scrapie 1 1
West Nile Disease 52 12 32 8
FRIULI VENEZIA GIULIA
Low patogenicity Avian influenza in poultry 1 1
LAZIO
Antrax 1 1
Bluetongue 2 2 1 1 1 29 3 12 7
Bovine leucosis 1 1 2
Bovine tuberculosis 1 2 1
Brucellosis of cattle buffalo sheep goats and pigs 1 2 1
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
1 1
Contagious agalactia 1 1
Equine infectious anaemia 1 1 2 1 9 3 1
Equine rhinopneumonitis 1 1 2
Infection with equine arteritis virus 1 1
Leptospirosis 1 1 1 1 4
Salmonellosis (S abortusovis) 1 1 4 1 1
Salmonellosis of animals 1 1
Scrapie 1 1 3 1
West Nile Disease 1 2 1
LIGURIA Leptospirosis 1 1
LOMBARDY
American foulbrood of honey bees 1 3 4
Equine rhinopneumonitis 2 2
Erysipelas 1 1
European foulbrood of honey bees 1 1
Leptospirosis 1 1 2
Mixomatosis 3 1 2
Non-typhoidal avian salmonellosis 1 1 1 4 1
Salmonellosis of animals 1 1
Scrapie 1 2 1
West Nile Disease 12 1 7 4
MARCHE
Bluetongue 2 2
Bovine tuberculosis 1 2 4 1
Non-typhoidal avian salmonellosis 1 1
MOLISE
Bluetongue 53 6 41 6
Bovine tuberculosis 3 1 5 1
Brucellosis of cattle buffalo sheep goats and pigs 1 2 1 4
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
PIEDMONT
American foulbrood of honey bees 1 1
Bovine tuberculosis 1 1 3 1
Non-typhoidal avian salmonellosis 1 1 2
Paratuberculosis 2 2
Salmonellosis of animals 1 1
Schmallengberg disease 1 1
Scrapie 3 3
West Nile Disease 6 6
SARDINIA
African swine fever 32 1 3 7 8 54 1 2
Bluetongue 1 2 2 6 1
Caprine arthritisencephalitis 1 1
Contagious agalactia 7 5 7 5 6 8 60 14 3 5
Erysipelas 2 1 3
Leptospirosis 2 4 8 2
Maedi-visna 1 1
Newcastle disease 1 1
Paratuberculosis 1 1 2
Salmonellosis (S abortusovis) 1 2 2 5
Salmonellosis of animals 1 1
Scrapie 2 3 1
Swine vescicular disease 1 1
Trichinellosis 2 1 4 1
West Nile Disease 1 3 1 1
SICILY
Antrax 2 2
Bluetongue 5 6 2 11 9 71 27 9 2
Bovine tuberculosis 15 21 18 19 25 19 131 5 4 5
Brucellosis of cattle buffalo sheep goats and pigs 21 32 28 35 41 25 241 20 18 21
Clostridiosis (Enterotoxemia) 1 1
Contagious agalactia 1 1
Mixomatosis 1 1
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 1 1 1 3
Salmonellosis of animals 2 1 1
Scrapie 1 3 2
TRENTO
American foulbrood of honey bees 1 9 1 6 1
Bluetongue 1 1
Contagious bovine mastitis 1 2 1
European foulbrood of honey bees 1 1 2
Paratuberculosis 1 1
Rabbit haemorrhagic disease 1 3 1 1
TUSCANY
American foulbrood of honey bees 1 2 4 1
Bluetongue 3 3
Equine infectious anaemia 1 1
Equine rhinopneumonitis 1 1
European foulbrood of honey bees 1 1
Q fever 1 1
Rabbit haemorrhagic disease 2 1 4 1
Salmonellosis (S abortusovis) 1 1
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 16 4 12
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
14 Hand on data
Animals involved in outbreaks reported to SIMAN up to 30th September 2016
Disease Animals involvedNo of animal in the
holding
No of diseased animals
No of died
animals
No of culled
animals
No of destroyed
animas
Aethina tumida Bees 3013 285 0 2861 2044
African swine fever Suidae 400 145 54 342 393
American foulbrood of honey bees Bees 592 221 24 254 265
Antrax Ruminants 1094 10 10 0 10
Avian cholera Poultry 66 6 6 0 0
Bluetongue Ruminants 59693 3439 803 0 431
Bovine leucosis Ruminants 200 9 0 1 0
Bovine tuberculosis Ruminants 12102 1408 9 320 121
Brucellosis of cattle buffalo sheep goats and pigs
Domestic carnviores 4 4 0 0 0
Ruminants 51735 8311 16 450 146
Caprine arthritisencephalitis Ruminants 143 7 0 0 0
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
Ruminants 230 3 0 0 0
Clostridiosis (Enterotoxemia) Ruminants 163 1 1 0 1
Contagious agalactia Ruminants 23083 3061 30 0 30
Contagious bovine mastitis Ruminants 126 3 0 0 0
EchinococcosisIdatidosis Ruminants 1286 27 0 0 0
Equine infectious anaemia Equines 219 34 0 2 2
Equine rhinopneumonitis Equines 87 49 0 3 1
Erysipelas Suidae 11653 47 16 11 27
European foulbrood of honey bees Bees 58 12 0 12 12
Fowl pox Birds 10258 50 1 0 0
High patogenicity Avian influenza in poultryBirds 49472 2170 170 0 170
Poultry 17500 700 500 17000 17500
Infection with equine arteritis virus Equines 40 2 0 0 0
Leptospirosis
Domestic carnviores 6 2 1 0 1
Equines 187 4 0 0 0
Ruminants 272 13 0 0 0
Suidae 8250 7971 0 0 0
Low patogenicity Avian influenza in poultryBirds 445 11 0 445 374
Poultry 619 5 1 618 371
Maedi-visna Ruminants 923 175 0 0 0
Mixomatosis Lagomorphs 2014 208 158 56 211
Newcastle disease Birds 2 2 2 0 2
Non-typhoidal avian salmonellosisBirds 4150 4150 0 0 0
Poultry 683025 101076 100 39834 39804
Paratuberculosis Ruminants 1429 43 9 0 9
Q fever Ruminants 105 2 0 0 0
Rabbit haemorrhagic disease Lagomorphs 28411 17166 16169 29 14134
Salmonellosis (S abortusovis) Ruminants 3729 101 7 0 7
Salmonellosis of animals
Equines 97 1 1 0 0
Poultry 10350 3350 0 0 0
Ruminants 3590 69 13 0 11
Suidae 4530 9 9 0 1
Schmallengberg disease Ruminants 176 4 0 0 0
Scrapie Ruminants 8623 161 8 2 7
Swine vescicular disease Suidae 22 1 0 0 0
Trichinellosis Wild animals 4 4 2 2 4
West Nile Disease
Birds 74 64 23 14 34
Equines 650 46 3 1 3
Insects 199 124 5 1 5
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
UMBRIA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
VENETO
American foulbrood of honey bees 1 1 3 1
Avian cholera 2 2
Bluetongue 157 1 156
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 3 9 4 2
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 26 4 13 9
15 Hand on data
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
16 A look at the maps 17 A look at the maps
A LOOK AT THE MAPSThe geographical distribution of the main animal diseasesreported to SIMAN up 30th September 2016
Processing date 25th October 2016
Aethina tumida
Equine Infectious Anaemia
--Geographical distribution of the outbreaks
--Geographical distribution of the outbreaks
Bluetongue
--Geographical distribution of the outbreaks
Carbonchio ematico
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
18 A look at the maps 19 A look at the maps
--Geographical distribution of the outbreaks
Avian Influenza high patogenicity African swine fever
--Geographical distribution of the outbreaks
Avian Influenza low patogenicity
--Geographical distribution of the outbreaks
West Nile Disease
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
21 Around us20 Around us
The first confirmation of Lumpy Skin Disease (LSD) in European Union was in Greece on August 20th 2015 (East Macedonia and Thrace Region Regional Unit (RU) of Evros) in two herds of free grazing cattle in close proximity to the Greek-Turkish borders Until the end of December 2015 the disease had been spread to the west counting 117 outbreaks in 7 different RUsrsquo (Evros Xanthi Kavala Lesvos Island Rodopi Chalkidiki and Thessaloniki) at the Northern-East part of Greece (167) In total 6085 animals were killed This ldquofirst waverdquo of the disease lasted for 18 weeks (based on the date of confirmation)
Emergency Vaccination had been decided by Greek Veterinary Authorities in cooperation with the European Commission since the beginning of the disease started on 5th September 2015 at Evros RU Measures described in Directive 92119EEC and in the National Contingency Plan were also applied to all RUrsquos where outbreaks had been confirmed including zoning (surveillance and protection zones) stamping out and sanitary burial on the spot in affected holdings movement controls disinfection and vector control (3)
Also Commissionrsquos Implementing Decision (EU) 20151500 as it has been modified by Implementing Decision (EU) 20152055 has been applied to all Regional Units which have been characterized as Restricted Zones (4 5) These measures included mainly restrictions on movements of the vaccinated animals and also of fresh meat hides milk dairy products and meat products coming from vaccinated animals
There was an interval of 4 months (15 December 2015 ndash 6 April 2016) without any new outbreaks (more than 4 incubation periods) and while the vaccination campaign was in progress (Figure 1)
AROUND USThe main events of epidemiological interest in the last months in the European Union and in the neighbour countries
Re-emergence of Lumpy Skin Disease in Greece April to August 2016
In the entire Greece passive and active surveillance was implemented and included
bull clinical examination of bovines in the protection and the surveillance zones bull clinical examination of bovines before vaccination against LSD and during the
implementation of other eradication and control programs bull laboratory investigation of the suspected cases
The findings of the surveillance confirmed the absence of LSD outbreaks during this period
Nevertheless on 6th of April 2016 the disease re-emerged in Greece in the RU of Serres in Central Macedonia Region close to the borders with Bulgaria where vaccination coverage was low (40 of bovine population) due to low availability of vaccines at that time In almost all cases (with an exception of one herd) it affected herds that were unvaccinated or vaccinated during the incubation period of the disease
The disease distributed to the east and to the west in RUs with high vaccination coverage close to 100 where it affected some herds which had remained unvaccinated (backyard family herds and free grazing herds) giving some sporadic outbreaks (3 in RU of Drama 4 in RU of Thessaloniki 3 in RU of Kavala and 1 in RU of Kilkis) (16) Then the disease crossed the high vaccinated areas (asymp100) of RU of Thessaloniki and Kilkis and entered RUrsquos of Pella and Imathia where the vaccination coverage was low
On 15th of July the disease ldquojumpedrdquo to the peninsula of Peloponissos in RU of Achaia far away from the other affected areas Up until today it remains the only outbreak in the area and no connection with previous outbreaks has been identified yet according to epidemiological surveys
During this ldquosecond waverdquo of the disease (April ndashAugust 2016) 98 outbreaks have been confirmed in 12 RUrsquos and approximately 5500 bovine animals have been culled (Table 1 and Figure 2)
Figure 1Number of outbreaks in Greece within a year (August 2015 toAugust 2016)
RUrsquosNumber
of outbreaks
Date of confirmation
of the 1st outbreak
Date of confirmation
of the last outbreak
Duration of the offset of the
outbreaks (days)
Serres 44 04-06-16 05-27-16 51
Thessaloniki 4 05-18-16 08-17-16 91
Kavala 3 05-18-16 06-23-16 36
Pella 18 05-23-16 08-08-16 77
Kilkis 1 05-26-16 - -
Drama 3 06-01-16 06-14-16 13
Imathia 14 06-16-16 08-03-16 48
Florina 4 06-30-16 08-03-16 34
Limnos 3 06-13-16 07-22-16 39
Achaia 1 07-15-16 - -
Kozani 1 08-26-16 - -
Larissa 2 08-26-16 -
Total 98
Table 1 Confirmed Outbreaks per Regional Unit (RU) with dates of confirmation of first and last outbreak and the duration of the offset of the outbreaks in each one (April ndash August 2016)
Clinical signs identified included fever nodules on the skin mucous and internal organs nasal and ophthalmic discharge salivation ulcers on the skin and around the eyes lameness due to oedema on legs depression loss of appetite and sometimes deaths (Figure 3 4 5)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
23 Around us22 Around us
Figure 2Map of Greece presenting the distribution of outbreaks (red pins) in Greece from April to August 2016
Figure 3Ophthalmic discharge and ulceration
around the eye
Figure 4Multiple nodules covering the entire
neck (lateral view)
Vaccination Campaign
Emergency vaccination for all susceptible species with homologous live attenuated virus vaccines decided since the beginning of the disease Two homologous live attenuated virus vaccines have been approved for import and used in Greece ldquoLumpy Skin Disease Vaccine for Cattlerdquo (Onderstepoort Biological Products South Africa) and ldquoLumpyvaxrdquo (MSD Animal Health Intervet South Africa)
Vaccination campaign started on 5 September 2015 in RU of Evros However soon after the confirmation of the disease it was extended to all other affected RUrsquos In November 2015 it was also extended to free RU (Thessaloniki Kilkis Serres Drama) in order to create a buffer zone The vaccination campaign extended to the rest of the Greece following the epidemiological evolution of the disease Up until August 2016 approximately 385000 bovine animals have been vaccinated for the first time During the same period the annual booster vaccination had started in RUrsquos of Evros Rodopi and Xanthi
Today vaccination campaign has been implemented to the entire mainland of Greece and also to Limnos Island where the disease re-emerged on 13 of June 2016
Despite vaccination campaign total stamping out policy is still implemented in vaccinated herds located in areas with high vaccination coverage due to EU legislation (Directive 92119EEC) Taken into consideration EFSArsquos recent opinion when vaccination is evenly applied so that 95 of the farms are vaccinated with 75 of vaccinated animals effectively protected then total stamping out and partial stamping out result in a similar probability of eradication of infection (2)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
24 Around us 25 Around us
Conclusions of the epizootic
OIE official recognition of disease status and endorsment of national official control Greek experience gained regarding LSD indicates that
bull vaccination was an effective measure for the control of the spread the disease and where it has been implemented before the appearance of the disease only few sporadic outbreaks occurred in unvaccinated animals
bull there is a need of amendment of legislation as regards the stamping out policy in vaccinated herds in order to be replaced by partial stamping out of affected animals c) the strict measures implemented to vaccinated animals and their products was an obstacle to convince farmers on the benefits of vaccination
bull cooperation and exchange of information among affected Countries is a key for the investigation of the epidemiology of the disease
References
1 Animal Disease Notification System (ADNS) httpswebgateeceuropaeu 2 Efsa 2016 Urgent advice on lumpy skin disease efsa jurnal29 July 2016 https
wwwefsaeuropaeuenefsajournalpub45733 Directive 92119EEC Council Directive 92119EEC of 17 December 1992
introducing general Community measures for the control of certain animal diseases and specific measures relating to swine vesicular disease
4 Decision No 20151500 EC Commission Implementing Decision (EU) 20151500 of 7 September 2015 concerning certain protective measures against lumpy skin disease in Greece and repealing Implementing Decision (EU) 20151423 (notified under document C(2015) 6221) (Text with EEA relevance)
5 Decision No 20152055 Commission Implementing Decision (EU) 20152055 of 10 November 2015 laying down the conditions for setting out the programme for emergency vaccination of bovine animals against lumpy skin disease in Greece and amending Implementing Decision (EU) 20151500 (notified under document C(2015) 7671) (Text with EEA relevance)
6 OIE (World Organization for Animal Health) Lumpy Skin Disease World Animal Health Information Database 2015 httpwwwoieintwahis_2publicwahidphpWahidhomeHome
7 Tasioudi KE Antoniou SE et all (2016) Emergence of Lumpy Skin Disease in Greece 2015 httpswwwncbinlmnihgovpubmed269913422016 Jun63(3)260-5
--Edited by
Sotiria-Eleni AntoniouDepartment of Infectious and Parasitic Diseases Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
Vangelis TsiamadisDepartment of Veterinary Medicine of Regional Unit of Thessaloniki Directorate of Rural Economy and Veterinary Services of RU of Thessaloniki Region of Central Macedonia Thessaloniki Greece and Department of Animal Production Faculty of Veterinary Medicine Thessaloniki Greece
Chrysoula DileDirector of Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
First evidences of Crimean-Congo haemorrhagic fever (CCHF) in Western Europe (Spain)
Crimean-Congo haemorrhagic fever (CCHF) is a widespread disease caused by a tick-borne virus of the genus Nairovirus The CCHF virus (CCHFV) causes severe haemorrhagic fever outbreaks The transmission is possible either by bite from infected ticks of the family Ixodidae and genus Hyalomma that are the principal vectors nevertheless a number of tick genera is capable of becoming infected with virus (Estrada-Pena et al 2012) CCHFV can also be transmitted by direct contact with blood or tissues from viremic livestock (Ftika et al 2013 Leblebicioglu et al 2016) The hosts of CCHFV include a wide range of wild and domestic animals such as cattle sheep and goats Animals generally become infected by the bite of infected ticks
People involved in livestock industry such as veterinarians slaughterhouse workers and agricultural workers constitute the most exposed category to CCHFV Person-to-person and nosocomial transmission is occasional but not unusual for CCHFV infection when risk is higher for the higher viral loads during the later stages of the disease (Celikbas et al 2014 Parlak et al 2015)
In Africa Balkans Middle East and Asian countries where CCHF is endemic seven genotypes have been recognized by genetic analysis In the European Union countries sporadic cases have been reported in Bulgaria and Greece (ECDC 2013 Papa et al 2008) while in the Balkans CCHFV has a widespread distribution In the World Health Organization (WHO) European Region Turkey remains the most affected country
The incubation period ranges may be different according to the type of transmission and viral load (Vorou et al 2007 Nabeth et al 2007) After tick bite transmission the incubation period is almost one to three days while after exposure to infected blood or bodily fluids may range between three and seven days This period can be shorter depending to viral load from infected blood (Naderi et al 2013) Symptoms of CCHF in humans include high fever muscle pain dizziness photophobia abdominal pain diarrhoea vomiting and in severe cases systemic haemorrhage (ECDC 2016)
On 31 August 2016 two cases of infection with CCHFV were reported in Madrid giving the first evidence of the disease in Spain The first case was a man of 62 years who likely got infected through a tick-bite while hiking around the community of San Juan del Molinillo (Avilla) Interestingly the virus was identified in Hyalomma lusitanicum in western Spain close to the border with Portugal (Estrada-Pena et al 2012) After first symptoms the man was admitted to the intensive care unit (ICU) of the Infanta Leonor Hospital in Madrid Afterwards the man was transferred to a high-level isolation ICU at the Gregorio Marantildeoacuten Hospital in Madrid where he died on 25 August 2016 (Figure 1)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
27 Around us26 Around us
5 Ftika L Maltezou HC (2013) Viral haemorrhagic fevers in healthcare settings J Hosp Infect83(3)185-92
6 Leblebicioglu H Sunbul M Guner R Bodur H Bulut C Duygu F (2016) Healthcare-associated Crimean-Congo haemorrhagic fever in Turkey 2002-2014 a multicentre retrospective cross-sectional study Clin Microbiol Infect22(4)387 e1-4
7 Nabeth P Thior M Faye O Simon F Human Crimean-Congo hemorrhagic fever Senegal (2014) Emerg Infect Dis10(10)1881-2
8 Naderi HR Sheybani F Bojdi A Khosravi N Mostafavi I (2013) Fatal nosocomial spread of Crimean-Congo hemorrhagic fever with very short incubation period Am J Trop Med Hyg88(3)469-71
9 Papa A Maltezou HC Tsiodras S Dalla VG Papadimitriou T Pierroutsakos I (2008) A case of Crimean-Congo haemorrhagic fever in Greece June 2008 Euro Surveill13(33)
10 Parlak E Koşan Z Ertuumlrk A Parlak M Oumlzkut Z (2015) A nosocomial outbreak of Crimean-Congo hemorrhagic fever Journal of Microbiology and Infectious Diseases5(1)5-9
11 Shayan S Bokaean M Shahrivar MR Chinikar S (2015) Crimean-Congo Hemorrhagic Fever Lab Med 2015 Summer46(3)180-9
12 Vorou R Pierroutsakos IN Maltezou HC Crimean-Congo hemorrhagic fever (2007) Curr Opin Infect Dis20(5)495-500
Websites
bull httpwwwpromedmailorgbull httpwwwwhointen
-Edited byGuido Di DonatoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
Figure 1The first evidence of CCHF virus in Spain
Avilla Spain first place where the patient most likely got infected through a tick-bite
Intensive care unit (ICU) of the Infanta Leonor Hospital Madrid where the first case was hospitalized and the second case was exposed
High-level isolation ICU at the Gregorio Marantildeoacuten Hospital Madrid where the first case was transferred)
Unfortunately one healthcare worker who took care of the CCHF affected patient while he was hospitalized in the ICU developed symptoms a few days later and was hospitalized presenting severe disease but with favourable evolution Both cases were confirmed by PCR at the Spanish National Centre for Microbiology
Both cases represent the first detection of autochthonous infection of CCHF in Spain and Western Europe
The European Centre for Disease prevention and control (ECDC) published on 8th September 2106 a Rapid risk assessment on CCHF The document takes into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action
Recent detection of CCHFV in ticks from the autonomous Community of Extremadura in western Spain indicates the circulation of CCHF virus among wildlife Therefore the occurrence of CCHFV infection is not an unexpected event in Spain Nosocomial transmission of CCHF can occur even in a non-endemic region when appropriate infection prevention and control (IPC) measures have not been observed The probability of CCHF virus infection in Spain is low However other sporadic cases are possible
References
1 Celikbas AK Dokuzoguz B Baykam N Gok SE Eroglu MN Midilli K (2014) Crimean-Congo hemorrhagic fever among health care workers Turkey Emerg Infect Dis20(3)477-9
2 Estrada-Pena A Palomar AM Santibanez P Sanchez N Habela MA Portillo A (2012) Crimean Congo hemorrhagic fever virus in ticks Southwestern Europe 2010 Emerg Infect Dis Jan18(1)179-80
3 European Centre for Disease Prevention and Control (2014) Annual Epidemiological Report Emerging and vector-borne diseases [Internet] Stockholm ECDC 2014
4 European Centre for Disease Prevention and Control (2016) Factsheet for health professionals Crimean-Congo haemorrhagic fever (CCHF)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
4 In these months 5 In these months
IN THESE MONTHSThe main events of epidemiological interest in the lastmonths in Italy and in the European Union
Epidemiological situation of Blue tongue in Italyin 2016In 2014 eastern Europe experienced a big Blue tongue (BT) epidemic due to serotype 4 (BTV4) At the same time BTV1 was circulating in Italy causing many outbreaks of the disease In October 2014 at the end of the epidemic season BTV4 was detected in southern Italy in Apulia region During 2015 in Italy was documented a residual BTV1 circulation (clinical cases were reported only in January) and BTV4 spread to Calabria Sicily Campania Lazio and Basilicata regions (Figures 1 and 2)
During 2016 BTV4 spread to areas not affected by viral circulation in previous years outbreaks have been notified not only in the Regions of central and southern Italy (Calabria Sicily Campania Lazio Basilicata Abruzzo Molise Marche Umbria Emilia Romagna Sardinia) but also in Tuscany Veneto and the Autonomous Province of Trento (Figure 3 Table 1)
The first outbreak notified outside the affected area by the circulation of BTV 4 in 2015 was confirmed in the province of Potenza (Basilicata region) on 4th June 2016
Starting from June the virus spread progressively to the north affecting several Provinces of central and southern Italy (Figure 1)
On August 30 2016 was confirmed by the National Reference Center the first outbreak of BTV-4 in sheep grazing in the Veneto region between Belluno and Treviso provinces Since the first positivity and until the 18 October 2016 in Northern Italy 161 outbreaks have been confirmed in the provinces of Belluno Treviso Vicenza Padova and Trento The last epidemic of BT in Northern Italy had been documented in 2008-2009 due to serotype 8
The graph shows the timeline of the viral circulation of BTV4 during 2016 most of the outbreaks was recorded in the summer-autumn period in which the epidemic spread to areas previously free In 2016 clinical outbreaks due to BTV1 were not notified while a large number of clinical cases due to BTV4 has been confirmed The median morbidity detected in every outbreak of BTV4 is 621 (25th and 75th percentiles 238 and 1244)
In 75 of the outbreaks of BTV4 the mortality value is less than 318
Figure 1Geographical and temporal evolution of BTV4 circulation in Italy (Source SIMAN 1012016 ndash 18102016)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
6 In these months 7 In these months
Figura 2Geographical distribution of clinical BTV4 outbreaks in Italy in 2016 (Source SIMAN 1012016 ndash 18102016)
Table 1 Detail of confirmed outbreaks in Italy (Source SIMAN 1012016 ndash 18102016) Table 1 Detail of confirmed outbreaks in Italy (Source SIMAN 1012016 ndash 18102016)
Region Serotype CATTLE BUFFALOES SHEEP GOATS
Outbreaks Susceptible Cases Clinical cases Dead Susceptible Cases Clinical
cases Dead
ABRUZZO BTV 4 12 250 10 0 0 1017 17 12 2
BASILICATA
Ongoing determination 10 190 7 0 0 378 69 67 12
BTV 1 11 1573 15 0 0 260 3 0 0
BTV 4 75 1903 49 0 0 5332 285 180 118
CALABRIA
Ongoing determination 2 242 14 3 0
BTV 1 4 83 3 0 0 60 1 0 0
BTV 4 31 329 18 0 0 1978 138 63 36
CAMPANIA
Ongoing determination 10 31 1 0 0 1818 86 86 14
BTV 1 36 1168 30 0 0 63 44 0 0
BTV 4 88 1947 131 0 0 8402 552 504 152EMILIA
ROMAGNA BTV 4 9 838 31 0 0
FRIULI VENEZIA GIULIA
Ongoing determination 1 47 6 5 1
LAZIO BTV 1 7 1230 9 0 0 243 2 0 0
BTV 4 19 454 18 0 0 3645 47 42 14
MARCHE BTV 4 4 51 1 0 0 110 5 2 2
MOLISE BTV 4 53 629 21 0 0 5510 649 626 326
PUGLIA Ongoing
determination 2 43 2 0 0
BTV 4 22 757 53 0 0 36 1 1 0
SARDINIA BTV 1 7 147 3 0 0 2104 8 0 0
SICILY
Ongoing determination 1 21 1 0 0
BTV 1 10 589 23 0 0
BTV 4 73 3421 247 0 0 1966 76 70 1
TUSCANY BTV 4 3 891 78 58 16
TRENTO BTV 4 1 12 1 1 1
UMBRIA BTV 4 6 511 7 0 0
VENETO BTV 4 160 4081 330 0 1 4829 102 93 13
Total 657 20203 1008 0 1 38986 2186 1813 708
Figure 3Timeline of the BTV 4 outbreaks of in Italy(Source SIMAN 1012016 ndash 18102016)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
8 In these months 9 In these months
References
1 A Giovannini P Calistri D Nannini C Paladini U Santucci C Patta amp V Caporale (2004) Bluetongue in Italy Part I Veterinaria Italiana Volume 40 (3) 252-259
2 Nota 0016156 del Ministero della salute del 18062015 Blue tongue ndash riformulazione del sistema di sorveglianza sierologica
3 Nota 0015742 del Ministero della salute del 12062015 Febbre catarrale degli ovini (Blue tongue) ndash Modifica e integrazione dispositivo dirigenziale prot n 5662 del 14 marzo 2014 e s m
--Edited byRossana Bruno e Daria Di SabatinoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
10 Hand on data 11 Hand on data
HAND ON DATA Processing date 25h October 2016
Number of outbreaks reported to SIMAN up to 30th September 2016
Number of outbreaks reported by Regions to SIMAN up to 30th September 2016
Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
Aethina tumida 4 30 34
African swine fever 32 1 3 7 8 1 2 54
American foulbrood of honey bees 1 2 4 8 3 4 7 2 31
Antrax 1 1 3 5
Avian cholera 2 2
Bluetongue 9 11 11 7 27 84 136 118 208 611
Bovine leucosis 1 1 2 1 1 1 7
Bovine tuberculosis 21 33 25 30 32 25 13 6 10 195
Brucellosis of cattle buffalo sheep goats and pigs 42 58 58 63 76 52 37 27 42 455
Caprine arthritisencephalitis 1 1
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
1 1
Clostridiosis (Enterotoxemia) 1 1
Contagious agalactia 8 6 7 5 7 8 14 3 5 63
Contagious bovine mastitis 1 1 2
EchinococcosisIdatidosis 1 2 1 1 1 1 7
Equine infectious anaemia 1 4 3 3 5 5 1 1 23
Equine rhinopneumonitis 1 1 3 5
Erysipelas 2 2 1 1 2 3 11
European foulbrood of honey bees 1 2 2 5
Fowl pox 1 1
High patogenicity Avian influenza in poultry 1 1 2
Infection with equine arteritis virus 1 1 2
Leptospirosis 1 1 2 5 1 2 1 2 15
Low patogenicity Avian influenza in poultry 2 2
Maedi-visna 1 1
Mixomatosis 1 1 2 4
Newcastle disease 1 1
Non-typhoidal avian salmonellosis 1 2 3 2 1 2 3 2 16
Paratuberculosis 2 1 1 1 1 6
Q fever 1 1
Rabbit haemorrhagic disease 1 4 1 2 4 7 4 23
Salmonellosis (S abortusovis) 2 4 2 1 1 10
Salmonellosis of animals 2 2 2 2 2 1 11
Schmallengberg disease 2 2
Scrapie 1 1 1 4 3 7 2 3 22
Swine vescicular disease 1 1
Trichinellosis 2 1 1 4
West Nile Disease 1 1 17 57 41 117
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
ABRUZZO
American foulbrood of honey bees 1 1
Antrax 1 1
Bluetongue 13 5 8
Brucellosis of cattle buffalo sheep goats and pigs 1 2 3
Contagious agalactia 1 1
EchinococcosisIdatidosis 1 2 1 1 5
Equine infectious anaemia 1 1 1 4 9 2
Non-typhoidal avian salmonellosis 1 2 1
Rabbit haemorrhagic disease 1 3 2
APULIA
Bluetongue 2 2 24 5 15
Bovine leucosis 1 2 1
Bovine tuberculosis 1 2 1 1 2 5 14 2
Brucellosis of cattle buffalo sheep goats and pigs 3 9 10 7 7 9 62 6 2 9
EchinococcosisIdatidosis 2 1 1
Equine infectious anaemia 1 1
Infection with equine arteritis virus 1 1
Non-typhoidal avian salmonellosis 1 1 3 1
Salmonellosis of animals 1 2 1
Scrapie 2 1 3
BASILICATA
Antrax 1 1
Bluetongue 1 2 2 1 30 70 18 12 4
Brucellosis of cattle buffalo sheep goats and pigs 1 1 2 3 3 10
Equine infectious anaemia 1 1
Scrapie 1 1
BOLZANOAmerican foulbrood of honey bees 1 2 1
Erysipelas 1 1
CALABRIA
Aethina tumida 34 4 30
Bluetongue 3 1 2 5 32 13 8
Bovine tuberculosis 3 3 3 3 3 20 2 1 2
Brucellosis of cattle buffalo sheep goats and pigs 6 8 6 8 13 8 64 4 4 7
Erysipelas 1 1
Non-typhoidal avian salmonellosis 1 1
Scrapie 1 1
CAMPANIA
Bluetongue 1 3 12 37 135 64 15 3
Bovine leucosis 1 1 1 3
Bovine tuberculosis 2 3 2 3 2 16 2 2
Brucellosis of cattle buffalo sheep goats and pigs 10 5 10 9 12 9 69 6 3 5
Equine infectious anaemia 1 2 1
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
13 Hand on data12 Hand on data
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
EMILIA ROMAGNA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
Fowl pox 1 1
High patogenicity Avian influenza in poultry 1 1 2
Low patogenicity Avian influenza in poultry 1 1
Paratuberculosis 1 1
Rabbit haemorrhagic disease 1 1
Schmallengberg disease 1 1
Scrapie 1 1
West Nile Disease 52 12 32 8
FRIULI VENEZIA GIULIA
Low patogenicity Avian influenza in poultry 1 1
LAZIO
Antrax 1 1
Bluetongue 2 2 1 1 1 29 3 12 7
Bovine leucosis 1 1 2
Bovine tuberculosis 1 2 1
Brucellosis of cattle buffalo sheep goats and pigs 1 2 1
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
1 1
Contagious agalactia 1 1
Equine infectious anaemia 1 1 2 1 9 3 1
Equine rhinopneumonitis 1 1 2
Infection with equine arteritis virus 1 1
Leptospirosis 1 1 1 1 4
Salmonellosis (S abortusovis) 1 1 4 1 1
Salmonellosis of animals 1 1
Scrapie 1 1 3 1
West Nile Disease 1 2 1
LIGURIA Leptospirosis 1 1
LOMBARDY
American foulbrood of honey bees 1 3 4
Equine rhinopneumonitis 2 2
Erysipelas 1 1
European foulbrood of honey bees 1 1
Leptospirosis 1 1 2
Mixomatosis 3 1 2
Non-typhoidal avian salmonellosis 1 1 1 4 1
Salmonellosis of animals 1 1
Scrapie 1 2 1
West Nile Disease 12 1 7 4
MARCHE
Bluetongue 2 2
Bovine tuberculosis 1 2 4 1
Non-typhoidal avian salmonellosis 1 1
MOLISE
Bluetongue 53 6 41 6
Bovine tuberculosis 3 1 5 1
Brucellosis of cattle buffalo sheep goats and pigs 1 2 1 4
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
PIEDMONT
American foulbrood of honey bees 1 1
Bovine tuberculosis 1 1 3 1
Non-typhoidal avian salmonellosis 1 1 2
Paratuberculosis 2 2
Salmonellosis of animals 1 1
Schmallengberg disease 1 1
Scrapie 3 3
West Nile Disease 6 6
SARDINIA
African swine fever 32 1 3 7 8 54 1 2
Bluetongue 1 2 2 6 1
Caprine arthritisencephalitis 1 1
Contagious agalactia 7 5 7 5 6 8 60 14 3 5
Erysipelas 2 1 3
Leptospirosis 2 4 8 2
Maedi-visna 1 1
Newcastle disease 1 1
Paratuberculosis 1 1 2
Salmonellosis (S abortusovis) 1 2 2 5
Salmonellosis of animals 1 1
Scrapie 2 3 1
Swine vescicular disease 1 1
Trichinellosis 2 1 4 1
West Nile Disease 1 3 1 1
SICILY
Antrax 2 2
Bluetongue 5 6 2 11 9 71 27 9 2
Bovine tuberculosis 15 21 18 19 25 19 131 5 4 5
Brucellosis of cattle buffalo sheep goats and pigs 21 32 28 35 41 25 241 20 18 21
Clostridiosis (Enterotoxemia) 1 1
Contagious agalactia 1 1
Mixomatosis 1 1
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 1 1 1 3
Salmonellosis of animals 2 1 1
Scrapie 1 3 2
TRENTO
American foulbrood of honey bees 1 9 1 6 1
Bluetongue 1 1
Contagious bovine mastitis 1 2 1
European foulbrood of honey bees 1 1 2
Paratuberculosis 1 1
Rabbit haemorrhagic disease 1 3 1 1
TUSCANY
American foulbrood of honey bees 1 2 4 1
Bluetongue 3 3
Equine infectious anaemia 1 1
Equine rhinopneumonitis 1 1
European foulbrood of honey bees 1 1
Q fever 1 1
Rabbit haemorrhagic disease 2 1 4 1
Salmonellosis (S abortusovis) 1 1
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 16 4 12
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
14 Hand on data
Animals involved in outbreaks reported to SIMAN up to 30th September 2016
Disease Animals involvedNo of animal in the
holding
No of diseased animals
No of died
animals
No of culled
animals
No of destroyed
animas
Aethina tumida Bees 3013 285 0 2861 2044
African swine fever Suidae 400 145 54 342 393
American foulbrood of honey bees Bees 592 221 24 254 265
Antrax Ruminants 1094 10 10 0 10
Avian cholera Poultry 66 6 6 0 0
Bluetongue Ruminants 59693 3439 803 0 431
Bovine leucosis Ruminants 200 9 0 1 0
Bovine tuberculosis Ruminants 12102 1408 9 320 121
Brucellosis of cattle buffalo sheep goats and pigs
Domestic carnviores 4 4 0 0 0
Ruminants 51735 8311 16 450 146
Caprine arthritisencephalitis Ruminants 143 7 0 0 0
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
Ruminants 230 3 0 0 0
Clostridiosis (Enterotoxemia) Ruminants 163 1 1 0 1
Contagious agalactia Ruminants 23083 3061 30 0 30
Contagious bovine mastitis Ruminants 126 3 0 0 0
EchinococcosisIdatidosis Ruminants 1286 27 0 0 0
Equine infectious anaemia Equines 219 34 0 2 2
Equine rhinopneumonitis Equines 87 49 0 3 1
Erysipelas Suidae 11653 47 16 11 27
European foulbrood of honey bees Bees 58 12 0 12 12
Fowl pox Birds 10258 50 1 0 0
High patogenicity Avian influenza in poultryBirds 49472 2170 170 0 170
Poultry 17500 700 500 17000 17500
Infection with equine arteritis virus Equines 40 2 0 0 0
Leptospirosis
Domestic carnviores 6 2 1 0 1
Equines 187 4 0 0 0
Ruminants 272 13 0 0 0
Suidae 8250 7971 0 0 0
Low patogenicity Avian influenza in poultryBirds 445 11 0 445 374
Poultry 619 5 1 618 371
Maedi-visna Ruminants 923 175 0 0 0
Mixomatosis Lagomorphs 2014 208 158 56 211
Newcastle disease Birds 2 2 2 0 2
Non-typhoidal avian salmonellosisBirds 4150 4150 0 0 0
Poultry 683025 101076 100 39834 39804
Paratuberculosis Ruminants 1429 43 9 0 9
Q fever Ruminants 105 2 0 0 0
Rabbit haemorrhagic disease Lagomorphs 28411 17166 16169 29 14134
Salmonellosis (S abortusovis) Ruminants 3729 101 7 0 7
Salmonellosis of animals
Equines 97 1 1 0 0
Poultry 10350 3350 0 0 0
Ruminants 3590 69 13 0 11
Suidae 4530 9 9 0 1
Schmallengberg disease Ruminants 176 4 0 0 0
Scrapie Ruminants 8623 161 8 2 7
Swine vescicular disease Suidae 22 1 0 0 0
Trichinellosis Wild animals 4 4 2 2 4
West Nile Disease
Birds 74 64 23 14 34
Equines 650 46 3 1 3
Insects 199 124 5 1 5
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
UMBRIA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
VENETO
American foulbrood of honey bees 1 1 3 1
Avian cholera 2 2
Bluetongue 157 1 156
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 3 9 4 2
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 26 4 13 9
15 Hand on data
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
16 A look at the maps 17 A look at the maps
A LOOK AT THE MAPSThe geographical distribution of the main animal diseasesreported to SIMAN up 30th September 2016
Processing date 25th October 2016
Aethina tumida
Equine Infectious Anaemia
--Geographical distribution of the outbreaks
--Geographical distribution of the outbreaks
Bluetongue
--Geographical distribution of the outbreaks
Carbonchio ematico
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
18 A look at the maps 19 A look at the maps
--Geographical distribution of the outbreaks
Avian Influenza high patogenicity African swine fever
--Geographical distribution of the outbreaks
Avian Influenza low patogenicity
--Geographical distribution of the outbreaks
West Nile Disease
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
21 Around us20 Around us
The first confirmation of Lumpy Skin Disease (LSD) in European Union was in Greece on August 20th 2015 (East Macedonia and Thrace Region Regional Unit (RU) of Evros) in two herds of free grazing cattle in close proximity to the Greek-Turkish borders Until the end of December 2015 the disease had been spread to the west counting 117 outbreaks in 7 different RUsrsquo (Evros Xanthi Kavala Lesvos Island Rodopi Chalkidiki and Thessaloniki) at the Northern-East part of Greece (167) In total 6085 animals were killed This ldquofirst waverdquo of the disease lasted for 18 weeks (based on the date of confirmation)
Emergency Vaccination had been decided by Greek Veterinary Authorities in cooperation with the European Commission since the beginning of the disease started on 5th September 2015 at Evros RU Measures described in Directive 92119EEC and in the National Contingency Plan were also applied to all RUrsquos where outbreaks had been confirmed including zoning (surveillance and protection zones) stamping out and sanitary burial on the spot in affected holdings movement controls disinfection and vector control (3)
Also Commissionrsquos Implementing Decision (EU) 20151500 as it has been modified by Implementing Decision (EU) 20152055 has been applied to all Regional Units which have been characterized as Restricted Zones (4 5) These measures included mainly restrictions on movements of the vaccinated animals and also of fresh meat hides milk dairy products and meat products coming from vaccinated animals
There was an interval of 4 months (15 December 2015 ndash 6 April 2016) without any new outbreaks (more than 4 incubation periods) and while the vaccination campaign was in progress (Figure 1)
AROUND USThe main events of epidemiological interest in the last months in the European Union and in the neighbour countries
Re-emergence of Lumpy Skin Disease in Greece April to August 2016
In the entire Greece passive and active surveillance was implemented and included
bull clinical examination of bovines in the protection and the surveillance zones bull clinical examination of bovines before vaccination against LSD and during the
implementation of other eradication and control programs bull laboratory investigation of the suspected cases
The findings of the surveillance confirmed the absence of LSD outbreaks during this period
Nevertheless on 6th of April 2016 the disease re-emerged in Greece in the RU of Serres in Central Macedonia Region close to the borders with Bulgaria where vaccination coverage was low (40 of bovine population) due to low availability of vaccines at that time In almost all cases (with an exception of one herd) it affected herds that were unvaccinated or vaccinated during the incubation period of the disease
The disease distributed to the east and to the west in RUs with high vaccination coverage close to 100 where it affected some herds which had remained unvaccinated (backyard family herds and free grazing herds) giving some sporadic outbreaks (3 in RU of Drama 4 in RU of Thessaloniki 3 in RU of Kavala and 1 in RU of Kilkis) (16) Then the disease crossed the high vaccinated areas (asymp100) of RU of Thessaloniki and Kilkis and entered RUrsquos of Pella and Imathia where the vaccination coverage was low
On 15th of July the disease ldquojumpedrdquo to the peninsula of Peloponissos in RU of Achaia far away from the other affected areas Up until today it remains the only outbreak in the area and no connection with previous outbreaks has been identified yet according to epidemiological surveys
During this ldquosecond waverdquo of the disease (April ndashAugust 2016) 98 outbreaks have been confirmed in 12 RUrsquos and approximately 5500 bovine animals have been culled (Table 1 and Figure 2)
Figure 1Number of outbreaks in Greece within a year (August 2015 toAugust 2016)
RUrsquosNumber
of outbreaks
Date of confirmation
of the 1st outbreak
Date of confirmation
of the last outbreak
Duration of the offset of the
outbreaks (days)
Serres 44 04-06-16 05-27-16 51
Thessaloniki 4 05-18-16 08-17-16 91
Kavala 3 05-18-16 06-23-16 36
Pella 18 05-23-16 08-08-16 77
Kilkis 1 05-26-16 - -
Drama 3 06-01-16 06-14-16 13
Imathia 14 06-16-16 08-03-16 48
Florina 4 06-30-16 08-03-16 34
Limnos 3 06-13-16 07-22-16 39
Achaia 1 07-15-16 - -
Kozani 1 08-26-16 - -
Larissa 2 08-26-16 -
Total 98
Table 1 Confirmed Outbreaks per Regional Unit (RU) with dates of confirmation of first and last outbreak and the duration of the offset of the outbreaks in each one (April ndash August 2016)
Clinical signs identified included fever nodules on the skin mucous and internal organs nasal and ophthalmic discharge salivation ulcers on the skin and around the eyes lameness due to oedema on legs depression loss of appetite and sometimes deaths (Figure 3 4 5)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
23 Around us22 Around us
Figure 2Map of Greece presenting the distribution of outbreaks (red pins) in Greece from April to August 2016
Figure 3Ophthalmic discharge and ulceration
around the eye
Figure 4Multiple nodules covering the entire
neck (lateral view)
Vaccination Campaign
Emergency vaccination for all susceptible species with homologous live attenuated virus vaccines decided since the beginning of the disease Two homologous live attenuated virus vaccines have been approved for import and used in Greece ldquoLumpy Skin Disease Vaccine for Cattlerdquo (Onderstepoort Biological Products South Africa) and ldquoLumpyvaxrdquo (MSD Animal Health Intervet South Africa)
Vaccination campaign started on 5 September 2015 in RU of Evros However soon after the confirmation of the disease it was extended to all other affected RUrsquos In November 2015 it was also extended to free RU (Thessaloniki Kilkis Serres Drama) in order to create a buffer zone The vaccination campaign extended to the rest of the Greece following the epidemiological evolution of the disease Up until August 2016 approximately 385000 bovine animals have been vaccinated for the first time During the same period the annual booster vaccination had started in RUrsquos of Evros Rodopi and Xanthi
Today vaccination campaign has been implemented to the entire mainland of Greece and also to Limnos Island where the disease re-emerged on 13 of June 2016
Despite vaccination campaign total stamping out policy is still implemented in vaccinated herds located in areas with high vaccination coverage due to EU legislation (Directive 92119EEC) Taken into consideration EFSArsquos recent opinion when vaccination is evenly applied so that 95 of the farms are vaccinated with 75 of vaccinated animals effectively protected then total stamping out and partial stamping out result in a similar probability of eradication of infection (2)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
24 Around us 25 Around us
Conclusions of the epizootic
OIE official recognition of disease status and endorsment of national official control Greek experience gained regarding LSD indicates that
bull vaccination was an effective measure for the control of the spread the disease and where it has been implemented before the appearance of the disease only few sporadic outbreaks occurred in unvaccinated animals
bull there is a need of amendment of legislation as regards the stamping out policy in vaccinated herds in order to be replaced by partial stamping out of affected animals c) the strict measures implemented to vaccinated animals and their products was an obstacle to convince farmers on the benefits of vaccination
bull cooperation and exchange of information among affected Countries is a key for the investigation of the epidemiology of the disease
References
1 Animal Disease Notification System (ADNS) httpswebgateeceuropaeu 2 Efsa 2016 Urgent advice on lumpy skin disease efsa jurnal29 July 2016 https
wwwefsaeuropaeuenefsajournalpub45733 Directive 92119EEC Council Directive 92119EEC of 17 December 1992
introducing general Community measures for the control of certain animal diseases and specific measures relating to swine vesicular disease
4 Decision No 20151500 EC Commission Implementing Decision (EU) 20151500 of 7 September 2015 concerning certain protective measures against lumpy skin disease in Greece and repealing Implementing Decision (EU) 20151423 (notified under document C(2015) 6221) (Text with EEA relevance)
5 Decision No 20152055 Commission Implementing Decision (EU) 20152055 of 10 November 2015 laying down the conditions for setting out the programme for emergency vaccination of bovine animals against lumpy skin disease in Greece and amending Implementing Decision (EU) 20151500 (notified under document C(2015) 7671) (Text with EEA relevance)
6 OIE (World Organization for Animal Health) Lumpy Skin Disease World Animal Health Information Database 2015 httpwwwoieintwahis_2publicwahidphpWahidhomeHome
7 Tasioudi KE Antoniou SE et all (2016) Emergence of Lumpy Skin Disease in Greece 2015 httpswwwncbinlmnihgovpubmed269913422016 Jun63(3)260-5
--Edited by
Sotiria-Eleni AntoniouDepartment of Infectious and Parasitic Diseases Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
Vangelis TsiamadisDepartment of Veterinary Medicine of Regional Unit of Thessaloniki Directorate of Rural Economy and Veterinary Services of RU of Thessaloniki Region of Central Macedonia Thessaloniki Greece and Department of Animal Production Faculty of Veterinary Medicine Thessaloniki Greece
Chrysoula DileDirector of Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
First evidences of Crimean-Congo haemorrhagic fever (CCHF) in Western Europe (Spain)
Crimean-Congo haemorrhagic fever (CCHF) is a widespread disease caused by a tick-borne virus of the genus Nairovirus The CCHF virus (CCHFV) causes severe haemorrhagic fever outbreaks The transmission is possible either by bite from infected ticks of the family Ixodidae and genus Hyalomma that are the principal vectors nevertheless a number of tick genera is capable of becoming infected with virus (Estrada-Pena et al 2012) CCHFV can also be transmitted by direct contact with blood or tissues from viremic livestock (Ftika et al 2013 Leblebicioglu et al 2016) The hosts of CCHFV include a wide range of wild and domestic animals such as cattle sheep and goats Animals generally become infected by the bite of infected ticks
People involved in livestock industry such as veterinarians slaughterhouse workers and agricultural workers constitute the most exposed category to CCHFV Person-to-person and nosocomial transmission is occasional but not unusual for CCHFV infection when risk is higher for the higher viral loads during the later stages of the disease (Celikbas et al 2014 Parlak et al 2015)
In Africa Balkans Middle East and Asian countries where CCHF is endemic seven genotypes have been recognized by genetic analysis In the European Union countries sporadic cases have been reported in Bulgaria and Greece (ECDC 2013 Papa et al 2008) while in the Balkans CCHFV has a widespread distribution In the World Health Organization (WHO) European Region Turkey remains the most affected country
The incubation period ranges may be different according to the type of transmission and viral load (Vorou et al 2007 Nabeth et al 2007) After tick bite transmission the incubation period is almost one to three days while after exposure to infected blood or bodily fluids may range between three and seven days This period can be shorter depending to viral load from infected blood (Naderi et al 2013) Symptoms of CCHF in humans include high fever muscle pain dizziness photophobia abdominal pain diarrhoea vomiting and in severe cases systemic haemorrhage (ECDC 2016)
On 31 August 2016 two cases of infection with CCHFV were reported in Madrid giving the first evidence of the disease in Spain The first case was a man of 62 years who likely got infected through a tick-bite while hiking around the community of San Juan del Molinillo (Avilla) Interestingly the virus was identified in Hyalomma lusitanicum in western Spain close to the border with Portugal (Estrada-Pena et al 2012) After first symptoms the man was admitted to the intensive care unit (ICU) of the Infanta Leonor Hospital in Madrid Afterwards the man was transferred to a high-level isolation ICU at the Gregorio Marantildeoacuten Hospital in Madrid where he died on 25 August 2016 (Figure 1)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
27 Around us26 Around us
5 Ftika L Maltezou HC (2013) Viral haemorrhagic fevers in healthcare settings J Hosp Infect83(3)185-92
6 Leblebicioglu H Sunbul M Guner R Bodur H Bulut C Duygu F (2016) Healthcare-associated Crimean-Congo haemorrhagic fever in Turkey 2002-2014 a multicentre retrospective cross-sectional study Clin Microbiol Infect22(4)387 e1-4
7 Nabeth P Thior M Faye O Simon F Human Crimean-Congo hemorrhagic fever Senegal (2014) Emerg Infect Dis10(10)1881-2
8 Naderi HR Sheybani F Bojdi A Khosravi N Mostafavi I (2013) Fatal nosocomial spread of Crimean-Congo hemorrhagic fever with very short incubation period Am J Trop Med Hyg88(3)469-71
9 Papa A Maltezou HC Tsiodras S Dalla VG Papadimitriou T Pierroutsakos I (2008) A case of Crimean-Congo haemorrhagic fever in Greece June 2008 Euro Surveill13(33)
10 Parlak E Koşan Z Ertuumlrk A Parlak M Oumlzkut Z (2015) A nosocomial outbreak of Crimean-Congo hemorrhagic fever Journal of Microbiology and Infectious Diseases5(1)5-9
11 Shayan S Bokaean M Shahrivar MR Chinikar S (2015) Crimean-Congo Hemorrhagic Fever Lab Med 2015 Summer46(3)180-9
12 Vorou R Pierroutsakos IN Maltezou HC Crimean-Congo hemorrhagic fever (2007) Curr Opin Infect Dis20(5)495-500
Websites
bull httpwwwpromedmailorgbull httpwwwwhointen
-Edited byGuido Di DonatoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
Figure 1The first evidence of CCHF virus in Spain
Avilla Spain first place where the patient most likely got infected through a tick-bite
Intensive care unit (ICU) of the Infanta Leonor Hospital Madrid where the first case was hospitalized and the second case was exposed
High-level isolation ICU at the Gregorio Marantildeoacuten Hospital Madrid where the first case was transferred)
Unfortunately one healthcare worker who took care of the CCHF affected patient while he was hospitalized in the ICU developed symptoms a few days later and was hospitalized presenting severe disease but with favourable evolution Both cases were confirmed by PCR at the Spanish National Centre for Microbiology
Both cases represent the first detection of autochthonous infection of CCHF in Spain and Western Europe
The European Centre for Disease prevention and control (ECDC) published on 8th September 2106 a Rapid risk assessment on CCHF The document takes into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action
Recent detection of CCHFV in ticks from the autonomous Community of Extremadura in western Spain indicates the circulation of CCHF virus among wildlife Therefore the occurrence of CCHFV infection is not an unexpected event in Spain Nosocomial transmission of CCHF can occur even in a non-endemic region when appropriate infection prevention and control (IPC) measures have not been observed The probability of CCHF virus infection in Spain is low However other sporadic cases are possible
References
1 Celikbas AK Dokuzoguz B Baykam N Gok SE Eroglu MN Midilli K (2014) Crimean-Congo hemorrhagic fever among health care workers Turkey Emerg Infect Dis20(3)477-9
2 Estrada-Pena A Palomar AM Santibanez P Sanchez N Habela MA Portillo A (2012) Crimean Congo hemorrhagic fever virus in ticks Southwestern Europe 2010 Emerg Infect Dis Jan18(1)179-80
3 European Centre for Disease Prevention and Control (2014) Annual Epidemiological Report Emerging and vector-borne diseases [Internet] Stockholm ECDC 2014
4 European Centre for Disease Prevention and Control (2016) Factsheet for health professionals Crimean-Congo haemorrhagic fever (CCHF)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
6 In these months 7 In these months
Figura 2Geographical distribution of clinical BTV4 outbreaks in Italy in 2016 (Source SIMAN 1012016 ndash 18102016)
Table 1 Detail of confirmed outbreaks in Italy (Source SIMAN 1012016 ndash 18102016) Table 1 Detail of confirmed outbreaks in Italy (Source SIMAN 1012016 ndash 18102016)
Region Serotype CATTLE BUFFALOES SHEEP GOATS
Outbreaks Susceptible Cases Clinical cases Dead Susceptible Cases Clinical
cases Dead
ABRUZZO BTV 4 12 250 10 0 0 1017 17 12 2
BASILICATA
Ongoing determination 10 190 7 0 0 378 69 67 12
BTV 1 11 1573 15 0 0 260 3 0 0
BTV 4 75 1903 49 0 0 5332 285 180 118
CALABRIA
Ongoing determination 2 242 14 3 0
BTV 1 4 83 3 0 0 60 1 0 0
BTV 4 31 329 18 0 0 1978 138 63 36
CAMPANIA
Ongoing determination 10 31 1 0 0 1818 86 86 14
BTV 1 36 1168 30 0 0 63 44 0 0
BTV 4 88 1947 131 0 0 8402 552 504 152EMILIA
ROMAGNA BTV 4 9 838 31 0 0
FRIULI VENEZIA GIULIA
Ongoing determination 1 47 6 5 1
LAZIO BTV 1 7 1230 9 0 0 243 2 0 0
BTV 4 19 454 18 0 0 3645 47 42 14
MARCHE BTV 4 4 51 1 0 0 110 5 2 2
MOLISE BTV 4 53 629 21 0 0 5510 649 626 326
PUGLIA Ongoing
determination 2 43 2 0 0
BTV 4 22 757 53 0 0 36 1 1 0
SARDINIA BTV 1 7 147 3 0 0 2104 8 0 0
SICILY
Ongoing determination 1 21 1 0 0
BTV 1 10 589 23 0 0
BTV 4 73 3421 247 0 0 1966 76 70 1
TUSCANY BTV 4 3 891 78 58 16
TRENTO BTV 4 1 12 1 1 1
UMBRIA BTV 4 6 511 7 0 0
VENETO BTV 4 160 4081 330 0 1 4829 102 93 13
Total 657 20203 1008 0 1 38986 2186 1813 708
Figure 3Timeline of the BTV 4 outbreaks of in Italy(Source SIMAN 1012016 ndash 18102016)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
8 In these months 9 In these months
References
1 A Giovannini P Calistri D Nannini C Paladini U Santucci C Patta amp V Caporale (2004) Bluetongue in Italy Part I Veterinaria Italiana Volume 40 (3) 252-259
2 Nota 0016156 del Ministero della salute del 18062015 Blue tongue ndash riformulazione del sistema di sorveglianza sierologica
3 Nota 0015742 del Ministero della salute del 12062015 Febbre catarrale degli ovini (Blue tongue) ndash Modifica e integrazione dispositivo dirigenziale prot n 5662 del 14 marzo 2014 e s m
--Edited byRossana Bruno e Daria Di SabatinoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
10 Hand on data 11 Hand on data
HAND ON DATA Processing date 25h October 2016
Number of outbreaks reported to SIMAN up to 30th September 2016
Number of outbreaks reported by Regions to SIMAN up to 30th September 2016
Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
Aethina tumida 4 30 34
African swine fever 32 1 3 7 8 1 2 54
American foulbrood of honey bees 1 2 4 8 3 4 7 2 31
Antrax 1 1 3 5
Avian cholera 2 2
Bluetongue 9 11 11 7 27 84 136 118 208 611
Bovine leucosis 1 1 2 1 1 1 7
Bovine tuberculosis 21 33 25 30 32 25 13 6 10 195
Brucellosis of cattle buffalo sheep goats and pigs 42 58 58 63 76 52 37 27 42 455
Caprine arthritisencephalitis 1 1
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
1 1
Clostridiosis (Enterotoxemia) 1 1
Contagious agalactia 8 6 7 5 7 8 14 3 5 63
Contagious bovine mastitis 1 1 2
EchinococcosisIdatidosis 1 2 1 1 1 1 7
Equine infectious anaemia 1 4 3 3 5 5 1 1 23
Equine rhinopneumonitis 1 1 3 5
Erysipelas 2 2 1 1 2 3 11
European foulbrood of honey bees 1 2 2 5
Fowl pox 1 1
High patogenicity Avian influenza in poultry 1 1 2
Infection with equine arteritis virus 1 1 2
Leptospirosis 1 1 2 5 1 2 1 2 15
Low patogenicity Avian influenza in poultry 2 2
Maedi-visna 1 1
Mixomatosis 1 1 2 4
Newcastle disease 1 1
Non-typhoidal avian salmonellosis 1 2 3 2 1 2 3 2 16
Paratuberculosis 2 1 1 1 1 6
Q fever 1 1
Rabbit haemorrhagic disease 1 4 1 2 4 7 4 23
Salmonellosis (S abortusovis) 2 4 2 1 1 10
Salmonellosis of animals 2 2 2 2 2 1 11
Schmallengberg disease 2 2
Scrapie 1 1 1 4 3 7 2 3 22
Swine vescicular disease 1 1
Trichinellosis 2 1 1 4
West Nile Disease 1 1 17 57 41 117
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
ABRUZZO
American foulbrood of honey bees 1 1
Antrax 1 1
Bluetongue 13 5 8
Brucellosis of cattle buffalo sheep goats and pigs 1 2 3
Contagious agalactia 1 1
EchinococcosisIdatidosis 1 2 1 1 5
Equine infectious anaemia 1 1 1 4 9 2
Non-typhoidal avian salmonellosis 1 2 1
Rabbit haemorrhagic disease 1 3 2
APULIA
Bluetongue 2 2 24 5 15
Bovine leucosis 1 2 1
Bovine tuberculosis 1 2 1 1 2 5 14 2
Brucellosis of cattle buffalo sheep goats and pigs 3 9 10 7 7 9 62 6 2 9
EchinococcosisIdatidosis 2 1 1
Equine infectious anaemia 1 1
Infection with equine arteritis virus 1 1
Non-typhoidal avian salmonellosis 1 1 3 1
Salmonellosis of animals 1 2 1
Scrapie 2 1 3
BASILICATA
Antrax 1 1
Bluetongue 1 2 2 1 30 70 18 12 4
Brucellosis of cattle buffalo sheep goats and pigs 1 1 2 3 3 10
Equine infectious anaemia 1 1
Scrapie 1 1
BOLZANOAmerican foulbrood of honey bees 1 2 1
Erysipelas 1 1
CALABRIA
Aethina tumida 34 4 30
Bluetongue 3 1 2 5 32 13 8
Bovine tuberculosis 3 3 3 3 3 20 2 1 2
Brucellosis of cattle buffalo sheep goats and pigs 6 8 6 8 13 8 64 4 4 7
Erysipelas 1 1
Non-typhoidal avian salmonellosis 1 1
Scrapie 1 1
CAMPANIA
Bluetongue 1 3 12 37 135 64 15 3
Bovine leucosis 1 1 1 3
Bovine tuberculosis 2 3 2 3 2 16 2 2
Brucellosis of cattle buffalo sheep goats and pigs 10 5 10 9 12 9 69 6 3 5
Equine infectious anaemia 1 2 1
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
13 Hand on data12 Hand on data
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
EMILIA ROMAGNA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
Fowl pox 1 1
High patogenicity Avian influenza in poultry 1 1 2
Low patogenicity Avian influenza in poultry 1 1
Paratuberculosis 1 1
Rabbit haemorrhagic disease 1 1
Schmallengberg disease 1 1
Scrapie 1 1
West Nile Disease 52 12 32 8
FRIULI VENEZIA GIULIA
Low patogenicity Avian influenza in poultry 1 1
LAZIO
Antrax 1 1
Bluetongue 2 2 1 1 1 29 3 12 7
Bovine leucosis 1 1 2
Bovine tuberculosis 1 2 1
Brucellosis of cattle buffalo sheep goats and pigs 1 2 1
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
1 1
Contagious agalactia 1 1
Equine infectious anaemia 1 1 2 1 9 3 1
Equine rhinopneumonitis 1 1 2
Infection with equine arteritis virus 1 1
Leptospirosis 1 1 1 1 4
Salmonellosis (S abortusovis) 1 1 4 1 1
Salmonellosis of animals 1 1
Scrapie 1 1 3 1
West Nile Disease 1 2 1
LIGURIA Leptospirosis 1 1
LOMBARDY
American foulbrood of honey bees 1 3 4
Equine rhinopneumonitis 2 2
Erysipelas 1 1
European foulbrood of honey bees 1 1
Leptospirosis 1 1 2
Mixomatosis 3 1 2
Non-typhoidal avian salmonellosis 1 1 1 4 1
Salmonellosis of animals 1 1
Scrapie 1 2 1
West Nile Disease 12 1 7 4
MARCHE
Bluetongue 2 2
Bovine tuberculosis 1 2 4 1
Non-typhoidal avian salmonellosis 1 1
MOLISE
Bluetongue 53 6 41 6
Bovine tuberculosis 3 1 5 1
Brucellosis of cattle buffalo sheep goats and pigs 1 2 1 4
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
PIEDMONT
American foulbrood of honey bees 1 1
Bovine tuberculosis 1 1 3 1
Non-typhoidal avian salmonellosis 1 1 2
Paratuberculosis 2 2
Salmonellosis of animals 1 1
Schmallengberg disease 1 1
Scrapie 3 3
West Nile Disease 6 6
SARDINIA
African swine fever 32 1 3 7 8 54 1 2
Bluetongue 1 2 2 6 1
Caprine arthritisencephalitis 1 1
Contagious agalactia 7 5 7 5 6 8 60 14 3 5
Erysipelas 2 1 3
Leptospirosis 2 4 8 2
Maedi-visna 1 1
Newcastle disease 1 1
Paratuberculosis 1 1 2
Salmonellosis (S abortusovis) 1 2 2 5
Salmonellosis of animals 1 1
Scrapie 2 3 1
Swine vescicular disease 1 1
Trichinellosis 2 1 4 1
West Nile Disease 1 3 1 1
SICILY
Antrax 2 2
Bluetongue 5 6 2 11 9 71 27 9 2
Bovine tuberculosis 15 21 18 19 25 19 131 5 4 5
Brucellosis of cattle buffalo sheep goats and pigs 21 32 28 35 41 25 241 20 18 21
Clostridiosis (Enterotoxemia) 1 1
Contagious agalactia 1 1
Mixomatosis 1 1
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 1 1 1 3
Salmonellosis of animals 2 1 1
Scrapie 1 3 2
TRENTO
American foulbrood of honey bees 1 9 1 6 1
Bluetongue 1 1
Contagious bovine mastitis 1 2 1
European foulbrood of honey bees 1 1 2
Paratuberculosis 1 1
Rabbit haemorrhagic disease 1 3 1 1
TUSCANY
American foulbrood of honey bees 1 2 4 1
Bluetongue 3 3
Equine infectious anaemia 1 1
Equine rhinopneumonitis 1 1
European foulbrood of honey bees 1 1
Q fever 1 1
Rabbit haemorrhagic disease 2 1 4 1
Salmonellosis (S abortusovis) 1 1
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 16 4 12
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
14 Hand on data
Animals involved in outbreaks reported to SIMAN up to 30th September 2016
Disease Animals involvedNo of animal in the
holding
No of diseased animals
No of died
animals
No of culled
animals
No of destroyed
animas
Aethina tumida Bees 3013 285 0 2861 2044
African swine fever Suidae 400 145 54 342 393
American foulbrood of honey bees Bees 592 221 24 254 265
Antrax Ruminants 1094 10 10 0 10
Avian cholera Poultry 66 6 6 0 0
Bluetongue Ruminants 59693 3439 803 0 431
Bovine leucosis Ruminants 200 9 0 1 0
Bovine tuberculosis Ruminants 12102 1408 9 320 121
Brucellosis of cattle buffalo sheep goats and pigs
Domestic carnviores 4 4 0 0 0
Ruminants 51735 8311 16 450 146
Caprine arthritisencephalitis Ruminants 143 7 0 0 0
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
Ruminants 230 3 0 0 0
Clostridiosis (Enterotoxemia) Ruminants 163 1 1 0 1
Contagious agalactia Ruminants 23083 3061 30 0 30
Contagious bovine mastitis Ruminants 126 3 0 0 0
EchinococcosisIdatidosis Ruminants 1286 27 0 0 0
Equine infectious anaemia Equines 219 34 0 2 2
Equine rhinopneumonitis Equines 87 49 0 3 1
Erysipelas Suidae 11653 47 16 11 27
European foulbrood of honey bees Bees 58 12 0 12 12
Fowl pox Birds 10258 50 1 0 0
High patogenicity Avian influenza in poultryBirds 49472 2170 170 0 170
Poultry 17500 700 500 17000 17500
Infection with equine arteritis virus Equines 40 2 0 0 0
Leptospirosis
Domestic carnviores 6 2 1 0 1
Equines 187 4 0 0 0
Ruminants 272 13 0 0 0
Suidae 8250 7971 0 0 0
Low patogenicity Avian influenza in poultryBirds 445 11 0 445 374
Poultry 619 5 1 618 371
Maedi-visna Ruminants 923 175 0 0 0
Mixomatosis Lagomorphs 2014 208 158 56 211
Newcastle disease Birds 2 2 2 0 2
Non-typhoidal avian salmonellosisBirds 4150 4150 0 0 0
Poultry 683025 101076 100 39834 39804
Paratuberculosis Ruminants 1429 43 9 0 9
Q fever Ruminants 105 2 0 0 0
Rabbit haemorrhagic disease Lagomorphs 28411 17166 16169 29 14134
Salmonellosis (S abortusovis) Ruminants 3729 101 7 0 7
Salmonellosis of animals
Equines 97 1 1 0 0
Poultry 10350 3350 0 0 0
Ruminants 3590 69 13 0 11
Suidae 4530 9 9 0 1
Schmallengberg disease Ruminants 176 4 0 0 0
Scrapie Ruminants 8623 161 8 2 7
Swine vescicular disease Suidae 22 1 0 0 0
Trichinellosis Wild animals 4 4 2 2 4
West Nile Disease
Birds 74 64 23 14 34
Equines 650 46 3 1 3
Insects 199 124 5 1 5
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
UMBRIA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
VENETO
American foulbrood of honey bees 1 1 3 1
Avian cholera 2 2
Bluetongue 157 1 156
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 3 9 4 2
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 26 4 13 9
15 Hand on data
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
16 A look at the maps 17 A look at the maps
A LOOK AT THE MAPSThe geographical distribution of the main animal diseasesreported to SIMAN up 30th September 2016
Processing date 25th October 2016
Aethina tumida
Equine Infectious Anaemia
--Geographical distribution of the outbreaks
--Geographical distribution of the outbreaks
Bluetongue
--Geographical distribution of the outbreaks
Carbonchio ematico
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
18 A look at the maps 19 A look at the maps
--Geographical distribution of the outbreaks
Avian Influenza high patogenicity African swine fever
--Geographical distribution of the outbreaks
Avian Influenza low patogenicity
--Geographical distribution of the outbreaks
West Nile Disease
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
21 Around us20 Around us
The first confirmation of Lumpy Skin Disease (LSD) in European Union was in Greece on August 20th 2015 (East Macedonia and Thrace Region Regional Unit (RU) of Evros) in two herds of free grazing cattle in close proximity to the Greek-Turkish borders Until the end of December 2015 the disease had been spread to the west counting 117 outbreaks in 7 different RUsrsquo (Evros Xanthi Kavala Lesvos Island Rodopi Chalkidiki and Thessaloniki) at the Northern-East part of Greece (167) In total 6085 animals were killed This ldquofirst waverdquo of the disease lasted for 18 weeks (based on the date of confirmation)
Emergency Vaccination had been decided by Greek Veterinary Authorities in cooperation with the European Commission since the beginning of the disease started on 5th September 2015 at Evros RU Measures described in Directive 92119EEC and in the National Contingency Plan were also applied to all RUrsquos where outbreaks had been confirmed including zoning (surveillance and protection zones) stamping out and sanitary burial on the spot in affected holdings movement controls disinfection and vector control (3)
Also Commissionrsquos Implementing Decision (EU) 20151500 as it has been modified by Implementing Decision (EU) 20152055 has been applied to all Regional Units which have been characterized as Restricted Zones (4 5) These measures included mainly restrictions on movements of the vaccinated animals and also of fresh meat hides milk dairy products and meat products coming from vaccinated animals
There was an interval of 4 months (15 December 2015 ndash 6 April 2016) without any new outbreaks (more than 4 incubation periods) and while the vaccination campaign was in progress (Figure 1)
AROUND USThe main events of epidemiological interest in the last months in the European Union and in the neighbour countries
Re-emergence of Lumpy Skin Disease in Greece April to August 2016
In the entire Greece passive and active surveillance was implemented and included
bull clinical examination of bovines in the protection and the surveillance zones bull clinical examination of bovines before vaccination against LSD and during the
implementation of other eradication and control programs bull laboratory investigation of the suspected cases
The findings of the surveillance confirmed the absence of LSD outbreaks during this period
Nevertheless on 6th of April 2016 the disease re-emerged in Greece in the RU of Serres in Central Macedonia Region close to the borders with Bulgaria where vaccination coverage was low (40 of bovine population) due to low availability of vaccines at that time In almost all cases (with an exception of one herd) it affected herds that were unvaccinated or vaccinated during the incubation period of the disease
The disease distributed to the east and to the west in RUs with high vaccination coverage close to 100 where it affected some herds which had remained unvaccinated (backyard family herds and free grazing herds) giving some sporadic outbreaks (3 in RU of Drama 4 in RU of Thessaloniki 3 in RU of Kavala and 1 in RU of Kilkis) (16) Then the disease crossed the high vaccinated areas (asymp100) of RU of Thessaloniki and Kilkis and entered RUrsquos of Pella and Imathia where the vaccination coverage was low
On 15th of July the disease ldquojumpedrdquo to the peninsula of Peloponissos in RU of Achaia far away from the other affected areas Up until today it remains the only outbreak in the area and no connection with previous outbreaks has been identified yet according to epidemiological surveys
During this ldquosecond waverdquo of the disease (April ndashAugust 2016) 98 outbreaks have been confirmed in 12 RUrsquos and approximately 5500 bovine animals have been culled (Table 1 and Figure 2)
Figure 1Number of outbreaks in Greece within a year (August 2015 toAugust 2016)
RUrsquosNumber
of outbreaks
Date of confirmation
of the 1st outbreak
Date of confirmation
of the last outbreak
Duration of the offset of the
outbreaks (days)
Serres 44 04-06-16 05-27-16 51
Thessaloniki 4 05-18-16 08-17-16 91
Kavala 3 05-18-16 06-23-16 36
Pella 18 05-23-16 08-08-16 77
Kilkis 1 05-26-16 - -
Drama 3 06-01-16 06-14-16 13
Imathia 14 06-16-16 08-03-16 48
Florina 4 06-30-16 08-03-16 34
Limnos 3 06-13-16 07-22-16 39
Achaia 1 07-15-16 - -
Kozani 1 08-26-16 - -
Larissa 2 08-26-16 -
Total 98
Table 1 Confirmed Outbreaks per Regional Unit (RU) with dates of confirmation of first and last outbreak and the duration of the offset of the outbreaks in each one (April ndash August 2016)
Clinical signs identified included fever nodules on the skin mucous and internal organs nasal and ophthalmic discharge salivation ulcers on the skin and around the eyes lameness due to oedema on legs depression loss of appetite and sometimes deaths (Figure 3 4 5)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
23 Around us22 Around us
Figure 2Map of Greece presenting the distribution of outbreaks (red pins) in Greece from April to August 2016
Figure 3Ophthalmic discharge and ulceration
around the eye
Figure 4Multiple nodules covering the entire
neck (lateral view)
Vaccination Campaign
Emergency vaccination for all susceptible species with homologous live attenuated virus vaccines decided since the beginning of the disease Two homologous live attenuated virus vaccines have been approved for import and used in Greece ldquoLumpy Skin Disease Vaccine for Cattlerdquo (Onderstepoort Biological Products South Africa) and ldquoLumpyvaxrdquo (MSD Animal Health Intervet South Africa)
Vaccination campaign started on 5 September 2015 in RU of Evros However soon after the confirmation of the disease it was extended to all other affected RUrsquos In November 2015 it was also extended to free RU (Thessaloniki Kilkis Serres Drama) in order to create a buffer zone The vaccination campaign extended to the rest of the Greece following the epidemiological evolution of the disease Up until August 2016 approximately 385000 bovine animals have been vaccinated for the first time During the same period the annual booster vaccination had started in RUrsquos of Evros Rodopi and Xanthi
Today vaccination campaign has been implemented to the entire mainland of Greece and also to Limnos Island where the disease re-emerged on 13 of June 2016
Despite vaccination campaign total stamping out policy is still implemented in vaccinated herds located in areas with high vaccination coverage due to EU legislation (Directive 92119EEC) Taken into consideration EFSArsquos recent opinion when vaccination is evenly applied so that 95 of the farms are vaccinated with 75 of vaccinated animals effectively protected then total stamping out and partial stamping out result in a similar probability of eradication of infection (2)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
24 Around us 25 Around us
Conclusions of the epizootic
OIE official recognition of disease status and endorsment of national official control Greek experience gained regarding LSD indicates that
bull vaccination was an effective measure for the control of the spread the disease and where it has been implemented before the appearance of the disease only few sporadic outbreaks occurred in unvaccinated animals
bull there is a need of amendment of legislation as regards the stamping out policy in vaccinated herds in order to be replaced by partial stamping out of affected animals c) the strict measures implemented to vaccinated animals and their products was an obstacle to convince farmers on the benefits of vaccination
bull cooperation and exchange of information among affected Countries is a key for the investigation of the epidemiology of the disease
References
1 Animal Disease Notification System (ADNS) httpswebgateeceuropaeu 2 Efsa 2016 Urgent advice on lumpy skin disease efsa jurnal29 July 2016 https
wwwefsaeuropaeuenefsajournalpub45733 Directive 92119EEC Council Directive 92119EEC of 17 December 1992
introducing general Community measures for the control of certain animal diseases and specific measures relating to swine vesicular disease
4 Decision No 20151500 EC Commission Implementing Decision (EU) 20151500 of 7 September 2015 concerning certain protective measures against lumpy skin disease in Greece and repealing Implementing Decision (EU) 20151423 (notified under document C(2015) 6221) (Text with EEA relevance)
5 Decision No 20152055 Commission Implementing Decision (EU) 20152055 of 10 November 2015 laying down the conditions for setting out the programme for emergency vaccination of bovine animals against lumpy skin disease in Greece and amending Implementing Decision (EU) 20151500 (notified under document C(2015) 7671) (Text with EEA relevance)
6 OIE (World Organization for Animal Health) Lumpy Skin Disease World Animal Health Information Database 2015 httpwwwoieintwahis_2publicwahidphpWahidhomeHome
7 Tasioudi KE Antoniou SE et all (2016) Emergence of Lumpy Skin Disease in Greece 2015 httpswwwncbinlmnihgovpubmed269913422016 Jun63(3)260-5
--Edited by
Sotiria-Eleni AntoniouDepartment of Infectious and Parasitic Diseases Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
Vangelis TsiamadisDepartment of Veterinary Medicine of Regional Unit of Thessaloniki Directorate of Rural Economy and Veterinary Services of RU of Thessaloniki Region of Central Macedonia Thessaloniki Greece and Department of Animal Production Faculty of Veterinary Medicine Thessaloniki Greece
Chrysoula DileDirector of Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
First evidences of Crimean-Congo haemorrhagic fever (CCHF) in Western Europe (Spain)
Crimean-Congo haemorrhagic fever (CCHF) is a widespread disease caused by a tick-borne virus of the genus Nairovirus The CCHF virus (CCHFV) causes severe haemorrhagic fever outbreaks The transmission is possible either by bite from infected ticks of the family Ixodidae and genus Hyalomma that are the principal vectors nevertheless a number of tick genera is capable of becoming infected with virus (Estrada-Pena et al 2012) CCHFV can also be transmitted by direct contact with blood or tissues from viremic livestock (Ftika et al 2013 Leblebicioglu et al 2016) The hosts of CCHFV include a wide range of wild and domestic animals such as cattle sheep and goats Animals generally become infected by the bite of infected ticks
People involved in livestock industry such as veterinarians slaughterhouse workers and agricultural workers constitute the most exposed category to CCHFV Person-to-person and nosocomial transmission is occasional but not unusual for CCHFV infection when risk is higher for the higher viral loads during the later stages of the disease (Celikbas et al 2014 Parlak et al 2015)
In Africa Balkans Middle East and Asian countries where CCHF is endemic seven genotypes have been recognized by genetic analysis In the European Union countries sporadic cases have been reported in Bulgaria and Greece (ECDC 2013 Papa et al 2008) while in the Balkans CCHFV has a widespread distribution In the World Health Organization (WHO) European Region Turkey remains the most affected country
The incubation period ranges may be different according to the type of transmission and viral load (Vorou et al 2007 Nabeth et al 2007) After tick bite transmission the incubation period is almost one to three days while after exposure to infected blood or bodily fluids may range between three and seven days This period can be shorter depending to viral load from infected blood (Naderi et al 2013) Symptoms of CCHF in humans include high fever muscle pain dizziness photophobia abdominal pain diarrhoea vomiting and in severe cases systemic haemorrhage (ECDC 2016)
On 31 August 2016 two cases of infection with CCHFV were reported in Madrid giving the first evidence of the disease in Spain The first case was a man of 62 years who likely got infected through a tick-bite while hiking around the community of San Juan del Molinillo (Avilla) Interestingly the virus was identified in Hyalomma lusitanicum in western Spain close to the border with Portugal (Estrada-Pena et al 2012) After first symptoms the man was admitted to the intensive care unit (ICU) of the Infanta Leonor Hospital in Madrid Afterwards the man was transferred to a high-level isolation ICU at the Gregorio Marantildeoacuten Hospital in Madrid where he died on 25 August 2016 (Figure 1)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
27 Around us26 Around us
5 Ftika L Maltezou HC (2013) Viral haemorrhagic fevers in healthcare settings J Hosp Infect83(3)185-92
6 Leblebicioglu H Sunbul M Guner R Bodur H Bulut C Duygu F (2016) Healthcare-associated Crimean-Congo haemorrhagic fever in Turkey 2002-2014 a multicentre retrospective cross-sectional study Clin Microbiol Infect22(4)387 e1-4
7 Nabeth P Thior M Faye O Simon F Human Crimean-Congo hemorrhagic fever Senegal (2014) Emerg Infect Dis10(10)1881-2
8 Naderi HR Sheybani F Bojdi A Khosravi N Mostafavi I (2013) Fatal nosocomial spread of Crimean-Congo hemorrhagic fever with very short incubation period Am J Trop Med Hyg88(3)469-71
9 Papa A Maltezou HC Tsiodras S Dalla VG Papadimitriou T Pierroutsakos I (2008) A case of Crimean-Congo haemorrhagic fever in Greece June 2008 Euro Surveill13(33)
10 Parlak E Koşan Z Ertuumlrk A Parlak M Oumlzkut Z (2015) A nosocomial outbreak of Crimean-Congo hemorrhagic fever Journal of Microbiology and Infectious Diseases5(1)5-9
11 Shayan S Bokaean M Shahrivar MR Chinikar S (2015) Crimean-Congo Hemorrhagic Fever Lab Med 2015 Summer46(3)180-9
12 Vorou R Pierroutsakos IN Maltezou HC Crimean-Congo hemorrhagic fever (2007) Curr Opin Infect Dis20(5)495-500
Websites
bull httpwwwpromedmailorgbull httpwwwwhointen
-Edited byGuido Di DonatoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
Figure 1The first evidence of CCHF virus in Spain
Avilla Spain first place where the patient most likely got infected through a tick-bite
Intensive care unit (ICU) of the Infanta Leonor Hospital Madrid where the first case was hospitalized and the second case was exposed
High-level isolation ICU at the Gregorio Marantildeoacuten Hospital Madrid where the first case was transferred)
Unfortunately one healthcare worker who took care of the CCHF affected patient while he was hospitalized in the ICU developed symptoms a few days later and was hospitalized presenting severe disease but with favourable evolution Both cases were confirmed by PCR at the Spanish National Centre for Microbiology
Both cases represent the first detection of autochthonous infection of CCHF in Spain and Western Europe
The European Centre for Disease prevention and control (ECDC) published on 8th September 2106 a Rapid risk assessment on CCHF The document takes into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action
Recent detection of CCHFV in ticks from the autonomous Community of Extremadura in western Spain indicates the circulation of CCHF virus among wildlife Therefore the occurrence of CCHFV infection is not an unexpected event in Spain Nosocomial transmission of CCHF can occur even in a non-endemic region when appropriate infection prevention and control (IPC) measures have not been observed The probability of CCHF virus infection in Spain is low However other sporadic cases are possible
References
1 Celikbas AK Dokuzoguz B Baykam N Gok SE Eroglu MN Midilli K (2014) Crimean-Congo hemorrhagic fever among health care workers Turkey Emerg Infect Dis20(3)477-9
2 Estrada-Pena A Palomar AM Santibanez P Sanchez N Habela MA Portillo A (2012) Crimean Congo hemorrhagic fever virus in ticks Southwestern Europe 2010 Emerg Infect Dis Jan18(1)179-80
3 European Centre for Disease Prevention and Control (2014) Annual Epidemiological Report Emerging and vector-borne diseases [Internet] Stockholm ECDC 2014
4 European Centre for Disease Prevention and Control (2016) Factsheet for health professionals Crimean-Congo haemorrhagic fever (CCHF)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
8 In these months 9 In these months
References
1 A Giovannini P Calistri D Nannini C Paladini U Santucci C Patta amp V Caporale (2004) Bluetongue in Italy Part I Veterinaria Italiana Volume 40 (3) 252-259
2 Nota 0016156 del Ministero della salute del 18062015 Blue tongue ndash riformulazione del sistema di sorveglianza sierologica
3 Nota 0015742 del Ministero della salute del 12062015 Febbre catarrale degli ovini (Blue tongue) ndash Modifica e integrazione dispositivo dirigenziale prot n 5662 del 14 marzo 2014 e s m
--Edited byRossana Bruno e Daria Di SabatinoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
10 Hand on data 11 Hand on data
HAND ON DATA Processing date 25h October 2016
Number of outbreaks reported to SIMAN up to 30th September 2016
Number of outbreaks reported by Regions to SIMAN up to 30th September 2016
Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
Aethina tumida 4 30 34
African swine fever 32 1 3 7 8 1 2 54
American foulbrood of honey bees 1 2 4 8 3 4 7 2 31
Antrax 1 1 3 5
Avian cholera 2 2
Bluetongue 9 11 11 7 27 84 136 118 208 611
Bovine leucosis 1 1 2 1 1 1 7
Bovine tuberculosis 21 33 25 30 32 25 13 6 10 195
Brucellosis of cattle buffalo sheep goats and pigs 42 58 58 63 76 52 37 27 42 455
Caprine arthritisencephalitis 1 1
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
1 1
Clostridiosis (Enterotoxemia) 1 1
Contagious agalactia 8 6 7 5 7 8 14 3 5 63
Contagious bovine mastitis 1 1 2
EchinococcosisIdatidosis 1 2 1 1 1 1 7
Equine infectious anaemia 1 4 3 3 5 5 1 1 23
Equine rhinopneumonitis 1 1 3 5
Erysipelas 2 2 1 1 2 3 11
European foulbrood of honey bees 1 2 2 5
Fowl pox 1 1
High patogenicity Avian influenza in poultry 1 1 2
Infection with equine arteritis virus 1 1 2
Leptospirosis 1 1 2 5 1 2 1 2 15
Low patogenicity Avian influenza in poultry 2 2
Maedi-visna 1 1
Mixomatosis 1 1 2 4
Newcastle disease 1 1
Non-typhoidal avian salmonellosis 1 2 3 2 1 2 3 2 16
Paratuberculosis 2 1 1 1 1 6
Q fever 1 1
Rabbit haemorrhagic disease 1 4 1 2 4 7 4 23
Salmonellosis (S abortusovis) 2 4 2 1 1 10
Salmonellosis of animals 2 2 2 2 2 1 11
Schmallengberg disease 2 2
Scrapie 1 1 1 4 3 7 2 3 22
Swine vescicular disease 1 1
Trichinellosis 2 1 1 4
West Nile Disease 1 1 17 57 41 117
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
ABRUZZO
American foulbrood of honey bees 1 1
Antrax 1 1
Bluetongue 13 5 8
Brucellosis of cattle buffalo sheep goats and pigs 1 2 3
Contagious agalactia 1 1
EchinococcosisIdatidosis 1 2 1 1 5
Equine infectious anaemia 1 1 1 4 9 2
Non-typhoidal avian salmonellosis 1 2 1
Rabbit haemorrhagic disease 1 3 2
APULIA
Bluetongue 2 2 24 5 15
Bovine leucosis 1 2 1
Bovine tuberculosis 1 2 1 1 2 5 14 2
Brucellosis of cattle buffalo sheep goats and pigs 3 9 10 7 7 9 62 6 2 9
EchinococcosisIdatidosis 2 1 1
Equine infectious anaemia 1 1
Infection with equine arteritis virus 1 1
Non-typhoidal avian salmonellosis 1 1 3 1
Salmonellosis of animals 1 2 1
Scrapie 2 1 3
BASILICATA
Antrax 1 1
Bluetongue 1 2 2 1 30 70 18 12 4
Brucellosis of cattle buffalo sheep goats and pigs 1 1 2 3 3 10
Equine infectious anaemia 1 1
Scrapie 1 1
BOLZANOAmerican foulbrood of honey bees 1 2 1
Erysipelas 1 1
CALABRIA
Aethina tumida 34 4 30
Bluetongue 3 1 2 5 32 13 8
Bovine tuberculosis 3 3 3 3 3 20 2 1 2
Brucellosis of cattle buffalo sheep goats and pigs 6 8 6 8 13 8 64 4 4 7
Erysipelas 1 1
Non-typhoidal avian salmonellosis 1 1
Scrapie 1 1
CAMPANIA
Bluetongue 1 3 12 37 135 64 15 3
Bovine leucosis 1 1 1 3
Bovine tuberculosis 2 3 2 3 2 16 2 2
Brucellosis of cattle buffalo sheep goats and pigs 10 5 10 9 12 9 69 6 3 5
Equine infectious anaemia 1 2 1
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
13 Hand on data12 Hand on data
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
EMILIA ROMAGNA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
Fowl pox 1 1
High patogenicity Avian influenza in poultry 1 1 2
Low patogenicity Avian influenza in poultry 1 1
Paratuberculosis 1 1
Rabbit haemorrhagic disease 1 1
Schmallengberg disease 1 1
Scrapie 1 1
West Nile Disease 52 12 32 8
FRIULI VENEZIA GIULIA
Low patogenicity Avian influenza in poultry 1 1
LAZIO
Antrax 1 1
Bluetongue 2 2 1 1 1 29 3 12 7
Bovine leucosis 1 1 2
Bovine tuberculosis 1 2 1
Brucellosis of cattle buffalo sheep goats and pigs 1 2 1
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
1 1
Contagious agalactia 1 1
Equine infectious anaemia 1 1 2 1 9 3 1
Equine rhinopneumonitis 1 1 2
Infection with equine arteritis virus 1 1
Leptospirosis 1 1 1 1 4
Salmonellosis (S abortusovis) 1 1 4 1 1
Salmonellosis of animals 1 1
Scrapie 1 1 3 1
West Nile Disease 1 2 1
LIGURIA Leptospirosis 1 1
LOMBARDY
American foulbrood of honey bees 1 3 4
Equine rhinopneumonitis 2 2
Erysipelas 1 1
European foulbrood of honey bees 1 1
Leptospirosis 1 1 2
Mixomatosis 3 1 2
Non-typhoidal avian salmonellosis 1 1 1 4 1
Salmonellosis of animals 1 1
Scrapie 1 2 1
West Nile Disease 12 1 7 4
MARCHE
Bluetongue 2 2
Bovine tuberculosis 1 2 4 1
Non-typhoidal avian salmonellosis 1 1
MOLISE
Bluetongue 53 6 41 6
Bovine tuberculosis 3 1 5 1
Brucellosis of cattle buffalo sheep goats and pigs 1 2 1 4
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
PIEDMONT
American foulbrood of honey bees 1 1
Bovine tuberculosis 1 1 3 1
Non-typhoidal avian salmonellosis 1 1 2
Paratuberculosis 2 2
Salmonellosis of animals 1 1
Schmallengberg disease 1 1
Scrapie 3 3
West Nile Disease 6 6
SARDINIA
African swine fever 32 1 3 7 8 54 1 2
Bluetongue 1 2 2 6 1
Caprine arthritisencephalitis 1 1
Contagious agalactia 7 5 7 5 6 8 60 14 3 5
Erysipelas 2 1 3
Leptospirosis 2 4 8 2
Maedi-visna 1 1
Newcastle disease 1 1
Paratuberculosis 1 1 2
Salmonellosis (S abortusovis) 1 2 2 5
Salmonellosis of animals 1 1
Scrapie 2 3 1
Swine vescicular disease 1 1
Trichinellosis 2 1 4 1
West Nile Disease 1 3 1 1
SICILY
Antrax 2 2
Bluetongue 5 6 2 11 9 71 27 9 2
Bovine tuberculosis 15 21 18 19 25 19 131 5 4 5
Brucellosis of cattle buffalo sheep goats and pigs 21 32 28 35 41 25 241 20 18 21
Clostridiosis (Enterotoxemia) 1 1
Contagious agalactia 1 1
Mixomatosis 1 1
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 1 1 1 3
Salmonellosis of animals 2 1 1
Scrapie 1 3 2
TRENTO
American foulbrood of honey bees 1 9 1 6 1
Bluetongue 1 1
Contagious bovine mastitis 1 2 1
European foulbrood of honey bees 1 1 2
Paratuberculosis 1 1
Rabbit haemorrhagic disease 1 3 1 1
TUSCANY
American foulbrood of honey bees 1 2 4 1
Bluetongue 3 3
Equine infectious anaemia 1 1
Equine rhinopneumonitis 1 1
European foulbrood of honey bees 1 1
Q fever 1 1
Rabbit haemorrhagic disease 2 1 4 1
Salmonellosis (S abortusovis) 1 1
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 16 4 12
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
14 Hand on data
Animals involved in outbreaks reported to SIMAN up to 30th September 2016
Disease Animals involvedNo of animal in the
holding
No of diseased animals
No of died
animals
No of culled
animals
No of destroyed
animas
Aethina tumida Bees 3013 285 0 2861 2044
African swine fever Suidae 400 145 54 342 393
American foulbrood of honey bees Bees 592 221 24 254 265
Antrax Ruminants 1094 10 10 0 10
Avian cholera Poultry 66 6 6 0 0
Bluetongue Ruminants 59693 3439 803 0 431
Bovine leucosis Ruminants 200 9 0 1 0
Bovine tuberculosis Ruminants 12102 1408 9 320 121
Brucellosis of cattle buffalo sheep goats and pigs
Domestic carnviores 4 4 0 0 0
Ruminants 51735 8311 16 450 146
Caprine arthritisencephalitis Ruminants 143 7 0 0 0
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
Ruminants 230 3 0 0 0
Clostridiosis (Enterotoxemia) Ruminants 163 1 1 0 1
Contagious agalactia Ruminants 23083 3061 30 0 30
Contagious bovine mastitis Ruminants 126 3 0 0 0
EchinococcosisIdatidosis Ruminants 1286 27 0 0 0
Equine infectious anaemia Equines 219 34 0 2 2
Equine rhinopneumonitis Equines 87 49 0 3 1
Erysipelas Suidae 11653 47 16 11 27
European foulbrood of honey bees Bees 58 12 0 12 12
Fowl pox Birds 10258 50 1 0 0
High patogenicity Avian influenza in poultryBirds 49472 2170 170 0 170
Poultry 17500 700 500 17000 17500
Infection with equine arteritis virus Equines 40 2 0 0 0
Leptospirosis
Domestic carnviores 6 2 1 0 1
Equines 187 4 0 0 0
Ruminants 272 13 0 0 0
Suidae 8250 7971 0 0 0
Low patogenicity Avian influenza in poultryBirds 445 11 0 445 374
Poultry 619 5 1 618 371
Maedi-visna Ruminants 923 175 0 0 0
Mixomatosis Lagomorphs 2014 208 158 56 211
Newcastle disease Birds 2 2 2 0 2
Non-typhoidal avian salmonellosisBirds 4150 4150 0 0 0
Poultry 683025 101076 100 39834 39804
Paratuberculosis Ruminants 1429 43 9 0 9
Q fever Ruminants 105 2 0 0 0
Rabbit haemorrhagic disease Lagomorphs 28411 17166 16169 29 14134
Salmonellosis (S abortusovis) Ruminants 3729 101 7 0 7
Salmonellosis of animals
Equines 97 1 1 0 0
Poultry 10350 3350 0 0 0
Ruminants 3590 69 13 0 11
Suidae 4530 9 9 0 1
Schmallengberg disease Ruminants 176 4 0 0 0
Scrapie Ruminants 8623 161 8 2 7
Swine vescicular disease Suidae 22 1 0 0 0
Trichinellosis Wild animals 4 4 2 2 4
West Nile Disease
Birds 74 64 23 14 34
Equines 650 46 3 1 3
Insects 199 124 5 1 5
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
UMBRIA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
VENETO
American foulbrood of honey bees 1 1 3 1
Avian cholera 2 2
Bluetongue 157 1 156
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 3 9 4 2
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 26 4 13 9
15 Hand on data
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
16 A look at the maps 17 A look at the maps
A LOOK AT THE MAPSThe geographical distribution of the main animal diseasesreported to SIMAN up 30th September 2016
Processing date 25th October 2016
Aethina tumida
Equine Infectious Anaemia
--Geographical distribution of the outbreaks
--Geographical distribution of the outbreaks
Bluetongue
--Geographical distribution of the outbreaks
Carbonchio ematico
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
18 A look at the maps 19 A look at the maps
--Geographical distribution of the outbreaks
Avian Influenza high patogenicity African swine fever
--Geographical distribution of the outbreaks
Avian Influenza low patogenicity
--Geographical distribution of the outbreaks
West Nile Disease
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
21 Around us20 Around us
The first confirmation of Lumpy Skin Disease (LSD) in European Union was in Greece on August 20th 2015 (East Macedonia and Thrace Region Regional Unit (RU) of Evros) in two herds of free grazing cattle in close proximity to the Greek-Turkish borders Until the end of December 2015 the disease had been spread to the west counting 117 outbreaks in 7 different RUsrsquo (Evros Xanthi Kavala Lesvos Island Rodopi Chalkidiki and Thessaloniki) at the Northern-East part of Greece (167) In total 6085 animals were killed This ldquofirst waverdquo of the disease lasted for 18 weeks (based on the date of confirmation)
Emergency Vaccination had been decided by Greek Veterinary Authorities in cooperation with the European Commission since the beginning of the disease started on 5th September 2015 at Evros RU Measures described in Directive 92119EEC and in the National Contingency Plan were also applied to all RUrsquos where outbreaks had been confirmed including zoning (surveillance and protection zones) stamping out and sanitary burial on the spot in affected holdings movement controls disinfection and vector control (3)
Also Commissionrsquos Implementing Decision (EU) 20151500 as it has been modified by Implementing Decision (EU) 20152055 has been applied to all Regional Units which have been characterized as Restricted Zones (4 5) These measures included mainly restrictions on movements of the vaccinated animals and also of fresh meat hides milk dairy products and meat products coming from vaccinated animals
There was an interval of 4 months (15 December 2015 ndash 6 April 2016) without any new outbreaks (more than 4 incubation periods) and while the vaccination campaign was in progress (Figure 1)
AROUND USThe main events of epidemiological interest in the last months in the European Union and in the neighbour countries
Re-emergence of Lumpy Skin Disease in Greece April to August 2016
In the entire Greece passive and active surveillance was implemented and included
bull clinical examination of bovines in the protection and the surveillance zones bull clinical examination of bovines before vaccination against LSD and during the
implementation of other eradication and control programs bull laboratory investigation of the suspected cases
The findings of the surveillance confirmed the absence of LSD outbreaks during this period
Nevertheless on 6th of April 2016 the disease re-emerged in Greece in the RU of Serres in Central Macedonia Region close to the borders with Bulgaria where vaccination coverage was low (40 of bovine population) due to low availability of vaccines at that time In almost all cases (with an exception of one herd) it affected herds that were unvaccinated or vaccinated during the incubation period of the disease
The disease distributed to the east and to the west in RUs with high vaccination coverage close to 100 where it affected some herds which had remained unvaccinated (backyard family herds and free grazing herds) giving some sporadic outbreaks (3 in RU of Drama 4 in RU of Thessaloniki 3 in RU of Kavala and 1 in RU of Kilkis) (16) Then the disease crossed the high vaccinated areas (asymp100) of RU of Thessaloniki and Kilkis and entered RUrsquos of Pella and Imathia where the vaccination coverage was low
On 15th of July the disease ldquojumpedrdquo to the peninsula of Peloponissos in RU of Achaia far away from the other affected areas Up until today it remains the only outbreak in the area and no connection with previous outbreaks has been identified yet according to epidemiological surveys
During this ldquosecond waverdquo of the disease (April ndashAugust 2016) 98 outbreaks have been confirmed in 12 RUrsquos and approximately 5500 bovine animals have been culled (Table 1 and Figure 2)
Figure 1Number of outbreaks in Greece within a year (August 2015 toAugust 2016)
RUrsquosNumber
of outbreaks
Date of confirmation
of the 1st outbreak
Date of confirmation
of the last outbreak
Duration of the offset of the
outbreaks (days)
Serres 44 04-06-16 05-27-16 51
Thessaloniki 4 05-18-16 08-17-16 91
Kavala 3 05-18-16 06-23-16 36
Pella 18 05-23-16 08-08-16 77
Kilkis 1 05-26-16 - -
Drama 3 06-01-16 06-14-16 13
Imathia 14 06-16-16 08-03-16 48
Florina 4 06-30-16 08-03-16 34
Limnos 3 06-13-16 07-22-16 39
Achaia 1 07-15-16 - -
Kozani 1 08-26-16 - -
Larissa 2 08-26-16 -
Total 98
Table 1 Confirmed Outbreaks per Regional Unit (RU) with dates of confirmation of first and last outbreak and the duration of the offset of the outbreaks in each one (April ndash August 2016)
Clinical signs identified included fever nodules on the skin mucous and internal organs nasal and ophthalmic discharge salivation ulcers on the skin and around the eyes lameness due to oedema on legs depression loss of appetite and sometimes deaths (Figure 3 4 5)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
23 Around us22 Around us
Figure 2Map of Greece presenting the distribution of outbreaks (red pins) in Greece from April to August 2016
Figure 3Ophthalmic discharge and ulceration
around the eye
Figure 4Multiple nodules covering the entire
neck (lateral view)
Vaccination Campaign
Emergency vaccination for all susceptible species with homologous live attenuated virus vaccines decided since the beginning of the disease Two homologous live attenuated virus vaccines have been approved for import and used in Greece ldquoLumpy Skin Disease Vaccine for Cattlerdquo (Onderstepoort Biological Products South Africa) and ldquoLumpyvaxrdquo (MSD Animal Health Intervet South Africa)
Vaccination campaign started on 5 September 2015 in RU of Evros However soon after the confirmation of the disease it was extended to all other affected RUrsquos In November 2015 it was also extended to free RU (Thessaloniki Kilkis Serres Drama) in order to create a buffer zone The vaccination campaign extended to the rest of the Greece following the epidemiological evolution of the disease Up until August 2016 approximately 385000 bovine animals have been vaccinated for the first time During the same period the annual booster vaccination had started in RUrsquos of Evros Rodopi and Xanthi
Today vaccination campaign has been implemented to the entire mainland of Greece and also to Limnos Island where the disease re-emerged on 13 of June 2016
Despite vaccination campaign total stamping out policy is still implemented in vaccinated herds located in areas with high vaccination coverage due to EU legislation (Directive 92119EEC) Taken into consideration EFSArsquos recent opinion when vaccination is evenly applied so that 95 of the farms are vaccinated with 75 of vaccinated animals effectively protected then total stamping out and partial stamping out result in a similar probability of eradication of infection (2)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
24 Around us 25 Around us
Conclusions of the epizootic
OIE official recognition of disease status and endorsment of national official control Greek experience gained regarding LSD indicates that
bull vaccination was an effective measure for the control of the spread the disease and where it has been implemented before the appearance of the disease only few sporadic outbreaks occurred in unvaccinated animals
bull there is a need of amendment of legislation as regards the stamping out policy in vaccinated herds in order to be replaced by partial stamping out of affected animals c) the strict measures implemented to vaccinated animals and their products was an obstacle to convince farmers on the benefits of vaccination
bull cooperation and exchange of information among affected Countries is a key for the investigation of the epidemiology of the disease
References
1 Animal Disease Notification System (ADNS) httpswebgateeceuropaeu 2 Efsa 2016 Urgent advice on lumpy skin disease efsa jurnal29 July 2016 https
wwwefsaeuropaeuenefsajournalpub45733 Directive 92119EEC Council Directive 92119EEC of 17 December 1992
introducing general Community measures for the control of certain animal diseases and specific measures relating to swine vesicular disease
4 Decision No 20151500 EC Commission Implementing Decision (EU) 20151500 of 7 September 2015 concerning certain protective measures against lumpy skin disease in Greece and repealing Implementing Decision (EU) 20151423 (notified under document C(2015) 6221) (Text with EEA relevance)
5 Decision No 20152055 Commission Implementing Decision (EU) 20152055 of 10 November 2015 laying down the conditions for setting out the programme for emergency vaccination of bovine animals against lumpy skin disease in Greece and amending Implementing Decision (EU) 20151500 (notified under document C(2015) 7671) (Text with EEA relevance)
6 OIE (World Organization for Animal Health) Lumpy Skin Disease World Animal Health Information Database 2015 httpwwwoieintwahis_2publicwahidphpWahidhomeHome
7 Tasioudi KE Antoniou SE et all (2016) Emergence of Lumpy Skin Disease in Greece 2015 httpswwwncbinlmnihgovpubmed269913422016 Jun63(3)260-5
--Edited by
Sotiria-Eleni AntoniouDepartment of Infectious and Parasitic Diseases Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
Vangelis TsiamadisDepartment of Veterinary Medicine of Regional Unit of Thessaloniki Directorate of Rural Economy and Veterinary Services of RU of Thessaloniki Region of Central Macedonia Thessaloniki Greece and Department of Animal Production Faculty of Veterinary Medicine Thessaloniki Greece
Chrysoula DileDirector of Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
First evidences of Crimean-Congo haemorrhagic fever (CCHF) in Western Europe (Spain)
Crimean-Congo haemorrhagic fever (CCHF) is a widespread disease caused by a tick-borne virus of the genus Nairovirus The CCHF virus (CCHFV) causes severe haemorrhagic fever outbreaks The transmission is possible either by bite from infected ticks of the family Ixodidae and genus Hyalomma that are the principal vectors nevertheless a number of tick genera is capable of becoming infected with virus (Estrada-Pena et al 2012) CCHFV can also be transmitted by direct contact with blood or tissues from viremic livestock (Ftika et al 2013 Leblebicioglu et al 2016) The hosts of CCHFV include a wide range of wild and domestic animals such as cattle sheep and goats Animals generally become infected by the bite of infected ticks
People involved in livestock industry such as veterinarians slaughterhouse workers and agricultural workers constitute the most exposed category to CCHFV Person-to-person and nosocomial transmission is occasional but not unusual for CCHFV infection when risk is higher for the higher viral loads during the later stages of the disease (Celikbas et al 2014 Parlak et al 2015)
In Africa Balkans Middle East and Asian countries where CCHF is endemic seven genotypes have been recognized by genetic analysis In the European Union countries sporadic cases have been reported in Bulgaria and Greece (ECDC 2013 Papa et al 2008) while in the Balkans CCHFV has a widespread distribution In the World Health Organization (WHO) European Region Turkey remains the most affected country
The incubation period ranges may be different according to the type of transmission and viral load (Vorou et al 2007 Nabeth et al 2007) After tick bite transmission the incubation period is almost one to three days while after exposure to infected blood or bodily fluids may range between three and seven days This period can be shorter depending to viral load from infected blood (Naderi et al 2013) Symptoms of CCHF in humans include high fever muscle pain dizziness photophobia abdominal pain diarrhoea vomiting and in severe cases systemic haemorrhage (ECDC 2016)
On 31 August 2016 two cases of infection with CCHFV were reported in Madrid giving the first evidence of the disease in Spain The first case was a man of 62 years who likely got infected through a tick-bite while hiking around the community of San Juan del Molinillo (Avilla) Interestingly the virus was identified in Hyalomma lusitanicum in western Spain close to the border with Portugal (Estrada-Pena et al 2012) After first symptoms the man was admitted to the intensive care unit (ICU) of the Infanta Leonor Hospital in Madrid Afterwards the man was transferred to a high-level isolation ICU at the Gregorio Marantildeoacuten Hospital in Madrid where he died on 25 August 2016 (Figure 1)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
27 Around us26 Around us
5 Ftika L Maltezou HC (2013) Viral haemorrhagic fevers in healthcare settings J Hosp Infect83(3)185-92
6 Leblebicioglu H Sunbul M Guner R Bodur H Bulut C Duygu F (2016) Healthcare-associated Crimean-Congo haemorrhagic fever in Turkey 2002-2014 a multicentre retrospective cross-sectional study Clin Microbiol Infect22(4)387 e1-4
7 Nabeth P Thior M Faye O Simon F Human Crimean-Congo hemorrhagic fever Senegal (2014) Emerg Infect Dis10(10)1881-2
8 Naderi HR Sheybani F Bojdi A Khosravi N Mostafavi I (2013) Fatal nosocomial spread of Crimean-Congo hemorrhagic fever with very short incubation period Am J Trop Med Hyg88(3)469-71
9 Papa A Maltezou HC Tsiodras S Dalla VG Papadimitriou T Pierroutsakos I (2008) A case of Crimean-Congo haemorrhagic fever in Greece June 2008 Euro Surveill13(33)
10 Parlak E Koşan Z Ertuumlrk A Parlak M Oumlzkut Z (2015) A nosocomial outbreak of Crimean-Congo hemorrhagic fever Journal of Microbiology and Infectious Diseases5(1)5-9
11 Shayan S Bokaean M Shahrivar MR Chinikar S (2015) Crimean-Congo Hemorrhagic Fever Lab Med 2015 Summer46(3)180-9
12 Vorou R Pierroutsakos IN Maltezou HC Crimean-Congo hemorrhagic fever (2007) Curr Opin Infect Dis20(5)495-500
Websites
bull httpwwwpromedmailorgbull httpwwwwhointen
-Edited byGuido Di DonatoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
Figure 1The first evidence of CCHF virus in Spain
Avilla Spain first place where the patient most likely got infected through a tick-bite
Intensive care unit (ICU) of the Infanta Leonor Hospital Madrid where the first case was hospitalized and the second case was exposed
High-level isolation ICU at the Gregorio Marantildeoacuten Hospital Madrid where the first case was transferred)
Unfortunately one healthcare worker who took care of the CCHF affected patient while he was hospitalized in the ICU developed symptoms a few days later and was hospitalized presenting severe disease but with favourable evolution Both cases were confirmed by PCR at the Spanish National Centre for Microbiology
Both cases represent the first detection of autochthonous infection of CCHF in Spain and Western Europe
The European Centre for Disease prevention and control (ECDC) published on 8th September 2106 a Rapid risk assessment on CCHF The document takes into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action
Recent detection of CCHFV in ticks from the autonomous Community of Extremadura in western Spain indicates the circulation of CCHF virus among wildlife Therefore the occurrence of CCHFV infection is not an unexpected event in Spain Nosocomial transmission of CCHF can occur even in a non-endemic region when appropriate infection prevention and control (IPC) measures have not been observed The probability of CCHF virus infection in Spain is low However other sporadic cases are possible
References
1 Celikbas AK Dokuzoguz B Baykam N Gok SE Eroglu MN Midilli K (2014) Crimean-Congo hemorrhagic fever among health care workers Turkey Emerg Infect Dis20(3)477-9
2 Estrada-Pena A Palomar AM Santibanez P Sanchez N Habela MA Portillo A (2012) Crimean Congo hemorrhagic fever virus in ticks Southwestern Europe 2010 Emerg Infect Dis Jan18(1)179-80
3 European Centre for Disease Prevention and Control (2014) Annual Epidemiological Report Emerging and vector-borne diseases [Internet] Stockholm ECDC 2014
4 European Centre for Disease Prevention and Control (2016) Factsheet for health professionals Crimean-Congo haemorrhagic fever (CCHF)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
10 Hand on data 11 Hand on data
HAND ON DATA Processing date 25h October 2016
Number of outbreaks reported to SIMAN up to 30th September 2016
Number of outbreaks reported by Regions to SIMAN up to 30th September 2016
Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
Aethina tumida 4 30 34
African swine fever 32 1 3 7 8 1 2 54
American foulbrood of honey bees 1 2 4 8 3 4 7 2 31
Antrax 1 1 3 5
Avian cholera 2 2
Bluetongue 9 11 11 7 27 84 136 118 208 611
Bovine leucosis 1 1 2 1 1 1 7
Bovine tuberculosis 21 33 25 30 32 25 13 6 10 195
Brucellosis of cattle buffalo sheep goats and pigs 42 58 58 63 76 52 37 27 42 455
Caprine arthritisencephalitis 1 1
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
1 1
Clostridiosis (Enterotoxemia) 1 1
Contagious agalactia 8 6 7 5 7 8 14 3 5 63
Contagious bovine mastitis 1 1 2
EchinococcosisIdatidosis 1 2 1 1 1 1 7
Equine infectious anaemia 1 4 3 3 5 5 1 1 23
Equine rhinopneumonitis 1 1 3 5
Erysipelas 2 2 1 1 2 3 11
European foulbrood of honey bees 1 2 2 5
Fowl pox 1 1
High patogenicity Avian influenza in poultry 1 1 2
Infection with equine arteritis virus 1 1 2
Leptospirosis 1 1 2 5 1 2 1 2 15
Low patogenicity Avian influenza in poultry 2 2
Maedi-visna 1 1
Mixomatosis 1 1 2 4
Newcastle disease 1 1
Non-typhoidal avian salmonellosis 1 2 3 2 1 2 3 2 16
Paratuberculosis 2 1 1 1 1 6
Q fever 1 1
Rabbit haemorrhagic disease 1 4 1 2 4 7 4 23
Salmonellosis (S abortusovis) 2 4 2 1 1 10
Salmonellosis of animals 2 2 2 2 2 1 11
Schmallengberg disease 2 2
Scrapie 1 1 1 4 3 7 2 3 22
Swine vescicular disease 1 1
Trichinellosis 2 1 1 4
West Nile Disease 1 1 17 57 41 117
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
ABRUZZO
American foulbrood of honey bees 1 1
Antrax 1 1
Bluetongue 13 5 8
Brucellosis of cattle buffalo sheep goats and pigs 1 2 3
Contagious agalactia 1 1
EchinococcosisIdatidosis 1 2 1 1 5
Equine infectious anaemia 1 1 1 4 9 2
Non-typhoidal avian salmonellosis 1 2 1
Rabbit haemorrhagic disease 1 3 2
APULIA
Bluetongue 2 2 24 5 15
Bovine leucosis 1 2 1
Bovine tuberculosis 1 2 1 1 2 5 14 2
Brucellosis of cattle buffalo sheep goats and pigs 3 9 10 7 7 9 62 6 2 9
EchinococcosisIdatidosis 2 1 1
Equine infectious anaemia 1 1
Infection with equine arteritis virus 1 1
Non-typhoidal avian salmonellosis 1 1 3 1
Salmonellosis of animals 1 2 1
Scrapie 2 1 3
BASILICATA
Antrax 1 1
Bluetongue 1 2 2 1 30 70 18 12 4
Brucellosis of cattle buffalo sheep goats and pigs 1 1 2 3 3 10
Equine infectious anaemia 1 1
Scrapie 1 1
BOLZANOAmerican foulbrood of honey bees 1 2 1
Erysipelas 1 1
CALABRIA
Aethina tumida 34 4 30
Bluetongue 3 1 2 5 32 13 8
Bovine tuberculosis 3 3 3 3 3 20 2 1 2
Brucellosis of cattle buffalo sheep goats and pigs 6 8 6 8 13 8 64 4 4 7
Erysipelas 1 1
Non-typhoidal avian salmonellosis 1 1
Scrapie 1 1
CAMPANIA
Bluetongue 1 3 12 37 135 64 15 3
Bovine leucosis 1 1 1 3
Bovine tuberculosis 2 3 2 3 2 16 2 2
Brucellosis of cattle buffalo sheep goats and pigs 10 5 10 9 12 9 69 6 3 5
Equine infectious anaemia 1 2 1
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
13 Hand on data12 Hand on data
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
EMILIA ROMAGNA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
Fowl pox 1 1
High patogenicity Avian influenza in poultry 1 1 2
Low patogenicity Avian influenza in poultry 1 1
Paratuberculosis 1 1
Rabbit haemorrhagic disease 1 1
Schmallengberg disease 1 1
Scrapie 1 1
West Nile Disease 52 12 32 8
FRIULI VENEZIA GIULIA
Low patogenicity Avian influenza in poultry 1 1
LAZIO
Antrax 1 1
Bluetongue 2 2 1 1 1 29 3 12 7
Bovine leucosis 1 1 2
Bovine tuberculosis 1 2 1
Brucellosis of cattle buffalo sheep goats and pigs 1 2 1
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
1 1
Contagious agalactia 1 1
Equine infectious anaemia 1 1 2 1 9 3 1
Equine rhinopneumonitis 1 1 2
Infection with equine arteritis virus 1 1
Leptospirosis 1 1 1 1 4
Salmonellosis (S abortusovis) 1 1 4 1 1
Salmonellosis of animals 1 1
Scrapie 1 1 3 1
West Nile Disease 1 2 1
LIGURIA Leptospirosis 1 1
LOMBARDY
American foulbrood of honey bees 1 3 4
Equine rhinopneumonitis 2 2
Erysipelas 1 1
European foulbrood of honey bees 1 1
Leptospirosis 1 1 2
Mixomatosis 3 1 2
Non-typhoidal avian salmonellosis 1 1 1 4 1
Salmonellosis of animals 1 1
Scrapie 1 2 1
West Nile Disease 12 1 7 4
MARCHE
Bluetongue 2 2
Bovine tuberculosis 1 2 4 1
Non-typhoidal avian salmonellosis 1 1
MOLISE
Bluetongue 53 6 41 6
Bovine tuberculosis 3 1 5 1
Brucellosis of cattle buffalo sheep goats and pigs 1 2 1 4
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
PIEDMONT
American foulbrood of honey bees 1 1
Bovine tuberculosis 1 1 3 1
Non-typhoidal avian salmonellosis 1 1 2
Paratuberculosis 2 2
Salmonellosis of animals 1 1
Schmallengberg disease 1 1
Scrapie 3 3
West Nile Disease 6 6
SARDINIA
African swine fever 32 1 3 7 8 54 1 2
Bluetongue 1 2 2 6 1
Caprine arthritisencephalitis 1 1
Contagious agalactia 7 5 7 5 6 8 60 14 3 5
Erysipelas 2 1 3
Leptospirosis 2 4 8 2
Maedi-visna 1 1
Newcastle disease 1 1
Paratuberculosis 1 1 2
Salmonellosis (S abortusovis) 1 2 2 5
Salmonellosis of animals 1 1
Scrapie 2 3 1
Swine vescicular disease 1 1
Trichinellosis 2 1 4 1
West Nile Disease 1 3 1 1
SICILY
Antrax 2 2
Bluetongue 5 6 2 11 9 71 27 9 2
Bovine tuberculosis 15 21 18 19 25 19 131 5 4 5
Brucellosis of cattle buffalo sheep goats and pigs 21 32 28 35 41 25 241 20 18 21
Clostridiosis (Enterotoxemia) 1 1
Contagious agalactia 1 1
Mixomatosis 1 1
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 1 1 1 3
Salmonellosis of animals 2 1 1
Scrapie 1 3 2
TRENTO
American foulbrood of honey bees 1 9 1 6 1
Bluetongue 1 1
Contagious bovine mastitis 1 2 1
European foulbrood of honey bees 1 1 2
Paratuberculosis 1 1
Rabbit haemorrhagic disease 1 3 1 1
TUSCANY
American foulbrood of honey bees 1 2 4 1
Bluetongue 3 3
Equine infectious anaemia 1 1
Equine rhinopneumonitis 1 1
European foulbrood of honey bees 1 1
Q fever 1 1
Rabbit haemorrhagic disease 2 1 4 1
Salmonellosis (S abortusovis) 1 1
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 16 4 12
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
14 Hand on data
Animals involved in outbreaks reported to SIMAN up to 30th September 2016
Disease Animals involvedNo of animal in the
holding
No of diseased animals
No of died
animals
No of culled
animals
No of destroyed
animas
Aethina tumida Bees 3013 285 0 2861 2044
African swine fever Suidae 400 145 54 342 393
American foulbrood of honey bees Bees 592 221 24 254 265
Antrax Ruminants 1094 10 10 0 10
Avian cholera Poultry 66 6 6 0 0
Bluetongue Ruminants 59693 3439 803 0 431
Bovine leucosis Ruminants 200 9 0 1 0
Bovine tuberculosis Ruminants 12102 1408 9 320 121
Brucellosis of cattle buffalo sheep goats and pigs
Domestic carnviores 4 4 0 0 0
Ruminants 51735 8311 16 450 146
Caprine arthritisencephalitis Ruminants 143 7 0 0 0
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
Ruminants 230 3 0 0 0
Clostridiosis (Enterotoxemia) Ruminants 163 1 1 0 1
Contagious agalactia Ruminants 23083 3061 30 0 30
Contagious bovine mastitis Ruminants 126 3 0 0 0
EchinococcosisIdatidosis Ruminants 1286 27 0 0 0
Equine infectious anaemia Equines 219 34 0 2 2
Equine rhinopneumonitis Equines 87 49 0 3 1
Erysipelas Suidae 11653 47 16 11 27
European foulbrood of honey bees Bees 58 12 0 12 12
Fowl pox Birds 10258 50 1 0 0
High patogenicity Avian influenza in poultryBirds 49472 2170 170 0 170
Poultry 17500 700 500 17000 17500
Infection with equine arteritis virus Equines 40 2 0 0 0
Leptospirosis
Domestic carnviores 6 2 1 0 1
Equines 187 4 0 0 0
Ruminants 272 13 0 0 0
Suidae 8250 7971 0 0 0
Low patogenicity Avian influenza in poultryBirds 445 11 0 445 374
Poultry 619 5 1 618 371
Maedi-visna Ruminants 923 175 0 0 0
Mixomatosis Lagomorphs 2014 208 158 56 211
Newcastle disease Birds 2 2 2 0 2
Non-typhoidal avian salmonellosisBirds 4150 4150 0 0 0
Poultry 683025 101076 100 39834 39804
Paratuberculosis Ruminants 1429 43 9 0 9
Q fever Ruminants 105 2 0 0 0
Rabbit haemorrhagic disease Lagomorphs 28411 17166 16169 29 14134
Salmonellosis (S abortusovis) Ruminants 3729 101 7 0 7
Salmonellosis of animals
Equines 97 1 1 0 0
Poultry 10350 3350 0 0 0
Ruminants 3590 69 13 0 11
Suidae 4530 9 9 0 1
Schmallengberg disease Ruminants 176 4 0 0 0
Scrapie Ruminants 8623 161 8 2 7
Swine vescicular disease Suidae 22 1 0 0 0
Trichinellosis Wild animals 4 4 2 2 4
West Nile Disease
Birds 74 64 23 14 34
Equines 650 46 3 1 3
Insects 199 124 5 1 5
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
UMBRIA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
VENETO
American foulbrood of honey bees 1 1 3 1
Avian cholera 2 2
Bluetongue 157 1 156
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 3 9 4 2
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 26 4 13 9
15 Hand on data
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
16 A look at the maps 17 A look at the maps
A LOOK AT THE MAPSThe geographical distribution of the main animal diseasesreported to SIMAN up 30th September 2016
Processing date 25th October 2016
Aethina tumida
Equine Infectious Anaemia
--Geographical distribution of the outbreaks
--Geographical distribution of the outbreaks
Bluetongue
--Geographical distribution of the outbreaks
Carbonchio ematico
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
18 A look at the maps 19 A look at the maps
--Geographical distribution of the outbreaks
Avian Influenza high patogenicity African swine fever
--Geographical distribution of the outbreaks
Avian Influenza low patogenicity
--Geographical distribution of the outbreaks
West Nile Disease
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
21 Around us20 Around us
The first confirmation of Lumpy Skin Disease (LSD) in European Union was in Greece on August 20th 2015 (East Macedonia and Thrace Region Regional Unit (RU) of Evros) in two herds of free grazing cattle in close proximity to the Greek-Turkish borders Until the end of December 2015 the disease had been spread to the west counting 117 outbreaks in 7 different RUsrsquo (Evros Xanthi Kavala Lesvos Island Rodopi Chalkidiki and Thessaloniki) at the Northern-East part of Greece (167) In total 6085 animals were killed This ldquofirst waverdquo of the disease lasted for 18 weeks (based on the date of confirmation)
Emergency Vaccination had been decided by Greek Veterinary Authorities in cooperation with the European Commission since the beginning of the disease started on 5th September 2015 at Evros RU Measures described in Directive 92119EEC and in the National Contingency Plan were also applied to all RUrsquos where outbreaks had been confirmed including zoning (surveillance and protection zones) stamping out and sanitary burial on the spot in affected holdings movement controls disinfection and vector control (3)
Also Commissionrsquos Implementing Decision (EU) 20151500 as it has been modified by Implementing Decision (EU) 20152055 has been applied to all Regional Units which have been characterized as Restricted Zones (4 5) These measures included mainly restrictions on movements of the vaccinated animals and also of fresh meat hides milk dairy products and meat products coming from vaccinated animals
There was an interval of 4 months (15 December 2015 ndash 6 April 2016) without any new outbreaks (more than 4 incubation periods) and while the vaccination campaign was in progress (Figure 1)
AROUND USThe main events of epidemiological interest in the last months in the European Union and in the neighbour countries
Re-emergence of Lumpy Skin Disease in Greece April to August 2016
In the entire Greece passive and active surveillance was implemented and included
bull clinical examination of bovines in the protection and the surveillance zones bull clinical examination of bovines before vaccination against LSD and during the
implementation of other eradication and control programs bull laboratory investigation of the suspected cases
The findings of the surveillance confirmed the absence of LSD outbreaks during this period
Nevertheless on 6th of April 2016 the disease re-emerged in Greece in the RU of Serres in Central Macedonia Region close to the borders with Bulgaria where vaccination coverage was low (40 of bovine population) due to low availability of vaccines at that time In almost all cases (with an exception of one herd) it affected herds that were unvaccinated or vaccinated during the incubation period of the disease
The disease distributed to the east and to the west in RUs with high vaccination coverage close to 100 where it affected some herds which had remained unvaccinated (backyard family herds and free grazing herds) giving some sporadic outbreaks (3 in RU of Drama 4 in RU of Thessaloniki 3 in RU of Kavala and 1 in RU of Kilkis) (16) Then the disease crossed the high vaccinated areas (asymp100) of RU of Thessaloniki and Kilkis and entered RUrsquos of Pella and Imathia where the vaccination coverage was low
On 15th of July the disease ldquojumpedrdquo to the peninsula of Peloponissos in RU of Achaia far away from the other affected areas Up until today it remains the only outbreak in the area and no connection with previous outbreaks has been identified yet according to epidemiological surveys
During this ldquosecond waverdquo of the disease (April ndashAugust 2016) 98 outbreaks have been confirmed in 12 RUrsquos and approximately 5500 bovine animals have been culled (Table 1 and Figure 2)
Figure 1Number of outbreaks in Greece within a year (August 2015 toAugust 2016)
RUrsquosNumber
of outbreaks
Date of confirmation
of the 1st outbreak
Date of confirmation
of the last outbreak
Duration of the offset of the
outbreaks (days)
Serres 44 04-06-16 05-27-16 51
Thessaloniki 4 05-18-16 08-17-16 91
Kavala 3 05-18-16 06-23-16 36
Pella 18 05-23-16 08-08-16 77
Kilkis 1 05-26-16 - -
Drama 3 06-01-16 06-14-16 13
Imathia 14 06-16-16 08-03-16 48
Florina 4 06-30-16 08-03-16 34
Limnos 3 06-13-16 07-22-16 39
Achaia 1 07-15-16 - -
Kozani 1 08-26-16 - -
Larissa 2 08-26-16 -
Total 98
Table 1 Confirmed Outbreaks per Regional Unit (RU) with dates of confirmation of first and last outbreak and the duration of the offset of the outbreaks in each one (April ndash August 2016)
Clinical signs identified included fever nodules on the skin mucous and internal organs nasal and ophthalmic discharge salivation ulcers on the skin and around the eyes lameness due to oedema on legs depression loss of appetite and sometimes deaths (Figure 3 4 5)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
23 Around us22 Around us
Figure 2Map of Greece presenting the distribution of outbreaks (red pins) in Greece from April to August 2016
Figure 3Ophthalmic discharge and ulceration
around the eye
Figure 4Multiple nodules covering the entire
neck (lateral view)
Vaccination Campaign
Emergency vaccination for all susceptible species with homologous live attenuated virus vaccines decided since the beginning of the disease Two homologous live attenuated virus vaccines have been approved for import and used in Greece ldquoLumpy Skin Disease Vaccine for Cattlerdquo (Onderstepoort Biological Products South Africa) and ldquoLumpyvaxrdquo (MSD Animal Health Intervet South Africa)
Vaccination campaign started on 5 September 2015 in RU of Evros However soon after the confirmation of the disease it was extended to all other affected RUrsquos In November 2015 it was also extended to free RU (Thessaloniki Kilkis Serres Drama) in order to create a buffer zone The vaccination campaign extended to the rest of the Greece following the epidemiological evolution of the disease Up until August 2016 approximately 385000 bovine animals have been vaccinated for the first time During the same period the annual booster vaccination had started in RUrsquos of Evros Rodopi and Xanthi
Today vaccination campaign has been implemented to the entire mainland of Greece and also to Limnos Island where the disease re-emerged on 13 of June 2016
Despite vaccination campaign total stamping out policy is still implemented in vaccinated herds located in areas with high vaccination coverage due to EU legislation (Directive 92119EEC) Taken into consideration EFSArsquos recent opinion when vaccination is evenly applied so that 95 of the farms are vaccinated with 75 of vaccinated animals effectively protected then total stamping out and partial stamping out result in a similar probability of eradication of infection (2)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
24 Around us 25 Around us
Conclusions of the epizootic
OIE official recognition of disease status and endorsment of national official control Greek experience gained regarding LSD indicates that
bull vaccination was an effective measure for the control of the spread the disease and where it has been implemented before the appearance of the disease only few sporadic outbreaks occurred in unvaccinated animals
bull there is a need of amendment of legislation as regards the stamping out policy in vaccinated herds in order to be replaced by partial stamping out of affected animals c) the strict measures implemented to vaccinated animals and their products was an obstacle to convince farmers on the benefits of vaccination
bull cooperation and exchange of information among affected Countries is a key for the investigation of the epidemiology of the disease
References
1 Animal Disease Notification System (ADNS) httpswebgateeceuropaeu 2 Efsa 2016 Urgent advice on lumpy skin disease efsa jurnal29 July 2016 https
wwwefsaeuropaeuenefsajournalpub45733 Directive 92119EEC Council Directive 92119EEC of 17 December 1992
introducing general Community measures for the control of certain animal diseases and specific measures relating to swine vesicular disease
4 Decision No 20151500 EC Commission Implementing Decision (EU) 20151500 of 7 September 2015 concerning certain protective measures against lumpy skin disease in Greece and repealing Implementing Decision (EU) 20151423 (notified under document C(2015) 6221) (Text with EEA relevance)
5 Decision No 20152055 Commission Implementing Decision (EU) 20152055 of 10 November 2015 laying down the conditions for setting out the programme for emergency vaccination of bovine animals against lumpy skin disease in Greece and amending Implementing Decision (EU) 20151500 (notified under document C(2015) 7671) (Text with EEA relevance)
6 OIE (World Organization for Animal Health) Lumpy Skin Disease World Animal Health Information Database 2015 httpwwwoieintwahis_2publicwahidphpWahidhomeHome
7 Tasioudi KE Antoniou SE et all (2016) Emergence of Lumpy Skin Disease in Greece 2015 httpswwwncbinlmnihgovpubmed269913422016 Jun63(3)260-5
--Edited by
Sotiria-Eleni AntoniouDepartment of Infectious and Parasitic Diseases Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
Vangelis TsiamadisDepartment of Veterinary Medicine of Regional Unit of Thessaloniki Directorate of Rural Economy and Veterinary Services of RU of Thessaloniki Region of Central Macedonia Thessaloniki Greece and Department of Animal Production Faculty of Veterinary Medicine Thessaloniki Greece
Chrysoula DileDirector of Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
First evidences of Crimean-Congo haemorrhagic fever (CCHF) in Western Europe (Spain)
Crimean-Congo haemorrhagic fever (CCHF) is a widespread disease caused by a tick-borne virus of the genus Nairovirus The CCHF virus (CCHFV) causes severe haemorrhagic fever outbreaks The transmission is possible either by bite from infected ticks of the family Ixodidae and genus Hyalomma that are the principal vectors nevertheless a number of tick genera is capable of becoming infected with virus (Estrada-Pena et al 2012) CCHFV can also be transmitted by direct contact with blood or tissues from viremic livestock (Ftika et al 2013 Leblebicioglu et al 2016) The hosts of CCHFV include a wide range of wild and domestic animals such as cattle sheep and goats Animals generally become infected by the bite of infected ticks
People involved in livestock industry such as veterinarians slaughterhouse workers and agricultural workers constitute the most exposed category to CCHFV Person-to-person and nosocomial transmission is occasional but not unusual for CCHFV infection when risk is higher for the higher viral loads during the later stages of the disease (Celikbas et al 2014 Parlak et al 2015)
In Africa Balkans Middle East and Asian countries where CCHF is endemic seven genotypes have been recognized by genetic analysis In the European Union countries sporadic cases have been reported in Bulgaria and Greece (ECDC 2013 Papa et al 2008) while in the Balkans CCHFV has a widespread distribution In the World Health Organization (WHO) European Region Turkey remains the most affected country
The incubation period ranges may be different according to the type of transmission and viral load (Vorou et al 2007 Nabeth et al 2007) After tick bite transmission the incubation period is almost one to three days while after exposure to infected blood or bodily fluids may range between three and seven days This period can be shorter depending to viral load from infected blood (Naderi et al 2013) Symptoms of CCHF in humans include high fever muscle pain dizziness photophobia abdominal pain diarrhoea vomiting and in severe cases systemic haemorrhage (ECDC 2016)
On 31 August 2016 two cases of infection with CCHFV were reported in Madrid giving the first evidence of the disease in Spain The first case was a man of 62 years who likely got infected through a tick-bite while hiking around the community of San Juan del Molinillo (Avilla) Interestingly the virus was identified in Hyalomma lusitanicum in western Spain close to the border with Portugal (Estrada-Pena et al 2012) After first symptoms the man was admitted to the intensive care unit (ICU) of the Infanta Leonor Hospital in Madrid Afterwards the man was transferred to a high-level isolation ICU at the Gregorio Marantildeoacuten Hospital in Madrid where he died on 25 August 2016 (Figure 1)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
27 Around us26 Around us
5 Ftika L Maltezou HC (2013) Viral haemorrhagic fevers in healthcare settings J Hosp Infect83(3)185-92
6 Leblebicioglu H Sunbul M Guner R Bodur H Bulut C Duygu F (2016) Healthcare-associated Crimean-Congo haemorrhagic fever in Turkey 2002-2014 a multicentre retrospective cross-sectional study Clin Microbiol Infect22(4)387 e1-4
7 Nabeth P Thior M Faye O Simon F Human Crimean-Congo hemorrhagic fever Senegal (2014) Emerg Infect Dis10(10)1881-2
8 Naderi HR Sheybani F Bojdi A Khosravi N Mostafavi I (2013) Fatal nosocomial spread of Crimean-Congo hemorrhagic fever with very short incubation period Am J Trop Med Hyg88(3)469-71
9 Papa A Maltezou HC Tsiodras S Dalla VG Papadimitriou T Pierroutsakos I (2008) A case of Crimean-Congo haemorrhagic fever in Greece June 2008 Euro Surveill13(33)
10 Parlak E Koşan Z Ertuumlrk A Parlak M Oumlzkut Z (2015) A nosocomial outbreak of Crimean-Congo hemorrhagic fever Journal of Microbiology and Infectious Diseases5(1)5-9
11 Shayan S Bokaean M Shahrivar MR Chinikar S (2015) Crimean-Congo Hemorrhagic Fever Lab Med 2015 Summer46(3)180-9
12 Vorou R Pierroutsakos IN Maltezou HC Crimean-Congo hemorrhagic fever (2007) Curr Opin Infect Dis20(5)495-500
Websites
bull httpwwwpromedmailorgbull httpwwwwhointen
-Edited byGuido Di DonatoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
Figure 1The first evidence of CCHF virus in Spain
Avilla Spain first place where the patient most likely got infected through a tick-bite
Intensive care unit (ICU) of the Infanta Leonor Hospital Madrid where the first case was hospitalized and the second case was exposed
High-level isolation ICU at the Gregorio Marantildeoacuten Hospital Madrid where the first case was transferred)
Unfortunately one healthcare worker who took care of the CCHF affected patient while he was hospitalized in the ICU developed symptoms a few days later and was hospitalized presenting severe disease but with favourable evolution Both cases were confirmed by PCR at the Spanish National Centre for Microbiology
Both cases represent the first detection of autochthonous infection of CCHF in Spain and Western Europe
The European Centre for Disease prevention and control (ECDC) published on 8th September 2106 a Rapid risk assessment on CCHF The document takes into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action
Recent detection of CCHFV in ticks from the autonomous Community of Extremadura in western Spain indicates the circulation of CCHF virus among wildlife Therefore the occurrence of CCHFV infection is not an unexpected event in Spain Nosocomial transmission of CCHF can occur even in a non-endemic region when appropriate infection prevention and control (IPC) measures have not been observed The probability of CCHF virus infection in Spain is low However other sporadic cases are possible
References
1 Celikbas AK Dokuzoguz B Baykam N Gok SE Eroglu MN Midilli K (2014) Crimean-Congo hemorrhagic fever among health care workers Turkey Emerg Infect Dis20(3)477-9
2 Estrada-Pena A Palomar AM Santibanez P Sanchez N Habela MA Portillo A (2012) Crimean Congo hemorrhagic fever virus in ticks Southwestern Europe 2010 Emerg Infect Dis Jan18(1)179-80
3 European Centre for Disease Prevention and Control (2014) Annual Epidemiological Report Emerging and vector-borne diseases [Internet] Stockholm ECDC 2014
4 European Centre for Disease Prevention and Control (2016) Factsheet for health professionals Crimean-Congo haemorrhagic fever (CCHF)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
13 Hand on data12 Hand on data
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
EMILIA ROMAGNA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
Fowl pox 1 1
High patogenicity Avian influenza in poultry 1 1 2
Low patogenicity Avian influenza in poultry 1 1
Paratuberculosis 1 1
Rabbit haemorrhagic disease 1 1
Schmallengberg disease 1 1
Scrapie 1 1
West Nile Disease 52 12 32 8
FRIULI VENEZIA GIULIA
Low patogenicity Avian influenza in poultry 1 1
LAZIO
Antrax 1 1
Bluetongue 2 2 1 1 1 29 3 12 7
Bovine leucosis 1 1 2
Bovine tuberculosis 1 2 1
Brucellosis of cattle buffalo sheep goats and pigs 1 2 1
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
1 1
Contagious agalactia 1 1
Equine infectious anaemia 1 1 2 1 9 3 1
Equine rhinopneumonitis 1 1 2
Infection with equine arteritis virus 1 1
Leptospirosis 1 1 1 1 4
Salmonellosis (S abortusovis) 1 1 4 1 1
Salmonellosis of animals 1 1
Scrapie 1 1 3 1
West Nile Disease 1 2 1
LIGURIA Leptospirosis 1 1
LOMBARDY
American foulbrood of honey bees 1 3 4
Equine rhinopneumonitis 2 2
Erysipelas 1 1
European foulbrood of honey bees 1 1
Leptospirosis 1 1 2
Mixomatosis 3 1 2
Non-typhoidal avian salmonellosis 1 1 1 4 1
Salmonellosis of animals 1 1
Scrapie 1 2 1
West Nile Disease 12 1 7 4
MARCHE
Bluetongue 2 2
Bovine tuberculosis 1 2 4 1
Non-typhoidal avian salmonellosis 1 1
MOLISE
Bluetongue 53 6 41 6
Bovine tuberculosis 3 1 5 1
Brucellosis of cattle buffalo sheep goats and pigs 1 2 1 4
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
PIEDMONT
American foulbrood of honey bees 1 1
Bovine tuberculosis 1 1 3 1
Non-typhoidal avian salmonellosis 1 1 2
Paratuberculosis 2 2
Salmonellosis of animals 1 1
Schmallengberg disease 1 1
Scrapie 3 3
West Nile Disease 6 6
SARDINIA
African swine fever 32 1 3 7 8 54 1 2
Bluetongue 1 2 2 6 1
Caprine arthritisencephalitis 1 1
Contagious agalactia 7 5 7 5 6 8 60 14 3 5
Erysipelas 2 1 3
Leptospirosis 2 4 8 2
Maedi-visna 1 1
Newcastle disease 1 1
Paratuberculosis 1 1 2
Salmonellosis (S abortusovis) 1 2 2 5
Salmonellosis of animals 1 1
Scrapie 2 3 1
Swine vescicular disease 1 1
Trichinellosis 2 1 4 1
West Nile Disease 1 3 1 1
SICILY
Antrax 2 2
Bluetongue 5 6 2 11 9 71 27 9 2
Bovine tuberculosis 15 21 18 19 25 19 131 5 4 5
Brucellosis of cattle buffalo sheep goats and pigs 21 32 28 35 41 25 241 20 18 21
Clostridiosis (Enterotoxemia) 1 1
Contagious agalactia 1 1
Mixomatosis 1 1
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 1 1 1 3
Salmonellosis of animals 2 1 1
Scrapie 1 3 2
TRENTO
American foulbrood of honey bees 1 9 1 6 1
Bluetongue 1 1
Contagious bovine mastitis 1 2 1
European foulbrood of honey bees 1 1 2
Paratuberculosis 1 1
Rabbit haemorrhagic disease 1 3 1 1
TUSCANY
American foulbrood of honey bees 1 2 4 1
Bluetongue 3 3
Equine infectious anaemia 1 1
Equine rhinopneumonitis 1 1
European foulbrood of honey bees 1 1
Q fever 1 1
Rabbit haemorrhagic disease 2 1 4 1
Salmonellosis (S abortusovis) 1 1
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 16 4 12
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
14 Hand on data
Animals involved in outbreaks reported to SIMAN up to 30th September 2016
Disease Animals involvedNo of animal in the
holding
No of diseased animals
No of died
animals
No of culled
animals
No of destroyed
animas
Aethina tumida Bees 3013 285 0 2861 2044
African swine fever Suidae 400 145 54 342 393
American foulbrood of honey bees Bees 592 221 24 254 265
Antrax Ruminants 1094 10 10 0 10
Avian cholera Poultry 66 6 6 0 0
Bluetongue Ruminants 59693 3439 803 0 431
Bovine leucosis Ruminants 200 9 0 1 0
Bovine tuberculosis Ruminants 12102 1408 9 320 121
Brucellosis of cattle buffalo sheep goats and pigs
Domestic carnviores 4 4 0 0 0
Ruminants 51735 8311 16 450 146
Caprine arthritisencephalitis Ruminants 143 7 0 0 0
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
Ruminants 230 3 0 0 0
Clostridiosis (Enterotoxemia) Ruminants 163 1 1 0 1
Contagious agalactia Ruminants 23083 3061 30 0 30
Contagious bovine mastitis Ruminants 126 3 0 0 0
EchinococcosisIdatidosis Ruminants 1286 27 0 0 0
Equine infectious anaemia Equines 219 34 0 2 2
Equine rhinopneumonitis Equines 87 49 0 3 1
Erysipelas Suidae 11653 47 16 11 27
European foulbrood of honey bees Bees 58 12 0 12 12
Fowl pox Birds 10258 50 1 0 0
High patogenicity Avian influenza in poultryBirds 49472 2170 170 0 170
Poultry 17500 700 500 17000 17500
Infection with equine arteritis virus Equines 40 2 0 0 0
Leptospirosis
Domestic carnviores 6 2 1 0 1
Equines 187 4 0 0 0
Ruminants 272 13 0 0 0
Suidae 8250 7971 0 0 0
Low patogenicity Avian influenza in poultryBirds 445 11 0 445 374
Poultry 619 5 1 618 371
Maedi-visna Ruminants 923 175 0 0 0
Mixomatosis Lagomorphs 2014 208 158 56 211
Newcastle disease Birds 2 2 2 0 2
Non-typhoidal avian salmonellosisBirds 4150 4150 0 0 0
Poultry 683025 101076 100 39834 39804
Paratuberculosis Ruminants 1429 43 9 0 9
Q fever Ruminants 105 2 0 0 0
Rabbit haemorrhagic disease Lagomorphs 28411 17166 16169 29 14134
Salmonellosis (S abortusovis) Ruminants 3729 101 7 0 7
Salmonellosis of animals
Equines 97 1 1 0 0
Poultry 10350 3350 0 0 0
Ruminants 3590 69 13 0 11
Suidae 4530 9 9 0 1
Schmallengberg disease Ruminants 176 4 0 0 0
Scrapie Ruminants 8623 161 8 2 7
Swine vescicular disease Suidae 22 1 0 0 0
Trichinellosis Wild animals 4 4 2 2 4
West Nile Disease
Birds 74 64 23 14 34
Equines 650 46 3 1 3
Insects 199 124 5 1 5
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
UMBRIA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
VENETO
American foulbrood of honey bees 1 1 3 1
Avian cholera 2 2
Bluetongue 157 1 156
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 3 9 4 2
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 26 4 13 9
15 Hand on data
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
16 A look at the maps 17 A look at the maps
A LOOK AT THE MAPSThe geographical distribution of the main animal diseasesreported to SIMAN up 30th September 2016
Processing date 25th October 2016
Aethina tumida
Equine Infectious Anaemia
--Geographical distribution of the outbreaks
--Geographical distribution of the outbreaks
Bluetongue
--Geographical distribution of the outbreaks
Carbonchio ematico
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
18 A look at the maps 19 A look at the maps
--Geographical distribution of the outbreaks
Avian Influenza high patogenicity African swine fever
--Geographical distribution of the outbreaks
Avian Influenza low patogenicity
--Geographical distribution of the outbreaks
West Nile Disease
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
21 Around us20 Around us
The first confirmation of Lumpy Skin Disease (LSD) in European Union was in Greece on August 20th 2015 (East Macedonia and Thrace Region Regional Unit (RU) of Evros) in two herds of free grazing cattle in close proximity to the Greek-Turkish borders Until the end of December 2015 the disease had been spread to the west counting 117 outbreaks in 7 different RUsrsquo (Evros Xanthi Kavala Lesvos Island Rodopi Chalkidiki and Thessaloniki) at the Northern-East part of Greece (167) In total 6085 animals were killed This ldquofirst waverdquo of the disease lasted for 18 weeks (based on the date of confirmation)
Emergency Vaccination had been decided by Greek Veterinary Authorities in cooperation with the European Commission since the beginning of the disease started on 5th September 2015 at Evros RU Measures described in Directive 92119EEC and in the National Contingency Plan were also applied to all RUrsquos where outbreaks had been confirmed including zoning (surveillance and protection zones) stamping out and sanitary burial on the spot in affected holdings movement controls disinfection and vector control (3)
Also Commissionrsquos Implementing Decision (EU) 20151500 as it has been modified by Implementing Decision (EU) 20152055 has been applied to all Regional Units which have been characterized as Restricted Zones (4 5) These measures included mainly restrictions on movements of the vaccinated animals and also of fresh meat hides milk dairy products and meat products coming from vaccinated animals
There was an interval of 4 months (15 December 2015 ndash 6 April 2016) without any new outbreaks (more than 4 incubation periods) and while the vaccination campaign was in progress (Figure 1)
AROUND USThe main events of epidemiological interest in the last months in the European Union and in the neighbour countries
Re-emergence of Lumpy Skin Disease in Greece April to August 2016
In the entire Greece passive and active surveillance was implemented and included
bull clinical examination of bovines in the protection and the surveillance zones bull clinical examination of bovines before vaccination against LSD and during the
implementation of other eradication and control programs bull laboratory investigation of the suspected cases
The findings of the surveillance confirmed the absence of LSD outbreaks during this period
Nevertheless on 6th of April 2016 the disease re-emerged in Greece in the RU of Serres in Central Macedonia Region close to the borders with Bulgaria where vaccination coverage was low (40 of bovine population) due to low availability of vaccines at that time In almost all cases (with an exception of one herd) it affected herds that were unvaccinated or vaccinated during the incubation period of the disease
The disease distributed to the east and to the west in RUs with high vaccination coverage close to 100 where it affected some herds which had remained unvaccinated (backyard family herds and free grazing herds) giving some sporadic outbreaks (3 in RU of Drama 4 in RU of Thessaloniki 3 in RU of Kavala and 1 in RU of Kilkis) (16) Then the disease crossed the high vaccinated areas (asymp100) of RU of Thessaloniki and Kilkis and entered RUrsquos of Pella and Imathia where the vaccination coverage was low
On 15th of July the disease ldquojumpedrdquo to the peninsula of Peloponissos in RU of Achaia far away from the other affected areas Up until today it remains the only outbreak in the area and no connection with previous outbreaks has been identified yet according to epidemiological surveys
During this ldquosecond waverdquo of the disease (April ndashAugust 2016) 98 outbreaks have been confirmed in 12 RUrsquos and approximately 5500 bovine animals have been culled (Table 1 and Figure 2)
Figure 1Number of outbreaks in Greece within a year (August 2015 toAugust 2016)
RUrsquosNumber
of outbreaks
Date of confirmation
of the 1st outbreak
Date of confirmation
of the last outbreak
Duration of the offset of the
outbreaks (days)
Serres 44 04-06-16 05-27-16 51
Thessaloniki 4 05-18-16 08-17-16 91
Kavala 3 05-18-16 06-23-16 36
Pella 18 05-23-16 08-08-16 77
Kilkis 1 05-26-16 - -
Drama 3 06-01-16 06-14-16 13
Imathia 14 06-16-16 08-03-16 48
Florina 4 06-30-16 08-03-16 34
Limnos 3 06-13-16 07-22-16 39
Achaia 1 07-15-16 - -
Kozani 1 08-26-16 - -
Larissa 2 08-26-16 -
Total 98
Table 1 Confirmed Outbreaks per Regional Unit (RU) with dates of confirmation of first and last outbreak and the duration of the offset of the outbreaks in each one (April ndash August 2016)
Clinical signs identified included fever nodules on the skin mucous and internal organs nasal and ophthalmic discharge salivation ulcers on the skin and around the eyes lameness due to oedema on legs depression loss of appetite and sometimes deaths (Figure 3 4 5)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
23 Around us22 Around us
Figure 2Map of Greece presenting the distribution of outbreaks (red pins) in Greece from April to August 2016
Figure 3Ophthalmic discharge and ulceration
around the eye
Figure 4Multiple nodules covering the entire
neck (lateral view)
Vaccination Campaign
Emergency vaccination for all susceptible species with homologous live attenuated virus vaccines decided since the beginning of the disease Two homologous live attenuated virus vaccines have been approved for import and used in Greece ldquoLumpy Skin Disease Vaccine for Cattlerdquo (Onderstepoort Biological Products South Africa) and ldquoLumpyvaxrdquo (MSD Animal Health Intervet South Africa)
Vaccination campaign started on 5 September 2015 in RU of Evros However soon after the confirmation of the disease it was extended to all other affected RUrsquos In November 2015 it was also extended to free RU (Thessaloniki Kilkis Serres Drama) in order to create a buffer zone The vaccination campaign extended to the rest of the Greece following the epidemiological evolution of the disease Up until August 2016 approximately 385000 bovine animals have been vaccinated for the first time During the same period the annual booster vaccination had started in RUrsquos of Evros Rodopi and Xanthi
Today vaccination campaign has been implemented to the entire mainland of Greece and also to Limnos Island where the disease re-emerged on 13 of June 2016
Despite vaccination campaign total stamping out policy is still implemented in vaccinated herds located in areas with high vaccination coverage due to EU legislation (Directive 92119EEC) Taken into consideration EFSArsquos recent opinion when vaccination is evenly applied so that 95 of the farms are vaccinated with 75 of vaccinated animals effectively protected then total stamping out and partial stamping out result in a similar probability of eradication of infection (2)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
24 Around us 25 Around us
Conclusions of the epizootic
OIE official recognition of disease status and endorsment of national official control Greek experience gained regarding LSD indicates that
bull vaccination was an effective measure for the control of the spread the disease and where it has been implemented before the appearance of the disease only few sporadic outbreaks occurred in unvaccinated animals
bull there is a need of amendment of legislation as regards the stamping out policy in vaccinated herds in order to be replaced by partial stamping out of affected animals c) the strict measures implemented to vaccinated animals and their products was an obstacle to convince farmers on the benefits of vaccination
bull cooperation and exchange of information among affected Countries is a key for the investigation of the epidemiology of the disease
References
1 Animal Disease Notification System (ADNS) httpswebgateeceuropaeu 2 Efsa 2016 Urgent advice on lumpy skin disease efsa jurnal29 July 2016 https
wwwefsaeuropaeuenefsajournalpub45733 Directive 92119EEC Council Directive 92119EEC of 17 December 1992
introducing general Community measures for the control of certain animal diseases and specific measures relating to swine vesicular disease
4 Decision No 20151500 EC Commission Implementing Decision (EU) 20151500 of 7 September 2015 concerning certain protective measures against lumpy skin disease in Greece and repealing Implementing Decision (EU) 20151423 (notified under document C(2015) 6221) (Text with EEA relevance)
5 Decision No 20152055 Commission Implementing Decision (EU) 20152055 of 10 November 2015 laying down the conditions for setting out the programme for emergency vaccination of bovine animals against lumpy skin disease in Greece and amending Implementing Decision (EU) 20151500 (notified under document C(2015) 7671) (Text with EEA relevance)
6 OIE (World Organization for Animal Health) Lumpy Skin Disease World Animal Health Information Database 2015 httpwwwoieintwahis_2publicwahidphpWahidhomeHome
7 Tasioudi KE Antoniou SE et all (2016) Emergence of Lumpy Skin Disease in Greece 2015 httpswwwncbinlmnihgovpubmed269913422016 Jun63(3)260-5
--Edited by
Sotiria-Eleni AntoniouDepartment of Infectious and Parasitic Diseases Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
Vangelis TsiamadisDepartment of Veterinary Medicine of Regional Unit of Thessaloniki Directorate of Rural Economy and Veterinary Services of RU of Thessaloniki Region of Central Macedonia Thessaloniki Greece and Department of Animal Production Faculty of Veterinary Medicine Thessaloniki Greece
Chrysoula DileDirector of Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
First evidences of Crimean-Congo haemorrhagic fever (CCHF) in Western Europe (Spain)
Crimean-Congo haemorrhagic fever (CCHF) is a widespread disease caused by a tick-borne virus of the genus Nairovirus The CCHF virus (CCHFV) causes severe haemorrhagic fever outbreaks The transmission is possible either by bite from infected ticks of the family Ixodidae and genus Hyalomma that are the principal vectors nevertheless a number of tick genera is capable of becoming infected with virus (Estrada-Pena et al 2012) CCHFV can also be transmitted by direct contact with blood or tissues from viremic livestock (Ftika et al 2013 Leblebicioglu et al 2016) The hosts of CCHFV include a wide range of wild and domestic animals such as cattle sheep and goats Animals generally become infected by the bite of infected ticks
People involved in livestock industry such as veterinarians slaughterhouse workers and agricultural workers constitute the most exposed category to CCHFV Person-to-person and nosocomial transmission is occasional but not unusual for CCHFV infection when risk is higher for the higher viral loads during the later stages of the disease (Celikbas et al 2014 Parlak et al 2015)
In Africa Balkans Middle East and Asian countries where CCHF is endemic seven genotypes have been recognized by genetic analysis In the European Union countries sporadic cases have been reported in Bulgaria and Greece (ECDC 2013 Papa et al 2008) while in the Balkans CCHFV has a widespread distribution In the World Health Organization (WHO) European Region Turkey remains the most affected country
The incubation period ranges may be different according to the type of transmission and viral load (Vorou et al 2007 Nabeth et al 2007) After tick bite transmission the incubation period is almost one to three days while after exposure to infected blood or bodily fluids may range between three and seven days This period can be shorter depending to viral load from infected blood (Naderi et al 2013) Symptoms of CCHF in humans include high fever muscle pain dizziness photophobia abdominal pain diarrhoea vomiting and in severe cases systemic haemorrhage (ECDC 2016)
On 31 August 2016 two cases of infection with CCHFV were reported in Madrid giving the first evidence of the disease in Spain The first case was a man of 62 years who likely got infected through a tick-bite while hiking around the community of San Juan del Molinillo (Avilla) Interestingly the virus was identified in Hyalomma lusitanicum in western Spain close to the border with Portugal (Estrada-Pena et al 2012) After first symptoms the man was admitted to the intensive care unit (ICU) of the Infanta Leonor Hospital in Madrid Afterwards the man was transferred to a high-level isolation ICU at the Gregorio Marantildeoacuten Hospital in Madrid where he died on 25 August 2016 (Figure 1)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
27 Around us26 Around us
5 Ftika L Maltezou HC (2013) Viral haemorrhagic fevers in healthcare settings J Hosp Infect83(3)185-92
6 Leblebicioglu H Sunbul M Guner R Bodur H Bulut C Duygu F (2016) Healthcare-associated Crimean-Congo haemorrhagic fever in Turkey 2002-2014 a multicentre retrospective cross-sectional study Clin Microbiol Infect22(4)387 e1-4
7 Nabeth P Thior M Faye O Simon F Human Crimean-Congo hemorrhagic fever Senegal (2014) Emerg Infect Dis10(10)1881-2
8 Naderi HR Sheybani F Bojdi A Khosravi N Mostafavi I (2013) Fatal nosocomial spread of Crimean-Congo hemorrhagic fever with very short incubation period Am J Trop Med Hyg88(3)469-71
9 Papa A Maltezou HC Tsiodras S Dalla VG Papadimitriou T Pierroutsakos I (2008) A case of Crimean-Congo haemorrhagic fever in Greece June 2008 Euro Surveill13(33)
10 Parlak E Koşan Z Ertuumlrk A Parlak M Oumlzkut Z (2015) A nosocomial outbreak of Crimean-Congo hemorrhagic fever Journal of Microbiology and Infectious Diseases5(1)5-9
11 Shayan S Bokaean M Shahrivar MR Chinikar S (2015) Crimean-Congo Hemorrhagic Fever Lab Med 2015 Summer46(3)180-9
12 Vorou R Pierroutsakos IN Maltezou HC Crimean-Congo hemorrhagic fever (2007) Curr Opin Infect Dis20(5)495-500
Websites
bull httpwwwpromedmailorgbull httpwwwwhointen
-Edited byGuido Di DonatoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
Figure 1The first evidence of CCHF virus in Spain
Avilla Spain first place where the patient most likely got infected through a tick-bite
Intensive care unit (ICU) of the Infanta Leonor Hospital Madrid where the first case was hospitalized and the second case was exposed
High-level isolation ICU at the Gregorio Marantildeoacuten Hospital Madrid where the first case was transferred)
Unfortunately one healthcare worker who took care of the CCHF affected patient while he was hospitalized in the ICU developed symptoms a few days later and was hospitalized presenting severe disease but with favourable evolution Both cases were confirmed by PCR at the Spanish National Centre for Microbiology
Both cases represent the first detection of autochthonous infection of CCHF in Spain and Western Europe
The European Centre for Disease prevention and control (ECDC) published on 8th September 2106 a Rapid risk assessment on CCHF The document takes into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action
Recent detection of CCHFV in ticks from the autonomous Community of Extremadura in western Spain indicates the circulation of CCHF virus among wildlife Therefore the occurrence of CCHFV infection is not an unexpected event in Spain Nosocomial transmission of CCHF can occur even in a non-endemic region when appropriate infection prevention and control (IPC) measures have not been observed The probability of CCHF virus infection in Spain is low However other sporadic cases are possible
References
1 Celikbas AK Dokuzoguz B Baykam N Gok SE Eroglu MN Midilli K (2014) Crimean-Congo hemorrhagic fever among health care workers Turkey Emerg Infect Dis20(3)477-9
2 Estrada-Pena A Palomar AM Santibanez P Sanchez N Habela MA Portillo A (2012) Crimean Congo hemorrhagic fever virus in ticks Southwestern Europe 2010 Emerg Infect Dis Jan18(1)179-80
3 European Centre for Disease Prevention and Control (2014) Annual Epidemiological Report Emerging and vector-borne diseases [Internet] Stockholm ECDC 2014
4 European Centre for Disease Prevention and Control (2016) Factsheet for health professionals Crimean-Congo haemorrhagic fever (CCHF)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
14 Hand on data
Animals involved in outbreaks reported to SIMAN up to 30th September 2016
Disease Animals involvedNo of animal in the
holding
No of diseased animals
No of died
animals
No of culled
animals
No of destroyed
animas
Aethina tumida Bees 3013 285 0 2861 2044
African swine fever Suidae 400 145 54 342 393
American foulbrood of honey bees Bees 592 221 24 254 265
Antrax Ruminants 1094 10 10 0 10
Avian cholera Poultry 66 6 6 0 0
Bluetongue Ruminants 59693 3439 803 0 431
Bovine leucosis Ruminants 200 9 0 1 0
Bovine tuberculosis Ruminants 12102 1408 9 320 121
Brucellosis of cattle buffalo sheep goats and pigs
Domestic carnviores 4 4 0 0 0
Ruminants 51735 8311 16 450 146
Caprine arthritisencephalitis Ruminants 143 7 0 0 0
Chlamydophila abortus infection (Enzootic abortion of ewes ovine chlamydiosis)
Ruminants 230 3 0 0 0
Clostridiosis (Enterotoxemia) Ruminants 163 1 1 0 1
Contagious agalactia Ruminants 23083 3061 30 0 30
Contagious bovine mastitis Ruminants 126 3 0 0 0
EchinococcosisIdatidosis Ruminants 1286 27 0 0 0
Equine infectious anaemia Equines 219 34 0 2 2
Equine rhinopneumonitis Equines 87 49 0 3 1
Erysipelas Suidae 11653 47 16 11 27
European foulbrood of honey bees Bees 58 12 0 12 12
Fowl pox Birds 10258 50 1 0 0
High patogenicity Avian influenza in poultryBirds 49472 2170 170 0 170
Poultry 17500 700 500 17000 17500
Infection with equine arteritis virus Equines 40 2 0 0 0
Leptospirosis
Domestic carnviores 6 2 1 0 1
Equines 187 4 0 0 0
Ruminants 272 13 0 0 0
Suidae 8250 7971 0 0 0
Low patogenicity Avian influenza in poultryBirds 445 11 0 445 374
Poultry 619 5 1 618 371
Maedi-visna Ruminants 923 175 0 0 0
Mixomatosis Lagomorphs 2014 208 158 56 211
Newcastle disease Birds 2 2 2 0 2
Non-typhoidal avian salmonellosisBirds 4150 4150 0 0 0
Poultry 683025 101076 100 39834 39804
Paratuberculosis Ruminants 1429 43 9 0 9
Q fever Ruminants 105 2 0 0 0
Rabbit haemorrhagic disease Lagomorphs 28411 17166 16169 29 14134
Salmonellosis (S abortusovis) Ruminants 3729 101 7 0 7
Salmonellosis of animals
Equines 97 1 1 0 0
Poultry 10350 3350 0 0 0
Ruminants 3590 69 13 0 11
Suidae 4530 9 9 0 1
Schmallengberg disease Ruminants 176 4 0 0 0
Scrapie Ruminants 8623 161 8 2 7
Swine vescicular disease Suidae 22 1 0 0 0
Trichinellosis Wild animals 4 4 2 2 4
West Nile Disease
Birds 74 64 23 14 34
Equines 650 46 3 1 3
Insects 199 124 5 1 5
Region Disease Jan Feb Mar Apr May Jun Jul Aug Sept Total
UMBRIA
American foulbrood of honey bees 2 2 1 1 7 1
Bluetongue 10 10
Erysipelas 1 1 4 2
European foulbrood of honey bees 1 1
VENETO
American foulbrood of honey bees 1 1 3 1
Avian cholera 2 2
Bluetongue 157 1 156
Non-typhoidal avian salmonellosis 1 1
Rabbit haemorrhagic disease 3 9 4 2
Salmonellosis of animals 1 1
Scrapie 1 1
West Nile Disease 26 4 13 9
15 Hand on data
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
16 A look at the maps 17 A look at the maps
A LOOK AT THE MAPSThe geographical distribution of the main animal diseasesreported to SIMAN up 30th September 2016
Processing date 25th October 2016
Aethina tumida
Equine Infectious Anaemia
--Geographical distribution of the outbreaks
--Geographical distribution of the outbreaks
Bluetongue
--Geographical distribution of the outbreaks
Carbonchio ematico
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
18 A look at the maps 19 A look at the maps
--Geographical distribution of the outbreaks
Avian Influenza high patogenicity African swine fever
--Geographical distribution of the outbreaks
Avian Influenza low patogenicity
--Geographical distribution of the outbreaks
West Nile Disease
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
21 Around us20 Around us
The first confirmation of Lumpy Skin Disease (LSD) in European Union was in Greece on August 20th 2015 (East Macedonia and Thrace Region Regional Unit (RU) of Evros) in two herds of free grazing cattle in close proximity to the Greek-Turkish borders Until the end of December 2015 the disease had been spread to the west counting 117 outbreaks in 7 different RUsrsquo (Evros Xanthi Kavala Lesvos Island Rodopi Chalkidiki and Thessaloniki) at the Northern-East part of Greece (167) In total 6085 animals were killed This ldquofirst waverdquo of the disease lasted for 18 weeks (based on the date of confirmation)
Emergency Vaccination had been decided by Greek Veterinary Authorities in cooperation with the European Commission since the beginning of the disease started on 5th September 2015 at Evros RU Measures described in Directive 92119EEC and in the National Contingency Plan were also applied to all RUrsquos where outbreaks had been confirmed including zoning (surveillance and protection zones) stamping out and sanitary burial on the spot in affected holdings movement controls disinfection and vector control (3)
Also Commissionrsquos Implementing Decision (EU) 20151500 as it has been modified by Implementing Decision (EU) 20152055 has been applied to all Regional Units which have been characterized as Restricted Zones (4 5) These measures included mainly restrictions on movements of the vaccinated animals and also of fresh meat hides milk dairy products and meat products coming from vaccinated animals
There was an interval of 4 months (15 December 2015 ndash 6 April 2016) without any new outbreaks (more than 4 incubation periods) and while the vaccination campaign was in progress (Figure 1)
AROUND USThe main events of epidemiological interest in the last months in the European Union and in the neighbour countries
Re-emergence of Lumpy Skin Disease in Greece April to August 2016
In the entire Greece passive and active surveillance was implemented and included
bull clinical examination of bovines in the protection and the surveillance zones bull clinical examination of bovines before vaccination against LSD and during the
implementation of other eradication and control programs bull laboratory investigation of the suspected cases
The findings of the surveillance confirmed the absence of LSD outbreaks during this period
Nevertheless on 6th of April 2016 the disease re-emerged in Greece in the RU of Serres in Central Macedonia Region close to the borders with Bulgaria where vaccination coverage was low (40 of bovine population) due to low availability of vaccines at that time In almost all cases (with an exception of one herd) it affected herds that were unvaccinated or vaccinated during the incubation period of the disease
The disease distributed to the east and to the west in RUs with high vaccination coverage close to 100 where it affected some herds which had remained unvaccinated (backyard family herds and free grazing herds) giving some sporadic outbreaks (3 in RU of Drama 4 in RU of Thessaloniki 3 in RU of Kavala and 1 in RU of Kilkis) (16) Then the disease crossed the high vaccinated areas (asymp100) of RU of Thessaloniki and Kilkis and entered RUrsquos of Pella and Imathia where the vaccination coverage was low
On 15th of July the disease ldquojumpedrdquo to the peninsula of Peloponissos in RU of Achaia far away from the other affected areas Up until today it remains the only outbreak in the area and no connection with previous outbreaks has been identified yet according to epidemiological surveys
During this ldquosecond waverdquo of the disease (April ndashAugust 2016) 98 outbreaks have been confirmed in 12 RUrsquos and approximately 5500 bovine animals have been culled (Table 1 and Figure 2)
Figure 1Number of outbreaks in Greece within a year (August 2015 toAugust 2016)
RUrsquosNumber
of outbreaks
Date of confirmation
of the 1st outbreak
Date of confirmation
of the last outbreak
Duration of the offset of the
outbreaks (days)
Serres 44 04-06-16 05-27-16 51
Thessaloniki 4 05-18-16 08-17-16 91
Kavala 3 05-18-16 06-23-16 36
Pella 18 05-23-16 08-08-16 77
Kilkis 1 05-26-16 - -
Drama 3 06-01-16 06-14-16 13
Imathia 14 06-16-16 08-03-16 48
Florina 4 06-30-16 08-03-16 34
Limnos 3 06-13-16 07-22-16 39
Achaia 1 07-15-16 - -
Kozani 1 08-26-16 - -
Larissa 2 08-26-16 -
Total 98
Table 1 Confirmed Outbreaks per Regional Unit (RU) with dates of confirmation of first and last outbreak and the duration of the offset of the outbreaks in each one (April ndash August 2016)
Clinical signs identified included fever nodules on the skin mucous and internal organs nasal and ophthalmic discharge salivation ulcers on the skin and around the eyes lameness due to oedema on legs depression loss of appetite and sometimes deaths (Figure 3 4 5)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
23 Around us22 Around us
Figure 2Map of Greece presenting the distribution of outbreaks (red pins) in Greece from April to August 2016
Figure 3Ophthalmic discharge and ulceration
around the eye
Figure 4Multiple nodules covering the entire
neck (lateral view)
Vaccination Campaign
Emergency vaccination for all susceptible species with homologous live attenuated virus vaccines decided since the beginning of the disease Two homologous live attenuated virus vaccines have been approved for import and used in Greece ldquoLumpy Skin Disease Vaccine for Cattlerdquo (Onderstepoort Biological Products South Africa) and ldquoLumpyvaxrdquo (MSD Animal Health Intervet South Africa)
Vaccination campaign started on 5 September 2015 in RU of Evros However soon after the confirmation of the disease it was extended to all other affected RUrsquos In November 2015 it was also extended to free RU (Thessaloniki Kilkis Serres Drama) in order to create a buffer zone The vaccination campaign extended to the rest of the Greece following the epidemiological evolution of the disease Up until August 2016 approximately 385000 bovine animals have been vaccinated for the first time During the same period the annual booster vaccination had started in RUrsquos of Evros Rodopi and Xanthi
Today vaccination campaign has been implemented to the entire mainland of Greece and also to Limnos Island where the disease re-emerged on 13 of June 2016
Despite vaccination campaign total stamping out policy is still implemented in vaccinated herds located in areas with high vaccination coverage due to EU legislation (Directive 92119EEC) Taken into consideration EFSArsquos recent opinion when vaccination is evenly applied so that 95 of the farms are vaccinated with 75 of vaccinated animals effectively protected then total stamping out and partial stamping out result in a similar probability of eradication of infection (2)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
24 Around us 25 Around us
Conclusions of the epizootic
OIE official recognition of disease status and endorsment of national official control Greek experience gained regarding LSD indicates that
bull vaccination was an effective measure for the control of the spread the disease and where it has been implemented before the appearance of the disease only few sporadic outbreaks occurred in unvaccinated animals
bull there is a need of amendment of legislation as regards the stamping out policy in vaccinated herds in order to be replaced by partial stamping out of affected animals c) the strict measures implemented to vaccinated animals and their products was an obstacle to convince farmers on the benefits of vaccination
bull cooperation and exchange of information among affected Countries is a key for the investigation of the epidemiology of the disease
References
1 Animal Disease Notification System (ADNS) httpswebgateeceuropaeu 2 Efsa 2016 Urgent advice on lumpy skin disease efsa jurnal29 July 2016 https
wwwefsaeuropaeuenefsajournalpub45733 Directive 92119EEC Council Directive 92119EEC of 17 December 1992
introducing general Community measures for the control of certain animal diseases and specific measures relating to swine vesicular disease
4 Decision No 20151500 EC Commission Implementing Decision (EU) 20151500 of 7 September 2015 concerning certain protective measures against lumpy skin disease in Greece and repealing Implementing Decision (EU) 20151423 (notified under document C(2015) 6221) (Text with EEA relevance)
5 Decision No 20152055 Commission Implementing Decision (EU) 20152055 of 10 November 2015 laying down the conditions for setting out the programme for emergency vaccination of bovine animals against lumpy skin disease in Greece and amending Implementing Decision (EU) 20151500 (notified under document C(2015) 7671) (Text with EEA relevance)
6 OIE (World Organization for Animal Health) Lumpy Skin Disease World Animal Health Information Database 2015 httpwwwoieintwahis_2publicwahidphpWahidhomeHome
7 Tasioudi KE Antoniou SE et all (2016) Emergence of Lumpy Skin Disease in Greece 2015 httpswwwncbinlmnihgovpubmed269913422016 Jun63(3)260-5
--Edited by
Sotiria-Eleni AntoniouDepartment of Infectious and Parasitic Diseases Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
Vangelis TsiamadisDepartment of Veterinary Medicine of Regional Unit of Thessaloniki Directorate of Rural Economy and Veterinary Services of RU of Thessaloniki Region of Central Macedonia Thessaloniki Greece and Department of Animal Production Faculty of Veterinary Medicine Thessaloniki Greece
Chrysoula DileDirector of Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
First evidences of Crimean-Congo haemorrhagic fever (CCHF) in Western Europe (Spain)
Crimean-Congo haemorrhagic fever (CCHF) is a widespread disease caused by a tick-borne virus of the genus Nairovirus The CCHF virus (CCHFV) causes severe haemorrhagic fever outbreaks The transmission is possible either by bite from infected ticks of the family Ixodidae and genus Hyalomma that are the principal vectors nevertheless a number of tick genera is capable of becoming infected with virus (Estrada-Pena et al 2012) CCHFV can also be transmitted by direct contact with blood or tissues from viremic livestock (Ftika et al 2013 Leblebicioglu et al 2016) The hosts of CCHFV include a wide range of wild and domestic animals such as cattle sheep and goats Animals generally become infected by the bite of infected ticks
People involved in livestock industry such as veterinarians slaughterhouse workers and agricultural workers constitute the most exposed category to CCHFV Person-to-person and nosocomial transmission is occasional but not unusual for CCHFV infection when risk is higher for the higher viral loads during the later stages of the disease (Celikbas et al 2014 Parlak et al 2015)
In Africa Balkans Middle East and Asian countries where CCHF is endemic seven genotypes have been recognized by genetic analysis In the European Union countries sporadic cases have been reported in Bulgaria and Greece (ECDC 2013 Papa et al 2008) while in the Balkans CCHFV has a widespread distribution In the World Health Organization (WHO) European Region Turkey remains the most affected country
The incubation period ranges may be different according to the type of transmission and viral load (Vorou et al 2007 Nabeth et al 2007) After tick bite transmission the incubation period is almost one to three days while after exposure to infected blood or bodily fluids may range between three and seven days This period can be shorter depending to viral load from infected blood (Naderi et al 2013) Symptoms of CCHF in humans include high fever muscle pain dizziness photophobia abdominal pain diarrhoea vomiting and in severe cases systemic haemorrhage (ECDC 2016)
On 31 August 2016 two cases of infection with CCHFV were reported in Madrid giving the first evidence of the disease in Spain The first case was a man of 62 years who likely got infected through a tick-bite while hiking around the community of San Juan del Molinillo (Avilla) Interestingly the virus was identified in Hyalomma lusitanicum in western Spain close to the border with Portugal (Estrada-Pena et al 2012) After first symptoms the man was admitted to the intensive care unit (ICU) of the Infanta Leonor Hospital in Madrid Afterwards the man was transferred to a high-level isolation ICU at the Gregorio Marantildeoacuten Hospital in Madrid where he died on 25 August 2016 (Figure 1)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
27 Around us26 Around us
5 Ftika L Maltezou HC (2013) Viral haemorrhagic fevers in healthcare settings J Hosp Infect83(3)185-92
6 Leblebicioglu H Sunbul M Guner R Bodur H Bulut C Duygu F (2016) Healthcare-associated Crimean-Congo haemorrhagic fever in Turkey 2002-2014 a multicentre retrospective cross-sectional study Clin Microbiol Infect22(4)387 e1-4
7 Nabeth P Thior M Faye O Simon F Human Crimean-Congo hemorrhagic fever Senegal (2014) Emerg Infect Dis10(10)1881-2
8 Naderi HR Sheybani F Bojdi A Khosravi N Mostafavi I (2013) Fatal nosocomial spread of Crimean-Congo hemorrhagic fever with very short incubation period Am J Trop Med Hyg88(3)469-71
9 Papa A Maltezou HC Tsiodras S Dalla VG Papadimitriou T Pierroutsakos I (2008) A case of Crimean-Congo haemorrhagic fever in Greece June 2008 Euro Surveill13(33)
10 Parlak E Koşan Z Ertuumlrk A Parlak M Oumlzkut Z (2015) A nosocomial outbreak of Crimean-Congo hemorrhagic fever Journal of Microbiology and Infectious Diseases5(1)5-9
11 Shayan S Bokaean M Shahrivar MR Chinikar S (2015) Crimean-Congo Hemorrhagic Fever Lab Med 2015 Summer46(3)180-9
12 Vorou R Pierroutsakos IN Maltezou HC Crimean-Congo hemorrhagic fever (2007) Curr Opin Infect Dis20(5)495-500
Websites
bull httpwwwpromedmailorgbull httpwwwwhointen
-Edited byGuido Di DonatoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
Figure 1The first evidence of CCHF virus in Spain
Avilla Spain first place where the patient most likely got infected through a tick-bite
Intensive care unit (ICU) of the Infanta Leonor Hospital Madrid where the first case was hospitalized and the second case was exposed
High-level isolation ICU at the Gregorio Marantildeoacuten Hospital Madrid where the first case was transferred)
Unfortunately one healthcare worker who took care of the CCHF affected patient while he was hospitalized in the ICU developed symptoms a few days later and was hospitalized presenting severe disease but with favourable evolution Both cases were confirmed by PCR at the Spanish National Centre for Microbiology
Both cases represent the first detection of autochthonous infection of CCHF in Spain and Western Europe
The European Centre for Disease prevention and control (ECDC) published on 8th September 2106 a Rapid risk assessment on CCHF The document takes into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action
Recent detection of CCHFV in ticks from the autonomous Community of Extremadura in western Spain indicates the circulation of CCHF virus among wildlife Therefore the occurrence of CCHFV infection is not an unexpected event in Spain Nosocomial transmission of CCHF can occur even in a non-endemic region when appropriate infection prevention and control (IPC) measures have not been observed The probability of CCHF virus infection in Spain is low However other sporadic cases are possible
References
1 Celikbas AK Dokuzoguz B Baykam N Gok SE Eroglu MN Midilli K (2014) Crimean-Congo hemorrhagic fever among health care workers Turkey Emerg Infect Dis20(3)477-9
2 Estrada-Pena A Palomar AM Santibanez P Sanchez N Habela MA Portillo A (2012) Crimean Congo hemorrhagic fever virus in ticks Southwestern Europe 2010 Emerg Infect Dis Jan18(1)179-80
3 European Centre for Disease Prevention and Control (2014) Annual Epidemiological Report Emerging and vector-borne diseases [Internet] Stockholm ECDC 2014
4 European Centre for Disease Prevention and Control (2016) Factsheet for health professionals Crimean-Congo haemorrhagic fever (CCHF)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
16 A look at the maps 17 A look at the maps
A LOOK AT THE MAPSThe geographical distribution of the main animal diseasesreported to SIMAN up 30th September 2016
Processing date 25th October 2016
Aethina tumida
Equine Infectious Anaemia
--Geographical distribution of the outbreaks
--Geographical distribution of the outbreaks
Bluetongue
--Geographical distribution of the outbreaks
Carbonchio ematico
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
18 A look at the maps 19 A look at the maps
--Geographical distribution of the outbreaks
Avian Influenza high patogenicity African swine fever
--Geographical distribution of the outbreaks
Avian Influenza low patogenicity
--Geographical distribution of the outbreaks
West Nile Disease
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
21 Around us20 Around us
The first confirmation of Lumpy Skin Disease (LSD) in European Union was in Greece on August 20th 2015 (East Macedonia and Thrace Region Regional Unit (RU) of Evros) in two herds of free grazing cattle in close proximity to the Greek-Turkish borders Until the end of December 2015 the disease had been spread to the west counting 117 outbreaks in 7 different RUsrsquo (Evros Xanthi Kavala Lesvos Island Rodopi Chalkidiki and Thessaloniki) at the Northern-East part of Greece (167) In total 6085 animals were killed This ldquofirst waverdquo of the disease lasted for 18 weeks (based on the date of confirmation)
Emergency Vaccination had been decided by Greek Veterinary Authorities in cooperation with the European Commission since the beginning of the disease started on 5th September 2015 at Evros RU Measures described in Directive 92119EEC and in the National Contingency Plan were also applied to all RUrsquos where outbreaks had been confirmed including zoning (surveillance and protection zones) stamping out and sanitary burial on the spot in affected holdings movement controls disinfection and vector control (3)
Also Commissionrsquos Implementing Decision (EU) 20151500 as it has been modified by Implementing Decision (EU) 20152055 has been applied to all Regional Units which have been characterized as Restricted Zones (4 5) These measures included mainly restrictions on movements of the vaccinated animals and also of fresh meat hides milk dairy products and meat products coming from vaccinated animals
There was an interval of 4 months (15 December 2015 ndash 6 April 2016) without any new outbreaks (more than 4 incubation periods) and while the vaccination campaign was in progress (Figure 1)
AROUND USThe main events of epidemiological interest in the last months in the European Union and in the neighbour countries
Re-emergence of Lumpy Skin Disease in Greece April to August 2016
In the entire Greece passive and active surveillance was implemented and included
bull clinical examination of bovines in the protection and the surveillance zones bull clinical examination of bovines before vaccination against LSD and during the
implementation of other eradication and control programs bull laboratory investigation of the suspected cases
The findings of the surveillance confirmed the absence of LSD outbreaks during this period
Nevertheless on 6th of April 2016 the disease re-emerged in Greece in the RU of Serres in Central Macedonia Region close to the borders with Bulgaria where vaccination coverage was low (40 of bovine population) due to low availability of vaccines at that time In almost all cases (with an exception of one herd) it affected herds that were unvaccinated or vaccinated during the incubation period of the disease
The disease distributed to the east and to the west in RUs with high vaccination coverage close to 100 where it affected some herds which had remained unvaccinated (backyard family herds and free grazing herds) giving some sporadic outbreaks (3 in RU of Drama 4 in RU of Thessaloniki 3 in RU of Kavala and 1 in RU of Kilkis) (16) Then the disease crossed the high vaccinated areas (asymp100) of RU of Thessaloniki and Kilkis and entered RUrsquos of Pella and Imathia where the vaccination coverage was low
On 15th of July the disease ldquojumpedrdquo to the peninsula of Peloponissos in RU of Achaia far away from the other affected areas Up until today it remains the only outbreak in the area and no connection with previous outbreaks has been identified yet according to epidemiological surveys
During this ldquosecond waverdquo of the disease (April ndashAugust 2016) 98 outbreaks have been confirmed in 12 RUrsquos and approximately 5500 bovine animals have been culled (Table 1 and Figure 2)
Figure 1Number of outbreaks in Greece within a year (August 2015 toAugust 2016)
RUrsquosNumber
of outbreaks
Date of confirmation
of the 1st outbreak
Date of confirmation
of the last outbreak
Duration of the offset of the
outbreaks (days)
Serres 44 04-06-16 05-27-16 51
Thessaloniki 4 05-18-16 08-17-16 91
Kavala 3 05-18-16 06-23-16 36
Pella 18 05-23-16 08-08-16 77
Kilkis 1 05-26-16 - -
Drama 3 06-01-16 06-14-16 13
Imathia 14 06-16-16 08-03-16 48
Florina 4 06-30-16 08-03-16 34
Limnos 3 06-13-16 07-22-16 39
Achaia 1 07-15-16 - -
Kozani 1 08-26-16 - -
Larissa 2 08-26-16 -
Total 98
Table 1 Confirmed Outbreaks per Regional Unit (RU) with dates of confirmation of first and last outbreak and the duration of the offset of the outbreaks in each one (April ndash August 2016)
Clinical signs identified included fever nodules on the skin mucous and internal organs nasal and ophthalmic discharge salivation ulcers on the skin and around the eyes lameness due to oedema on legs depression loss of appetite and sometimes deaths (Figure 3 4 5)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
23 Around us22 Around us
Figure 2Map of Greece presenting the distribution of outbreaks (red pins) in Greece from April to August 2016
Figure 3Ophthalmic discharge and ulceration
around the eye
Figure 4Multiple nodules covering the entire
neck (lateral view)
Vaccination Campaign
Emergency vaccination for all susceptible species with homologous live attenuated virus vaccines decided since the beginning of the disease Two homologous live attenuated virus vaccines have been approved for import and used in Greece ldquoLumpy Skin Disease Vaccine for Cattlerdquo (Onderstepoort Biological Products South Africa) and ldquoLumpyvaxrdquo (MSD Animal Health Intervet South Africa)
Vaccination campaign started on 5 September 2015 in RU of Evros However soon after the confirmation of the disease it was extended to all other affected RUrsquos In November 2015 it was also extended to free RU (Thessaloniki Kilkis Serres Drama) in order to create a buffer zone The vaccination campaign extended to the rest of the Greece following the epidemiological evolution of the disease Up until August 2016 approximately 385000 bovine animals have been vaccinated for the first time During the same period the annual booster vaccination had started in RUrsquos of Evros Rodopi and Xanthi
Today vaccination campaign has been implemented to the entire mainland of Greece and also to Limnos Island where the disease re-emerged on 13 of June 2016
Despite vaccination campaign total stamping out policy is still implemented in vaccinated herds located in areas with high vaccination coverage due to EU legislation (Directive 92119EEC) Taken into consideration EFSArsquos recent opinion when vaccination is evenly applied so that 95 of the farms are vaccinated with 75 of vaccinated animals effectively protected then total stamping out and partial stamping out result in a similar probability of eradication of infection (2)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
24 Around us 25 Around us
Conclusions of the epizootic
OIE official recognition of disease status and endorsment of national official control Greek experience gained regarding LSD indicates that
bull vaccination was an effective measure for the control of the spread the disease and where it has been implemented before the appearance of the disease only few sporadic outbreaks occurred in unvaccinated animals
bull there is a need of amendment of legislation as regards the stamping out policy in vaccinated herds in order to be replaced by partial stamping out of affected animals c) the strict measures implemented to vaccinated animals and their products was an obstacle to convince farmers on the benefits of vaccination
bull cooperation and exchange of information among affected Countries is a key for the investigation of the epidemiology of the disease
References
1 Animal Disease Notification System (ADNS) httpswebgateeceuropaeu 2 Efsa 2016 Urgent advice on lumpy skin disease efsa jurnal29 July 2016 https
wwwefsaeuropaeuenefsajournalpub45733 Directive 92119EEC Council Directive 92119EEC of 17 December 1992
introducing general Community measures for the control of certain animal diseases and specific measures relating to swine vesicular disease
4 Decision No 20151500 EC Commission Implementing Decision (EU) 20151500 of 7 September 2015 concerning certain protective measures against lumpy skin disease in Greece and repealing Implementing Decision (EU) 20151423 (notified under document C(2015) 6221) (Text with EEA relevance)
5 Decision No 20152055 Commission Implementing Decision (EU) 20152055 of 10 November 2015 laying down the conditions for setting out the programme for emergency vaccination of bovine animals against lumpy skin disease in Greece and amending Implementing Decision (EU) 20151500 (notified under document C(2015) 7671) (Text with EEA relevance)
6 OIE (World Organization for Animal Health) Lumpy Skin Disease World Animal Health Information Database 2015 httpwwwoieintwahis_2publicwahidphpWahidhomeHome
7 Tasioudi KE Antoniou SE et all (2016) Emergence of Lumpy Skin Disease in Greece 2015 httpswwwncbinlmnihgovpubmed269913422016 Jun63(3)260-5
--Edited by
Sotiria-Eleni AntoniouDepartment of Infectious and Parasitic Diseases Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
Vangelis TsiamadisDepartment of Veterinary Medicine of Regional Unit of Thessaloniki Directorate of Rural Economy and Veterinary Services of RU of Thessaloniki Region of Central Macedonia Thessaloniki Greece and Department of Animal Production Faculty of Veterinary Medicine Thessaloniki Greece
Chrysoula DileDirector of Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
First evidences of Crimean-Congo haemorrhagic fever (CCHF) in Western Europe (Spain)
Crimean-Congo haemorrhagic fever (CCHF) is a widespread disease caused by a tick-borne virus of the genus Nairovirus The CCHF virus (CCHFV) causes severe haemorrhagic fever outbreaks The transmission is possible either by bite from infected ticks of the family Ixodidae and genus Hyalomma that are the principal vectors nevertheless a number of tick genera is capable of becoming infected with virus (Estrada-Pena et al 2012) CCHFV can also be transmitted by direct contact with blood or tissues from viremic livestock (Ftika et al 2013 Leblebicioglu et al 2016) The hosts of CCHFV include a wide range of wild and domestic animals such as cattle sheep and goats Animals generally become infected by the bite of infected ticks
People involved in livestock industry such as veterinarians slaughterhouse workers and agricultural workers constitute the most exposed category to CCHFV Person-to-person and nosocomial transmission is occasional but not unusual for CCHFV infection when risk is higher for the higher viral loads during the later stages of the disease (Celikbas et al 2014 Parlak et al 2015)
In Africa Balkans Middle East and Asian countries where CCHF is endemic seven genotypes have been recognized by genetic analysis In the European Union countries sporadic cases have been reported in Bulgaria and Greece (ECDC 2013 Papa et al 2008) while in the Balkans CCHFV has a widespread distribution In the World Health Organization (WHO) European Region Turkey remains the most affected country
The incubation period ranges may be different according to the type of transmission and viral load (Vorou et al 2007 Nabeth et al 2007) After tick bite transmission the incubation period is almost one to three days while after exposure to infected blood or bodily fluids may range between three and seven days This period can be shorter depending to viral load from infected blood (Naderi et al 2013) Symptoms of CCHF in humans include high fever muscle pain dizziness photophobia abdominal pain diarrhoea vomiting and in severe cases systemic haemorrhage (ECDC 2016)
On 31 August 2016 two cases of infection with CCHFV were reported in Madrid giving the first evidence of the disease in Spain The first case was a man of 62 years who likely got infected through a tick-bite while hiking around the community of San Juan del Molinillo (Avilla) Interestingly the virus was identified in Hyalomma lusitanicum in western Spain close to the border with Portugal (Estrada-Pena et al 2012) After first symptoms the man was admitted to the intensive care unit (ICU) of the Infanta Leonor Hospital in Madrid Afterwards the man was transferred to a high-level isolation ICU at the Gregorio Marantildeoacuten Hospital in Madrid where he died on 25 August 2016 (Figure 1)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
27 Around us26 Around us
5 Ftika L Maltezou HC (2013) Viral haemorrhagic fevers in healthcare settings J Hosp Infect83(3)185-92
6 Leblebicioglu H Sunbul M Guner R Bodur H Bulut C Duygu F (2016) Healthcare-associated Crimean-Congo haemorrhagic fever in Turkey 2002-2014 a multicentre retrospective cross-sectional study Clin Microbiol Infect22(4)387 e1-4
7 Nabeth P Thior M Faye O Simon F Human Crimean-Congo hemorrhagic fever Senegal (2014) Emerg Infect Dis10(10)1881-2
8 Naderi HR Sheybani F Bojdi A Khosravi N Mostafavi I (2013) Fatal nosocomial spread of Crimean-Congo hemorrhagic fever with very short incubation period Am J Trop Med Hyg88(3)469-71
9 Papa A Maltezou HC Tsiodras S Dalla VG Papadimitriou T Pierroutsakos I (2008) A case of Crimean-Congo haemorrhagic fever in Greece June 2008 Euro Surveill13(33)
10 Parlak E Koşan Z Ertuumlrk A Parlak M Oumlzkut Z (2015) A nosocomial outbreak of Crimean-Congo hemorrhagic fever Journal of Microbiology and Infectious Diseases5(1)5-9
11 Shayan S Bokaean M Shahrivar MR Chinikar S (2015) Crimean-Congo Hemorrhagic Fever Lab Med 2015 Summer46(3)180-9
12 Vorou R Pierroutsakos IN Maltezou HC Crimean-Congo hemorrhagic fever (2007) Curr Opin Infect Dis20(5)495-500
Websites
bull httpwwwpromedmailorgbull httpwwwwhointen
-Edited byGuido Di DonatoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
Figure 1The first evidence of CCHF virus in Spain
Avilla Spain first place where the patient most likely got infected through a tick-bite
Intensive care unit (ICU) of the Infanta Leonor Hospital Madrid where the first case was hospitalized and the second case was exposed
High-level isolation ICU at the Gregorio Marantildeoacuten Hospital Madrid where the first case was transferred)
Unfortunately one healthcare worker who took care of the CCHF affected patient while he was hospitalized in the ICU developed symptoms a few days later and was hospitalized presenting severe disease but with favourable evolution Both cases were confirmed by PCR at the Spanish National Centre for Microbiology
Both cases represent the first detection of autochthonous infection of CCHF in Spain and Western Europe
The European Centre for Disease prevention and control (ECDC) published on 8th September 2106 a Rapid risk assessment on CCHF The document takes into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action
Recent detection of CCHFV in ticks from the autonomous Community of Extremadura in western Spain indicates the circulation of CCHF virus among wildlife Therefore the occurrence of CCHFV infection is not an unexpected event in Spain Nosocomial transmission of CCHF can occur even in a non-endemic region when appropriate infection prevention and control (IPC) measures have not been observed The probability of CCHF virus infection in Spain is low However other sporadic cases are possible
References
1 Celikbas AK Dokuzoguz B Baykam N Gok SE Eroglu MN Midilli K (2014) Crimean-Congo hemorrhagic fever among health care workers Turkey Emerg Infect Dis20(3)477-9
2 Estrada-Pena A Palomar AM Santibanez P Sanchez N Habela MA Portillo A (2012) Crimean Congo hemorrhagic fever virus in ticks Southwestern Europe 2010 Emerg Infect Dis Jan18(1)179-80
3 European Centre for Disease Prevention and Control (2014) Annual Epidemiological Report Emerging and vector-borne diseases [Internet] Stockholm ECDC 2014
4 European Centre for Disease Prevention and Control (2016) Factsheet for health professionals Crimean-Congo haemorrhagic fever (CCHF)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
18 A look at the maps 19 A look at the maps
--Geographical distribution of the outbreaks
Avian Influenza high patogenicity African swine fever
--Geographical distribution of the outbreaks
Avian Influenza low patogenicity
--Geographical distribution of the outbreaks
West Nile Disease
--Geographical distribution of the outbreaks
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
21 Around us20 Around us
The first confirmation of Lumpy Skin Disease (LSD) in European Union was in Greece on August 20th 2015 (East Macedonia and Thrace Region Regional Unit (RU) of Evros) in two herds of free grazing cattle in close proximity to the Greek-Turkish borders Until the end of December 2015 the disease had been spread to the west counting 117 outbreaks in 7 different RUsrsquo (Evros Xanthi Kavala Lesvos Island Rodopi Chalkidiki and Thessaloniki) at the Northern-East part of Greece (167) In total 6085 animals were killed This ldquofirst waverdquo of the disease lasted for 18 weeks (based on the date of confirmation)
Emergency Vaccination had been decided by Greek Veterinary Authorities in cooperation with the European Commission since the beginning of the disease started on 5th September 2015 at Evros RU Measures described in Directive 92119EEC and in the National Contingency Plan were also applied to all RUrsquos where outbreaks had been confirmed including zoning (surveillance and protection zones) stamping out and sanitary burial on the spot in affected holdings movement controls disinfection and vector control (3)
Also Commissionrsquos Implementing Decision (EU) 20151500 as it has been modified by Implementing Decision (EU) 20152055 has been applied to all Regional Units which have been characterized as Restricted Zones (4 5) These measures included mainly restrictions on movements of the vaccinated animals and also of fresh meat hides milk dairy products and meat products coming from vaccinated animals
There was an interval of 4 months (15 December 2015 ndash 6 April 2016) without any new outbreaks (more than 4 incubation periods) and while the vaccination campaign was in progress (Figure 1)
AROUND USThe main events of epidemiological interest in the last months in the European Union and in the neighbour countries
Re-emergence of Lumpy Skin Disease in Greece April to August 2016
In the entire Greece passive and active surveillance was implemented and included
bull clinical examination of bovines in the protection and the surveillance zones bull clinical examination of bovines before vaccination against LSD and during the
implementation of other eradication and control programs bull laboratory investigation of the suspected cases
The findings of the surveillance confirmed the absence of LSD outbreaks during this period
Nevertheless on 6th of April 2016 the disease re-emerged in Greece in the RU of Serres in Central Macedonia Region close to the borders with Bulgaria where vaccination coverage was low (40 of bovine population) due to low availability of vaccines at that time In almost all cases (with an exception of one herd) it affected herds that were unvaccinated or vaccinated during the incubation period of the disease
The disease distributed to the east and to the west in RUs with high vaccination coverage close to 100 where it affected some herds which had remained unvaccinated (backyard family herds and free grazing herds) giving some sporadic outbreaks (3 in RU of Drama 4 in RU of Thessaloniki 3 in RU of Kavala and 1 in RU of Kilkis) (16) Then the disease crossed the high vaccinated areas (asymp100) of RU of Thessaloniki and Kilkis and entered RUrsquos of Pella and Imathia where the vaccination coverage was low
On 15th of July the disease ldquojumpedrdquo to the peninsula of Peloponissos in RU of Achaia far away from the other affected areas Up until today it remains the only outbreak in the area and no connection with previous outbreaks has been identified yet according to epidemiological surveys
During this ldquosecond waverdquo of the disease (April ndashAugust 2016) 98 outbreaks have been confirmed in 12 RUrsquos and approximately 5500 bovine animals have been culled (Table 1 and Figure 2)
Figure 1Number of outbreaks in Greece within a year (August 2015 toAugust 2016)
RUrsquosNumber
of outbreaks
Date of confirmation
of the 1st outbreak
Date of confirmation
of the last outbreak
Duration of the offset of the
outbreaks (days)
Serres 44 04-06-16 05-27-16 51
Thessaloniki 4 05-18-16 08-17-16 91
Kavala 3 05-18-16 06-23-16 36
Pella 18 05-23-16 08-08-16 77
Kilkis 1 05-26-16 - -
Drama 3 06-01-16 06-14-16 13
Imathia 14 06-16-16 08-03-16 48
Florina 4 06-30-16 08-03-16 34
Limnos 3 06-13-16 07-22-16 39
Achaia 1 07-15-16 - -
Kozani 1 08-26-16 - -
Larissa 2 08-26-16 -
Total 98
Table 1 Confirmed Outbreaks per Regional Unit (RU) with dates of confirmation of first and last outbreak and the duration of the offset of the outbreaks in each one (April ndash August 2016)
Clinical signs identified included fever nodules on the skin mucous and internal organs nasal and ophthalmic discharge salivation ulcers on the skin and around the eyes lameness due to oedema on legs depression loss of appetite and sometimes deaths (Figure 3 4 5)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
23 Around us22 Around us
Figure 2Map of Greece presenting the distribution of outbreaks (red pins) in Greece from April to August 2016
Figure 3Ophthalmic discharge and ulceration
around the eye
Figure 4Multiple nodules covering the entire
neck (lateral view)
Vaccination Campaign
Emergency vaccination for all susceptible species with homologous live attenuated virus vaccines decided since the beginning of the disease Two homologous live attenuated virus vaccines have been approved for import and used in Greece ldquoLumpy Skin Disease Vaccine for Cattlerdquo (Onderstepoort Biological Products South Africa) and ldquoLumpyvaxrdquo (MSD Animal Health Intervet South Africa)
Vaccination campaign started on 5 September 2015 in RU of Evros However soon after the confirmation of the disease it was extended to all other affected RUrsquos In November 2015 it was also extended to free RU (Thessaloniki Kilkis Serres Drama) in order to create a buffer zone The vaccination campaign extended to the rest of the Greece following the epidemiological evolution of the disease Up until August 2016 approximately 385000 bovine animals have been vaccinated for the first time During the same period the annual booster vaccination had started in RUrsquos of Evros Rodopi and Xanthi
Today vaccination campaign has been implemented to the entire mainland of Greece and also to Limnos Island where the disease re-emerged on 13 of June 2016
Despite vaccination campaign total stamping out policy is still implemented in vaccinated herds located in areas with high vaccination coverage due to EU legislation (Directive 92119EEC) Taken into consideration EFSArsquos recent opinion when vaccination is evenly applied so that 95 of the farms are vaccinated with 75 of vaccinated animals effectively protected then total stamping out and partial stamping out result in a similar probability of eradication of infection (2)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
24 Around us 25 Around us
Conclusions of the epizootic
OIE official recognition of disease status and endorsment of national official control Greek experience gained regarding LSD indicates that
bull vaccination was an effective measure for the control of the spread the disease and where it has been implemented before the appearance of the disease only few sporadic outbreaks occurred in unvaccinated animals
bull there is a need of amendment of legislation as regards the stamping out policy in vaccinated herds in order to be replaced by partial stamping out of affected animals c) the strict measures implemented to vaccinated animals and their products was an obstacle to convince farmers on the benefits of vaccination
bull cooperation and exchange of information among affected Countries is a key for the investigation of the epidemiology of the disease
References
1 Animal Disease Notification System (ADNS) httpswebgateeceuropaeu 2 Efsa 2016 Urgent advice on lumpy skin disease efsa jurnal29 July 2016 https
wwwefsaeuropaeuenefsajournalpub45733 Directive 92119EEC Council Directive 92119EEC of 17 December 1992
introducing general Community measures for the control of certain animal diseases and specific measures relating to swine vesicular disease
4 Decision No 20151500 EC Commission Implementing Decision (EU) 20151500 of 7 September 2015 concerning certain protective measures against lumpy skin disease in Greece and repealing Implementing Decision (EU) 20151423 (notified under document C(2015) 6221) (Text with EEA relevance)
5 Decision No 20152055 Commission Implementing Decision (EU) 20152055 of 10 November 2015 laying down the conditions for setting out the programme for emergency vaccination of bovine animals against lumpy skin disease in Greece and amending Implementing Decision (EU) 20151500 (notified under document C(2015) 7671) (Text with EEA relevance)
6 OIE (World Organization for Animal Health) Lumpy Skin Disease World Animal Health Information Database 2015 httpwwwoieintwahis_2publicwahidphpWahidhomeHome
7 Tasioudi KE Antoniou SE et all (2016) Emergence of Lumpy Skin Disease in Greece 2015 httpswwwncbinlmnihgovpubmed269913422016 Jun63(3)260-5
--Edited by
Sotiria-Eleni AntoniouDepartment of Infectious and Parasitic Diseases Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
Vangelis TsiamadisDepartment of Veterinary Medicine of Regional Unit of Thessaloniki Directorate of Rural Economy and Veterinary Services of RU of Thessaloniki Region of Central Macedonia Thessaloniki Greece and Department of Animal Production Faculty of Veterinary Medicine Thessaloniki Greece
Chrysoula DileDirector of Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
First evidences of Crimean-Congo haemorrhagic fever (CCHF) in Western Europe (Spain)
Crimean-Congo haemorrhagic fever (CCHF) is a widespread disease caused by a tick-borne virus of the genus Nairovirus The CCHF virus (CCHFV) causes severe haemorrhagic fever outbreaks The transmission is possible either by bite from infected ticks of the family Ixodidae and genus Hyalomma that are the principal vectors nevertheless a number of tick genera is capable of becoming infected with virus (Estrada-Pena et al 2012) CCHFV can also be transmitted by direct contact with blood or tissues from viremic livestock (Ftika et al 2013 Leblebicioglu et al 2016) The hosts of CCHFV include a wide range of wild and domestic animals such as cattle sheep and goats Animals generally become infected by the bite of infected ticks
People involved in livestock industry such as veterinarians slaughterhouse workers and agricultural workers constitute the most exposed category to CCHFV Person-to-person and nosocomial transmission is occasional but not unusual for CCHFV infection when risk is higher for the higher viral loads during the later stages of the disease (Celikbas et al 2014 Parlak et al 2015)
In Africa Balkans Middle East and Asian countries where CCHF is endemic seven genotypes have been recognized by genetic analysis In the European Union countries sporadic cases have been reported in Bulgaria and Greece (ECDC 2013 Papa et al 2008) while in the Balkans CCHFV has a widespread distribution In the World Health Organization (WHO) European Region Turkey remains the most affected country
The incubation period ranges may be different according to the type of transmission and viral load (Vorou et al 2007 Nabeth et al 2007) After tick bite transmission the incubation period is almost one to three days while after exposure to infected blood or bodily fluids may range between three and seven days This period can be shorter depending to viral load from infected blood (Naderi et al 2013) Symptoms of CCHF in humans include high fever muscle pain dizziness photophobia abdominal pain diarrhoea vomiting and in severe cases systemic haemorrhage (ECDC 2016)
On 31 August 2016 two cases of infection with CCHFV were reported in Madrid giving the first evidence of the disease in Spain The first case was a man of 62 years who likely got infected through a tick-bite while hiking around the community of San Juan del Molinillo (Avilla) Interestingly the virus was identified in Hyalomma lusitanicum in western Spain close to the border with Portugal (Estrada-Pena et al 2012) After first symptoms the man was admitted to the intensive care unit (ICU) of the Infanta Leonor Hospital in Madrid Afterwards the man was transferred to a high-level isolation ICU at the Gregorio Marantildeoacuten Hospital in Madrid where he died on 25 August 2016 (Figure 1)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
27 Around us26 Around us
5 Ftika L Maltezou HC (2013) Viral haemorrhagic fevers in healthcare settings J Hosp Infect83(3)185-92
6 Leblebicioglu H Sunbul M Guner R Bodur H Bulut C Duygu F (2016) Healthcare-associated Crimean-Congo haemorrhagic fever in Turkey 2002-2014 a multicentre retrospective cross-sectional study Clin Microbiol Infect22(4)387 e1-4
7 Nabeth P Thior M Faye O Simon F Human Crimean-Congo hemorrhagic fever Senegal (2014) Emerg Infect Dis10(10)1881-2
8 Naderi HR Sheybani F Bojdi A Khosravi N Mostafavi I (2013) Fatal nosocomial spread of Crimean-Congo hemorrhagic fever with very short incubation period Am J Trop Med Hyg88(3)469-71
9 Papa A Maltezou HC Tsiodras S Dalla VG Papadimitriou T Pierroutsakos I (2008) A case of Crimean-Congo haemorrhagic fever in Greece June 2008 Euro Surveill13(33)
10 Parlak E Koşan Z Ertuumlrk A Parlak M Oumlzkut Z (2015) A nosocomial outbreak of Crimean-Congo hemorrhagic fever Journal of Microbiology and Infectious Diseases5(1)5-9
11 Shayan S Bokaean M Shahrivar MR Chinikar S (2015) Crimean-Congo Hemorrhagic Fever Lab Med 2015 Summer46(3)180-9
12 Vorou R Pierroutsakos IN Maltezou HC Crimean-Congo hemorrhagic fever (2007) Curr Opin Infect Dis20(5)495-500
Websites
bull httpwwwpromedmailorgbull httpwwwwhointen
-Edited byGuido Di DonatoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
Figure 1The first evidence of CCHF virus in Spain
Avilla Spain first place where the patient most likely got infected through a tick-bite
Intensive care unit (ICU) of the Infanta Leonor Hospital Madrid where the first case was hospitalized and the second case was exposed
High-level isolation ICU at the Gregorio Marantildeoacuten Hospital Madrid where the first case was transferred)
Unfortunately one healthcare worker who took care of the CCHF affected patient while he was hospitalized in the ICU developed symptoms a few days later and was hospitalized presenting severe disease but with favourable evolution Both cases were confirmed by PCR at the Spanish National Centre for Microbiology
Both cases represent the first detection of autochthonous infection of CCHF in Spain and Western Europe
The European Centre for Disease prevention and control (ECDC) published on 8th September 2106 a Rapid risk assessment on CCHF The document takes into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action
Recent detection of CCHFV in ticks from the autonomous Community of Extremadura in western Spain indicates the circulation of CCHF virus among wildlife Therefore the occurrence of CCHFV infection is not an unexpected event in Spain Nosocomial transmission of CCHF can occur even in a non-endemic region when appropriate infection prevention and control (IPC) measures have not been observed The probability of CCHF virus infection in Spain is low However other sporadic cases are possible
References
1 Celikbas AK Dokuzoguz B Baykam N Gok SE Eroglu MN Midilli K (2014) Crimean-Congo hemorrhagic fever among health care workers Turkey Emerg Infect Dis20(3)477-9
2 Estrada-Pena A Palomar AM Santibanez P Sanchez N Habela MA Portillo A (2012) Crimean Congo hemorrhagic fever virus in ticks Southwestern Europe 2010 Emerg Infect Dis Jan18(1)179-80
3 European Centre for Disease Prevention and Control (2014) Annual Epidemiological Report Emerging and vector-borne diseases [Internet] Stockholm ECDC 2014
4 European Centre for Disease Prevention and Control (2016) Factsheet for health professionals Crimean-Congo haemorrhagic fever (CCHF)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
21 Around us20 Around us
The first confirmation of Lumpy Skin Disease (LSD) in European Union was in Greece on August 20th 2015 (East Macedonia and Thrace Region Regional Unit (RU) of Evros) in two herds of free grazing cattle in close proximity to the Greek-Turkish borders Until the end of December 2015 the disease had been spread to the west counting 117 outbreaks in 7 different RUsrsquo (Evros Xanthi Kavala Lesvos Island Rodopi Chalkidiki and Thessaloniki) at the Northern-East part of Greece (167) In total 6085 animals were killed This ldquofirst waverdquo of the disease lasted for 18 weeks (based on the date of confirmation)
Emergency Vaccination had been decided by Greek Veterinary Authorities in cooperation with the European Commission since the beginning of the disease started on 5th September 2015 at Evros RU Measures described in Directive 92119EEC and in the National Contingency Plan were also applied to all RUrsquos where outbreaks had been confirmed including zoning (surveillance and protection zones) stamping out and sanitary burial on the spot in affected holdings movement controls disinfection and vector control (3)
Also Commissionrsquos Implementing Decision (EU) 20151500 as it has been modified by Implementing Decision (EU) 20152055 has been applied to all Regional Units which have been characterized as Restricted Zones (4 5) These measures included mainly restrictions on movements of the vaccinated animals and also of fresh meat hides milk dairy products and meat products coming from vaccinated animals
There was an interval of 4 months (15 December 2015 ndash 6 April 2016) without any new outbreaks (more than 4 incubation periods) and while the vaccination campaign was in progress (Figure 1)
AROUND USThe main events of epidemiological interest in the last months in the European Union and in the neighbour countries
Re-emergence of Lumpy Skin Disease in Greece April to August 2016
In the entire Greece passive and active surveillance was implemented and included
bull clinical examination of bovines in the protection and the surveillance zones bull clinical examination of bovines before vaccination against LSD and during the
implementation of other eradication and control programs bull laboratory investigation of the suspected cases
The findings of the surveillance confirmed the absence of LSD outbreaks during this period
Nevertheless on 6th of April 2016 the disease re-emerged in Greece in the RU of Serres in Central Macedonia Region close to the borders with Bulgaria where vaccination coverage was low (40 of bovine population) due to low availability of vaccines at that time In almost all cases (with an exception of one herd) it affected herds that were unvaccinated or vaccinated during the incubation period of the disease
The disease distributed to the east and to the west in RUs with high vaccination coverage close to 100 where it affected some herds which had remained unvaccinated (backyard family herds and free grazing herds) giving some sporadic outbreaks (3 in RU of Drama 4 in RU of Thessaloniki 3 in RU of Kavala and 1 in RU of Kilkis) (16) Then the disease crossed the high vaccinated areas (asymp100) of RU of Thessaloniki and Kilkis and entered RUrsquos of Pella and Imathia where the vaccination coverage was low
On 15th of July the disease ldquojumpedrdquo to the peninsula of Peloponissos in RU of Achaia far away from the other affected areas Up until today it remains the only outbreak in the area and no connection with previous outbreaks has been identified yet according to epidemiological surveys
During this ldquosecond waverdquo of the disease (April ndashAugust 2016) 98 outbreaks have been confirmed in 12 RUrsquos and approximately 5500 bovine animals have been culled (Table 1 and Figure 2)
Figure 1Number of outbreaks in Greece within a year (August 2015 toAugust 2016)
RUrsquosNumber
of outbreaks
Date of confirmation
of the 1st outbreak
Date of confirmation
of the last outbreak
Duration of the offset of the
outbreaks (days)
Serres 44 04-06-16 05-27-16 51
Thessaloniki 4 05-18-16 08-17-16 91
Kavala 3 05-18-16 06-23-16 36
Pella 18 05-23-16 08-08-16 77
Kilkis 1 05-26-16 - -
Drama 3 06-01-16 06-14-16 13
Imathia 14 06-16-16 08-03-16 48
Florina 4 06-30-16 08-03-16 34
Limnos 3 06-13-16 07-22-16 39
Achaia 1 07-15-16 - -
Kozani 1 08-26-16 - -
Larissa 2 08-26-16 -
Total 98
Table 1 Confirmed Outbreaks per Regional Unit (RU) with dates of confirmation of first and last outbreak and the duration of the offset of the outbreaks in each one (April ndash August 2016)
Clinical signs identified included fever nodules on the skin mucous and internal organs nasal and ophthalmic discharge salivation ulcers on the skin and around the eyes lameness due to oedema on legs depression loss of appetite and sometimes deaths (Figure 3 4 5)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
23 Around us22 Around us
Figure 2Map of Greece presenting the distribution of outbreaks (red pins) in Greece from April to August 2016
Figure 3Ophthalmic discharge and ulceration
around the eye
Figure 4Multiple nodules covering the entire
neck (lateral view)
Vaccination Campaign
Emergency vaccination for all susceptible species with homologous live attenuated virus vaccines decided since the beginning of the disease Two homologous live attenuated virus vaccines have been approved for import and used in Greece ldquoLumpy Skin Disease Vaccine for Cattlerdquo (Onderstepoort Biological Products South Africa) and ldquoLumpyvaxrdquo (MSD Animal Health Intervet South Africa)
Vaccination campaign started on 5 September 2015 in RU of Evros However soon after the confirmation of the disease it was extended to all other affected RUrsquos In November 2015 it was also extended to free RU (Thessaloniki Kilkis Serres Drama) in order to create a buffer zone The vaccination campaign extended to the rest of the Greece following the epidemiological evolution of the disease Up until August 2016 approximately 385000 bovine animals have been vaccinated for the first time During the same period the annual booster vaccination had started in RUrsquos of Evros Rodopi and Xanthi
Today vaccination campaign has been implemented to the entire mainland of Greece and also to Limnos Island where the disease re-emerged on 13 of June 2016
Despite vaccination campaign total stamping out policy is still implemented in vaccinated herds located in areas with high vaccination coverage due to EU legislation (Directive 92119EEC) Taken into consideration EFSArsquos recent opinion when vaccination is evenly applied so that 95 of the farms are vaccinated with 75 of vaccinated animals effectively protected then total stamping out and partial stamping out result in a similar probability of eradication of infection (2)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
24 Around us 25 Around us
Conclusions of the epizootic
OIE official recognition of disease status and endorsment of national official control Greek experience gained regarding LSD indicates that
bull vaccination was an effective measure for the control of the spread the disease and where it has been implemented before the appearance of the disease only few sporadic outbreaks occurred in unvaccinated animals
bull there is a need of amendment of legislation as regards the stamping out policy in vaccinated herds in order to be replaced by partial stamping out of affected animals c) the strict measures implemented to vaccinated animals and their products was an obstacle to convince farmers on the benefits of vaccination
bull cooperation and exchange of information among affected Countries is a key for the investigation of the epidemiology of the disease
References
1 Animal Disease Notification System (ADNS) httpswebgateeceuropaeu 2 Efsa 2016 Urgent advice on lumpy skin disease efsa jurnal29 July 2016 https
wwwefsaeuropaeuenefsajournalpub45733 Directive 92119EEC Council Directive 92119EEC of 17 December 1992
introducing general Community measures for the control of certain animal diseases and specific measures relating to swine vesicular disease
4 Decision No 20151500 EC Commission Implementing Decision (EU) 20151500 of 7 September 2015 concerning certain protective measures against lumpy skin disease in Greece and repealing Implementing Decision (EU) 20151423 (notified under document C(2015) 6221) (Text with EEA relevance)
5 Decision No 20152055 Commission Implementing Decision (EU) 20152055 of 10 November 2015 laying down the conditions for setting out the programme for emergency vaccination of bovine animals against lumpy skin disease in Greece and amending Implementing Decision (EU) 20151500 (notified under document C(2015) 7671) (Text with EEA relevance)
6 OIE (World Organization for Animal Health) Lumpy Skin Disease World Animal Health Information Database 2015 httpwwwoieintwahis_2publicwahidphpWahidhomeHome
7 Tasioudi KE Antoniou SE et all (2016) Emergence of Lumpy Skin Disease in Greece 2015 httpswwwncbinlmnihgovpubmed269913422016 Jun63(3)260-5
--Edited by
Sotiria-Eleni AntoniouDepartment of Infectious and Parasitic Diseases Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
Vangelis TsiamadisDepartment of Veterinary Medicine of Regional Unit of Thessaloniki Directorate of Rural Economy and Veterinary Services of RU of Thessaloniki Region of Central Macedonia Thessaloniki Greece and Department of Animal Production Faculty of Veterinary Medicine Thessaloniki Greece
Chrysoula DileDirector of Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
First evidences of Crimean-Congo haemorrhagic fever (CCHF) in Western Europe (Spain)
Crimean-Congo haemorrhagic fever (CCHF) is a widespread disease caused by a tick-borne virus of the genus Nairovirus The CCHF virus (CCHFV) causes severe haemorrhagic fever outbreaks The transmission is possible either by bite from infected ticks of the family Ixodidae and genus Hyalomma that are the principal vectors nevertheless a number of tick genera is capable of becoming infected with virus (Estrada-Pena et al 2012) CCHFV can also be transmitted by direct contact with blood or tissues from viremic livestock (Ftika et al 2013 Leblebicioglu et al 2016) The hosts of CCHFV include a wide range of wild and domestic animals such as cattle sheep and goats Animals generally become infected by the bite of infected ticks
People involved in livestock industry such as veterinarians slaughterhouse workers and agricultural workers constitute the most exposed category to CCHFV Person-to-person and nosocomial transmission is occasional but not unusual for CCHFV infection when risk is higher for the higher viral loads during the later stages of the disease (Celikbas et al 2014 Parlak et al 2015)
In Africa Balkans Middle East and Asian countries where CCHF is endemic seven genotypes have been recognized by genetic analysis In the European Union countries sporadic cases have been reported in Bulgaria and Greece (ECDC 2013 Papa et al 2008) while in the Balkans CCHFV has a widespread distribution In the World Health Organization (WHO) European Region Turkey remains the most affected country
The incubation period ranges may be different according to the type of transmission and viral load (Vorou et al 2007 Nabeth et al 2007) After tick bite transmission the incubation period is almost one to three days while after exposure to infected blood or bodily fluids may range between three and seven days This period can be shorter depending to viral load from infected blood (Naderi et al 2013) Symptoms of CCHF in humans include high fever muscle pain dizziness photophobia abdominal pain diarrhoea vomiting and in severe cases systemic haemorrhage (ECDC 2016)
On 31 August 2016 two cases of infection with CCHFV were reported in Madrid giving the first evidence of the disease in Spain The first case was a man of 62 years who likely got infected through a tick-bite while hiking around the community of San Juan del Molinillo (Avilla) Interestingly the virus was identified in Hyalomma lusitanicum in western Spain close to the border with Portugal (Estrada-Pena et al 2012) After first symptoms the man was admitted to the intensive care unit (ICU) of the Infanta Leonor Hospital in Madrid Afterwards the man was transferred to a high-level isolation ICU at the Gregorio Marantildeoacuten Hospital in Madrid where he died on 25 August 2016 (Figure 1)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
27 Around us26 Around us
5 Ftika L Maltezou HC (2013) Viral haemorrhagic fevers in healthcare settings J Hosp Infect83(3)185-92
6 Leblebicioglu H Sunbul M Guner R Bodur H Bulut C Duygu F (2016) Healthcare-associated Crimean-Congo haemorrhagic fever in Turkey 2002-2014 a multicentre retrospective cross-sectional study Clin Microbiol Infect22(4)387 e1-4
7 Nabeth P Thior M Faye O Simon F Human Crimean-Congo hemorrhagic fever Senegal (2014) Emerg Infect Dis10(10)1881-2
8 Naderi HR Sheybani F Bojdi A Khosravi N Mostafavi I (2013) Fatal nosocomial spread of Crimean-Congo hemorrhagic fever with very short incubation period Am J Trop Med Hyg88(3)469-71
9 Papa A Maltezou HC Tsiodras S Dalla VG Papadimitriou T Pierroutsakos I (2008) A case of Crimean-Congo haemorrhagic fever in Greece June 2008 Euro Surveill13(33)
10 Parlak E Koşan Z Ertuumlrk A Parlak M Oumlzkut Z (2015) A nosocomial outbreak of Crimean-Congo hemorrhagic fever Journal of Microbiology and Infectious Diseases5(1)5-9
11 Shayan S Bokaean M Shahrivar MR Chinikar S (2015) Crimean-Congo Hemorrhagic Fever Lab Med 2015 Summer46(3)180-9
12 Vorou R Pierroutsakos IN Maltezou HC Crimean-Congo hemorrhagic fever (2007) Curr Opin Infect Dis20(5)495-500
Websites
bull httpwwwpromedmailorgbull httpwwwwhointen
-Edited byGuido Di DonatoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
Figure 1The first evidence of CCHF virus in Spain
Avilla Spain first place where the patient most likely got infected through a tick-bite
Intensive care unit (ICU) of the Infanta Leonor Hospital Madrid where the first case was hospitalized and the second case was exposed
High-level isolation ICU at the Gregorio Marantildeoacuten Hospital Madrid where the first case was transferred)
Unfortunately one healthcare worker who took care of the CCHF affected patient while he was hospitalized in the ICU developed symptoms a few days later and was hospitalized presenting severe disease but with favourable evolution Both cases were confirmed by PCR at the Spanish National Centre for Microbiology
Both cases represent the first detection of autochthonous infection of CCHF in Spain and Western Europe
The European Centre for Disease prevention and control (ECDC) published on 8th September 2106 a Rapid risk assessment on CCHF The document takes into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action
Recent detection of CCHFV in ticks from the autonomous Community of Extremadura in western Spain indicates the circulation of CCHF virus among wildlife Therefore the occurrence of CCHFV infection is not an unexpected event in Spain Nosocomial transmission of CCHF can occur even in a non-endemic region when appropriate infection prevention and control (IPC) measures have not been observed The probability of CCHF virus infection in Spain is low However other sporadic cases are possible
References
1 Celikbas AK Dokuzoguz B Baykam N Gok SE Eroglu MN Midilli K (2014) Crimean-Congo hemorrhagic fever among health care workers Turkey Emerg Infect Dis20(3)477-9
2 Estrada-Pena A Palomar AM Santibanez P Sanchez N Habela MA Portillo A (2012) Crimean Congo hemorrhagic fever virus in ticks Southwestern Europe 2010 Emerg Infect Dis Jan18(1)179-80
3 European Centre for Disease Prevention and Control (2014) Annual Epidemiological Report Emerging and vector-borne diseases [Internet] Stockholm ECDC 2014
4 European Centre for Disease Prevention and Control (2016) Factsheet for health professionals Crimean-Congo haemorrhagic fever (CCHF)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
23 Around us22 Around us
Figure 2Map of Greece presenting the distribution of outbreaks (red pins) in Greece from April to August 2016
Figure 3Ophthalmic discharge and ulceration
around the eye
Figure 4Multiple nodules covering the entire
neck (lateral view)
Vaccination Campaign
Emergency vaccination for all susceptible species with homologous live attenuated virus vaccines decided since the beginning of the disease Two homologous live attenuated virus vaccines have been approved for import and used in Greece ldquoLumpy Skin Disease Vaccine for Cattlerdquo (Onderstepoort Biological Products South Africa) and ldquoLumpyvaxrdquo (MSD Animal Health Intervet South Africa)
Vaccination campaign started on 5 September 2015 in RU of Evros However soon after the confirmation of the disease it was extended to all other affected RUrsquos In November 2015 it was also extended to free RU (Thessaloniki Kilkis Serres Drama) in order to create a buffer zone The vaccination campaign extended to the rest of the Greece following the epidemiological evolution of the disease Up until August 2016 approximately 385000 bovine animals have been vaccinated for the first time During the same period the annual booster vaccination had started in RUrsquos of Evros Rodopi and Xanthi
Today vaccination campaign has been implemented to the entire mainland of Greece and also to Limnos Island where the disease re-emerged on 13 of June 2016
Despite vaccination campaign total stamping out policy is still implemented in vaccinated herds located in areas with high vaccination coverage due to EU legislation (Directive 92119EEC) Taken into consideration EFSArsquos recent opinion when vaccination is evenly applied so that 95 of the farms are vaccinated with 75 of vaccinated animals effectively protected then total stamping out and partial stamping out result in a similar probability of eradication of infection (2)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
24 Around us 25 Around us
Conclusions of the epizootic
OIE official recognition of disease status and endorsment of national official control Greek experience gained regarding LSD indicates that
bull vaccination was an effective measure for the control of the spread the disease and where it has been implemented before the appearance of the disease only few sporadic outbreaks occurred in unvaccinated animals
bull there is a need of amendment of legislation as regards the stamping out policy in vaccinated herds in order to be replaced by partial stamping out of affected animals c) the strict measures implemented to vaccinated animals and their products was an obstacle to convince farmers on the benefits of vaccination
bull cooperation and exchange of information among affected Countries is a key for the investigation of the epidemiology of the disease
References
1 Animal Disease Notification System (ADNS) httpswebgateeceuropaeu 2 Efsa 2016 Urgent advice on lumpy skin disease efsa jurnal29 July 2016 https
wwwefsaeuropaeuenefsajournalpub45733 Directive 92119EEC Council Directive 92119EEC of 17 December 1992
introducing general Community measures for the control of certain animal diseases and specific measures relating to swine vesicular disease
4 Decision No 20151500 EC Commission Implementing Decision (EU) 20151500 of 7 September 2015 concerning certain protective measures against lumpy skin disease in Greece and repealing Implementing Decision (EU) 20151423 (notified under document C(2015) 6221) (Text with EEA relevance)
5 Decision No 20152055 Commission Implementing Decision (EU) 20152055 of 10 November 2015 laying down the conditions for setting out the programme for emergency vaccination of bovine animals against lumpy skin disease in Greece and amending Implementing Decision (EU) 20151500 (notified under document C(2015) 7671) (Text with EEA relevance)
6 OIE (World Organization for Animal Health) Lumpy Skin Disease World Animal Health Information Database 2015 httpwwwoieintwahis_2publicwahidphpWahidhomeHome
7 Tasioudi KE Antoniou SE et all (2016) Emergence of Lumpy Skin Disease in Greece 2015 httpswwwncbinlmnihgovpubmed269913422016 Jun63(3)260-5
--Edited by
Sotiria-Eleni AntoniouDepartment of Infectious and Parasitic Diseases Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
Vangelis TsiamadisDepartment of Veterinary Medicine of Regional Unit of Thessaloniki Directorate of Rural Economy and Veterinary Services of RU of Thessaloniki Region of Central Macedonia Thessaloniki Greece and Department of Animal Production Faculty of Veterinary Medicine Thessaloniki Greece
Chrysoula DileDirector of Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
First evidences of Crimean-Congo haemorrhagic fever (CCHF) in Western Europe (Spain)
Crimean-Congo haemorrhagic fever (CCHF) is a widespread disease caused by a tick-borne virus of the genus Nairovirus The CCHF virus (CCHFV) causes severe haemorrhagic fever outbreaks The transmission is possible either by bite from infected ticks of the family Ixodidae and genus Hyalomma that are the principal vectors nevertheless a number of tick genera is capable of becoming infected with virus (Estrada-Pena et al 2012) CCHFV can also be transmitted by direct contact with blood or tissues from viremic livestock (Ftika et al 2013 Leblebicioglu et al 2016) The hosts of CCHFV include a wide range of wild and domestic animals such as cattle sheep and goats Animals generally become infected by the bite of infected ticks
People involved in livestock industry such as veterinarians slaughterhouse workers and agricultural workers constitute the most exposed category to CCHFV Person-to-person and nosocomial transmission is occasional but not unusual for CCHFV infection when risk is higher for the higher viral loads during the later stages of the disease (Celikbas et al 2014 Parlak et al 2015)
In Africa Balkans Middle East and Asian countries where CCHF is endemic seven genotypes have been recognized by genetic analysis In the European Union countries sporadic cases have been reported in Bulgaria and Greece (ECDC 2013 Papa et al 2008) while in the Balkans CCHFV has a widespread distribution In the World Health Organization (WHO) European Region Turkey remains the most affected country
The incubation period ranges may be different according to the type of transmission and viral load (Vorou et al 2007 Nabeth et al 2007) After tick bite transmission the incubation period is almost one to three days while after exposure to infected blood or bodily fluids may range between three and seven days This period can be shorter depending to viral load from infected blood (Naderi et al 2013) Symptoms of CCHF in humans include high fever muscle pain dizziness photophobia abdominal pain diarrhoea vomiting and in severe cases systemic haemorrhage (ECDC 2016)
On 31 August 2016 two cases of infection with CCHFV were reported in Madrid giving the first evidence of the disease in Spain The first case was a man of 62 years who likely got infected through a tick-bite while hiking around the community of San Juan del Molinillo (Avilla) Interestingly the virus was identified in Hyalomma lusitanicum in western Spain close to the border with Portugal (Estrada-Pena et al 2012) After first symptoms the man was admitted to the intensive care unit (ICU) of the Infanta Leonor Hospital in Madrid Afterwards the man was transferred to a high-level isolation ICU at the Gregorio Marantildeoacuten Hospital in Madrid where he died on 25 August 2016 (Figure 1)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
27 Around us26 Around us
5 Ftika L Maltezou HC (2013) Viral haemorrhagic fevers in healthcare settings J Hosp Infect83(3)185-92
6 Leblebicioglu H Sunbul M Guner R Bodur H Bulut C Duygu F (2016) Healthcare-associated Crimean-Congo haemorrhagic fever in Turkey 2002-2014 a multicentre retrospective cross-sectional study Clin Microbiol Infect22(4)387 e1-4
7 Nabeth P Thior M Faye O Simon F Human Crimean-Congo hemorrhagic fever Senegal (2014) Emerg Infect Dis10(10)1881-2
8 Naderi HR Sheybani F Bojdi A Khosravi N Mostafavi I (2013) Fatal nosocomial spread of Crimean-Congo hemorrhagic fever with very short incubation period Am J Trop Med Hyg88(3)469-71
9 Papa A Maltezou HC Tsiodras S Dalla VG Papadimitriou T Pierroutsakos I (2008) A case of Crimean-Congo haemorrhagic fever in Greece June 2008 Euro Surveill13(33)
10 Parlak E Koşan Z Ertuumlrk A Parlak M Oumlzkut Z (2015) A nosocomial outbreak of Crimean-Congo hemorrhagic fever Journal of Microbiology and Infectious Diseases5(1)5-9
11 Shayan S Bokaean M Shahrivar MR Chinikar S (2015) Crimean-Congo Hemorrhagic Fever Lab Med 2015 Summer46(3)180-9
12 Vorou R Pierroutsakos IN Maltezou HC Crimean-Congo hemorrhagic fever (2007) Curr Opin Infect Dis20(5)495-500
Websites
bull httpwwwpromedmailorgbull httpwwwwhointen
-Edited byGuido Di DonatoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
Figure 1The first evidence of CCHF virus in Spain
Avilla Spain first place where the patient most likely got infected through a tick-bite
Intensive care unit (ICU) of the Infanta Leonor Hospital Madrid where the first case was hospitalized and the second case was exposed
High-level isolation ICU at the Gregorio Marantildeoacuten Hospital Madrid where the first case was transferred)
Unfortunately one healthcare worker who took care of the CCHF affected patient while he was hospitalized in the ICU developed symptoms a few days later and was hospitalized presenting severe disease but with favourable evolution Both cases were confirmed by PCR at the Spanish National Centre for Microbiology
Both cases represent the first detection of autochthonous infection of CCHF in Spain and Western Europe
The European Centre for Disease prevention and control (ECDC) published on 8th September 2106 a Rapid risk assessment on CCHF The document takes into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action
Recent detection of CCHFV in ticks from the autonomous Community of Extremadura in western Spain indicates the circulation of CCHF virus among wildlife Therefore the occurrence of CCHFV infection is not an unexpected event in Spain Nosocomial transmission of CCHF can occur even in a non-endemic region when appropriate infection prevention and control (IPC) measures have not been observed The probability of CCHF virus infection in Spain is low However other sporadic cases are possible
References
1 Celikbas AK Dokuzoguz B Baykam N Gok SE Eroglu MN Midilli K (2014) Crimean-Congo hemorrhagic fever among health care workers Turkey Emerg Infect Dis20(3)477-9
2 Estrada-Pena A Palomar AM Santibanez P Sanchez N Habela MA Portillo A (2012) Crimean Congo hemorrhagic fever virus in ticks Southwestern Europe 2010 Emerg Infect Dis Jan18(1)179-80
3 European Centre for Disease Prevention and Control (2014) Annual Epidemiological Report Emerging and vector-borne diseases [Internet] Stockholm ECDC 2014
4 European Centre for Disease Prevention and Control (2016) Factsheet for health professionals Crimean-Congo haemorrhagic fever (CCHF)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
24 Around us 25 Around us
Conclusions of the epizootic
OIE official recognition of disease status and endorsment of national official control Greek experience gained regarding LSD indicates that
bull vaccination was an effective measure for the control of the spread the disease and where it has been implemented before the appearance of the disease only few sporadic outbreaks occurred in unvaccinated animals
bull there is a need of amendment of legislation as regards the stamping out policy in vaccinated herds in order to be replaced by partial stamping out of affected animals c) the strict measures implemented to vaccinated animals and their products was an obstacle to convince farmers on the benefits of vaccination
bull cooperation and exchange of information among affected Countries is a key for the investigation of the epidemiology of the disease
References
1 Animal Disease Notification System (ADNS) httpswebgateeceuropaeu 2 Efsa 2016 Urgent advice on lumpy skin disease efsa jurnal29 July 2016 https
wwwefsaeuropaeuenefsajournalpub45733 Directive 92119EEC Council Directive 92119EEC of 17 December 1992
introducing general Community measures for the control of certain animal diseases and specific measures relating to swine vesicular disease
4 Decision No 20151500 EC Commission Implementing Decision (EU) 20151500 of 7 September 2015 concerning certain protective measures against lumpy skin disease in Greece and repealing Implementing Decision (EU) 20151423 (notified under document C(2015) 6221) (Text with EEA relevance)
5 Decision No 20152055 Commission Implementing Decision (EU) 20152055 of 10 November 2015 laying down the conditions for setting out the programme for emergency vaccination of bovine animals against lumpy skin disease in Greece and amending Implementing Decision (EU) 20151500 (notified under document C(2015) 7671) (Text with EEA relevance)
6 OIE (World Organization for Animal Health) Lumpy Skin Disease World Animal Health Information Database 2015 httpwwwoieintwahis_2publicwahidphpWahidhomeHome
7 Tasioudi KE Antoniou SE et all (2016) Emergence of Lumpy Skin Disease in Greece 2015 httpswwwncbinlmnihgovpubmed269913422016 Jun63(3)260-5
--Edited by
Sotiria-Eleni AntoniouDepartment of Infectious and Parasitic Diseases Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
Vangelis TsiamadisDepartment of Veterinary Medicine of Regional Unit of Thessaloniki Directorate of Rural Economy and Veterinary Services of RU of Thessaloniki Region of Central Macedonia Thessaloniki Greece and Department of Animal Production Faculty of Veterinary Medicine Thessaloniki Greece
Chrysoula DileDirector of Animal Health Directorate Hellenic Ministry of Rural Development and Food Athens Greece
First evidences of Crimean-Congo haemorrhagic fever (CCHF) in Western Europe (Spain)
Crimean-Congo haemorrhagic fever (CCHF) is a widespread disease caused by a tick-borne virus of the genus Nairovirus The CCHF virus (CCHFV) causes severe haemorrhagic fever outbreaks The transmission is possible either by bite from infected ticks of the family Ixodidae and genus Hyalomma that are the principal vectors nevertheless a number of tick genera is capable of becoming infected with virus (Estrada-Pena et al 2012) CCHFV can also be transmitted by direct contact with blood or tissues from viremic livestock (Ftika et al 2013 Leblebicioglu et al 2016) The hosts of CCHFV include a wide range of wild and domestic animals such as cattle sheep and goats Animals generally become infected by the bite of infected ticks
People involved in livestock industry such as veterinarians slaughterhouse workers and agricultural workers constitute the most exposed category to CCHFV Person-to-person and nosocomial transmission is occasional but not unusual for CCHFV infection when risk is higher for the higher viral loads during the later stages of the disease (Celikbas et al 2014 Parlak et al 2015)
In Africa Balkans Middle East and Asian countries where CCHF is endemic seven genotypes have been recognized by genetic analysis In the European Union countries sporadic cases have been reported in Bulgaria and Greece (ECDC 2013 Papa et al 2008) while in the Balkans CCHFV has a widespread distribution In the World Health Organization (WHO) European Region Turkey remains the most affected country
The incubation period ranges may be different according to the type of transmission and viral load (Vorou et al 2007 Nabeth et al 2007) After tick bite transmission the incubation period is almost one to three days while after exposure to infected blood or bodily fluids may range between three and seven days This period can be shorter depending to viral load from infected blood (Naderi et al 2013) Symptoms of CCHF in humans include high fever muscle pain dizziness photophobia abdominal pain diarrhoea vomiting and in severe cases systemic haemorrhage (ECDC 2016)
On 31 August 2016 two cases of infection with CCHFV were reported in Madrid giving the first evidence of the disease in Spain The first case was a man of 62 years who likely got infected through a tick-bite while hiking around the community of San Juan del Molinillo (Avilla) Interestingly the virus was identified in Hyalomma lusitanicum in western Spain close to the border with Portugal (Estrada-Pena et al 2012) After first symptoms the man was admitted to the intensive care unit (ICU) of the Infanta Leonor Hospital in Madrid Afterwards the man was transferred to a high-level isolation ICU at the Gregorio Marantildeoacuten Hospital in Madrid where he died on 25 August 2016 (Figure 1)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
27 Around us26 Around us
5 Ftika L Maltezou HC (2013) Viral haemorrhagic fevers in healthcare settings J Hosp Infect83(3)185-92
6 Leblebicioglu H Sunbul M Guner R Bodur H Bulut C Duygu F (2016) Healthcare-associated Crimean-Congo haemorrhagic fever in Turkey 2002-2014 a multicentre retrospective cross-sectional study Clin Microbiol Infect22(4)387 e1-4
7 Nabeth P Thior M Faye O Simon F Human Crimean-Congo hemorrhagic fever Senegal (2014) Emerg Infect Dis10(10)1881-2
8 Naderi HR Sheybani F Bojdi A Khosravi N Mostafavi I (2013) Fatal nosocomial spread of Crimean-Congo hemorrhagic fever with very short incubation period Am J Trop Med Hyg88(3)469-71
9 Papa A Maltezou HC Tsiodras S Dalla VG Papadimitriou T Pierroutsakos I (2008) A case of Crimean-Congo haemorrhagic fever in Greece June 2008 Euro Surveill13(33)
10 Parlak E Koşan Z Ertuumlrk A Parlak M Oumlzkut Z (2015) A nosocomial outbreak of Crimean-Congo hemorrhagic fever Journal of Microbiology and Infectious Diseases5(1)5-9
11 Shayan S Bokaean M Shahrivar MR Chinikar S (2015) Crimean-Congo Hemorrhagic Fever Lab Med 2015 Summer46(3)180-9
12 Vorou R Pierroutsakos IN Maltezou HC Crimean-Congo hemorrhagic fever (2007) Curr Opin Infect Dis20(5)495-500
Websites
bull httpwwwpromedmailorgbull httpwwwwhointen
-Edited byGuido Di DonatoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
Figure 1The first evidence of CCHF virus in Spain
Avilla Spain first place where the patient most likely got infected through a tick-bite
Intensive care unit (ICU) of the Infanta Leonor Hospital Madrid where the first case was hospitalized and the second case was exposed
High-level isolation ICU at the Gregorio Marantildeoacuten Hospital Madrid where the first case was transferred)
Unfortunately one healthcare worker who took care of the CCHF affected patient while he was hospitalized in the ICU developed symptoms a few days later and was hospitalized presenting severe disease but with favourable evolution Both cases were confirmed by PCR at the Spanish National Centre for Microbiology
Both cases represent the first detection of autochthonous infection of CCHF in Spain and Western Europe
The European Centre for Disease prevention and control (ECDC) published on 8th September 2106 a Rapid risk assessment on CCHF The document takes into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action
Recent detection of CCHFV in ticks from the autonomous Community of Extremadura in western Spain indicates the circulation of CCHF virus among wildlife Therefore the occurrence of CCHFV infection is not an unexpected event in Spain Nosocomial transmission of CCHF can occur even in a non-endemic region when appropriate infection prevention and control (IPC) measures have not been observed The probability of CCHF virus infection in Spain is low However other sporadic cases are possible
References
1 Celikbas AK Dokuzoguz B Baykam N Gok SE Eroglu MN Midilli K (2014) Crimean-Congo hemorrhagic fever among health care workers Turkey Emerg Infect Dis20(3)477-9
2 Estrada-Pena A Palomar AM Santibanez P Sanchez N Habela MA Portillo A (2012) Crimean Congo hemorrhagic fever virus in ticks Southwestern Europe 2010 Emerg Infect Dis Jan18(1)179-80
3 European Centre for Disease Prevention and Control (2014) Annual Epidemiological Report Emerging and vector-borne diseases [Internet] Stockholm ECDC 2014
4 European Centre for Disease Prevention and Control (2016) Factsheet for health professionals Crimean-Congo haemorrhagic fever (CCHF)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
27 Around us26 Around us
5 Ftika L Maltezou HC (2013) Viral haemorrhagic fevers in healthcare settings J Hosp Infect83(3)185-92
6 Leblebicioglu H Sunbul M Guner R Bodur H Bulut C Duygu F (2016) Healthcare-associated Crimean-Congo haemorrhagic fever in Turkey 2002-2014 a multicentre retrospective cross-sectional study Clin Microbiol Infect22(4)387 e1-4
7 Nabeth P Thior M Faye O Simon F Human Crimean-Congo hemorrhagic fever Senegal (2014) Emerg Infect Dis10(10)1881-2
8 Naderi HR Sheybani F Bojdi A Khosravi N Mostafavi I (2013) Fatal nosocomial spread of Crimean-Congo hemorrhagic fever with very short incubation period Am J Trop Med Hyg88(3)469-71
9 Papa A Maltezou HC Tsiodras S Dalla VG Papadimitriou T Pierroutsakos I (2008) A case of Crimean-Congo haemorrhagic fever in Greece June 2008 Euro Surveill13(33)
10 Parlak E Koşan Z Ertuumlrk A Parlak M Oumlzkut Z (2015) A nosocomial outbreak of Crimean-Congo hemorrhagic fever Journal of Microbiology and Infectious Diseases5(1)5-9
11 Shayan S Bokaean M Shahrivar MR Chinikar S (2015) Crimean-Congo Hemorrhagic Fever Lab Med 2015 Summer46(3)180-9
12 Vorou R Pierroutsakos IN Maltezou HC Crimean-Congo hemorrhagic fever (2007) Curr Opin Infect Dis20(5)495-500
Websites
bull httpwwwpromedmailorgbull httpwwwwhointen
-Edited byGuido Di DonatoCOVEPI Istituto Zooprofilattico Sperimentale dellrsquoAbruzzo e del Molise ldquoG Caporalerdquo
Figure 1The first evidence of CCHF virus in Spain
Avilla Spain first place where the patient most likely got infected through a tick-bite
Intensive care unit (ICU) of the Infanta Leonor Hospital Madrid where the first case was hospitalized and the second case was exposed
High-level isolation ICU at the Gregorio Marantildeoacuten Hospital Madrid where the first case was transferred)
Unfortunately one healthcare worker who took care of the CCHF affected patient while he was hospitalized in the ICU developed symptoms a few days later and was hospitalized presenting severe disease but with favourable evolution Both cases were confirmed by PCR at the Spanish National Centre for Microbiology
Both cases represent the first detection of autochthonous infection of CCHF in Spain and Western Europe
The European Centre for Disease prevention and control (ECDC) published on 8th September 2106 a Rapid risk assessment on CCHF The document takes into account the risk for tick-borne transmission the risk for nosocomial transmission and the risk for transmission via substances of human origin suggesting different options of action
Recent detection of CCHFV in ticks from the autonomous Community of Extremadura in western Spain indicates the circulation of CCHF virus among wildlife Therefore the occurrence of CCHFV infection is not an unexpected event in Spain Nosocomial transmission of CCHF can occur even in a non-endemic region when appropriate infection prevention and control (IPC) measures have not been observed The probability of CCHF virus infection in Spain is low However other sporadic cases are possible
References
1 Celikbas AK Dokuzoguz B Baykam N Gok SE Eroglu MN Midilli K (2014) Crimean-Congo hemorrhagic fever among health care workers Turkey Emerg Infect Dis20(3)477-9
2 Estrada-Pena A Palomar AM Santibanez P Sanchez N Habela MA Portillo A (2012) Crimean Congo hemorrhagic fever virus in ticks Southwestern Europe 2010 Emerg Infect Dis Jan18(1)179-80
3 European Centre for Disease Prevention and Control (2014) Annual Epidemiological Report Emerging and vector-borne diseases [Internet] Stockholm ECDC 2014
4 European Centre for Disease Prevention and Control (2016) Factsheet for health professionals Crimean-Congo haemorrhagic fever (CCHF)
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
28 Officially free territories 29 Officially free territories
OFFICIALLY FREE TERRITORIES
Bovine tuberculosis
Bovine tuberculosis provinces and regions officially free according to the community legislation updated to 11th October 2016
Decision Region Province
Abruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
RietiViterbo
Liguria Tutta la regioneLombardy Tutta la regione
AnconaAscoli PicenoFermoPesaro-Urbino
Piedmont The whole regionCagliariMedio-CampidanoOgliastraOlbia-TempioOristano
Tuscany Tutta la regioneBolzanoTrento
Veneto The whole region
Sardinia
2016168CE
Bovine tuberculosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Trentino-Alto Adige
Lazio
Marche
Decision Region ProvinceAbruzzi Pescara
AvellinoBeneventoNapoli
Emilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise The whole regionPiedmont The whole regionPuglia BrindisiSardinia The whole region
AgrigentoCaltanissettaCataniaEnnaPalermoRagusaSiracusaTrapani
Tuscany The whole regionBolzanoTrento
Umbria The whole regionValle DAosta The whole regionVeneto The whole region
Trentino Alto Adige
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
201491EU amending annex III cap2 of Decision 2003467EC
Campania
Lazio
Sicilia
Bovine leukosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine leukosis
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin October 2016 Number 26
31 Officially free territories30 Officially free territories
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation updated to 11th October 2016
Bovine brucellosis
Decision Region ProvinceAbruzzi PescaraEmilia Romagna The whole regionFriuli Venezia Giulia The whole region
FrosinoneLatinaRietiViterbo
Liguria The whole regionLombardy The whole regionMarche The whole regionMolise CampobassoPiedmont The whole regionPuglia BrindisiSardinia The whole regionTuscany The whole region
BolzanoTrento
Umbria The whole regionValle drsquoAosta The whole regionVeneto The whole region
201491EU amending annex II cap2 of Decision 2003467EC
Lazio
Trentino Alto Adige
Bovine brucellosis Provinces and Regions Officially Free according to the EU legislation up to 05022016
Ovine and caprine brucellosis
Ovine and caprine brucellosis Officially Free according to the EU legislation updated to 11th October 2016
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF
BENV National Veterinary Epidemiological Bulletin
32 Contacts amp Editorial Staff
BENV National Veterinary Epidemiological Bulletin
-NATIONAL REFERENCE CENTRE FOR VETERINARY EPIDEMIOLOGY PLANNING INFORMATION AND RISK ANALYSIS (COVEPI)Rossella Lelli
EpidemiologyRossella Lelli
Statistics and GISAnnamaria Conte
National Reference Centre for Hurban health and non Epidemic Emergencies (IUVENE)Fabrizio De Massis
-CoordinatorSimona Iannetti(COVEPI)
Editorial boardBarbara AlessandriniAnnamaria ConteFabrizio De MassisArmando Giovannini Rossella LelliFederica MonacoGiovanni Savini
Istructional designerAlessandro De Luca
Web masterand desktop publishingSandro Santarelli
mail benvizsitfax +39 0861 332251wwwizsit
-NATIONAL REFERENCE CENTRE FOR THE STUDY AND VERIFICATION OF FOREIGN ANIMAL DISEASES (CESME)Rossella Lelli
Diagnostics and surveillance of exotic viral diseasesFederica Monaco
Diagnosis and surveillance of exotic bacterial and parasitic diseases Virology Laboratory of Windhoek Namibia Massimo Scacchia
CONTACTSamp EDITORIAL STAFF