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Rift Valley Fever
Rift Valley Fever
peracute to acute cases
mosquito-borne
abortions in livestock
death in lambs
zoonotic- influenza-like disease
heavy rainfall and flooding
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Rift Valley - Kenya, Africa
1900’s: First recognized in sheep
1930: Agent isolated
Sporadic outbreaks in Kenya
◦ 1950-51, major outbreak
◦ 500,000 sheep abortions
◦ 100,000 sheep deaths
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Egypt: 1977-1978
Humans
◦ 18,000 cases
◦ 598 deaths
◦ Inflammation of the brain
and a bleeding disorder
Ruminants
◦ Abortions and deaths
◦ Sheep, cattle, goats
◦ Water buffalo and camels
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Other Important Outbreaks
1987: Senegal, Africa
◦ Differed from other outbreaks
◦ Not associated with heavy rainfall
1997-98: Kenya, Africa
◦ Largest outbreak reported
◦ 89,000 humans cases - 478 deaths
2000-01: Saudi Arabia and Yemen
◦ First outbreak outside of Africa
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Etiologic agent
RVF Virus: Genus Phlebovirus,
Bunyavirus
Vector: Mosquitoes – Aedes
species
◦ Mosquito lays eggs in
flood-prone areas
◦ RVF virus passed from female
mosquito to her eggs
◦ Eggs dormant in soil for
long periods
◦ Heavy rainfall, eggs hatch
◦ Feeds on animals and people
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Transmission to Animals
Vector
◦Transmitted by
mosquitoes
◦Mosquitoes in
U.S. could spread
RVF if it were to
enter the country
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Animals Help Spread RVF
Cattle, sheep, goats
High levels of virus in blood
Amplify (boost) virus
◦ Infect other mosquitoes
◦ Establish disease in environment
◦ May lead to large outbreaks
Humans
◦ Possible source of virus for mosquitoes
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Transmission to Humans
Vector
◦ Bite of mosquito infected with RVF
Direct Contact
◦ Tissues or body fluids of
infected animals
◦ Handling birthing tissues, meat
Aerosol
◦ Breathing in the virus during slaughter
of infected animals or during
the birthing process
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA
STATE UNIVERSITY 2006
Animals with Rift
Valley Fever
Lambs and Kids
IP: 12-36 hrs
◦ High fever 108°F (42°C),
listless, no appetite, reluctant
to move
◦ Death - 12 hours to 2 days,
abdominal pain
◦ Mortality: 90%-100%; 2-3 days
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Sheep and Goats
IP: 24-72 hrs
◦ High rate of abortion (5%-
100&)
◦ Adults may
appear normal
◦ Foul diarrhea, yellow skin,
snotty nose
◦ Death rate (10-30%)
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Abortion
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Cattle
Adults
◦ Fever, weakness, anorexia,
drooling, diarrhea, yellow skin
◦ Death rate 5%-10%
◦ Abortion can be up to 100%
Calves
◦ Fever, depression, sudden death,
icterus
◦ Death rate 70%
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Post-mortem
CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA
STATE UNIVERSITY 2006
Human Disease
Period of time from exposure to signs of
disease: 2-6 days
◦ No signs to flu-like symptoms
◦ Fever, headache, muscle and joint pain, nausea, vomiting
◦ Recovery in 4-7 days
Severe disease in 1% of infected humans
◦ Inflammation of the retina (eye)
◦ Bleeding disorder
◦ Inflammation of the brain
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Control
Mosquitoes
◦ Elimination of mosquito egg laying sites
Vaccination: Smithburn strain
◦ May cause birth defects and abortions
◦ Not approved for use in the U.S.
Restrict movement of animals
Restrict non-essential personnel
from the farm
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Control
Avoid mosquitoes
◦ Stay inside during the evening when mosquitoes
are most active
◦ Wear long pants and sleeves
Use repellant
◦ N,N-diethyl-meta-toluamide
(DEET)
◦ Follow label directions
◦ Do not use on pets
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Control
Do not slaughter sick animals
◦Bury or burn carcasses during
an outbreak
Personal protective equipment
◦Gloves, coveralls, boots, eyewear, mask
Avoid contact with infected tissues and blood
◦Aborted fetuses, necropsy
Greatest risk to travelers
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006
Control
Clean animal housing areas
◦ Wear personal protective equipment
◦ Remove all organic material from surface (manure, feed,
animal tissue)
◦ Use soap or detergent with warm water
◦ Let dry
Disinfect animal housing areas
CENTER FOR FOOD SECURITY AND PUBLIC
HEALTH IOWA STATE UNIVERSITY 2006

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RVF_PowerPoint.ppt

  • 2. Rift Valley Fever peracute to acute cases mosquito-borne abortions in livestock death in lambs zoonotic- influenza-like disease heavy rainfall and flooding CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 3. Rift Valley - Kenya, Africa 1900’s: First recognized in sheep 1930: Agent isolated Sporadic outbreaks in Kenya ◦ 1950-51, major outbreak ◦ 500,000 sheep abortions ◦ 100,000 sheep deaths CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 4. Egypt: 1977-1978 Humans ◦ 18,000 cases ◦ 598 deaths ◦ Inflammation of the brain and a bleeding disorder Ruminants ◦ Abortions and deaths ◦ Sheep, cattle, goats ◦ Water buffalo and camels CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 5. Other Important Outbreaks 1987: Senegal, Africa ◦ Differed from other outbreaks ◦ Not associated with heavy rainfall 1997-98: Kenya, Africa ◦ Largest outbreak reported ◦ 89,000 humans cases - 478 deaths 2000-01: Saudi Arabia and Yemen ◦ First outbreak outside of Africa CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 6. Etiologic agent RVF Virus: Genus Phlebovirus, Bunyavirus Vector: Mosquitoes – Aedes species ◦ Mosquito lays eggs in flood-prone areas ◦ RVF virus passed from female mosquito to her eggs ◦ Eggs dormant in soil for long periods ◦ Heavy rainfall, eggs hatch ◦ Feeds on animals and people CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 7. Transmission to Animals Vector ◦Transmitted by mosquitoes ◦Mosquitoes in U.S. could spread RVF if it were to enter the country CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 8. Animals Help Spread RVF Cattle, sheep, goats High levels of virus in blood Amplify (boost) virus ◦ Infect other mosquitoes ◦ Establish disease in environment ◦ May lead to large outbreaks Humans ◦ Possible source of virus for mosquitoes CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 9. Transmission to Humans Vector ◦ Bite of mosquito infected with RVF Direct Contact ◦ Tissues or body fluids of infected animals ◦ Handling birthing tissues, meat Aerosol ◦ Breathing in the virus during slaughter of infected animals or during the birthing process CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 10. CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 12. Lambs and Kids IP: 12-36 hrs ◦ High fever 108°F (42°C), listless, no appetite, reluctant to move ◦ Death - 12 hours to 2 days, abdominal pain ◦ Mortality: 90%-100%; 2-3 days CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 13. Sheep and Goats IP: 24-72 hrs ◦ High rate of abortion (5%- 100&) ◦ Adults may appear normal ◦ Foul diarrhea, yellow skin, snotty nose ◦ Death rate (10-30%) CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 14. Abortion CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 15. Cattle Adults ◦ Fever, weakness, anorexia, drooling, diarrhea, yellow skin ◦ Death rate 5%-10% ◦ Abortion can be up to 100% Calves ◦ Fever, depression, sudden death, icterus ◦ Death rate 70% CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 16. Post-mortem CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 17. Human Disease Period of time from exposure to signs of disease: 2-6 days ◦ No signs to flu-like symptoms ◦ Fever, headache, muscle and joint pain, nausea, vomiting ◦ Recovery in 4-7 days Severe disease in 1% of infected humans ◦ Inflammation of the retina (eye) ◦ Bleeding disorder ◦ Inflammation of the brain CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 18. Control Mosquitoes ◦ Elimination of mosquito egg laying sites Vaccination: Smithburn strain ◦ May cause birth defects and abortions ◦ Not approved for use in the U.S. Restrict movement of animals Restrict non-essential personnel from the farm CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 19. Control Avoid mosquitoes ◦ Stay inside during the evening when mosquitoes are most active ◦ Wear long pants and sleeves Use repellant ◦ N,N-diethyl-meta-toluamide (DEET) ◦ Follow label directions ◦ Do not use on pets CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 20. Control Do not slaughter sick animals ◦Bury or burn carcasses during an outbreak Personal protective equipment ◦Gloves, coveralls, boots, eyewear, mask Avoid contact with infected tissues and blood ◦Aborted fetuses, necropsy Greatest risk to travelers CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006
  • 21. Control Clean animal housing areas ◦ Wear personal protective equipment ◦ Remove all organic material from surface (manure, feed, animal tissue) ◦ Use soap or detergent with warm water ◦ Let dry Disinfect animal housing areas CENTER FOR FOOD SECURITY AND PUBLIC HEALTH IOWA STATE UNIVERSITY 2006