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Mark Crawshaw & George Mitchell,
SAC Veterinary Services, Ayr
0%
2%
4%
6%
8%
10%
12%
14%
16%
1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Cattle
Sheep
Liver Fluke Outbreaks - Scotland
(as %age of diagnosable submissions)
%ofdiag
 Incidence: affected 29% of cattle
entering eight principal abattoirs in
Scotland during January and February
2004
◦ Sept - Dec 2002 : 65%
 Cost: 10 - 15% per finished animal
 Global warming
◦ warmer
◦ wetter
 Recession in agriculture
 Farms dose sheep but not cattle
 Reduction in veterinary input on farms
◦ will health planning reverse this?
Liver Fluke (Fasciola hepatica) : Life Cycle
Minimum duration 4-5 months
6-8 weeks development in snail
Prepatent period 10-12 weeks
Temporary habitatPermanent habitat
 Availability of snail habitats
 Moisture (Summer rainfall: May - Oct)
 Temperature
◦ <10 degrees C - no development
◦ >15 degrees C - significant development
 Summer infection of snails
◦ leads to build up of infective stage on pasture in theleads to build up of infective stage on pasture in the
autumnautumn
 Immunity (cattle)
Metabolic disease in
dairy cows
 recumbency / milk
fever/staggers
◦ not associated
with calving
Chronic Disease
(Jan - March)
◦ 8 weeks + after infection
◦ adults migrate up bile ducts,
chronic liver damage,
◦ reduced growth
◦ condition loss
◦ milk production/quality
deteriorates
◦ severe cases: anaemia,
oedema (bottle jaw)
Untreated
Adult Fasciola hepatica
Affected bovine liver
Each adult fluke can
ingest 1ml of blood
daily.
 Faeces for fluke eggs
◦ detects mature adults only
 Abattoir returns
 blood samples for liver damage
◦ non-specific
 Post mortem examination
Autumn (Sept-Nov)
To stop immature fluke
migration
◦ prevent liver damage &
clinical disease
Spring & Summer (April-June)
– To prevent eggs being laid on
pasture which could infect snails in
summer
Winter (Dec - March)
To kill adult flukes in
the bile ducts
– prevent liver damage
and ill-thrift during the
winter
!
 Current:
◦ crude estimates of risk based on diagnostic data
(SAC) and weather data
◦ published in farming press, Novartis ‘fluke monitor’
etc
 The Ideal:
◦ funding for scientific analysis of meteorological data
and snail surveys to give accurate forecast
Beef Cattle/Dairy Youngstock
◦ Inwintered :
 Low Risk : Treat Jan
 High Risk: Treat Oct (2 weeks post housing) & Jan
 Outwintered
 Low Risk : Treat Jan, May & Oct
 High Risk: Treat Jan, May, July & Oct
 Dairy Cows:
◦ ALL licensed product for lactating cows have
milk withdrawal requirement
 preventative treatment at dry-off
 Advice will vary annually and from farm to farm
 Triclabendazole: 2 day old immatures to adults -
broadest spectrum product
But
◦ ! Triclabendazole resistant flukes starting toTriclabendazole resistant flukes starting to
appear!appear!
 Closantel : 4 week old immatures to adults
 Nitroxynil: 6 week old immatures to adults
 Oxyclozanide, Netobimin & Albendazole: Adults
only
 Triclabendazole resistant flukes reported in Eire,
Scotland (Argyll) and Wales IN SHEEP
 Continuing clinical signs following treatment
 Faeces samples for fluke eggs to check for possible
resistance
◦ 3-6 weeks after treatment
 Assess degree of problem
◦ midwinter sampling of cattle and sheep
◦ abattoir data
 Examine control options
◦ grazing, fencing, drainage, dosing
 National forecast
 Establish strategic dosing/grazing plan
◦ review effectiveness annually
 Correct choice of flukicide
◦ for time of year
◦ be aware of possible anthelmintic resistance
 test faeces 3 weeks post dosing
Route
of
admin.
Age of
flukes
when
efficacy
90-100%
(weeks)
Meat /milk
withdrawal
(days)
Effective
against
nematodes
comment
Triclabendazole oral 2 56 no
Nitroxynil s/c inj 9 60 no Stains operator
Clorsulon s/c inj 11 35 yes Only avalable with ivermectin thus
includes efficacy against
ectoparasites
Albendazole oral 14 14 yes Fluke dose higher than worm dose
leading to potential for confusion.
Netobimin oral 11 10 yes Cannot use in 1
st
7 weeks of
pregnancy. Fluke dose higher than
worm dose leading to potential for
confusion.
Oxyclozanide oral 14 28 yes Only available with levamisole

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Liverfluke

  • 1. Mark Crawshaw & George Mitchell, SAC Veterinary Services, Ayr
  • 2. 0% 2% 4% 6% 8% 10% 12% 14% 16% 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Cattle Sheep Liver Fluke Outbreaks - Scotland (as %age of diagnosable submissions) %ofdiag
  • 3.  Incidence: affected 29% of cattle entering eight principal abattoirs in Scotland during January and February 2004 ◦ Sept - Dec 2002 : 65%  Cost: 10 - 15% per finished animal
  • 4.  Global warming ◦ warmer ◦ wetter  Recession in agriculture  Farms dose sheep but not cattle  Reduction in veterinary input on farms ◦ will health planning reverse this?
  • 5. Liver Fluke (Fasciola hepatica) : Life Cycle Minimum duration 4-5 months 6-8 weeks development in snail Prepatent period 10-12 weeks
  • 7.  Availability of snail habitats  Moisture (Summer rainfall: May - Oct)  Temperature ◦ <10 degrees C - no development ◦ >15 degrees C - significant development  Summer infection of snails ◦ leads to build up of infective stage on pasture in theleads to build up of infective stage on pasture in the autumnautumn  Immunity (cattle)
  • 8. Metabolic disease in dairy cows  recumbency / milk fever/staggers ◦ not associated with calving Chronic Disease (Jan - March) ◦ 8 weeks + after infection ◦ adults migrate up bile ducts, chronic liver damage, ◦ reduced growth ◦ condition loss ◦ milk production/quality deteriorates ◦ severe cases: anaemia, oedema (bottle jaw)
  • 9. Untreated Adult Fasciola hepatica Affected bovine liver Each adult fluke can ingest 1ml of blood daily.
  • 10.  Faeces for fluke eggs ◦ detects mature adults only  Abattoir returns  blood samples for liver damage ◦ non-specific  Post mortem examination
  • 11. Autumn (Sept-Nov) To stop immature fluke migration ◦ prevent liver damage & clinical disease Spring & Summer (April-June) – To prevent eggs being laid on pasture which could infect snails in summer Winter (Dec - March) To kill adult flukes in the bile ducts – prevent liver damage and ill-thrift during the winter !
  • 12.  Current: ◦ crude estimates of risk based on diagnostic data (SAC) and weather data ◦ published in farming press, Novartis ‘fluke monitor’ etc  The Ideal: ◦ funding for scientific analysis of meteorological data and snail surveys to give accurate forecast
  • 13. Beef Cattle/Dairy Youngstock ◦ Inwintered :  Low Risk : Treat Jan  High Risk: Treat Oct (2 weeks post housing) & Jan  Outwintered  Low Risk : Treat Jan, May & Oct  High Risk: Treat Jan, May, July & Oct  Dairy Cows: ◦ ALL licensed product for lactating cows have milk withdrawal requirement  preventative treatment at dry-off  Advice will vary annually and from farm to farm
  • 14.  Triclabendazole: 2 day old immatures to adults - broadest spectrum product But ◦ ! Triclabendazole resistant flukes starting toTriclabendazole resistant flukes starting to appear!appear!  Closantel : 4 week old immatures to adults  Nitroxynil: 6 week old immatures to adults  Oxyclozanide, Netobimin & Albendazole: Adults only
  • 15.  Triclabendazole resistant flukes reported in Eire, Scotland (Argyll) and Wales IN SHEEP  Continuing clinical signs following treatment  Faeces samples for fluke eggs to check for possible resistance ◦ 3-6 weeks after treatment
  • 16.  Assess degree of problem ◦ midwinter sampling of cattle and sheep ◦ abattoir data  Examine control options ◦ grazing, fencing, drainage, dosing  National forecast  Establish strategic dosing/grazing plan ◦ review effectiveness annually  Correct choice of flukicide ◦ for time of year ◦ be aware of possible anthelmintic resistance  test faeces 3 weeks post dosing
  • 17. Route of admin. Age of flukes when efficacy 90-100% (weeks) Meat /milk withdrawal (days) Effective against nematodes comment Triclabendazole oral 2 56 no Nitroxynil s/c inj 9 60 no Stains operator Clorsulon s/c inj 11 35 yes Only avalable with ivermectin thus includes efficacy against ectoparasites Albendazole oral 14 14 yes Fluke dose higher than worm dose leading to potential for confusion. Netobimin oral 11 10 yes Cannot use in 1 st 7 weeks of pregnancy. Fluke dose higher than worm dose leading to potential for confusion. Oxyclozanide oral 14 28 yes Only available with levamisole