This document provides an overview of avian influenza (AI), also known as bird flu. It discusses the virus classification, subtypes, pathogenicity, transmission, clinical signs, lesions, diagnosis, treatment and control of AI. The virus is classified as Influenzavirus A and can infect various bird species. It is transmitted through contact with infected birds or contaminated surfaces/water. Highly pathogenic AI causes sudden death in birds, while low pathogenic strains may cause respiratory disease. Diagnosis involves isolating the virus, PCR testing, and serological methods. Vaccination is used for control but there is no specific treatment for infected birds.
The best fed and housed stock with the best genetic potential will not grow and produce efficiently if they become diseased or infested with parasites. Therefore good poultry health management is an important component of poultry production. Infectious disease causing agents will spread through a flock very quickly because of the high stocking densities of commercially housed poultry.
An introduction to veterinary microbiologyAmjad Afridi
A disease is a particular abnormal condition that negatively affects the structure or function of all or part of an organism.
Producers have a vested interest to keep their animals healthy
The best fed and housed stock with the best genetic potential will not grow and produce efficiently if they become diseased or infested with parasites. Therefore good poultry health management is an important component of poultry production. Infectious disease causing agents will spread through a flock very quickly because of the high stocking densities of commercially housed poultry.
An introduction to veterinary microbiologyAmjad Afridi
A disease is a particular abnormal condition that negatively affects the structure or function of all or part of an organism.
Producers have a vested interest to keep their animals healthy
Avian influenza is usually an inapparent or nonclinical
viral infection of wild birds that is caused by a group of
viruses known as type A influenzas. These viruses are maintained in wild birds by fecal-oral routes of transmission. This virus changes rapidly in nature by mixing of its genetic components to form slightly different virus subtypes. Avian influenza is caused by this collection of slightly different viruses rather than by a single virus type. The virus subtypes are identified and classified on the basis of two broad types of antigens, hemagglutinan (H) and neuraminidase (N); 15 H and 9 N antigens have been identified among all of the known type A influenzas.
Concise discussion on essential clinical and microbiological aspects of Candia, Pneumocystis and Aspergillus infections in HIV and other immunocompromised patients.
Avian Influenza (AI) is a viral influenza of birds including chickens, turkeys, guinea fowls, and other avian species.
There are three main types of Influenza (A,B & C).
Influenza Type-A
Multiple species
Influenza Type-B
Human
Influenza Type-C
Human & swine
A brief overview of zoonotic risk due to Avian influenza virus. Pandemic influenza virus has its origins in avian influenza viruses. The highly pathogenic avian influenza virus subtype H5N1 is already panzootic in poultry, with attendant economic consequences. It continues to cross species barriers to infect humans and other mammals, often with fatal outcomes. Therefore, H5N1 virus has rightly received attention as a potential pandemic threat. However, it is noted that the pandemics of 1957 and 1968 did not arise from highly pathogenic influenza viruses, and the next pandemic may well arise from a low-pathogenicity virus. The rationale for particular concern about an H5N1 pandemic is not its inevitability but its potential severity. H5N1 pandemic is an event of low probability but one of high human health impact and poses a predicament for public health. Here, we review the ecology and evolution of highly pathogenic avian influenza H5N1 viruses, assess the pandemic risk, and address aspects of human H5N1 disease in relation to its epidemiology, clinical presentation, pathogenesis, diagnosis, and management.
Avian influenza is usually an inapparent or nonclinical
viral infection of wild birds that is caused by a group of
viruses known as type A influenzas. These viruses are maintained in wild birds by fecal-oral routes of transmission. This virus changes rapidly in nature by mixing of its genetic components to form slightly different virus subtypes. Avian influenza is caused by this collection of slightly different viruses rather than by a single virus type. The virus subtypes are identified and classified on the basis of two broad types of antigens, hemagglutinan (H) and neuraminidase (N); 15 H and 9 N antigens have been identified among all of the known type A influenzas.
Concise discussion on essential clinical and microbiological aspects of Candia, Pneumocystis and Aspergillus infections in HIV and other immunocompromised patients.
Avian Influenza (AI) is a viral influenza of birds including chickens, turkeys, guinea fowls, and other avian species.
There are three main types of Influenza (A,B & C).
Influenza Type-A
Multiple species
Influenza Type-B
Human
Influenza Type-C
Human & swine
A brief overview of zoonotic risk due to Avian influenza virus. Pandemic influenza virus has its origins in avian influenza viruses. The highly pathogenic avian influenza virus subtype H5N1 is already panzootic in poultry, with attendant economic consequences. It continues to cross species barriers to infect humans and other mammals, often with fatal outcomes. Therefore, H5N1 virus has rightly received attention as a potential pandemic threat. However, it is noted that the pandemics of 1957 and 1968 did not arise from highly pathogenic influenza viruses, and the next pandemic may well arise from a low-pathogenicity virus. The rationale for particular concern about an H5N1 pandemic is not its inevitability but its potential severity. H5N1 pandemic is an event of low probability but one of high human health impact and poses a predicament for public health. Here, we review the ecology and evolution of highly pathogenic avian influenza H5N1 viruses, assess the pandemic risk, and address aspects of human H5N1 disease in relation to its epidemiology, clinical presentation, pathogenesis, diagnosis, and management.
Avian influenza in herd health and production economicsShareef Ngunguni
Avian influenza is a zoonotic and notifiable disease which occurs world wide. Different risk factors are associated with transmission of the disease to humans. It has two forms HPAI and LPAI. The disease has an impact on public health and economics of the country. In Malawi,it seems the disease appeared in 2005 where it attacked migratory birds
The 3 P’s of avian influenza Prevent, Plan, PracticeHarm Kiezebrink
Avian Influenza has become endemic in many parts of the word. In it's current form it has been around since 1997 and although thy virus types have changed, emergency response, management & control are still a hot issue. In this article published in 2006 in the US magazine Poultry Perspectives, the subject what to do during crisis situations is presented. The conclusions are still valid today and may help to prevent large-scale outbreaks
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
1. AVIAN INFLUENZA
Disease of Poultry
by-Maria Tayyab Vayani
Class: MSc (final)
Department of Physiology
University of Karachi
Date:30,March,2021
2. Introduction of AI
What is AIV?
Etiology
Subtypes of AIV
AIV Pathogenicity
Resistance
Transmission
Morbidity and Mortality
Clinical Signs
Lesions
Diagnosis
Treatment
Control
Table Of Contents
4. Avian Influenza was identified in 1878 in Itlay .
Avian Influenza or Bird flu is a spreadable disease
which caused by viruses that infect only birds such
as chickens, turkeys, guinea fowls and other
species of bird.
What is Avian Influenza?
These viruses occur naturally among wild aquatic
birds but can infect domestic poultry , other bird and
animal species.
5. Family: orthomyxoviridae
Genus: Type A Influenza virus
Species: Avian Influenza virus
Etiology:
It is single stranded neg sense RNA virus.
Its genome is arranged in 8 segments that encode 10
proteins.
The outer surface of virus consists of lipid envelope.
The envelope is covered with glycoproteins HA and NA
which form structures like spikes.
HA= Haemagglutinin,
NA= Neuraminidase.
6. AI viruses are classified into subtypes on the basis of their
Haemagglutinin (HA or H) , and Neuraminidase (NA or N).
There are 16 different HA antigens H1 to H16 and 9
different NA antigens N1 to N9.
15 HA types has been recognized, but a new type H16
was isolated from black-headed gulls in Sweden and
Netherland .
The three subtypes of AI referred as H5 , H7 and H9 in
which H5 and H7 can produce low and high pathogenic AI
, where as H9 produces only low pathogenic infection.
Examples : H5N1 , H7N7 , H9N2.
Viral Subtypes:
8. In birds (i.e., chickens and turkeys), AI
viruses are classified as being:
1. Highly pathogenic AI HPAI virus.
2. Low pathogenic AI LPAI virus.
AIV Pathogenicity
Biologically, the difference between HPAI and LPAI is that
HPAI is a systemic infection and LPAI remains localized to
the respiratory and intestinal tracts.
9.
10. Avian influenza viruses are not stable and sensitive to
detergents .
They are destroyed by
o oxidizing agents ,
o dilute acid ,
o heat and
o extreme pH .
Avian influenza virus
can survive for long time
in cold enviroment.
Resistance:
11. Transmission:
Water fowls serves as reservoir for AIV and responsible for
introducing the virus into poultry virus which is found in faeces
, respiratory and conjunctival secretions of infected birds.
It also spreads through contaminated equipments , egg flats,
feed trucks , shared contaminated drinking water etc.
Incubation period is highly variable and ranges from a few
days in individual birds to 2 weeks in the flock.
Avian Influenza viruses are highly specie-specific, but on rare
occasions, can crossed the species barrier to infect humans ,
as it is zoonotic.
Avian influenza viruses usually do not make humans sick
except H5N1virus.
Most people got sick because of contact with sick poultry
(chickens, ducks, turkeys).
In 2005, the WHO reports 117 confirmed cases of H5N1 bird
flu in humans.
14. Morbidity and Mortality:
Morbidity and Mortality varies according to species and virus .
Incase of highly pathogenic viruses the morbidity and
mortality reaches upto 100%
Clinical Signs:
The clinical sign varies according to species , age , subtype of
virus and enivroment.
1: Infection with Non pathogenic viruses:
No clinical signs , with seroconversion.
Some of these viruses become virulent through genetic
mutation.
15. 2: Infection with low pathogenic viruses:
Severe respiratory disease.
Ocular and nasal discharge.
Mortality ranges in layers 3%, in broilers 15%.
Drop in egg production.
Swollen infraorbital sinuses in poultry
Sinusitis is common.
Ocular and nasal discharge
Drop in egg production
Swollen infraorbital sinuses
16. 3: Infection with high pathogenic viruses:
In per acute cases, sudden death occurs.
Mortality can be as high as 100%
In acute cases, death occurs within 24 hours .
In acute cases - cyanosis and edema of the head , watery
eyes , ruffled feathers , diarrhea.
Cyanosis and edema of the
head
Ruffled feathers
Death chickens in poultry farm
17. In peracute cases, lesions may be lacking before death
and congestion of musculature and dehydration.
In acute cases, there may be
Edema and haemorrhagic lesions in the shanks, feet,
comb ,
Discharge of fluid from nares and oral cavity , watery red
eyes,
Lesions:
18. Lesions:
Lesions of H5 Avian Influenza Virus (AIV) in tested chickens. (A) Cyanosis
of legs and (B) cyanosis of comb and wattles.
Lesions of H5 AIV in tested chickens. (A) Congested muscles (Red arrow) and
hemorrhagic pancreas (blue arrow). (B) Hemorrhages in intestinal tract.
(C) Hemorrhages in coronary fat. (D) Enlarged, congested, and mottled spleen (red
arrow) and hemorrhagic ovarian follicles (blue arrow).
19. Lesions of H7N3 HPAI virus detected at 2 days post inoculation (after vaccination).
(a) Prostration and edema of periorbital tissues; (b) subcutaneous hemorrhage of
wattles and comb and conjunctivitis and swelling of periorbital area;
(c) subcutaneous hemorrhages of leg shanks; (d) mucous in larynx; (e) petechial
hemorrhages on breast muscle.
20. The disease can be diagnosed by :
Symptoms
Isolation , and
Identification of organisms by cultivation in embryonated
chicken egg,
RT-PCR ,
Serological tests like AGID , HA , ELISA.
Diagnosis:
21. There is no specific treatment for AIV infections. Amantidine
Hydrochlorideis effective against infection of quails , Turkey
and chicken.
Treatment:
Control:
AIV can be controlled by Inactivated Oil emulsion vaccines
and these vaccines are found effective in chickens and
turkeys.
22. Prevention:
Destroying birds carrying or suspected of carrying the virus.
Disinfecting farm equipment, clothing, and boots.
Avoid the shipment of live birds within and between countries
that have had bird flu epidemics.