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Lumpy Skin Disease
Pseudourticaria, Neethling
Virus Disease, Exanthema
Nodularis Bovis,
Knopvelsiekte
Overview
• Organism
• Economic Impact
• Epidemiology
• Transmission
• Clinical Signs
• Diagnosis and Treatment
• Prevention and Control
• Actions to Take
Center for Food Security and Public Health, Iowa State University, 2011
The Organism
Lumpy Skin Disease Virus
• Family Poxviridae
– Genus Capripoxvirus
• Closely related
to sheep and
goat pox
• Cannot be
differentiated
with serology
Center for Food Security and Public Health, Iowa State University, 2011
Importance
History and
Geographic Distribution
• 1929: Southern and eastern Africa
• Disease of cattle
• Experimental
infection
– Oryx, giraffe,
and impala
• Virus will replicate in sheep and goats
• 1990s: Resurgence in Africa
Center for Food Security and Public Health, Iowa State University, 2011
Economic Impact
• Major economic importance
due to loss of production
– Severe emaciation
– Lowered milk production
– Abortion
– Secondary mastitis
– Loss of fertility
– Extensive damage to hides
– Loss of draft from lameness
Center for Food Security and Public Health, Iowa State University, 2011
Epidemiology
Morbidity/ Mortality
• Morbidity
– Widely variable
– 3% to 85%
• Mortality
– Usually low
– 1% to 3%
– 20% to 85% in
some outbreaks
Center for Food Security and Public Health, Iowa State University, 2011
Transmission
Animal Transmission
• Primary route: biting insects
• Minor route: direct contact
– Cutaneous lesions, saliva, nasal
discharge, milk, semen, muscles
• Resistant to desiccation
• No carrier state
• Spread related to movement of cattle
Center for Food Security and Public Health, Iowa State University, 2011
Animals and
Lumpy Skin Disease
Clinical Signs
• Incubation period
– 2 to 5 weeks
• Inapparent to
severe infection
– Young calves
most susceptible
• Nodule development
• Decreased milk yield
Center for Food Security and Public Health, Iowa State University, 2011
Clinical Signs
• Raised, circular, firm,
coalescing nodules
– Common on head, neck,
udder, perineum, legs
– Cores of necrotic material
called “sit-fasts”
• Secondary bacterial
infections
• Rhinitis, conjunctivitis
• Lameness
• Abortion and sterility
Center for Food Security and Public Health, Iowa State University, 2011
Post Mortem Lesions
• Characteristic skin
nodules
• Lesions in the
mucous membranes
throughout the
GI tract
• Nodules in lungs
• Hemorrhages in
spleen, liver, rumen
Center for Food Security and Public Health, Iowa State University, 2011
Differential Diagnosis
• Pseudo-lumpy
skin disease
• Bovine herpes
mammillitis
• Dermatophilosis
• Ringworm
• Insect or tick bites
• Rinderpest
• Demodicosis
• Hypoderma bovis
infestation
• Photosensitization
• Bovine papular
stomatitis
• Urticaria
• Cutaneous
tuberculosis
• Onchocercosis
Center for Food Security and Public Health, Iowa State University, 2011
Center for Food Security and Public Health, Iowa State University, 2011
Sampling
• Before collecting or sending any
samples, the proper authorities
should be contacted
• Samples should only be sent under
secure conditions and to
authorized laboratories to prevent
the spread of the disease
Diagnosis
• Clinical
– Characteristic skin nodules
• Laboratory
– Virus isolation and identification
– Electron microscopy in combination
with history
– Serology: cross-reactions with other
poxviruses may occur
Center for Food Security and Public Health, Iowa State University, 2011
Treatment
• Animals generally recover with
good nursing care
• Antibiotics for secondary infection
• Up to 6 months for severely affected
animals to recover fully
Center for Food Security and Public Health, Iowa State University, 2011
Lumpy Skin Disease
in Humans
Prevention and Control
Recommended Actions
• IMMEDIATELY notify authorities
• Federal
– Area Veterinarian in Charge (AVIC)
http://www.aphis.usda.gov/animal_health/area_offices/
• State
– State veterinarian
http://www.usaha.org/StateAnimalHealthOfficials.pdf
• Quarantine
Center for Food Security and Public Health, Iowa State University, 2011
Disinfection
• Susceptible to:
– Ether (20%)
– Chloroform
– Formalin (1%)
– Some detergents
– Phenol (2% for 15 minutes)
• Can survive up to 35 days in the
environment in desiccated scabs
Center for Food Security and Public Health, Iowa State University, 2011
Control and Eradication
• Endemic areas
– Vaccinate cattle
– Insect control
• Non-endemic areas
– Keep free with import restrictions
– Quarantine
– Depopulation, proper carcass disposal
– Cleaning and disinfection
Center for Food Security and Public Health, Iowa State University, 2011
Vaccination
• Endemic areas, eradication efforts
• Attenuated LSD strain
– Used in South Africa
– Neethling strain vaccine confers
immunity up to 3 years
• Sheep and goat pox vaccine
– Used in east, north Africa
– May cause local, severe reaction
Center for Food Security and Public Health, Iowa State University, 2011
Additional Resources
Additional Resources
• World Organization for Animal Health
(OIE)
– www.oie.int
• U.S. Department of Agriculture (USDA)
– www.aphis.usda.gov
• Center for Food Security and Public Health
– www.cfsph.iastate.edu
• USAHA Foreign Animal Diseases
(“The Gray Book”)
– www.usaha.org/pubs/fad.pdf
Center for Food Security and Public Health, Iowa State University, 2011
Acknowledgments
Development of this presentation
was funded by grants from
the Centers for Disease Control and Prevention,
the Iowa Homeland Security and Emergency
Management Division, and the Iowa Department
of Agriculture and Land Stewardship
to the Center for Food Security and Public
Health at Iowa State University.
Authors: Katie Steneroden, DVM; Kristina August, DVM; Radford Davis, DVM, MPH,
DACVPM
Reviewers: Bindy Comito Sornsin, BA; Katie Spaulding, BS; Kerry Leedom Larson, DVM,
MPH, PhD
Center for Food Security and Public Health, Iowa State University, 2011

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LumpySkinDisease(2).ppt

  • 1. Lumpy Skin Disease Pseudourticaria, Neethling Virus Disease, Exanthema Nodularis Bovis, Knopvelsiekte
  • 2. Overview • Organism • Economic Impact • Epidemiology • Transmission • Clinical Signs • Diagnosis and Treatment • Prevention and Control • Actions to Take Center for Food Security and Public Health, Iowa State University, 2011
  • 4. Lumpy Skin Disease Virus • Family Poxviridae – Genus Capripoxvirus • Closely related to sheep and goat pox • Cannot be differentiated with serology Center for Food Security and Public Health, Iowa State University, 2011
  • 6. History and Geographic Distribution • 1929: Southern and eastern Africa • Disease of cattle • Experimental infection – Oryx, giraffe, and impala • Virus will replicate in sheep and goats • 1990s: Resurgence in Africa Center for Food Security and Public Health, Iowa State University, 2011
  • 7. Economic Impact • Major economic importance due to loss of production – Severe emaciation – Lowered milk production – Abortion – Secondary mastitis – Loss of fertility – Extensive damage to hides – Loss of draft from lameness Center for Food Security and Public Health, Iowa State University, 2011
  • 9. Morbidity/ Mortality • Morbidity – Widely variable – 3% to 85% • Mortality – Usually low – 1% to 3% – 20% to 85% in some outbreaks Center for Food Security and Public Health, Iowa State University, 2011
  • 11. Animal Transmission • Primary route: biting insects • Minor route: direct contact – Cutaneous lesions, saliva, nasal discharge, milk, semen, muscles • Resistant to desiccation • No carrier state • Spread related to movement of cattle Center for Food Security and Public Health, Iowa State University, 2011
  • 13. Clinical Signs • Incubation period – 2 to 5 weeks • Inapparent to severe infection – Young calves most susceptible • Nodule development • Decreased milk yield Center for Food Security and Public Health, Iowa State University, 2011
  • 14. Clinical Signs • Raised, circular, firm, coalescing nodules – Common on head, neck, udder, perineum, legs – Cores of necrotic material called “sit-fasts” • Secondary bacterial infections • Rhinitis, conjunctivitis • Lameness • Abortion and sterility Center for Food Security and Public Health, Iowa State University, 2011
  • 15. Post Mortem Lesions • Characteristic skin nodules • Lesions in the mucous membranes throughout the GI tract • Nodules in lungs • Hemorrhages in spleen, liver, rumen Center for Food Security and Public Health, Iowa State University, 2011
  • 16. Differential Diagnosis • Pseudo-lumpy skin disease • Bovine herpes mammillitis • Dermatophilosis • Ringworm • Insect or tick bites • Rinderpest • Demodicosis • Hypoderma bovis infestation • Photosensitization • Bovine papular stomatitis • Urticaria • Cutaneous tuberculosis • Onchocercosis Center for Food Security and Public Health, Iowa State University, 2011
  • 17. Center for Food Security and Public Health, Iowa State University, 2011 Sampling • Before collecting or sending any samples, the proper authorities should be contacted • Samples should only be sent under secure conditions and to authorized laboratories to prevent the spread of the disease
  • 18. Diagnosis • Clinical – Characteristic skin nodules • Laboratory – Virus isolation and identification – Electron microscopy in combination with history – Serology: cross-reactions with other poxviruses may occur Center for Food Security and Public Health, Iowa State University, 2011
  • 19. Treatment • Animals generally recover with good nursing care • Antibiotics for secondary infection • Up to 6 months for severely affected animals to recover fully Center for Food Security and Public Health, Iowa State University, 2011
  • 22. Recommended Actions • IMMEDIATELY notify authorities • Federal – Area Veterinarian in Charge (AVIC) http://www.aphis.usda.gov/animal_health/area_offices/ • State – State veterinarian http://www.usaha.org/StateAnimalHealthOfficials.pdf • Quarantine Center for Food Security and Public Health, Iowa State University, 2011
  • 23. Disinfection • Susceptible to: – Ether (20%) – Chloroform – Formalin (1%) – Some detergents – Phenol (2% for 15 minutes) • Can survive up to 35 days in the environment in desiccated scabs Center for Food Security and Public Health, Iowa State University, 2011
  • 24. Control and Eradication • Endemic areas – Vaccinate cattle – Insect control • Non-endemic areas – Keep free with import restrictions – Quarantine – Depopulation, proper carcass disposal – Cleaning and disinfection Center for Food Security and Public Health, Iowa State University, 2011
  • 25. Vaccination • Endemic areas, eradication efforts • Attenuated LSD strain – Used in South Africa – Neethling strain vaccine confers immunity up to 3 years • Sheep and goat pox vaccine – Used in east, north Africa – May cause local, severe reaction Center for Food Security and Public Health, Iowa State University, 2011
  • 27. Additional Resources • World Organization for Animal Health (OIE) – www.oie.int • U.S. Department of Agriculture (USDA) – www.aphis.usda.gov • Center for Food Security and Public Health – www.cfsph.iastate.edu • USAHA Foreign Animal Diseases (“The Gray Book”) – www.usaha.org/pubs/fad.pdf Center for Food Security and Public Health, Iowa State University, 2011
  • 28. Acknowledgments Development of this presentation was funded by grants from the Centers for Disease Control and Prevention, the Iowa Homeland Security and Emergency Management Division, and the Iowa Department of Agriculture and Land Stewardship to the Center for Food Security and Public Health at Iowa State University. Authors: Katie Steneroden, DVM; Kristina August, DVM; Radford Davis, DVM, MPH, DACVPM Reviewers: Bindy Comito Sornsin, BA; Katie Spaulding, BS; Kerry Leedom Larson, DVM, MPH, PhD Center for Food Security and Public Health, Iowa State University, 2011