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1. sustainable Integrated Parasite Management
(sIPM) in Small Ruminants
SUSAN SCHOENIAN (Shāy nē ŭn)
Sheep & Goat Specialist
University of Maryland Extension
sschoen@umd.edu - sheepandgoat.com - wormx.info
3. Anthelmintic (dewormer) resistance
• Resistance is inevitable; no
treatment will kill 100
percent of worms.
• Worms have developed
resistance to all dewormers
and all dewormer classes.
• Resistance varies by
geographic region and
individual farm and is the
result of past deworming
practices.
Anthelmintic = Dewormer
5. Anthelmintic (dewormer) resistance
• Resistant worms pass their
resistant genes onto their
offspring; resistance is
generally permanent!
• You cannot prevent
resistance, but you can affect
the rate by which it develops.
• On most farms, resistance is
probably still at a level where
there is still time to slow it
down and enable the
continued use of some
anthelmintics.
6.
95-100% effective. Small number of
resistant worms may be present.
80-95% effective. Treatment
is effective, but resistance is
increasing.
Less than 80%. Production
losses become apparent as
effectiveness of dewormer
moves closer to zero.
Anthelmintic failure.
Animals die.
Adapted from Wormer
Resistance “The need for
change” Meat Promotion Wales
Understanding anthelmintic resistance
7. You can slow drug resistance
by increasing refugia.
• Decrease frequency of anthelmintic
treatments.
• Do not treat everyone; leave some
animals untreated.
• Do not move treated animals to a clean
pasture.
• Do not deworm when there is a low
level of pasture contamination or low
level of infection in animals.
• Leave animals in dry lot after treatment
for 48 hours.
• Use combination or sequential
treatments.
Refugia are worms that have
not been exposed to the
drug(s): they are “in refuge.”
-- in animal and on pasture.
8. Do not make it easier for worms to
develop resistance to the drugs.
• By exposing them to
sub-therapeutic levels
of drug(s) via:
1) Underdosing
2) Injecting dewormers
3) Pouring dewormer on back
4) Improperly calibrated or
performing equipment
5) Depositing drug into mouth
instead of esophagus.
6) Having animals spit out drug
7) Using persistent activity
dewormers.
8) Improper storage of drugs.
Dose based on accurate weights!
9. Do not introduce resistant
worms to your farm
• Practice quarantine drenching:
Prevent the introduction of
resistant worms to your farm by
deworming all newly acquired
animals with anthelmintics from
2-3 anthelmintic classes.
Examples
Moxidectin + levamisole
Albendazole + moxidectin + levamisole
• In Western Maryland Pasture-
Based Meat Goat Performance
Test, sequential deworming
with albendazole, moxidectin,
and levamisole usually reduces
fecal egg counts by more than
95 percent (in 6-12 days).
For sale
Ram - $1,000
Resistant worms - free
10. Before resistance develops
• To delay resistance
• To increase refugia
• Worms are seldom resistant to
all three drug classes.
• Don’t deworm often, but
when you do, use a “big gun”
After some resistance develops
• Synergistic effect of
dewormers: achieving a
greater kill rate than either
drug alone
Another strategy for using anthelmintics
combination and sequential treatment
11. Anthelmintics 101
There are only 3 families of drugs.
BENZIMIDAZOLES (BZ)
“white dewormers”
1.Fenbendazole
Safeguard®
Panacur®
2.Albendazole
Valbazen®
3.Oxyfendazole
Synanthic®
MACROCYLIC
LACTONES (ML)
1. Avermectins
a) Ivermectin
Ivomec®
Primectin®
Privermectin®
b) Eprinomectin
Eprinex®
c) Doramectin
Dectomax®
2. Milbimycins
a) Moxidectin
Cydectin®
Quest®
NICOTINIC AGONISTS
“cell depolarizers”
1.Imidazothiaoles
a) Levamisole
Prohibit®
2. Tetrahydropyrimidines
a) Morantel
Rumatel®
Positive Goat Pellet
Goat dewormer
b) Pyrantel
Strongid®
1 32
13. (1) Benzimidazoles (3) Nicotinics
SafeGuard® Valbazen® Rumatel®
Adult worms
Immature worms (L4)
Hypobiotic larvae
Lung worms
Tapeworms not labeled
Liver flukes adult
Coccidia
External parasites
Safety ++++ Restricted use during
early pregnancy
+++
Resistance ++++ na ?
Labeled dosage per 100 lbs. 2.3 ml 4 ml 0.44 g
Meat withdrawal 6 days 7 days 30 days
Milk withdrawal NA NA 0 days
FDA-approved anthelmintics for goats
14. (1) Benzimidazoles (2) Macrocylic lactones (3) Nicotinics
SafeGuard® Valbazen® Ivomec® Cydectin® Prohibit®
Adult worms
Immature worms (L4) -
Hypobiotic larvae ?
Lung worms +
Tape worms
Adult liver flukes
Coccidia
External parasites
Persistent activity ?
Safety ++++ Restricted use
during early
pregnancy
++++ ++++ ++
Resistance ++++ ++++ +++ ++ +
Dosage per 25 lbs. 1.1 ml 2 ml 6 ml 4.5 ml 2.7 ml
Meat withdrawal 16 days 9 days 14 days 17 days 4 days
Milk withdrawal 4 days 7 days 9 days 8 days 3 days
Extra-label anthelmintics for goats (Rx)
15. • First new anthelmintic in 25 years.
• New drug class: amino-acetonitrile
derivative (ADD).
• Unique mode of action.
• Kills worms that are resistant to
other drugs/classes.
• Not yet available in US – when?
• Will be available by prescription (Rx) only? ELDU for goats.
• Might be expensive (?).
• Resistance already reported in Australia (in goats).
Zolvix® (monepantel): a new anthelmintic
16. “Alternative” (non-chemical) dewormers
• Many natural compounds are purported to
have “anthelmintic-like” properties; the list is
overwhelming!
• Studies are lacking, inconsistent, and/or not
repeatable.
• There is no consistency as to if and how
alternative dewormers have been evaluated or
reported in the scientific literature.
• Some natural anthelmintics are potentially
toxic to the animal, e.g. copper sulfate, nicotine
sulfate.
• Considerable research is being done on
alternative or natural “dewormers.”
17. Copper oxide wire particles (COWPs)
• Proven to be effective at reducing barber
pole worm infections in sheep and goats,
especially young animals.
• Marketed for copper deficiency in cattle.
• Form of copper is poorly absorbed,
reducing risk of copper toxicity.
• Can repackage cattle product
(Copasure®) into small doses for
sheep and goats.
– Recommended dosage:
0.5 g for lambs and kids
1 g for mature animals
– Administration
Pet pilling gun
½-in PVC pipe with wooden dowel
• Commercially-available 2 and 4 g copper boluses contain too much copper
for repeated anthelmintic usage and may be less effective as anthelmintic.
• Risk of copper toxicity should be evaluated before being used, especially in sheep.
20. 2014 Western Maryland Pasture-Based Meat Goat Performance Test
Anthelmintic effect of copper oxide wire particles (COWPs)
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
d (-6) d-0 d-14 d-28 d-42 d-56 d-70 d-84
Test - COWP Study - no COWP
Avg.fecaleggcount,epg
COWP
21. My perspective and recommendations
on alternative or natural “dewormers”
• Alternative dewormers are
not likely to replace
commercial anthelmintics.
• Alternative dewormers may
complement commercial
dewormers by:
+ Disrupting the free-living stage of the parasite
(e.g. inhibit egg hatching or larvae development)
+ Improving natural immunity of animal
+ Improving overall management of the flock/herd
= Reducing the number of animals that
require treatment with a commercial dewormer.
• It’s okay to use alternative dewormers, even unproven ones, so long as
you continue to regularly monitor animals for clinical signs of parasitism
and deworm those showing clinical signs with an effective drug.
24. • Compare pre- and post-treatment fecal egg counts
a) 8-10 days for benzimidazoles (SafeGuard®, Valbazen®)
b) 14-17 days for macrocylic lactones (Ivomec®, Cydectin®)
c) 5-7 days for levamisole (Prohibit®)
d) 10-14 days for all dewormers/classes.
Fecal egg count reduction test (FECRT)
25. Fecal egg count reduction test (FECRT)
Example
• Collect fecal sample on August 20. FEC was 5000 epg.
• Dewormed sheep with Prohibit® (2 ml/50 lb.) on August 20
• Collect fecal sample on August 27. FEC was 200 epg.
FECR = (FEC1-FEC2) ÷ FEC1
FECR = (5000-200) ÷ 5000
FECR = 4800 ÷ 5000
FECR = 96%
“no resistance”
30. A comparison of tests
FECRT
• Takes 7-14 days to get results,
longer if someone else does FECs.
• Cost for 75 samples
(15 samples x 4 drugs + control group = 75)
75 x Labor = ?
75 x $5 = $375
75 x $10 = $750
75 x $15 = $1125
• Results can vary by animal, which
is why you need to do enough
animals for the results to be valid
(consistent).
• Results: % efficacy.
DrenchRite® Assay
• Labor-intensive lab test
• Only one lab in US does
DrenchRite® Test (UGA)
• Takes 3-4 weeks to get results
• Results:
1. Susceptible, FECR > 95%
2. Suspected (low) resistance, FECR 90-94%
3. Resistant, FECR < 89%
• Cost $450 per sample
31. Small ruminants are affected by many internal
parasites, but only a few are usually important.
Multi-cellular (helminths)
a) Nematodes
Roundworms
b) Cestodes
Tapeworms
c) Trematodes
Flukes
Single-cell (protozoa)
33. Haemonchus – Trichostrongylus – Teladorsagia
• Short, direct life cycles (avg. 3-4
weeks) that are weather-dependent.
• Can overwinter on pasture.
• Ability to go into hypobiotic
(arrested) state (in host) when
environmental conditions are not
conducive to their development
(hot, dry or cold, dry) – primary
means of survival in more northern
climates.
• Vary in their egg laying ability.
• Eggs look the same under
microscope.
L3
L4, adult
L2 L1
34. Haemonchus contortus
Barber pole worm
• Primary parasite in warm, moist
climates and/or during summer
grazing season (in more northern
climates).
• One of the most pathogenic
parasites.
• Very prolific egg layer
• Blood sucker/feeder
• Causes anemia and bottle jaw.
• Other symptoms: weight loss, loss
of body condition, poor stamina,
anorexia -- but not usually
diarrhea.
• Death can also be sudden
(acute haemonchosis).
Image from University of Georgia
35. Other strongyle-type
Teladorsagia and Trichostrongylus
• Usually of secondary
importance.
• Usually part of mixed
infections with barber pole
worm.
• Cause production loss, weight
loss, dagginess (scours) - only
occasional death.
• May be more problematic in
cooler, wet climates, e.g.
Pacific Northwest, UK, and
Canada – or where barber
pole worm is controlled.
36. Lungworms
• Direct or indirect life cycle
• Larvae visible in feces.
• Severe infestations can cause
respiratory symptoms:
coughing, fluid on lungs,
pneumonia.
• Difficult to diagnose in live
animal; usually diagnosed at
necropsy.
• Drugs which control GI
parasites will also control
lungworms.
Liver flukes
Fasciola hepatica
• Regional problem: mostly
Pacific Northwest and Gulf
States.
• Require open water and
aquatic snails as intermediate
host.
• Similar symptoms as barber
pole worm (anemia, bottle
jaw).
• Treat adult liver flukes with
albendazole (Valbazen®) or
Ivomec® Plus (clorsulon).
37. Tapeworms (Moniezia expansa)
• Only worm that is visible in feces.
• Indirect life cycle; pasture mite is
intermediate host.
• Usually non-pathogenic; usually no
benefit to treatment.
• Heavy infestations can cause intestinal
blockages (rare) or affect gut motility
(occasional).
• Treat with SafeGuard® (2x dose, Rx),
Valbazen® [Rx, goats], or praziquantel*
[Rx] (Quest Plus®, Equimax®, or
Zimecterin Gold®).
• Sheep and goats are intermediate
hosts for tapeworms that infect dogs
(called sheep measles).
38. Meningeal worm (Parelaphostrongylus tenuis)
• Parasite of white tail deer.
• Sheep, goats, and camelids are
abnormal (and dead end) hosts.
• Has indirect life cycle: snail or slug
required is intermediate host.
• Causes neurological symptoms that
vary in severity.
• No definitive diagnosis in live animal.
• Treatment protocols involve high doses
of anthelmintics and anti-inflammatory
drugs.
• Fenbendazole (SafeGuard®) and
ivermectin (Ivomec®) are current drugs
of choice for meningeal worm [Rx].
• Cornell University is working on
vaccine and treatment protocols.
39. Coccidia (Eimeria spp.)
• Single-cell protozoa
• Species-specific
• Not all species pathogenic
• More complicated life cycle
than roundworms.
• No intermediate host
• Damages lining of small
intestines, affecting nutrient
absorption; damage can be
permanent.
• Causes diarrhea (but not
always), ill thrift, anorexia, and
death.
40. Coccidia (Eimeria spp.)
• Prevent mostly with good
management and sanitation.
• Prevent with coccidiostats in
water, mineral, feed, and/or
milk replacer.
– Lasalocid (Bovatec®) [Sh]
– Monensin (Rumensin®) [G]
– Decoquinate (Deccox®) [Sh,G]
– Amprolium (Corid) [Rx]
• Treat with Corid [Rx] or sulfa
antibiotics [Rx]*.
• Sericea lespedeza pellets may
provide “natural” control of
coccidiosis.
SL pellets: http://www.wormx.info/#!slcoccidia/c170d
42. Host immunity (resistance)
• Two kinds: innate vs. acquired
• Infection with parasites is
normal; in time, sheep and
goats will develop resistance
to parasites.
• Continuous exposure to
parasites is necessary to
develop and maintain
immunity.
• Resistance is rarely complete.
• Immunity can be overcome
and is affected by many
different factors including
age, nutrition, stress, etc.
43. Host immunity
Who should you worry the most about about?
Most susceptible
• Lambs and kids
– Weanlings
– Early weaned
– Spring born
– Late-born
– Artificially-reared
– Runts
• Periparturient females
– High producing
– Yearlings
• Geriatric animals
• Any other stressed animal
• Animals that have not been
exposed to parasites.
Less (but still) susceptible
• Mature males
• Dry females
• Pets (usually fat)
44. Birthing and weaning management
• You can manage lambing/kidding
to lessen parasite problems.
• Optimal time to lamb/kid will vary
by climate and other factors.
• In Mid-Atlantic region, producers
who lamb/kid in winter and fall
report less parasite problems than
those that lamb/kid in spring.
• Can keep animals indoors during
late gestation/early lactation to
minimize effect of periparturient
egg rise.
• Weaning age will affect
susceptibility to parasites.
• There are pros and cons to
different weaning ages.
45. Nutritional management
• Sheep/goats in better body
condition and on a higher plane
of nutrition are better able to
tolerate the effects of parasitism.
• Sheep studies have shown
that protein (especially by-pass)
supplementation (above NRC
requirements) in late pregnancy
can reduce fecal egg counts in
periparturient ewes.
• In the Mid-Atlantic region, pastures are usually deficient in
energy.
In 2015, bucks are being
supplemented with soybean hulls.
46. An observation from the field:
Improving parasite resilience with better nutrition
1.5
1.7
1.9
2.1
2.3
2.5
2.7
2.9
0
500
1000
1500
2000
2500
3000
Arrival 0 14 28 42
FEC 2015
FEC 2014
FAMACHA
2015
FAMACHA
2014
Through d-42
2014 - 17 Tx
2015 - 5 Tx
Due to nutritional
supplementation (?)
48. Western Maryland Research & Education Center
Pen vs. pasture studies
Avg. fecal egg counts, epg
2013 2014
0
500
1000
1500
2000
2500
d (-12) d-0 d-14 d-28 d-42 d-56 d-70 d-84
Pen Pasture
0
500
1000
1500
2000
2500
3000
3500
4000
4500
5000
d (-6) d-0 d-14 d-28 d-42 d-56 d-70 d-84
Pen Pasture
No pen goats required deworming. Pasture goats were dewormed 28 and 5 times, respectively, in 2013 and 2014.
49. Genetic selection
• There are documented
differences in breeds with
regards to parasite resistance.
• There is as much genetic
variation within a breed as
between breeds.
• Fecal egg counts are not
evenly dispersed in a herd.
Approximately 20-30% of the
herd is responsible for 70-
80% of the pasture
contamination (egg deposits).
One of bucks showing
resistance in 2015 test.
53. Genetic selection
via on-farm evaluation, central performance test, EBVs
Rams and bucks
• Select the BEST
Ewes and does
• Get rid of the WORST
Requires frequent deworming
Heavy egg shedderNever requires deworming
Low egg shedder
54. Targeted Selective Treatment (TST)
What is it?
• Only treating animals that
require treatment or only
treating animals that would
benefit from treatment.
What does it do?
1. Slows drug resistance, b/c
– Reduces # of treatments
– Increases refugia
2. Identifies resistant and
susceptible animals for
selection/culling purposes.
62. #2 - Back - Body condition score (BCS)
• Many parasites can cause a loss of body condition.
• Poor or declining body condition can also be a sign of
age, poor nutrition, or other diseases.
• Animals also vary in their ability to carry and hold body
condition.
63. Body condition scoring (BCS)
• Is used to determine how fat or
thin an animal is.
• Cannot be determined by
simply looking at an animal.
• Is accomplished by feeling for
the amount of fat and muscle
over the back, ribs, and loin.
• Is one of the most useful
management practices.
• Should be done on a regular
basis.
64. Body Condition Scoring
Score Spineous process Rib cage Loin eye
1 Very thin
Easy to see and feel,
sharp
Easy to feel and can feel
under
No fat covering
2 Thin
Easy to feel, but
smooth
Smooth, slightly rounded,
need to use slight pressure
to feel
Smooth, even fat
cover
3
Good
condition
Smooth and rounded Smooth, even feel
Smooth, even fat
cover
4 Fat
Can feel with firm
pressure, no points can
be felt
Individual ribs cannot be
felt, but can still feel indent
between ribs
Thick fat
5 Obese
Smooth, no individual
vertebra can be felt
Individual ribs cannot be
felt. No separation of ribs
felt.
Thick fat covering,
may be lumpy and
“jiggly”
Source: www.smallstock.info
65.
66. #3 - Tail - dag score
• The hindquarters of the animal are assessed to
determine dag score or degree of fecal soiling.
• Many parasites can cause scours (diarrhea).
• Stress and diet are other causes of diarrhea.
67. What are dags?
• Dried feces left dangling on the wool on a
sheep’s rear end.
68. Dag scoring
Score Description Action
0
No fecal soiling at all. No indication for
treatment/action.
None
1
Very slight soiling on edge of tail/on
each side
None
2 Slight soiling on edge of tail/on each side Usually none
3 Moderate soiling, dag formation
Consider
treatment/action
4 Severe soiling, severe dag formation
Treatment
recommended
5
Very severe, watering diarrhea
extending to hocks.
Treatment essential
Source: University of Pretoria, South Africa
69.
70. #4 - Bottle jaw
(submandibular subcutaneous edema)
• An accumulation of fluid
(swelling) under the lower jaw
of a sheep, goat, or calf.
• Usually a result of anemia
(blood loss).
• Occurs primarily due to the
infestation of barber pole
worms (Haemonchus
contortus) or other blood-
feeding parasites.
• Can also be caused by
coccidiosis and other
parasites.
71. #5 – Nose (or coat)
Sheep
Nose
• Nasal discharge
(for nasal bots)
Goats
Coat condition
• The condition of a goat’s hair coat
can be indicative of its overall
health and thriftiness.
• Diet (nutrition) also has a large
effect on coat condition.
73. The Happy Factor™
“A happy sheep is a healthy sheep.”
• Europe and New Zealand
• Performance-based tool; deworm
when animals fail to meet
performance targets.
– Live weight gain
– Milk production
• UK: will be most practical with
use of individual electronic ID and
automatic weighing platforms.
• More information/research
needed.
74. What do to when deworming is not
enough or only marginally effective.
• Dose with another class of
anthelmintic.
• Give supportive therapy
– Vitamin B complex, thiamine
– Iron or Red cell
– Nutri-drench
– Probiotics
– Electrolytes
– Proteinaceous feeds
• Remove parasitized animal
from pasture.
source of reinfection
75. Fecal Egg counts (FECs)
• A quantitative measurement
that is expressed as eggs per
gram of feces (EPG, epg).
vs. “positive” or “negative” or +,++,
+++ from a simple fecal flotation
(which is not very useful!)
• Uses a measured amount of
feces and flotation solution.
• An approximation of the worm
load an animal is carrying.
• A “snapshot” in time.
McMaster slide
77. Limitations of fecal egg counts
• Not a highly accurate test, especially at low numbers.
• Parasites vary in their egg producing capacity.
• Immature worms (L4s) suck blood, but do not lay eggs.
• Inhibited larvae do not lay eggs.
• There is a day-to-day variability in counts, even in stable
worm populations.
• Eggs are not always evenly distributed in manure.
• Loose stools (diarrhea) may underestimate egg counts.
• Some eggs look the same and cannot be differentiated at
the egg stage (e.g. Haemonchus vs. Trichostrongylus)
• Not all parasites (or strains) are pathogenic.
• There are different procedures for doing fecal egg counts.
• The possibility of human error.
78. Three main uses of fecal egg counts
1) Determine anthelmintic
(drug) resistance.
2) Monitor pasture
contamination.
3) Select animals for their
genetic ability to resist
worms.
4) Not a reliable way to
diagnose parasitic disease
in an individual animal.
What do fecal worm egg counts tell us? http://ohioline.osu.edu/vme-fact/pdf/0027.pdf
80. Use fecal egg counts to select animals (especially
males) that are more resistant to internal parasites.
0
500
1000
1500
2000
2500
3000
3500
4000
d (-6) d-0 d-14 d-28 d-42 d-56 d-70 d-84
2014 Western Maryland Pasture-Based Meat Goat Performance Test
Bi-weekly fecal egg counts, epg
Most resistant buck All bucks (avg)
COWPs
81. Hands-on fecal egg counting
What you need
• Microscope (10 x 10 = 100x)
• McMaster slide
• Flotation solution
• Gram scale (optional)
• Cups or vials
• Craft stick or tongue
depressors
• Cheese cloth or tea strainer
• Pipettes or syringes
• Gloves
82. Modified McMaster Procedure
1) Weigh out 4 g of feces
2) Add 26 ml of flotation solution
3) Crush and mix feces using stick
4) Drain solution through cheese cloth
or tea strainer into a clean cup
5) After stirring solution, draw up
solution from top of mixture
6) Fill both sides of slide chamber.
7) Allow slide to sit for 5-10 minutes
8) Place slide on microscope
9) Focus on grid
10) Count strongyle-type eggs inside of
and under grid lines
11) Record number of eggs for each grid.
12) Multiply their sum by 25 to get EPG
Note: If using 2 g of feces, add 28 ml of
flotation solution and multiple number of
eggs in both chambers by 50.
83.
84. Thank you for your attention. Questions?
SUSAN SCHOENIAN
Sheep & Goat Specialist
sschoen@umd.edu
sheepandgoat.com wormx.info