Alliance meeting this week to battle global ‘goat plague’

Northern Kenya August 2008

The PPR virus, commonly known as goat plague, swept across southern Ethiopia and northern Kenya in 2008; Mohammed Noor lost 20 goats in the just one week and wondered how he would provide for his family (photo on Flickr by EC/ECHO/Daniel Dickinson).

Assembling for two days this week (29–30 Apr 2013) in Nairobi, Kenya, are members of a global alliance against ‘peste des petits ruminants’, abbreviated as ‘PPR’ and also known as ‘goat plague’ and ‘ovine rinderpest’.

Co-hosting this second meeting of the Global Peste de Petits Ruminants (PPR) Research Alliance (hereafter referred to as GPRA) are the International Livestock Research Institute (ILRI), which is headquartered in Nairobi; the Biosciences eastern and central Africa-iLRI hub (BecA-ILRI Hub), hosted and managed by ILRI; the African Union-Interafrican Bureau for Animal Resources (AU-IBAR), also based in Nairobi; and the Australian Agency for International Development (AusAID).

Among the 70 or so people attending are representatives from the Bill & Melinda Gates Foundation (BMGFYi Cao), the Global Alliance for Livestock Veterinary Medicines (GALVMedBapti Dungu), the International Atomic Energy Agency (IAEAAdama Diallo), the Pan African Veterinary Vaccine Centre (PANVAC), the Royal Veterinary College of the University of London Vet School (RVC), the United Nations Food and Agriculture Organization (FAOVincent Martin and Robert Allport, among others), the World Organisation for Animal Health (OIEJemi Domenech and Walter Masiga) and a range of national research institutions from developing countries where the disease is endemic.

What’s this alliance all about?
The GPRA is a participant-owned network of researchers and development professionals with an interest in the progressive control of PPR. The GPRA was inaugurated in 2012 at a meeting in London. GPRA aims to provide scientific and technical knowledge towards methods for the detection, control and eradication of PPR that are economically viable, socially practical and environmentally friendly.

Why, and how much, does PPR matter?
Infectious diseases remain the major limitation to livestock production globally and are a particular scourge in the developing world, where most of the world’s livestock are raised. Diseases not only kill farm animals but also cause production losses and hinder access to potentially high-value international livestock markets.

PPR, an infectious viral disease of sheep and goats, poses a major threat to the livelihoods of smallholder farmers in Africa as well as the Middle East and India. The disease is highly contagious, and has roughly an 80 per cent mortality rate in acute cases.

The impacts of PPR, which is closely related to rinderpest in cattle, have been expanding in recent years. At least 15 million sheep and goats are at risk of death from the disease in Kenya alone and the estimated economic impact of current PPR outbreaks—including production losses and disease control costs for Africa—is more than US$147 million per year. A recent outbreak of PPR in the Marakwet and Baringo districts of Kenya destroyed more than 2000 herds, with the disease spreading in days and farmers losing some KShs6 million (about US$70,000)  to the disease over about three months.

PPR is probably the most important killer of small ruminant populations in affected areas and some 65 per cent of the global small ruminant population is at risk from PPR.

Increasing interest in tackling PPR
Over the last several years, international experts and national authorities have both been increasingly prioritizing the progressive control of PPR, with the first phase designed to contribute to the long-term goal of eradication. Donor interest in this research and development area quickly ramped up over the past year. A current AusAID-funded project being conducted under a partnership between the BecA-ILRI Hub and Australia’s Commonwealth Scientific, Industrial and Research Organisation (CSIRO) has supported development of a thermostable vaccine now being piloted in vaccination campaigns in Sudan and Uganda, with similar work proposed for Ethiopia.

Collins Owino, ILRI research technician

Collins Owino, an ILRI research technician working on vaccines and diagnostics in the peste des petits ruminants (PPR) project (photo credit: ILRI/Evelyn Katingi).

Need for coordinated and progressive control of PPR
There is a growing recognition of the need for, and potential benefits of, a coordinated approach to the progressive control of PPR. The disease is now one of the high priorities of AU-IBAR, FAO and OIE, all of which have strong networks and expertise to offer the alliance. The role of the Global PPR Research Alliance as a network of research and development organizations is to develop a coordinated strategy to contribute to the progressive control of PPR.

The Australian Government, together with AU-IBAR and ILRI, is supporting the second meeting of the GPRA to advance with many other stakeholders progressive global control of PPR, particularly through collaborative research. The GPRA supports the sharing of relevant information and results, the establishment of productive working relationships among stakeholders, the establishment of research and development projects of interest to some or all members, and the closer linking of strategic plans of all stakeholders in better control of this disease.

Is progressive eradication of PPR possible?
Wide calls for PPR’s progressive global eradication cite the following factors supporting this goal:

  • The close relationship of PPR/’goat plague’ with the recently eradicated ‘cattle plague’ known as ‘rinderpest’ (rinderpest was only the second infectious disease, and the first veterinary disease, to be eradicated from the globe)
  • The availability of effective vaccines against PPR
  • The development of heat-stable PPR vaccines, following the same procedures that were so effective in developing a heat-stable rinderpest vaccine
  • The opportunity to increase focus on Africa and Asia’s small ruminants, which are of critical importance to the livelihoods of rural smallholder and pastoralist communities in many of the world’s poorest countries
  • The existence of vaccines and diagnostics considered sufficient to initiate the program; the current vaccines (based on the strain Nigeria 75/1) are safe, efficacious and provide life-long immunity.

More about the AusAID-funded PPR project at the BecA-ILRI Hub
The Australian Government via AusAID has funded development at ILRI of thermostable formulations of the PPR vaccine that provide a level of stability in the field as high as that demonstrated in the vaccine used to eradicate rinderpest. The project team has demonstrated that the PPR vaccine can be stored without refrigeration for extended periods of time without significant loss in viability. This is a crucial and significant success. Under the guidance of ILRI senior scientist Jeff Mariner and with the assistance of Australia’s CSIRO and BecA-ILRI Hub staff, the project team have developed strong links with AU-IBAR’s Henry Wamwayi, a senior member of his organization seconded to the PPR project.

ILRI veterinary epidemiologist Jeff Mariner at OIE meeting

ILRI veterinary epidemiologist Jeff Mariner presenting lessons learned from work to eradicate rinderpest at a meeting of the World Animal Health Organisation (OIE) (photo credit: OIE).

Next steps
The project has built on lessons learned from the recent global eradication of rinderpest, which depended on two equally important breakthroughs for its success: development of an effective thermostable vaccine and effective vaccine delivery networks in remote as well as other regions. The next 12 months of the PPR research project will focus on testing the vaccine and delivery strategies in South Sudan and Uganda. Staff will assess in the field just how effective the vaccine is in controlling PPR infections. They’ll also investigate some practical incentives for encouraging livestock owners and livestock service delivery personnel to participation in PPR control programs. And they’ll look into ways to build and enhance public-private community partnerships to deliver the PPR vaccine.

Read more in the ILRI News Blog and science journals about the close connections between the eradication of rinderpest and this new battle against PPR—and the role of ILRI’s Jeff Mariner in development of thermostable vaccines necessary to win the battle against both diseases.

Rinderpest: Scourge of pastoralists defeated, at long last, by pastoralists, 18 Sep 2012.

New analysis in ‘Science’ tells how the world eradicated deadliest cattle plague from the face of the earth, 13 Sep 2012.

Goat plague next target of veterinary authorities now that cattle plague has been eradicated, 4 Jul 2011.

Deadly rinderpest virus today declared eradicated from the earth—’greatest achievement in veterinary medicine’, 28 Jun 2011.

 

 

As a new round of bird flu hits China, livestock scientist advises to ‘panic slowly’

China

At the chicken market in Xining, Lanzhou Province, China (photo on Flickr by Padmanaba01).

By Matthew Davis

The initial news reports were slim on details but the reaction was swift. There were at least three people dead in China after apparently contracting influenza from birds. Prices of soybean—a major ingredient in livestock feed—immediately took a dive.

Then the death toll rose to five, virus samples were detected in pigeons, and in Shanghai authorities began slaughtering poultry flocks. Within a few days the death count was up to seven, then nine. And people started to wonder about a connection to all those pig carcasses floating down Shanghai waterways.

Such is the confusing swirl of information emanating from the latest incident in which a worrisome disease has passed from animal to human, a phenomena—and a quite common one at that—known as zoonoses. In this instance, it’s an influenza virus called H7N9 that appears to have originated in wild or domestic bird populations, but much about its source remains murky.

For Delia Grace, a veterinary epidemiologist at the International Livestock Research Institute (ILRI) who spends most of her waking hours studying zoonotic events around the world, there are two essential facts to keep in mind as the situation in China evolves. And they embody how difficult it can be to craft a proper response.

One: the vast majority of zoonoses outbreaks do not escalate to crisis proportions. But, two:  every now and then, as happened with Spanish flu in 1918 and AIDS in more recent times, an animal disease jumps to human hosts and causes a ‘civilization altering event’.

Grace suggests the appropriate reaction is to ‘panic slowly’. In other words, be prepared to move quickly if things get worse, but don’t over-react to the early reports. Also, keep in mind that, just based on what gets reported, a new disease emerges somewhere in the world about every four months.

For example, Grace noted that epidemiologists in the United Kingdom, Germany, and the Middle East are probably more concerned right now about a new and deadly corona virus that as of late March had killed 11 of the 17 people known to have been infected. There is evidence that at least one of the infections may have originated in racing camels.

Grace advises decision-makers in the public and private sector to channel the impulse to take action toward addressing conditions that are intensifying zoonotic threats.

We know that in certain parts of the world, livestock intensification is being pushed well beyond the limits of anything we have done in agriculture in the past’, she said. ‘There are hundreds of thousands of animals packed together and little transparency about how they are being managed. And that’s making disease experts pretty nervous.’

But Grace cautions against focusing solely on the risks posed by certain livestock practices and ignoring the fact that livestock are a major source of food and income for 1 billion of the world’s poorest people. She worries that misguided reactions to emerging zoonotic diseases can end up doing significant harm to their lives and livelihoods.

For example, in 2009, the Egyptian government  ordered the mass slaughter of pigs tended by Coptic Christians on the mistaken belief that the pigs were linked to the H1N1 flu pandemic. Also, the possible link in Asia between a different, and also deadly, form of avian influenza called H5N1 and ‘backyard’ poultry farming has prompted a shift to more industrial-scale production. Yet, as Grace points out, given the problems plaguing industrial operations in the region, this shift could actually increase the risk of zoonotic diseases while imperiling the food security of livestock keepers.

‘The proper reaction to the risks posed by emerging zoonotic diseases is not to indiscriminately slaughter animals. That could threaten the health of far more people by depriving them of their primary source of protein and other nutrients’, Grace said.

What we need to do is look at the many ways livestock production has gone wrong—lack of diversity in animals, using drugs to mask signs of diseases, dirty conditions—and put them to right.

Matthew Davis is a Washington DC-based science writer and policy analyst; he also serves as a senior consulting writer for Burness Communications.

Amid soaring meat costs, officials from East Africa and Middle East seek plan to keep animal diseases from disrupting livestock trade

Orma Boran cattle crossing a river in Kenya

New approach to Rift Valley fever outbreaks aims to ensure food safety as region boosts livestock imports from Africa (photo credit: ILRI/Dolan)

With increased trade in livestock products offering a possible antidote to high food prices, livestock experts from the Middle East and 12 African countries are meeting this week (13-16 June, 2011) in Dubai to develop a strategy that eliminates the need to impose devastating bans on livestock imports from the Horn of Africa, as prevention against the spread of Rift Valley fever. The strategy should expedite the flow of livestock products while increasing safety of the overall livestock trade in the region.

Convened by the African Union’s Interafrican Bureau for Animal Resources (AU-IBAR), the International Livestock Research Institute (ILRI) and the United States Agency for International Development (USAID), the workshop will encourage officials and livestock traders to use a simple ‘Decision Support Planning Tool’ to guide and moderate their responses to Rift Valley fever outbreaks.

The ‘decision support tool’ for Rift Valley fever was developed by 30 experts and decisions-makers from across the Horn of Africa with technical assistance from researchers at ILRI, the United Nations’ Food and Agriculture Organization (FAO), and other partners. The tool will be used by chief veterinary officers and other national decision-makers. Its framework identifies the sequence of events likely to occur as the risk of a disease outbreak increases.

Rift Valley fever is a mosquito-borne virus found in eastern, western and southern Africa, Yemen and Saudi Arabia. Epidemics emerge periodically with prolonged rains. Climate and land-use changes could make outbreaks more frequent. A study done by ILRI economists Karl Rich and Francis Wanyoike indicated that the Rift Valley fever outbreak in 2007 cost Kenya at least USD32 million.

‘We must avoid unnecessary disruptions in agricultural trade between East Africa and the Middle East,’ said Ahmed El Sawalhy, director of AU-IBAR. ‘Livestock products must be safe and action concerning disease outbreaks must be in line with the actual threat.’ To this end, an animal health certification model suitable for pastoral livestock production systems and that promotes OIE standards has been developed by AU-IBAR in partnership with FAO and the Royal Veterinary College, London. The model is based on risk assessment and involves integration of both upstream animal health inspection and certification at entry points, markets and at the quarantines.

Time is also of critical importance in prevention and control of transboundary animal diseases. ‘In the last Kenyan Rift Valley fever outbreak, control measures were implemented late—not until there were definitive signs of an outbreak,’ said Jeffrey Mariner, an epidemiologist at ILRI. ‘This tool links early warning signs to control measures that can be implemented before animals or people begin falling ill. The new tool could reduce the impact of Rift Valley fever, and maybe even prevent some local outbreaks and has the potential to prevent the spread of Rift Valley fever through trade.’

‘The good news,’ says Bernard Bett, an epidemiologist at ILRI, ‘is that the impact of Rift Valley fever can be mitigated with early action during an outbreak, but veterinary officers and  decision-makers need to know what interventions to implement—and when—as the  stages of an epidemic  unfold.’

Rift Valley fever is best prevented through animal vaccination. But vaccines are expensive and few governments are willing to pay for expensive vaccines unless evidence indicates an epidemic is imminent. Regional cooperation is required to build consensus on managing the disease and to prevent trade disruptions.

Larry Meserve, USAID/EA’s regional mission director commented, ‘President Obama’s Feed the Future initiative aims to increase food security throughout Africa. To succeed, we must all help to improve the capacity of leadership in the Horn of Africa to anticipate potentially disastrous events like disease epidemics so that appropriate preventive or mitigating measures are taken before it is too late. Livestock is a vital staple crop in this part of the world, and both the private and public sectors have to do everything possible to prevent unnecessary disruptions in the trade of livestock and other commodities.’

Visit the official workshop blog site: http://rvfworkshop2011.wordpress.com

Assessing the full costs of livestock disease: The case of the 2007 outbreak of Rift Valley fever in Kenya

Bullish market

Livestock market in Garissa, in northeastern Kenya. Closure of the cattle market and disruption of cross-border cattle trade with Somalia due to outbreaks of livestock disease can worsen food insecurity among the pastoralists and agropastoralists on both sides of the border. (Photo credit: Tze-Yun Soh)

Rift Valley fever is a mosquito-transmitted zoonotic disease that harms both human health and livestock production. It can also induce large, often overlooked, economic losses among many other stakeholders in the livestock marketing chain.

A new paper published by ILRI scientists Karl Rich and Francis Wanyoike assesses and quantifies the multi-dimensional socio-economic impacts of a 2007 outbreak of Rift Valley fever in Kenya. The study is based on a rapid assessment of livestock value chains in the northeast part of the country and a national macroeconomic analysis. As would be expected, the study results show losses among producers in food security and incomes. But the researchers also found significant losses occurred among other downstream actors in the value chain, including livestock traders, slaughterhouses, casual labourers, and butchers, as well as among those in non-agricultural sectors. To better inform policy and decision making during animal health emergencies, the authors argue that we should widen our focus to include analyses that address the multitude of economic losses resulting from an animal disease.

The authors write:

‘Rift Valley fever has had significant impacts on human and animal health alike in East Africa and the Middle East. Past outbreaks in South Africa (1951), Egypt (1977/78), Kenya (1997), and Saudi Arabia (1998–2000) resulted in the cumulative loss of thousands of human lives. The 2000 outbreak in Saudi Arabia led to the imposition of trade bans of live animals from the Horn of Africa (Ethiopia, Somalia, and Kenya) that had devastating economic impacts: one study estimated that total economic value-added in the Somali region of Ethiopia fell by US$132 million because of these trade bans, a 42% reduction compared with normal years . . . .

‘In 2007, Rift Valley fever returned to East Africa, impacting both Kenya and Tanzania. Specifically hard hit by this latest outbreak were the pastoral communities of the northeastern part of Kenya. In this region, livestock serve an important livelihood function for pastoralists, with livestock trade representing over 90% of pastoral incomes . . . . Moreover, northeastern Kenya has the highest incidence of poverty within Kenya, with poverty rates of approximately 70% in 2004 . . . .

‘An overlooked component in the socio-economic analysis of animal diseases is the multiplicity of stakeholders that are affected. Rift Valley fever does not just affect producers, but also impacts a host of other service providers within the livestock supply chain and other parts of the larger economy. Cumulatively, these downstream impacts can often dwarf the impacts of the disease at the farm level, but public policy tends to concentrate primarily on losses accruing to producers. The failure to capture these diverse impacts may have important implications on the evolution and control of disease that may accentuate its impact.

‘The 2007 Rift Valley fever outbreak in Kenya had wide-ranging impacts on the livestock sector and other segments of the economy that are often overlooked in the analysis of animal disease. These impacts included production impacts, employment losses (particularly for casual labor), and a reduction in operating capital among slaughterhouses and butchers that slowed the recovery of the livestock sector once the disease had abated. On a macroeconomic basis, we estimated that Rift Valley fever induced losses of over Ksh 2.1 billion (US$32 million) on the Kenyan economy, based on its negative impacts on agriculture and other sectors (transport, services, etc.) alike.’

Read more: An Assessment of the Regional and National Socio-Economic Impacts of the 2007 Rift Valley Fever Outbreak in Kenya, by Karl Rich and Francis Wanyoike. Rich is on joint appointment with ILRI and the Norwegian Institute of International Affairs, in Oslo. ILRI researcher Wanyoike is based in Nairobi. Their paper is published in the American Journal of Tropical Medicine and Hygiene, 83(Suppl 2), 2010, pp. 52–57.

Bird flu threatens countries already in crisis

The deadly H5N1 virus claims its first victim in Iraq while Africa girds itself for a battle against a new pandemic.

BirdFluThreatLive guinea fowl and eggs for sale in a market outside Kano, NigeriaAt the end of January has come news the world was dreading—a preliminary positive report from a US Navy medical laboratory in Cairo of the first death of a person from avian fly in Iraq, a country fighting an insurgency and perhaps in the early stages of civil war. The victim, a girl from Iraq’s Kurdistan region, died two weeks ago in a household that had sick birds; an uncle of hers died later with similar symptoms. With four confirmed deaths of people from avian flu in neighbouring Turkey, where the victims also became infected from sick birds, the fear is that this lethal virus could mutate into a form that can pass from human to human, rather than bird to human as it is normally transmitted now, provoking a flu epidemic that could kill millions of people in a short space of time.

While the fear of avian influenza is keeping some African farmers watchful for sick birds in their flocks, most smallholders are too poor and are facing too many other risks to pay much attention to this flu threat as of yet. African governments, however, are readying themselves. This January, 140 experts from 43 African countries met in Congo’s Brazzaville to draft a blueprint for tackling an outbreak in the world’s poorest continent, already battling AIDS and tuberculosis.

There are fears that avian influenza could spread to the continent via populations of migrating wild birds now residing in eastern Africa to escape the European winter, with the peak of migration being January to March. An outbreak of the lethal H5N1 virus anywhere in Africa’s Horn could spell disaster. More than three-quarters of the people in this region farm for a living and almost all households outside cities keep some chickens. Existing high rates of mortality among domestic birds here will make it hard to detect the virus. Unaware of the risks, villagers would tend to eat birds showing symptoms of the disease. And few African governments would have the resources to pay for culling bird populations and compensating farmers for their losses.

Avian influenza has not been detected in Kenya or any other African country yet. Kenya is close to completing a National Preparedness Plan after a series of weekly meetings by experts, including ILRI immunologist David Mwangi, which started late last year. Kenya has formed a National Avian Influenza Secretariat hosted by the Ministry of Health (MOH) and manned by that Ministry and the Directorate of Veterinary Services (DVS). Dr Mwangi participated in an Avian Influenza National Taskforce meeting in early January, where Kenya’s six-level response system was outlined. Kenya is now in Alert Phase I, which involves surveillance, laboratory support, infection control measures, case management, preparedness and communication and education. A Cabinet paper has been submitted to request funds from the Kenyan Government for this Task Force and donor funds are being sought.

Activities are being conducted now using the limited budgets of the MOH, DVS, Kenyan Museums (whose ornithologists are helping to check wild bird populations for diseased or dead birds), and an office of the US Centers for Disease Control (CDC), whose laboratories at the Kenya Medical Research Institute (KEMRI) include a Biosafety Level-3 Laboratory, the only kind in the country capable of carrying out diagnosis of avian influenza in conjunction with a CDC laboratory in Egypt. Kenya’s frontline national laboratories, KEMRI and DVS, have joined hands in this fight with the Kenya Agricultural Research Institute (KARI) and ILRI to form sub-committees responsible for various work. ILRI is represented on the coordination and resource mobilization team; the surveillance and monitoring team, which are exploiting ILRI’s expertise in epidemiology and geographic information systems; and laboratory support, particularly diagnosis and DNA sequencing and database work.

To read more about ILRI and Kenya plans and activities on this task force, read ‘Bird flu threat still hovers over Kenya’ in the Sunday Nation, 15 January 2005.

The good news is that so far the bird flu virus has remained hard for people to catch. Most human cases acquired their infection during the home slaughtering and subsequent handling (defeathering and eviscerating) of diseased or dead birds before cooking them. The bad news is that in Africa as in Asia, birds are often marketed live, with home slaughtering common, increasing the risk of human infections in areas with outbreaks in poultry. Those buying poultry meat, however, are in no danger because chickens and other poultry are safe to eat if cooked properly.

ILRI agrees with other international organizations that key elements in helping developing countries cope with avian flu outbreaks among animals is strengthening surveillance systems and veterinary laboratories and services, improving people’s access to veterinary services, and providing proper compensation to poultry farmers and marketers for culled birds. World Bank Vice President Jim Adams says that, ‘Experience shows if you get the animal side right, one substantially reduces the risk of a human pandemic.’

With the continuing spread of avian flu beyond its stronghold in Asia, it is clear that combating the disease requires a long-term, internationally coordinated and well-funded effort. That’s why it is good news that donor and international health organizations meeting in Beijing January 17 and 18 pledged US$1.9 billion over the next 3 years to fight bird flu. About $1 billion will be disbursed as grants, the rest as loans. The donors of this massive new program—which include the European Union, United States and World Bank—have set up an Avian Influenza Multidonor Financing Framework to coordinate it.

Read a CGIAR news release and briefing on how the threat of avian flu impacts the developing world.