Outbreak of Influenza A Virus in Farmed Mink

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Outbreak of Influenza A Virus in Farmed Mink Mariann Chriél, T. H. Jensen, C. Hjulsager, L. E. Larsen, J.F. Harslund, L. Rangstrup-Christensen, B. Pedersen, A. S. Hammer Center for Fur Animal and Wildlife disease National Veterinary Institute, Technical University of Denmark OFFLU Technical Meeting 16-17 November 2010, Rome Mink production in Denmark Organized in a cooperative Danish Fur Breeders Association Auction house 1,700 mink farms 2,7 mill breeders 13,5 mill mink skin produced 5.5 kits per female 9 % barren females 2 DTU Vet, Technical University of Denmark 1

Mink feed production in Denmark 14 producers of fresh mink feed (12 cooperatives) Main ingredients: fish, chicken, and wheat Complete declaration Use of raw pig slaughter plucks ceased by October 2010 3 DTU Vet, Technical University of Denmark Previously reported clinical outbreaks in mink Japan (1981) H3N2, H1N1 (serology) Human(?) (contact) Sweden (1984) H10N4 Avian (contact mallard and fowl) Canada (2007) H3N2 Porcine (feed) 4 DTU Vet, Technical University of Denmark 2

Clinical findings in Danish outbreak 2009 Increased number of submissions to VET-DTU in August 2009 Farmers report sneezing and coughing mink Carcasses in normal condition for the time of year Macroscopic finding: pneumonia associated with isolation of haemolytic E. coli Resembles post-mortem findings associated with Pseudomonas Aeroginosa hemorrhagic pneumonia with necrotic areas Histological indications of a primary viral infection No impact of antimicrobial treatments 5 DTU Vet, Technical University of Denmark Lungs from affected mink 6 DTU Vet, Technical University of Denmark 3

Diagnostic tests for Influenza in 2009 29. September Carcasses received at VET-DTU 2. October 3. October 8. October 16. October PCR-positive tests (conventional PCR and real-time PCR). Culturing in SPF eggs initiated Sequenced material show high similarity to the matrixgene of influenza. Highest similarity is to A/swine/Sweden/1021/2009(H1N2) but inconclusive Culture of virus in eggs is not possible due to massive growth of E. coli in samples. Cell culture is tried. Samples are submitted to SSI for full-genome sequencing and typing. Confirmation of Influenza type A (H3N2). The result demonstrated human/swine reassortant. 7 DTU Vet, Technical University of Denmark Impact of outbreak A total of 25 farms have been diagnosed with Influenza in 2009. No serology have been carried out Initial cases associated with one feed producer. The remaining farms not associated around first cluster 8 DTU Vet, Technical University of Denmark 4

2009 9 DTU Vet, Technical University of Denmark Impact of outbreaks A total of 25 farms have been diagnosed with Influenza in 2009. No serology have been carried out Initial cases associated with one feed producer. The remaining farms not associated around first cluster High morbidity rate but low case fatality rate 10 DTU Vet, Technical University of Denmark 5

Reported mortality rate in 10 farms 11 DTU Vet, Technical University of Denmark Impact of outbreaks A total of 25 farms have been diagnosed with Influenza in 2009. No serology have been carried out Initial cases associated with one feed producer. The remaining farms not associated around first cluster High morbidity rate but low case fatality rate No reports of human spread Restrictions put on all infected farms until clinical symptoms were absent 12 DTU Vet, Technical University of Denmark 6

Conclusion Based on experimental studies from Japan in the 70-ies and 80-ies mink are susceptible to most Influenza types However, rare to observe clinical symptoms in farmed mink Negative association between farm size and the mortality rate Suspected mink feed was contaminated with porcine influenza virus after use of raw slaughter swine plucks No reported spread to humans 13 DTU Vet, Technical University of Denmark 14 DTU Vet, Technical University of Denmark Thanks for your attention 7