Mexico H7N3 HPAI Summary

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Mexico H7N3 HPAI 2012-2013 Summary Considerations for the US Poultry Producer WSU Poultry Institute 2013 John P Huntley DVM, MPH DACVPM Area Veterinarian in Charge WA/AK/OR 5 NOV 2013 Acknowledgments and Gratitude Angela Pelzel-McCluskey, DVM Ø USDA, APHIS, Veterinary Services; Regional Epidemiologist Dr. Ernesto Soto Ø AVI-MEX, S.A. de C.V. 2 1

New York State Department of Agriculture & Markets Governor George E. Pataki -- Commissioner Nathan L. Rudgers February 2002 New York State Department of Agriculture & Markets Governor George E. Pataki -- Commissioner Nathan L. Rudgers February 2002 2

New York State Department of Agriculture & Markets Governor George E. Pataki -- Commissioner Nathan L. Rudgers February 2002 New York State Department of Agriculture & Markets Governor George E. Pataki -- Commissioner Nathan L. Rudgers February 2002 3

Hemagglutinin Neuraminidase 4

LP strains HA cleaved by trypsin Pathogenesis of AI Replication at point of entry Respiratory / Intestinal Viremia replication Systemic infection HP strains HA cleaved by furin, PC6 Few basic amino acids (B-X-X-R/) Multiple basic amino acids (B-X-B-R/) Senne, USDA, NVSL Senne, USDA, NVSL Influenza A Virus Hemagglutinin Minimum sequence for high pathogenicity HA1 / HA2-4 -3-2 -1 +1 BASIC ANY BASIC ARG / GLY N-terminus of HA2 C-terminus of HA1 5

History and Background Last outbreak of HPAI in Mexico Ø 1995 H5N2 Extensive vaccination for H5 since 1995 Reported 2011 AI surveillance in Mexico: Ø 315,000 samples collected from commercial flocks, backyard, slaughter surveillance, and other avian sources Ø US surveillance for comparison v 2M birds per year under NPIP v 500K birds per year under LBMS State of Jalisco: Ø 55% of total egg production in Mexico (90 million laying hens) 11 Timeline of Outbreak June 19-20, 2012 Ø Laboratory confirmation of H7 in Jalisco laying flock(s) June 23-25 Ø H7N3 HPAI virus confirmed (IVPI and molecular) Ø 3 infected premises: commercial layers (1 million birds) Ø 500K birds clinical, 300K birds dead from disease, 60K birds depopulated or slaughtered Ø 10K control zone established Ø 85 farms sampled 12 6

14 7

15 Timeline of Outbreak - Jalisco Date (2012) # Premises Infected # Birds on Infected prems. # Birds Dead or Depopulated June 23 3 1 million 360,000 June 29 10 1.7 million 870,000 July 3 24 2.5 million 987,000 July 9 31 3.5 million 2.5 million August 3* 41 10.5 million 6 million August 27 44 11.6 million 10.5 million * Vaccination began 1 st week of August 16 8

Control 18 9

Vaccination and Surveillance H7 Vaccine Ø Vaccination program begun first week in August Ø Made from H7N3 LPAI seed strain; inactivated, emulsified vaccine produced in Mexico Ø Vaccination controlled by SENASICA, applied only in the quarantine zone to non-infected flocks, layers only, 2 dose series; sold to producers at $0.02/dose Ø First batch: 80 million doses; Second batch: 59 million doses (applied in September) Surveillance outside of the zone (all states) Ø 1,059 farms sampled representing 176 million birds Ø 70,981 samples collected serologic and virus NEG 19 20 10

U.S./Mexico/Canada Review At November 2012 visit to Mexico Ø Last infected flock identified August 20th Ø Total of 657 farms sampled with 44 farms positive (92,800 samples collected) Ø 38 layer farms and 6 layer breeder farms infected Ø 22.3 million birds dead/depop (11 million died from outbreak, 11 million depopulated) Ø 128.5 million doses of vaccine used Ø 4 VI positives in wild birds not migratory Ø 4 human cases (conjunctivitis): 2 with H7N3 isolated Ø Estimated economic impact: $638 million USD 21 Questions to Consider Timeline and apparent rate of spread Route of spread Control zone integrity Surveillance methods: control zone; rest of MX Diagnostic capacity and capabilities Disposition of birds slaughter, render, depop Use of vaccination Virus source Exit strategy all activities ceased Dec 31, 2012 22 11

12

Update 2013 Jan 3 rd : 2 infected flocks in Aguascalientes Ø Near the previous zones Ø Commercial layers; one clinical flock, second flock detected on active surveillance; depop 285K birds Jan 24 th : Producers assoc. in Jalisco reports new outbreak on previously vaccinated farm that had been vaccinated only one round instead of two 26 13

27 Update 2013 Feb 12 th : New outbreak in Guanajuato Ø Layer breeder hens with clinical signs Ø Feb 17 th confirmed HPAI H7N3 Ø 9 infected premises identified during epi investigation in Guanajuato (7 breeder farms, 2 layer farms) Ø 650K birds; 35K dead, 53K clinical Ø Depopulation of affected farms Ø Vaccination of breeders and layers begun in Guanajuato Ø Preliminary epi investigation indicates introduction through fomites and biosecurity failures 28 14

Update 2013 May 2013 Ø January-May 2013: outbreaks in Aguascalientes (2), Jalisco (34), Guanajuato (33), Tlaxcala (1 backyard), and Puebla (1 layer) Ø Outbreaks in Jalisco and Guanajuato include layer, broiler, and backyard flocks Ø Vaccination being allowed in quarantined zones and on high-risk premises. Ø Vaccinated premises are to remain quarantined for life of vaccinated birds. 29 15

Update 2013 August 2013 Ø Since May 2013: outbreaks in Aguascalientes (2), Jalisco (5), Guanajuato (6), and Puebla (3) Ø Layer, breeder, broiler, and backyard flocks reported infected Ø Vaccination being allowed in quarantined zones and on high-risk premises. Ø Movement control, depopulation, and vaccination ongoing 31 Risk to the U.S. No importation of poultry or poultry products Risk to border states Ø Hatching egg movements from U.S. to Mexico and return of conveyances Ø Illegal movements of non-commercial birds from Mexico (swaps, sales, game fowl) Risk to other states Ø Movement of U.S. poultry workers/family/friends to and from Mexico Ø Contact with backyard flocks exposed to people with recent travel history 32 16

Discussion: Mitigation Strategies Easy: Movement of U.S. products to Mexico and returning conveyances Ø Enhanced biosecurity and C&D procedures Rather difficult: Illegal movements of birds Ø Increased state/federal/public awareness & surveillance Ø Enhanced state/federal response to calls Nearly impossible: Movement of people Ø Worker re-education; biosecurity enforcement tactics; 72 hour no entry rule Ø Reinforcement of no contact with outside birds rule (by any conceivable method you can imagine) 33 Take Home Appropriate diagnostics Surveillance Ø Testing consistent with control strategy Early detection and decisive action Biosecurity Appropriate use of vaccine Respect for LPAI It takes a village (not Congress) 34 17

Management in a bottle? 35 36 18

Questions? John P Huntley AVIC, WA/OR/AK John.p.huntley@aphis.usda.gov Thank you! 37 19