in Vietnam Under the OIE/Japan Trust Fund Project (JTF) for Strengthening HPAI Control Hanoi, 2-3 October 2012

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Influenza A virus Prevalence Studies in Poultry in Vietnam Under the OIE/Japan Trust Fund Project (JTF) for Strengthening HPAI Control in Asia, 2008-2012 Kenji Sakurai OIE Asia Pacific Kenji Sakurai, OIE Asia-Pacific Hanoi, 2-3 October 2012

Areas studied in Vietnam North: 4 times Target species: Domestic Target premises: (1) Small scale farms (backyard) (2) Live bird (poultry) markets Condition: Poultry without vaccination against H5N1 South: 6 times

Small scale farms-1 Backyard poultry Backyard poultry Household poultry

Small scale farms-2 Backyard poultry Household poultry One species

Live bird markets (LBMs) Wet markets Retail Markets Different species are mixed up. Slaughtering & processing

North Vietnam Nam Dinh province

Sample collections in North Vietnam Category 1 st R Mar. 09 2 nd R Jan. 10 3 rd R Sep. 11 4 th R Apr. 12 Total Domestic bird 350 375 600 600 1,925 Wild bird 77 111 0 0 188 Environment 46 11 0 0 57 The environmental samples constituted pond water and/or dead wild bird. All samples were taken from healthy birds.

In Sep 2011 (3 rd round) Sample collections in North Vietnam Sample collections were focused on domestic. Table-1 No. of premise No. of bird per premise Duck Muscovy Chicken Total Backyard 15 20 280 20 0 300 Live bird market 15 20 280 20 0 300 Total 30 - In April 2012 (4 th round) Table-2 No. of premise No. of bird per premise 560 40 (93.3%) (6.7%) 0 600 Duck Muscovy Chicken Total Backyard 15 20 254 36 10 300 Live bird market 17 10-20 245 11 44 300 Total 32-499 47 54 (83.2%) (7.8%) (9.0%) 600

AI virus isolation in North Vietnam!HPAI/LPAI viruses were isolated from healthy poultry. No. 50 of isolate 40 LPAI HPAI H5N1 10 30 20 35 10 0 1 0 0 5 2009 2010 2011 2012

AI virus isolation in North Vietnam Subtype 4 subtypes in Sep. 2011 8 subtypes in Apr. 2012 March 09 Jan. 10 Sep. 11 Apr. 12 No. of isolate 0 0 6 45 HPAI Nil Nil H5N1 (1) H5N1 (10) H3N8 (1) H3N2 (10) H4N2 (1) H3N6 (8) H6N6 (3) H3N8 (2) LPAI Nil Nil H4N6 (4) H6N6 (6) H9N2 (4) H11N9 (1) Note: Figure in parenthesis shows the number of isolate.

AI virus isolation in North Vietnam All the HPAI H5N1 viruses were isolated from LBM. Backyard No. of isolate Sep 2011 April 2012 Total HPAI (H5N1) 0 0 0 LPAI 0 13 (4.3%) 13 Total No. of bird surveyed 300 300 600 Live bird market (LBM) No. of isolate Sep 2011 April 2012 Total HPAI (H5N1) 1 (0.3%) 10 (3.3%) 3%) 11 LPAI 5 (1.7%) 22 (7.3%) 27 TtlN Total No. of bird surveyed 300 300 600

No. isolate 60 50 40 AI virus isolation in North Vietnam 75% of HPAI & LPAI isolates were from LBM. Backyard LBM 30 20 32 38 10 0 6 13 13 Sep. 2011 Apr. 2012 Total

South Vietnam C : Dong Thap A : Bac Lieu B : Ca Mau

Sample collections in South Vietnam AI virus studies have been conducted 6 times focused on domestic duck including Muscovy. Samples were taken from healthy birds. Category 1 st R 2 nd R 3 rd R 4 th R 5 th R 6 th R Apr. 09 Mar. 10 Oct. 10 Feb. 11 Oct. 11 Feb. 12 (A) (A) (A) (B) (B) (C) Total Domestic bird 300 300 300 400 600 600 2,500 Wild bird 105 107 0 111 0 96 419 Environment 84 20 0 32 0 10 146 Note: A : Bac Lieu province, B : Ca Mau province, C : Dong Thap province

AI virus isolation in South Vietnam Domestic were commonly infected with LPAI viruses. LPAI 1 st R Apr. 09 2 nd R Mar. 10 3 rd R Oct. 10 4 th R Feb. 11 5 th R Oct. 11 6 th R Feb. 12 Total (A) (A) (A) (B) (B) (C) 39 1 25 12 53 22 152 (13.0%) (0.3%) (8.3%) ( 3.0%) ( 8.8%) ( 3.7%) ( 6.1%) HPAI H5N1 0 0 0 1 15 4 20 (0.3%) (2.5%) (0.7%) (0.8%) No. of bird 300 300 300 400 600 600 2,500 Note 1: A : Bac Lieu province, B : Ca Mau province, C : Dong Thap province Note 2: Figure in parenthesis shows the prevalence of AI virus infection.

AI virus isolation in South Vietnam Subtype of isolates Different subtypes of LPAI viruses were isolated from. 1st 2nd 3rd 4th 5th 6th No. of isolate 39 1 25 13 68 26 HPAI Nil Nil Nil H5N1 (1) H5N1 (15) H5N1 (4) LPAI H3N2 (1) H3N8 (1) H4N6 (7) H9N6 (1) H6N2 (24) H6N6 (1) H6N2 (7) H11N5 (1) H11N9 (2) H3N6 (1) H3N8 (7) H4N6 (4) H4N6 (1) H6N2 (1) H7N1 (2) H9N2 (26) H12N5 (2) H6N2 (39) H9N2 (12) H11N3 (3) H6N9 (2) H9N8 (2) H11N9 (1) H10N7 (1) H10N8 (1) H11N3 (2) Note: Figure in parenthesis shows the number of isolate.

AI virus isolation in South Vietnam HPAI H5N1 viruses were isolated exclusively from healthy at LBM. Table-1 No. of bird Backyard 1,440 LPAI No. of isolate H5N1 Backyard 1,440 33 (2.3%) 0 (0%) Live bird market (LBM) # 1,060 119 (11.2%) 20 (1.9%) #: One slaughter point is included. Number of AI isolate Table-2 1st 2nd 3rd 4th 5th 6th Total Backyard 25 0 0 0 3 5 33 LBM 14 1 25 13 (1) 65 (15) 21 (4) 139 (20)

AI virus isolation in South Vietnam No. isolate 140 80% of AI isolates were from LBM. Backyard Live bird market 120 139 80 60 40 20 0 65 14 25 1 25 13 21 33 3 5 Apr. 09 Mar. 10 Oct. 11 Feb. 11 Oct. 11 Feb. 12 Total

AI virus isolation in South Vietnam by type of premise Poultry in LBMs are likely to be infected with influenza A viruses at higher rate than ones in backyard farms. Number of premise tested positive for AI virus Farm Market Table 4 th R (Feb 2011) 5 th R (Oct 2011) 6 th R (Feb 2012) Total No. of farm 0 1 1 2 Positive rate 0 6.7% 6.2% 4.4% No. of market 5 (1) ( ) 11 (4) ( ) 7 (2) ( ) 23 (7) ( ) Positive rate 33.1% (6.7%) 73.3% (26.7%) 46.7% (13.3%) 51.1% (15.6%) Note1: Number of premise surveyed in each round was each 15 premises for both Backyard farms and LBMs. Note2: Figure in parenthesis shows the number of HPAI H5N1 positive case.

Some key findings and observations 1. All the H5N1 HPAI viruses have been isolated exclusively from healthy at live bird markets (LBMs). 2. However no H5N1 HPAI virus has been isolated from at a farm s level. 3. This fact suggests that and LBMs play an important role in the circulation of HPAI H5N1 virus in the environment. 4. Different subtypes of LPAI viruses have also been isolated from at LBM more frequently than ones at small scale farms. 5. This fact suggests that at LBMs are likely to be infected with LPAI viruses higher than ones at farms. 6. Infection with LPAI viruses may give partial immunity to H5N1 virus, which may protect from contracting the disease and succumbing to HPAI H5N1 virus.

(Facts) Facts and Assumption Most of the poultry at LBMs come from small scale farms. Farms and LBMs were selected at random for sample collections. (Assumption) HPAI virus would be isolated from both markets and farms. The prevalence of LPAI infection in farms would be similar to that in The prevalence of LPAI infection in farms would be similar to that in markets.

Farms Prevalence of H5N1 at a farm s level = 10 % Prevalence of H5N1 at a flock s level = 10 % Farms 10 10 1 positive duck 10 10 LBM 10 10 10 1 positive 10 10 Prevalence of H5N1 = 1% 10

Sample collections: 10 /premise 10 Farms [10% x 10% x 10 x 10 farms] 1 positive duck out of surveyed 10 LBMs [1% 10 d k 10 LBM ] [1% x 10 x 10 LBMs] 1 positive duck out of surveyed

(Findings) Findings and Questions However, H5N1 virus was isolated exclusively from LBMs, but no H5N1 virus from small scale farms. LPAI viruses were also frequently isolated from at LBM. (Questions) (Q1) Why the prevalence of LPAI virus infection in LBM seems to be much higher than that in small scale farm? (Q2) Why the prevalence of H5N1 virus infection in LBM seems to be (Q2) Why the prevalence of H5N1 virus infection in LBM seems to be much higher than that in small scale farm?

Just the tip of the iceberg!

HPAI H5N1 situation Iceberg Tip of the iceberg Outbreaks Reported Passive surveillance Unreported Surface of the water farms Subclinical Infection Active surveillance LPAI virus Duck population Virus circulation Markets

(Q1) How we could break the virus circulation gradually and steadily to reduce the risk of H5N1 in Asia at a regional level? (Q2) What actions should be undertaken in the next 5 years ( ) y in Asia at a regional level?

Acknowledgements Department of Animal Health of Vietnam (DAH) National Centre for Veterinary Diagnostics of Vietnam (NCVD) Regional Animal Health Office No. 7 of Vietnam (RAHO-7) Sub-Department of Animal Health in Nam Dinh, Bac Lieu, Ca Mau, and Dong Thap provinces FAO-Vietnam Hokkaido University (OIE Reference Lab for HPAI in Japan) National Diagnostic Centre of Animal Quarantine Service of Ministry of Agriculture, Forestry and Fisheries of Japan (MAFF) MAFF-Japan (Donor of the Project)

Thank you for your attention.