Tuesday, 7 April 2015

AFRICAN HORSE SICKNESS

AETIOLOGY

Classification of the causative agent African horse sickness (AHS) is caused by a virus of the family Reoviridae of the genus Orbivirus.

EPIDEMIOLOGY

Infectious disease is transmitted by Culicoides spp. that occurs regularly in most countries of subSaharan Africa
At least two field vectors are involved: Culicoides imicola and C. bolitinos
The disease has both a seasonal (late summer/autumn) and an epizootic cyclical incidence, with disease associated with drought followed by heavy rain
Usual hosts are equids: horses, mules, donkeys and zebra
Reservoir host are believed to be zebras

Clinical diagnosis

There are four principal manifestations of disease
In the majority of cases, the subclinical cardiac form is suddenly followed by marked dyspnoea 
Fever (40–40.5°C/104°F–105°F)
Mild form; general malaise for 1–2 days

Subacute or cardiac form

Fever (39–41°C/102–106°F)
Swelling of the supraorbital fossa, eyelids, facial tissues, neck, thorax, brisket and shoulders
Mortality usually 50% or higher; death usually within 1 week Acute respiratory or
pulmonary form
Fever (40–41°C/104–106°F)
Dyspnoea, spasmodic coughing, dilated nostrils with frothy fluid oozing out
Redness of conjunctivae
Mixed form (cardiac and pulmonary)
Occurs frequently
Pulmonary signs of a mild nature that do not progress, oedematous swellings and effusions
Mortality: about 70–80% or greater Lesions
Respiratory form: interlobular oedema of the lungs o hydropericardium, pleural effusion oedema of thoracic lymph nodes petechial haemorrhages in pericardium mucosa and serosa of small and large intestines may exhibit hyperaemia and petechial haemorrhages
Cardiac form: o subcutaneous and intramuscular gelatinous oedema epicardial and endocardial ecchymoses; myocarditis o hemorrhagic gastritis


PREVENTION AND CONTROL
  • No efficient treatment available Sanitary prophylaxis Free areas, regions and countries  Identify the virus and serotype
  • Establish strict quarantine zone and movement controls
  • Consider euthanasia of infected and exposed equids
  • Stable all equids in insect-proof housing, at a minimum from dusk to dawn when Culicoides are most active
  • Establish vector control measures: destroy Culicoides breeding areas; use insect repellents, insecticides, and/or larvicides
  • Monitor for fever at least twice daily: place pyrexic equids in insect-free stables or euthanize
  • Consider vaccination o identify vaccinated animals o available vaccines are attenuated produce viraemia, and may theoretically reassort with the outbreak virus may be teratogenic Affected areas, regions and countries
  • Annual vaccination
  • Vector control
References

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