Showing posts with label zoonotic. Show all posts
Showing posts with label zoonotic. Show all posts

Tuesday, June 05, 2012

Red Fox as Weapons of Mouse Destruction



If you use the slightest bit of common sense, the chance of getting rabies from a raccoon, fox, possum, skunk or groundhog is very low, even if you work your terriers to such quarry year-round.

The chance of getting Lyme disease is a little bit higher, but it too is a very rare problem -- far rarer than most people think.

Lyme disease was first identified in Old Lyme, Connecticut in the 1970s. This zoonotic disease is passed to humans by blacklegged deer ticks which are infected with the spiral-shaped Borrelia burgdorferi microbe.

The illness was probably around a long time before being discovered, but prior to the 1970's it was rare enough that no one bothered to name the illness, much less study it.

Then, beginning in the early 1970s, the deer population in the Middle Atlantic and Northeastern United States began to grow rapidly. At the same time, more and more people began moving into the country, generally onto small farms located next to small woods.

Small woods in the Eastern U.S. are often dominated by young oak trees, and these same small woods serve as daytime shelter for fairly dense deer populations of 50-200 animals per square mile (as compared to 25 per square mile in pre-Columbian times).

Very dense deer populations are possible in the eastern U.S. because the deer are able to feed at night in nearby hay, corn and soy fields.

The proximity of houses to shelter-belt forests means deer jungled up in these woods are safe from hunters who cannot legally fire weapons in such close proximity to occupied buildings.

Most people assume deer are the primary reservoir for Lyme disease, but scientists now believe the primary reservoir for is not deer, but something quite a bit smaller -- the whitefooted mouse.

Ticks are not born with Lyme disease. The Borrelia microbe is not passed from female tick to egg, but from Borrelia-infected mammal host to blacklegged deer tick, and from the tick to humans as part of the multiple-host lifestyle of all ticks (for more on that, see >> here).

Almost all whitefooted deer mice have Borrelia coursing through their veins. In addition, almost every tick that bites a whitefooted mouse ends up carrying Borreleia. For reasons not yet understood, other Borrelia-infected animals do not pass Borrelia on quite so easily. While possums, raccoons, fox, coyotes and most birds can carry Borrelia, and often host deer ticks as well, the ticks that feed on these animals become infected with Borrelia only 10% of the time as compared with a 90% infection rate for whitefooted mice.

Clearly, a key component to controlling Lyme disease is reducing the number of whitefooted mice in an area.

Mice populations, it turns out, tend to explode with acorn production which tends to be cyclical. In high-mast years when the ground is littered with vast numbers of acorns, the whitefooted mouse population in small oak woods will explode, and with it the incidence of Lyme disease in an area. Deer coming into these woods pick up the ticks and ensure their dispersal while supplying the tick with a large blood meal (absent a human host).

Obviously, ending acorn production in the Eastern woods is not in the cards. So what else can be done?

One thing that seems to reduce mice populations is to increase the degree of ecological diversity in an area. As the variety of plant sources increase, the popualtions of meso-predators such as possums, raccoons, fox and coyote tends to increase, and with it a decline in mice populations.

Predators, such as fox, are impotant to keeping whitefooted mice populations -- and to some extent Lyme disease -- in check. Fox are highly mobile predators that continuously suppress mice populations all year long. In the absence of mice, fox easily switch to berries, crickets and grasshoppers, young rabbits, voles, and even roadkill and garbage. When mice populations do rise, however, a few red fox can go a long way towards knocking their numbers back down again.

How many mice can a fox eat in a year? If it eats little else, a fox can knock off about 5,000 mice a year. That's not enought to eliminate Lyme disease in an area, but it can have a significant impact, and every little bit helps.

What else can be done? In many areas more deer culling needs to be done, especially of does. With a reduction in deer densities, forest understory has a chance of growing back in, and with it will come an increase in bird populations and other non-mouse fauna.

Such simple precautions such as spraying your pants with bug spray before going out walking in forest and field can help reduce the chance of tick-borne infection quite a lot, as can mowing walking paths short. Move brush piles and firewood stacks away from the house as they are havens for mice populations. After returning from a day in the field, check yourself over for ticks, paying especially close attention to areas you do not normally look at, such as the back of your legs and your back and neck.

If you find a tick, do not worry -- a tick has to feast on you for three days or so before it is able to transmit Borrelia. If a tick bite, or a bite from an unknown bug, develops a large red ring around it, see a doctor immediatly or (if you have doxycline in your vet kit) take a 3-day regime of doxycline. Lyme disease generally very easy to treat in its early stages with a simple one or two-week regime of antibiotics.

And, of course, practice agressive flea- and tick-prevention on your dogs. I hunt most weekends and generally wash the dogs with a low-cost flea shampoo after they return. A few days later I look them over pretty carefully to see if they have any ticks on them that I might have missed while washing them (it helps to have smooth coated dogs!). Other folks use Frontline. Whatever works for you is fine.

The most important element of flea and tick control is vigilance -- paying close attention, on a daily basis, to your dogs. Simply running a hand over their coats once a day will tell you a lot, and not just about ticks, but about weight gain and muscle tone as well.

The Red Fox: the ultimate weapon of mouse destruction.
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Thursday, April 30, 2009

Will Swine Flu Be an Economic Tipping Point?



Pandemics have been with us for a long time, are ongoing, and have never gone away.

Anyone heard of malaria, HIV, cholera, or tuberculosis?

All are huge killers, with millions dying every year across the globe, and no one blinks.

Regular-old influenza is a seasonal pandemic we have already normalized.

Consider this: in the average year, 30,000 to 50,000 people die in the U.S. from the flu, and across the globe the death toll is about 20 to 30 times that.

Ho hum. Let us bury the dead, stay calm and carry on.

So what's new about the swine flu pandemic that has everyone aflutter?

Well for one thing, the speed of transmission is pretty darn impressive.

A hat tip to the airlines and mass transit which have helped make that possible.

Another issue is that this stuff may be pretty virulent. We don't have a good denominator to work with yet, so we're not sure, but there's some small sign this strain of flu might be a bit stronger than the stuff we normally see. That, combined with the speed of transmission, gives epidemiologists a reason to worry.

The good news is that we are not living in the world of 1918.

We have better communications, better monitoring abilities, and more health care interventions than we did back then.

The bad news is that today's flu is being spread much faster, and our vaccine-producing technologies are still very old-fashioned, very slow, and very labor-intensive.

The bottom line here is that there is no way to make enough vaccine to stop a pandemic once it begins to really roar down the track.

We will just have to ride it out.

Another bit of bad news is that our crowded world has become a particularly flu-friendly place, and we are likely to see more of this kind of thing in the future.

As a 2005 article entitled "Preparing for the Next Pandemic, put it:


It is sobering to realize that in 1968, when the most recent influenza pandemic occurred, the virus emerged in a China that had a human population of 790 million, a pig population of 5.2 million, and a poultry population of 12.3 million; today, these populations number 1.3 billion, 508 million, and 13 billion, respectively. Similar changes have occurred in the human and animal populations of other Asian countries, creating an incredible mixing vessel for viruses.

Another bad sign
is that the current flu epidemic appears to be striking a disproportionately high number of healthy people between the ages of 18 and 40 years, which suggests a virus-induced "cytokine storm" may be occurring inside today's swine flu victims.

In a cytokine storm, the human immune system is pushed over the edge, and an auto-immune "do-loop" leads to acute respiratory distress syndrome, and that can lead to the kind of death knell numbers we saw back in 1918. As Michael Osterholm noted back in 2005:

If we translate the rate of death associated with the 1918 influenza virus to that in the current population, there could be 1.7 million deaths in the United States and 180 million to 360 million deaths globally.

So should we all be freaking out?

  • No.


  • Yes.

Paradoxically, both answers can be true at the same time.


The chance of any one individual actually dying from swine flu, even under a worst-case scenario, is not very high.

That's the good news.

Relax.

The bad news is that a real pandemic could lead to schools and offices shutting down, restrictions on airplane travel, and a shuttering of subway and train lines.

Add to that economic catastrophe, a further drop in productivity due to people getting sick, and well people being forced to stop work in order to take care of family members who are sick, and the undertow of an economic vortex could be set in motion.

Panic!


What if the next pandemic were to start tonight? If it were determined that several cities in Vietnam had major outbreaks of H5N1 infection associated with high mortality, there would be a scramble to stop the virus from entering other countries by greatly reducing or even prohibiting foreign travel and trade. The global economy would come to a halt, and since we could not expect appropriate vaccines to be available for many months and we have very limited stockpiles of antiviral drugs, we would be facing a 1918-like scenario.

.... we could vaccinate fewer than 500 million people — approximately 14 percent of the world's population. And owing to our global "just-in-time delivery" economy, we would have no surge capacity for health care, food supplies, and many other products and services. For example, in the United States today, we have only 105,000 mechanical ventilators, 75,000 to 80,000 of which are in use at any given time for everyday medical care; during a garden-variety influenza season, more than 100,000 are required. In a pandemic, most patients with influenza who needed ventilation would not have access to it.

We have no detailed plans for staffing the temporary hospitals that would have to be set up in high-school gymnasiums and community centers — and that might need to remain in operation for one or two years. Health care workers would become ill and die at rates similar to, or even higher than, those in the general public. Judging by our experience with the severe acute respiratory syndrome (SARS), some health care workers would not show up for duty. How would communities train and use volunteers? If the pandemic wave were spreading slowly enough, could immune survivors of an early wave, particularly health care workers, become the primary response corps?

Health care delivery systems and managed-care organizations have done little planning for such a scenario

Bottom line: An already weakened global economy could be pushed into a very serious free fall.

... Or not.

After all, as I noted at the beginning of this post, the world is being assailed by "pandemics" all the time, and yet we, as a species, continue to roll forward without too much of a hitch in our giddy up.

Death? That old thing?

Who cares about AIDS, or cholera, or malaria?

Let's talk about something interesting, like Mel Gibson's divorce.

Of course, that will change quickly if over-educated white people start dying by the train full. Then it really will be time to panic!

That said, I seriously doubt that swine flue will be the Last Waltz.

Let us remind ourselves, however, that unless we change the way we do business, there will be a Last Waltz some day, and disease will be part of that.

As Issac Asimov noted in a speech entitled "The Future of Humanity,"


"There is no need to decide whether to stop the population increase or not.

There is no need to decide whether the population will be lowered or not.

It will, it will!

The only thing mankind has to decide is whether to let it be done in the old inhumane method that nature has always used, or to invent a new humane method of our own [i.e. family planning and birth control].

That is the only choice that faces us; whether to lower the population catastrophically by a raised death rate, or to lower it humanely by a lowered birth rate.

And we all make the choice."

Right.

Or as I like to put it: "If we continue to breed like rats, then one day we are sure to die like flies."

In the interim, however, please pass the bacon.

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Friday, April 24, 2009

Swine Flu and the Next Pandemic



Back in 2005, I noted that the next major global pandemic was likely to come out of China or Southeast Asia due to the fact that the Chinese routinely mix the excrement of humans, pigs, fish and fowl and then dose it with massive amounts of antibiotics in order to keep fish healthy in over-crowded fresh-water aquaculture ponds

Now comes word that 5 new swine flu cases have appeared in California and Texas, and that "the unusual strain of the respiratory infection is spreading from person to person."

Right.

The Center for Disease Control says "We don't think this is time for major concern around the country."

They are probably correct.

That said, this is how it will start, mark my words.

  • Follow Up:
    It looks like things are heating up, Voice of America reports: "Mexican and U.S. officials are taking emergency steps to contain the possible outbreak of a new multi-strain of swine flu that has killed at least 20 people and may be responsible for scores of other deaths.Mexican health officials confirmed at least 20 deaths associated with the new flu strain Friday and ordered the most sweeping shutdown of public gathering places in decades. Authorities closed schools, museums, libraries and theaters in the capital, Mexico City, to try to contain any possible outbreak. Many people in the capital were wearing face masks while in public. Authorities say 1,000 people have become ill."

    Without being too alarmist, this thing is spreading way too fast and it is not too benign and it is not even normal flu season. Not good. Even more not good is that New York health officials began testing 75 students at a Queens school on Friday, suspecting flu.

    "The new virus has genes from North American swine influenza, avian influenza, human influenza and a form of swine influenza normally found in Asia and Europe, said Nancy Cox, chief of the CDC's Influenza Division."

  • Related Posts
    ** Populations, Oceans and Influenza
    ** Sharing Death and Disease Across Species
    ** China, Export Fish, Antibiotics & the Next Plague

Friday, August 01, 2008

Sharing Death and Disease Across Species




A zoonotic disease is a disease that originates in wildlife and which has a reservoir in a wild population of animals, but which leaps the species barriers and can be transferred to humans.

Unlike diseases that reside only in humans, diseases that reside in both humans and wild animal populations are just about impossible to eradicate. The bad news is that there are a tremendous number of such diseases, and the number of them is growing every year.

Malaria -- an old zoonotic disease -- still kills 2 million people a year, while HIV/AIDS is a newer pathogen that has killed 25 million people so far, with another 55 million people (or more) infected worldwide.

The Bubonic plague is an old zoonotic disease, while a newer one is Mad Cow disease, to which can be added SARS, West Nile, and Ebola hemorrhagic fever.

When I was a kid there was no such thing as Lyme Disease in either humans or dogs, but now Lyme disease is one of the most commonly diagnosed diseases here in the Eastern United States.

Meanwhile, it seems a day cannot go by when a rabid fox or raccoon story does not appear in the press somewhere in the United States.

The total number of zoonotic diseases is unknown, but of the 1,415 known human pathogens in 2001, 62% were of zoonotic origin. A quick summary of the vectors for some of the more common zoonotic diseases:


  • Bubonic Plague is caused by a bacterium transmitted to humans from black rat fleas. A possible epidemic of bubonic plague is described in the First Book of Samuel, and the so-called Black Death which emerged in the 14th century killed approximately one third of Europe's population. The prairie dog towns of the Western U.S. became infected with the bubonic plague after Chinese immigrants brought the disease to the U.S. after 1900.

  • Rabies was described among hunting dogs in Mesopotamia as early as 2,300 BC, and accounts of the disease can be found in early Chinese, Egyptian, Greek, and Roman records. Any mammal can have rabies, but in the U.S. it is most common in feral cats, skunks, bats, fox and raccoons. That said, a groundhog was recently found in Pennsylvania with rabies.

  • West Nile Virus is a kind of encephalitis and may have been what killed Alexander the Great, as crows were reported to have died at his feet. In 1999, West Nile virus was introduced into the US, thanks to the introduction of the tiger mosquito which came to the U.S. in a load of tires from Asia. West Nile now strikes rare birds in zoos (especially perching western hemisphere birds such as parrots, eagles, hawks and cormorants) as well as bird feeder birds, horses and humans. The disease is named after a section of Uganda where it was first found.

  • Tularemia is transmitted by skin contact with an infested, diseased, or dead hare, rabbit or rodent.

  • Hantavirus is spread from rodents to humans by aerosols composed of dust from rodent scat. It is rare, but a concern in the driest parts of the American southwest, especially after wet (or relatively wet) winters and springs.

  • Salmonella is generally transmitted to humans through contaminated water reserves and can come from a wide variety of animals, but especially turtles and other reptiles and amphibians.

  • Leptospirosis ("rat catcher's jaundice") is generally transmitted to humans who drink water into which a rat has urinated. It can also be transmitted to dogs, pigs and other farm stock.

  • Rift Valley Fever is spread by mosquitoes, as is equine encephalitis, and Japanese encephalitis.

  • Leishmania is spread by sand-flies.

  • Typhimurium occurs endemically in wild birds, causing sporadic cases and small outbreaks in humans.

  • Anthrax is primarily a disease of herbivores, but it can be transmitted from wildlife to humans by contaminated meat or water, or by the spread of spores by flies, vultures, and other scavengers.

  • Lyme disease comes from ticks that feed on rodents and deer.

  • Bovine Tuberculosis can be spread from cattle to humans, and frequently finds a refuge in badgers, possums, wild boar, feral pig, and deer.

  • Echinococcosis comes from tapeworms, and moves easily from canids to humans. Fox are particularly susceptible to this parasite as small rodents are the intermediate host.

  • Monkeypox is a disease caused by a pox virus that typically occurs in Africa where the African squirrel is the natural host. The disease now occurs among prairie dogs in the United States, thanks to the importation of African rodents for the pet trade.

  • Severe acute respiratory syndrome (SARS) is a viral respiratory illness that is believed to have originated in palm civet cats, raccoon dogs, and rats. It has not yet shown up in wild animal populations in the U.S.

  • Influenza (the flu) has been reported in a variety of animal species, including birds, humans, pigs, horses, and sea mammals, but its main reservoir seems to be wild waterfowl, especially ducks.

  • AIDS is caused by the HIV virus, which appears to be a variety of Simian Immune-Virus (SIV) which may have spread to humans from nonhuman primates in West Africa -- perhaps due to consumption of meat, or infection from monkey blood during slaughter.

  • The common cold is a virus that scientists now believe originated in horses.



Humans are not the only species impacted by emerging diseases leaping the species barrier.

Black-footed ferrets have been decimated by distemper that has crossed over from wild dog populations, as have seals and sea lions.

Frogs and many other amphibians around the globe have been decimated by diseases brought into new habitats -- often by scientists coming to study the creatures.

Lowland gorilla populations are being hammered by Ebola hemorrhagic fever, while elk and deer in the western U.S. are falling to chronic wasting disease very similar to Mad Cow disease.

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Friday, June 29, 2007

China, Export Fish, Antibiotics & the Next Plague



The FDA is blocking imports of Chinese farm-raised seafood after finding 25% had residues of illegal antibiotics and chemicals. (FDA Statement)

I am glad to see the FDA taking this step as it is a good first step toward reducing the threat of a global pandemic caused by putting huge quantities of antibiotics into farm-raised fish. For more on that (and why it is a more serious problem in China that elsewhere), see >> Populations, Oceans and Influenza and Sharing Death and Disease Across Species

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