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Zoonotics and the environment. Zoonotic. Jump or spillover of an animal disease to humans 60% of all human infectious diseases currently known either cross routinely or have crossed between other animals and us in the past
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Zoonotic • Jump or spillover of an animal disease to humans • 60% of all human infectious diseases currently known either cross routinely or have crossed between other animals and us in the past • Yellow fever, Lyme disease, mad cow disease, West Nile virus, Ebola virus, dengue fever, malaria, Hanta virus…
How does zoonotic disease differ from non-zoonotic disease? • Not zoonotics: • Smallpox • Viral, spread by contact with pustules, and indirectly thru contact with infected materials • Poliomyletis (polio) • Viral, spread from droplets from cough or sneeze as well as contact with feces • Zoonotics • Rabies • Viral, spread by contact with fluids via breaks in skin • Seasonal influenza (flu) • Viral, spread by aerosols from cough or sneeze
Variolation Innoculation VaccinationEradication
Declared eradicated in 1980 • No animal host since it is not a zoonotic • Immunization of humans led to its disappearance outside of remaining laboratory stockpiles
http://www.youtube.com/watch?v=uskccZNIxS8 http://www.youtube.com/watch?v=Rp7fo2QB9E8 Nigeria, Pakistan, Afghanistan, and Somalia
Zoonotics require one or more reservoir hosts • These are organisms infected with a zoonotic pathogen but are asymptomatic • Helps zoonotic pathogens distribute themselves and reproduce • Multiple host organisms make it likely that pathogens will mutate and undergo molecular changes that may make it more or less lethal • Animal reservoirs make it difficult to eliminate zoonotic pathogens completely.
Rabies virus • Bite from dogs (95% of all cases), cats, raccoons, skunks, foxes, bats • Not a cause of death in the developed world, but high public health costs ($300 million annually) in US • Where public health system has collapsed, rabies is associated with mortality • 55,000 deaths annually in Asia and Africa
Preventable zoonotic disease • Rabies is a good example of a preventable zoonotic disease. Another example is African sleeping sickness carried by the tsetse fly • Public health systems that are able – financially as well as politically – to monitor and respond to human and animal disease reduce transmission, mortality, and suffering • Nature of emerging zoonoses also differs
What is the difference between the types of zoonotic disease in rich and poor countries? http://www.cdc.gov/outbreaks/
Influenza: an example of a zoonotic that is less preventable
Types of seasonal influenza • Three basic types of influenza viruses: A, B, and C. • Influenza B and C viruses only infect humans • Only influenza A viruses infect nonhuman hosts • Epidemics of seasonal influenza occur due to influenza A or B viruses.
Naming influenza A viruses (H1N1, H3N2…) • H and N refer to hemagglutinin and neuraminidase. • These are antigens, proteins that provoke the human immune system to produce antibodies • Antigens are categorized according to antibodies that respond to them. • There are 17 known hemagglutinin subtypes for influenza A (H1 to H17) and 10 known neuraminidase subtypes (N1 to N10).
Naming influenza A viruses (H1N1, H3N2…) http://www.cdc.gov/flu/about/season/vaccine-selection.htm • Flu vaccination is a preventative stimulation of your body to produce antibodies to a particular combination of H and N subtypes predicted to be abundant during flu season • Antigenic shift – emergence of novel H and N proteins for which there is no immunity
Center of origin for influenza • Most seasonal influenza originates in Asia where there there is a high density of poultry and humans in close proximity. Undomesticated waterfowl may also carry and transmit influenza A. • Thus far, H1, H2, and H3 of influenza A are known to cause pandemics
H7N9: a new influenza A virus that emerged in 2013. 30% mortality rate. • So far, H7N9 has not spread from person to person, so no pandemic • Emergence of H7N9 virus led to closing of poultry markets and culling • Closing of markets judged successful from disease standpoint
Influenza has a high potential for pandemic • H and N antigens can evolve that we do not have antibodies • 16 x 9 = 144 pairings • Multiple animal hosts • Different viral subtypes within an animal can lead to viral reassortment • Mutation of RNA segments
Spanish Influenza of 1918 • One third of Earth’s population infected • 20-50 million deaths worldwide • 675,000 deaths in the United States with unusually high death rate among healthy adults 15 to 34 yrs
Influenza in your future: • A global pandemic at some point seems likely • World-wide monitoring networks in place • Poverty may enhance its spread by limiting detection