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The store that reported illness in the degu did not report illness in chinchillas. 6/12 chinchillas, 11/21 degus and 23/70 gerbils remained for ...
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1. Tularemia in Imported Hamsters
Laura MacDougall, MSc Epidemiologist, BCCD
2. Tularemia - Overview
Bacterial zoonosis caused by Fransicella tularensis Multiple routes of infection Clinical signs and severity of illness depend on route of transmission and strain Type A and Type B
3. Tularemia - Overview (2)
F. tularensis biovar tularensis (type A) Highly virulent in humans and animals Most common biovar isolated in North America Typically associated with rabbits, muskrats, beavers F. tularensis biovar palaearctica (type B) Generally less virulent Most common biovar in Europe and Asia Typically associated with rodents or wet environments
4. The Phone Call
Sept 29, 2004 Manitoba Health informs BCCDC .
5. The Phone Call
Sept 29, 2004 Manitoba Health informs BCCDC .
6. BC Public Health Concerns
Dwarf hamster death at BC distributor? Did BC distributor sell any dwarf hamsters to local pet stores? Was there illness in other animals from the same shipment? Health of staff at BC pet distributor and BC pet stores?
7. BC Public Health Concerns
Dwarf hamster death at BC distributor? 63 dwarf hamsters arrived ill Separate cabinet in same stock room All died within 1 week of arrival Did BC distributor sell any dwarf hamsters to local pet stores? NO!!! BUT ..
8. BC Public Health Concerns
Was there illness in other animals from the same shipment? 12 chinchillas 18 degus 100 gerbils Shipped to: 13 BC pet stores 12 in one chain 2 ON locations, 3 AB, 1SK Degu Chinchilla Gerbil
9. Enhanced Rodent Surveillance
Obtained sales records with shipment dates and locations Questionnaire to affected retail stores Illness or mortality since Aug 25th General and shipment-specific Included in-store reports and customer reports Quarantined, euthanized and tested remaining rodents
10. Enhanced Human Surveillance
Questionnaire to staff of BC pet stores Integrated with rodent surveillance questionnaire Face-to-face interviews at BC Distributor Degree of exposure to dwarf hamsters Serology Employees of BC distributor Symptomatic individuals from BC pet stores that received shipments
11. Results Rodent Surveillance
*The store that reported illness in the degu did not report illness in chinchillas. 6/12 chinchillas, 11/21 degus and 23/70 gerbils remained for testing - all negative by PCR
12. Results Human Surveillance
BC Distributor 4 employees tested 1 with positive titre (1:128) Blood drawn 5 wks after arrival of dwarf hamsters Only person in contact with ill dwarf hamsters Question: current or previous infection? Retested at 6 months
13. Results Human Surveillance (2)
BC Pet Stores Human illness reported at 4 stores 1 of these stores also reported an animal death from the suspect shipment Mild flu-like symptoms 1 individual with more severe sx: Bitten by hamster (not from suspect shipment) Headaches, sore throat, stuffy nose, vomiting, high fever, chills, body aches, swollen lips Tested for tularemia = negative
14. BC Conclusions
Rapid public health response Excellent cooperation with pet industry Interaction with veterinarians critical No evidence of spread from ill dwarf hamsters to others animals in shipment No evidence of human infection among pet store employees Asymptomatic infection at distributor?
15. What happened in Manitoba?
July 2004 Mouse infestation in breeding shed Poison used as control agent August 2004 Hamsters and guinea pigs begin dying ?? Poison Dwarf hamsters moved to another location Breeding shed sealed and decontaminated August / Sept Dwarf hamsters distributed to BC, Minnesota, MN October Breeder shut down
16. Investigation - MN
Sampling of animals (n=72) PCR positive animals included: Hamsters and dwarf hamsters 2 dogs, 1 rabbit asymptomatic, +ve serology Other environmental swabs positive Well water - negative At least one human case identified Field trapping studies of wild mice F. tularensis of different strain! Hypothesis introduction from wild mice
17. Discussion points
Who takes ownership of a zoonotic disease issue? Public Health authorities? Animal authorities? MAFF? CFIA? Recommendations to Pet Industry Joint Advisory Council (PIJAC) Rodent-proofing for breeders Disease prevention Record-keeping; disease tracking Consumer information
18. Questions?
19. Timeline of Public Health Actions
Wed Sep 29 notified by Manitoba Health Thu Sep 30 contacted BC distributor Fri Oct 1 Contacted BC pet stores; communications docs prepared Enhanced human/animal surveillance Remaining animals isolated Sat/Sun Oct 2/3 Enhanced animal/human surv. continued Mon Oct 4 Euthanization/testing of BC animals from suspect shipment Received notification that Type B identified in Minnesota Letter to BC physicians
20. Timeline of Public Health Actions
Tues Oct 5 Letter to BC Vets Testing of BC rodents (AHC) Oct 6, 7 Preliminary negative results BC animals Negative human surveillance results Fri Oct 8 All animal results negative Remaining animals in quarantine released Public update on website; no press release