FMD Vaccination
Info
- updated - 14th August 2007
The following information is complied
from questions and answers received concerning vaccination and has been
complied and updated by Mary Critchley at - Warmwell
* a vaccine will
only give effective protection if it has been tailor-made for a
particular strain as immunity is virus type-specific.
This statement assumes that vaccines are either "fully
effective" or "not at all effective". In practice, the
1967 O type vaccine, produced at Merial in July, has been used and is
still being used in Turkey to vaccinate against the newest strain of
type 'O' The vaccine may not be a perfect match but it offers a degree
of protection.
The EU now has an FMD vaccine bank with vaccines offering at least some
protection against all FMD type and is regularly updated, thanks to
intelligence coming in from countries around the world.
In this FMD outbreak, the vaccine of the appropriate strain (ironically)
was available just down the road.
* Current vaccines
only provide 6 months protection at best
For cattle, two shots are needed when the animal has no immunity at
all, as in the UK. In the past, when vaccination was allowed in Europe,
cattle older than 6 months were vaccinated only once a year. This did
the job.
All the same, this point is irrelevant to a successful use of emergency
ring vaccination used to stop the cycle of infection in the UK.
We only need to vaccinate in response to an FMD outbreak. Therefore
vaccine is needed only to the one infecting strain of virus, the one
serotype. Vaccine works well, the high potency killed vaccine inducing a
good immunity within 10 days of vaccination, thus preventing onward
spread of the virus because there are no new susceptible animals to
infect. It is unlikely the whole country would need to be covered by
vaccination, but a zone round each infected premise (or in the Pirbright
outbreak, round Pirbright and the 2 infected farms would be all that is
required). The more infection spreads and proceeds - perhaps unremarked
in the case of sheep flocks for instance - the greater the likelihood of
further spread into domesitc and wild animals.
* the danger that
vaccinated animals, although protected against developing the disease,
may become carriers if exposed to new infections of the virus
If they run into infection with the very first days after vaccination
it is possible for cattle, sheep and goats to become sub-clinically
infected. (Pigs have never been found to become carriers once
vaccinated) In such cases, where infection was caught in the first hours
following vaccination and before it could take effect, cattle may remain
sub-clinically infected "carriers" for some years. Sheep and
goats for 3-9 months. The vital point is that after DECADES OF EXTENSIVE
SCIENTIFIC RESEARCH, CARRIERS HAVE NEVER BEEN FOUND TO BE ABLE TO SPREAD
FMD.
With any sort of vaccination, if any host is successfully vaccinated
, they may boost their antibody and white cell immunity by exposure to
wild type virus but they will not become "carriers" in the
sense implied by the argument above. Nor will they excrete virus in to
the environment. The whole basis of vaccination is to reduce virus
within the environment and therefore host to host infection.
*A policy of
prophylactic vaccination would also make it impossible under current EU
and OIE regulations to maintain the export trade in meat and livestock.
This is the crux of the matter for big producers - the cutting off of
its European and other markets. The current EU trade rules are based on
the assumption above - that "Carriers are a Danger" - and this
is a misconception that must be examined and put right. In any case,
discriminatory tests have been developed, described by the OIE, and
successfully used in practice by countries such as Uruguay to
demonstrate freedom from infection.
( Note: Although DEFRA would appear
to be relying on Merial, the marker-test principle is helpfully
explained in this
pdf file from Intervet (http://www.foot-and-mouth-disease.com/Binaries/68_33112.pdf)
about its ready to use Chekit-FMD-3ABC marker vaccine. Merial's
differentiating marker vaccine would seem to be developed along the
same lines. As Intervet says, (page
10 of its 11 page pdf file)
"...Regional vaccination: if FMD is established in a
certain area and the rest of the country is still free, it may be
decided to vaccinate all susceptible animals in the region. The
use of the 3ABC test still enables authorities to monitor the
spread of disease. Slaughter and consumption of vaccinated
animals (provided they are from 3ABC-negative farms) is still
possible without the risk on further spread."
Thus, infected animals can be distinguished from uninfected
animals, after vaccination, by the presence of antibody to the
non-structural proteins (NSP) the actual live virus makes within an
infected cell in order to multiply.
This antibody is a signature of virus infection. Surveillance is
done 3 weeks after the last case and before the lifting of
restrictions. The time scale given for this surveillance is exactly
the same whether vaccination is used or not before export as an FMD
free country can be resumed.)
That the legislation is still arranged to make vaccination the poor
relation in disease control - and for such erroneous reasons - is
surely an indication that the industry needs to lobby to change
this, rather than fight vaccination itself.
Legislation must take account of the natural history and science
behind infection and vaccine induced immunity . Vaccinated meat is
perfectly safe. (The UK was always said 'to run its army on Brazilian
and Argentinian meat'. Are we to assume that the army is fed
substandard produce?)
At present in the UK, no one is arguing for the use of prophylactic
vaccination, but pointing out that since emergency vaccination to
live is now part of EU and UK policy the public need to be given
some good reasons not to use it. No good scientific or veterinary
reasons have been given.
* It is estimated*
that the capitalised cost of prophylactic vaccination in the 34 years
between the 1967 and 2001 outbreaks would have been £5 billion, at
current prices.
It is difficult to comment on these figures. All British cattle
ever might have been used for this calculation - but one would need
to start with the cost of one vaccination shot and the cost of the
person administering it. But the cost of not vaccinating in 2001-
the cost of that outbreak still exceeds 12 BILLION EUROS. The risks of
new outbreaks are increasing because of globalisation, open borders and
the increased mobility of people, animals and the products.
While even the 2001 outbreak of FMD cost more than the 5 billion
suggested above, the human costs and trauma involved are - as this
website aims to show - beyond financial calculation
* under a policy of
prophylactic vaccination, there would be periodic vaccine breakdowns,
leading to eruptions of disease, with all of their associated costs. And
after each breakdown, a new vaccine would need to be developed, and
flocks and herds re-vaccinated.
Annual vaccination comes with an annual update of the vaccine - just
like that for influenza - based on analysis of samples coming in from
around the world.
Any Animal Health policy needs constant
monitoring of diseases, not just on one's own country but also abroad.
Bluetongue gives us a good example: It is possible that BTV-8 is endemic
in Turkey but we just don't know. As for FMD however, we do have a good
system of collecting data so we know, for example, that a new 'O' type
has developed and is spreading in Southern Asia. (NB see also the new Bio
Portal)
The arrangements that the observation addresses are not clear.
Vaccine should be used as a ring outside an infected area to limit virus
replication and should be used in conjunction with restriction on animal
movements and, if necessary, limited culling. No one is advocating
random vaccination with no other containment measures. The idea is to
preserve stocks, limit infection and use all the recourses mentioned to
contain disease.
* it would not be
practically possible to vaccinate wildlife, a reservoir of infection
would almost certainly develop in the deer population, making FMD
outbreaks a constant threat.
As long as a certain minimum percentage
of susceptible animals is vaccinated, the disease (if present) cannot
spread. In the example of the Netherlands and many other European
countries, they usually only vaccinated cattle. Sheep, pigs, goats and
deer were not vaccinated (see also Uruguay
in 2001) - and FMD was got rid of.
In all of South America, as a rule only cattle were vaccinated. This an
important argument why "carriers" are not important. There
were always sufficient susceptible sheep around in close contact with
vaccinated cattle. It caused no problem.
It is possible that wild mammals are infected, the odd deer for
instance. However deer are extensive and the infection probably keeps
coming to a dead end; that is one infected animals does not infect
another. In extensively grazing sheep the infection will peter out (as
it was left to do in sheep in 1967).
This is in contrast to on-farm stock when a flock or herd is penned into
a field or enclosed in a shed.
A correspondent adds:
On the issue of distinguishing vaccinated, healthy animals from
vaccinated carrier animals, I would like to make a few points. The
debate about the so-called discriminatory tests has been going on
since 2001 and as it shows, there are still many scientists who
believe:
- vaccinated carrier animals are a potential problem
- available discriminatory tests are not reliable enough
Now, if we just concentrate for a while on the second argument,
there are a number of discriminatory tests in use. I believe Uruguay
used one of them (the Panaftosa test) to demonstrate freedom of FMD
infection with vaccination which was internationally accepted in
2001, helping Uruguay to start exporting beef (from vaccinated
cattle) to the EU again. I mentioned this fact in an article which
was published by the OIE in 2001 (page 12 of the enclosed article 'LTO
OIE contribution 2002').
The OIE refers to this test in its manual of diagnostics:
"Nonstructural protein antibody tests
Antibody to expressed recombinant FMD virus NSPs (e.g. 3A, 3B,
2B, 2C, 3ABC) can be measured by different ELISA formats or
immunoblotting. These ELISAs either use purified antigens absorbed
directly to microplates or use polyclonal or monoclonal antibodies
to trap specific antigens from semi-purified preparations (14, 20,
41, 58). The index screening method used in Panaftosa is described
in detail below. Other indirect and competitive ELISAs detecting
bovine antibodies to 3ABC have been shown to have equivalent
diagnostic performance characteristics (17). This same study
corroborates preliminary data from Panaftosa that suggests that
the diagnostic performance characteristics of these tests are
similar in cattle, sheep and pigs."
This shows there is scientific evidence that these discrimatory
tests do work and can serve to prove freedom of infection in
vaccinated livestock.
Of course, none of these tests give 100% guarantee. The EU has
funded research into improvement of these tests and results were
satisfactory for herd testing. That is why herd testing is often
carried out, allowing for the use of statistics.
The Netherlands, certainly, would after an emergency vaccination,
probably test all vaccinated animals. There might be a number of
false positives and, in the very unlikely case of virus circulation,
there would be a number of false negatives. Because this is what
statistics command.
But of course, vaccinating all susceptible animals in an area
means that the virus will stop circulating in that area. Yes, some
vaccinated animals might catch the virus during the days immediately
after vaccination and these animals might become silent carriers
(remark: in the case of pigs, carriers have never been found!). The
point we have been trying to make over and over again is that, in
many trials, these animals have never been shown to spread virus.
This is supported by the fact that the Netherlands got rid of FMD
in the 1960s thanks to annual vaccination of only cattle over 6
months. Pigs, sheep and goats were not annually vaccinated as far as
we are aware. Some cattle carriers must have been around in the
Netherlands (and elsewhere in Europe) but these animals have never
caused outbreaks. When Europe ceased annual vaccination in 1991,
there must still have been some carrier cattle around for some
years. These animals never caused outbreaks, although the live stock
cattle population gradually lost its immunity.
At present in the UK, very few are
arguing for the use of prophylactic vaccination - that is,
wholescale vaccination throughout the country.
And another expert adds:
I think it is about time that veterinarians had higher specialist
training in infection and became practising experts. They should
continue to keep up to date with their infection knowledge on an
international stage.
There is no equivalent in veterinary medicine to the expertise in
human medicine - and it shows. The only qualification for vets at the
Royal College of Pathologists is one in General Pathology. In human
medicine this was superseded 40 years ago with specialist
qualifications in the different subjects - ever growing as
understanding and refinement of diagnosis and management takes place.
Virology has more recently split from microbiology. We do not wheel
research scientists out from their labs when there is an outbreak of
infection in humans. Their knowledge and development of diagnosis and
vaccines may be essential in the control by a team of medical
infection experts - and these are peer reviewed and up to date with
their knowledge. They have a clearly explained policy on the
international stage. Experts in human medicine moreover are also not
hidebound by rules - usually out of date and made by large groups of
civil servants.
There has not been an "objective truthfulness" in
veterinary medicine. That is improving perhaps since at least, in this
outbreak, a farm is not being called an Infected Premise unless the
laboratory confirms this - based on the diagnostic specimens
sent to them.
In 2001 the laboratory results were disregarded. In fact in 2001
there were about 1029 farms with confirmed infection and some 1000
so-called IPs were not infected; the laboratory diagnosis was
negative.
Again, the outbreak in 2001 was very different. There was no focus
of infection and it was later learned that FMD had been present in
sheep flocks in Northumbria before it was recognised on the pig farm.
Even if movements had been stopped the day the first outbreak was
recognised there would still have been some considerable spread
already.
The 2 infected farms in this outbreak have not had movements off
the farm (nor within the incubation period of the disease observed on
the farms onto the farm, I believe.) The imposition of the
severe movement restrictions still in place over the whole of England
and to some extent is still present in Wales and Scotland.
This is looking disproportionately harsh, with animals suffering and
farmers losing money and being pursued for minor infringements.
Farming outside the South East and the favoured arable areas is
often hard. Farmers are struggling to survive at all.
Apart from that given to farmers in the designated zone in Surrey
and those whose animals have been culled, there will be no
compensation.
In 2001 there was no compensation except for farms that were
culled.
Rural tourism and business could also be less severely affected if
vaccination within a designated zone was carried out. After 10 days
there is no reason for footpaths to remain closed.
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