By Eric Akasa
In a new analysis in Science,
ILRI researcher Jeffrey Mariner describes how the world
eradicated deadliest cattle plague, the second such success after
smallpox.
A new analysis published today in Science traces the
recent global eradication of the deadliest of cattle diseases, crediting not
only the development of a new, heat-resistant vaccine, but also the insight of
local African herders, who guided scientists in deciding which animals to
immunize and when. The study provides new insights into how the successful
battle against rinderpest in Africa, the last
stronghold of the disease, might be applied to similar diseases that today
ravage the livestock populations on which the livelihoods of one billion of the
world’s poor depend.
Capable of wiping out a family’s cattle in just a few days,
rinderpest was declared vanquished in May 2011. After smallpox, it is only the
second disease (and first livestock disease) ever to be eradicated from the
earth.
‘The elimination of rinderpest is an enormous triumph against
a disease that has plagued animals and humankind for centuries’, said Jimmy
Smith, director general of the International Livestock Research Institute
(ILRI). ‘Science succeeded despite limited resources, and we now know how. We
are committed to applying the lessons in this study to making progress against
other similarly destructive livestock diseases.’
According to the analysis, which was conducted by
international scientists coordinated by ILRI, and published this week in Science,
the eradication of rinderpest happened thanks to the development of an
effective temperature-stable vaccine, collaborations between veterinary health
officials and cattle farmers to deliver those vaccines, and reliance on the
knowledge and expertise of the local herders to determine the location and
movement of outbreaks.
Rinderpest, known as ‘cattle plague’ in English, is thought
to have had its origin in the dense cattle herds of Central Eurasia more than
two millennia ago and subsequently spread through warfare and trade to cattle
in Europe, Asia and eventually Africa. Caused by a virus related to the one
that causes measles and canine distemper, rinderpest could infect cows, water
buffalos and other cloven-hoofed animals, leading to a high fever, severe
diarrhea, then dehydration and emaciation. The pathogen could kill 90 per cent
of a herd, wiping out an entire farm’s livestock in just a matter of days.
There was no treatment.
While rinderpest is not dangerous to human health, its impact
on humanity has been significant. Its path of destruction has been linked to
many history-changing events such as the fall of the Roman Empire, the French
Revolution and famines throughout Africa since
the 19th century. Indeed, nearly three-quarters of the rural poor and some
one-third of the urban poor depend on livestock for their food, income,
traction, manure or other services. Livestock provide poor households with up
to half their income and between 6 and 35 per cent of their protein consumption.
The loss of a single milking animal can affect a family’s economic health,
while depriving it of a primary source of nutrition.
The first major contributing factor to eradication, as
identified by the analysis, was a major improvement made to an existing
rinderpest vaccine. While the original vaccine was safe, effective, affordable,
and easy to produce, it needed to be refrigerated—making it nearly impossible
to transport it to remote rural villages. With the development of a new
heat-resistant vaccine formulation in 1990 that could be stored at 37 °C for
eight months, and in the field without refrigeration for 30 days, scientists
had a tool that would become the cornerstone of the eradication effort in
remote pastoral areas of Africa.
But according to ILRI’s Jeffrey Mariner, the analysis’ lead
author and inventor of the temperature-stable rinderpest vaccine, it was the
role played by pastoralists that really turned rinderpest on its head.
As part of a public-private-community partnership, Mariner
and colleagues trained what they called community-based animal health workers,
or CAHWs local pastoralists who were willing to travel on foot and able to work
in remote areas on how to deliver the new vaccine. These CAHWs carried the vaccine
from herd to herd, immunizing all the cattle in their communities.
The local herders performed as well, if not better, than did
veterinarians at vaccinating the herds in fact often achieving higher than 80
per cent herd immunity in a short time remarkable for a disease that had
plagued most of the world for millennia. Indeed, it turned out that the
pastoralists were not only very, very good at delivering the vaccine, but that
they also knew more about the disease and how to stop it than many of the experts.
‘We soon discovered that the livestock owners knew more than
anyone including government officials, researchers or veterinarians where
outbreaks were occurring’, Mariner said. ‘It was their expertise about the
sizes of cattle herds, their location, seasonal movement patterns and optimal
time for vaccination that made it possible for us to eradicate rinderpest.’
Based on their immense expertise about migratory patterns and
in recognizing early signs of infection, the herders were able to pinpoint, well
before scientists ever could, where some of the final outbreaks were occurring often
where conventional surveillance activities had failed to disclose disease.
Harnessing this knowledge of rinderpest through ‘participatory surveillance’ of
outbreaks to CAHW delivery of vaccination proved to be the most successful
approach to monitoring and controlling the disease. It effectively removed the
disease from some of the hardest-to-reach, but also most disease-ridden,
communities.
Applying rinderpest lessons to other diseases
While livestock and those who depend on them for food, transportation and economic stability are now safe from one major pathogen, they continue to be plagued by a number of other dangerous and debilitating diseases some as deadly as rinderpest.
The international animal health community is now gearing up
to address the next major constraint to livestock livelihoods in Africa and Asia. In their analysis, Mariner and colleagues consider
how the lessons learned from battling rinderpest can be applied to protect
livestock from other infectious agents particularly peste des petits ruminants
(PPR), also known as ‘goat plague’. Strategies to address PPR using the lessons
from rinderpest have been developed and action is under way to mobilize
international support for a coordinated program to tackle PPR. As a next step,
ILRI and the Africa Union/Interafrican Bureau for Animal Resources are planning
to host the next meeting of the PPR Alliance, a partnership of research and
development organizations who prioritize PPR, in Nairobi in early 2013.
A dangerous virus that can destroy whole flocks of sheep and
goats, PPR threatens livestock owners in Africa, Asia and the Middle
East, in particular. As with rinderpest, a sheep or goat infected
with PPR will come down with a high fever and will stop eating, leading to
severe diarrhea and death. Eventually, it will take down the entire herd of the
animals, which are equal to cattle in their importance to the poor. And
controlling PPR is made challenging by the short life span and heavy trading of
sheep and goats—making it difficult to keep the disease in check and preventing
its spread to new areas.
Nonetheless, the lessons of rinderpest eradication have begun
to have an impact on the toll exacted by goat plague. Participatory
surveillance methods are now applied in many countries, CAHWs are now
frequently involved in vaccination campaigns and ILRI has developed a
temperature-stable vaccine that can be transported to rural farms and has
started to put into place training programs for shepherds and farmers in Uganda and Sudan to deliver it.
Eventually, these same lessons could be applied to other
livestock diseases such as foot-and-mouth disease even some that have recently
jumped to humans, like avian flu. Such ‘zoonotic’ diseases are responsible for
2.4 billion cases of human illness and 2.2 million deaths per year, primarily
in low- and middle-income countries.
No comments:
Post a Comment