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FMD in the ME: Perspectives and risks linked to ... - Middle East - OIE

FMD in the ME: Perspectives and risks linked to ... - Middle East - OIE

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13Serotype SAT 2 was <strong>in</strong>troduced <strong>in</strong><strong>to</strong> Saudi Arabia as recently as 2000, later appear<strong>in</strong>g <strong>in</strong>Kuwait (2001) <strong>and</strong> Libya (2003). It appears that <strong>the</strong> recent spread tracks are similar <strong>to</strong> thosedescribed <strong>in</strong> <strong>the</strong> past; namely, that <strong>FMD</strong>V was probably <strong>in</strong>troduced <strong>in</strong><strong>to</strong> <strong>the</strong> ArabianPen<strong>in</strong>sula from <strong>the</strong> Horn of Africa, <strong>and</strong> <strong>the</strong>n spread from <strong>the</strong> Gulf States <strong>in</strong> a north-westerlydirectionThen, <strong>the</strong> <strong>Middle</strong> <strong>East</strong> region is much more complex than o<strong>the</strong>r regions, regard<strong>in</strong>g itsgeographical location, at <strong>the</strong> cross<strong>in</strong>g of three cont<strong>in</strong>ents, <strong>and</strong> due <strong>to</strong> <strong>the</strong> specificity on animaltrade.The <strong>Middle</strong> <strong>East</strong> has also become <strong>the</strong> largest importer of food <strong>and</strong> animal feed <strong>in</strong> <strong>the</strong>develop<strong>in</strong>g world, due <strong>to</strong> a rapidly grow<strong>in</strong>g population. Imports, pr<strong>in</strong>cipally of live sheep (anannual figure of more than 10 million, almost 64 % of <strong>the</strong> global trade <strong>in</strong> live sheep) <strong>and</strong>animal products, now account for more than 25 % of <strong>the</strong> <strong>to</strong>tal import bill for <strong>the</strong> region.Special events or occasions, such as <strong>the</strong> Hajj season, may <strong>in</strong>volve <strong>the</strong> ritual slaughter ofmillions of animals. The meat of all those animals slaughtered dur<strong>in</strong>g <strong>the</strong> day of Hajj is alsodistributed charity wise <strong>to</strong> 52 Muslim countries worldwide. This could be also an importantsource of contagion, consider<strong>in</strong>g that <strong>the</strong> conditions of slaughter <strong>and</strong> meat conservation arenot often offer<strong>in</strong>g all <strong>the</strong> guarantees regard<strong>in</strong>g <strong>FMD</strong> virus.The proximity <strong>and</strong> importance of trade with countries <strong>in</strong> <strong>the</strong> Horn of Africa (Somalia,Djibouti, Ethiopia, Sudan notably), <strong>and</strong> <strong>in</strong> west <strong>and</strong> central Asia, has <strong>the</strong> potential <strong>to</strong> <strong>in</strong>troduceexotic <strong>FMD</strong> viruses from <strong>the</strong>se regions.In Africa, <strong>the</strong> epidemiological <strong>in</strong>formation is scarce <strong>and</strong> <strong>in</strong>sufficient samples are receivedeach year <strong>to</strong> determ<strong>in</strong>e major trends, although types A, O <strong>and</strong> SAT 1, 2 <strong>and</strong> 3 have beendetected from outbreaks <strong>in</strong> 2006. In Asia, <strong>the</strong> circulation of several genetic types of <strong>FMD</strong>Vserotype Asia-1 is a concern, highlight<strong>in</strong>g <strong>the</strong> fact that at any time multiple virus stra<strong>in</strong>s aresimultaneously circulat<strong>in</strong>g, <strong>and</strong> which may be a risk <strong>to</strong> <strong>the</strong> <strong>Middle</strong> <strong>East</strong> where vacc<strong>in</strong>e aga<strong>in</strong>stAsia-1 is not used <strong>in</strong> all countries.As a large part of <strong>the</strong> trade is realised <strong>in</strong> illegal ways or without <strong>the</strong> relevant sanitarycertification, <strong>the</strong> control of <strong>the</strong> virus spread at a national or regional level is excessivelyproblematic.This situation is all <strong>the</strong> more worry<strong>in</strong>g as most countries have not <strong>the</strong> capacities <strong>to</strong> implementa coherent <strong>and</strong> reasoned strategy of prevention <strong>and</strong> anticipation face <strong>to</strong> such disease.Indeed, regard<strong>in</strong>g absence <strong>in</strong> most countries of biosecurity measures, <strong>in</strong>clud<strong>in</strong>g strict bordercontrol, early detection program for new stra<strong>in</strong>s, confidence <strong>in</strong> analyses realised by <strong>the</strong>national labs, epidemiological survey, vacc<strong>in</strong>ation moni<strong>to</strong>r<strong>in</strong>g, cont<strong>in</strong>gency plans….are asmany fac<strong>to</strong>rs promot<strong>in</strong>g <strong>the</strong> spread of <strong>the</strong> disease, notably <strong>the</strong> epidemic form.

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