Bluetongue emergence in Peloponnisos (Greece) - SCoFCAH, Brussels 3-4 July 2014

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HELLENIC REPUBLIC MINISTRY OF RURAL DEVELOPMENT AND FOOD DIRECTORATE GENERAL OF VETERINARY SERVICES ANIMAL HEALTH DIRECTORATE Bluetongue Emergence in Peloponnisos (Greece) (June early July 2014) Dimitrios Dilaveris, Animal Health Directorate /Dept. of Infectious Diseases (Min. of Rural Dev. & Food)

Bluetongue emergence in mainland Greece (June-early July 2014) Background information Current events Measures in place Preliminary conclusions - Future trends Acknowledgements

Bluetongue emergence in Peloponnisos (Greece) Background information BT epidemiological situation in Greece over the last years East Aegean Islands 1997-1998: No evidence of BT anywhere in Greece (negative results of active surveillance) 1999: outbreaks, in the Island of the Eastern Agean Sea 2000: No outbreaks 2001: outbreaks, only in the Island of Lesvos Outbreaks in mainland Greece during the same period 2002-2007: NO OUTBREAKS ANYWHERE IN GREECE 2008: 78 outbreaks, all in the Island of Lesvos (BTV 16 + BTV 8) 2009: 191 outbreaks, mostly in the Island of Lesvos (BTV 16+ BTV 1) 2010: 36 outbreaks, about half in Lesvos and the rest in other islands (BTV 16) 2011: 10 outbreaks, in various islands of the Eastern Aegean Sea but not in Lesvos (BTV 16 & BTV 4) 2012: 91 outbreaks, in various islands of the Eastern Aegean Sea excluding some major islands like Limnos and Chios (BTV 4 mostly, BTV 16 detected by Real-time RT PCR in a single sentinel bovine combined with BTV 4) 2013: No BT outbreaks detected in any part of Greece.

Bluetongue emergence in Peloponnisos (Greece) Background information Previous occurence of BT in mainland Greece (1999) Aug-Dec 1999 Total Number of BT outbreaks (Aug-Dec 1999) 1536 clinical outbreaks 11 out of 54 Prefectures with clinical disease 5 out of 54 Prefectures with serological evidence. 24.528 sheep destroyed 3 sero-types of BT virus identified (type 4,9,16) BT vectors involved (C. imicola, C. Obsoletus) 0 1-10 11-23 24-76 77-149 150-260

Bluetongue emergence in Peloponnisos (Greece) Background information Previous occurence of BT in mainland Greece (2000) Autumn 2000 10 outbreaks 1 Prefecture (Arta) 497 sheep/goats (10% morbidity, 0 % mortality) Clinical symptoms mild and transitory, obscured by an overlapping infection by orf. BTV identified 4 (same strain as in Magnesia in 1999) BT vectors involved ( = probably C.obsoletus, C.imicola not found )

Bluetongue emergence in Peloponnisos (Greece) Background information Previous occurence of BT in mainland Greece (2001) Sep-Dec 2001 174 clinical outbreaks, 11 out of 54 Prefectures clinically affected 28.154 animals involved, 1.303 animals sick, 203 animals dead, 1.021 animals destroyed Total Number of BT outbreaks (Sep-Dec 2001 4 sero-types of BT virus identified (types 4,9,16,1) BT vectors involved C.imicola & C.obsoletus No evidence of BT since 2001 in mainland Greece) 0 1-4 5-12 13-16 17-44

Bluetongue emergence in Peloponnisos (Greece) Background information Peloponnisos Facts & figures A peninsula that makes the southernmost part of mainland Greece. Separated from Central Greece to the North by the Gulf of Corinth (width 8,4-32 km). Road connection to the rest of mainland Greece through the Isthmus of Corinth and the Rio- Antirio Bridge. Extensive coastline, mountainous interior. Distance (In a straight line) About 90 km from Crete About 380 km from Libya About 440 km from Italy BT NEVER RECORDED Ruminants Holdings Heads Sheep & Goats 11.660 1.782.866 Cattle 4.694 36.322

Bluetongue emergence in Peloponnisos (Greece) Current events Confirmation of the first BT outbreaks As of 30/05/2014 (result produced on the evening of 29.05.2014) an outbreak of Bluetongue (BT) was confirmed in the Prefecture of Lakonia (Region of Peloponnisos, southern part of mainland Greece). This was more than 10 years since the last outbreak in any part of mainland Greece and the first ever outbreak in Lakonia and the wider region of Peloponnisos. Almost immediately after the 1 st outbreak another 4 outbreaks were confirmed in its direct vicinity, within a radius of ~ 3-4 km. Mild clinical signs, low morbidity and mortality. BT virus type identified as BTV - 4 Vector Identified until now : C. obsoletus

Bluetongue emergence in Peloponnisos (Greece) Current events Further BT spread Week 1 (up to 6 June 2014) Further spread to Lakonia. First outbreaks in Arcadia too.

Bluetongue emergence in Peloponnisos (Greece) Current events Further BT spread Week 2 (up to 13 June 2014) Further spread to Lakonia and Arcadia. First outbreaks in Messinia too.

Bluetongue emergence in Peloponnisos (Greece) Current events Further BT spread Week 3 (up to 20 June 2014) Outbreak in Corinthia Outbreak in Argolida Further spread to Lakonia and Arcadia & Messinia.

Bluetongue emergence in Peloponnisos (Greece) Current events Further BT spread Week 4 (up to 29 June 2014) Further spread to Lakonia and Arcadia & Messinia.

Bluetongue emergence in Peloponnisos (Greece) Current events The epidemic in figures (situation as at 2 July 2014) Prefecture Date of confirmation of the 1 st outbreak Total number of confirmed outbreaks Susceptible animals present (ruminants) Sheep Goats Cattle Lakonia 30 / 5 / 2014 63 7.743 1.717 512 Arcadia 6 / 6 / 2014 49 6.632 938 2 Messinia 12 / 6 / 2014 11 824 380 0 Argolida 18 / 6 / 2014 1 36 0 1 Korinthia 19/6/2014 1 251 3 0 Totals 125 15.486 3.041 515 Morbidity in sheep 3,33 % Mortality in sheep 0,54 % Goats : 1 animal reported sick (no deaths) Cattle: sero-conversion of 2 sentinels (2 separate holdings in Lakonia), no signs

Bluetongue emergence in Peloponnisos (Greece) Measures Restricted zones (situation as at 2 July 2014) 150 km 100 km 20 km

Bluetongue emergence in Peloponnisos (Greece) Measures Restricted zones (situation as at 2 July 2014) administrative boundaries Karditsa Magnesia Evrytania Fthiotida Kefallonia Aetoloakarnania Fokida Viotia Evia Zakynthos Achaia Korinthia Attiki Ilia Arcadia Argolida Free Areas Areas within the Protection Zone Areas within the surveillance zone Restricted areas due to BT occurrence in past years Prefecture Boundaries Messinia Lakonia

Bluetongue emergence in Peloponnisos (Greece) Measures Measures within restricted zones In the Protection and Surveillance zones: the measures of Reg (EC) 1266/2007, without making use of the of any of the derogations provided in Reg (EC) 1266/2007, regarding the ban on the exit of live ruminants. These may only move from the Surveillance to the Protection zone but not vice-versa. In the 20km Temporary Control Zone: on top of the above measures, standstill of all ruminant holdings for a maximum of 21 days for each holding. During that period live ruminants may only move for slaughter in slaughterhouses within the same zone. Upon expiry of the 21 days live ruminants can move for other purposes too within the same zone under the same conditions applicable within the same restricted zone (absence of BT clinical signs coupled with insect protection measures in relation to the animals and the transport vehicles). Other measures Insect protection measures applied for all live ruminant movements of any kind within the restricted zones (animals and vehicles) Bovine sentinel groups (10 groups of 5 cattle aged 6 months-2 years) formed in each prefecture included in the restricted zones, unless already in place. Information campaign for farmers is in progress regarding insect protection

Bluetongue emergence in Peloponnisos (Greece) Measures Possible future measures To...vaccinate or not to vaccinate, that is the question!!! A complicated question, many factors must be taken into account before deciding: The number of vectors is expected to drop within the next months (July August ) due to hot-dry conditions. By then natural immunity could simulate the effect of vaccination. Clinical signs remain mild (low mortality morbidity, some drop in production). In the past the country has dealt with BT in the mainland without vaccination. Vaccination (e.g. in the area of Peloponnisos) represents a challenging task (1,7 million sheep and goats), that would require extensive planning and considerable resources. A cost benefit analysis should be conducted in advance. CONCLUSION: VACCINATION REMAINS AN OPTION BUT IS NOT A PRIORITY FOR THE MOMENT

Bluetongue emergence in Peloponnisos (Greece) Measures Open questions Mild clinical disease, mortality and morbidity remain low even though this is the first ever incursion of Bluetongue in Peloponnisos. Further molecular typing of the virus is in progress at the CRL (Pirbright). Disease origin : all scenaria still under investigation Note : Lakonia (before the recent outbreaks) is one of the prefectures of mainland Greece where sentinel bovines are placed, in the framework of the country s BT surveillance programme. Serology results from these sentinel cattle were steadily negative (latest results available as at mid March and late April- sentinels located in holdings ~25-30 km north of the first outbreak).

Bluetongue emergence in Peloponnisos (Greece) Latest News Latest News BT suspicion in Achaia BT suspicion in Lesvos

Acknowledgements Special thanks to : Dr Konstantia Tasioudi & Dr Peristera Iliadou (Dept of Virology of the Athens Center of Veterinary Institutes, National Reference Laboratory for Bluetongue). Dr Michalis Patakakis (Director, Athens Center of Veterinary Institutes) Dr Sofia Boutsini & Dr Despina Stougiou (Dept of Parasitology, Athens Center of Veterinary Institutes) All colleagues of the local Veterinary Services of Peloponnisos, Western Greece, Attiki and Central Greece as well as Zakynthos and Kefallonia islands!!!!!

Thanks for your attention!!!