Werner Ortrud, Harder Timm C
Friedrich-Loeffler-Institut, Bundesforschungsinstitut für Tiergesundheit, Insel Riems.
Berl Munch Tierarztl Wochenschr. 2006 Mar-Apr;119(3-4):151-9.
The huge potential economic impact of highly pathogenic avian influenza (HPAI) substantiates specific and rigorous legal regulations worldwide. According to the O.I.E. Terrestrial Animal Health Code fowl plague is a notifiable disease. International trading activities concerning poultry and poultry products originating from countries with active HPAI are rigorously restricted. In EU member states directive 92/40/EEC subsumes measures against fowl plague and has been transferred into German legislation by the "Geflügelpest-Verordnung". These acts specify that vaccination against HPAI is principally prohibited. The aim of all sanctions is the extinction of disease and the eradication of the causative agent. However, HPAI viruses, exclusively belonging to subtypes H5 and H7, can re-emerge de novo from progenitor viruses of low pathogenicity which are perpetuated in the wild bird population. An outbreak of HPAI requires prompt action by a stamping out strategy. Fast and accurate diagnosis, a strict stand-still and the culling of affected flocks are at the basis of success. In areas with a high density of poultry holdings preemptive culling and creation of buffer zones, devoid of susceptible poultry, may be neccessary. In these cases emergency vaccinations can be considered as a supportive measure in order to limit mass culling. Vaccinations on merely prophylactic grounds, not being connected to acute outbreaks, should be avoided beware of selective pressures on the virus leading to antigenic drift and escape of vaccine-induced immunity. Instead, high standard biosecurity measures, particularly limiting direct and indirect contacts with wild birds, should be maintained.
高致病性禽流感(HPAI)巨大的潜在经济影响,证实了全球范围内制定具体且严格法律法规的必要性。根据世界动物卫生组织(O.I.E.)的《陆生动物卫生法典》,禽瘟是一种应通报的疾病。来自有HPAI疫情国家的家禽及家禽产品的国际贸易活动受到严格限制。在欧盟成员国,92/40/EEC号指令纳入了针对禽瘟的措施,并已通过《禽瘟条例》转化为德国法律。这些法规规定,原则上禁止接种HPAI疫苗。所有制裁措施的目的都是消灭疾病并根除病原体。然而,仅属于H5和H7亚型的HPAI病毒,可从在野生鸟类种群中持续存在的低致病性祖病毒中重新产生。HPAI疫情的爆发需要通过扑杀策略迅速采取行动。快速准确的诊断、严格的静止措施以及扑杀受感染禽群是成功的基础。在家禽饲养密度高的地区,可能需要进行预防性扑杀并建立没有易感家禽的缓冲区。在这些情况下,可考虑将紧急接种作为一种支持性措施,以限制大规模扑杀。应避免仅基于预防目的的接种,因为这与急性疫情无关,谨防病毒受到选择性压力导致抗原漂移以及疫苗诱导的免疫力失效。相反,应维持高标准的生物安全措施,特别是限制与野生鸟类的直接和间接接触。