Fediaevsky Alexandre, Tongue Sue C, Nöremark Maria, Calavas Didier, Ru Giuseppe, Hopp Petter
AFSSA-Lyon, Unité Epidémiologie, 31 Avenue Tony Garnier, 69364 Lyon Cedex 07, France.
BMC Vet Res. 2008 Jun 10;4:19. doi: 10.1186/1746-6148-4-19.
The development of active surveillance programmes for transmissible spongiform encephalopathies of small ruminants across Europe has led to the recent identification of a previously undetected form of ovine prion disease, 'atypical' scrapie. Knowledge of the epidemiology of this disease is still limited, as is whether it represents a risk for animal and/or public health. The detection of atypical scrapie has been related to the use of only some of the EU agreed rapid tests. Information about the rapid tests used is not, as yet, available from public reports on the surveillance of transmissible spongiform encephalopathies in small ruminants. We collected detailed results of active surveillance from European countries to estimate and to compare the prevalence of atypical scrapie and classical scrapie in sheep for each country stratified by each surveillance stream; healthy slaughtered and found dead adult sheep.
From the 20 participating countries, it appeared that atypical scrapie was detected in Europe wherever the conditions necessary for its diagnosis were present. In most countries, atypical scrapie and classical scrapie occurred at low prevalence level. The classical scrapie prevalence estimates were more variable than those for atypical scrapie, which appeared remarkably homogeneous across countries, surveillance streams and calendar years of surveillance. Differences were observed in the age and genotype of atypical scrapie and classical scrapie cases that are consistent with previous published findings.
This work suggests that atypical scrapie is not rare compared to classical scrapie. The homogeneity of its prevalence, whatever the country, stream of surveillance or year of detection, contrasts with the epidemiological pattern of classical scrapie. This suggests that the aetiology of atypical scrapie differs from that of classical scrapie.
欧洲针对小型反刍动物传染性海绵状脑病开展的主动监测计划,促使近期发现了一种此前未被检测到的羊瘙痒病形式——“非典型”羊瘙痒症。关于这种疾病的流行病学知识仍然有限,其是否对动物和/或公共卫生构成风险也尚不明确。非典型羊瘙痒症的检测仅与部分欧盟认可的快速检测方法有关。目前,关于小型反刍动物传染性海绵状脑病监测的公开报告中,尚未提供所使用快速检测方法的相关信息。我们收集了欧洲各国主动监测的详细结果,以估计并比较每个国家按不同监测类别分层的绵羊中非典型羊瘙痒症和经典羊瘙痒症的患病率;这些监测类别包括健康屠宰羊和死亡成年羊。
在20个参与国家中,似乎只要存在诊断所需条件,欧洲各地就能检测到非典型羊瘙痒症。在大多数国家,非典型羊瘙痒症和经典羊瘙痒症的患病率都较低。经典羊瘙痒症患病率的估计值比非典型羊瘙痒症的更具变异性,非典型羊瘙痒症在不同国家、监测类别和监测年份中表现出显著的一致性。非典型羊瘙痒症和经典羊瘙痒症病例在年龄和基因型上存在差异,这与先前发表的研究结果一致。
这项研究表明,与经典羊瘙痒症相比,非典型羊瘙痒症并不罕见。无论国家、监测类别或检测年份如何,其患病率具有一致性,这与经典羊瘙痒症的流行病学模式形成对比。这表明非典型羊瘙痒症的病因与经典羊瘙痒症不同。