Liu Hui, Chen Zongqiu, Xiao Xincai, Lu Jianyun, Di Biao, Li Kuibiao, Wang Hui, Luo Lei, Yang Zhicong
Division of Infectious Disease, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China.
Division of Infectious Disease, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China. Email:
Zhonghua Liu Xing Bing Xue Za Zhi. 2014 Jul;35(7):832-6.
To analyze the results of nine-round environmental specimen surveillance programs in five live poultry markets pre-, during and post the 'closing days' and to evaluate the effects of 'closing days' on live poultry markets regarding the control against avian influenza pollution.
In January 2014, control measures including culling poultry, completely cleaning and disinfecting and a 'three-day-closing' measure were conducted in five live poultry markets which were found positive for H7N9 nucleic acid in the 1(st) round environmental specimen surveillance program. Second surveillance program was conducted after a thorough disinfection campaign was launched. Several times surveillance were conducted in one week, after the markets were reopened. RT-PCR was used to test the nucleic acid of HA, H5, H7 and H9 viruses.
654 specimens from the environment were collected and tested. During the first round surveillance program, positive rates for influenza A and H5/H7/H9 nucleic acid of poultry stalls appeared to be 94.44% and 61.11% respectively. The positive rates of poultry stalls reduced to 0 after the disinfection campaign but increased again after the markets reopened. The positive rate for influenza A of poultry stalls slightly increased from 50.00% in the third surveillance to 72.22% in the ninth surveillance (P > 0.05). The positive rate for H5/H7/H9 of poultry stalls showed a significantly increasing trend, from 0 in the third surveillance to 44.44% in the ninth surveillance (P < 0.01). The positive rates for influenza A and H5/H7/H9 nucleic acid of specimens were 28.89% and 17.78% respectively. The positive rate of specimens reduced to 0 after disinfection while increased again after reopening of the markets. The positive rate for influenza A of specimens slightly increased from 19.67% in the third surveillance to 27.54% in the ninth surveillance programs (P > 0.05). The positive rate for H5/H7/H9 of specimen showed a significant increasing trend, from 0 in the third surveillance to 8.70% in the ninth-round surveillance programs (P < 0.01). The positive rate for influenza A was the highest for slaughter- related specimens of 22.4% (35/156). The positive rates for influenza A from sewage and drinking water being collected on the later stage after the markets reopened (25.9%, 12.4%)were higher than those on the early stage (8.3%, 8.6%) (P > 0.05). The positive rate for influenza A of poultry stalls with overnight poultry storage (91.7%) was significant higher than that of poultry stalls without the overnight storage (33.3%). The positive rate for influenza A of poultry stalls in which simultaneously selling different kinds of poultry (85.7%) was significant higher than that of poultry stalls in which selling only one kind of poultry at one time (25.0%) (P < 0.05).
Slaughter in live poultry markets posed a large risk of pollution diffusion. Sewage and drinking water showed an accumulation effect for avian influenza virus. Overnight poultry storage and selling different kinds of poultry at one time at the poultry stalls seemed the risk factors for avian influenza virus transmission. Complete cleaning, disinfecting and several 'closing days' for live poultry markets seemed effective in eliminating avian influenza virus. Once the markets were reopened, they seemed to be soon polluted again.
分析五个活禽市场在“休市日”前、期间和之后的九轮环境样本监测结果,并评估“休市日”对活禽市场防控禽流感污染的效果。
2014年1月,对在第一轮环境样本监测中H7N9核酸检测呈阳性的五个活禽市场采取扑杀禽类、彻底清洗消毒以及“休市三天”等控制措施。在全面开展消毒工作后进行第二轮监测。市场重新开放后,在一周内进行了多次监测。采用逆转录聚合酶链反应(RT-PCR)检测HA、H5、H7和H9病毒的核酸。
共采集并检测了654份环境样本。在第一轮监测中,禽类摊位甲型流感和H5/H7/H9核酸阳性率分别为94.44%和61.11%。消毒后禽类摊位阳性率降至0,但市场重新开放后又再次上升。禽类摊位甲型流感阳性率从第三次监测时的50.00%略有上升至第九次监测时的72.22%(P>0.05)。禽类摊位H5/H7/H9阳性率呈显著上升趋势,从第三次监测时的0升至第九次监测时的44.44%(P<0.01)。样本中甲型流感和H5/H7/H9核酸阳性率分别为28.89%和17.78%。消毒后样本阳性率降至0,市场重新开放后又再次上升。样本中甲型流感阳性率从第三次监测时的19.67%略有上升至第九次监测时的27.54%(P>0.05)。样本中H5/H7/H9阳性率呈显著上升趋势,从第三次监测时的0升至第九轮监测时的8.70%(P<0.01)。与屠宰相关的样本中甲型流感阳性率最高,为22.4%(35/156)。市场重新开放后期采集的污水和饮用水中甲型流感阳性率(25.9%,12.4%)高于早期(8.3%,8.6%)(P>0.05)。有过夜存禽的禽类摊位甲型流感阳性率(91.7%)显著高于无过夜存禽的摊位(33.3%)。同时销售不同种类禽类的禽类摊位甲型流感阳性率(85.7%)显著高于一次只销售一种禽类的摊位(25.0%)(P<0.05)。
活禽市场屠宰带来了较大的污染扩散风险。污水和饮用水对禽流感病毒有累积效应。禽类摊位过夜存禽以及一次销售不同种类禽类似乎是禽流感病毒传播的危险因素。对活禽市场进行彻底清洗、消毒以及多次“休市日”似乎对消除禽流感病毒有效。但市场一旦重新开放,似乎很快又会再次受到污染。