Santman-Berends Inge M G A, van Schaik Gerdien, Augustijn-Schretlen Marieke, Bisschop Irene P I H, de Rond Jan, Meijer Paola A, van der Heijden Harold M J F, Velkers Francisca C, Koopmans Marion P G, van der Poel Wim H M, Smit Lidwien A M, Stegeman Arjan J A, Sikkema Reina S, Oude Munnink Bas B, Hakze-van der Honing Renate W, Molenaar Robert-Jan
Department of Research and Development, Royal GD, Deventer, Netherlands.
Department of Population Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, Netherlands.
Transbound Emerg Dis. 2024 Apr 12;2024:4793475. doi: 10.1155/2024/4793475. eCollection 2024.
Starting December 2019, a novel coronavirus (SARS-CoV-2) spread among humans across the world. From 2020 onward, farmed mink were found susceptible to the virus. In this paper, we describe the Dutch surveillance system and the added surveillance components for early detection of SARS-CoV-2 outbreaks and their results in Dutch mink farms. In the Netherlands, a surveillance system was in place in which mink farmers could submit carcasses for postmortem evaluation and could contact a telephone helpdesk for veterinary advise. Through this system, the first SARS-CoV-2 outbreak in two mink farms was detected in April 2020. Immediately, the Dutch Ministry of Agriculture commissioned a consortium of statutory and research institutes to intensify the surveillance system. The program consisted of both passive surveillance, i.e., mandatory notifications and active surveillance components, i.e., serological screenings and weekly risk-based sampling of dead mink for early detection of new SARS-CoV-2 infections. When one of the surveillance components indicated a suspicion of a possible SARS-CoV-2 infection, follow-up samplings were conducted and at confirmation, all mink were culled. During 2020, 67 out of 124 mink farms that were under surveillance became infected with SARS-CoV-2 (54%). Of these, 31 were detected based on clinical signs (passive surveillance of clinical signs) and 36 were detected through active surveillance. From the mink farms with a new SARS-CoV-2 outbreak that was detected through the surveillance, in 19% of the farms ( = 7), the mink never showed any clinical signs of SARS-CoV-2 and might have been missed by the passive notification system. This study underlines the added value of a surveillance system that can quickly be intensified. The subsequent combination of both passive and active surveillance has shown to be effective in the early detection of emerging pathogens, which is important to minimize the risk of zoonotic spill-over.
自2019年12月起,一种新型冠状病毒(严重急性呼吸综合征冠状病毒2,SARS-CoV-2)在全球人群中传播。从2020年起,发现养殖水貂对该病毒易感。在本文中,我们描述了荷兰的监测系统以及为早期发现SARS-CoV-2疫情而增加的监测组成部分及其在荷兰水貂养殖场的监测结果。在荷兰,有一个监测系统,水貂养殖户可提交尸体进行尸检评估,并可联系电话服务台获取兽医建议。通过该系统,2020年4月在两个水貂养殖场检测到首例SARS-CoV-2疫情。荷兰农业部随即委托一个由法定机构和研究机构组成的财团加强监测系统。该计划包括被动监测(即强制通报)和主动监测组成部分(即血清学筛查以及对死亡水貂进行基于风险的每周抽样,以早期发现新的SARS-CoV-2感染)。当其中一个监测组成部分表明怀疑可能存在SARS-CoV-2感染时,便进行后续采样,确诊后,所有水貂均被扑杀。2020年期间,接受监测的124个水貂养殖场中有67个感染了SARS-CoV-2(54%)。其中,31个是根据临床症状检测到的(对临床症状的被动监测),36个是通过主动监测检测到的。在通过监测发现有新的SARS-CoV-2疫情的水貂养殖场中,19%(=7个)的养殖场的水貂从未表现出任何SARS-CoV-2的临床症状,被动通报系统可能会遗漏这些情况。本研究强调了可迅速强化的监测系统的附加价值。被动监测和主动监测相结合已证明在早期发现新出现的病原体方面是有效的,这对于将人畜共患病传播的风险降至最低很重要。