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Biosecurity for neonatal gastrointestinal diseases.

Infectious diarrhea is an important cause of neonatal calf morbidity and mortality that results in significant economic losses in the beef and dairy industries. Although numerous risk factors related to the occurrence of neonatal diarrhea have been identified, they can all be categorized into those that are related to the calf, the pathogens involved, or the environment of the calf. The immune status of calves, specifically the level of passively acquired immunity through colostrum, is the major risk factor related to the calf and the occurrence of diarrhea. Although numerous pathogens have been implicated in the occurrence of neonatal diarrhea, only a relatively limited number are commonly involved. Most should be viewed as secondary opportunists rather than primary pathogens, because none are extraordinarily virulent, and with the exception of Salmonella spp., most are present within the gastrointestinal tract of many healthy, mature cattle. Important risk factors related to pathogens involved in neonatal calf diarrhea involve the size of the inoculum and the occurrence of multiple infections. Finally, when considering the environment and housing conditions in which beef and dairy calves may reside, it is clear that tremendous variations exist. Despite these variations, the risk factors associated with the environment of the calf are also those that are the most amenable to the implementation of general environmental control and monitoring strategies as well as specific biosecurity measures.

Animal Husbandry↗

Biosecurity and bovine respiratory disease.

Although biosecurity practices play a role in minimizing respiratory disease in cattle, they must be used in combination with other management strategies that address the many other risk factors. Because the pathogens involved in bovine respiratory disease are enzootic in the general cattle population, biosecurity practices aimed at the complete elimination of exposure are currently impractical. Several animal husbandry and production management practices can be used to minimize pathogen shedding, exposure, and transmission within a given population, however. Various combinations of these control measures can be applied to individual farms to help decrease the morbidity and mortality attributed to respiratory disease.

Animal Husbandry↗

[Epidemiological examples of infectious disease spread].

The globalisation of trade with animals and animal products and increase of travel transports are very important issues with respect to prevent and control animal diseases or epizootics respectively. The disease control concepts as a complex manner should be established on scientific basis and must be permanently evaluated and updated. Outbreak investigations in order to clarify the source of infection and/or the spread of animal diseases including zoonoses are important fields of activities of veterinary epidemiologists. The application of modern epidemiological methods is the precondition of a successful disease control. On selected examples of animal diseases, the use of these methods is demonstrated. It is urgently necessary to intensify the epidemiological work in applied research and practice.

Animals↗

[The characteristics of the epidemiology and prevention of transmissible infections during World War II].

During the war period the most proliferated transmissible infections were typhoid and bilious typhoid, malaria, and in certain areas--tularemia. The maximum typhoid morbidity was in 1942-1944 (annual increase in February-May, being March a peak point month). As for malaria, the most spreading period was in 1944. Its seasonal increase was in July-October (September-peak point). Besides common methods of struggle against transmissible infections a number of measures against carrying agents were used, but these didn't receive wide application because of lack of effective insecticides for inhalation of imago and grubs of mosquitos. At that time only the "K" preparation and its modifications were available. "DDT" had appeared only in 1944.

Animals↗

Vaccination and herd immunity to infectious diseases.

An understanding of the relationship between the transmission dynamics of infectious agents and herd immunity provides a template for the design of effective control programmes based on mass immunization. Mathematical models of the spread and persistence of infection provide important insights into the problem of how best to protect the community against disease.

Age Factors↗

An introduction to biosecurity of cattle operations.

Recent world events have heightened awareness for the need to safeguard our livestock industries from disease agents. Biosecurity is the outcome of all activities undertaken to preclude introduction of disease agents into an animal population. The concepts of biosecurity are not new. Activities directed at ensuring biosecurity include controlling exposure and optimizing resistance. Programs for biosecurity must be individually tailored to specific situations to account for varying risks and perceptions of risk by decision makers. It is important for practitioners to take a holistic approach to disease control, considering the epidemiology of the disease in addition to the available vaccines and therapeutics.

Animal Diseases↗

Statistics of chronic disease control.

Control of the chronic diseases of middle age is increasingly important, in developed and in developing countries, as other causes of premature death decrease. It requires bigger clinical trials, and better epidemiology.

Chronic Disease↗

Infection control strategies relevant to employee health.

A well organized employee health service is a key component of an effective infection control program. All health care providers should be immune to mumps, measles, rubella, tetanus, and polio. Hepatitis B vaccine should be offered to all workers who have contact with blood. Employees with signs and symptoms of infectious diseases should be evaluated by Employee Health and follow work restrictions. Employees with exposure to communicable diseases should be evaluated for prophylaxis.

Communicable Disease Control↗

Quarantine stressing voluntary compliance.

A 1-day table-top exercise in San Diego, California, in December 2004 emphasized voluntary compliance with home quarantine to control an emerging infectious disease outbreak. The exercise heightened local civilian-military collaboration in public health emergency management. Addressing concerns about lost income by residents in quarantine was particularly challenging.

California↗

[Infectious diseases-part I: epidemiology].

The outstanding issue regarding recent trends in the epidemiology of infectious diseases is the epidemic occurrence of severe acute respiratory syndrome (SARS) in 2003. SARS is caused by a novel coronavirus, presumably originating from wild cats. This new agent was rapidly identified and characterized, the outbreak was terminated in early summer 2003 after implementation of strict infectious control measures. Especially the high rate of complications and nosocomial infections has caused severe public health problems in China and Canada. The number of persons infected with HIV is still rising rapidly globally. New regions with rapid spread include the countries of the former Soviet Union in East Europe and Central Asia. The introduction of modern antiretroviral therapy in countries with high prevalence is making slow progress, with no visible impact on transmission dynamics so far. The WHO has implemented a number of programs to eradicate or eliminate targeted infectious diseases. Polio eradication and elimination of neonatal tetanus are making slow progress, obstacles to the control of these diseases are ongoing armed conflicts in regions with high prevalence and under financing of programs. Lack of funding is especially obvious regarding programs for the control and therapy of malarial infections. The numbers of patients newly identified with new variant Creutzfeldt-Jakob disease are not rising, but rather constant or even declining, making a large epidemic of vCJD unlikely.

Communicable Disease Control↗

Reducing the impact of viral respiratory infections in children.

This article reviews the epidemiology and clinical aspects of the major viral causes of upper and lower respiratory tract disease in children. Particular emphasis is placed on prevention and control of viral disease through the use of vaccines and antiviral agents. Evolution of new viral pathogens, such as avian influenza virus and the SARS-CoV, are discussed.

Age Distribution↗

Infectious diseases and child day care.

The number of day care centers and home care facilities has steadily increased in the United States. Recent interest has focused on the possible relationship between attendance at child day care facilities and the occurrence of certain infectious diseases. A variety of infectious agents have been reported as causes of illness among children and staff in day care programs. In general, however, concurrent risks for these infections among children attending and those not attending day care programs have not been established by prospective studies. A review is made of the pathogens that have been associated with infections in day care settings, patterns of occurrence of infectious diseases in day care facilities, aspects of control and prevention of these diseases, and controversies related to infectious diseases in child day care facilities. Aspects of this problem that warrant further research are outlined.

Child Day Care Centers↗

["Emerging infectious diseases". Dengue-fever, West-Nile-fever, SARS, avian influenza, HIV].

Some emerging infectious diseases have recently become endemic in Germany. Others remain confined to specific regions in the world. Physicians notice them only when travelers after infection in endemic areas present themselves with symptoms. Several of these emerging infections will be explained. HIV is an example for an imported pathogen which has become endemic in Germany. SARS and avian influenza are zoonoses with the potential to spread from person to person. Avian influenza in humans provides a possibility for the reassortment of a potential new pandemic strain. Outbreaks of dengue fever in endemic areas are reflected in increased infections in travelers returning from these areas. Currently, West-Nile-virus infections are only imported into Germany. The timely implementation of diagnostic, therapeutic and infection control measures requires physicians to include these diseases in their differential diagnosis. To achieve this goal, good cooperation between physicians, laboratories and the public health service is essential.

Animals↗

[The role of the Federal Government in the prevention and control of infectious diseases. Organizational structures, responsibilities and duties--an overview].

Health policy is faced today with the challenge of keeping the health care system up to a high standard and affordable at the same time. A comprehensive health protection system that is efficient and readily accessible to all is required. Although it is to a great extent the responsibility of every citizen to promote and sustain their own health, it is the duty of the Federal Government to provide for risks that can emanate from pathogens, products or environmental factors. Protection against all known risks should be improved, new health threats have to be countered and new scientific findings must be considered. Prevention, health promotion and health protection are important key factors to improve health in the general population and to reduce health care costs. The prevention of and protection from infectious diseases are high priority tasks in the further development of an effective health care system in Germany. In order to accomplish these tasks in the control of infectious diseases close collaboration between a number of federal agencies and federal institutes under the responsibility of the Ministry of Health and Social Security as well as the Ministry of Consumer Protection, Food and Agriculture has to be ensured.

Communicable Disease Control↗

Arthropod-borne diseases: vector control in the genomics era.

Diseases that are transmitted by arthropods cause severe morbidity and mortality throughout the world. The burden of many of these diseases is borne largely by developing countries. Advances in vector genomics offer new promise for the control of arthropod vectors of disease. Radical changes in vector-biology research are required if scientists are to exploit genomic data and implement changes in public health.

Animals↗