Brucellosis situation inmongolia

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1 FAO-APHCA/OIE/USDA Reginal workshop on Prevention and Control of Neglected Zoonozes in Asia Obihiro,Japan, July 2015 Brucellosis situation inmongolia Ch.Tungalag Ph.D, Sc.D, prof Department of infectious diseases and Public Health Mongolian University of Life Science

2 Veterinaty service focused on handling neglected zoonozes Livestock population Brucellosis situation Diagnostic capacity Control measures Challenges

3 Veterinary service in Mongolia o Policy - Ministry of Agriculture and Food o Implementation - Goverment implementation agency - Department of Veterinary service and Animal Breeding o Control - State Control Department

4 Veterinary services focused on zoonozes Cross coordination committee 2013 November One health center Center for communicable diseases by two Ministries- Ministry of Health and Ministry of Agriculture, Food and Industries Working group on Brucellosin Adaption Brucellosis strategy in Mongolia

5 Number of livestock in 2014 Goat Sheep Cattle 2.43 Horse 2.24 Camel Millions Number of livestock

6 Sheep distribution /2014/

7 Goat distribution /2014/

8 Cattle distribution /2014/

9 Horse distribution /2014/

10 Camel distribution /2014/

11 Elevation and water sources Khuvsgul Uvs Selenge Bayan-Ulgii Khovd Dornod Bulgan Zavkhan Arkhangai Bayankhongor Govisumber Govi-Altai Umnugovi W E S Sukhbaatar Dundgovi Uvurkhangai N Khentii Tuv Dornogovi Aimag Boundary River Allevation (meters) < >

12

13 Brucellosis situation in Mongolia o Though many infectious diseases are controlled, the cases of brucellosis communicable to humans are increasing, and according to the record of health organization, brucellosis among human infectious diseases ranks after infectious hepatitis.

14 o Until 1990 livestock had been in public ownership and belonged to agricultural farms and state cooperatives. Therefore, losses and diseases of livestock were centrally controlled, and preventive and fighting measures were implemented on the national level including individually owned livestock and animals. o After 1990 ninety five present of livestock were transformed into private ownership, consequently began to be provided paid veterinary services, and furthermore, the financial possibility to render support by the state became limited. These are the main reasons of the increase of brucellosis cases among livestock and the population.

15 Brucella melitensis - in sheep and goats Brucella abortus in cattle Camels and yaks can be infected by both Both species pathogenic for man

16 Alive vaccines Rev1 Br.melitensis for small animals Strain 19 Brucella abortus for cattle Use for long period of time

17 Brucellosis diagnosis Rose Bengal test CFT ELISA PCR Diffrenciation vaccinated and natural infected animals Targeted surveillance

18 Human brucellosis, Mongolia, Number of cases Incidence per Current zoonoses situation, 2012

19 ELISA test Eastern province Tests Province Species ielisa celisa ielisa celisa pos samples % pos samples % pos samples % pos samples % Sukhbaatar Dornod Camel Cattle Goat Sheep Total Camel Cattle Goat Sheep Total

20 ielisa celisa ielisa celisa Sukhbaatar Dornod

21 ELISA test Tests Province Dornogobi Umnugobi Khobd 2014 Species ielisa celisa pos samples % pos samples % Camel Cattle Goat Sheep Total Camel Cattle Goat Sheep Total Camel Cattle Goat Sheep Total

22 Dornogobi Umnugobi Khobd 2014 ielisa 2014 celisa

23 Brucellosis conttrol Mass vaccination in animals 2o

24 Mass vaccination program Group А M Т Т Т Т Т Т Т Т Т Т Т 2 Б M Т Т Т Т Т Т Т Т Т Т 3 В M Т Т Т Т Т Т Т Т Т 4 Г M Т Т Т Т Т Т Т Т М All animals except males (cattle, sheep, goat) Т-only new born Group А Б В Г Zavhan Province Arhangai, Bayanhongor, Darhan,Orhan, Ubs, Hobd, Gobi-Altai, Bayan-Olgii Bulgan, Dundgobi, Gobisumber, Hobsgol, Omnogobi, Oborhangai, Selenge, Tob, Ulaanbaatar, Dornogobi Hentii, Dornod, Sukhbaatar

25 Key questions: Challenge Diagnosis /infected and after vaccination reaction/ C-ElISA/ Treatment strategy /it should be like as TB treatment/ Alive vaccine strain - reverse /research/

26 Active surveillance in targeted region Financial support Diagnostic capacity in local level Control system Fast diagnostic method for human case Treatment strategy Epidemiology capacity Eradication program

27 Science Policy Implementation Maintenance Free from Brucellosis

28 Comments and question Thank you

29 o The new document regulates relationship between herders whose interests and needs are to keep the livestock healthy, on one hand, and on the other hand, veterinarian s interest to provide veterinary services. However, without sound financial support from the government side it is not possible to implement the policy. o Cost effective methods based on realistic assessment of the present situation should be used to implement the brucellosis eradication and control program in Mongolia.

30 o One has to realize that there are socio-economic factors negatively influencing the fight against brucellosis. In addition, there are biological factors with negative influences.

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