Health situation in Sweden present and future challenges

1
Health situation in Sweden present and future
challenges

• Marianne Elvander
• State epizootiologist
• Professor

2
How do we prepare for the unforeseen?(look
around the corner?)

• Robustness Rapidity
• Strategic planning and efficiency
• Engagement and delegated responsibility
• Ability to rapidly define and redefine
• Chef Boken Scenarioplanering Mats Lindgren och
  Hans Bandhold, 2008

• Adjustment
• Notice Changes in the Environment
• Make the right judgement/take the right decision
• Have adequate resources

3
What are the major threats?

• Uncontrolled incursions H5N1 (2006)
• BT (2008)
• Unknown incursions PRRS (2007)
• Atypical clinical symptoms Anthrax (2008)
• Wild life as a reservoir CSF, WNF etc
• Environmental pathogens Anthrax (2008)
• 
  EHEC/VTEC
• Stressed production systems
• Transports
• Lack of Government funding

4
Avian influenza 2006 65 positives

5
PRRS eradication sucess due to GOOD
COLLABORATION!

• Unknown introduction June/July 2007
• 7 (8) farms identified within 10 days
• Two clusters
• Tracing contacts
• Slaughter
• Surveillance
• Regained freedom

6
Bluetongue Sweden2008

• Detected Sept 6
• positive bulk milk samples
• Vaccination launched Sept 8
• 72/5299 PCR
• - sheep and cattle

7
BT possible route of introduction 7 Aug
8
BT possible route of introduction 15 Aug
9
Anthrax outbreak 2008 15 cows dead
10
What can we do?

• Bio security hot topic!
• Better surveillance systems for early detection
• Passive
• Active
• Good knowledge of the evolution of clinical signs
• Good collaboration between stakeholders and
  authorities

11
How to improve surveillance

• Risk based
• Targeted
• Seasonal
• Geographical
• Based on population and production systems

12
Passive surveillance

• Consultations during April-August 2009
• 20 Bluetongue
• 5 PRRS
• 9 Anthrax
• 3 Rabies and BSE
• 2 CSF, Paratb, AI
• 1AD, SVD, MCF, NDV

13
Active surveillance

• Control programmes
• IBR
• Paratuberculosis bovine
• Tuberculosis in farmed deer
• BVDV
• Leucosis
• Salmonella
• PRRS
• Aujeszkys disease
• Salmonella
• Maedi-Visna
• Scrapie
• Avian influensa
• Campylobacter
• IHN
• VHS
• IPN Sp
• SVC

• Surveys
• BSE
• Brucellosis
• Leptospirosis
• Paratuberculosis sheep
• Mycoplasma spp sheep poultry
• CSF (1944)
• SVD (ND)
• TGE/PRCV
• PED
• Newcastle disease
• ILT
• Egg drop syndrome
• Avian rhinotracheitis
• Rabies in bats
• Echinococcus mult foxes

14
Zoonotic disease collaboration
VETERINARY- MEDICINE
HUMAN MEDICINE
mikrobiologi
lab.methods
pathologi
epidemiologi
drugs i.e. antibiotika
treatments i.e surgery
15
Strategies for Salmonella och EHEC
Slaughter
Primary production
Kitchen
Hospital
16
Thank you for your attention!