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Highly Pathogenic Avian Influenza (H7N7) in Italy STANDING COMMITEE ON PLANTS, ANIMALS, FOOD AND FEED Section Animal Health and Welfare 1st June 2016

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Page 1: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Highly Pathogenic Avian Influenza (H7N7) in Italy

STANDING COMMITEE ON PLANTS, ANIMALS, FOOD AND FEED

Section Animal Health and Welfare

1st June 2016

Page 2: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

H7N7 HPAI Outbreak in Emilia Romagna - 16/0001

• Organic free-range laying hens holding in Ferrara province (Emilia Romagna region)

– 17.000 laying hens

• 29 April 2016 - Farmer reported increased daily mortality

• 30 April 2016 - The National Reference Laboratory confirmed the positivity for Influenza A virus subtype H7

Page 3: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

H7N7 HPAI Outbreak in Emilia Romagna - 16/0001

• 1 May 2016 – Beginning of depopulation and carcasses disposal

• 2 May 2016 – The National Reference Laboratory identifies the H7N7 HPAI virus

• 2 May 2016 – End of depopulation and disposal of carcasses (rendering)

Page 4: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Run

Office and

warehouse

Page 5: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia
Page 6: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Daily Mortality

Page 7: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Weekly Egg Production

Page 8: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Consumption of feed

Data Weekly Consumption (kg) Average daily

consumption (kg)

29/02/2016 - 06/03/2016 139,72 19,98

07/03/2016 - 13/03/2016 139,51 19,93

14/03/2016 - 20/03/2016 139,3 19,9

21/03/2016 - 27/03/2016 138,88 19,84

28/03/2016 - 03/04/2016 138,39 19,77

04/04/2016 - 10/04/2016 137,69 19,67

11/04/2016 - 17/04/2016 137,2 19,6

18/04/2016 - 24/04/2016 137,13 19,59

Page 9: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Protection and Surveillance Zones

Page 10: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Result of epidemiological enquiry

Basing on epidemiological data and phylogenetic analysis:

• Possible virus introduction as Low Pathogenicity through direct contact between wild birds and free-range laying hens

• Likely mutation from Low to High pathogenicity strain, with increased mortality and decrease in egg production

• Sequencing of the virus showed two different pathotypes (HPAI and LPAI)

Page 11: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Epidemiological contacts

• Feed lorry visited the infected holding on 14 April The vehicle came from a feed factory annexed to a laying hens holding, in Treviso

province (Veneto region)

• Table eggs produced before the suspect confirmation were sent to a packaging

centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Romagna region) before reaching the packaging centre

• Lorry of the rendering plant visited the infected holding on 19 April

Vehicle collected the carcasses in other 3 poultry farms in Padova province (Veneto region), after visiting the infected farm

Page 12: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

feed factory

with poultry farm

egg packaging

centre

outbreak

laying hens holding

poultry farms

Page 13: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

• All the contact holdings were put under official restrictions and official controls on

reared birds were performed as provided for by the national provisions 30 blood samples/shed 30 tracheal swabs/shed 5 dead birds/shed

• After 21 days from the last at-risk contact, and after the negative results of the official tests the restrictive measures were lifted in all the contact holdings

Control measures implemented in contact holdings

Page 14: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Control measures at a national level

• In all layer holdings located in Densely Populated Poultry Areas (DPPAs)

– 30 tracheal swabs and 30 blood samples for shed

– Clinical inspection and submission of at least 15 dead birds for each affected shed in case of increased mortality, drop in egg production and/or feed consumption

Page 15: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Control measures at a national level

• Pre-moving testing of pullets and laying hens in Densely Populated Poultry Areas (DPPAs)

• Pre-moving testing of fattening turkeys before loading for slaughter in DPPAs

Page 16: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Control measures at a national level (DPPA)

Layers holdings Fattening turkeys holdings

No. Of PCR Analysis No. Of Confirmed PCR

Species No. Of Farms No. Of Animals M-gene PCR H5 H7 H5 H7

FATTENING TURKEY 108 6774 543 1 1 0 1

LAYING HENS 457 31782 3456 6 6 0 0

TOTAL 565 38556 3999 7 7 0 1

Page 17: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Control measures at a national level

• Enhanced biosecurity measures

• Functional separation of production between Emilia Romagna and the other regions

Page 18: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Phylogenetic analysis

• The HA gene of the virus A/chicken/Italy/16VIR-1873/2016 (H7N7) clusters with H7 subtypes detected in Africa and Asia, between 2010 and 2013 in both wild and domestic birds

• The NA gene of the virus A/chicken/Italy/16VIR-1873/2016 (H7N7) clusters with AIVs belonging to H10N7 and H7N7 subtypes detected in Europe, between 2010 and 2015 in wild and domestic birds and seals

• The HA gene resulted to be low related to other HPAIVs recently identified in Italy and Europe and to the H7N7 LPAI virus responsible for the Ferrara outbreak of 15 April 2016 (similarity lower than 93%)

• No additional glycosylation sites or molecular markers of adaptation to mammalian hosts have been identified in the HA gene.

Page 19: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

0.01

A/Eurasian_teal/Italy/439-117/2005_H7N7

A/mallard/Italy/6103-5/2007_H7N1

A/Mallard/Italy/2699-98/2006_H7N7

A/mallard/Italy/6103-12/2007_H7N3

A/duck/Bangladesh/14VIR1121-1/2013_H7N5

A/duck/Mongolia/119/2008_H7N9

A/velvet_scoter/Mongolia/986V/2009_H7N3

A/duck/Mongolia/129/2010_H7N9

A/Netherlands/219/03_H7N7

A/mallard/Askania-Nova/39-15-02/2011_H7N7A/mallard/Novomyhalivka/10-23-12/2010_H7N7

A/Mallard/Italy/2699-78/2006_H7N7

A/ostrich/South_Africa/ORD/2012_H7N1

A/Mallard/Sweden/105/02_H7N7A/mallard/Italy/43/01_H7N3

A/chicken/Pakistan/CR2/95_H7N3

A/chicken/Rizhao/875/2013_H7N9

A/shoveler/Italy/6104-30/2007_H7N3

A/duck/Italy/16VIR-1614-2/2016

A/teal/Italy/16VIR345-29/2016/H7

A/mallard/italy/6836-55/2008_H7N1

A/chicken/Pakistan/34669/1995H7N3

A/shoveler/Egypt/00017-NAMRU3/2007_H7N3

A/garganey/Italy/1699-2/2009

A/Netherlands/300/03_H7N7

A/Mallard/Italy/497-29/2006_H7N7

A/mallard/Italy/731/09_H7N1

A/chicken/Italy/2837-54/2007A/chicken/Italy/2837-58/2007

A/ostrich/South_Africa/MKT/2012_H7N1

A/chicken/Murree/NARC-01/1995_H7N3

A/mallard/Italy/794-18/2008_H7N1

A/shoveler/Italy/2698-3/2006_H7N7

A/shoveler/Egypt/00215-NAMRU3/2007_H7N9

A/chicken/England/2830/2015_H7N7

A/northern_shoveler/Egypt/EMC-1/2010_H7

A/shoveler/Egypt/14879-NAMRU3/2006_H7N1A/Chicken/NL-Barneveld/15004745-001-005/2015_H7N7

A/turkey/Germany/R11/2001_H7N7

A/Mallard/Italy/2699-116/2006_H7N7

A/duck/Italy/14VIR-3083/2014_H7N7

A/Mallard/Italy/2699-74/2006_H7N7

A/Shoveler/Italy/2698-3/2006_H7N7

A/silkie_chicken/Wenzhou/816/2013_H7N7

A/teal/Crimea/2027/2008_H7N8

A/duck/Turkey/55/Cetinkaya/49/2006_H7N1

A/environment/Bangladesh/917/2012_H7N9

A/duck/Italy/16VIR-1614-1/2016

A/mallard/Poland/16/09

A/mallard/Italy/1336/07_H7N3

A/mallard/Republic_of_Georgia/2/2010_H7N7

A/turkey/Germany/R11/01_H7N7

A/ruddy_shelduck/Mongolia/1009/2010_H7N7

A/ruddy_shelduck/Mongolia/1209/2010_H7N1

A/mallard/Italy/11VIR-540/11_H7N7

A/Shoveler/Italy/377-6/2006_H7N7

A/ostrich/South_Africa/KVL/2012_H7N1

A/mallard/Italy/738-27/2009

A/turkey/Germany-NI/R534/2013_H7N7

A/Anas_crecca/Spain/1460/2008_H7N9

A/chicken/Pakistan/447/95_H7N3

A/chicken/Rizhao/871/2013_H7N9

A/chicken/Italy/16VIR-1873/2016_H7N7

A/chicken/England/1158-11406/2008_H7N7

A/garganey/Crimea/2027/2008_H7N8

A/mallard/Iran/V31/04_H7

A/mallard/Nizhnegorsk/3-06-10/2010_H7N7

A/teal/Italy/11VIR-792/11_H7N6

A/mallard/Sweden/105/2002_H7N7

H7N1 HPAI-LPAI Italy 1999-2001

A/Mallard/Italy/440-8/2005_H7N7

A/Mallard/Italy/497-35/2006_H7N7

A/teal/Italy/794-3/2008_H7N1

A/mallard/Sweden/3331/2003_H7N7

A/Netherlands/127/03_H7N7

A/mallard/Republic_of_Georgia/3/2010_H7N3

A/ostrich/South_Africa/FWS/2012_H7N1

A/ruddy_shelduck/Mongolia/1189/2010_H7N1

A/mallard/Sweden/124987/2010_H7N7

A/common_goldeneye/Mongolia/1271/2010_H7N1

A/Mallard/Italy/2699-115/2006_H7N7

A/mallard/Netherlands/12/2000_H7N3

A/mallard/Italy/3397-65/2008_H7N1

A/mallard/Italy/199/01_H7N3

A/pigeon/Wenzhou/559/2013_H7N7

A/northern_shoveler/Egypt/EMC-1/2012_H7N1

A/mallard/Poland/01/08_H7N7

A/Shoveler/Italy/2698-27/2006_H7N7

A/chicken/Karachi/NARC-100/2004_H7N3

A/ruddy_shelduck/Mongolia/436/2010_H7N1

H7N7 HPAI Italy 2013

A/chicken/England/26352/2015_H7N7

H7N3 Italy 2007-2010

A/chicken/NL-Barneveld/15004745-006-010/2015_H7N7

A/Fujian/1/2013_H7N9

A/sacred_ibis/South_Africa/120701/2012_H7N1

A/Eurasian_teal/Italy/533/2005_H7N7

A/guinea_fowl/Italy/407/2008_H7N1

A/shoveler/Egypt/00597-NAMRU3/2004_H7N1

A/shoveler/Italy/6323-11/2007_H7N3

H7N3 Italy 2002-2004

A/mallard/Italy/33/01_H7N3

A/shellduck/South_Africa/DLH/2012_H7N8

A/mallard/Italy/6104-14/2007_H7N3

A/mallard/Sweden/2027/2003_H7N7

A/mallard/Korea/822/10_H7N7

0,98

0

0,79

0

0,23

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0,92

0

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0

0

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0,83

0,81

0

0

0,9

0,94

0,88

0,91

0,99

0,99

1

0,96

0,97

0,9

0,91

1

1

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0

1

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0,94

0,05

0,89

0

0,75

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1

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0

0,34

0,87

1

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0,92

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1

0,89

1

1

0,76

0

0,96

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1

0

0,99

0,91

0

0,98

0,82

0,96

0,79

1

0

1

0,75

0,81

0,77

0,88

0,76

1

1

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0

0,98

0,99

0.01

A/Eurasian_teal/Italy/439-117/2005_H7N7

A/mallard/Italy/6103-5/2007_H7N1

A/Mallard/Italy/2699-98/2006_H7N7

A/mallard/Italy/6103-12/2007_H7N3

A/duck/Bangladesh/14VIR1121-1/2013_H7N5

A/duck/Mongolia/119/2008_H7N9

A/velvet_scoter/Mongolia/986V/2009_H7N3

A/duck/Mongolia/129/2010_H7N9

A/Netherlands/219/03_H7N7

A/mallard/Askania-Nova/39-15-02/2011_H7N7A/mallard/Novomyhalivka/10-23-12/2010_H7N7

A/Mallard/Italy/2699-78/2006_H7N7

A/ostrich/South_Africa/ORD/2012_H7N1

A/Mallard/Sweden/105/02_H7N7A/mallard/Italy/43/01_H7N3

A/chicken/Pakistan/CR2/95_H7N3

A/chicken/Rizhao/875/2013_H7N9

A/shoveler/Italy/6104-30/2007_H7N3

A/duck/Italy/16VIR-1614-2/2016

A/teal/Italy/16VIR345-29/2016/H7

A/mallard/italy/6836-55/2008_H7N1

A/chicken/Pakistan/34669/1995H7N3

A/shoveler/Egypt/00017-NAMRU3/2007_H7N3

A/garganey/Italy/1699-2/2009

A/Netherlands/300/03_H7N7

A/Mallard/Italy/497-29/2006_H7N7

A/mallard/Italy/731/09_H7N1

A/chicken/Italy/2837-54/2007A/chicken/Italy/2837-58/2007

A/ostrich/South_Africa/MKT/2012_H7N1

A/chicken/Murree/NARC-01/1995_H7N3

A/mallard/Italy/794-18/2008_H7N1

A/shoveler/Italy/2698-3/2006_H7N7

A/shoveler/Egypt/00215-NAMRU3/2007_H7N9

A/chicken/England/2830/2015_H7N7

A/northern_shoveler/Egypt/EMC-1/2010_H7

A/shoveler/Egypt/14879-NAMRU3/2006_H7N1A/Chicken/NL-Barneveld/15004745-001-005/2015_H7N7

A/turkey/Germany/R11/2001_H7N7

A/Mallard/Italy/2699-116/2006_H7N7

A/duck/Italy/14VIR-3083/2014_H7N7

A/Mallard/Italy/2699-74/2006_H7N7

A/Shoveler/Italy/2698-3/2006_H7N7

A/silkie_chicken/Wenzhou/816/2013_H7N7

A/teal/Crimea/2027/2008_H7N8

A/duck/Turkey/55/Cetinkaya/49/2006_H7N1

A/environment/Bangladesh/917/2012_H7N9

A/duck/Italy/16VIR-1614-1/2016

A/mallard/Poland/16/09

A/mallard/Italy/1336/07_H7N3

A/mallard/Republic_of_Georgia/2/2010_H7N7

A/turkey/Germany/R11/01_H7N7

A/ruddy_shelduck/Mongolia/1009/2010_H7N7

A/ruddy_shelduck/Mongolia/1209/2010_H7N1

A/mallard/Italy/11VIR-540/11_H7N7

A/Shoveler/Italy/377-6/2006_H7N7

A/ostrich/South_Africa/KVL/2012_H7N1

A/mallard/Italy/738-27/2009

A/turkey/Germany-NI/R534/2013_H7N7

A/Anas_crecca/Spain/1460/2008_H7N9

A/chicken/Pakistan/447/95_H7N3

A/chicken/Rizhao/871/2013_H7N9

A/chicken/Italy/16VIR-1873/2016_H7N7

A/chicken/England/1158-11406/2008_H7N7

A/garganey/Crimea/2027/2008_H7N8

A/mallard/Iran/V31/04_H7

A/mallard/Nizhnegorsk/3-06-10/2010_H7N7

A/teal/Italy/11VIR-792/11_H7N6

A/mallard/Sweden/105/2002_H7N7

H7N1 HPAI-LPAI Italy 1999-2001

A/Mallard/Italy/440-8/2005_H7N7

A/Mallard/Italy/497-35/2006_H7N7

A/teal/Italy/794-3/2008_H7N1

A/mallard/Sweden/3331/2003_H7N7

A/Netherlands/127/03_H7N7

A/mallard/Republic_of_Georgia/3/2010_H7N3

A/ostrich/South_Africa/FWS/2012_H7N1

A/ruddy_shelduck/Mongolia/1189/2010_H7N1

A/mallard/Sweden/124987/2010_H7N7

A/common_goldeneye/Mongolia/1271/2010_H7N1

A/Mallard/Italy/2699-115/2006_H7N7

A/mallard/Netherlands/12/2000_H7N3

A/mallard/Italy/3397-65/2008_H7N1

A/mallard/Italy/199/01_H7N3

A/pigeon/Wenzhou/559/2013_H7N7

A/northern_shoveler/Egypt/EMC-1/2012_H7N1

A/mallard/Poland/01/08_H7N7

A/Shoveler/Italy/2698-27/2006_H7N7

A/chicken/Karachi/NARC-100/2004_H7N3

A/ruddy_shelduck/Mongolia/436/2010_H7N1

H7N7 HPAI Italy 2013

A/chicken/England/26352/2015_H7N7

H7N3 Italy 2007-2010

A/chicken/NL-Barneveld/15004745-006-010/2015_H7N7

A/Fujian/1/2013_H7N9

A/sacred_ibis/South_Africa/120701/2012_H7N1

A/Eurasian_teal/Italy/533/2005_H7N7

A/guinea_fowl/Italy/407/2008_H7N1

A/shoveler/Egypt/00597-NAMRU3/2004_H7N1

A/shoveler/Italy/6323-11/2007_H7N3

H7N3 Italy 2002-2004

A/mallard/Italy/33/01_H7N3

A/shellduck/South_Africa/DLH/2012_H7N8

A/mallard/Italy/6104-14/2007_H7N3

A/mallard/Sweden/2027/2003_H7N7

A/mallard/Korea/822/10_H7N7

0,98

0

0,79

0

0,23

0,89

0,92

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0

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0,83

0,81

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0

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1

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1

1

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0

1

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0,75

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1

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0

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0

0,34

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1

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1

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1

1

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1

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0,99

ML phylogenetic tree of the HA gene

Page 20: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

H7N7 HPAI Outbreak in Emilia Romagna -16/0002

• Meat turkey holding in Ferrara province (Emilia Romagna region)

• The farm belongs to a vertical integrated group

• 49.472 male turkeys (59 days old)

• Within the Protection Zone of the first H7N7 HPAI outbreak (16/0001)

Page 21: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Protection and Surveillance Zones

Page 22: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

H7N7 HPAI Outbreak in Emilia Romagna - 16/0002

• 13 May 2016 – Reported increased mortality in a single shed (n.12)

• 16 May 2016 – National Reference Laboratory confirmed the positivity for H7N7 HPAI virus

• 18 May 2016 – End of depopulation and carcass disposal

Page 23: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia

Daily mortality (shed n.12)

Increased mortality in shed n.12 leads to suspect AI introduction

Page 24: Highly Pathogenic Avian Influenza (H7N7) in Italy · centre in Cremona province (Lombardia region) The vehicle stopped for egg load in another holding in Bologna province (Emilia
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Result of epidemiological enquiry

• So far the introduction path of the virus remains unknown

• Pre-emptive killing in a single contact holding (same company; proximity)

– 17 May 2016 – Ministry of Health orders the pre-emptive slaughter of the turkey holding

– 18 May 2016 – Depopulation begins in the contact holding

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Phylogenetical analysis

• The HA gene of the virus A/turkey/Italy/16VIR-2251/2016 (H7N7) shows a similarity of 99.6% with the H7N7 HPAI virus isolated in the previous outbreak (16/0001) clustering with H7 subtypes collected in Africa and Asia, between 2010 and 2013 in both wild and domestic birds;

• No additional glycosilation sites or molecular markers of adaptation to mammalian hosts have been identified in the HA gene.

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ML phylogenetic tree of the HA gene

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Thank you