Meat juice as a feasible alternative sample for tuberculosis surveillance in large game.

In hunted animals, quality of blood samples may often be compromised. Alternative samples, such as meat juice, may offer an advantage to perform serological tests. This study evaluates if meat juice is a feasible alternative sample to perform the Tuberculosis ELISA test in hunted large game. Between 2017 and 2022, 175 samples were collected from 97 animals (14 red deer + 83 wild boar) in Portugal and Spain. Cohen's kappa coefficient was calculated at 0.71, pointing out a good agreement using 156 paired samples. The sensitivity of the ELISA test with serum was 37.6%, considering Tuberculosis-like lesions (TBL) detected during the initial examination (26 TBL+/ELISA+ in a total of 78 serum samples). Using meat juice as matrix, the sensitivity increased to 37.5% (33 TBL+/ELISA+ in 97 meat juice samples). According to the agreement score and sensitivity being so close between the two matrices tested, meat juice could be a feasible alternative matrix.

First Serologic Survey of Erysipelothrix rhusiopathiae in Wild Boars Hunted for Private Consumption in Portugal.

Erysipelothrix rhusiopathiae is a relevant zoonotic infectious agent causing swine erysipelas (SE) in wild boar. In Portugal, there is no information on its occurrence. For this reason, this study aims to perform a first serosurvey of SE in hunted wild boars in Portugal. During the 2019/2020 hunting season, 111 sera from hunted wild boar were collected and analysed serologically in the laboratory with a commercial ELISA kit. No animals were eviscerated and examined after the hunt. The hunters took it all for private consumption. The results identified 18 animals that were exposed to SE, corresponding to a seroprevalence of 16.2% (95% CI: 19.9-24.4%). No statistical significance was observed on the effect of gender and age on seropositivity. However, wild boar hunted in Pinhel County, had five times more likely to be seropositivity (p-value < 0.05; OD = 5.4). Apart from its potential debilitating capacity and chronicity in the wild boar population, SE is also a very serious occupational zoonosis. Thus, the result of this first serosurvey in Portugal should raise awareness and alert competent national veterinary authorities and those involved in the hunting sector, especially hunters who directly handle these carcasses. Further studies should be conducted to better understand the role of wild boar as a reservoir and spillover of this disease to other animals and humans.

Hepatitis E Virus in the Wild Boar Population: What Is the Real Zoonotic Risk in Portugal?

Hepatitis E virus (HEV) is an important zoonosis in wild boar. Reported zoonotic cases are mainly associated with the consumption of raw/undercooked meat and/or liver. This study aims to determine the occurrence of HEV in the Portuguese wild boar population. During the hunting season 2021/2022, 123-matched samples (liver, faeces, and blood) were collected from hunted wild boars throughout Portugal. An RT-PCR assay tested liver and faeces samples to detect HEV-RNA. From blood samples, an ELISA test was performed. Only one liver sample was positive for HEV (0,8%) and one other from faeces. A total of 34 sera were seropositive (26.7%). At the same time, in a survey of 106 hunters, 21 consumed/ate the liver of wild boars (19.8%). Only three recognised the possibility of consuming it undercooked. Contrary to previous studies in Portugal, the prevalence of HEV in liver and faeces is low, but the seropositivity is higher. But, when analyzing in detail, it could be observed that an HEV hotspot exists in the southeast of central Portugal and that it is a zoonotic risk for hunters of this region. The data of this study reinforce the importance of including HEV in surveillance programs for wildlife diseases to expand the potential zoonotic information.

15 years overview of European zoonotic surveys in wild boar and red deer: A systematic review.

Wild boar (Sus scrofa) and red deer (Cervus elaphus) are the main large game species hunted in Europe. They can also be a source of zoonotic infections for cohabiting humans. The purpose of this systematic review was to examine the spatiotemporal tendencies and sanitary profiles of surveys on zoonotic diseases of wild boars and red deer in Europe in 15 years (2006-2020). Through the search strategy "((sus scrofa OR wild boar OR cervus elaphus OR red deer) AND (zoonosis OR zoonot* OR infectious disease))" in Pubmed and ScienceDirect databases, 1419 articles were assessed in February of 2021. Pursuing the inclusion criteria: species of interest - wild boar and red deer, established zoonosis and presence of natural infection and the exclusion filters: European study, specified a timeline (2006-2020), printed in English and with open-access. To conduct this systematic review, 194 European surveys issued in indexed journals were included after revising all abstracts and eliminating 323 unrepeated articles. Geographically, dissimilarity in the pattern of distribution of surveys was uttered. In the short term, the pattern of the number of publications about zoonotic diseases in wild boars and red deer oscillates, but with an increasing tendency over 15 years under study. When examining the sanitary profile of the eligible surveys, the focus is mostly on zoonoses such as Hepatitis E virus, Toxoplasmosis, Trichinellosis, Salmonellosis and Tuberculosis. With the high growth in the population of these large game species in Europe and the previous gaps in their sanitary profile, the number of surveys has been endorsed in the defined 15 years period. Based on the One Health concept and prioritizing the issue of the occurrence of zoonoses as a matter of Public Health, there must be increasing apprehension about that and enhanced knowledge about their potential risk for veterinarians, hunters and other agents involved in the hunting sector.

Hygiene and biosecurity conditions of initial examination on-spot in Portugal: One step toward game meat safety.

Background and Aim: Due to the particularities of the first steps of the game food chain, large game species are shot, bled, and handled in collection points (spot of evisceration and initial examination in the field). These steps of the game meat chain affect the microbiological quality of this type of meat, thus posing a risk to consumers. This study aimed to characterize the collection points in terms of central hygiene and biosecurity procedures/requirements. Materials and Methods: One survey with 16 questions was applied in 95 hunting areas throughout Portugal. It was a convenience sample obtained by direct visualization on-spot procedures. Four categories were characterized in the survey: Initial examination (performance assiduity and type of operator performing it), hygiene requirements on-spot (floor, ceiling, water, and electricity), biosecurity procedures such on initial examination (use of personal protective equipment as gloves, glasses, mask, and specific clothes), and by-products disposal (destination and packaging of by-products). Results: Sixty percentage (n = 57) eviscerated the carcasses and performed the initial examination on-spot. Moreover, most of the time (n = 71), the initial examination was carried out by veterinarians. However, the category that showed the best results was those related to the biosecurity procedures on initial examination, mainly with the use of the individual protective material (e.g., regular use of disposal clothes and specific clothes). Concerning the questions about the disposal of by-products, 66 game managers say that this was done correctly (69%), being the majority destination of the inspected carcasses was the burial (64%; n = 47). Conclusion: This survey demonstrates an immediate need in all this problematic of the standardization of hygiene and biosecurity requirements of the collection points, which requires uniform application of rules. There is a lot of resistance and limitations to the inclusion of these requirements in collection points, due to lack of structural and financial conditions. However, training all those involved in the hunting area (hunters, game managers, authorities, etc.) creating rules that promote hunting food security and setting limits on the microbiological criteria of game meat are hot points to consider in the future.

Risk Practices for Occupational Zoonotic Exposure to Tuberculosis in a High-Risk Population in Portugal.

Concerning large game in Portugal, there is an epidemiological risk area for tuberculosis where the pressure of tuberculosis infection in wild animals is high. Hunters and other people involved in managing carcasses (evisceration and/or initial examination) of these animals should be considered as a high-risk population for sporadic occupational zoonotic infection. This study aims to evaluate and indicate these stakeholders' main risk practices. The survey was carried out in two phases: a first phase with an anonymous survey to hunters about self-consumption of game meat and carcass handling practices, and a second phase of evaluation in loco of the practices carried out at collection points after driven hunts. As the main results suggested in this study, bad practices and improper handling of hunted carcasses potentially infected with tuberculosis were marked in both phases of the survey, mostly related to the lack of recognition of tuberculosis-like lesions and the non-use of individual protection material, such as gloves and masks. It is evident that stakeholders are interested in learning more about how to perform initial examination properly and what kind of biosecurity measures can be adopted to minimize zoonotic infection risk.

The Association between Palmer Drought Severity Index Data and Tuberculosis-like Lesions Occurrence in Mediterranean Hunted Wild Boars.

In the Iberian Peninsula, the prevalence of tuberculosis differs for each region and for different wild disease hosts and the region affected by a Mediterranean climate will be the most affected. The Mediterranean Iberic regions have a favourable ecosystem for the development of Mycobacterium tuberculosis complex agents, where habitat, population dynamics, and climate (especially drought) are important factors affecting the high prevalence of tuberculosis in the wild boar population. Our objective was to study the association between the Palmer Drought Severity Index (PDSI) and the occurrence of tuberculosis-like lesions (TBL) in wild boar during nine hunting seasons (2008/09 to 2016/17) in Idanha-a-Nova County. To this end, statistical analysis revealed a significant association (p < 0.05) between the occurrence of TBL in wild boar in Idanha-a-Nova County and the analysed risk factor-previous season with periods of drought-which indicated that, when one season experiences some periods of drought, the probability of TBL occurrence in wild boars was 1.2 (OR = 1.2) times higher in the next hunting season than when there were no periods of drought. Therefore, our study contributes to the discovery of a positive effect of periods of drought on the transmission of tuberculosis in Iberian wildlife.

GIS as an Epidemiological Tool to Monitor the Spatial-Temporal Distribution of Tuberculosis in Large Game in a High-Risk Area in Portugal.

Since April 2011, Portugal has implemented specific national legislation (Notice No. 1/2011), defining "Epidemiologic Risk Areas for Bovine Tuberculosis in Large Game" and mitigation measures in these areas, including Idanha-a-Nova county. A GIS project was created to record information that would allow us to analyse the spatial-temporal distribution, both for hunting bags and tuberculosis occurrence, in hunted wild boar and red deer in Idanha-a-Nova. Hunting bag and tuberculosis-like lesion data were recorded during post-mortem inspection across 11 hunting seasons, totalling 9844 animals. The difference in tuberculosis occurrence for these species was statistically significant in nearly all 11 seasons, with wild boars presenting approximately twice the occurrence of red deer. No significant difference was noted before and after the Notice No. 1/2011 implementation. These results, following GIS-based spatial analysis, enable us to state that both large game species displayed an irregular tuberculosis pattern for the 2006-2016 period, and we identified some specific areas of high risk for both species. Southern areas of the county may be considered the priority for intervention. This research demonstrates the potential of GIS tools to evaluate, in the field, the results and efficacy of legislation such as Notice No. 1/2011, and to ensure the correct implementation of cost-effective mitigation strategies for tuberculosis in large game species.

Tratamento classe II, divisão 1, associada a mordida aberta com uso de Thurow modificado: relato de caso / Class II, division I, malocclusion with open bite treatment with modified thurow splint: case report

A má oclusão de classe II é caracterizada por uma relação de disto oclusão molar. É dividida em 1 ou 2, sendo que na divisão 1 os incisivos superiores se encontram protruídos. O objetivo desse trabalho é demonstrar, através de um caso clínico, o uso do aparelho de Thurow Modificado como hipótese de tratamento para correção de uma classe II, divisão 1, com mordida aberta anterior associada. Foi feita revisão de literatura, descrevendo características dessa má oclusão e do aparelho Thurow Modificado, além de apresentar um caso clínico em que a correção foi feita única e exclusivamente com esse aparelho. Como conclusão, obtivemos que o Thurow Modificado contém o crescimento vertical da maxila, liberando o crescimento mandibular. Obtém-se, então, um melhor relacionamento maxilo-mandibular e uma melhora na estética facial