Eimeria spp. infecting quenda (Isoodon obesulus) in the greater Perth region, Western Australia.

Parasites of wildlife inhabiting urbanised and peri-urban environments are of interest regarding wildlife population health, and also veterinary public health in the case of parasites that can also infect humans and domestic animals. This study aimed to: identify, and estimate the prevalence of, species of Eimeria parasitic in quenda (Isoodon obesulus) in the greater Perth region, Western Australia; 2) morphologically describe and genetically characterise a novel observed species of Eimeria as E. angustus; and 3) genetically characterise E. kanyana. Eimeria spp. prevalence was 76.1% (95% CI 64.9-84.5%), and four putative species of Eimeria were identified. Eimeria kanyana was identified infecting quenda for the first time, with a prevalence of 54.9% (43.4-66.0%). Eimeria quenda was less prevalent, at 7.0% (3.1-15.5%). The novel species E. angustus was present in 45.1% of sampled quenda (34.0-56.6%). A second novel morphotype of Eimeria was present in 2.8% of sampled quenda (0.9-9.7%). Mixed Eimeria spp. infections were present in 21/71 quenda (29.6%, 95% CI 20.2-41.1%). Molecular phylogenetic analyses of E. kanyana and E. angustus were conducted at the 18S rRNA and mitochondrial cytochrome oxidase loci. At both loci, two isolates identified as E. kanyana grouped in a phylogenetic clade with E. trichosuri. Five isolates identified as the novel E. angustus were most closely related to E. tropidura at the 18S locus. At the COI locus, no sequence data were available for E. tropidura; isolates of E. angustus grouped with E. sciurorum.

Expanding access to veterinary clinical decision support in resource-limited settings: a scoping review of clinical decision support tools in medicine and antimicrobial stewardship.

Introduction: Digital clinical decision support (CDS) tools are of growing importance in supporting healthcare professionals in understanding complex clinical problems and arriving at decisions that improve patient outcomes. CDS tools are also increasingly used to improve antimicrobial stewardship (AMS) practices in healthcare settings. However, far fewer CDS tools are available in lowerand middle-income countries (LMICs) and in animal health settings, where their use in improving diagnostic and treatment decision-making is likely to have the greatest impact. The aim of this study was to evaluate digital CDS tools designed as a direct aid to support diagnosis and/or treatment decisionmaking, by reviewing their scope, functions, methodologies, and quality. Recommendations for the development of veterinary CDS tools in LMICs are then provided. Methods: The review considered studies and reports published between January 2017 and October 2023 in the English language in peer-reviewed and gray literature. Results: A total of 41 studies and reports detailing CDS tools were included in the final review, with 35 CDS tools designed for human healthcare settings and six tools for animal healthcare settings. Of the tools reviewed, the majority were deployed in high-income countries (80.5%). Support for AMS programs was a feature in 12 (29.3%) of the tools, with 10 tools in human healthcare settings. The capabilities of the CDS tools varied when reviewed against the GUIDES checklist. Discussion: We recommend a methodological approach for the development of veterinary CDS tools in LMICs predicated on securing sufficient and sustainable funding. Employing a multidisciplinary development team is an important first step. Developing standalone CDS tools using Bayesian algorithms based on local expert knowledge will provide users with rapid and reliable access to quality guidance on diagnoses and treatments. Such tools are likely to contribute to improved disease management on farms and reduce inappropriate antimicrobial use, thus supporting AMS practices in areas of high need.

Descriptive analysis of haemangiosarcoma occurrence in dogs enrolled in the Golden Retriever lifetime study.

Haemangiosarcoma is a relatively common malignant tumour in dogs, and one of the primary outcomes of interest for the Golden Retriever Lifetime Study. This study collects longitudinal data and samples from a cohort of golden retrievers, with the aim of identification of nutritional, genetic, environmental, lifestyle and reproductive risk factors for cancers and other important diseases in dogs. This analysis describes the accumulating data and samples, which are available for use by researchers to fulfil the study's objectives. As of September 2022, 233/3044 dogs enrolled in the study had been diagnosed with haemangiosarcoma (7.65%), with an incidence rate of 1.10 cases per 100 dog-years. Visceral haemangiosarcoma was the most common, affecting 211/3044 study dogs (6.9%). One hundred and twenty eight visceral haemangiosarcoma diagnoses specified the presence of splenic tumours (60.7%) and 119 specified the presence of cardiac tumours (56.4%). The probability of remaining without a haemangiosarcoma diagnosis declined from 100% from approximately 4 years of age, to a 12 year probability of 91.1% in intact females (95% CI 84.4%-98.3%), 60.7% in neutered females (95% CI 41.6%-88.6%), 72.9% in intact males (95% CI 62.9%-84.6%) and 70.0% in neutered males (95% CI 53.4%-92.0%). The 1 year survival probability for visceral haemangiosarcoma was 1.42% (95% CI 0.37%-5.47%); for cutaneous haemangiosarcoma, it was 84.6% (95% CI 67.1%-99.99%). The accumulated data and samples are a considerable resource for further investigation of canine haemangiosarcoma and have a potential role in translational medicine.

Bushfire exposure is associated with increased pH and dark-cutting in beef longissimus thoracis at grading.

To investigate if bushfire exposure is associated with increased loin pH, this study analysed temporal and geospatial data on fire incidence in South-Eastern Australia together with beef carcase quality and production records for fire affected animals (n = 451,299). Two outcomes were modelled: 1) loin pH at time of grading, and 2) the incidence of "high pH" defects (pH > 5.70). For both models, decreasing "time since closest fire" and "distance of property from closest fire" were associated with increasing loin pH and increased incidence of high pH carcases(p < 0.05 for all); interactions for "distance from the closest fire" with feed type (grain vs grass) and "days of fire exposure" with HGP (hormonal growth promotant) treatment (yes vs no) (p < 0.05 for both) indicate high pH outcomes were exacerbated in grass-fed and HGP treated cattle. It is concluded that exposure to bushfire is associated with increasing pH but the extent and magnitude of these increases are modulated by production factors.

Utility of surveillance data for planning for dengue elimination in Yogyakarta, Indonesia: a scenario-tree modelling approach.

INTRODUCTION: Field trials and modelling studies suggest that elimination of dengue transmission may be possible through widespread release of Aedes aegypti mosquitoes infected with the insect bacterium Wolbachia pipientis (wMel strain), in conjunction with routine dengue control activities. This study aimed to develop a modelling framework to guide planning for the potential elimination of locally acquired dengue in Yogyakarta, a city of almost 400 000 people in Java, Indonesia. METHODS: A scenario-tree modelling approach was used to estimate the sensitivity of the dengue surveillance system (including routine hospital-based reporting and primary-care-based enhanced surveillance), and time required to demonstrate elimination of locally acquired dengue in Yogyakarta city, assuming the detected incidence of dengue decreases to zero in the future. Age and gender were included as risk factors for dengue, and detection nodes included the probability of seeking care, probability of sample collection and testing, diagnostic test sensitivity and probability of case notification. Parameter distributions were derived from health system data or estimated by expert opinion. Alternative simulations were defined based on changes to key parameter values, separately and in combination. RESULTS: For the default simulation, median surveillance system sensitivity was 0.131 (95% PI 0.111 to 0.152) per month. Median confidence in dengue elimination reached 80% after a minimum of 13 months of zero detected dengue cases and 90% confidence after 25 months, across different scenarios. The alternative simulations investigated produced relatively small changes in median system sensitivity and time to elimination. CONCLUSION: This study suggests that with a combination of hospital-based surveillance and enhanced clinic-based surveillance for dengue, an acceptable level of confidence (80% probability) in the elimination of locally acquired dengue can be reached within 2 years. Increasing the surveillance system sensitivity could shorten the time to first ascertainment of elimination of dengue and increase the level of confidence in elimination.

The Potential Role of Wild Suids in African Swine Fever Spread in Asia and the Pacific Region.

African swine fever (ASF) in Asia and the Pacific is currently dominated by ASF virus transmission within and between domestic pig populations. The contribution made by wild suids is currently not well understood; their distribution, density and susceptibility to the virus has raised concerns that their role in the epidemiology of ASF in the region might be underestimated. Whilst in the Republic of Korea wild suids are considered important in the spread and maintenance of ASF virus, there is an apparent underreporting to official sources of the disease in wild suids from other countires and regions. A review of the current literature, an analysis of the official reporting resources and a survey of the World Organisation of Animal Health Member delegates in Asia and the Pacific were used to assess the potential role of wild suids in ASF outbreaks, and also to gain insight into what ASF management or control strategies are currently implemented for wild suids. Applying appropriate population control and management strategies can be increased in some areas, especially to assist in the conservation of endangered endemic wild suids in this region.

Livestock exposure to bushfires and meat, offal and carcase quality: Is there an association?

The occurrence of bushfires (wildfires) is increasing with climate change in many areas of the world. In Australia, the 2019/20 bushfire season involved a particularly severe and widespread fire emergency (the 'Black Summer' bushfires). Understanding of how exposure to bushfires affects specific disease processes in livestock is limited. This research investigated spatiotemporal relationships between exposure to bushfires and observations of pneumonia and pleurisy in slaughtered sheep, and meat quality in slaughtered cattle. Two related cross-sectional studies were undertaken using historical abattoir monitoring data from the National Sheep Health Monitoring Project and the Meat Standards Australia Program. The study area involved the Australian states of New South Wales and Victoria, and the Australian Capital Territory, which were heavily affected by the 'Black Summer' bushfires. Carcase data were matched to fire occurrence data and to potential confounders including rainfall, pasture growth and pasture biomass indices for the farm of origin. The predictive approach to modelling included generalised additive mixed effects models and a generalised linear mixed model. Consistent though imprecise trends in pneumonia occurrence in sheep carcases were observed across time and distance since exposure to fire, with sheep slaughtered in the immediate aftermath of exposure to high intensity fires at a close distance having the highest occurrence (3.78 cases per 1000 sheep slaughtered 5 days after exposure to medium-to-high intensity fire at 0.5 km distance (95% CI 0.48, 30.02), compared to 0.387 cases per 1000 slaughtered sheep (95% CI 0.147, 1.02) across the study population). However, the economic implications of this for producers and processors are considered to be very limited. No such trends were observed in regards to pleurisy occurrence in sheep. Consistent trends were observed in meat quality in cattle carcases, with lower meat quality scores observed in cattle slaughtered after close proximity to fire (mean MSA index of 57.12 for cattle slaughtered 5 days after exposure to medium-to-high intensity fire at 0.5 km distance (95% CI 56.91, 57.34), compared to a mean of 57.65 (95% CI 57.60, 57.71) across the study population). In the aftermath of exposure to mid-to-high intensity fires, this may warrant consideration in withholding cattle from slaughter from an economic perspective, after decisions based on welfare grounds have been made. These observations will inform practical recommendations to improve health and productivity outcomes in management of bushfire-affected livestock. The observed trends may reflect causal relationships, but this requires further investigation with specific explanatory modelling studies.

The Australian 2019/2020 Black Summer Bushfires: Analysis of the Pathology, Treatment Strategies and Decision Making About Burnt Livestock.

In 2019/2020, Australia experienced a severe bushfire event, with many tens of thousands of livestock killed or euthanized. Little systematic research has occurred to understand livestock bushfire injuries, risk factors for injury, or how to make decisions about management of bushfire-injured livestock. Addressing this research gap is important as there is an increasing bushfire incidence globally. This paper presents qualitative research findings about bushfire-injured and killed livestock in the south-east of Australia after the 2019/2020 Australian bushfires. We describe observed pathology, treatments used, and risk factors for injury, then use thematic analysis to understand decision making about managing fire-injured livestock. Livestock injured by the fires showed pathology predominantly associated with the common integument (feet, hooves and skin) and signs of acute respiratory damage. It could take several days for the full extent of burns to become apparent, leaving prognostic doubt. Treatment strategies included immediate euthanasia, salvage slaughter, retention for later culling, treatment and recovery on farm, hospitalization and intensive treatment, or no intervention. Risk factors reported for livestock injury included lack of warnings about an impending fire, the type and amount of vegetation around livestock and the weather conditions on the day the fire reached livestock. Moving stock to an area with little vegetation before fire arrived was seen as protective. Decision making regarding injured livestock appeared influenced by three main themes: (1) observations on the severity of pathology, clinical signs and level of prognostic doubt, (2) pre-existing beliefs about animal welfare (responsibility to minimize unnecessary suffering) and (3) assumptions about the future. The management of livestock was largely appropriate due to the rapid provision of veterinary expertise. However, it is likely that some injured livestock were euthanized due to conservative veterinary advice driven by a lack of opportunity to re-assess stock, with impacts on farmers. In future, resourcing regular revisits of injured livestock to manage risks of gradual progression of burn pathology may facilitate more accurate prognostic assessment, provided injured animals can receive appropriate pain relief. In addition, a more comprehensive burns classification system linked to prognosis that can be rapidly applied in the field may assist assessments.

Serological surveillance reveals patterns of exposure to H5 and H7 influenza A viruses in European poultry.

Influenza A viruses of H5 and H7 subtype in poultry can circulate subclinically and subsequently mutate from low to high pathogenicity with potentially devastating economic and welfare consequences. European Union Member States undertake surveillance of commercial and backyard poultry for early detection and control of subclinical H5 and H7 influenza A infection. This surveillance has moved towards a risk-based sampling approach in recent years; however, quantitative measures of relative risk associated with risk factors utilized in this approach are necessary for optimization. This study describes serosurveillance for H5 and H7 influenza A in domestic and commercial poultry undertaken in the European Union from 2004 to 2010, where a random sampling and thus representative approach to serosurveillance was undertaken. Using these representative data, this study measured relative risk of seropositivity across poultry categories and spatially across the EU. Data were analysed using multivariable logistic regression. Domestic waterfowl, game birds, fattening turkeys, ratites, backyard poultry and the 'other' poultry category holdings had relatively increased probability of H5 and/or H7 influenza A seropositivity, compared to laying-hen holdings. Amongst laying-hen holdings, free-range rearing was associated with increased probability of H7 seropositivity. Spatial analyses detected 'hotspots' for H5 influenza A seropositivity in western France and England, and H7 influenza A seropositivity in Italy and Belgium, which may be explained by the demographics and distribution of poultry categories. Findings suggest certain poultry category holdings are at increased risk of subclinical H5 and/or H7 influenza A circulation, and free-range rearing increases the likelihood of exposure to H7 influenza A. These findings may be used in further refining risk-based surveillance strategies and prioritizing management strategies in influenza A outbreaks.

Anthropozoonotic significance, risk factors and spatial distribution of Giardia spp. infections in quenda (Isoodon obesulus) in the greater Perth region, Western Australia.

Giardia spp. infections in wildlife populations have been linked to anthropogenic sources of infection and public health risk in a diversity of wildlife species and ecological locations worldwide. Quenda (Isoodon obesulus) remain in many urbanised areas of Perth, Western Australia, and can be gregarious in their interactions with humans and domestic animals. In a previous study, a high prevalence of Giardia spp. infection was identified amongst quenda trapped in urbanised environments and bushland in Perth, Western Australia. This study aimed to expand on that finding, by: identifying and estimating the prevalence of particular species of Giardia infecting quenda, and thus clarifying their anthropozoonotic/public health significance; identifying risk factors for Giardia spp. infection; and investigating putative associations between infection and indicators of ill health. Giardia spp. infections in Perth quenda are overwhelmingly of the host-adapted, non-zoonotic Giardia peramelis (apparent prevalence 22.2%; 95% CI 17.7-27.4%), indicating that quenda are not a substantial veterinary public health risk regarding this parasite genus. However, one case each of Giardia duodenalis and Giardia canis genotype D were identified in quenda trapped in urbanised environments (apparent prevalences 0.4%; 95% CI 0.1-1.9%). In quenda, Giardia spp. infection is associated with Cryptosporidium infection and flea infection intensity, which may reflect host population density, or regarding Cryptosporidium spp., similar transmission pathways or synergistic interactions between these taxa within the host. Giardia spp. infection is not associated with the measured indicators of ill health in Perth quenda, but this finding is representative of Giardia peramelis only, given the apparent rarity of other Giardia sp. infections in this study.

Urban environments alter parasite fauna, weight and reproductive activity in the quenda (Isoodon obesulus).

Some wildlife species are capable of surviving in urbanised environments. However, the implications of urbanisation on wildlife health, and public health regarding zoonoses, are often unknown. Quenda (syn. southern brown bandicoots, Isoodon obesulus) survive in many areas of Perth, Australia, despite urbanisation. This study investigated differences in gastrointestinal and macroscopic ecto-parasitic infections, morphometrics and reproductive status between bushland and urban dwelling quenda. 287 quenda in the greater Perth region were captured and sampled for faeces (to detect gastrointestinal parasites), blood (to detect Toxoplasma gondii antibodies), ectoparasites, and morphometrics. Data were analysed using multivariable logistic and linear regression. Most parasitic infections identified in quenda were of native parasite taxa that are either not known to, or considered highly unlikely to, infect humans or domestic animals. However, stickfast fleas (Echidnophaga spp.) were present at low prevalences and intensities, and Giardia spp., Cryptosporidium spp. and Amblyomma spp. infections require further investigation to clarify their anthropozoonotic significance. Quenda captured in urbanised environments had differing odds of or intensity of certain parasitic infections, compared to those in bushland - likely attributable to quenda population density, and in some cases the availability of other host species or anthropogenic sources of infection. Urbanised environments were associated with an increase in net weight of adult male quenda by 189.0g (95% CI 68.6-309.5g; p=0.002; adjusted R2=0.06) and adult female quenda by 140.1g (95% CI 3.9-276.3g; p=0.044; adjusted R2=0.07), with study findings suggesting a tendency towards obesity in urbanised environments. Adult female quenda in bushland had increased odds of an active pouch (adjusted OR=4.89, 95% CI 1.7-14.5), suggesting decreased reproductive activity in quenda from urbanised environments. These results highlight the subtle, yet extensive impacts that urbanised environments may have on wildlife ecology, even for those species which apparently adjust well to urbanisation.

Validation of various parasite detection tests for use in the Australian marsupials quenda ( Isoodon obesulus) and brushtail possums ( Trichosurus vulpecula).

We aimed to validate the use of 1) the modified agglutination test and a polymerase chain reaction (PCR) protocol in detecting Toxoplasma gondii infection in quenda ( Isoodon obesulus) and brushtail possums ( Trichosurus vulpecula); 2) immunofluorescence microscopy of feces and a PCR and sequencing protocol in detecting Giardia spp. infection in quenda; and 3) a fecal flotation protocol in detecting gastrointestinal helminth infections of quenda. Quenda and brushtail possum carcasses, and samples from trapped quenda, were tested with 2 parasite detection tests per parasite, and results were modeled using Bayesian latent class analysis to estimate test sensitivity and specificity. The modified agglutination test and the PCR protocol were highly specific at detecting T. gondii infections in quenda and brushtail possums (≥93%); however, data were insufficient to assess sensitivity with adequate precision. Immunofluorescence microscopy and the PCR and sequencing protocol were both highly specific at detecting Giardia spp. in quenda (≥96%), but the PCR and sequencing protocol was relatively insensitive (69%, 95% credible interval [CrI]: 60-77%) compared to the highly sensitive immunofluorescence microscopy (98%, 95% CrI: 93-99%). The fecal flotation protocol was generally highly specific in the detection of gastrointestinal helminth infections (≥94%, with the exception of Trichuris spp. (88%, 95% CrI: 71-99%). The fecal flotation protocol was moderately to highly sensitive (≥74%) in the detection of strongyles, Labiobulura spp., Linstowinema spp., and Trichuris spp. Sensitivity was poor for detection of the cestode genus Potorolepis (36%, 95% CrI: 14-67%).

Is Toxoplasma gondii a threat to the conservation of free-ranging Australian marsupial populations?

It has often been asserted that Australian marsupial species are particularly susceptible to Toxoplasma gondii infection and to clinical toxoplasmosis following infection. This implicates T. gondii as a potential threat to marsupial population viability, and contrasts to what is known of T. gondii in populations of several other host species. We reviewed the literature, and found a lack of scientifically robust evidence addressing the occurrence of T. gondii infection in free-ranging populations of Australian marsupial species, and the impacts of the infection on population health. Key limitations included a lack of studies in free-ranging marsupial populations, study findings susceptible to substantial chance influences, and selection, misclassification and confounding biases. The lack of scientifically robust data available on this topic indicates that assertions that free-ranging populations of Australian marsupials are particularly susceptible to T. gondii infection and to toxoplasmosis are premature. The threat of T. gondii to the viability of free-ranging marsupial populations should therefore be regarded, at this stage, as a hypothesis.

Confirmation of a unique species of Giardia, parasitic in the quenda (Isoodon obesulus).

The 'quenda genotype' of Giardia was first identified in quenda (syn. southern brown bandicoots, Isoodon obesulus) in Western Australia in 2004. We aimed to formally describe this genotype as a species of Giardia, Giardia peramelis. Seventy five faecal samples positive for G. peramelis were obtained from quenda within the Statistical Division of Perth, Western Australia. These samples were used in morphological and molecular characterisation of G. peramelis. PCR amplification and sequencing was most successful at the 18S rRNA and ITS1-5.8s-ITS2 loci. Phylogenetic analyses placed G. peramelis external to the 'Giardia duodenalis species complex' and Giardia microti. This confirmed the uniqueness of G. peramelis, warranting classification as a separate species of Giardia. Study findings suggest quenda are a natural host for G. peramelis.

Human rights and deinstitutionalization: a success story in the Americas

El 17 de diciembre de 2003, en una decisión sin precedente, la Comisión Interamericana de Derechos Humanos pidió medidas urgentes de auxilio para proteger la vida y salud de 460 personas que estaban detenidas en el hospital neuropsiquiátrico estatal del Paraguay. Por primera vez la Comisión convocó a la toma inmediata de medidas críticas para combatir una serie de abusos que se venían cometiendo en una institución psiquiátrica. La entidad conocida por Mental Disability Rights International (MDRI, o Agencia Internacional para los Derechos de Personas con Discapacidad Mental) y el Center for Justice and International Law (CEJIL, o Centro de Justicia y Derecho Internacional) intercedieron ante la Comisión Interamericana a favor de dos niños, Julio y Jorge, que por más de cuatro años habían estado encerrados en celdas de dos metros cuadrados, sin acceso a un baño, así como a favor de otras 458 personas recluidas en la institución en condiciones igualmente inhumanas y denigrantes. Desde diciembre de 2003, la MDRI y el CEJIL, junto con la Organización Panamericana de la Salud, han venido luchando por conducto de la Comisión para lograr cambios fundamentales no solamente en las condiciones imperantes y en el tratamiento de las personas recluidas en el hospital, sino también en la estructura de los servicios de salud mental en el Paraguay.