Lecture 2 Flashcards

1
Q

Approaches to Disease Control

A
  1. Eradication (Globally, Nationally and at farm level)
  2. Prevention and Exclusion
  3. Immunization
  4. Disease Management
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2
Q

What are 5 infectious agents

A

BACTERIA
VIRUSES
PRIONS
MYCOTIC
PARASITES

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3
Q

Characteristics of GLOBAL disease Eradictation

A

Characteristics of an eradicable disease:

  1. No carrier state
  2. No subclinical infection/short incubation period
  3. Limited to one species or family (e.g. ruminants)
  4. Available intervention – good quality vaccine or test
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4
Q

What is carrier state?

A

No clinical disease but potential to
transmit an infectious agent.

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5
Q

What is carrier state?

A

No clinical disease but potential to
transmit an infectious agent.

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6
Q

What is Subclinical Infection?

A

Not visible, but measurable in
some way.

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7
Q

What is Subclinical Infection?

A

Not visible, but measurable in
some way.

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8
Q

What is incubation period?

A

The period of time between when infection and signs of disease (or immunity) develop.

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9
Q

NATIONAL Disease Eradication

A

• Similar difficulties to global eradication
• Canada – free from:
1. Brucellosis – cattle, pigs
2. “TB free status” – except for Manitoba
• Mainly due to test and cull

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10
Q

FARM-LEVEL Disease Eradication

Methods include…

A

Depopulation and selective removal

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11
Q

FARM-LEVEL Disease Eradication

Methods include…

A

Depopulation and selective removal

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12
Q

What is depopulation?

A

• Large proportion or entire population of herd is
removed
• Depending on disease – determine what is done
and where

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13
Q

What is depopulation?

A

• Large proportion or entire population of herd is
removed
• Depending on disease – determine what is done
and where

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14
Q

What is selective removal?

A

• Deliberate euthanasia or removal of a minority of
infected animals to protect the well majority
• Need a screening or diagnostic test to be able to
detect disease

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15
Q

Selective removal test must:

A

a. Detect the disease agent
b. Test for evidence of an immune response to agent

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16
Q

What are the two types of selective removal tests?

A

Screening Test
• Applied to healthy animals
• Usually before clinical disease evident

Diagnostic Test
• Confirm or classify disease (may be follow up to
positive screening test)
• Applied to “abnormal” or “unhealthy” animals

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17
Q

What are the two types of selective removal tests?

A

Screening Test
• Applied to healthy animals
• Usually before clinical disease evident

Diagnostic Test
• Confirm or classify disease (may be follow up to
positive screening test)
• Applied to “abnormal” or “unhealthy” animals

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18
Q

FARM-LEVEL Disease Eradication

Selective Removal

A

We want to use a diagnostic test that we trust
the results from (i.e., an accurate diagnostic
test) = high sensitivity and specificity

• No diagnostic test performs perfectly well - there
will always be some misclassification of disease

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19
Q

FARM-LEVEL Disease Eradication

Selective Removal

A

We want to use a diagnostic test that we trust
the results from (i.e., an accurate diagnostic
test) = high sensitivity and specificity

• No diagnostic test performs perfectly well - there
will always be some misclassification of disease

20
Q

What do sensitivity and specificity testing tell us?

A

– The sensitivity and specificity of a test tell us how
well the test is able to correctly identify diseased
and healthy animals

21
Q

What is sensitivity testing?

A

= the ability of a test to identify truly diseased/
infected animals
= the proportion of truly diseased individuals that
the test diagnoses as diseased in the population

22
Q

What is specificity testing?

A

= the ability of a test to identify truly healthy or
non-diseased animals
= the proportion of truly healthy animals that the
test calls non-diseased

• If specificity is poor, then the test will call healthy
animals, diseased (↑ false positives)
• If specificity is high, there will be few false positives

23
Q

Predictive value of a test depends on

A

1: Characteristics of the test
- test specificity and test sensitivity

2: Prevalence of disease
in the population

24
Q

Predictive value of a test depends on

A

1: Characteristics of the test
- test specificity and test sensitivity

2: Prevalence of disease
in the population

25
What is Predictive value of a test?
If an animal has a (+) test, what is the probability it is truly (+)? = Positive Predictive Value (PPV)= p(D+|T+) or a/a+b If an animal has a (-) test, what is the probability it is truly (-)? = Negative Predictive Value (NPV)= p(d-|t-) or d/c+d
26
Positive Predictive Value (PPV)=
PPV p(D+|T+) or a/a+b
27
Positive Predictive Value (PPV)=
PPV p(D+|T+) or a/a+b
28
Negative Predictive Value (NPV)=
(NPV)= p(d-|t-) or d/c+d
29
Test sensitivity =
P(T+|D+)
30
Test specificity =
P(t-|d-)
31
Test specificity =
P(t-|d-)
32
Approaches to Disease Control 2. Prevention and Exclusion
All measures to exclude disease from an unaffected population of animals
33
Two main points of DISEASE PREVENTION/EXCLUSION
1. Exclude disease from a geographic area 2. Protect a given population within a geographic area
34
Two main points of DISEASE PREVENTION/EXCLUSION
1. Exclude disease from a geographic area 2. Protect a given population within a geographic area
35
Approaches to Disease Control Immunizations
.
36
Approaches to disease control DISEASE MANAGEMENT Methods (4)
a. Quarantine b. Prophylactic treatment c. Mass immunization d. Environmental control
37
Summarize approaches to disease control Eradication, Prevention and Exclusion, Immunization and disease management
1. Eradication • Global, national, farm-level 2. Prevention and Exclusion • Stop disease from entering unaffected geographic areas; protect unaffected populations 3. Immunization 4. Disease Management • Quarantine, prophylactic treatment, immunization, environmental control
38
What is Health Management (HM)?
Health management is the promotion of health and prevention of disease in animals within the economic/business framework
39
What is Health Management (HM)?
Health management is the promotion of health and prevention of disease in animals within the economic/business framework
40
What issues does health management recognize ?
animal welfare human safety environmental impact
41
How is health management delivered?
Through a dynamic process (in which selected management areas of importance to the industry, animal, and animal owner are identified and monitored.)
42
3 ways to define a Health management problem
1. No problem problem 2. Old problem problem 3. New problem problem
43
3 ways to define a Health management problem
1. No problem problem 2. Old problem problem 3. New problem problem
44
5 principals of health management
1. Promote Optimal Health 2. Accommodate Business/Economic Realities 3. Promote Animal Welfare 4. Promote Human and Food Safety 5. Consider potential environmental impact
45
5 principals of health management
1. Promote Optimal Health 2. Accommodate Business/Economic Realities 3. Promote Animal Welfare 4. Promote Human and Food Safety 5. Consider potential environmental impact
46
What does it mean to set S.M.A.R.T goals?
• Specific • Measurable • Achievable • Results oriented • Time framed