New diseases share animal link
By RONI RABIN
The Star, 29 June 2003
A MYSTERIOUS disease.” “Never Seen in the
West.” “Doctors Baffled.”
A number of such headlines have appeared
since West Nile virus surfaced in the summer
of 1999 in the US.
Sporadic cases of bubonic plague have been
reported in New York City and mad cow
disease in Britain. The Asian outbreak of
severe acute respiratory syndrome became
public in March and, earlier this month,
monkeypox announced its foray into the
Western Hemisphere – specifically, the US
Midwest.
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Revenge of the animals...mad cow disease
from cows is only a small part of the
threat posed by diseases jumping from
animals to humans. |
What these diseases have in common is
transmission into the human population
through contact with animals – a process
termed zoonosis.
“Every so often there is a species jump,
when an infection – one we’ve never heard of
or never described in the literature – makes
a leap from one animal to another,’’ said Dr
Dan Shapiro, a specialist in infectious
diseases and an associate professor at
Boston University School of Medicine, who is
writing a book on zoonosis. “If the second
animal is human, that can be a problem.”
US federal health officials took quick
action to stem the spread of monkeypox,
banning the sale of domestic prairie dogs as
well as six types of rodents imported from
Africa – animals sold in response to
Americans’ taste for exotic pets. Dozens of
Midwesterners had fallen ill after handling
pet prairie dogs apparently infected when
housed near the rodents.
Zoonotic diseases are not a new phenomenon;
animals have been known to transmit a long
list of illnesses, including rabies,
scabies, salmonella, trichinosis, botulism,
malaria, measles, yellow fever, hantavirus
and a number of strains of both
streptococcus and influenza. Even the
pandemic of Spanish influenza that killed an
estimated 20 million people in 1918 is
believed to have originated in swine.
“What is potentially unique about monkeypox,
and what has caught people’s attention, is
that monkeypox has not been introduced to
the Western Hemisphere before,” said Dr
Robert Kim-Farley, visiting professor of
epidemiology at the University of
California, Los Angeles School of Public
Health.
But experts say it’s hard to determine if
the number of such diseases crossing the
species barrier to humans has been rising in
recent years. What is known is that
increasing urbanisation worldwide,
encroachment on previously uninhabited
forest and desert land and a mobile human
population traversing oceans at jet speed
provide ample opportunities for diseases to
emerge – or re-emerge, occasionally in more
virulent forms – just about anywhere.
“People are increasingly encroaching on to
out-of-the-way places,” said Dr Stephen
Morse, director of public health
preparedness at the Mailman School of Public
Health of Columbia University.
“Deforestation provides more contact with
forest creatures. As more land is being
given over to agriculture, and there’s a
higher density of both animals and human
beings, that puts them in contact with
obscure infections that were sequestered.”
And the speed of global travel heightens the
potential.
“An animal can, within 24 hours, go from the
jungle in the Congo to someone’s bedroom in
the United States,” Kim-Farley said. “You
just never saw that before. If they had been
shipped by sea, they would have either no
longer been contagious by the time they
arrived, or have died,” he said.
Some epidemiologists do believe zoonotic
diseases are on the rise, but they say
there’s no cause for alarm because
scientists today are adept at tracing new
infections and eager to follow the trail.
“The conditions that favour these transfers
into human populations continue to
increase,” Morse said.
The leap between species can be made a
number of ways: by consuming diseased meat,
being bitten by mosquitoes or fleas,
handling a pet or having contact with animal
products like blood, hides, fur or wool, or
dairy products, experts say.
Britons were infected with the human version
of mad cow disease by eating beef containing
the microscopic protein particle that causes
the disease. And health officials believe
food handlers in China may have become
infected with the SARS virus after handling
animals at a market that supplied
restaurants in Guangdong.
In the United States, the growing popularity
of exotic pets led to a chain of monkeypox
infection that is believed to have started
when the prairie dogs were housed with
imported animals that carry the illness. US
health officials said six types of rodents
have been implicated in the monkeypox
outbreak in humans: the giant Gambian rat,
tree squirrel, rope squirrel, brush-tailed
porcupine, striped mouse and dormouse. All
African rodents have been banned for sale
and import, and it is illegal to release
them to the wild.
This is not the first time federal health
officials have taken the bold action of
banning pets. In 1975, federal officials
banned the miniature pet turtles kids used
to win at street fairs when it became known
they were the source of 14% of all human
salmonellosis cases in the country.
The same year, officials also banned
imported monkeys and other non-human
primates as pets because they carry serious
diseases like tuberculosis.
The problem with zoonotic diseases is
two-fold, experts say. Once an animal
population harbours a virus, it is virtually
impossible to eradicate the disease. That’s
why public health officials have urged pet
owners not to let prairie dogs or rodents
free.
The second factor is how efficiently a new
disease is transmitted among humans. HIV,
for example, is transmitted very efficiently
through sex, and its virulence doesn’t
weaken as it is transmitted time after time.
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