Avian Influenza Symptoms in Birds Texas A&M University College of Veterinary Medicine Clinical Symptoms of Avian Influenza This presentation is about Avian Influenza as it affects birds 2006 Avian Influenza Avian Influenza A contagious viral infection and/or disease of many avian species including poultry, wild and exotic birds, ratites, shore birds and migratory waterfowl. The highly pathogenic form of the disease is characterized by severe depression, decrease in egg production, high mortality, edema, hemorrhage, and frank necrosis. All H5 and H7 infections are reportable to the World Organization for Animal Health (OIE). Dennis Senne 2005 2006 Avian Influenza Avian Influenza Low pathogenic avian influenza (LPAI) – Associated with mild illness in poultry – Can evolve into highly pathogenic viruses – Associated with poultry outbreaks worldwide High pathogenic avian influenza (HPAI) – Causes high mortality in domestic poultry – Subtypes H5 and H7 2006 Avian Influenza H5N1 virus electron micrograph of avian influenza H5N1 virus 2006 Avian Influenza Host Range •Exotic Birds 2006 Avian Influenza •Domestic Poultry Peri-domestic species Occasional isolations of avian influenza virus from starlings and house sparrows (in contact with infected poultry) Replication of some avian influenza virus in these species (experimental) 2006 Avian Influenza Natural Reservoirs of Influenza A Viruses Wild aquatic birds Majority are represented by two Orders: 1. Anseriformes (ducks, geese, and swans) Dennis Senne 2005 2006 Avian Influenza Natural Reservoirs of Influenza A Viruses 2.Charadriiformes (gulls, terns, and shorebirds) Usually show no clinical disease Dennis Senne 2005 2006 Avian Influenza The Muscovy Ducks Natural Reservoir http://www.domestic-waterfowl.co.uk/mozzie.htm 2006 Avian Influenza How are these viruses transmitted and maintained in these species? Transmission: Fecal/Oral route Heavy fecal shedding by infected ducks Long term persistence in water Isolation of AIVs from surface water Maintenance: Bird to bird Persistence in environment 2006 Avian Influenza Clinical Signs Incubation period 3-5 days Severe depression Decreased food and water consumption Drastic decline in egg production Many birds affected 2006 Avian Influenza Turkeys with Avian Influenza cvm.umn.edu Many birds are depressed and huddling 2006 Avian Influenza Clinical Signs Dehydration Huddling Subcutaneous swelling of the head and neck area Nasal and oral cavity discharge 2006 Avian Influenza Note swollen head, and discharges. Wattle is cyanotic and necrotic. 2006 Avian Influenza 2006 Avian Influenza Clinical Signs Huddling 2006 Avian Influenza Clinical Signs Ruffled feathers Swollen, cyanotic (blue) combs and wattles Conjunctivitis with respiratory signs 2006 Avian Influenza Ruffled feathers Respiratory Symptoms 2006 Avian Influenza 2006 Avian Influenza Swollen blue, cyanotic combs and wattles 2006 Avian Influenza Swollen blue, cyanotic combs and wattles 2006 Avian Influenza Clinical Signs Edema/necrosis of comb/wattle Cyanosis 2006 Avian Influenza HPAI - Cyanotic comb of an infected chicken on the left compared to a normal chicken on the right. 2006 Avian Influenza Clinical Signs Subcutaneous hemorrhage of shanks 2006 Avian Influenza Subcutaneous hemorrhage of shanks 2006 Avian Influenza Hemorrhage of the shanks and hocks 2006 Avian Influenza Clinical Signs Neurological signs (Nervous signs) Similar to Exotic Newcastle Disease 2006 Avian Influenza 2006 Avian Influenza Neurological signs 2006 Avian Influenza Neurological signs Cyanosis Ruffled feathers 2006 Avian Influenza Neurological signs Hemorrhages on shanks Ruffled feathers 2006 Avian Influenza Clinical Signs Coughing Sneezing Diarrhea Sudden death 2006 Avian Influenza Clinical Signs I. Capua D. Halvorson Huddling Sinusitis Respiratory signs 2006 Avian Influenza D. Halvorson 2006 Avian Influenza Clinical Signs Sudden onset and high mortality Birds found dead 2006 Avian Influenza Dennis Senne, 2005 Post Mortem Lesions Lesions may be absent with sudden death 2006 Avian Influenza http://www.avian-influenza-disinfectant.com/avian_influenza.htm Lesions Head and neck edema Swollen and cyanotic combs and wattles Petechial hemorrhages on internal membrane surfaces 2006 Avian Influenza 2006 Avian Influenza Lesions Excessive mucous exudate in the lumen of the trachea, or severe hemorrhagic tracheitis Petechiae on the inside of the sternum, on the serosa and abdominal fat, serosal surfaces and in the body cavity 2006 Avian Influenza Lesions HPAI - Opened swollen wattle. 2006 Avian Influenza Hemorrhages and edema 2006 Avian Influenza Edema 2006 Avian Influenza Petechial hemorrhages on internal membrane surfaces 2006 Avian Influenza Lesions Hemorrhages of the trachea 2006 Avian Influenza Hemorrhages of the trachea 2006 Avian Influenza 2006 Avian Influenza Lung hemorrhage and edema 2006 Avian Influenza Note hemorrhages and edema around the heart 2006 Avian Influenza Lesions Hemorrhages on the mucosal surface of the proventriculus, particularly at the juncture with the gizzard Hemorrhages and erosions of the gizzard lining Hemorrhagic foci on the lymphoid tissues in the intestinal mucosa 2006 Avian Influenza Hemorrhages of the intestine 2006 Avian Influenza Hemorrhages on the mucosal surface of the proventriculus, particularly at the juncture with the gizzard 2006 Avian Influenza Hemorrhage in intestinal serosa, mucosa 2006 Avian Influenza Hemorrhagic foci on the lymphoid tissues in the intestinal mucosa 2006 Avian Influenza Lesions Severe congestion of the musculature 2006 Avian Influenza Lesions Severe kidney congestion, sometimes with urate deposits in the tubules Hemorrhages and degeneration of the ovary 2006 Avian Influenza Differential Diagnosis Clinically indistinguishable from virulent Newcastle Disease Suspect with: Sudden death Drop in egg production Facial edema, cyanotic combs and wattles Petechial hemorrhages 2006 Avian Influenza Differential Diagnosis Velogenic Newcastle disease Acute fowl cholera Respiratory diseases, especially infectious laryngotracheitis, Avian pneumovirus, Infectious bronchitis Chlamydia Mycoplasma 2006 Avian Influenza Differential diagnosis Water deprivation Heat exhaustion Toxins – food or water borne 2006 Avian Influenza Disease Summary Avian influenza is a contagious viral disease of birds characterized by respiratory signs, depression and reduced feed and water intake. In egg laying birds there is a decline in egg production and quality. There are two pathotypes of Avian Influenza virus: the most common is low pathogenic AI (LPAI) and the other is highly pathogenic AI (HPAI). 2006 Avian Influenza Disease Summary The most virulent form (HPAI) was once called fowl plague. At the 1981 International Symposium on Avian Influenza, the term fowl plague was replaced with the term "highly virulent" influenza virus infection. The Avian Influenza epidemic of 1983-1984 required yet new terms to describe relative pathogenicity of different isolates of the same serotype (nonpathogenic, low-pathogenic, highly pathogenic). 2006 Avian Influenza Disease Summary Avian Influenza outbreaks have occurred throughout the world. LPAI is common in large turkey-producing areas, particularly where semiconfinement or range-rearing is still widely practiced. Outbreaks are more sporadic in other areas of the United States. AI can occur in most, if not all, species of birds. In the United States, most outbreaks have been in turkeys. A few outbreaks have occurred in chickens. Humans, horses, pigs, and some wildlife species may be infected with influenza viruses, and a cycle between birds and swine exists. 2006 Avian Influenza Disease Summary A chicken outbreak of LPAI in 1983 mutated into HPAI in 1983-1984 resulting in a federal-state eradication program that required the depopulation of 17 million birds. Similar outbreaks of LPAI in Mexico in 1992 and Italy in 1999 also mutated into HPAI causing severe losses. 2006 Avian Influenza Disease Summary Influenza viruses vary widely in pathogenicity and ability to spread among birds. Two pathotypes are recognized: LPAI and HPAI. These pathotype designations are derived from laboratory inoculation of 8 susceptible chickens; LPAI isolates cause death in 0 to 5 of 8 chickens and HPAI isolates cause death in 6 or more. Although most H5 and H7 isolates are low path viruses, so far all HPAI outbreaks have been due to H5 or H7 viruses. 2006 Avian Influenza Special thanks to the staff at Plum Island Animal Diagnostic Center, Dr Corrie Brown and Dr John El-Attrache for the use of images from their presentations. Also, thanks to the Pohler family and to Elisabeth Bush for allowing me to photograph their birds. SUZANNE BURNHAM 2006 Avian Influenza