The natural reservoir of influenza A virus (IAV) is wild waterfowl, and all human IAVs have their genetic origins from avian viruses. Neuraminidase inhibitors (NAIs) are currently the best drugs for treatment of human influenza; therefore, the orally available NAI oseltamivir (Tamiflu®) has been stockpiled worldwide as part of pandemic preparedness planning. Re-sistance to NAIs is related to worse clinical outcomes and if a new pandemic influenza virus would be oseltamivir-resistant its public health impact would be substantially worsened. The active metabolite oseltamivir carboxylate (OC) is not removed by sewage treatment and ends up in river water, where OC-concentrations up to 0.86µg/L have been detected. We hypothesize that occasional OC exposure of wild waterfowl carrying IAVs may result in circulation of resistant variants that may potentially evolve to become human-pathogenic. We tested the hypothesis in an in vivo Mallard (Anas platyrhynchos) model in which birds were infected with avian IAVs and exposed to OC. Excreted viruses were analyzed regarding genotypic and phenotypic resistance by neuraminidase (NA) sequencing and a functional NA inhibition assay. Two viruses with NAs of the phylogenetic N2-group, H6N2 and H7N9, acquired the NA substitutions R292K and I222T when host ducks were exposed to 12µg/L and 2.5µg/L of OC, respectively. Drug susceptibilities were at previously described levels for the substitutions. To test persistence of resistance, an OC resistant avian H1N1/H274Y virus (with a group N1 NA-protein) from a previous study, and three resistant H6N2/R292K variants were allowed to replicate in Mallards without drug pressure. Resistance was entirely maintained in the H1N1/H274Y virus, but the H6N2/R292K variants were outcompeted by wild type virus, indicating retained fitness of the resistant H1N1 but not the H6N2 variants. We conclude that OC in the environment may generate resistant IAVs in wild birds. Resistant avian IAVs may become a problem to humans, should the resistance trait become part of a new human pathogenic virus. It implies a need for prudent use of available NAIs, optimized sewage treatment and resistance surveillance of avian IAVs of wild birds.

Thesis (MSc)--Stellenbosch University, 2013. / ENGLISH ABSTRACT: The South African ostrich industry is under enormous threats due to diseases contracted by the ostriches. H5N2 virus (avian influenza) outbreaks the past two years have resulted in thousands of ostriches having to be culled. However, the more silent respiratory infectious agents of ostriches are the three ostrich-specific mycoplasmas. Named Ms01, Ms02, and Ms03, these three mycoplasmas are responsible for dramatic production losses each year, due to their intrusive nature and the fact that no vaccines are currently available to prevent mycoplasma infections in ostriches. The use of antibiotics does not eradicate the disease completely, but only alleviates symptoms. The ostrich industry commissioned investigations into the development of three specific vaccines using the relatively novel approach of DNA vaccination. The concept of DNA vaccine development is based on the availability of complete genome sequences of the pathogen against which the vaccine is to be developed. This is necessary in order to identify vaccine candidate genes through comparative genomic studies. The Ms02 genome has previously been sequenced, resulting in 28 large contiguous sequences. This thesis used the technique of Thermal Asymmetric Interlaced Polymerase Chain Reaction (TAIL-PCR) to attempt assembly of these 28 contiguous sequences. The number was reduced to 14 large contiguous sequences, which were then subjected to repetitive sequence analysis and open reading frame analysis. Bioinformatic software was also used to predict the origin of replication. The extent of repeats in the Ms02 genome is illustrated, as well as the problems with genome assembly when dealing with repetitive-rich and A+T-rich genomes as those of mycoplasmas. Previous studies determined the mycoplasma oppA gene to be a good vaccine candidate gene, due to its cytadherent properties. This thesis describes the development of three DNA vaccines containing the Ms02 oppA gene, and a preliminary attempt to prove expression of one of these vaccines in a cell culture-based system. The DNA vaccine vectors pCI-neo, VR1012, and VR1020 were chosen for the vaccine development. The Ms02 oppA gene was also cloned into the prokaryotic expression vector pGEX-4T-1 in order to express the OppA protein for purification. The purified protein may be used in future serological tests in ostrich vaccination trials. In this study the protein was used to elicit anti-OppA rabbit antibodies, which were used to attempt detection of the pCI-neo-driven OppA protein expression in an MDA cell line in a transfection study. However, preliminary findings could not detect expression, but did indicate that the currently used colorimetric western blot technique may not be sensitive enough. It is suggested that different cell lines need to be investigated. Further optimisations are also required to decrease the observed non-specific binding. / AFRIKAANSE OPSOMMING: Die Suid-Afrikaanse volstruisbedryf is onder geweldige druk vanweë siektes wat die volstruise bedreig. Die epidemie van die H5N2 virus (voëlgriep) in die afgelope twee jaar het veroorsaak dat duisende volstruise van kant gemaak moes word. Daar is egter nog ‘n bedreiging wat tot geweldige produksie verliese lei elke jaar: die respiratoriese infeksies wat versoorsaak word deur die drie volstruis mikoplasmas, genoem Ms01, Ms02 en Ms03. Geen entstowwe is tans beskibaar om die infeksies te voorkom nie, en behandeling met behulp van antibiotikas is nie effektief in die genesing van infeksie nie, maar help net om die simptome te verlig. Weens die erns van die saak, het die Suid-Afrikaanse volstruisbedryf ‘n ondersoek geloods na die ontwikkeling van enstowwe teen elkeen van die drie volstruis mikoplasmas. Die relatiewe nuwe benadering van DNA-entstof ontwikkeling was die strategiese keuse. Die beginsel van DNA-entstof ontwikkeling berus op die beskikbaarheid van die genoomvolgordes van die siekte-veroorsakende organisme waarteen die enstof ontwikkel word. Geskikte kandidaat entstof gene word so opgespoor met behulp van vergelykende studies met ander beskikbare genome. Die Ms02 genoomvolgorde is voorheen bepaal en word verteenwoordig deur 28 groot geenvolgorde fragmente. Die tegniek van Thermal Asymmetric Interlaced Polymerase Chain Reaction (TAIL-PCR) is gebruik om van die 28 fragmente aan mekaar te las. Die aantal fragmente is verminder na 14 groot geenvolgorde fragmente, wat vervolgens gebruik was om die omvang van herhalende volgordes in die genoom te bepaal, om nuwe leesrame te ondersoek, asook om die oorsprong van DNA replikasie op te spoor met behulp van bioinformatika sagteware. Die omvang van die herhalende aard van die Ms02 genoom word geïllustreer, asook die gepaardgaande probleme met die las van geenvolgorde fragmente wanneer met genome van veelvuldige herhalende volgordes, wat boonop A+T-ryk is, gewerk word, soos die van mikoplasmas. Vorige studies het die mikoplasma oppA geen geïdentifiseer as ‘n geskikte kandidaat entstof geen as gevolg van sy selaanhegting-eienskappe. Hierdie studie behels die invoeging van die Ms02 oppA geen in drie DNA-enstof vektore, naamlik pCI-neo, VR1012, en VR1020, asook die voorlopige poging om bewys van uitdrukking van een van die entstowwe in ‘n selkultuursisteem te bewerkstellig. Die geen is ook gekloneer in die prokariotiese ekspressie vektor pGEX-4T-1, ten einde die Ms02 OppA proteïen te isoleer. Die geïsoleerde proteïen kan in serologiese toetse in toekomstige volstruis enstof proewe gebruik word. In hierdie studie is die proteïen gebruik om konyn teenliggame teen dit op te wek, wat dan gebruik was om vir die pCI-neo-gedrewe ekspressie van die oppA geen te toets in ‘n selkultuur omgewing deur ‘n MDA sellyn te transfekteer. Die voorlopige resultate toon nie ekspressie van die OppA proteïen aan nie, maar het wel uitgelig dat die western blot tegniek wat tans gebruik word, dalk nie sensitief genoeg is nie. Dit kan belowend wees om ander tipes selle te toets. Verdere optimisering is ook nodig om die nie-spesifieke binding wat waargeneem is, te verlaag. / South African Ostrich Business Chamber

published_or_final_version / Environmental Management / Master / Master of Science in Environmental Management

published_or_final_version / Community Medicine / Master / Master of Philosophy

published_or_final_version / Microbiology / Doctoral / Doctor of Philosophy

published_or_final_version / Paediatrics and Adolescent Medicine / Master / Master of Philosophy

In total, 76 birds, mainly breeding females, were captured in years 2007-2009. Birds were inspected for the presence of avian influenza (AI) viruses and the AI antibodies. They were inspected as well for the presence of bacteria Borrelia burgdorferi s. l. and Anaplasma phagocytophilum and protozoan Leucocytozoon simondi in blood. The feces were examined for the oocysts and eggs of intestinal parasites. AI viruses were found in 4 cases, while over 80% of inspected birds had AI antibodies. Bacteria B. burgdorferi s. l. and A. phagocytophilum were found in 2 and 1 case respectively. Protozoan L. simondi was not found in any blood smear. The oocysts from protozoan genera Eimeria and Tyzzeria and eggs from roundworm genera Capillaria, Amidostomum and Echinuria were observed in feces. Statistical analyses were due to the small size of our data set inconclusive.

O vírus de influenza aviária H5N1 tem se disseminado rapidamente por diversos países e continentes nos últimos anos, gerando grandes perdas econômicas e de vidas humanas. Existe a possibilidade de a doença chegar ao Brasil, o que provocaria elevado impacto sobre a economia, especialmente sobre o setor avícola. A ausência e a necessidade de estimativas de impacto econômico no país, derivadas de surtos de gripe aviária em território brasileiro, motivaram a presente pesquisa. Visando gerar tais estimativas e analisá-las, foram simulados três cenários utilizando-se de um modelo aplicado de equilíbrio geral inter-regional, denominado TERM-BR. O primeiro cenário (Cenário I) contempla um foco da doença no Rio Grande do Norte, região Nordeste do país. O segundo (Cenário II) simula a presença de diversos focos da doença no estado de São Paulo. O terceiro (Cenário III) considera o surgimento de diversos focos presentes nos estados Rio Grande do Norte, Rondônia, São Paulo e Rio Grande do Sul. Os resultados sinalizam impactos de maior dimensão na medida em que os focos da doença surgem próximos aos mercados produtores, exportadores e consumidores, como é o caso da região Sul e Sudeste. Na região Sul, em função da dimensão da avicultura na economia local, a crise do setor avícola acaba refletindo negativamente e acentuadamente sobre o conjunto da economia local. Nas regiões Norte e Nordeste, as restrições sobre a aquisição de aves vivas pelas famílias têm grande peso na retração da atividade econômica do setor avícola, já que a atividade de abate é pouco representativa e parcela importante das aves é adquirida diretamente pelas famílias, o que não acontece na mesma dimensão nas demais regiões do país. Observa-se também que o aumento do consumo de carne bovina e suína contribui para reduzir a crise na economia estadual nos estados produtores, e é também a fonte de crescimento para os estados em que a bovinocultura se destaca. O choque de demanda doméstica de produtos avícolas, comparado com os demais choques, revela-se como o principal responsável pelo comportamento na produção em quase todos os estados. Já a redução das exportações tem grande peso sobre o comportamento da produção avícola quando o foco da doença é na região exportadora ou próxima a ela. No estado de Santa Catarina, o choque de exportações prepondera sobre a queda do consumo doméstico quando do fechamento quase total dos mercados externos para carne de aves. Por último, o choque de oferta, via mortalidade das aves e destruição de ovos, pouco influencia a magnitude da queda na produção dos produtos da avicultura. / In the past few years, the bird flue virus H5N1 spread rapidly through various countries and continents, causing great economic and human losses. There is also the possibility of the disease arriving in Brazil, which would have a substantial impact on the country\'s economy, particularly on its poultry sector. The present study addresses the lack of estimates of the potential economic consequences of a bird flu outbreak on commercial poultry production in Brazil. The analysis consists of three simulations using a interregional general equilibrium model called TERM-BR. The first scenario focuses on an outbreak in the state of Rio Grande do Norte in the Northeastern part of the country. The second scenario simulates an outbreak at various places in the State of Sao Paulo, and the third scenario assesses the consequences of a bird flue outbreak in various states simultaneously, Rio Grande do Norte, Rondônia, São Paulo and Rio Grande do Sul. The results indicate greater economic impact when the outbreak occurs close to points of production and consumption, which is the case in the Southern and Southeastern regions of Brazil. In the South, where the poultry sector constitutes a larger share of the local economy, a potential avian flu outbreak will also have a greater negative economic impact. In the Northern and Northeastern region, live birds are generally purchased and slaughtered directly by individual families living in suburban and small town settings rather then by large scale processors and packinghouses. This characteristic explains why potential restrictions on these small purchases of live birds will have a very large negative economic impact on the poultry sector in the affected states. A possible reduction in poultry supply could however be offset by an increase in beef and pork consumption, thereby softening the economic affect of a bird flue outbreak by promoting growth of the beef and pork industry. In most states, this fall of domestic poultry demand is the primary cause for a shift in production. In contrast, the fall in export demand only weighs heavily on the local economy when the outbreak occurs close to exporting regions. In the state of Santa Catarina, for example, the effect of a fall in export demand dominates the effect of a fall in domestic demand, as export markets are almost completely shutdown. Finally, the reduction in poultry supply through death of infected birds and destruction of eggs, has little affect on the decrease of poultry production.

Thesis advisor: Paul Gray / As birds throughout Asia, Europe, and Africa have been infected with an avian influenza, public health experts everywhere are worried that if spread to humans, the world could face a pandemic with proportions similar to the 1918 Spanish influenza. In the past, the federal government has been more concerned with foreign militaries than foreign diseases. But today, the government has devoted over $7.1 billion to preventing a potential pandemic. While much of this goes to research and the production of vaccinations, money is also allocated to strengthen local infrastructures and control the disease in other countries. The fact that the federal government has put so much time and effort to prevent a disease that has affected few humans worldwide, let alone any Americans, points to a growing belief in human security rather than national security. This thesis will evaluate the concept of human security and argue that U.S. action and public opinion regarding the threat of an avian flu pandemic clearly shows decision-making based on human security. / Thesis (BA) — Boston College, 2006. / Submitted to: Boston College. College of Arts and Sciences. / Discipline: International Studies. / Discipline: College Honors Program.

Os vírus da influenza aviária têm provocado epidemias e pandemias através dos tempos, a pandemia mais devastadora que se tem notícia, a gripe espanhola em 1918, teve sua origem no vírus aviário do tipo A subtipo H1N1. Desde 2003 o vírus aviário do subtipo H5N1 infectou 442 pessoas e levou a morte 262. Além do aspecto de saúde os vírus da gripe aviária causam grande impacto econômico. O Brasil como maior exportador de frango do mundo tem muito a perder caso a gripe aviária chegue ao país. Devido às aves selvagens serem o reservatório natural influenza A, é que se faz necessário a execução do monitoramento. Apesar de existir programas de monitoramento contínuo de aves selvagens na Europa, EUA, Canadá, Japão entre outros, pouco foi feito no Brasil. Amostras coletadas de 671 aves foram testadas por meio das técnicas de GeneScan, PCR em tempo real e RT-PCR e Duplex Nested-PCR. / The avian influenza virus has caused epidemics and pandemics through the ages, the most devastating pandemic that we know, the Spanish flu in 1918, had its origin in the avian virus type A subtype H1N1. Since 2003 the avian virus subtype H5N1 has infected 442 people and led to death 262. Besides the health aspect of the avian influenza viruses cause major economic impact. Brazil as the largest exporter of chicken in the world has much to lose if bird flu reaches the country. Because wild birds are the natural reservoir of influenza A, is that it is necessary to implement the monitoring. Although programs exist for continuous monitoring of wild birds in Europe, USA, Canada, Japan and others, little has been done in Brazil. Samples collected from 671 birds were tested by GeneScan techniques, real-time PCR and RT-PCR and nested-PCR Duplex.