Page 94 - Journal of Special Operations Medicine - Spring 2014
P. 94

Surveillance for Ehrlichia canis, Anaplasma phagocytophilum,
                         Borrelia burgdorferi, and Dirofilaria immitis in

                                Dogs From Three Cities in Colombia



                                    Michael E. McCown, DVM, MPH, DACVPM;
                   Victor H. Monterroso, MV, MS, PhD, DACLAM; Wilder Cardona, MV, DMSC





          ABSTRACT
          Objective: Emerging infectious and zoonotic diseases   Introduction
          are made up in large proportion by vector-borne dis-  Tick-borne diseases, more broadly classified as vector-
          eases (VBD). Dogs are parasitized by disease vectors   borne diseases (VBD), continue to be rapidly emerging
          such as ticks and mosquitoes, making dogs adequate   and globally distributed.  In recent  years, increasing
                                                                                   1,2
          reservoirs for zoonoses. Risk of exposure to VBD exists   numbers  of  the  emerging  infections  and  zoonotic  dis-
          for the U.S. military personnel and Military Working   eases are described to be caused by tick-borne patho-
          Dogs (MWD) when deployed globally. The importance   gens.  Canine populations are susceptible to most of
                                                                 1
          of canine VBD surveillance relates to veterinary and   the tick-borne pathogens known to infect mammals,
          public health significance for the host nations as well   including humans, making dogs adequate reservoirs
          as for the U.S. troops and MWDs. The objective of this   and sentinels for infectious and zoonotic diseases. 3–9
          work was to survey dogs from the cities of Medellin,   Canine diseases such as heartworm disease (Dirofilaria
          Barranquilla, and Cartagena in Colombia to determine   immitis), ehrlichiosis (Ehrlichia canis), Lyme disease
          the prevalence of heartworm disease (Dirofilaria immi-  (Borrelia burgdorferi), and anaplasmosis (Anaplasma
          tis), ehrlichiosis (Ehrlichia canis), Lyme disease (Borrelia   phagocytophilum) should be surveyed, because of their
          burgdorferi), and anaplasmosis (Anaplasma phagocyto-  veterinary and public health significance in susceptible
          philum). Methods: Canine (n = 498) blood samples (1–  populations. The importance of the surveillance for such
          3mL) were collected during July 2011 from Medellin   diseases is oriented to decrease the risk of disease expo-
          (n = 175), Barranquilla (n = 223), and Cartagena (n =   sure and occupational and environmental hazards. 10–15
          100) and were tested on-site using IDEXX SNAP  4Dx    Results  from  such surveillance  give  direct  prevalence
                                                    ®
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          Test Kits. Results: The overall combined sample preva-  rates in the canine population but also give invaluable
          lence of E. canis, A. phagocytophilum, D. immitis, and   information about the vectors present and the risk of
          B. burgdorferi was 62%, 33%, 1.6%, and 0%, respec-  disease spread to the human population. The objective
          tively. In Medellin, 26% of the samples were positive   of this work was to survey canines from the cities of
          for E. canis, 12% for A. phagocytophilum, and 0% for   Medellin, Barranquilla, and Cartagena in Colombia, to
          D.  immitis.  In  Barranquilla,  sample  prevalence  for  E.   determine the sample prevalence of heartworm disease,
          canis, A. phagocytophilum, and D. immitis was 83%,   ehrlichiosis, anaplasmosis, and Lyme disease.
          40%, and 2%, respectively. In Cartagena, E. canis, A.
          phagocytophilum, and D. immitis prevalence was 80%,
          51%, and 3%, respectively. Conclusion: E. canis and A.   Materials and Methods
          phagocytophilum are present in all three surveyed cities.   Canine blood samples (n = 498) were collected during
          There is a higher sample prevalence for E. canis and A.   July 2011 in three cities of Colombia (Medellin, Bar-
          phagocytophilum than for D. immitis. In addition, the   ranquilla, and Cartagena) to gain thorough surveillance
          prevalence for these organisms is higher in Barranquilla   data. The three selected cities—Medellin (n = 175), Bar-
          and Cartagena than in Medellin. Overall, this study em-  ranquilla (n = 223), and Cartagena (n = 100)—provided
          phasizes the value of surveillance for VBDs in order to   data  from  three  different  regions  in  Colombia  with
          determine disease prevalence, develop risk assessments,   varying elevations. Medellin (latitude 6°13'N, longitude
          and implement control measures.
                                                             75°36'W, elevation 4902 feet or 1499 meters) is a moun-
                                                             tainous region with large rural and urban components.
          Keywords:  zoonotic disease, parasites, vector-borne dis-  Conversely, Barranquilla (latitude 10°53'N, longitude
          ease, dogs, public health, surveillance, Colombia
                                                             74°46'47'W, elevation 98 feet or 30 meters) and Carta-
                                                             gena (latitude 10°27'N, longitude 75°31'W, elevation 3



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