Prevention Chain Approach for Systematic Disease Control in Large Farms
by Oliver Duran and Eduardo FanoApril 8, 2016
The Infection/Prevention Chain™ concept brings together new and existing knowledge in swine diseases management, connecting epidemiological events between the different production phases.
Pig production has responded to the challenge of increased global demand for pork by a process of consolidation and increased size to capture benefits of economies of scale. Over the last 25 years the swine industry has evolved in order to increase production performance, health and animal wellbeing towards age segregated or multiple site production models. In general, it can be stated that the changes in production systems have produced a positive effect in the health status of pigs by improving the way we raise pigs today. However, bigger and more complex farms and production systems require that we approach disease control in a different way by recognizing the impact throughout the production cycle or production chain.
Infection and Prevention Chain™ thinking
The Infection/Prevention Chain™ concept brings together new and existing knowledge in swine diseases management, connecting epidemiological events (infection chain, see figure 1) between the different production phases (production chain), using logical chain-thinking to create multi-phase intervention strategies (prevention chain) as illustrated in figure 2. This systematic approach to disease control was first proposed by Dr Eduardo Fano, Dr Brian Payne and Dr Edgar Diaz in the Unites States to address both M. hyopneumoniae and PRRS control, but can be applied to practically all infectious diseases.
Figure 1. Links in the Infection chain (adapted from Fano, 2015)
Persistence of infection, shedding patterns, vertical transmission, horizontal transmission and lateral infection should be considered as critical epidemiological pieces participating in the “infection chain” of swine pathogens throughout the complete production process (whole herd) resulting in the clear manifestation of clinical symptoms with the correspondent production and financial losses due to increased mortality, culling rate, treatments and lack of performance, even in subclinical disease. This “chain” starts with gilt development and introduction into the sow herd and ends in growth-finish populations or re-connects with a new link with gilt production.
Figure 2. Infection Chain-Prevention Chain
Part of this thinking relies on the simple concept of an infection or disease management equation: to successfully control a disease we need to minimize exposure (reduce infection) and maximize immunity (increase protection).
Figure 3. Disease Management Equation
This “chain thinking” allows a more holistic and comprehensive approach to understand the epidemiology and prevention of major infectious agents by matching “production chain” with “infection chain”, resulting in a “prevention chain” extremely focused on the entire production system at all stages instead of just the individual piglet. Therefore, this approach can help to modify or re-adjust the intervention strategies (pig flow, internal biosecurity management and prevention protocols) applied for control, prevention and even elimination of disease, considering the whole “infection chain” of the agent, allowing an appropriate “prevention chain” approach. The goal is to create a way of thinking where understanding the root of the problem is the first step of a whole herd approach to health management.
Lessons learned from the Prevention Chain approach
After years of failed interventions, the implementation of a systematic Prevention Chain approach based on improved diagnostic tools, better understanding of the epidemiology of PRRS and benefits of biosecurity has allowed successful PRRS control, e.g. using Load-Close-Homogenize protocols. The first step is to bring in as many gilts as are available and can be housed into the herd (load). Then all breeding age animals in the herd are immunized twice 30 days apart with MLV PRRS vaccine (homogenize) and then no new animal introductions are allowed until the breeding herd has been declared stable (close). A breeding herd is classified PRRS stable positive when previously exposed sows are producing PRRS negative piglets at weaning and no clinical signs consistent with PRRS are observed in breeding herd. By systematically applying these methods and measuring the outcome you can establish two novel metrics; Time to PRRS stability (time to negative) and time to return to baseline production (when breeding herd output returns to pre outbreak levels) Using Time to Stability to measure success it was discovered, again using Chain Thinking, that cross fostering practices in the farrowing house extended the herd closure time on a number of herds because movement of pigs maintained PRRS virus circulation for a longer time. Once a farm is weaning PRRS negative piglets, the Prevention Chain approach focuses on the next critical control point; is there a need to protect piglets against PRRS? Are these pigs going to highly dense grow-out sites? If these pigs break, will they increase the risk of infecting the neighbor herds? How much money am I leaving on the table by not protecting them? The systematic, whole herd approach (gilts, sows and piglets) allows you to make better disease control decisions.
Applying the Prevention Chain approach to control of M. hyopneumoniae (Mhp) infections in production systems has led to an understanding of the importance of the gilt in the control of this costly disease. Once a growing gilt is infected she will remain a carrier for over 200 days, therefore bringing a large number of replacement gilts into a herd, say during a herd expansion, could lead to increased Mhp circulation in the breeding population, higher rates of vertical transmission to the piglets and more piglets infected at the time of weaning. This increase could lead to an imbalance in the infection pressure equation towards more disease. By applying specific disease management of the gilts with vaccination, short and strategic antibiotic treatments or sufficient acclimatization time we can reduce the likelihood of this event.
Figure 4. Gilt acclimation process for Mhp (adapted from Pieters and Fano, 2016
Take home messages
The Infection/Prevention Chain concept applies new and existing knowledge in swine diseases management
- It encourages systematic interventions- The Infection/Prevention Chain concept is a tool for swine diseases management, using the whole herd approach.
- It connects epidemiological events (infection chain) between the different production phases (production chain) and facilitates the root cause analysis.
- It utilizes a logical chain-thinking to create multi-phase intervention strategies (prevention chain), critical to achieve successful and sustainable health programs.