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Cross-Canada Disease Report 

Rapport des maladies diagnostiquées


au Canada

An update on bovine anaplasmosis (Anaplasma marginale) in Canada


Krista J. Howden, Dorothy W. Geale, Julie Paré, Elizabeth J. Golsteyn-Thomas, Alvin A. Gajadhar

A naplasmosis in cattle, caused by Anaplasma marginale,


is a federally reportable disease and has been since
December 17, 1969 after Canada’s first outbreak in Manitoba
actions resulted in Canada being able to regain its anaplasmosis-
free status. Stakeholder consultations were held in January 2007
regarding the maintenance of anaplasmosis as a reportable
the previous year. It is widespread globally and is an endemic disease under the Health of Animals Act (3). Most respondents
non-regulated disease in the United States. Anaplasma mar­ favored retention of the current federal anaplasmosis domestic
ginale poses no direct human health or food safety risk. It is disease control program (4).
a disease of ruminants, although only clinically apparent in Surveillance for anaplasmosis in Canadian cattle is conducted
cattle. Transmission is either biologically by competent ticks or every 3 to 5 years via the national bovine serological survey
mechanically (by transferring of blood from an infected animal (BSS). Surveys undertaken in 1998–1999 and 2002–2003
via biting flies or use of hypodermic needles on multiple ani- of approximately 15 000 cattle each confirmed that Canada
mals). In Canada, Dermacentor andersoni and Dermacentor vari­ was free from A. marginale infection (at 0.02% design preva-
abilis ticks have been shown to be competent biological vectors lence with 95% confidence). Follow-up investigations of sero-
for A. marginale (1). Cattle surviving infection remain carriers reactors from the most recent survey in 2007–2008 identified
for life, undergoing cycles of parasitemia whereby the organism 3 outbreaks of anaplasmosis in cow-calf operations, which
uses antigenic modulation to escape the host’s immune system. were reported to the World Organisation for Animal Health
Anaplasma marginale is an obligate intraerythrocytic rick- (OIE): Saskatchewan in October 2008, investigation concluded
ettsial gram-negative bacterium which can cause fever, anemia, December 2008; Manitoba in January 2009, ongoing; and
jaundice, weakness, and/or respiratory distress in infected British Columbia in July 2009, investigation terminated in
animals. Clinically affected dairy cattle may also have a rapid March 2010 (Figure 1).
decline in milk production. The severity of clinical signs varies Internationally recognized standard tests and methodology
considerably, depending on the species and age of the infected are used for the detection of A. marginale in Canada (5). The
animal. Cattle infected as adults are usually the most severely screening test for A. marginale in cattle is a commercially avail-
affected. Carrier animals do not display clinical signs of infec- able competitive enzyme-linked immunosorbent assay (cELISA)
tion (2). No antibiotics are approved by Health Canada for the that detects serum antibodies that recognize an epitope of the
treatment or prevention of bovine anaplasmosis in Canada. major surface protein 5 (MSP5). Estimated test sensitivity and
Only 5 occurrences of anaplasmosis have been recorded specificity using a 42% inhibition cut-off are 95.6% and 98.6%,
previously in Canada: Manitoba in 1968, Quebec in 1979, respectively (6). The confirmatory test is a polymerase chain
Saskatchewan in 1983, Ontario in 1996, and Saskatchewan reaction (PCR) test on whole blood. The sensitivity and specific-
in 2000. All cases, with the exception of the 2000 outbreak ity of the PCR are unknown but the detection limit of the assay
that occurred in bison, involved beef cow-calf operations. In is estimated to be . 30 infected erythrocytes/mL of blood (7).
1968 and 1983, spread of anaplasmosis occurred in Canada, The case definition for a confirmed case of anaplasmosis requires
whereas in 1979, 1996, and 2000, transmission did not occur either that the animal be positive on both cELISA and PCR
beyond the index premises where infection was associated with testing, or have clinical signs compatible with anaplasmosis and
imported cattle. Anaplasmosis was eradicated in each of these be positive on a direct diagnostic method (either identification
earlier outbreaks by applying the federal policy of testing and of organisms in a blood smear or PCR).
slaughtering positive animals as well as tracing of animal move- One cow meeting the case definition for a confirmed positive
ment and conducting surveillance in surrounding herds. These was identified in Saskatchewan (positive on cELISA and PCR)
in September 2008 as a result of follow-up herd investigation
Use of this article is limited to a single copy for personal study. and testing due to a reactor identified from the BSS. This cow
Anyone interested in obtaining reprints should contact the originated from a herd located in the same geographic area
CVMA office (hbroughton@cvma-acmv.org) for additional as the 1983 outbreak, near St. Victor, Saskatchewan. Over
copies or permission to use this material elsewhere. 3600 neighboring and other epidemiologically linked animals

CVJ / VOL 51 / AUGUST 2010 837


R A P P O R T D E S M A L A D I E S D I AG N O S T I Q U É E S
AU CA N A DA

838
Figure 1.  Anaplasmosis in Canada 2008–2010.
Positive Premises
Quarantines removed due to
insufficient evidence to confirm
the presence of Anaplasma marginale

CVJ / VOL 51 / AUGUST 2010


were tested with no additional positive animals being identified. was DNA evidence of a closely related but previously unrecog-
The quarantine was terminated on December 5, 2008 and the nized rickettsial hemoparasite of the genus Ehrlichia (8). At the
investigation concluded. It has not been possible to confirm the time of writing, studies are on-going to further characterize this

C R O S S - CA N A DA D I S E A S E R E P O R T
source of infection for this case. organism and determine the possibility that this organism was
Two geographically separate outbreaks, each with multiple responsible for the atypical observations in British Columbia.
infected herds identified, have been reported in Manitoba. The Due to the lack of sufficient scientific evidence to support the
first confirmed positive animal (positive on cELISA and PCR) presence of A. marginale, a decision was made to remove the
was identified in January 2009 as a result of a follow-up inves- remaining quarantines in British Columbia.
tigation to the BSS. Subsequent investigations revealed a total The situation in British Columbia and the large numbers of
of 8 positive herds associated with the rural municipalities of cases identified in Manitoba resulted in a further examination
Lac du Bonnet and Alexander. A second outbreak in Manitoba of the status of anaplasmosis as a federally reportable disease
was identified in October 2009 as a result of enhanced passive in Canada. An Anaplasmosis Steering Committee made up
surveillance and reporting to the CFIA of clinical signs sug- of representatives of the federal and provincial governments,
gestive of anaplasmosis by a private veterinarian. Animals were industry, academia and non-government organizations was
found to be positive for anaplasmosis by cELISA, PCR, and a formed in September 2009. Two working groups reporting
few also on blood smear. Only this 1 herd in Manitoba of all the to the Anaplasmosis Steering Committee were established to
herds tested in western Canada presented animals with clinical examine the science related to anaplasmosis and review the
signs of anaplasmosis. However, due to the extensive manage- potential economic impacts of a change in reportable status.
ment of most herds during the vector season it is possible that As per the CFIA’s mandate, potential impacts on public health
clinical animals would not have been observed. This outbreak (such as, consequences of off-label antimicrobial use) and ani-
was located in southeastern Manitoba where 15 infected farms mal welfare are also being examined. The results of the working
were identified from October 2009 to April 2010. No epide- groups’ reports are expected in late 2010. A broader stakeholder
miological link between these 2 outbreaks in Manitoba has been consultation is anticipated to be undertaken at that time. The
identified to date. During the course of these investigations, current objective is to minimize disruptions to the industry
over 13 000 animals were tested in Manitoba, with 590 animals while respecting the CFIA’s mandate to protect animal health
identified as meeting the case definition for a confirmed case of and public health in Canada.
anaplasmosis. Within herd apparent prevalence for A. marginale
identified to date ranged between 0.04% and 65.96%. Genetic Acknowledgments
sequencing data from Manitoba has confirmed the presence The authors thank Drs. Brian Evans, Francine Lord, Jim
of A. marginale. Investigations related to the 2 outbreaks in Clark, Connie Argue, Jag Dhanda, Lynn Bates, Primal Silva,
Manitoba are on-going. Shane Renwick, and Cyril Lutze-Wallace for their review of
British Columbia exhibited a significantly higher sero-­ the manuscript. The authors acknowledge the diagnostic and
prevalence for anaplasmosis than elsewhere in Canada during research work completed at the CFIA Centre for Food-borne
the 2007–2008 BSS. Follow-up investigation of 36 premises and and Animal Parasitology, Saskatoon, the CFIA Lethbridge
over 10 000 animals resulted in the quarantine of 9 premises, Laboratory and the Western College of Veterinary Medicine.
with 18 animals meeting the case definition for a confirmed The CFIA Operations, Programs and Science Branch staff
case (positive on cELISA and PCR). During the course of the involved in the disease outbreak investigations and response
investigation, it became apparent from epidemiological analyses are acknowledged for their hard work and dedication to work-
that the observed pattern of test results in British Columbia was ing towards a greater understanding of this disease in Canada.
dissimilar from the results observed in Manitoba.
Specifically, a large proportion of animals positive on the References
cELISA test in British Columbia were negative on the confir- 1. Lankester MW, Scandrett WB, Golsteyn-Thomas EJ, Chilton NC,
Gajadhar AA. Experimental transmission of bovine anaplasmosis
matory PCR. This was in contrast to the situation in Manitoba (caused by Anaplasma marginale) by means of Dermacentor variabilis
where the vast majority of animals positive on the cELISA test and D. andersoni (Ixodidae) collected in western Canada. Can J Vet Res
were confirmed positive on PCR, which is what was anticipated 2007;71:271–277.
2. Radostits OM, Gay CC, Hinchcliff KW, Constable PD. Veterinary
based on the assumed specificity of the cELISA. Medicine. A Textbook of the Diseases of Cattle, Horses, Sheep, Pigs and
Laboratory research was initiated in January 2010 at Goats. 10th ed. London: WB Saunders, 2007:1455–1459.
the Centre for Food-borne and Animal Parasitology, CFIA 3. Health of Animals Act (1990, c. 21). Department of Justice Canada
Web site [updated 2010 May 3]. Available from http://laws.justice.gc.ca/
Laboratory, Saskatoon to clarify the disease status of the cattle en/H-3.3/index.html Last accessed June 23, 2010.
population in British Columbia and to determine potential 4. Consultation Paper: An Overview of Anaplasmosis and Assessing the
causes of the unusual pattern of test results. Disease control Risks for Canada, December 2006. Anaplasmosis-Consultations and
Discussions. Canadian Food Inspection Agency Web site [updated 2007
activities in British Columbia were suspended while the research June 7]. Available from http://www.inspection.gc.ca/english/anima/
was conducted. Samples obtained from a subset of animals heasan/disemala/anaplasmos/consulte.shtml Last accessed June 23, 2010.
identified in British Columbia meeting the case definition 5. OIE (Office international des epizooties) Terrestrial Manual,
Chapter 2.4.1 Bovine Anaplasmosis. 2008 Pp 599–610. Available from
(positive on cELISA and PCR) were used in molecular and http://www.oie.int/eng/normes/mmanual/2008/pdf/2.04.01_BOVINE_
serological analyses, and in bioassay transmission studies. By ANAPLASMOSIS.pdf Last accessed June 23, 2010.
March 2010, there was no evidence of A. marginale, and there

CVJ / VOL 51 / AUGUST 2010 839


6. Power C. An Assessment of the VMRD Inc c-ELISA for the Detection Howden, Geale, Terrestrial Animal Health Division, Canadian
of A. marginale Antibodies in Bovine Sera. Canadian Food Inspection
R A P P O R T D E S M A L A D I E S D I AG N O S T I Q U É E S

Food Inspection Agency, 1400 Merivale Road, Ottawa, Ontario


Agency, Animal Disease Surveillance Unit, Science Division, Nepean,
Ontario. Unpublished. K1A 0Y9; Paré, Epidemiology and Surveillance Section,
7. Torioni de Echaide S, Knowles DP, McGuire T, Palmer GH, Suarez CE, Canadian Food Inspection Agency, 3200 Sicotte Street, P.O.
McElwain TF. Detection of Cattle Naturally Infected with Anaplasma
Box 5000, Saint-Hyacinthe, Quebec J2S 7C6; Golsteyn-Thomas,
marginale in a Region of Endemicity by Nested PCR and a Competitive
Enzyme-Linked Immunosorbent Assay Using Recombinant Major Surface Lethbridge Laboratory, Canadian Food Inspection Agency,
Protein 5. J Clin Microbiol 1998;36:777–782. Township Road 9-1, PO Box 640, Lethbridge, Alberta T1J 3Z4;
AU CA N A DA

8. Gajadhar AA, Lobanov V, Scandrett WB, Campbell J, Al-Adhami B. A


Gajadhar, Saskatoon Laboratory — Centre for Food-Borne
novel Ehrlichia genotype detected in naturally infected cattle in North
America. Vet Parasitol 2010. (In press). DOI: 10.1016/j.vetpar.2010.06. & Animal Parasitology, Canadian Food Inspection Agency,
034. 116 Veterinary Road, Saskatoon, Saskatchewan S7N 2R3.

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