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What
is Johne's disease and can sheep get it?
Johne's
(pronounced "Yo-nees") disease is a contagious, slowly developing
and fatal bacterial disease of the intestinal tract. A German veterinarian
first described it in a dairy cow in 1895 and the disease was named
after him. The disease is also called paratuberculosis. Johne's
disease primarily occurs in domestic and wild ruminant species such
as sheep, goats, cattle, bison, deer, llama, etc. It has also infrequently
been reported in non-ruminant species e.g. rabbits, primates, fox
and stoat.


What
causes Johne's disease?
The
bacterium that causes Johne's disease is named Mycobacterium avium subspecies
paratuberculosis. The name is abbreviated M. a. paratuberculosis
or M. paratuberculosis. It is in the same family as the bacterium that
causes tuberculosis in humans and animals and the type of disease it causes shares
some characteristics with tuberculosis: it is slow to develop, it is resistant
to antibiotics and is contagious. M. paratuberculosis can replicate only
when within the animal; it cannot multiply in the environment. However, the bacterium
reportedly can survive, still infectious, in the soil or water for over a year
because of its resistance to heat, cold and drying.


What
are the signs of Johne's disease and
how can I tell if my flock has Johne's disease?
This disease
is hard to detect. The signs of Johne's disease are vague and months
can pass after infection before they appear. Weight loss in animals
with a good appetite may be the only indication as diarrhea is not
a common sign in sheep, unlike what is seen in cattle. Infected
sheep may appear unthrifty and wool break/poor fleece condition
may also be noted. The signs of Johne's disease can be confused
with the clinical indications of other conditions such as parasitism,
OPP (ovine progressive pneumonia), CLA (caseous lymphadenitis) or
malnutrition. Of course, more than one problem may be occurring
- for example, sheep eventually succumbing to Johne's disease had
improved clinically after treatment for parasites. Because of the
slowly progressive nature of the infection, signs of Johne's disease
are usually not seen until animals are adults.


How common is Johne's disease in sheep?
Knowledge
on the prevalence of this disease in the approximately 8.5 million
sheep and lambs in the U.S. is limited, due both to lack of testing
and reporting. However, valuable information on the prevalence of
Johne's disease in sheep managed in the United States will be collected
through the confidential "Sheep 2001" survey to be conducted by
the National Animal Health Monitoring System of the USDA. BM_1_(Please
consider participating in the survey if asked - the results likely
will guide U.S. sheep health and welfare programs.)
It is probable that M. paratuberculosis infection is globally
distributed. The infection has been reported in countries as removed
from each other as Spain and South Africa. In Australia, an accelerating
spread of the infection in sheep (a domestic agriculture species
of economic importance) in several states has interfered with stock
transfer and reduced production. The country has instigated a national
Johne's disease market assurance program to support control of this
infection in sheep.


How do sheep get Johne's disease?
Johne's
disease typically enters a flock when an apparently healthy, but
infected, animal is introduced.
This animal contaminates the premises (feed, ground, water) by shedding
the organism in its manure. The organism is then ingested by other
sheep. Lambs are thought to be most susceptible to infection and
their suckling manure-contaminated teats is another route of infection.
It is also possible that a ewe in the later phases of the infection
can shed M. paratuberculosis into her milk and colostrum,
thus transmitting it to her lambs.


How can you prevent your animals from getting Johne's
disease?
The best
way to avoid this chronic infectious disease of course is to be
as certain as possible that animals brought into the flock are not
infected with M. paratuberculosis. Johne's disease test-negative
flocks are the best sources of animals for purchase. Since many
flock managers do not yet test for the infection, assess the entire
flock (not just the animals you intend to buy) for body condition.
Ask the owner about the cull rate and common cause for culling -
how many animals were thin/unthrifty for no confirmed reason? Check
the body condition of the dam of lambs you intend to purchase and
have her tested if you have suspicions (tests on sheep less than
one year old are not likely to be informative unless exhibiting
signs of the infection).
Following general rules of sanitation are helpful in blocking transmission
of the infection. Feeders and waterers should be designed to minimize
the likelihood of fecal contamination. Lambing should occur in clean,
dry areas. Animals with weight loss or diarrhea should be segregated
from the rest of the flock and tested.


How do you test animals for Johne's disease?
There
are two common ways to test sheep for Johne's disease: culture of
fecal samples and blood tests for antibodies to M. paratuberculosis.
The biology of the disease can make it difficult to detect infected
animals, especially those in an early stage of infection. A truly
infected sheep in this "sub-clinical" phase may neither be
shedding the organism consistently (thus the fecal culture may be
negative) nor be making antibody in response to the infection (thus
the blood test will be negative). Despite this, collecting manure
for culture and/or blood for either the ELISA or AGID, as the blood
tests are called, can provide useful information needed to control
the infection.


Can Johne's disease be cured?
Although
few studies have been reported, Johne's disease is not considered
a curable disease. As with most diseases caused by mycobacteria,
the course of therapy is very long (months) and expensive. For most
animals, treatment is cost prohibitive and the best that can be
expected is an improvement in clinical signs while under treatment,
not a cure.


Can humans get Johne's disease?
This is
a very controversial subject. There is a human disease called Crohn's
disease that in some ways resembles Johne's disease. The cause of
this chronic inflammatory bowel disease is not known and there is
no known cure. A few laboratories have grown M. paratuberculosis
from a few Crohn's patients' specimens but there is no evidence
that the organism caused the disease. No connection has been shown
between contact with animals with Johne's disease or milk consumption
and Crohn's disease.
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