Prague, 25 July 2008

 

 

Dr Achim  S t e i n e r

UNEP Executive Director

United Nations Environment Programme

United Nations Avenue

Gigiri, P.O.Box 30552

N a i r o b i

K E N Y A

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Re: Invisible threat to our planet biosphere – warning against infectious disease globalization

 

 

Dear Dr. Steiner,

 

first I would like to appreciate the activities of your organization in protecting our planet biosphere what was reflected also in the Nobel Peace Prize 2007 for your Intergovernmental Panel on Climate Change (IPCC). This has given me a new impulse to restart warnings against the threat to our planet biosphere  by man-made animal infectious disease spreading and globalization. The warning is based on my professional half a century experience in this domain and on available relevant official data. The basic information can be found in my letter  sent to Mr. Ban Ki-moon, Secretary-General, United Nations Organization (copy attached). I would like to exploit this opportunity and provide you with more information showing the urgency and complexity of this underestimated very serious problem of the biosphere. The pathogenic microflora represents an integral component of the  biosphere.

 

1. One of the important dangers for our planet biosphere  is represented by mass spreading and globalization of mostly invisible animal infectious disease agents. The pathogenic microflora and parasites, integral parts of the biosphere, still untouched domain of the global environmental protection, merit adequate attention and necessary contra-measures. Infectious disease spreading belongs among the factors of man-made damaging our planet ecological and biological equilibrium as well as reducing its biodiversity.

 

2. Within the structure of about one thousand of known animal infectious disease species there are several thousands strains of different types and subtypes complicating more their diagnosis, monitoring, surveillance, prevention, control and eradication. Even within the same agent species there can be strain types and subtypes differing mainly immunologically. Monohostal infectious disease agents affect only one animal species while polyhostal infections affect a wide range of hosts, i.e. they are transmissible to more than one susceptible animal species. The infectious disease agents represent instable dynamic very complex biological phenomena with the possibility of their genotypic changes resulting e.g. from their mutation.

 

Examples: Foot-and-mouth disease virus has 7 serotypes and more than 60 subtypes. Numerous species and serotypes of Salmonella are pathogenic for both animals and people.

 

3. Imported animal infectious diseases have caused enormous number of human sufferings and deaths and many times higher number of analogical consequences in animal populations. Imported infectious diseases have contributed to the extinction of many endangered animal species and even of many human tribes and even nations. Animal species extinctions influenced by human activities, including conscious infectious disease spreading through international trade, have been  more numerous than their natural extinction.

 

4. The complexity of these phenomena is represented also by different ways of transmission: direct through contact with diseased animals or humans, through droplets spray, transplacental and transovarial; indirect - vehicle-borne through contaminated inanimate material such as water, products of animal origin (meat, milk, eggs, etc.), feed and different objects; vector-borne mechanical and biological (to succeeding generations – transovarian or transstadial transmission from one stage of the life cycle to another) and aire-borne through droplet nuclei and  dust.

 

5. Animal infectious diseases have different forms such as clinically manifested acute or chronic course or as subclinical “carriers” spreading insidiously (for their discovery demanding special etiological laboratory investigations or allergic tests are necessary).

 

6. Imported infectious diseases are extremely difficult, usually impossible, to discover in time and to eradicate them.  Every case is different. Territorial eradication is extraordinary demanding, requiring a lot of resources and time. Also in the infectious diseases against which the eradication methods are available, their practical application is usually unreal due to serious shortage of manpower, diagnostic laboratory capacities, funds, legislation,  public supports, etc.  and due to requiring long periods without sure and lasting success (risk of re-import or re-emergence). In the case of natural nidality the effective and realistic methods are not yet available. Where the government services are weak (private services have quite different priorities and interests), mainly in poor developing countries, the  eradication is without external assistance unrealistic. The imported infections are continuously spreading without being blocked by eradication programmes. In the world no one animal infectious disease has been eradicated yet, in spite of almost one hundred years of  international efforts.

 

7. Undesirable climatic changes, such as global warming, create favourable conditions for: the reduction of population resistance against the pathogens; the increase of pathogen virulence by the passages through newly infected susceptible subpopulations; undesirable changes of biological properties of the pathogens such as appearance of new strains -  mutants, conversions of conditionally-pathogen strains into full-pathogen ones, treatment resistant strains; undesirable changes of global pathogen microflora in terms of quantity, quality and structure influenced by continuously newly introduced pathogens from long distance territories, etc. Shortly, actual changes in global climate create the conditions for easier spreading of infectious diseases than up today. The undesirable climatic change consequences are multiplied by the mentioned unwelcome changes in global pathogen microflora and reverse. Simultaneous actions of the both factors  strengthen mutually  their negative impacts upon the biosphere and health.

 

8. Thanks to  World Trade Organization (WTO) and the International Office of Epizootics (OIE) “new” very benevolent policy of international trade in animals and their products, not requiring to guarantee the infection-free  status, the exporting countries, due to the lost of economic motivation, stopped controlling and eradicating animal infectious diseases, i.e. letting them to spread. Reimport of infectious diseases has conducted to giving up specific disease control/eradication also in importing countries = further free spreading. The WTO/OIE policy have created a dangerous atmosphere of “doing nothing” = letting the animal infections to spread (exception is foot-and-mouth disease).

 

9. The problem is that the real occurrence of the infectious diseases is not known, even in the human populations and even in the most developed countries. In animal populations and in developing countries the infectious disease occurrence reporting is much more problematic. Therefore,  the reported data on the numbers of specific infectious disease outbreaks and diseased animals and/or persons are collected ad hoc, i.e. usually very incomplete. Active preventive screenings of infectious diseases have been minimized up to zero due to lack of means and due to risk to discover “new” cases complicating trade and export. The absence of full knowledge of infectious disease occurrence in exporting countries (reporting on almost all internationally reportable infections “No information available”) represents serious risk for importing countries.

 

Example:  "It is assumed that, for every case of salmonellosis recorded in humans in the United States, at least nine are not reported." Dictionary of Veterinary Epidemiology. Iowa State University Press, Ames, 1999, page  147. 

 

10. The ability to spread is different in different infectious disease pathogens, different susceptible populations  and environmental conditions. Imported pathogen spread can be in a form of isolated exceptional local outbreak (blind branch) or of sporadic outbreaks or of epizootic (epidemic) or of enzootic (endemic) or of panzootic (pandemic)  affecting populations in very vast territories (maximal ramification of imported agents). In some cases the spreading can reach in susceptible populations even “exponential curve”. Any infectious disease occurrence threats population in neighbouring localities. Some pathogens have been able to escape even from the best isolated laboratories in the world.

 

Examples: Escapes of foot-and-mouth disease (FMD) virus: from the Plum Island Animal Disease Research Center  in 1978 (FAO-WHO-OIE Animal Health Yearbook, 1979, p. 53) and from Pirbright  FMD Laboratory  in summer 2007.

 

11. Other characteristic is represented by the speed of infectious disease agents’ postimport propagation. In some cases the spread is slow and in other cases could be very rapid.  An important indicator of the infectious disease agents’ spread is represented by  the ratio primary/secondary outbreaks, depending usually on the period between the introduction and discovery/isolation measures.

 

Example::" Taiwan had been free of FMD over 68 years before 1997; FMD occurred in March 1997 and stormed the whole island that leads to tremendous economic impact due to the loss of exportation market. During the four-months epidemic period, a total of 6,147 farms was infected..." OIE World Animal Health, 1997, p. 317-319. (indicator primary/secondary outbreaks = 1: 6,147).               

 

12. The key postimport problems are late discovery and blockade of the primary outbreaks due to  weak or not existing effective anti-epizootic surveillance at field level and due to shortage of  necessary number of well trained  professionals.

 

Example: UK FMD 2001: “infection being present but unreported for at least three weeks before the first case was identified during an antemortem inspection in an abattoir“ “By the time 2001 outbreak was confirmed, it had spread to 57 locations across the United Kingdom”.

 

13. The control and eradication of imported infectious diseases are extremely difficult even in the most developed countries.  The programmes require not only suitable control/eradication  methods feasible under the given conditions but also a lot of resources as well as very complex managerial arrangements. To import  an infectious disease is relatively easy but to eradicate it is extremely difficult,  particularly when the disease penetrates among wildlife. Even the rich countries having necessary means have not always the ability to eradicate the imported infection.

 

Example: One of the most dangerous diseases of pigs is African swine fever which was imported in 1978 in Sardinia, Italy. Up to day, the disease has not been eradicated, mainly  due to penetrating among wild boars.

 

14. The ecological, economic, public health and social consequences of imported animal infectious diseases have different grades from mild up to catastrophic impacts  depending mainly on the infection agent virulence, affected animal species susceptibility, environmental conditions and control measures.

 

15. Classification of consequence characteristics of animal infectious disease has many criteria such as according to: animal species and categories,  causality, environmental impacts, disease forms (peracute, acute, subacute, subchronic, chronic, subclinical carriers), quantitative/measurable aspects (e.g. losses in milk yields, in meat production), qualitative aspects (e.g. lower animal product quality, restrictions in distribution and consumption), direct negative impact (e.g. lower natality and surviving rates), indirect negative impact (e.g. lower body weight growing), losses in space  (local, territorial, continental), losses in time (instantaneous, prolonged, continuous, permanent), visibility (e.g. visible or observed losses due to dead animals, non-visible losses due to sanitary restriction of animal movement and trade), other criteria such as total or  partial losses, losses suffered by inhabitants, by animal owners,  by the community,  etc.

 

Example of catastrophic consequences caused by a very dangerous animal infection: United Kingdom FMD disaster in 2001 as described by British authors Kitching, Thrusfield and Taylor in OIE Scientific and Technical Review. Volume 25 (1), April 2006: “The official figure for the number of animals slaughtered was approximately 6.5 million, but when the total number of still-sucking lambs, calves and pigs that were slaughtered is included, the total could be as high as ten million. Approximately three million healthy animals were slaughtered to control the epidemic! The financial cost of the FMD epidemic in the UK was over 12 billion US$, including US$ 4.5 billion in losses sustained by the leisure and tourist industry. However, the social cost could not be quantified. The public memory of the mounds of dead animals, funeral pyres and burial pits cannot be erased. The consequences were severe: economically, in terms of cost to the country; socially, in terms of misery and even suicides among those involved in the slaughter programme.”

 

16. The problems is that nobody in the world, neither international organizations nor individual institutes monitor and analyse the global sanitary and biospheric consequences of actual international trade policy in animals and their products. On the contrary, the WTO and the OIE do not know the truth thanks to deliberate elimination of the data on animal infectious diseases export/import  from international animal health information system. Therefore, concrete global data on the catastrophic consequences are missing. The OIE even published documents indicating that there is not any need for importing countries to know animal infectious disease situation in exporting countries when we have “risk management tool” (!?).  However, every literate person knows that export of infectious diseases means their distant  spreading damaging health and biosphere.

 

17. The difficulty is represented also by very weak professional animal health services after their dismantling during the 1990’s through WB, IMF, OIE and FAO minimizing government role in controlling health/diseases in animal populations. Private sector have quite different priority than the protection of population health and biosphere. Where the public supervising service is missing there is a space for corruption and not respecting rules and laws. International trade in animal commodities is carried out mostly outside of government on-the-spot control and  sometimes even without its knowledge.

 

18. According to the OIE Code “The Head of Veterinary Service of the exporting country is ultimately accountable for veterinary certification used in international trade.”  This theoretical principle is correct, however in the majority of leading exporting countries is absolutely unreal - the Chief Veterinary Officers are as the generals without any “army”. They are dependent on almost uncontrollable private sector often not reliable and not objective when testing and issuing “official” certificates on government behalf. Relatively very weak public services are unable to control effectively the trade and usually they are unable even to see exporting commodities. Therefore, the supervision, if any, is mostly superficial, formal (document control mainly) and benevolent without drawing corresponding conclusions in cases of exporting infectious disease agents. Other problem is represented by illegal export of animal commodities due to missing necessary government control.

 

Example: “A large rendering company in UK continued and expanded its export of meat and bone meal, which may have been contaminated with BSE, for 8 years after EU ban in 1988, to 70 countries in the Middle and Far East.”(Hodges, J. 2001:  Editorial. Livestock Production Science 69, p. 59)

 

19. Trade liberalization cannot mean liberalization of infectious disease spreading damaging irreparably our planet biosphere !  Instead of health globalization, we are witnesses of disease globalization!

 

20. The problem for alarming world public can be the fact that the above described danger is not detectable by our normal senses - hearing, sight, smell, taste or touch  - in comparison, e.g. with visible alarming reduction of the glaciers.

 

21. More detailed information  can be found in: http://vaclavkouba.byl.cz where following texts could attract your attention:

 

“The International Office of Epizootics (OIE) – World Organization for Animal Infection Globalization (not admitting to require infection-free import)”,

”Globalization of communicable animal diseases and international trade”,

“Particular sanitary problems of trade in animals and animal products”,

 “Factors facilitating and supporting animal infection long-distance spreading through international trade”,

”Globalization of communicable diseases of animals – a crisis of veterinary medicine”,

 “WTO Agreement on the Application of Sanitary and Phytosanitary Measures (SPS) – justification for its abolition”,

”Critical analysis of OIE Animal Health Code for international trade supporting infections/pathogens long-distance (incl. inter-continental) spreading = the most dangerous document for global animal population health in the history”,

”OIE abuse of disease import risk assessment method supporting infections/pathogens’  long-distance (incl. intercontinental) spreading”,

”OIE dominating officers: Importing countries do not need to know real animal infection occurrence in exporting countries = facilitating export of non-healthy animals and non-pathogen-free animal products”,

“Reported cases of disease/pathogen introduction in individual countries – according to specific diseases (1,319 reports)”,

 “Reported cases of newly introduced or reemerged specific animal diseases in individual countries – according to intervals (418 reports)”,

”Cases of specific animal diseases reported for the first time – according to individual countries (485 reports)”, “History of diseases spreading through international trade – lesson for the future”and

Warning letters against man-made conscious (i.e. criminal) globalization of communicable diseases through international trade.

 

22. In order to maintain our planet in habitable conditions for the future generations, there is necessary to minimize also the risk of  biosphere destruction by man-made spreading of animal infectious diseases and to stop  immediately WTO/OIE anti-environmental policy.

 

 

 

 

 

Recommendations for your consideration

 

a) I would like to recommend the United Nations Environment Programme to take over the global biosphere protection in full scale, i.e. also as far as animal infectious disease pathogens as integral biosphere components are concerned. This so  important global duty cannot be left to any irresponsible uncontrollable organizations acting contra UNEP efforts and programmes.

 

b) To inform and alarm world public, also through influential international mass media, to create necessary public opinion pressure on the mentioned  organizations and  on unscrupulous exporters of the infectious disease pathogens. In this conflict of interest the opinion of the world public, if correctly informed and warned, will play one of the key roles.

 

 

Please, could you acknowledge receipt of this letter ? Thanks.

 

 

Primum non nocere !

 

 

             Yours sincerely,

 

 

 

 

 

 

 

                                                         Prof. MVDr Václav  K o u b a, DrSc.

                       

                                                         Former Chief,  Animal Health Service,

                                                         Food and Agriculture Organization of the United Nations

                       

                                                         Address: P.B. 516, 17000 Praha 7,  Czech Republic

                                       

 

 

 

Copies for:

Mr. Ban Ki-moon, UN Secretary-General

Dr Al Gore, Former US Vice President

 

Attachment:

Copy of  my letter sent  to Mr. Ban Ki-moon, UN Secretary-General