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Papers by Armando Giovannini
Zoonoses and Public Health, 2010
After 10 years, West Nile virus (WNV) re-emerged in Italy in August 2008. As on 31 December 2008,... more After 10 years, West Nile virus (WNV) re-emerged in Italy in August 2008. As on 31 December 2008, the infection affected eight Provinces in three Regions (Emilia Romagna, Veneto, Lombardy), where a total of 794 cases of WNV infection in 251 equine stables were detected on the basis of the clinical signs and as a result of a serological screening in horses living in the area. Only 4.0% (32/794) of the serologically positive animals showed clinical signs, and the 32 clinical cases were reported in 18 different farms. The observed case-fatality rate was 15.6% (5/32). The confirmed clinical cases were detected from end August to mid October. Significant levels of positivity by RT-PCR were also observed in magpies (Pica pica) (9.1%, 95% confidence levels: 6.1–13.4%), carrion crows (Corvus corone) (7.4%, 95% confidence levels: 3.6–14.4%) and rock pigeons (Columba livia) (12.9%, 95% confidence levels: 7.6–21.2%).
Preventive Veterinary Medicine, 2009
Livestock movement data represent a valuable source of information to understand the pattern of c... more Livestock movement data represent a valuable source of information to understand the pattern of contacts between premises which may determine the spread of diseases. Social network analysis techniques have been used to analyse the movement patterns of cattle in Italy in 2007. A description of the structure of the Italian cattle industry is presented and the main trade flows and the relations between premises in relation to the potential spread of cattle diseases are investigated. Epidemic simulations have been carried out on the network build out of movement data using a network-based meta-population model. The simulations show the influence of the network structure on the dynamics and size of a hypothetic epidemic and give useful indications on the effects of targeted removal of nodes based on the centrality of premises within the network of animal movements.
Emerging Infectious Diseases, 2008
Food Control, 2007
Following the detection of Listeria monocytogenes in samples of dry cured ham imported in the USA... more Following the detection of Listeria monocytogenes in samples of dry cured ham imported in the USA from Italy, the Italian Ministry of Health planned a risk assessment for listeriosis in ham consumers. The risk assessment was performed according to international guidelines set by FAO and WHO. Expected incidence of illness was 4.7 · 10 À10 cases per serving in the case of normal adult population, 6.1 · 10 À7 in the case of organ transplanted patients, the most susceptible risk sub-population. Due to the low value of water activity even in the deeper parts of the ham, bacterial growth had a very slight effect on the probability of illness.
Food Control, 2004
A survey to estimate the frequency and the level of contamination of the most commonly consumed p... more A survey to estimate the frequency and the level of contamination of the most commonly consumed pork products, with particular reference to fresh sausages, and a risk assessment were carried out in order to evaluate the risk of Salmonella spp. infection to consumers in the Abruzzi region (Italy). Results of the risk assessment show that fresh sausages may be an important source of Salmonella spp. infection in humans in Abruzzi. Model previsions are confirmed by results of a subsequent research on the risk for consumers due to Salmonella spp. in eggs (unpublished data), that suggest an yearly incidence of family outbreaks of diarrhea due to Salmonella spp. between 3% and 8.4% in Abruzzi.
Journal of Veterinary Medicine Series B-infectious Diseases and Veterinary Public Health, 2005
Consequent upon the bovine spongiform encephalopathy (BSE) crisis, the European Union (EU) Commis... more Consequent upon the bovine spongiform encephalopathy (BSE) crisis, the European Union (EU) Commission enacted various decisions, which demanded that all bovine animals over 30 months of age should be examined by one of the approved rapid tests when slaughtered for human consumption. All cattle over 24 months of age subject to ‘special emergency slaughtering’ or died on the farm or in transit or suspect of BSE infection should also be examined by one of the approved rapid tests. According to a specific commission decision, Sweden and Finland were to test only a sample of bovine animals over 30 months of age subject to normal slaughter. Testing commenced on 1 January 2001. The authors evaluate the results of more than 5 million tests performed in the second semester 2001 from across the EU. The prevalence of BSE in the risk categories considered (emergency slaughter, fallen stock and healthy slaughtered), and the probability distribution of true-positive, false-positive and false-negative results are estimated by second-order Bayesian analysis. The results of the validation of tests performed in the EU are also considered by estimation of the probability distribution of their sensitivity and specificity. The prevalence of infection estimated in the cattle population of each EU country is compared against the criteria given in the OIE Terrestrial Animal Health Code and is also used to evaluate the consistency of the results of EU Geographical BSE Risk with the actual infection levels in the countries. Finally, the capability of the two current approaches to BSE surveillance (i.e. the testing of all slaughtered and dead cattle as applied in the EU and a surveillance system targeted at animals in risk categories only) to detect the infection in a given population are discussed.
Journal of Veterinary Medicine Series B-infectious Diseases and Veterinary Public Health, 2005
In the European Union the serological diagnosis of brucellosis caused by Brucella melitensis is p... more In the European Union the serological diagnosis of brucellosis caused by Brucella melitensis is performed using the heterologous antigen of B. abortus S99. The possible higher sensitivity or ability of an early detection of antibodies by a homologous antigen may prove very useful in the final phases of an eradication programme. Results obtained in sheep experimentally infected by B. melitensis biovar 3 were compared using B. abortus S99, B. melitensis M1, M2 and M3 antigens in the Rose Bengal plate test (RBPT), the complement fixation test (CFT) and an enzyme-linked immunosorbent assay (ELISA) test. Forty-six sheep from an officially brucellosis-free flock were experimentally infected intraconjunctivally with B. melitensis biovar 3. Prior to infection, all animals were tested first against Brucella antibodies, weekly for 2 months post-infection (PI) and then monthly for a further 7 1 2 months. All sera were tested against the antigens listed above using RBPT, CFT and ELISA. Using a Bayesian approach, test sensitivities were estimated and compared. Their ability for the early detection of antibodies was evaluated through a regression model based on a logit response model, using the number of days PI as the independent variable and the logit of the fraction of positive animals as the dependent variable. No significant differences were detected among the various antigens used, either in terms of sensitivity or in terms of antibody kinetics; however, the CFT was significantly less sensitive than the RBPT and ELISA and it also showed a lower rate of increase of percentage positive animals (b-coefficient of regression analysis).
Journal of Veterinary Medicine Series B-infectious Diseases and Veterinary Public Health, 2005
The European Union (EU) strategy with respect to sheep and goat brucellosis aims to eradicate the... more The European Union (EU) strategy with respect to sheep and goat brucellosis aims to eradicate the infection and achieve officially brucellosis-free (OBF) status in all EU holdings and territories. Council Directive 91/68/EEC of 28 January 1991 states that to maintain OBF status of ovine or caprine holdings located outside an OBF territory, only a representative number of animals need to be tested annually. However, depending on the number of animals in a holding, this testing method risks non-detection of the infection, thereby reducing the efficacy of the brucellosis control plan. The recommended sampling procedure has a low sensitivity for detecting infection in medium-sized flocks; furthermore, the risk of not detecting re-infection in OBF flocks, particularly in territories that have not yet gained OBF status, is also not acceptable. Moreover, in large-sized flocks, the Directive sampling procedure entails taking an excessive number of samples, which can be very expensive. The authors evaluated, by using statistical analyses and a simulation model based on field data, the possible consequences of the current EU strategy. It is suggested that the sampling criteria for the maintenance of OBF status in the EU should be modified and that a statistically based sampling method should be applied instead of the fixed percentage method that is currently in use.
Journal of Veterinary Medicine Series B-infectious Diseases and Veterinary Public Health, 2005
The authors studied the persistence of infection in 46 ewes experimentally infected with Brucella... more The authors studied the persistence of infection in 46 ewes experimentally infected with Brucella melitensis biovar 3 and monitored through three subsequent reproductive cycles. The entire experimental period lasted for 151 weeks. Infection of ewes and elimination of Brucella in milk, or its presence in vaginal discharges, persisted throughout the duration of the trial, as demonstrated by recurrent elimination of Brucella in milk and vaginal discharges. Brucella melitensis was recovered from the tissues of one ewe killed at the end of the trial. The strain was recovered from vaginal swabs and milk following parturition in the third reproductive cycle from an ewe that had aborted in the first cycle but was not pregnant in the second cycle. From a public health point of view, the periodical recovery of Brucella from the milk during the entire trial period illustrated that brucellosis in sheep remains a continuous occupational risk and a significant public health problem for consumers of fresh milk and milk products. That risk may persist for at least 3 years following the initial infection of the flock. Lamb antibody titres became negative in all lambs within 5 months after birth. This suggested that serological tests on lambs may have no practical diagnostic significance if performed during the first 5 months of life. Nevertheless, the birth of three infected lambs suggested that the phenomenon of latent carrier state may represent another way for B. melitensis to persist in a flock.
Virology, 2005
Jaagsiekte sheep retrovirus (JSRV) is the causative agent of ovine pulmonary adenocarcinoma (OPA)... more Jaagsiekte sheep retrovirus (JSRV) is the causative agent of ovine pulmonary adenocarcinoma (OPA). In this study, we followed over a 31-month period the natural transmission of JSRV in adult sheep and in their offspring. We established groups derived from flocks with either a high or low incidence of OPA and monitored virus transmission, clinical disease and macroscopic/microscopic lung lesions at necropsy. Results obtained show that (i) JSRV infection can occur perinatally or in the first few months of life in lambs and in adult sheep; (ii) only a minority of JSRV-infected animals develop clinical disease during their commercial lifespan; and (iii) JSRV is more readily detectable in peripheral blood leucocytes and lymphoid organs than in the lungs. These data support a model of opportunistic JSRV infection and tumorigenic conversion of type II pneumocytes/Clara cells in the lungs, while lymphoreticular cells serve as the principal virus reservoir.
Zoonoses and Public Health, 2010
After 10 years, West Nile virus (WNV) re-emerged in Italy in August 2008. As on 31 December 2008,... more After 10 years, West Nile virus (WNV) re-emerged in Italy in August 2008. As on 31 December 2008, the infection affected eight Provinces in three Regions (Emilia Romagna, Veneto, Lombardy), where a total of 794 cases of WNV infection in 251 equine stables were detected on the basis of the clinical signs and as a result of a serological screening in horses living in the area. Only 4.0% (32/794) of the serologically positive animals showed clinical signs, and the 32 clinical cases were reported in 18 different farms. The observed case-fatality rate was 15.6% (5/32). The confirmed clinical cases were detected from end August to mid October. Significant levels of positivity by RT-PCR were also observed in magpies (Pica pica) (9.1%, 95% confidence levels: 6.1–13.4%), carrion crows (Corvus corone) (7.4%, 95% confidence levels: 3.6–14.4%) and rock pigeons (Columba livia) (12.9%, 95% confidence levels: 7.6–21.2%).
Preventive Veterinary Medicine, 2009
Livestock movement data represent a valuable source of information to understand the pattern of c... more Livestock movement data represent a valuable source of information to understand the pattern of contacts between premises which may determine the spread of diseases. Social network analysis techniques have been used to analyse the movement patterns of cattle in Italy in 2007. A description of the structure of the Italian cattle industry is presented and the main trade flows and the relations between premises in relation to the potential spread of cattle diseases are investigated. Epidemic simulations have been carried out on the network build out of movement data using a network-based meta-population model. The simulations show the influence of the network structure on the dynamics and size of a hypothetic epidemic and give useful indications on the effects of targeted removal of nodes based on the centrality of premises within the network of animal movements.
Emerging Infectious Diseases, 2008
Food Control, 2007
Following the detection of Listeria monocytogenes in samples of dry cured ham imported in the USA... more Following the detection of Listeria monocytogenes in samples of dry cured ham imported in the USA from Italy, the Italian Ministry of Health planned a risk assessment for listeriosis in ham consumers. The risk assessment was performed according to international guidelines set by FAO and WHO. Expected incidence of illness was 4.7 · 10 À10 cases per serving in the case of normal adult population, 6.1 · 10 À7 in the case of organ transplanted patients, the most susceptible risk sub-population. Due to the low value of water activity even in the deeper parts of the ham, bacterial growth had a very slight effect on the probability of illness.
Food Control, 2004
A survey to estimate the frequency and the level of contamination of the most commonly consumed p... more A survey to estimate the frequency and the level of contamination of the most commonly consumed pork products, with particular reference to fresh sausages, and a risk assessment were carried out in order to evaluate the risk of Salmonella spp. infection to consumers in the Abruzzi region (Italy). Results of the risk assessment show that fresh sausages may be an important source of Salmonella spp. infection in humans in Abruzzi. Model previsions are confirmed by results of a subsequent research on the risk for consumers due to Salmonella spp. in eggs (unpublished data), that suggest an yearly incidence of family outbreaks of diarrhea due to Salmonella spp. between 3% and 8.4% in Abruzzi.
Journal of Veterinary Medicine Series B-infectious Diseases and Veterinary Public Health, 2005
Consequent upon the bovine spongiform encephalopathy (BSE) crisis, the European Union (EU) Commis... more Consequent upon the bovine spongiform encephalopathy (BSE) crisis, the European Union (EU) Commission enacted various decisions, which demanded that all bovine animals over 30 months of age should be examined by one of the approved rapid tests when slaughtered for human consumption. All cattle over 24 months of age subject to ‘special emergency slaughtering’ or died on the farm or in transit or suspect of BSE infection should also be examined by one of the approved rapid tests. According to a specific commission decision, Sweden and Finland were to test only a sample of bovine animals over 30 months of age subject to normal slaughter. Testing commenced on 1 January 2001. The authors evaluate the results of more than 5 million tests performed in the second semester 2001 from across the EU. The prevalence of BSE in the risk categories considered (emergency slaughter, fallen stock and healthy slaughtered), and the probability distribution of true-positive, false-positive and false-negative results are estimated by second-order Bayesian analysis. The results of the validation of tests performed in the EU are also considered by estimation of the probability distribution of their sensitivity and specificity. The prevalence of infection estimated in the cattle population of each EU country is compared against the criteria given in the OIE Terrestrial Animal Health Code and is also used to evaluate the consistency of the results of EU Geographical BSE Risk with the actual infection levels in the countries. Finally, the capability of the two current approaches to BSE surveillance (i.e. the testing of all slaughtered and dead cattle as applied in the EU and a surveillance system targeted at animals in risk categories only) to detect the infection in a given population are discussed.
Journal of Veterinary Medicine Series B-infectious Diseases and Veterinary Public Health, 2005
In the European Union the serological diagnosis of brucellosis caused by Brucella melitensis is p... more In the European Union the serological diagnosis of brucellosis caused by Brucella melitensis is performed using the heterologous antigen of B. abortus S99. The possible higher sensitivity or ability of an early detection of antibodies by a homologous antigen may prove very useful in the final phases of an eradication programme. Results obtained in sheep experimentally infected by B. melitensis biovar 3 were compared using B. abortus S99, B. melitensis M1, M2 and M3 antigens in the Rose Bengal plate test (RBPT), the complement fixation test (CFT) and an enzyme-linked immunosorbent assay (ELISA) test. Forty-six sheep from an officially brucellosis-free flock were experimentally infected intraconjunctivally with B. melitensis biovar 3. Prior to infection, all animals were tested first against Brucella antibodies, weekly for 2 months post-infection (PI) and then monthly for a further 7 1 2 months. All sera were tested against the antigens listed above using RBPT, CFT and ELISA. Using a Bayesian approach, test sensitivities were estimated and compared. Their ability for the early detection of antibodies was evaluated through a regression model based on a logit response model, using the number of days PI as the independent variable and the logit of the fraction of positive animals as the dependent variable. No significant differences were detected among the various antigens used, either in terms of sensitivity or in terms of antibody kinetics; however, the CFT was significantly less sensitive than the RBPT and ELISA and it also showed a lower rate of increase of percentage positive animals (b-coefficient of regression analysis).
Journal of Veterinary Medicine Series B-infectious Diseases and Veterinary Public Health, 2005
The European Union (EU) strategy with respect to sheep and goat brucellosis aims to eradicate the... more The European Union (EU) strategy with respect to sheep and goat brucellosis aims to eradicate the infection and achieve officially brucellosis-free (OBF) status in all EU holdings and territories. Council Directive 91/68/EEC of 28 January 1991 states that to maintain OBF status of ovine or caprine holdings located outside an OBF territory, only a representative number of animals need to be tested annually. However, depending on the number of animals in a holding, this testing method risks non-detection of the infection, thereby reducing the efficacy of the brucellosis control plan. The recommended sampling procedure has a low sensitivity for detecting infection in medium-sized flocks; furthermore, the risk of not detecting re-infection in OBF flocks, particularly in territories that have not yet gained OBF status, is also not acceptable. Moreover, in large-sized flocks, the Directive sampling procedure entails taking an excessive number of samples, which can be very expensive. The authors evaluated, by using statistical analyses and a simulation model based on field data, the possible consequences of the current EU strategy. It is suggested that the sampling criteria for the maintenance of OBF status in the EU should be modified and that a statistically based sampling method should be applied instead of the fixed percentage method that is currently in use.
Journal of Veterinary Medicine Series B-infectious Diseases and Veterinary Public Health, 2005
The authors studied the persistence of infection in 46 ewes experimentally infected with Brucella... more The authors studied the persistence of infection in 46 ewes experimentally infected with Brucella melitensis biovar 3 and monitored through three subsequent reproductive cycles. The entire experimental period lasted for 151 weeks. Infection of ewes and elimination of Brucella in milk, or its presence in vaginal discharges, persisted throughout the duration of the trial, as demonstrated by recurrent elimination of Brucella in milk and vaginal discharges. Brucella melitensis was recovered from the tissues of one ewe killed at the end of the trial. The strain was recovered from vaginal swabs and milk following parturition in the third reproductive cycle from an ewe that had aborted in the first cycle but was not pregnant in the second cycle. From a public health point of view, the periodical recovery of Brucella from the milk during the entire trial period illustrated that brucellosis in sheep remains a continuous occupational risk and a significant public health problem for consumers of fresh milk and milk products. That risk may persist for at least 3 years following the initial infection of the flock. Lamb antibody titres became negative in all lambs within 5 months after birth. This suggested that serological tests on lambs may have no practical diagnostic significance if performed during the first 5 months of life. Nevertheless, the birth of three infected lambs suggested that the phenomenon of latent carrier state may represent another way for B. melitensis to persist in a flock.
Virology, 2005
Jaagsiekte sheep retrovirus (JSRV) is the causative agent of ovine pulmonary adenocarcinoma (OPA)... more Jaagsiekte sheep retrovirus (JSRV) is the causative agent of ovine pulmonary adenocarcinoma (OPA). In this study, we followed over a 31-month period the natural transmission of JSRV in adult sheep and in their offspring. We established groups derived from flocks with either a high or low incidence of OPA and monitored virus transmission, clinical disease and macroscopic/microscopic lung lesions at necropsy. Results obtained show that (i) JSRV infection can occur perinatally or in the first few months of life in lambs and in adult sheep; (ii) only a minority of JSRV-infected animals develop clinical disease during their commercial lifespan; and (iii) JSRV is more readily detectable in peripheral blood leucocytes and lymphoid organs than in the lungs. These data support a model of opportunistic JSRV infection and tumorigenic conversion of type II pneumocytes/Clara cells in the lungs, while lymphoreticular cells serve as the principal virus reservoir.