Key result
Routine FMD vaccination in cattle reduced the incidence of FMD from 86.7% in non-vaccinated animals to 22.7% in vaccinated animals, yielding an overall attributable fraction for vaccine effectiveness of 73.9%.
Why the study?
During an early 2015 nationwide Foot and Mouth Disease epidemic in Egypt, typical clinical signs, high morbidity, and high case fatality rates were observed even in vaccinated animals.
Does FMD vaccination reduce the incidence of FMD infection in cattle during an outbreak?
Observational (n=180)
Does FMD vaccination reduce the incidence of FMD infection in cattle during an outbreak?
Effect estimate: Attributable fraction 73.9%
Absolute Event Rate: 22.67% vs 86.67%
Routine vaccination against FMD in Egypt significantly reduces the incidence and magnitude of outbreaks but does not completely prevent infection.
Supports FMD vaccination in outbreaks; leaves open randomized confirmation before practice change.
Foot and mouth disease (FMD) is a highly contagious viral disease causes a serious economic impact on livestock production and trading. FMD is an endemic disease in Egypt and a national control program that depends on routine obligatory vaccination of all ruminant species is being followed for disease control. A nation-wide epidemic of FMD was commenced in early 2015 and typical clinical signs of the disease were observed even in vaccinated animals. The morbidity and case fatality rates were high enough to be investigated. In the current study, non-vaccinated and vaccinated animals of different sex and ages were examined to evaluate the efficacy of FMD different vaccines used in Egypt. Clinical, post-mortem and serological examinations were used to confirm the infection, while the molecular investigation was applied to identify the serotype responsible for this epidemic. The incidence rate and the attributable proportion (fraction) of FMD cases which could be avoided by vaccination and vaccine efficacy were calculated. The obtained results confirmed the infection with FMD virus (FMDV) serotype O in both non-vaccinated and vaccinated animals. The incidence of FMD was 86.67% among non-vaccinated animals, while it was ranged from 15% to 31.8% among vaccinated animals according to the type of vaccine used. The attributable fraction was 73.9% and the efficacy of the three used vaccines was 63.3%, 76.92% and 82.25% for Tri-Aphthovac, VSVRI and Meriel vaccines, respectively. In conclusion, vaccination in Egypt is able to minimize the magnitude of outbreaks caused by the same serotype found in the vaccine but was not able to prevent the infection and eliminate the disease. The highest vaccination efficacy was found in Mid-aged animals and male cattle.
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AL-Hosary et al. (2019) conducted an observational in Foot and Mouth Disease (FMD) (n=180). FMD vaccination vs. Non-vaccinated cattle was evaluated on Incidence of FMD (seropositivity and clinical signs) (Attributable fraction 73.9%). Routine FMD vaccination in cattle reduced the incidence of FMD from 86.7% in non-vaccinated animals to 22.7% in vaccinated animals, yielding an overall attributable fraction for vaccine effectiveness of 73.9%.
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