Zoonotic diseases are those diseases shared by animals and humans. Approximately 150 zoonotic diseases are known to exist. Wildlife serves as a reservoir for many diseases common to domestic animals and humans. Persons working with wildlife should be alert to the potential for disease transmission from animals. Neither animal handlers nor the general public have reason to be alarmed or frightened, but everyone should respect the potential for disease transmission and use sound preventive measures. Generally, disease is more easily prevented than treated. This discussion reviews common zoonotic diseases, including those ailments that are often erroneoulsy cited as being closely linked to wildlife. Many zoonotic diseases are so common in nature, so rare in humans, or so mild in their symptoms, that wild animals pose a minimal health risk to people. The diseases listed are grouped according to their causative agent or mode of transmission.
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Most of the bacteria that cause disease in wildlife also cause disease in
man. There are several important routes of disease transmission. The
contamination of neglected minor wounds, abrasions, and skin lesions
where the skin is broken serve as common portals of entry for
microorganisms. These infections are frequently caused by mixed groups
of bacteria, but they usually involve Staphyloccocci and Streptococci.
Another important mode of transmission is the contamination of mucous
membranes, primarily the mouth, with feces or urine. Most of these
infections can be prevented by establishing good personal hygiene habits,
such as thorough hand washing and protecting open lesions on the hands and
arms. It should be noted that even bruised areas will be more susceptible
to secondary bacterial infections than normal skin.
INFECTIOUS AGENT
Brucella spp.
HOST
White-tailed deer, fox, raccoons, and many other animals.
TRANSMISSION
Contact with tissues, blood, urine, vaginal discharges, or fetuses of
infected animals. Brucellosis is a highly contagious infection in many
animals. It usually begins as a septicemia (blood infection) localizing
in lymph nodes, spleen, reproductive organs, and joints where it can
persist for long periods of time.
PREVENTION
Use protective gear, especially rubber gloves, when handling infected
animals.
INFECTIOUS AGENT
Yersinia pestis
HOST
Fleas; often found on rats and ground squirrels
TRANSMISSION
Flea bite. Wild rodents, rabbits, and mammals serve as the hosts to the
fleas. The disease is endemic (indigenous) in the southwestern United
States.
SYMPTOMS
Wild rodents become infected but usually do not show clinical signs
under normal conditions. The signs in animals are fever, pneumonia, and
swollen lymph nodes. In humans, the disease is categorized into bubonic
and pneumonic types. The bubonic form is characterized by a bacteremia
and infected lymph nodes. Human mortality in untreated cases for this
form of plague is 25-60%. The pneumonic form is characterized by an acute
pneumonia and is rapidly fatal (1-3 days) if untreated (100%).
Veterinarians have been killed by this disease.
PREVENTION
Active immunization may be necessary in endemic areas. Avoid contact
with fleas. Rehabilitators should be careful in handling animals with
fleas and should de-flea incoming animals.
INFECTIOUS AGENT
Leptospira spp.
HOST
Skunks, raccoons, opossums, Norway rats, mice, and many other animals
including domestic species.
TRANSMISSION
Bacterial penetration of abraded or lacerated skin by infected urine,
contaminated food, water, or soil, or by direct contact with an infected
animal. The organism can invade intact skin.
SYMPTOMS
In wild animals, the disease is usually unapparent except in marine
mammals. The disease is relatively rare in humans. A mild form is
characterized by fever, chills, nausea, malaise, and myalgia (muscle
pain). In the severe state, it may appear as a meningitis.
PREVENTION
Good personal hygiene, particularly avoiding contact with urine of
wild species.
INFECTIOUS AGENT
Chlamydia psittaci
HOST
Birds (over 100 species including pigeons, raptors, and finches)
TRANSMISSION
Fecal-oral contamination and inhalation of dried discharges and droppings
from birds. The infecting organism is present in nasal discharges,
droppings, and tissues of infected birds. The droppings are the most
common route by which the disease is transmitted to humans. It is commonly
found in feral pigeons that appear healthy.
SYMPTOMS
Signs in animals include decreased or no appetite, resulting in
emaciation, lethargy, respiratory signs, and a greenish blood-tinged
diarrhea. Conjunctivitis is common and varies in severity. The disease
may be acute and consequently the animal may die with few signs of
disease. Clinical signs in people include fever, headache, upper
respiratory infection, and pneumonitis. Rehabilitators, veterinarians,
and bird banders have been infected by the birds they handled.
PREVENTION
Transmission is through the inhalation of aerosolized feces, so it is
particularly important not to allow build up of feces in enclosed areas.
When entering into a potentially infected area (for example, a pigeon
roost), wear a mask to prevent inhalation of dust from the droppings.
Also, practice good personal hygiene.
INFECTIOUS AGENT
Salmonella spp.
HOST
Birds and reptiles (most mammals also).
TRANSMISSION
Fecal contamination of mucous membranes (fecal/oral). Food, water, or
surfaces may become contaminated. Salmonella gastroenteritis is
probably the most common zoonotic disease of humans. It is estimated
there are two million cases annually in the United States. The organism
is commonly found in animals, especially birds and reptiles.
SYMPTOMS
Signs in animals are often subclinical, but when present, include
diarrhea, vomiting, and mild fever. The bacteria are shed for some time
following infection. Many animals are persistent carriers. In humans,
the disease usually produces a gastroenteritis (intestinal infection)
accompanied by diarrhea and often abdominal pain. Dehydration is often
a problem.
PREVENTION
Good personal hygiene.
INFECTIOUS AGENT
Clostriduim tetanii
HOST
No animal host.
TRANSMISSION
Contamination through breaks in the skin from penetrating or crushing
wounds.
SYMPTOMS
Tetanus is an acute disease caused by the toxins produced in the body
by Clostridium tetanii. The disease is characterized by tonic
spasms of the muscle groups of the jaw, neck, and back. Untreated, there
is a 70 percent mortality rate.
PREVENTION
Vaccination with a primary series of three doses of tetanus toxoid and
booster every ten years is highly effective. Acute wound-associated
tetanus can be prevented by appropriate wound management, including
active or passive immunization.
INFECTIOUS AGENT
Francisella tularensis
HOST
Rodents and lagomorphs (rabbits). Also included are over 100 species of
mammals and 25 species of birds. It has been seen in fox, beaver, mice,
and muskrats.
TRANSMISSION
Handling infected animals, contamination of cuts, mosquito/fly/tick
bites, and by inhalation. It can also be spread by touching the
conjunctiva of the eye with dirty hands from handling affected animals.
SYMPTOMS
In humans, signs are flu-like with an ulcer forming on the skin at the
site the organism entered, this is followed by enlargement of the lymph
nodes; if ingested, vomiting and diarrhea are seen; if inhaled, pneumonia.
Severe systemic disease can lead to headaches, myalgia, chills, and fever.
Humans do die from this disease.
PREVENTION
Use rubber gloves when handling animals, especially rabbits; protection
from ticks.
These are diseases caused by fungi that are often found in the
environment. Often they are only a serious problem in people who are
immunocompromised in some way.
INFECTIOUS AGENT
Aspirgillus fumigatus
HOST
The fungus is ubiquitous (is found all over in our environment). Animal
hosts in rehabilitation are generally wild birds such as raptors or
waterfowl.
TRANSMISSION
While under stress in a captive facility, rehab animals are more likely
to develop the fungal disease. They in turn shed the spores of the fungus
and the workers may inhale them.
SYMPTOMS
In birds, respiratory signs. Most healthy people have no trouble
resisting infection. However, this is not true for anyone who has been
debilitated by illness, other diseases, or has been on long term
antibiotic, antimetabolite, or corticosteroid therapy.
PREVENTION
Good hygiene and good ventilation. At least 12 air exchanges per hour
are recommended in any room where susceptible birds are housed. Waterfowl
are not to be housed on wood shavings because the fungus will thrive
in them when wet. Moldy grains and food stuffs are not fed or stored.
Necropsies are performed with masks as are treatments on suspect patients.
Spray necropsy birds down with a disinfectant to matt feathers and
reduce aerosolized lint and debris.
INFECTIOUS AGENT
Histoplasma capsulatum
HOST
Birds and bats
TRANSMISSION
Inhalation of infective spores. Histoplasma capsulatum is widely
distributed throughout the United States. The Mississippi and Ohio
River valleys are areas of high concentration. The organism thrives
in the soil that has been enriched by the presence of decaying bird
or bat droppings. It is most likely to be found in roost areas that
had been established for a minimum of three to five years. The organism
grows in the upper 1-2 inches of the soil. When combined with moisture,
roost areas are exceptional for the growth of Histoplasma.
SYMPTOMS
The disease is acquired through inhalation of airborne spores. Upon
first-time contact, the person will become infected. The majority of
people who become infected develop only mild respiratory infections and,
once recovered, become somewhat resistant. More severe infections are
encountered in heavily-contaminated environments. The acute disseminated
form, most frequent in children, may result in death. Similar forms of
the disease occur in skunks, rats, opossums, foxes, and other animals.
PREVENTION
Avoid accumulations of soil mixed with droppings from bats or birds.
If occupation of such areas is necessary, use masks or a self-contained
breathing apparatus. Always wear boots and properly bag clothing for
washing. As a last resort, contaminated soil can be treated with a 3
percent solution of formalin to kill the spores, but such treatment will
kill other organisms in the environment.
-- adapted from the following:
BRUCELLOSIS (Undulant Fever)
BUBONIC PLAGUE
LEPTOSPIROSIS
* * PSITTACOSIS (Ornithosis, Chlamydiosis)
* * SALMONELLOSIS
TETANUS
* * TULAREMIA (Rabbit Fever)
B. Mycotic Diseases
* * ASPIRGILLOSIS
HISTOPLASMOSIS
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Last updated Thursday, June 26, 2003 - 5:51:33 PM