Diseases / List of Bacterial Diseases / Disease description:

Mycoplasma Infection (with special reference to Waterfowl, Hedgehogs, Elephants and a note on Lagomorphs)

INFORMATION AVAILABLE

GENERAL INFORMATION

CLINICAL CHARACTERISTICS & PATHOLOGY

INVESTIGATION & DIAGNOSIS

TREATMENT & CONTROL

SUSCEPTIBILITY & TRANSMISSION

ENVIRONMENT & GEOGRAPHY

 

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General and References

Disease Summary

Mycoplasma spp. may be associated with arthritis, mastitis, respiratory disease, conjunctivitis, septicaemia. (B47)

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Alternative Names (Synonyms)

  • Mycoplasmal sinusitis
  • Mycoplasmal tenosynovitis
  • Mycoplasmal air-sacculitis
  • Acholeplasma Infection

In Elephants:

  • Rheumatoid arthritis

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Disease Type

 Bacterial Infection

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Infectious/Non-Infectious Agent associated with the Disease

Mycoplasma spp. and Acholeplasma spp. 

Waterfowl:

  • All the species linked under the heading "Waterfowl" below have been recorded affecting waterfowl and reference has been made in some texts to Mycoplasma anseris and Mycoplasma imitavis.

Elephants:

  • A variety of Mycoplasma species, and Acholeplasma laidlawii, have been isolated from elephants. (B450.19.w19, J2.11.w1, P5.39.w1)
  • A new species, Mycoplasma elephantis, was isolated recently from elephants. (P5.39.w1)

Lagomorphs:

  • Two strains of Mycoplasma pulmonis have been recovered from rabbits. (B614.8.w8)
  • Mycoplasma pulmonis has been isolated from the respiratory tract of rabbits with upper respiratory tract disease. (B602.17.w17)

Infective "Taxa"

Waterfowl:

Specifically recorded for elephants:

  • Acholeplasma laidlawii (J2.11.w1)
  • Mycoplasma elephas (J2.11.w1)
  • Mycoplasma elephantis (P5.39.w1)
  • Mycoplasma orale (J2.11.w1)
  • Mycoplasma pneumoniae (J2.11.w1)
  • Mycoplasma proboscidea (B450.19.w19)
  • Mycoplasma salivarium (J2.11.w1)

Specifically recorded for rabbits:

  • Mycoplasma pulmonis

Non-infective agents

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Physical agents

Indirect / Secondary

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References

Disease Author

Debra Bourne MA VetMB PhD MRCVS (V.w5); Nikki Fox BVSc MRCVS (V.w103); Gracia Vila-Garcia DVM, MSc, MRCVS (V.w67)
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Major References / Reviews

Code and Title List

B11.34.w2, B11.36.w4, B11.40.w8, B12.55.w1, B15, B36.11.w11, B37.x.w1, B47
P4.1992.w1
J1.31.w7, J1.31.w8, J1.32.w3
J3.76.w1
J5.27.w6, J5.27.w7
J6.4.w1, J6.14.w2, J6.5.w1, J6.15.w4, J6.16.w3, J6.17.w4, J6.17.w5, J6.22.w4
J21.25.w1

Hedgehogs:

Elephants:

Lagomorphs:

Other References

Code and Title List

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Clinical Characteristics and Pathology

Detailed Clinical and Pathological Characteristics

General

Mycoplasma spp. may be associated with arthritis, mastitis, respiratory disease, conjunctivitis and septicaemia. (B47)
WATERFOWL May be associated with respiratory signs and less frequently general and nervous signs in juveniles, decreased fertility, embryo mortality and lesions of the reproductive tract in adults.
HEDGEHOGS
  • Two Mycoplasma strains were isolated from the throat and faeces of one of 15 wild hedgehogs (Erinaceus europaeus - West European Hedgehog ) from Dunedin, New Zealand. There was no indication of clinical disease associated with the infection and the possible role of mycoplasmas in respiratory or other disease of the hedgehog is unknown. (J21.12.w4)
ELEPHANTS
  • Mycoplasma infection has been found in captive elephants with acute to chronic and progressive rheumatoid type arthritis. (B10.49.w21, J2.11.w1)
  • Mycoplasma infection has also been reported to cause respiratory disease in elephants in the past. (B10.49.w21, B64.27.w4)
LAGOMORPHS
  • Two strains of Mycoplasma pulmonis were recovered from the upper respiratory tract of New Zealand white rabbits but they were not associated with clinical disease. (B614.8.w8, J538.93.w1)
  • Mycoplasma pulmonis has been isolated from the respiratory tract of rabbits with upper respiratory tract disease. (B602.17.w17)

Clinical Characteristics

WATERFOWL General:
  • Frequently isolated from clinically-normal individuals.
  • Tenosynovitis with gross swelling of joints and tendons, lameness, anaemia, pallor, breast blisters and respiratory signs may all occur with Mycoplasma synoviae (B11.36.w4, B37.x.w1).

Infection in juveniles:

  • Respiratory signs are most commonly reported: nasal discharge, sneezing, lacrimation, conjunctivitis (reddened conjunctiva), sometimes respiratory distress. Sinusitis (usually swelling of infraorbital sinus), head-shaking.
  • Other signs have included: decreased mobility, difficulty in moving, increased sitting, leg weakness, decreased appetite and drinking, weight loss, weakness, occasionally diarrhoea, occasionally nervous signs (tremor, torticollis, ataxia, leg paralysis), and reduced growth. (J6.4.w1, J6.14.w2, J6.5.w1, J6.17.w5, J6.22.w4, P4.1992.w1, B11.34.w2, B11.40.w8, B37.x.w1).
  • Experimental infection (air-sac inoculation) with Mycoplasma gallisepticum and with Mycoplasma anatis failed to produce clinical signs in day-old Pekin ducklings, although some growth retardation was noted, particularly with Mycoplasma anatis (J21.25.w1)

Infection in adults:

  • Inflammation of cloaca and phallus, weight loss, decreased egg production, decreased fertility, embryonic death and reduced hatchability; also reduced weight of newly-hatched goslings/ducklings (J1.31.w7, J6.4.w1, J6.14.w2, J6.15.w4, J6.17.w5, B36.11.w11).
HEDGEHOGS --
ELEPHANTS "It is possible that Mycoplasma arthritis in elephants is similar to that observed in swine, in which there is an acute episode consisting of fever, lameness, and joint swelling followed by recovery in most cases, although some animals become infected chronically." (B10.49.w21)
  • Mycoplasma sp. has been isolated from the genital tract of a clinically normal female elephant. (J2.26.w3)

Locomotor system signs:

  • Seasonal (worse with cold weather) and migratory lameness. (J2.11.w1, P1.1981.w2)
  • Acute lameness. (B10.49.w21, J2.11.w1)
  • Swollen and warm joints. (J2.11.w1)
  • Failure to support normal weight. (J2.11.w1, P1.1981.w2)

General signs:

  • Weakness, lethargy and depression. (J2.11.w1, P1.1981.w2)
  • Decreased appetite. (J2.11.w1)
  • Weight loss or failure to gain weight. (J2.11.w1)
  • Behavioural changes. (J2.11.w1)

Clinical pathology:

  • Rise in mycoplasma antibody titre, particularly after a "flare up" of lameness. (J2.11.w1)
LAGOMORPHS
  • Upper respiratory tract disease has been noted in rabbits from which Mycoplasma pulmonis has been isolated. (B602.17.w17)
  • An ascending mycoplasmal upper respiratory tract infection may result in a secondary otitis media / interna. (B603.1.w1)

Incubation

WATERFOWL --
HEDGEHOGS --
ELEPHANTS --
LAGOMORPHS --

Mortality / Morbidity

WATERFOWL High morbidity, low mortality for sinusitis in ducklings (J3.76.w1, P4.1992.w1, B11.40.w8). Mortality of 7-30% reported for goslings with generalized infection (J6.4.w1). Morbidity 15-25%, mortality 3-8% in 3-4 week old goslings with respiratory and nervous signs (J6.22.w4).
HEDGEHOGS --
ELEPHANTS
  • Lameness was noted in about 30% of 67 elephants studied for mycoplasma infections. (J2.11.w1)
  • Mycoplasma spp. could be isolated from 25 - 85% of elephants from different groups. (J2.11.w1)
LAGOMORPHS --

Pathology

WATERFOWL In general, there is a sero-fibrinous cell-mediated inflammatory response. A wide range of pathology may be seen due to secondary bacterial infection. Lesions vary associated with the age of birds affected and with the clinical signs reported.

Gross Pathology:

  • Sinusitis - clear (usually) mucus filling and distending infraorbital sinuses. May become caseous.
  • Nares - may be excess mucus.
  • Air-sacculitis - thickening of air sac walls (cloudy, oedematous), variable fibrinous exudate.
  • Lungs - congestion, oedema, pneumonia (goslings)
  • Trachea - excess serous mucus
  • Serosal surfaces: fibrinous peritonitis, perihepatitis, pericarditis
  • Reproductive - salpingitis in females, serofibrinous inflammation of glandular part of phallus, lymph sinus mucous membrane and some times cloaca and peritoneum in males.
  • Spleen - splenomegaly (goslings)
  • Umbilicus - omphalitis.
  • Gastro-intestinal tract - may be empty in juveniles with severe clinical signs

(J3.76.w1, J6.4.w1, J6.5.w1, J6.14.w2, J6.15.w4, J6.22.w4, J21.25.w1, B11.34.w2, B18, B37.x.w1)

Histopathology:

  • Respiratory and associated membranes - mononuclear cell infiltration of lung interstitium, walls of parabronchi and alveoli, walls of major bronchi, nasal conchae mucous membranes and visceral pleura. Thickening of serous membranes and catarrhal inflammation (infiltrate of lymphocytes, lymphoblasts, histiocytes, few plasma cells) in walls of airsacs, pericardium, pleura; sometimes also fibrin infiltration.
  • Central nervous system - Infiltration in cerebral membranes and cerebral chambers (goslings with nervous signs). (J6.16.w3, J6.22.w4).

Embryo Pathology:

  • Chorioallantoic membrane - acute serous inflammation.
  • Liver - diffuse interstitial hepatitis
  • Lungs - bronchopneumonia 
  • (J6.16.w3).
HEDGEHOGS --
ELEPHANTS Histopathology:
  • Joints: Degenerative polyarthritis. (J2.11.w1)
LAGOMORPHS --

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Human Health Considerations

In waterfowl:

None (B36.11.w11, B37.x.w1).

In elephants:

  • A study in captive elephants revealed that some of the elephants showed antibodies to Mycoplasma pneumoniae, which causes atypical pneumonia in humans. A veterinarian working with elephants was reported to suffer rheumatoid arthritis and had an antibody titer to Mycoplasma pneumoniae. (J2.11.w1)

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Susceptibility / Transmission

General information on Susceptibility / Transmission

WATERFOWL Susceptibility:
  • Susceptibility to infection and disease appears to vary with the strain of organism and the species of waterfowl involved: Mycoplasma anseris, Mycoplasma cloacale, Mycoplasma strain 1220, Acholeplasma laidlawii and Acholeplasma axanthum have been reported associated with clinical signs of infection in geese, while Mycoplasma anatis and other Mycoplasma spp. have been reported associated with clinical signs of infection in ducks (J6.4.w1, J6.17.w4, J6.17.w5, B12.55.w1).
  • Development of disease also may be affected by factors such as the age at infection, management practices and concurrent infection with other pathogens (e.g. Avian influenza (Avian Influenza), colibacillosis (Colibacillosis), goose parvovirus infection (Goose Parvovirus Infection), Newcastle Disease (Newcastle Disease)). It has been suggested that a combination of a virulent mycoplasma, concurrent infection with another pathogen and perhaps also another stress factor such as debilitating environmental conditions may be required for the development of clinical disease (J3.76.w1, J5.27.w6, J5.27.w7, J6.14.w2, J6.5.w1, B11.36.w4, J21.25.w1, B12.55.w1, B15).

Transmission:

  • Direct transmission from in-contact birds. Vertical transmission also occurs and may be important (J1.31.w8, J6.17.w4, J6.17.w5, J6.22.w4, B15).
HEDGEHOGS --
ELEPHANTS --
LAGOMORPHS --

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Disease has been reported in either the wild or in captivity in:

Disease has been recorded in association with:
  • Acholeplasma laidlawii in goslings with respiratory signs and deaths, Acholeplasma axanthum in laying geese associated with decreased hatchability (also Mycoplasma gallinarum isolated from goose cell cultures) (J6.4.w1).
  • Natural and experimental infection in domestic geese in France (J6.14.w2)
  • Associated with inflammation of the cloaca and phallus of geese, in Hungary (J6.15.w4).
  • Associated with respiratory and nervous disease in goslings in Hungary (J6.22.w4).
  • Mycoplasma gallisepticum and Mycoplasma synoviae in goslings with nervous signs and leg paralysis, in geese, and from goose embryos, in Yugoslavia (J6.17.w5).
  • In combination with avian influenza A virus infection in domestic ducklings in the UK (J3.76.w1).
  • Air sacculitis, sometimes tracheal or nasal mucus and some growth retardation but no overt clinical signs following experimental air-sac inoculation of Mycoplasma anatis or Mycoplasma gallisepticum in day-old domestic ducklings Anas platyrhynchos domesticus (J21.25.w1).

Infection has also reported in association with:

  • Mycoplasma gallisepticum, Mycoplasma synoviae, Mycoplasma cloacale and Mycoplasma anatis in domestic ducks in Yugoslavia; Mycoplasma gallisepticum and Mycoplasma synoviae were also cultured from embryonated eggs (J6.17.w4).
  • Mycoplasma gallisepticum from clinically normal geese (J6.15.w5).
  • Mycoplasma anatis isolated from wild mallards, American black duck and Gadwall; Mycoplasma cloacale from mallard Anas platyrhynchos, canvasback Aythya valisineria, American black duck Anas rubripes, other Mycoplasma spp. from mallard, American black duck, canvasback; including evidence of vertical transmission (isolation in day-old ducklings). N.B. Tracheitis, oesophagitis and vaginitis were observed in three ducks and may have been associated with infection (USA)(J1.31.w8).
  • Serological evidence of exposure in mallard Anas platyrhynchos and American black ducks Anas rubripes, USA (J1.32.w3).
  • Wild Northern shovelers Anas clypeata in Spain (Mycoplasma anatis) (J6.19.w2)
  • Mycoplasma anatis, Mycoplasma cloacale, Mycoplasma lipofaciens, Acholeplasma laidlawii, Acholeplasma axanthum and unidentified Mycoplasmas from ducks; Mycoplasma anatis, Mycoplasma iners and Acholeplasma laidlawii from geese, in Yugoslavia (J6.16.w4).
  • Mycoplasma anatis isolated from respiratory tract and/or cloaca of Pekin ducks Anas platyrhynchos domesticus, common teal Anas crecca and greater scaup Aythya marila (B74).
  • Acholeplasma axanthum, Acholeplasma laidlawii, Mycoplasma anatis, Mycoplasma bovis, Mycoplasma cloacale, Mycoplasma gallinaceum, Mycoplasma gallinarum, Mycoplasma gallisepticum, Mycoplasma lipifaciens, Mycoplasma synoviae, and unidentified organisms reported as being isolated from domestic ducks (B15).

In Hedgehogs:

In Elephants:

  • A study of 67 captive elephants (62 Elephas maximus - Asian Elephants and five Loxodonta africana - African Elephants), ranging in age from five to 51 years, revealed the clinical significance of Mycoplasma infection and association with rheumatoid arthritis. One or more strains of Mycoplasma were cultured in 28 of 35 female genital tracts. Sera from the 67 elephants were tested for Mycoplasma complement fixing (MCF) antibodies to human, domestic animals and elephant isolates. More than half of the animals had antibodies to one or more elephant isolates. Some of the elephants showed antibodies to Mycoplasma pneumoniae, Mycoplasma orale, Mycoplasma salivarium and Acholeplasma laidlawi. (J2.11.w1)
  • An Elephas maximus - Asian Elephant was diagnosed with rheumatoid arthritis in Zurich zoo, based on the clinical signs. (P7.1.w8)
  • In a female elephant, acute Mycoplasma arthritis was probable, since acute onset lameness was accompanied by a rising Mycoplasma  antibody titre. (B10.49.w21)

In Lagomorphs

  • Two strains of Mycoplasma pulmonis were recovered from the upper respiratory tract of New Zealand white rabbits; there was no associated clinical disease (some infected rabbits had "snuffles, others appeared healthy). (B614.8.w8, J538.93.w1)
  • Mycoplasma pulmonis has been isolated from the respiratory tract of rabbits with upper respiratory tract disease. (B602.17.w17)

Further information on Host species has only been incorporated for species groups for which a full Wildpro "Health and Management" module has been completed (i.e. for which a comprehensive literature review has been undertaken). Host species with further information available are listed below:

Host Species List

BIRDS:

MAMMALS:

(List does not contain all other species groups affected by this infectious agent)

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Disease has been specifically reported in Free-ranging populations of:

Infection also reported in association with:
  • Mycoplasma anatis isolated from wild mallards, American black duck and Gadwall; Mycoplasma cloacale from mallard Anas platyrhynchos, canvasback Aythya valisineria, American black duck Anas rubripes, other Mycoplasma spp. from mallard, American black duck, canvasback; including evidence of vertical transmission (isolation in day-old ducklings). N.B. Tracheitis, oesophagitis and vaginitis were observed in three ducks and may have been associated with infection. May possibly be a factor in decreased production and increased mortality of wild ducklings (USA)(J1.31.w7, J1.31.w8).
  • Serological evidence of exposure in mallard Anas platyrhynchos and American black ducks Anas rubripes, USA (J1.32.w3).
  • Wild Northern shovelers Anas clypeata in Spain (Mycoplasma anatis) (J6.19.w2)

In Hedgehogs:

Further information on Host species has only been incorporated for species groups for which a full Wildpro "Health and Management" module has been completed (i.e. for which a comprehensive literature review has been undertaken). Host species with further information available are listed below:

Host Species List

BIRDS:

MAMMALS:

(List does not contain all other species groups affected by this infectious agent)

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Environment/Geography

General Information on Environmental Factors/Events and Seasonality

Waterfowl:
  • Clinical manifestation of disease may be affected by management conditions. (J6.15.w4)
  • Sometimes disease in goslings has been reported to peak in March-May (spring), at the peak of the laying period. (J6.22.w4)

Elephants:

  • Locomotor system signs (lameness) associated with Mycoplasma infection may be seasonal (worse with cold weather). (J2.11.w1, P1.1981.w2)

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Regions / Countries where the Infectious Agent or Disease has been recorded

  • In waterfowl: Europe (France, Hungary, Spain, Yugoslavia) and North America. (J6.14.w2, J6.15.w4, J6.16.w4, J6.17.w4, J6.22.w4, J6.19.w2, J1.31.w8, J1.32.w3)
  • In hedgehogs: New Zealand. (J21.12.w4)
  • In elephants: Europe (Switzerland), USA. (J2.11.w1, P7.1.w8)

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Regions / Countries where the Infectious Agent or Disease has been recorded in Free-ranging populations

  • In waterfowl: Europe and North America. (J6.19.w2, J1.31.w8, J1.32.w3)
  • In hedgehogs: New Zealand. (J21.12.w4)

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General Investigation / Diagnosis

General Information on Investigation / Diagnosis

WATERFOWL
  • Clinical signs, post mortem examination findings, Giemsa-stained impression smears: intracytoplasmic inclusion bodies, culture and isolation of the organism.
  • Mycoplasmas may be isolated from infertile eggs, dead embryos, air sacs, oviduct, peritoneum. (J6.14.w2)
  • Difficult to grow from clinical specimens, as they are fastidious, have intimate dependence on the host species which they colonize and grow slowly on artificial media . Inoculation of selective media with swabs from e.g. inner eyelids, sinuses, and trachea of suspected sinus/respiratory disease. If shipping to a laboratory, send rapidly, chilled. (B36.11.w11)

N.B. frequently other, secondary, pathogens are also isolated, e.g. Staphylococci, Streptococci, Escherichia coli.

(J6.14.w2, B11.36.w4, B36.11.w11, B37.x.w1)

HEDGEHOGS --
ELEPHANTS
  • Clinical signs and post mortem examination findings. (J2.11.w1)
  • Immunoglobulin levels with rise rheumatoid factor activity and/or Mycoplasma antibodies. (J2.11.w1)
  • Serology for mycoplasma complement fixing (MCF) antibodies is considered of limited diagnostic value on its own. (B450.19.w19, J2.11.w1)
  • Rise in antibody titre to Mycoplasma on paired serum samples. (B10.49.w21)
    • In a case of sudden severe lameness in a female elephant, the antibody titre against Mycoplasma rose significantly from the first day to day eight. (B10.49.w21)
  • Immune complex (IC) levels measurement was found not to be sensitive for the diagnosis of rheumatoid arthritis in elephants. (P1.1981.w2)
  • Inoculation of selective media with swabs of the genital tract for culture and identification. (J2.11.w1)
LAGOMORPHS The organism was isolated from the oropharynx, cultured, examined by electron microscopy and subjected to antigenic testing. (J538.93.w1)
Related Techniques
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Similar Diseases (Differential Diagnosis)

WATERFOWL
HEDGEHOGS --
ELEPHANTS
LAGOMORPHS --

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Treatment and Control

Specific Medical Treatment

WATERFOWL
  • Antibiotics. Aminoglycosides most useful, oxytetracycline may also be effective (B37.x.w1).
  • Tylosin 20mg/kg intramuscular three times daily for seven days Tylosin as a nasal flush (100mg/10ml saline, daily) (P4.1992.w1, B11.40.w8).
  • Tylosin, lincomycin, spectinomycin for early cases. (B11.36.w4)
HEDGEHOGS --
ELEPHANTS
  • Anti-mycoplasma antibiotics and anti-inflammatory therapy. (J2.11.w1, P1.1981.w2)
    • Note: Temporary worsening of clinical signs may occur at the onset of anti-mycoplasma therapy. (P7.1.w8)
  • Treating acute-onset lame elephants with tylosin (12 mg/kg/day intramuscularly for five days) or tetracycline immediately may be useful to treat Mycoplasma infection, if present, and perhaps may prevent the development of chronic degenerative arthritis secondary to the acute infection. (B10.49.w21)
  • Data from a recent pharmacokinetic study on Elephas maximus - Asian Elephant indicate that enrofloxacin given orally at 2.5 mg/kg once daily would reach potentially therapeutic concentrations and could be useful in the treatment of Mycoplasma infection in elephants. (J13.66.w1)
LAGOMORPHS --
Related Techniques
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General Nursing and Surgical Techniques

WATERFOWL
  • For sinusitis: flush with enrofloxacin (Baytril 2.5%, Bayer); repeat daily until mucus production stops. (B11.34.w2)
HEDGEHOGS --
ELEPHANTS --
Related Techniques
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Preventative Measures

Vaccination WATERFOWL --
HEDGEHOGS --
ELEPHANTS --
LAGOMORPHS --
Prophylactic Treatment

WATERFOWL

--
HEDGEHOGS --
ELEPHANTS --
LAGOMORPHS --
Related Techniques

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Environmental and Population Control Measures

General Environment Changes, Cleaning and Disinfection

WATERFOWL

  • General hygiene; careful cleaning and disinfection: e.g. 10% solution of household bleach weekly suggested to avoid transmission at bird feeders. (B36.11.w11, B37.x.w1)
HEDGEHOGS --
ELEPHANTS --
LAGOMORPHS --
Population Control Measures WATERFOWL Reduce stocking density (B37.x.w1).
HEDGEHOGS --
ELEPHANTS --
LAGOMORPHS --
Isolation, Quarantine and Screening WATERFOWL Consider that survivors may be carriers, and the possibility of aerosol and egg transmission. (B36.11.w11)
HEDGEHOGS --
ELEPHANTS --
LAGOMORPHS --
Related Techniques
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