The Foot and Mouth Disease Team
By Elizabeth Stein, Margareti Medeiros, Laura Edison, Corrie Brown, Mário Celso Sperotto Brum, and Glaucia Kommers


Foot and Mouth Disease


Foot-and-mouth disease was first described in the sixteenth century in Italy.  Then in the nineteenth century, it was observed in various other countries in Europe, Asia, Africa and the Americas.  With the development of intensive agriculture at the beginning of the twentieth century, many countries felt a great need to control the disease and regulatory programs were devised.  Currently, FMD is endemic in many regions of Asia, South America and Africa.  In the last decade, outbreaks of the disease have occurred in several countries, including Greece, Taiwan, Argentina, Brazil, Uruguay, Japan and very recently, the United Kingdom, France, the Netherlands and the Republic of Ireland.  Direct losses have been severe due to the killing of affected and in-contact animals although indirect losses have been even greater through the imposition of trade embargoes. 

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Etiology

The agent of foot-and-mouth disease is a virus in the family Picornaviridae, genus Aphthovirus.

Genome and serotypes

Clinical signs

In general, clinical signs are most severe in cattle and swine. Sheep and goats often develop subclinical infection. Wild animals can have severe disease or be affected subclinically. Infected animals usually recover. FMD is not a killing disease.

Clinical signs

Gross lesions

Gross Lesions

Pathogenesis

The incubation period, that is, the time from infection to the first sign of clinical disease, is 2-8 days.

Pathogenesis

Epidemiology

FMD is a highly contagious disease that infects all cloven hoofed animals. It spreads rapidly through susceptible populations. 

Transmission
Most common causes of outbreaks
 

Diagnosing the disease:

Because of the regulatory implications of the presence of FMD and its clinical resemblance to many other diseases, laboratory confirmation is essential. In most countries, the appearance of any vesicular disease entity must be reported to the authorities for adequate investigation. Government veterinarians are responsible for inspecting the clinically affected animals, collecting samples and sending these samples to federal laboratories for diagnosis.

Diagnosing the disease

Microscopic lesions

It is not possible to diagnose FMD based solely on the histologic appearance of the disease, as all vesicular diseases have similar histopathologic characteristics.

Microscopic lesions

Differential diagnoses

All diseases causing oral or pedal erosions, slobbering, nasal discharge or teat lesions should be considered in the differential diagnosis of FMD.

Differential Diagnoses

Control

Control of FMD is based on three different sets of criteria:

Controlling an outbreak
Preventing entry of FMD to a disease free country
 
Economic Impact

FMD has the greatest economic impact of any animal disease.

Economic Impact
 

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