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John
Pape (Colorado Dept. of Health and the Environment)
Plague Presentation at the March 2001 Colorado Prairie Dog Summit
Whenever people
talk about prairie dogs, everybody wants to talk about plague, and
thats appropriate. Ninety-nine percent of my talk is going
to be involved with that, but there are other diseases that in fact
can be involved. Tularemia is a disease that we have seen, and weve
actually seen outbreaks of it in translocated prairie dogs before.
We [also] reported on a couple of cases of a disease called Blastomycosis;
its a fungus. This was related to a couple of prairie dog
relocaters/researchers that occurred a couple of years ago in Boulder
County. In augering through this colony, they apparently tapped
into a pile of organic material that was supporting a growth of
this particular mould. They inhaled it, and both ended up with a
fungal pneumonia. But clearly, when we talk prairie dogs and disease,
this [plague] is always the issue that comes up, both from conservation
efforts and the impairment there, and also on those opposed to relocation
and conservation efforts as the reason you shouldnt do it.
And well go through and discuss a little bit of the myths
and truths related to this particular disease.
In Colorado,
our first plague case was reported in 1957. We have seen 48 cases
from 1957 until today, and nine of those have been fatal. Were
probably going to see increasing number of plague cases, human cases,
because our population is going up. And people are moving back to
nature, which means theyre plopping their houses out in five
acres up in the hills and that includes skunks under your porch
and raccoons in your chimney and little plague-infested rodents
crawling around in your basement.
Pets have been
increasingly associated with human cases, and youll see some
evidence, even with prairie dog involvement, that pet animals are
increasingly linked. I think this will continue also. In the last
10 years, half of our plague cases, human cases, have had a pet-associated
link–a
dog or a cat tied into the person getting plague.
The plague
was a disease primarily of Asian rodents and fleas. It was spread
throughout the world in three major pandemics (worldwide outbreaks).
The best known, of course, was the Black Death of Europe in the
fourteenth century. But the last one started in the late 1800s/early
1900s and again was spread by traders throughout the world, including
several ports in the U.S.A.–probably
from San Francisco–and
became established in the urban rat populations, and from there
moved into the wild rodent populations. For some reason, at about
the hundredth meridian, we have not seen a lot of eastern expansion.
However, in the past 10 years that has changed, as there has been
movement into Texas, Oklahoma and Nebraska. Theres actually
been some reported [cases] in Kansas within the past six years.
The human cases
are clustered around the country. New Mexico is clearly the number
one state as far as human cases. Colorado follows close by. From
1947 up to 1989, Colorado was running a solid fourth in terms of
the country. We now are the second in the country in terms of human
cases, and I expect that trend to continue for several reasons.
Basically, there are two human cases of plague per year. It is a
very common disease out in the environment. We see lots of it in
the rodent populations, but we see the jump into people fairly infrequently.
In looking
at the distribution of plague, there is the Front Range focus, the
Arkansas river drainage, the Four Corners area, and a cluster in
northwest Colorado where nobody really lives, but they still had
four cases of plague.
The plague
cycle is a very complicated cycle. Most of it is the enzootic cycleflea
to rodent to flea to rodent, probably involving small mice, paramiscus
and other species that are able to outbreed the die-offs that the
plague causes. About every five-seven years, it amplifies and you
get an epizootic cycle, which is kind of an outbreak cycle, and
in fact, that involves prairie dogs, tree squirrels, rock squirrels
and other larger rodents. And its when you get to this cycle,
that you have the risk for plague. We very rarely see plague coming
out of the enzootic cycle, and usually if it does, its from
mouse to cat to person.
Fleas feed
on rodents that have the bacteria in their blood. They will actually
ingest some of the bacteria. The bacterium grows in the flea and
over a period of several days, the entire digestive tract of this
flea becomes filled with plague bacteria. So this thing is pluggedwhat
we call a blocked flea. And theyre very hungry, so they keep
trying to repeatedly feed. Every time they try to feed, their throats
clog with this bacteria, they regurgitate into the bite wound, and
thats how the infection is transmitted.
When plague
comes up, prairie dogs tend to get the majority of the press. Why
do they get most of the press? Because theyre a big, fat rodent
that sits out in the middle of the ground, in the middle of the
daytime, and people see them. When you have plague in an area where
there are other rodents involved, theyre just not as visible.
Theyre nocturnal, or theyre a little more secretive.
Theyre not going to be out there. So these guys [prairie dogs]
are the most visible source, and well see how that comes into
play. The rock squirrel actually has been involved with most of
the human cases. The rock squirrel has a flea that is a very aggressive
human biter and will feed on almost anything. There are two primary
prairie dog fleas, and they like prairie dogs. They really wont
feed on other animals unless there are no prairie dogs left to feed
upon. Thats kind of an important point. When youre seeing
the die-off in species like prairie dogs, youre also getting
die-off in the area in other species too. They just may not be quite
as noticeable. In some areas, we can collect 200-300 fleas off of
a rock squirrel in a plague die-off. The remaining fleas all congregate
to the surviving animals. Packrats and Richardson ground squirrels
are other species that have been involved. And increasingly, cats
can both act as a carrier and bring fleas home after scavenging,
but more often from ingesting rodents, contract plague themselves,
and can directly transmit to people. And these guys are becoming
an increasing point. When you look at the animals involved in plague,
rock squirrels are by far the lead (undetermined) and prairie dogs
are holding at two [cases per year], and cats have been moving up.
Out of the 48 cases over this time period, seven of them have been
tied into prairie dogs. Another four cases here involved multiple
species that were generally prairie dogs and some other rodent species
dying in the area, and we werent sure which one was probably
responsible for the human cases. In regards
to the human cases associated with plague (in Colorado and associated
with prairie dogs), two were people who were exposed while skinning
out the animal. One was a wildlife biologist and the other was a
kid who had killed one with his spear. Two were involved with dogs
that brought home fleas from the colony. They opened up the door
in the morning and let Fido out for his run. He runs half a mile
away, chases prairie dogs, picks up a few fleas, and brings them
home. Three were residential exposurespeople playing or working
in colonies. And then the four others that involved prairie dogs
and other species here (rock squirrels, packrats, and a couple of
Richardson ground squirrels) were one child playing and a couple
of occupational exposures.
The plague
takes out prairie dogs quickly, [but] not usually a large colony
in a few days. It may take several weeks to take out a colony, but
99.9 percent of them will die. And we actually use this as a surveillance
tool by documenting [and] then mapping plague colonies around the
state. And we have most of the colonies up and down the Front Range
mapped, some in the Four Corners area and some in Fremont county.
If an inspector or health department or animal control officer is
going to a call up in an area and happens to be driving by a colony,
we have them stop and spend five minutes looking at the colony.
If theyre seeing them active and healthy and doing what theyre
supposed to be doing, they can go about their business. If they
notice that half of that colony is gone and two weeks ago it was
there, we go out and take a little closer look at it.
In looking
at outbreaks associated with plague and prairie dogs over the 1990s,
there was a very small cluster out in eastern Colorado. 1992-94
was our last epizootic in Coloradoour last widespread epidemic.
[Over the] last several years, there was very low activity. In fact,
in the last two or three years, there was almost none.
In regards
to dusting, long ago when I first started in this business, one
of the things that was real popular then was to go out and start
poisoning prairie dog colonies to prevent plague. What we found
quickly was two things. One was that it is an enormously expensive,
labor intensive endeavor and two, it was totally ineffective at
doing anything as far as plague control goes in most situations.
Applying insecticides as the animal goes in and out of the burrow,
dusts itself and knocks the fleas off clearly was an easier, quicker,
less expensive, and less intrusive way to go. There was a question
askedif you go out and dust a colony, does it eliminate the
plague die-off? In my experience, no, it does not. Its kind
of like throwing a couple shovelfuls of dirt on a fire. You put
out the flame, but it smolders under[neath]. And so the colony,
in fact, will continue to experience a die-off, but it will be greatly
reduced and that die-off is probably related to some of the cannibalism
and transmission that way. So weve seen, when weve gone
in and dusted colonies, that it really slows down the die-off, but
a lot of times, you can lose the colony anyway. One of our recommendations
is to keep your dogs at home and, if not, youd better dust
them because again that has been an increasingly important source
of plague in this state.
Several years
ago, we started talking with the [Colorado] Division of Wildlife
about relocation efforts and these were the recommendations that
we had made to them in terms of approving relocation permits:
Monitor the
colony for any sign of die-off prior to trapping.
Dust the colony a week prior to the trapping or relocation effort
with an insecticide to knock the flea population down.
Use gloves and repellent.
Dust the prairie dogs once theyre captured with an insecticide.
Submit some if you have a suspicious die-off. We came up with 10
percent mortality. That was totally pulled out of the air because
I couldnt find any good data on what the relocation normal
mortality is, so were just saying if some start to go, send
in some carcasses and well be happy to test them.
Find an appropriate release site and do a little monitoring of the
colony afterwards. Why do you do that? One of the concerns that
is always brought up about relocation has been, Youre
going to introduce this disease into my county. And by monitoring
a colony for some period of time afterwards, you can get an idea,
in fact, if thats happening or not.
I dont
have a real problem, or Im not opposed to relocation within
Colorado because were not introducing a disease thats
not already here and all throughout the state. And so I think if
the other issues are covered, in fact, you can do relocation safely,
provided an appropriate release site, which certainly is critical.
The last thing
I will close with is that, as I said, I have not advocated nor have
we advocated for probably 15 years now, extermination of prairie
dogs as a method of plague control. This again often comes up as
an issue to say, Well, were going to get rid of the
prairie dogs because they all have plague and our children are at
risk, etc., etc. If, in fact, youve got a colony living
across the street from you thats dying from plague and you,
your kids and your pets never cross the street; your risk of getting
plague is zero. Because the fleas arent coming to you; theyre
sitting in the burrows. So youve got to go to them. Youve
got to get into the colony or handle the animals. So because of
that we really have not felt that extermination is an appropriate
method. If you want to get rid of prairie dogs, have plague introduced
into the colony. It will get rid of them quicker than anything else.
And in fact, when we do die-off investigations, well often
have ranchers call and ask us where the die-off is, so they can
come and collect a few fleas for their colonieswhich we dont
provide them for various public health, bioterrorism reasons, and
other things. But the final point is that there may in fact be some
situations where prairie dog control, i.e. terminal or extermination
of them, is appropriate from a public health point of view. Where
you have prairie dogs pushing into a playground, into peoples
backyards (one of the human cases was acquired this way), into areas
where theyre really inappropriate (and since you dont
have in these situations a natural predator control), humans end
up having to do it. Now whether that means you go in and trap them
out and relocate them to keep them out of the school playground,
or you do terminal control, kind of depends on the situation.
Question-and-Answer
Period
Response to
question regarding the black death in medieval Europe and the large
mortality that was suffered by the European population and why that
was the case and we dont see the same thing now:
There have been
some discussions that there are some differences in virulence of
the strain that was circulating then vs. now or that the human populations
over the centuries have developed some resistance. But I think the
real reason is that you have to look at the social and cultural
structure at that time vs. now. For instance, it was not unusual
to have rodents, rats, etc. living in your house in town with you.
It was not unusual for people to be carrying a load of head lice
and other ectoparasites, including fleas. You also would have seen
pneumonic transmission; that is, where the bacteria gets into the
lungs and you actually get person-to-person transmission. And back
then, of course, there was no way to treat it. They didnt
even know what was causing it, although the associations with rat
die-offs was known at that point in time, but the cause wasnt
known. These days, with our medical system, if we see a case of
plague, it gets treated pretty quickly. We may put family members
and close contacts on antibiotics as a preventative measure. We
have not seen the kind of person-to-person transmission in this
country since 1924, where there were some cases in Los Angeles.
The other reason is there are a lot of cities, primarily eastern
and coastal cities, that have very extensive rat and rodent control
programs, and those were all put in as a result of plague.
Response to
question regarding weather patterns and the effect that weather
has on plague and plague die-off:
Weather does
have an effect. We know that, with most rodent populations, the
food supply is the limiting factor. So if you have a couple years
with lots of rain [and] lots of moisture, you get lots of grass
growth and heavy seed production. Your rodent population booms right
after it. And we actually saw that about three years ago and saw
an increase in Hantavirus, another rodent-associated disease. I
talked about some of the mapping techniques that we use. Clearly,
we see most of our human plague cases occur in pinyon juniper type
of habitat, where the rodent populations and mixes are fairly large
and fairly dense. And so, as we overlay with some of the new mapping
techniques, vegetation type overlaying with where our human cases
are occurring, some very distinct patterns are emerging from that
kind of work. The other thing well see is you could have a
plague die-off going through a summer or even through a colony or
in an area and, if you suddenly get a long heat wave where you get
temperatures above 90 degrees for several days or a week or two
in a row, it absolutely shuts off the die-off. The fleas just dont
survive. They dry up. They blow away. One of the advantages of an
arid climate is you dont have a lot of those flea problems
and it literally shuts the die-off off.
Response to
question of when you have a plague die-off, you see a 99.9 percent
mortality rate but not 100 percent, so why do some prairie dogs
survive:
Could be a variety
of factors. Could be in relation to weather. Could be the plague
starts moving through a large colony and then the temperature shuts
it off. I think a lot of times what I see is youll have a
10-acre colony and then across a creek or across a road or something
else, there is a little pocket and plague takes out the main colony
but misses the pocket. And then from that pocket, you get reseeding
back into those areas. Even though the plague moves through an area
in kind of a wave-like fashion, it does miss areas. We investigated
a case a couple of years ago down in Fremont County where I think
dogs were involved and brought home rock squirrel fleas from a nearby
area, a drainage. When we went through that area, the rock squirrels
were all gone and the burrows were empty. We were pulling fleas
out of them but up on the mesa where the house was, there was quite
an extensive prairie dog colony there and the colony was untouched.
They monitored it throughout the summer and never saw any die-off,
so this probably moved in that case through the rock squirrels and,
for no more than just sheer luck, didnt make the jump and
get into the prairie dog colony.
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