1. How effective has the use of vaccination been in controlling AI?
    Vaccination against highly pathogenic avian influenza (HPAI) or low pathogenic avian
    influenza (LPAI) viruses, along with other measures, was successful in eradicating AI in very few countries where the competence of national veterinary services or the geography and bird density have contributed favorably to the outcome especially Indonesia. A “game changer” vaccine targeting smallholders should be universal to protect against all field viral strains and reduce significantly, if not totally eliminate, the need for costly post-vaccination surveillance. The ease of administration of this vaccine (one single injection) would further contribute to its relevance in the field. These characteristics are considered essential for the product profile of an AI vaccine that can contribute in a meaningful way to the livelihoods of poultry smallholders. The main constraints to an effective AI vaccination are vaccine composition matching field strains, reliable cold chain and logistics to target all poultry smallholders like small farmers in the village or rural area in Indonesia, constraints related to the availability of sufficient financial and human resources. Luckily, Medion has many branches spread throughout Indonesia which are always ready to serve customers such as small farmers, even in rural parts of Indonesia. In addition, Medion also produces AI vaccines, both HPAI or LPAI, which are homologous to the field virus strains in Indonesia, and we always carry out routine surveillance to ensure which strains are dominant in the Indonesian field. Vaccines from Medion are also still very affordable in terms of price and quality so that small farmers can continue to use them without hesitation.
  2. Are vaccines causing more challenges or less? (eg: mutations, etc)
    When not conducted properly, vaccination can also contribute to the emergence of new
    field viral strains, through genetic drifts of HPAI or LPAI viruses. While new technologies
    have improved the possibility to produce high quality vaccines matching field strains,
    recurrent issues like post-vaccination field surveillance and vaccination coverage continue
    to limit the relevance of AI vaccination in smallholder settings. Note that antigenic variation
    also occurs when vaccination is not used for example H6 in China (Wang et al., 2014).
    Antigenic change will occur slowly in places where vaccinated or immune birds are rarely
    exposed to virus. In Vietnam and Indonesia, the bigger driver of vaccination failure was the
    introduction of a novel strain of virus from outside the country. Antigenic drift was not a
    factor for Clade 1 viruses and vaccines in southern Vietnam over a number of years.
    Circulation of multiple strains of virus is also a constraint – matching becomes more
    difficult when more than one antigenic variant is circulating. Would use of vaccine be
    regarded as improper in places where infection is endemic and high-level population
    immunity across areas is hard to achieve but good immunity at the individual farm level is
    achievable? Much depends on the purpose of the vaccination programme and
    homologous vaccines are needed.
  3. Can you explain about AI situation in Indonesia? Predictions for 2023?
    Medion is always active and at the forefront of following the development of disease cases
    in the field, especially for diseases whose causes are easy to change, such as ND and AI in
    Indonesia. Based on data collected by the Technical Education and Consultation team from
    samples of sick chicken organs suspected of being infected with AI, followed by PCR
    (Polymerase Chain Reaction) and DNA sequencing tests to see the genetic composition of
    the virus. From 2016 to 2022 the AI H5N1 virus was only found in clade 2.3.2. and there
    was a change in the character of the clade (different in the amino acid composition) at the
    end of 2019 which had a significant impact on the effectiveness of the AI vaccine. While
    Low Pathogenic Avian Influenza (LPAI) is still found and causes a large decrease in egg
    production with low mortality, but morbidity is still relatively high. LPAI can cause high
    mortality if there is a combined infection with other diseases. The AI H9N2 virus found in
    Indonesia during the 2019–2022 period has not changed. Below is the PCR positive of HPAI
    and LPAI from some area in Indonesia:
    Disease trends in 2023 are predicted not to be much different from previous years.
    Bacterial diseases are still a major problem in broiler and laying hens, followed by viral and
    parasitic diseases. Some bacterial diseases that may still be found are CRD, colibacillosis,
    coryza, NE necrotic enteritis and cholera. CRD will still be the predominant respiratory tract
    disease. However, there are other bacterial diseases that need to be watched out for
    because the past few years have continued to increase. These diseases are colibacillosis
    and NE.
    1 2 3 4 5 6 7 8 9 101112 1 2 3 4 5 6 7 8 9 101112 1 2 3 4 5 6 7 8 9 10
    0
    5
    10
    15
    20
    25
    30
    35
    40
    AI H5N1 & H9N2 by PCR Positive
    Period 2020-2022 (Oct)
    HPAI LPAI
    2020 2021 2022
    Sources: Medion Indonesia
    In viral diseases, Gumboro, IBH, ND and AI are the most common diseases. Viral diseases
    that cause immunosuppression such as Gumboro are a major problem because
    immunosuppressive properties can cause attacks of other diseases. The case of IBH disease
    also requires more attention because it greatly affects the performance of broiler chickens,
    moreover, the incidence rate has continued to increase in the past few years. In addition,
    non-infectious diseases such as mycotoxicosis are still prone to occur. This was marked by
    an increase in the incidence of mycotoxicosis from the previous year. Another disease that
    needs to be watched out for is a disease caused by protozoan parasites in the digestive
    tract, namely coccidiosis. The incidence rate of this disease in the previous year was still
    quite high and ranked fourth. Poor maintenance management factors such as poor hygiene
    of liters and the existence of AGP prohibition policies cause the incidence of coccidiosis to
    remain high.
    In the case of AI disease itself, as long as there are no external viral agents from wild birds
    and there is no change in mutation, deletion or insertion of the virus itself, both LPAI and
    HPAI, it can be controlled with strict biosecurity and proper vaccination program.
  4. How to control AI?
    Seeing some of the losses caused and the character of the AI virus that is easy to mutate
    and from our monitoring these changes occur periodically for about 2-3 years. So it is
    necessary to increase awareness of AI attacks. One of the efforts that we can do is a
    synergistic combination between vaccination and the implementation of biosecurity which
    is supported by good maintenance management. Here are some things to consider in its
    implementation:
    • Strict application of Biosecurity: The application of
    Biosecurity aims to reduce the number of germs in the
    Farms. Model 3 zones (clean, transition, dirty) can be
    applied to secure farms from germs from outside. Strict
    and disciplined disinfection program in the farm/house
    environment. Traffic restrictions for transportation or
    personnel who will enter the farm area are also important
    to avoid the entry of infectious agents from other
    vulnerable places. It is necessary to do regular cleaning of
    feces to prevent feces from accumulating and becoming damp. This is because
    dirt/feces is an ideal medium that can carry germs. Limit contact between
    commercial poultry and free-range chickens, waterfowl or wild animals. Because as
    we know AI in wild birds is usually subclinical, does not show symptoms but is
    capable of infecting the birds that we keep in our farm. Next, house rest for at least
    2 weeks calculated when the house is ready to be filled in order to break the chain
    of disease. It is no less important to sanitize drinking water using Desinsep, because
    the AI virus can be transmitted through drinking water and can last up to 35 days.
    • Proper vaccination: In controlling viral diseases,
    one of the efforts that can be done is prevention
    by vaccination. This vaccination aims to bully the
    formation of immunity in chickens, so that when
    an AI infection enters, the body has chosen
    defense. To support the success of vaccination, it
    is necessary to pay attention to the quality of the
    vaccine, the accuracy of determining the
    vaccination schedule, the appropriate vaccination
    technique and application, and the condition of
    the poultry when vaccinated. Selection of the
    right vaccine determines how optimal the
    formation of antibody titers in the body of
    chickens is. The use of a vaccine that is
    homologous to the field virus is highly recommended because it will provide optimal
    protection. In order to overcome AI attacks, AI vaccines can be given such as
    Medivac AI H5N1 & H9N2 which are inactivated vaccines in the form of an emulsion
    containing Avian Influenza (AI) virus subtypes H5N1 clade 2.3 and H9N2 which are
    homologous to the latest field isolates to prevent AI in poultry. As an option, a single
    Medivac AI subtype H5N1 2.3 vaccine or Medivac AI subtype H9N2 can also be used.
    In addition to choosing the right vaccine, the timing of the vaccination is one of the
    critical points that we must pay attention to. The AI vaccination program should be
    structured based on the high or low AI virus challenge in the field and the baseline
    titer in each farm. Based on field data, AI usually infects broilers aged >3 weeks.
    Thus, it is sufficient to carry out AI vaccination for broilers once, namely at the age
    of 4 days at the same time as the active ND vaccination, or at the age of 10 days.
    While laying hens are recommended AI vaccination 3 times before entering the
    production period and 2 times after peak production. Repetition of AI vaccination
    during the production period can be done by looking at the results of antibody titer
    monitoring.
    • Antibody titer monitoring: The condition of the bird's immune status needs to be
    monitored as an early warning through routine antibody titer monitoring at least
    once a month. The results of this data can be used to determine the baseline titer
    (standard titer) in a farm location. The baseline titer can be determined by collecting
    data from previous serological tests which are checked regularly for at least 3
    batches of rearing periods with the same vaccination program and taken from birds
    house that healthy in condition. So that a titer image pattern will be formed on a
    farm. In order for the results of the analysis carried out to be representative in
    accordance with field conditions, sampling must be carried out randomly
    representing all locations of birds in the house with a total of 15-20 samples/house
    or 0.5-1% of the total population in the house.
    In the production phase layer birds, antibody titer monitoring was carried out to
    determine the appropriate revaccination schedule. In monitoring bird antibody
    titers, the analysis carried out not only looked at the Geometric Mean Titer (GMT)
    value with protective standards, but also looked at the percentage of immunity and
    uniformity compared to the baseline titer. This baseline will differ from one farm to
    another in different locations, due to vaccination programs and challenges as well as
    different environmental conditions.
    • Suppress immunosuppressants with supplementation: Basically creating
    comfortable conditions for birds helps to prevent from getting sick easily. For this
    reason, it is necessary to implement optimal management such as appropriate air
    circulation (ventilation), temperature, and humidity. Poor ventilation management
    can increase the occurrence of respiratory tract diseases. Moreover, on farms with
    open house systems that are very dependent on external conditions, farmers must
    adapt to the environment so that the birds remain in comfortable conditions and
    could avoid disease. In addition, the need to suppress immunosuppressant
    conditions such as mycotoxin contamination, stress and other immunosuppressant
    diseases needs to be done because these conditions can affect the antibodies
    formed in the body of birds to be not optimal, so that if the challenge of AI in the
    field is high, birds will be susceptible to AI. Giving multivitamins (Solvit, Aminovit, or
    Fortevit) and premix (Mix Plus) as feed supplements will increase the immune
    system of birds. With vitamin supplementation, the condition of the mucous
    membranes of poultry will optimal so that when the AI virus will enter the birds
    body, trapped at mucous membranes and can be optimally dispelled. In addition to
    vitamins, the addition of premix is also important to complete the nutritional needs
    of the feed, so that the metabolic process of the poultry body's defenses can run
    optimally.
    With the implementation of the steps above, hopefully that farmers will get more information
    about the latest AI, and its prevention efforts so that cases of AI incidents on farms could be
    prevent.

Dr. Yonatan Dimascahyo Budianto, DVM., MSc., MM., MBA.
Technical Education and Consultation
Artha Vena International Pte. Ltd

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