N A T A L , B R A Z I L 6 JUNE 2 011 Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E p r o c e e d i n g s Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control N A T A L, B R A Z I L foreWord W orldwide, production of farmed fish has skyrocketed from less than 1 million tons per year in the early 1950s to nearly 52 million tons with a value of US $80 billion — an annual growth rate of nearly 7%. Tilapia production, in particular, has markedly increased because of the fish’s large size, rapid growth and palatability. Not surprisingly, greater demands on production systems have also increased the level of disease challenge. The tilapia industry must, therefore, find and implement new ways to manage costly diseases and maintain efficient production. To help with this effort, MSD Animal Health organized an educational symposium, “Bacterial Disease in Warmwater Fish: New Strategies for Sustainable Control.” Held in conjunction with the 2011 World Aquaculture Society conference in Natal, Brazil, the symposium gave recognized experts the opportunity to share their latest research and insights with production managers of the world’s top tilapia farms. We are grateful to the presenters for preparing these valuable papers. For additional copies of this booklet or more information, please contact your MSD Animal Health representative or visit us at the website listed below. PALMA JORDAN Marketing director global Aquatic Animal Health Msd Animal Health http://aqua.merck-animal-health.com p r o c e e d i n g s Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control tABLe of contents 4 Presenter biographies 6 The impact of streptococcosis on tilapia in Brazil and efficacy of AquaVac® Strep Sa for managing the disease under controlled conditions 11 ROGÉRIO SALVADOR, PhD Agrarian science center, north paraná state University, campus Luiz Meneghel, Brazil AquaVac® Strep Sa vaccine efficacy for controlling streptococcosis RODRIGO ZANOLO, MV, MSc in intensively reared Nile tilapia (Oreochromis niloticus) in Brazil: Msd Animal Health, Brazil increased performance and profits 18 Streptococcus in tilapia: implications for vaccine development and field experiences from Asia 25 The responsible use of veterinary medicines in aquatic food production 28 Best treatment practices of warmwater fish pathogens using feed medicated with Aquaflor® (florfenicol) 35 Depletion of florfenicol in water and florfenicol amine from fillet tissue after feeding Aquaflor® (florfenicol) to tilapia in a recirculating aquaculture system NEIL WENDOVER, BSc Msd Animal Health, singapore MELBA B. REANTASO, PhD Aquaculture service, fisheries and Aquaculture department, food and Agriculture organization of the United nations, italy PATRICIA S. GAUNT, DVM, PhD, DABVT department of pathobiology and population Medicine, Mississippi state University, college of Veterinary Medicine, UsA MARK P. GAIKOWSKI , MA Us geological survey, Upper Midwest environmental sciences center, UsA BiogrApHies Rogério Salvador is a professor at the Rodrigo Zanolo is an aquaculture Neil Wendover works for the global Aquatic Agrarian science center, north paraná state marketing manager for Msd Animal Health, Animal Health Business Unit of Msd Animal University, campus Luiz Meneghel, Brazil; he is Brazil. Zanolo holds a degree in veterinary Health. for the past 4 years, he has been based also director of the university’s Veterinary Hospital medicine from Londrina state University and a at the company’s vaccine laboratory in singapore. and coordinator of the fish immunopathology Master of science in animal (fish) pathology As a technical manager, one of his major Laboratory. He graduated as a veterinarian and an MBA in marketing from getúlio Vargas activities is the investigation and epidemiological and has a master’s degree in animal science foundation in são paulo. He has extensive study of fish diseases throughout Asia. Wendover from Londrina state University and a phd in experience in aquaculture, where he has worked provides regular training and technical support aquaculture from são paulo state University Júlio as a consultant in the production of fish and to the aquaculture industry in the areas of de Mesquita filho. salvador has broad experience shrimp in the states of paraná and santa catarina. disease diagnosis, health management and in the areas of freshwater fish health and applied microbiology in finfish aquaculture. currently he vaccination strategies. He has extensive e-mail: [email protected] conducts research and provides orientation to experience in tilapia production in both Asia and Africa. students in the area of aquaculture vaccines and immunogens. e-mail: [email protected] e-mail: [email protected] rodrigo Zanolo, MV, Msc Msd Animal Health cotia, são paulo, Brazil neil Wendover, Bsc global Aquatic Animal Health Msd Animal Health, singapore rogério salvador, phd Universidade estadual do norte do paraná (north paraná state University) campus Luiz Meneghel Bandeirantes, paraná, Brazil B a c t e r i a l D i s e a s e i n Wa r m wa t e r F i s h : 4 Melba B. Reantaso is an aquaculture Patricia Simmons Gaunt is an associate Mark P. Gaikowski is a supervisory officer with the Aquaculture service, fisheries professor of aquatic animal health in the biologist at the Us geological survey’s Upper and Aquaculture department, food and department of pathobiology and population Midwest environmental sciences center, Agriculture organization of the United nations. Medicine, Mississippi state University, college La crosse, Wisconsin, UsA. His specialty is aquatic she is based in rome, italy, and has nearly 30 of Veterinary Medicine. she earned her dVM and toxicology and his research has included target years’ experience in many aspects of aquaculture a phd in veterinary toxicology at Louisiana state animal safety studies, development of an and aquatic animal health, including research, University. she was the principal investigator external columnaris infection model in fish and training, diagnostics, international aid and for efficacy and residue depletion studies that environmental safety studies. gaikowski holds project development. she also has authored were necessary for the approval of Aquaflor® several awards and honors and has been or co-authored more than 80 scientific and (florfenicol) for use in catfish in the Us and published extensively in aquaculture journals. technical publications. reantaso has a phd and was the principal investigator of a study on the He holds Bs and MA degrees in biology from the post-doctoral qualifications from the University efficacy of Aquaflor against Streptococcus iniae University of south dakota. of tokyo and the nippon Veterinary and Animal in tilapia. e-mail: [email protected] science University, Japan. e-mail: [email protected] e-mail: [email protected] Melba B. reantaso, phd Aquaculture officer Aquaculture service (firA) fisheries and Aquaculture resources Use and conservation division (fiM) fisheries and Aquaculture department food and Agriculture organization of the United nations (fAo) Viale terme di caracalla, rome, italy patricia simmons gaunt, dVM, phd, diplomate, American Board of Veterinary toxicology Mississippi state University college of Veterinary Medicine stoneville, Mississippi, UsA Mark p. gaikowski, MA Us geological survey Upper Midwest environmental sciences center La crosse, Wisconsin, UsA New Strategies for Sustainable Control 5 salvador Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E 2 011 JUNE 6 B R A Z I L N A T A L , 6 The impact of streptococcosis on tilapia in Brazil and efficacy of AquaVac® Strep Sa for managing the disease under controlled conditions Rogério Salvador, PhD; Rodrigo Zanolo, MV, MSc; Leonardo Cericato, PhD Key points INTroDUCTIoN * * * Streptococcus agalactiae Biotype II infection in tilapia has become a serious problem in several countries, resulting in economic losses; vaccines to control the disease represent a promising new tool. A study was conducted to evaluate the efficacy of the vaccine AquaVac® Strep Sa against experimental challenge with S. agalactiae Biotype II. Vaccinated fish were protected against challenge and their mortality was significantly lower compared to unvaccinated controls; in addition, the vaccine was found to be safe for fish. Aquaculture is one of world's growing animal production segments.1 In Brazil, however, commercial fish production in net pens is only just starting, despite its great potential represented by 6 million hectares of water contained in weirs and reservoirs constructed mainly for generating hydroelectric energy. In the future, Brazil is likely to become one of the world's largest aquaculture producers.2 Among fish species showing potential for cage farming is Nile tilapia (Oreochromis niloticus). Over the past decade, it has become the species with the largest production volume in Brazil, representing nearly 40% of the country's aquaculture. Tilapia cultivation has been developed primarily in Brazil's South, Southeast and Northeast regions, the latter representing the highest production volume. In 2004, 41% of total domestic tilapia production occurred in this region. The Northeast region, in fact, has led the country's tilapia production since 2003, with a clear, growing trend due to its climate and technological development, enabling it to serve the growing demand for tilapia both regionally and nationwide.3 In recent decades, improved technology in fish production units has become a major competitive advantage. Efforts to survive and withstand an increasingly globalized market have become an evident need. In this context, and despite efforts to improve fish quality through the implementation of health programs and novel technologies, tilapia production success depends on innovative tools. A future challenge can now be foreseen: Mankind demands more and more products that are not only nutritious but are wholesome and pathogen-free, that promote health and that are environmentally friendly and socially fair — in perfect harmony with the globalized world we live in today.4 Intensive fish production, however, brings about stress, resulting in the emergence of diseases and, therefore, mortality.5 Among the major maladies affecting tilapia, Streptococcus agalactiae infection, resulting in streptococcosis, plays a very important role worldwide.6 Epidemiological studies sponsored by MSD Animal Health around the world have shown the presence of two different S. agalactiae groups or biotypes (i.e., I and II). Tilapia isolates from different regions in the world show that 26% of streptococci were identified as S. agalactiae Biotype I, while 56% were S. agalactiae Biotype II. S. agalactiae Biotype II is the world's most prevalent biotype, found mostly in China, Indonesia, Vietnam, the Philippines and Latin America. In Brazil, serological studies show 100% positive serology to S. agalactiae Biotype II. p r o c e e d i n g s Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control salvador The largest economic impact due to S. agalactiae in freshwater-farmed fish species occurs in Nile tilapia. The geographic distribution of S. agalactiae includes regions with temperate, tropical weather, where warmwater fish are cultivated. So far, outbreaks have been reported in several countries including: the US, Japan, Kuwait, Israel, Thailand and Brazil. S. agalactiae field strains have already developed resistance to antimicrobials.9 Evaluation of the vaccine AquaVac® Strep Sa under experimental conditions has demonstrated significantly decreased mortality in vaccinated fish, illustrating the efficacy of the vaccine for the prevention and control of streptococcosis in Nile tilapia. (Unidade de Infecção Experimental de Organismos Aquáticos do Laboratório de Imunopatologia de Peixes, LIPPE) and conditioned in 12, 80-liter aquariums (n = 15). Aquariums received UV-sterilized, dechlorinated, running water from an artesian well. Fish acclimation lasted 7 days, which was time enough for plasma cortisol concentrations and osmolality to return to baseline levels. This pathogen is responsible for high economic losses; mortality on a farm can reach 90%, typically at the pre-market age when substantial feed volumes have already been consumed. We must remember that feed is the largest component of production costs and that much has been invested in the fish by this time.7 M AT E r I A l S A N D M E T H o D S Water temperature was measured daily (27° C/81° F ± 1.5°). Hydrogen ion potential (7.1 ± 0.3) and dissolved oxygen (5.5 mg/L ± 1 mg/L) were measured weekly. All values remained within welfarerecommended levels.10 Infection occurs when infected fish — dead or alive, moribund or apparently healthy — release the bacterium into the water, allowing it to colonize the skin of other fish. Invasive infections can also occur, resulting in high mortality. In addition, the bacterium can survive for long periods of time in water, mud or pond/greenhouse substrates, and even on pieces of equipment used in routine operations.8 If tilapia culture is to continue and proliferate, the industry will need strategies to minimize the effects of disease. The advent of S. agalactiae vaccines has brought about a new, promising tool, since some In the study, 180 Nile tilapia (Oreochromis niloticus) juveniles from the same spawn and weighing ~35 g were used. Prior to the start of the study, the fish were maintained in quarantine and subjected to a prophylactic antimicrobial bath; they were then conditioned in 250-liter cages under constant dechlorinated water exchange. Upon the completion of quarantine, fish were moved to the Aquatic Organism Experimental Infection Unit, Fish Immunopathology Laboratory Throughout the experiment, ad libitum feeding was provided twice daily (09:00h and 17:00h) at the rate of 5% of biomass. Experimental design Fish in the 12 aquariums represented three repetitions for each treatment group (Table 1). continued tABLe 1 Fish distribution per treatment group T1 Vaccinated with AquaVac Strep Sa / S. agalactiae-challenged T2 Vaccinated with AquaVac Strep Sa / S. agalactiae-unchallenged T3 Not vaccinated with AquaVac Strep Sa / S. agalactiae-challenged T4 Not vaccinated with AquaVac Strep Sa / S. agalactiae-unchallenged 7 N A T A L , B R A Z I L 6 JUNE 2 011 Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E salvador The impact of streptococcosis on tilapia in Brazil and efficacy of AquaVac® Strep Sa for managing the disease under controlled conditions 8 tABLe 2 Vaccination Vaccination against S. agalactiae was performed at the end of the acclimatization period at the laboratory. Fish weighing ~35 g (medium bodyweight) were submitted to the vaccination process as recommended by MSD Animal Health. The fish were anesthetized by immersion in 1% eugenol (Biodinamica®) containing 50 mg/L water. A single 0.05 mL dose of AquaVac Strep Sa was injected intraperitoneally in the anterior-medial aspect, using a sterilized insulin syringe/needle. Survival of Nile tilapia (Oreochromis niloticus) vaccinated with AquaVac Strep Sa and unvaccinated Nile tilapia 15 days after challenge with Streptococcus agalactiae (n = 15) TREATMENT GROUP T1* T2 T3* NUMBER OF SURVIVORS (after 15 days) AquaVac Strep Sa/Challenged 13 AquaVac Strep Sa/Challenged 14 AquaVac Strep Sa/Challenged 14 AquaVac Strep Sa/Unchallenged 15 AquaVac Strep Sa/Unchallenged 14 AquaVac Strep Sa/Unchallenged 14 Not vaccinated/Challenged 6 Not vaccinated/Challenged 8 Not vaccinated/Challenged 7 Not vaccinated/Unchallenged 14 Not vaccinated/Unchallenged 14 Not vaccinated/Unchallenged 14 Challenge Challenge was performed 25 days after vaccination. For inoculum preparation, live streptococcus isolates from naturally infected tilapia were used. Isolates were previously classified as Lancefield´s B group, using the Slidex® Strepto Kit latex agglutination test (BioMerieux, France), then characterized as S. agalactiae based on phenotype characteristics as determined by the ApI® 20 Strep Microtest System (BioMerieux, France.)11 The selected S. agalactiae strain was seeded in brain/heart infusion broth, incubated for 24 hours at 29° C (84.2° F) T4 * Values were considered significantly different (P < 0.05) comparing group T1 to group T3. under aerobic conditions. The challenge dose (106 colony-forming units/mL) was calculated on the basis of a lethal dose killing 50% of the fish population (LD50). Fish were observed for 15 consecutive days after challenge for clinical signs and death; the findings were recorded daily and subjected to statistical analysis (Tukey's test), with a 5% level of significance. p r o c e e d i n g s Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control salvador figUre 1 r E S U lT S Animals in group T3 (not vaccinated/ challenged) that died showed clinical signs compatible with streptococcosis, mostly after 7 days post-challenge. Clinical signs included lethargy, reduced appetite, body-color darkening, uni/bilateral exophthalmia, abdominal distention and erratic/circular swimming. Necropsy findings among these fish included ascites, enlarged livers and diffused hemorrhages in the central nervous system. Upon microbiological analysis, S. agalactiae was re-isolated, particularly from the brain, which means generalized infection. The appearance of clinical signs after 7 days post-challenge represents the natural evolution of the infection. Neurological signs suggest meningoencephalitis, and it Mean number of survivors Table 2 shows survival among fish in various treatment groups. No significant mortality occurred when comparing groups T1 (vaccinated/challenged) and T2 (vaccinated/unchallenged) with group T4 (not vaccinated/unchallenged), demonstrating the vaccine’s safety. None of the fish that died in those groups showed clinical signs compatible with streptococcosis, but deaths occurred within 48 hours after challenge, suggesting that the cause of death was handlingassociated stress. Mean number of survivors in Nile tilapia (Oreochromis niloticus) vaccinated with AquaVac Strep Sa then challenged with Streptococcus agalactiae 18 16 14 12 10 8 6 4 2 0 a a a b Vaccinated/ Vaccinated/ Challenged (T1) Unchallenged (T2) Not vaccinated/ Not vaccinated/ Challenged (T3) Unchallenged (T4) Treatments The letters “a” versus “b” denote statistical significance. Values were considered significantly different (P < 0.05) when comparing T1 (vaccinated/challenged) to T3 (not vaccinated/ challenged) and demonstrate vaccine efficacy. Values were not considered to be significantly different (P > 0.05) when comparing T2 (vaccinated/unchallenged) to T4 (not vaccinated/ unchallenged), which demonstrates vaccine safety. Note: experiments were undertaken in triplicate (n = 15). represents a clinical sign consistent with streptococcosis. The mean number of deaths among repetitions supports the LD50 calculated for this particular study. Variations in the numbers of dead fish among repetitions can be the result of innate, individual resistance variability. Vaccination with AquaVac Strep Sa protected animals against experimental challenge with S. agalactiae, since mortality in group T1 (vaccinated/challenged) was significantly lower (P < 0.05) than mortality in the T3 (not vaccinated/challenged) fish (Figure 1). In this context, the relative protection percent (RPP) was 84%. RPP was determined using the following equation: RPP = (1- (vaccinated fish deaths/control fish deaths)) x 100. continued 9 6 JUNE 2 011 Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E salvador The impact of streptococcosis on tilapia in Brazil and efficacy of AquaVac® Strep Sa for managing the disease under controlled conditions CoNClUSIoN rEFErENCES Results from this study demonstrate that AquaVac Strep Sa induced effective protection in Nile tilapia experimentally challenged with S. agalactiae. We, therefore, conclude that AquaVac Strep Sa (MSD Animal Health) is a safe and highly efficacious vaccine against the disease caused by S. agalactiae Biotype II. A single dose of AquaVac Strep Sa, administered as directed, can be an important tool in the prevention and control of streptococcosis in Brazil, since serological results so far show only the presence of Biotype II in this country. 1 Crepaldi DV, et al. 2006. A situação da aquacultura e da pesca no Brasil e no mundo. Revista Brasileira de Reprodução Animal. 30: 81-85. 6 2 Marengoni NG. 2006. Produção de tilápia do Nilo Oreochromis niloticus (Linhagem chitralada), cultivada em tanques rede, sob diferentes densidades de estocagem. Archivos de Zootecnia. 55:127-138. 7 3 Ostrensky A, et al. 2008. Principais problemas enfrentados atualmente pela aqüicultura brasileira. In: Ostrensky A, et al. Aqüicultura no Brasil: o desafio é crescer. Brasília: Secretaria Especial de Aqüicultura e Pesca/FAO. 135-158. 8 4 10 Medri V, et al. 2005. Desempenho das tilápias nilóticas (Oreochromis niloticus) alimentadas com diferentes níveis de proteínas de levedura de destilaria em tanques-rede. Acta Scientiarum (Animal Sciences). 27(2): 221-227. N A T A L , B R A Z I L 5 10 Vandenberg GW. 2004. Oral vaccines for finfish: academic theory or commercial reality? Animal Health Research Reviews. 52:301-304. Pasnik DJ, et al. 2008. Antigenicity of Streptococcus agalactiae extracellular products and vaccine efficacy. Journal of Fish Diseases. 28:205-212. Evans JJ, et al. 2004. Efficacy of Streptococcus agalactiae (group B) vaccine in tilapia (Oreochromis niloticus) by intraperitoneal and bath immersion administration. Vaccine. 22:3769-3773. Suresh AV. 1998. Tilapia update 1998. World Aquaculture. 30:8-68. 9 Lim C, et al. 2006. Tilapia: biology, culture and nutrition. An Imprint of the Haworth Press, New York, United States: 678. Sipaúba-Tavares LH, et al. 1994. Variação dos parâmetros limnológicos em um viveiro de piscicultura nos períodos de seca e chuva. Revista UNIMAR. 16:229-242. 11 Salvador R, et al. 2005. Isolation and characterization of group B Streptococcus spp. from Nile tilapia (Oreochromis niloticus) reared in hapas nets and in earth nurseries in the north region of Paraná State, Brazil. Ciência Rural. 35:1374-1378. Zanolo AquaVac® Strep Sa vaccine efficacy for controlling streptococcosis in intensively reared Nile tilapia (Oreochromis niloticus) in Brazil: increased performance and profits Rodrigo Zanolo, MV, MSc; Leonardo Cericato, PhD; Rogério Salvador, PhD; Eduardo Yamashita; Gláucio Dorelles Key points INTroDUCTIoN * * * Streptococcus due to Streptococcus agalactiae is a significant problem in Brazilian tilapia that tends to strike well into the grow-out period, after considerable resources have been invested in fish. In two controlled trials conducted at separate commercial tilapia-production sites with a history of acute mortality and a positive diagnosis of S. agalactiae Biotype II, use of the vaccine AquaVac® Strep Sa proved to be safe for fish, reduced mortality and improved fish performance. The return on investment (roI) in Trial 1 was 7.4 times higher when compared to the investment in the vaccine. In Trial 2, the roI for vaccination was 5.3 times higher. Brazilian fish farming has grown exponentially over the last 20 years, thanks to abundant water resources as well as increased demand for fish protein. Since much of this growth comes from intensive farming, particularly the production of tilapia in floating cages, good health management practices are crucial to the success of the aquaculture industry. Of the many bacterial diseases that can affect cultivated fish around the world, streptococcosis due to Streptococcus spp. is the one with the greatest economic impact on farmed tilapia.1 Streptococci are widely distributed, opportunistic bacteria found in the aquatic environment; their pathogenicity is associated with stress linked to poor water quality, ineffective management and other conditions typical of intensive aquaculture.2 In Brazil, early studies demonstrated the presence of Group B Streptococcus, later identified as Streptococcus agalactiae, associated with acute mortality episodes in farmed tilapia in the State of Paraná.3 More recently, new characterization studies have further confirmed S. agalactiae as the main species responsible for streptococcosis in intensive tilapia operations in Brazil.4 Risk factors such as high temperatures, combined with other stressors faced by caged tilapia including competition for food, intense fish-to-fish contact resulting in more physical injuries and potential nutritional imbalance, have been shown to be responsible for the increased incidence of Streptococcus spp. septicemia.5 Diagnostic studies sponsored by MSD Animal Health, and undertaken by AQUAVET, UFLA (an aquatic-animal disease laboratory), LIPPE and UENP (a fish immunopathology laboratory), have demonstrated that the presence of the organism in several Brazilian states is increasing, and there is a strong tendency for rapid spread due to extensive transport of animals. Clinical signs of streptococcosis include prominent eyes (exophthalmia), swimming in circles (encephalitis), a swollen belly (ascites) and nodular lesions in the muscles of necrotized areas, which result in fillet condemnations at the processing plant. High mortality (3% to 20%) due to streptococcosis has been observed in intensive tilapia operations, depending on the severity of the disease. When poor conditions exist, mortality can be even greater. The high economic impact of streptococcosis is due to the fact that the disease affects mostly fish between 300 g and 600 g in bodyweight — well into the growout continued 11 Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E In addition, serology has been up to 100% positive for S. agalactiae Biotype II (serotype Ib). This underscored the need for a new preventative approach such as vaccination. AquaVac Strep® Sa was recently developed by MSD Animal Health for control of S. agalactiae Biotytpe II infections in farmed tilapia. figUre 1 Epidemiological studies found approximately 150 isolates of S. agalactiae in multiple Brazilian regions. São Francisco river basin and Northeast Big Weir Epidemiological studies funded by MSD Animal Health in Brazil found approximately 150 isolates of S. agalactiae from tilapia in multiple Brazilian regions (Figure 1). 53 isolates positive for S. agalactiae Biotype ii (serotype ib) Rio Grande basin Paranaíba, Paraná, Tietê and Paranapanema 97 isolates positive for S. agalactiae Biotype ii (serotype ib) 100% positive serology to S. agalactiae Biotype ii (serotype ib) N A T A L , B R A Z I L 6 JUNE period.4 By this time, large amounts of money and time have been invested in the fish, resulting in serious economic losses due to mortality or, in fish that survive, from decreased productivity and increased feed-conversion rates (FCR.) 2 011 Zanolo AquaVac® Strep Sa vaccine efficacy for controlling streptococcosis in intensively reared Nile tilapia (Oreochromis niloticus) in Brazil: increased performance and profits 12 AquaVac Strep Sa is an oil-emulsion vaccine containing killed S. agalactiae Biotype II (serotype Ib) bacteria. The vaccine is administered intraperitoneally as a single dose of 0.05 mL per fish. Fish to be vaccinated must weigh a minimum of ~15 g. Laboratory studies have demonstrated that the onset of protection occurs at approximately 28 days and lasts for up to 7 months after vaccination. M AT E r I A l S A N D M E T H o D S To assess the safety, efficacy and economic benefits of using AquaVac Strep Sa under natural challenge conditions on Brazilian tilapia farms, two trials were carried out in different production sites in the Northwest São Paulo state. In both trials, fish from the same batch, weighing an average of 40 to 60 g, were vaccinated intraperitoneally with a single 0.05 mL dose of AquaVac Strep Sa, according to label directions. Fish were sedated approximately 1 minute prior to vaccination with a 50 ppm eugenol (clove oil) solution. Vaccination in both production units was performed between July 20 and July 30, 2010. Water temperature was approximately 25° C (77° F) with a dissolved oxygen concentration of 7 mg/L. Both farms use similar production systems, based on 18-m³ cages. In growout Phase I, stocking density was 5,000 fish/cage, with an average bodyweight of 40 to 60 g. Fish were taken up to approximately 320 g then classified on a per-size basis. In Phase II, stocking density was 2,500 fish/cage, fed to an average final bodyweight of 800 to 900 g. p r o c e e d i n g s Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control Zanolo TrIAl DESIgN Farm 1: 30,000 fish divided in two groups were used. One group included 15,000 vaccinated animals, while the 15,000 fish in the other group served as unvaccinated controls. For growout Phase I, the 15,000 fish in each group were divided into three 18-m3 cages (three repetitions of 5,000 fish each). At the end of Phase I, all fish were classified by size, then transferred to six cages of 2,500 fish each, for a total of six replicates. Farm 2: 32,000 fish divided in two groups were used. One group included 16,000 vaccinated fish, while the other group of 16,000 remained unvaccinated controls. serological studies were performed with samples from all experimental groups. r E S U lT S A N D D I S C U S S I o N AquaVac Strep Sa was highly effective in both trials, significantly (p < 0.05) reducing the S. agalactiae Biotype II (serotype Ib)associated mortality throughout the production cycle. Product safety was confirmed by comparing mortality among vaccinates and controls after vaccination. There were no great differences in mortality between the two groups immediately following vaccination, before immunity in vaccinates developed (Figure 2). In both trials, outbreaks of acute mortality were observed in all the experimental cages (replicates), especially at the end of Phase I. The effectiveness and benefits of using AquaVac Strep Sa were evident, however. Bacterial isolates were positively identified as S. agalactiae Biotype II (serotype Ib) and the results, which were consistent at both experimental sites, showed improved performance in vaccinates after the development of immunity as compared to controls. Benefits including increased survival, improved biomass gain, higher performance and lower FCR were measured (Table 1). continued figUre 2 For Phase I, fish in each experimental group were placed in 18-m³ cages at the rate of 5,250 fish each, to obtain three repetitions. At Phase I completion, the fish were classified by size, then transferred to six cages of 2,625 fish each (six replicates). Cumulative mortality in vaccinated and unvaccinated tilapia during the first 20 days post-vaccination, before immunity developed in vaccinates 6.0% 6.0 5.5% Vaccinated Controls After vaccination, fish were monitored daily for behavior, daily mortality and growth until harvest. Both farms had a history of acute mortality with a positive diagnosis of S. agalactiae Biotype II (serotype Ib), which justified the experimental vaccine program. During the course of the trial, microbiological and Mortality rate % 5.0 4.0 2.8% 3.0 2.0 2.0% 1.0 0 Farm 1 Farm 2 13 2 011 Farm 1: Daily mortality and final survival in the 15,000 vaccinated fish Daily mortality % Survival 100 80 95 90 Results – Farm 1: Figures 3, 4 and 5 show the productive performance results obtained on Farm 1. Table 1 shows the best productive results of the vaccinated group compared to controls. It should be noted that the highest final average bodyweight of fish in the control group is due to the higher mortality compared to the vaccinated group, which reduced fish density and enabled better growth among surviving fish. Daily mortality 60 6 JUNE figUre 3 85 80 40 % Survival Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E Zanolo AquaVac® Strep Sa vaccine efficacy for controlling streptococcosis in intensively reared Nile tilapia (Oreochromis niloticus) in Brazil: increased performance and profits 75 20 70 65 0 23 31 08 16 24 JULY AUGUST 01 09 17 25 SEPTEMBER 03 11 19 OCTOBER 27 04 12 20 28 NOVEMBER Date Vaccination 60 Harvest figUre 4 Farm 1: Daily mortality and final survival in the 15,000 control fish continued Daily mortality % Survival 100 N A T A L , 14 95 80 Daily mortality 90 85 60 80 40 75 70 20 65 0 23 31 08 16 24 JULY AUGUST Vaccination 01 09 17 25 SEPTEMBER Date 03 11 19 OCTOBER 27 04 12 20 28 NOVEMBER Harvest 60 % Survival B R A Z I L 100 p r o c e e d i n g s Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control Zanolo figUre 5 Comparison of biomass gain (kg) between all vaccinated and unvaccinated fish on Farm 1 6.000 AquaVac Strep Sa Controls 5.000 4283 kg Running gain (kg) 3698 kg 4.000 585 kg difference 3.000 2.000 1.000 23 31 JULY 08 13 20 AUGUST 27 03 10 17 24 SEPTEMBER 01 08 15 22 OCTOBER 29 05 12 19 NOVEMBER Date tABLe 1 Comparison of results in vaccinates and unvaccinated controls (average of three replicates) on Farm 1 TREATMENT VACCINATED GROUP CONTROL GROUP Initial weight (g) 51.7 51.0 Weight gain (g) 310.7 322.0 Final weight (g) 362.3 373.0 growout days 126 124 Biomass gain (kg) 1408.5 1173.3 Feed intake (kg) 2596.3 2450.1 Feed-conversion rate 1.85 2.10 Biomass (kg/m3) 83.36 71.41 Daily weight gain (g/day) 2.47 2.60 Survival (%)* 91.90a 76.57b Total mortality (%) 8.10 23.43 Tukey´s test 5% (p < 5) *The letters “a” and “b” denote statistical significance. 15 figUre 6 Daily mortality Daily mortality % Survival 100 120 80 100 80 60 60 40 40 20 0 2 011 JUNE 6 Results – Farm 2: Figures 6, 7 and 8 show the performance results obtained on Farm 2, and Table 2 summarizes FCR and survival in both farms. Farm 2: Daily mortality and final survival in the 16,000 vaccinated fish % Survival Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E Zanolo AquaVac® Strep Sa vaccine efficacy for controlling streptococcosis in intensively reared Nile tilapia (Oreochromis niloticus) in Brazil: increased performance and profits 20 29 06 14 22 30 07 15 23 01 09 17 25 02 10 18 26 04 12 20 28 05 13 21 29 06 14 22 JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY Vaccination Date Harvest figUre 7 Farm 2: Daily mortality and final survival in the 16,000 control fish Highly significant differences in performance were obtained between the groups vaccinated with AquaVac Strep Sa and controls in both trials. Increased survival, thus decreased FCR, resulted in consistently higher economic returns. The return on investment (ROI) in Trial 1 was 7.4 times higher when compared to the investment in the vaccine. In Trial 2, the ROI for vaccination was 5.3 times higher. Daily mortality % Survival CoNClUSIoN 120 100 Daily mortality 80 80 60 60 40 N A T A L , 40 16 20 0 20 29 06 14 22 30 07 15 23 01 09 17 25 02 10 18 26 04 12 20 28 05 13 21 29 06 14 22 JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY Vaccination Date Harvest % Survival B R A Z I L 100 Under commercial production conditions and in the face of actual natural challenge, AquaVac Strep Sa is highly effective against streptococcal infections (S. agalactiae Biotype II, serotype Ib). Productive parameters, including survival/biomass and FCR, were significantly improved, resulting in an excellent ROI in both trials. p r o c e e d i n g s Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control Zanolo figUre 8 rEFErENCES Comparison of biomass gain (kg) between all vaccinated and unvaccinated fish on Farm 2 1 12.000 Suresh AV. 1998. Tilapia Update 1998. World Aquaculture. 30:8-68. AquaVac Strep Sa 11.000 10822 kg Controls 10.000 Running gain (kg) 9.000 8.000 9730 kg 2 1092 kg difference effect of environmental factors 7.000 Bunch EC, et al. 1997. The on the susceptibility of hybrid tilapia Oreochromis niloticus 6.000 x Oreochromis aureus to 5.000 streptococcosis. The Israeli 4.000 Journal of Aquaculture. 3.000 49:67-76. 2.000 1.000 3 Salvador R, et al. 2005. Isolation and characterization of group B Streptococcus spp. from Nile tilapia (Oreochromis niloticus) reared in hapas nets and in earth nurseries in the north region of Paraná State, Brazil. Ciência Rural. 35:1374-1378. 29 05 12 19 26 02 09 16 23 30 07 14 21 28 30 04 11 18 25 02 09 16 23 30 06 13 20 27 03 10 17 JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY Date tABLe 2 Summary of FCR and survival results from both farms FARM 1 Experimental groups FARM 2 % Survival FCr % Survival FCr Controls 76.5% 2.10 78% 1.96 AquaVac Strep Sa 91.9% 1.85 87% 1.75 4 Figueiredo H, et al. 2007. Estreptococose em Tilápia do Nilo – Parte 1. Revista Panorama da Aqüicultura. 17:103. Improvement in vaccinated fish compared to controls 15.4% 0.25 9% 0.21 5 Kubtiza F. 2002. Streptococcus versus Tilápia: É preciso se antecipar ao problema. Revista Considering the tremendous economic impact of streptococcosis on Brazilian tilapia farms, AquaVac Strep Sa is a valuable, highly effective vaccine. AquaVac Strep Sa is an indispensable tool for boosting the productivity, performance and economic viability of tilapia production in Brazil. We must also consider that vaccination results should be even more dramatic under a mass vaccination scheme, since protecting large fish populations will result in decreased disease pressure in the field, which can be reflected in overall benefits for intensive tilapia farms. Panorama da Aqüicultura. 7:65. 17 Wendover Neil Wendover, BSc; Mario Aguirre; Rodrigo Zanolo, MV, MSc; Leonardo Cericato, PhD; Robin Wardle Key points INTroDUCTIoN * * N A T A L , B R A Z I L 6 JUNE 2 011 Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E Streptococcus in tilapia: implications for vaccine development and field experiences from Asia 18 * Epidemiological surveys conducted by MSD Animal Health in major tilapia-producing countries demonstrate that Streptococcus agalactiae Biotype II is a globally significant cause of streptococcosis, resulting in chronic mortality and economic losses. In field trials, AquaVac® Strep Sa, the first intraperitoneal vaccine for tilapia, has proved to be safe for fish and effective against S. agalactiae Biotype II, while laboratory studies have shown it protects for at least 30 weeks. The availability of AquaVac Strep Sa could play a key role in enabling the burgeoning tilapia industry to sustain and continue to grow. Aquaculture is the world’s fastest growing food sector and tilapia represents much of that growth. The popularity of tilapia continues to skyrocket. Global production has nearly tripled since the beginning of the decade with an estimated output of 3.7 million tons in 2010, according to the Food and Agriculture Organization (FAO) of the United Nations. No other fish species has displayed such aggressive and sustainable growth, year after year. There are several reasons for increased tilapia production. Tilapia can be produced in versatile locations, water systems, temperatures and salinities. They have good performance characteristics such as fast growth, a high fillet yield and low feedconversion ratio (FCR) as well as firm, white fillet that makes them easy to market. Tilapia can now be considered a commodity item with a stable supply, demand and price. However, the cost of raw materials is increasing, which is increasing the cost of production and reducing profit margins. Further advancements in production efficiency are required to improve profitability, and this trend is continually driving the industry toward consolidation and intensification. Indeed, FAO reports that the overall number of fish farms is decreasing, while the size of individual farms is increasing, indicating the concentration of fish farms into fewer hands. This situation fosters the emergence of production diseases — and tilapia are no exception. Experience has shown that most intensive fish farming operations suffer from between six and eight major production diseases and that these must be prevented or controlled before the industry can become truly sustainable. In tilapia, we have so far identified four major bacterial diseases: Streptococcus agalactiae, Streptococcus iniae, Flavobacterium columnare and Francisella spp.; one viral disease, iridovirus; and two major groups of parasites: the monogeneans such as Gyrodactylus and the protozoan such as Trichodina (Figure 1). Their prevalence and severity depend on many environmental factors, such as geographical location, culture system, farming intensity, water salinity and temperature, and on several biological factors such as age, genetics, nutrition and stress. STrEPToCoCCUS: A N E S T A B l I S H E D P AT H o g E N By far the most important diseases economically are those due to streptococcus. In many instances, streptococcosis does not contribute the highest mortality, but it kills large fish and, as a consequence, heavily affects the FCR, reduces marketable product and damages production and processing efficiency (Figure 2). continued Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control Wendover p r o c e e d i n g s figUre 1 Major diseases affecting tilapia PHASE Hatchery sex-reversal 0g PATHOGEN Nursery 1g Pre-growout 10 g growout 100 g 1 kg Trichodina; Dactylogyrus; Amyloodinium Streptococcus spp. (Sa; Si) Francisella spp. Flavobacterium columnare Edwardsiella tarda Nocardia seriolae Iridovirus Saprolegnia; Branchiomyces Note: Importance of the disease is roughly in proportion to the size of the arrow bars. figUre 2 Some clinical signs of streptococcal diseases in farmed tilapia LEFT: Typical pin-point petecchial hemorrhaging caused by Streptococcus agalactiae MIDDLE: 3-gram juvenile tilapia with bilateral exophthalmia RIGHT: Late-stage bilateral exophthalmia and corneal opacity 19 N A T A L , B R A Z I L 6 JUNE 2 011 Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E Wendover Streptococcus in tilapia: implications for vaccine development and field experiences from Asia 20 tABLe 1 In 2000, MSD Animal Health initiated extensive epidemiological surveys in the major tilapia-producing regions of Asia and Latin America. We have identified over 1,000 bacterial isolates from tilapia reared at 74 sites in 14 countries to better understand the relative importance of streptococcal pathogens to the industry. As other investigations have found, these streptococcal species were the dominant bacterial pathogens, accounting for more than half of all bacteria identified. However, it is interesting that while S. iniae is the most commonly reported pathogen of fish, our data show that S. agalactiae is the more prevalent of the two in tilapia. S . AG A L AC T I A E B I oT y P E P r E VA l E N C E Detailed analysis of our isolates reveals two distinct clusters that differ in a variety of biochemical and phenotypic characteristics. We refer to these clusters as biotypes and differentiate between typically beta-haemolytical “classical” S. agalactiae (Biotype I) and typically non-beta-haemolytical S. agalactiae (Biotype II). S. agalactiae Biotype II is considered the most globally significant of the biotypes, with chronic mortality in many Asian Percent of total streptococcal isolations from tilapia reared in 14 countries PREVALENCE S. agalactiae Biotype I (Sa1) 26% S. agalactiae Biotype II (Sa2) 56% S. iniae 18% and Latin American countries, whereas S. agalactiae Biotype I is limited to Asia and displays acute mortality peaks, often associated with higher temperatures. In our epidemiological surveys to date, 26% of all streptococcal isolates of tilapia were found to be S. agalactiae Biotype I and 56% were identified as S. agalactiae Biotype II (Table 1). VACC I N E D E V E lo P M E N T A N D BIoTyPE SIgNIFICANCE Vaccines to protect against S. agalactiae have been described by various authors, but it is difficult to conclude from these studies if the vaccine and challenge strain were from the same, or different, biotypes. To determine if our classification of the fish pathogenic S. agalactiae has consequences for the development of vaccines to control this devastating disease, we conducted a laboratory challenge to determine the ability of biotype-specific vaccines to protect against lethal challenge with S. agalactiae Biotype I or Biotype II strains. Tilapia vaccinated with experimental S. agalactiae Biotype I vaccines were protected against lethal challenges with virulent S. agalactiae Biotype I strains; however, no protection was observed in tilapia that received the Biotype I vaccine when they were challenged with virulent Biotype II strains. Similarly, fish vaccinated with S. agalactiae Biotype II vaccines were protected against lethal challenge with Biotype II, but not with a virulent Biotype I strain. Thus, vaccination with biotype-specific bacterin vaccines induces biotype-specific protection against mortality caused by S. agalactiae. Laboratory studies also demonstrated that AquaVac® Strep Sa, a Biotype II vaccine ultimately developed for commercial use, protects against S. agalactiae Biotype II for at least 30 weeks (Figure 3). p r o c e e d i n g s Wendover Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control figUre 3 Laboratory efficacy against S. agalactiae Biotype II 30 weeks after vaccination with AquaVac Strep Sa % Cumulative mortality 100 Vaccinates 80 Controls 60 RPP 85% 40 20 0 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Days post-challenge Experimental challenge with a virulent heterologous S. agalactiae Biotype II isolate RPP = relative percent protection FIElD ASSESSMENT oF P r oToT y P E VACC I N E Carefully controlled, field registration trials were conducted to determine if results in the lab would be the same in the field with AquaVac Strep Sa, the vaccine for S. agalactiae Biotype II. The field trials were conducted in a lake environment using square cages housing ~10,000 fish at a large Asian tilapia farm. The trial was run in triplicate with three test cohorts including AquaVac Strep Sa, a placebo oil group and a negative, unvaccinated control. The fish were vaccinated at ~15 g after transfer to growout cages from the nursery ponds. Extensive bacteriological and virological samplings were conducted before, during and every month after vaccination and at specific time points during the trial when mortality was recorded above “normal.” As per the routine growout strategy, the trial was terminated and fish processed after ~200 days (just under 7 months) when they reached approxmately 1.2 kg. Mortality, feed and water quality parameters were recorded daily along with the final harvest data. Clear disease patterns emerged during the trial in all cages, indicating that columnaris disease or Flavobacterium columnare was responsible for high initial mortality peaks immediately after stocking. As the columnaris or “saddle-back” disease subsided, along with the initial transport and stocking stress, then iridovirus (a common viral disease of tilapia in this area) resulted in three clear peaks of mortality (Figure 4). This mortality pattern is often indicative of the disease and losses can routinely be as high as 30%. As the fish got larger, S. agalactiae and, to a much lesser degree, S. inae were increasingly reisolated from moribund fish in all three cohorts. The mortality patterns indicate that although the incidence of columnaris disease and iridovirus was similar in all groups, the degree of mortality from S. agalactiae was relatively much lower in the vaccine group when compared to the placebo oil and negative controls. Data gathered at harvest substantiated that observation: Survival in vaccinates was 80% compared to 67% survival in the placebo and negative control groups, representing a 13% improvement in vaccinated fish. Correspondingly, FCR figures were 1.86 in the vaccinates, compared to 2.06 and 2.05 in the placebo and negative control groups, respectively. This was an approximate 10% improvement in FCR (Table 2). In this trial, vaccinated fish had improved feed intake and feed utilization; consequently, they had improved production efficiency performance, with 2.25 continued 21 figUre 4 CroSS-ProTECTIoN STUDIES Daily mortality and cumulative survival in untreated controls Daily mortality Daily mortality Flavobacterium columnare 260 240 220 200 180 160 140 120 100 80 60 40 20 0 % Survival 120 100 S. agalactiae outbreak Typical (three) iridovirus peaks 80 60 Co-infection with S. iniae and S. agalactiae % Survival Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E Wendover Streptococcus in tilapia: implications for vaccine development and field experiences from Asia 40 8 16 24 01 09 17 25 03 11 19 27 04 12 20 28 06 14 22 30 07 15 23 31 08 16 24 04 12 AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY MARCH 0 Date 2 011 JUNE Results from a field trial with AquaVac Strep Sa TREATMENT GROUP % SURVIVAL % IMPROVEMENT IN SURVIVAL 13% FCR* Vaccinates 80% 1.86 Placebo-vaccinated controls 67% 2.06 Untreated controls 67% 2.05 IMPROVEMENT IN FCR* ca 10% 6 B R A Z I L N A T A L , C o M M E r C I A l V A C C I N AT I o N ExPErIENCES 20 tABLe 2 22 Further controlled laboratory challenge studies, using Indonesian, Malaysian, Vietnamese, Honduran, Brazilian, Mexican and Ecuadorian strains against the relative commercial vaccine, indicate that the vaccine cross-protects against multiple, geographically diverse isolates (Figure 5). The success of the first large commercialscale injection vaccination programs in tilapia to date has been variable, as expected. The laboratory environment demonstrates the efficacy of the vaccine for protection against specific S. agalactiae challenges, and well-controlled replicate comparison trials have been conducted comparing control versus vaccinated tanks. In the lab, the fish are “clean” and free from disease prior to, during and in general for 3 weeks after vaccination; furthermore, there are no other diseases present other than that for which the vaccine is being tested. Although the numbers are obviously smaller in the laboratory, another important consideration is that 100% of the housing unit is vaccinated. FCR = feed-conversion ratio metric tons more fish harvested in the vaccinated population compared to controls. This well-controlled field trial clearly demonstrates that AquaVac Strep Sa is safe and efficacious when used under field conditions. Significant improvements in both survival and FCR mean an effective, cost-efficient vaccine prevention strategy is available for the industry to cope with this devastating disease. Since vaccine efficacy against S. agalactiae and its ability to cross-protect against multiple geographically diverse isolates has already been clearly demonstrated in the lab, the aim of a commercial vaccination program is to discover the best way to implement the vaccine effectively under local conditions. Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control Wendover p r o c e e d i n g s figUre 5 The initial field trials and large-scale vaccination programs have clearly taught us lessons on some fundamental factors to implement before any operation can or should embark on a vaccination program. Efficacy of AquaVac Strep Sa against local isolates / RPP = relative percent protection ecUAdor 100 Vaccinates % Cumulative mortality 1 83% Controls 80 Correct diagnosis: Before a commercial producer commits to a vaccination program, the underlying cause of mortality needs to be determined by a fish health specialist. rpp 60 40 20 2 Antimicrobial susceptibility analysis: If a bacterial disease is confirmed, a diagnostic laboratory should perform an antimicrobial susceptibility test to determine if the bacteria is susceptible to therapeutic remediation and, if this is the case, which antibiotic is most suitable to control the outbreak. S. agalactiae biotype confirmation: If Streptococcus agalactiae is confirmed as the primary disease, a more detailed biotype analysis is necessary to ensure the right vaccine is chosen for the right reason, because we now know that immunity is biotype-specific. 0 2 4 6 8 10 12 14 Days post-challenge HondUrAs 100 rpp Vaccinates 75% Controls 80 % Cumulative mortality 3 0 60 40 20 0 4 The best results are obtained in operations where the stages of production are separated: The hatchery, nursery, pre-growout and growout are located 0 2 4 6 8 10 12 14 Days post-challenge Mexico 100 rpp Vaccinates 100% Controls 80 % Cumulative mortality Healthy fish: Healthy fish means that there is no sign of clinical or subclinical disease. Fish should be free of disease and stress before, during and for the first 2 to 3 weeks after vaccination. That means climatic (water quality) and housing conditions (biomass, handling, etc.) at this stage are crucial. 60 40 20 0 continued 0 2 4 6 8 10 12 14 Days post-challenge 23 6 JUNE 2 011 Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E Wendover Streptococcus in tilapia: implications for vaccine development and field experiences from Asia in different areas with separated housing unit employees and equipment. The hatchery and nursery phases should, preferably, be biosecure, well-controlled and disease-free. This not only gives juvenile fish the best start in life but also allows vaccines to be administered in a controlled environment. There are four key components to the vaccine program. 1 Correct administration: The aim is to administer the vaccine in a consistent and proper manner so there is minimal stress on the animal and to ensure that the correct dose is given to each and every individual. 2 Sufficient immune response: Correct vaccination and maintenance in a healthy state under suitable housing conditions prior to transfer will trigger a sufficient immune response before exposure to the “challenge environment.” 4 Shift the balance: It is important to note that even if a fish has been vaccinated, it may still be susceptible to disease and infection depending on its health, nutritional and stress status. Therefore, a combination of good management strategies, biosecurity, housing, water quality, nutrition, sanitation, immune stimulation and vaccination will tip the balance toward disease control. A good vaccination program will result in a rapid onset and full duration of protection. Over time, the vaccination program will have a self-perpetuating or ”snowball” effect; with fewer sick and dying fish, there will be less bacterial shedding in the water. Less bacterial shedding in turn lowers total challenge pressure, and coupled with increasingly more protected individuals, there will be overall better population performance. N A T A L , B R A Z I L CoNClUSIoN 24 3 Population protection: To achieve population protection, it is important that the entire population is vaccinated, not just a fraction of that population. The aim is to achieve blanket protection in the shortest time frame possible; this is much easier in an all-in/all-out production system, where 100% of stocked fish can be vaccinated, as opposed to gradually replacing susceptible fish with protected fish. MSD Animal Health’s extensive epidemiological surveys of streptococcus infections in tilapia have revealed some startling insights about the complexity of the disease. Detailed analysis of our tilapia S. agalactiae isolates suggests the presence of two biotypes that have a variety of different biochemical and phenotypic characteristics. These biotypes are geographically diverse, with Biotype II being the most prevalent in Asia and South America. To our knowledge, there are no obvious geographical, physiological or environmental explanations for the regional distribution of S. agalactiae Biotypes I and II. Consequently, it would be prudent to consider the possibility that the distribution of the biotypes may change over time, probably through trade in live fish. S. agalactiae vaccines are biotypespecific and do not cross-protect. One commercially available vaccine, AquaVac Strep Sa, has been developed to help protect tilapia against S. agalactiae Biotype II. The vaccine has been fully tested in the lab and in field situations and has clearly been demonstrated to be safe and effective. If all aspects of the production system are aligned toward good biosecurity and there is a specific health management plan with vaccination as its cornerstone, tilapia farms will be able to control streptococcosis and attain consistent production volumes. reantaso The responsible use of veterinary medicines in aquatic food production Melba B. Reantaso, PhD Key points INTroDUCTIoN * * * globalization of the aquaculture industry has resulted in intensified production, pressure to improve production performance and the widespread movement of animals, which have increased the risk for disease and the need for veterinary medicines. Safe and effective veterinary medicines are essential to efficient commercial aquaculture production, and animal health product manufacturers play a key role in the development of such drugs. The global trend is toward increasingly stringent, uniform standards, but more responsible use of veterinary medicines could be achieved by better enforcement of current regulations and improved health extension support to aquaculture farmers. globalization of the aquatic animal product trade and intensified aquatic animal production are among the trends contributing to new market opportunities for the aquatic farming industry, including warmwater fish. These trends, however, have also contributed to the spread of aquatic pathogens and diseases, which are a primary constraint to the culture of many aquatic species. Chronic diseases hinder performance and profits by resulting in reduced growth, feedconversion rates and survival, while acute disease outbreaks have the potential to cause mass mortality and devastate an entire aquaculture enterprise. Although the ability to manage aquaculture health issues has increased tremendously in the last 30 years, the rapid development of the aquaculture industry continuously generates new challenges. The result is an increased reliance on veterinary medicines1 to help ensure successful production by preventing and treating disease outbreaks. USE oF VETErINAry MEDICINES I N A q U A C U lT U r E Without question, veterinary medicines have many benefits if used responsibly. They enable the development of industrialscale food production systems necessary to feed society and improve financial gain for investors. Veterinary medicines make it possible to increase production efficiency and minimize land, water, feed and other resources that are required to produce a unit of aquatic food. They are essential to modern aquaculture production because, when used wisely, they can improve on-farm biosecurity and husbandry, and help sustain the industry. On the other hand, the misuse of veterinary medicines could have negative effects on human food safety and free trade. Some veterinary medicines used in aquaculture, such as chloramphenicol, have been shown to have potentially harmful effects on human health and have been banned, reducing the already limited arsenal of drugs available for disease treatment. The detection of chloramphenicol in internationally traded shrimp caused a slowdown of imports, resulting in economic losses to producers and their governments. Other concerns regarding the inappropriate or misuse of veterinary medicines include the potential for drug residues in food, the development of resistant pathogens and negative environmental impact. continued 25 N A T A L , B R A Z I L 6 JUNE 2 011 Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E reantaso The responsible use of veterinary medicines in aquatic food production 26 These concerns have contributed to the evolution of some profound changes in the development and use of veterinary medicines in aquaculture and other food-producing industries. SHArED rESPoNSIBIlITy In general, it can be stated that the global trend is toward more stringent and uniform standards and a more prudent and responsible use of veterinary medicines by the aquaculture industry. Most markets now have regulations dictating acceptable residue levels that also address environmental safety. Improved surveillance and technology have significantly increased the ability to detect trace amounts of banned or restricted substance residues, leading to improved detection levels. Animal health product manufacturers are playing a key role in the responsible use of veterinary medicines. One contribution is the development of drugs that have been specifically researched, developed and approved for use exclusively in veterinary medicine. An example is the broad-spectrum antibiotic florfenicol. The development of veterinary pharmaceuticals or vaccines for aquaculture and other food-producing industries requires a high level of investment, expertise and documentation; a huge amount of work and extensive testing goes into ensuring that an active compound or vaccine antigen is safe and efficacious for animals, humans and the environment and that it will meet all regulatory requirements. The manufacturing process involves heightened quality control checks for each stage of manufacturing, and compliance with the process and procedures is key to ensuring the consistency and reliability of the medicine being produced. Improved quality control programs are critical for on-farm performance but also help ensure that fish products are safe and wholesome for human consumption. When a farm uses a registered medicine in the correct way and follows guidelines for withdrawal, it can be confident that use of the product will not result in harmful residues — or cause disruptions in the trade of foods. This is why it is important for aquaculture producers to use approved, branded veterinary medicines instead of raw drugs or chemicals. The role of the animal health manufacturer does not end with release of the product. The company must also monitor any unexpected problems such as adverse reactions that may arise in the field. Producers and aquatic animal health professionals, of course, play a critical role in the prudent and responsible use of veterinary medicines in aquaculture. They are increasingly aware of the need to avoid using medicines, especially antibiotics, that are essential to human medicine. There is also increased awareness about the benefits of susceptibility testing to ensure the appropriate use of antibiotics. Susceptibility testing demonstrates whether or not a given antibiotic will be effective against the pathogen causing a disease outbreak. Preventive health management is also contributing to more prudent and responsible use of veterinary medicines in aquaculture. Consider the maturation of the salmon industry in Norway or yellowtail culture in Japan, where vaccination and improved husbandry have reduced the aquaculture industry’s reliance on veterinary therapeutics to achieve improved production and profitability. p r o c e e d i n g s Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control reantaso CoNClUSIoN rEFErENCES In summation, the responsibility for the prudent and responsible use of veterinary medicines in aquaculture must be shared by aquaculture stakeholders. 1 Governments have a key role to play, as do producers, health professionals, product manufacturers and consumers. A major responsibility for government and the public sector is to develop and implement good aquaculture practices; laws and regulations pertaining to the manufacture, licensing and use of veterinary medicines should be made in consultation with relevant private-sector stakeholders in a transparent manner and in line with international standards and guidelines. Rather than further restrictions, more prudent and responsible use of veterinary medicines could be achieved by better enforcement of current regulations and improved health extension support to aquaculture farmers. The responsible use of veterinary medicines is not only essential to the health and safety of animals, consumers and the environment, but to the sustainability of commercial aquaculture production. The use of such medicines should be part of national and on-farm health and biosecurity plans, conducted in accordance with an overall national policy for aquatic animal health management and sustainable aquaculture. Veterinary medicines: Any substance or combination of substances presented for treating or preventing disease in animals or which may be administered to animals with a view to making a medical diagnosis or to restoring, correcting or modifying physiological functions in animals. European Union (EU). 2004. Directive 2001/82/EC of the European Parliament and of the Council of 6 November 2001 on the Community Code relating to Veterinary Medicinal Products. Official Journal L -311, 28/11/2004, pp. 1– 66. as amended by Directive 2004/ 28/EC of the European Parliament and the Council of 31 March 2004 amending Directive 2001/82/EC on the Community Code relating to Veterinary Medicinal Products. Official Journal L – 136, 30/04/ 2004, pp. 58–84. This article contains excerpts from an article “Improving biosecurity through prudent and responsible use of veterinary medicines in aquatic food production” published at the FAO Aquaculture Newsletter No. 45 (August 2010 issue) based on an FAO Expert Workshop of the same title held in Bangkok, Thailand, in December 2009. 27 gaunt Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E Best treatment practices of warmwater fish pathogens using feed medicated with Aquaflor® (florfenicol) Patricia Simmons Gaunt, DVM, PhD, Diplomate, American Board of Veterinary Toxicology Key points INTroDUCTIoN * N A T A L , B R A Z I L 6 JUNE 2 011 * 28 * Aquaflor® (florfenicol), a fast-acting, broad-spectrum antibiotic provided as a feed premix, has been shown to be highly efficacious against Edwardsiella ictaluri and Flavobacterium columnare when administered at 10 mg florfenicol (FFC)/kg bodyweight/day for 10 days. Aquaflor should be administered as soon as bacterial disease is recognized in fish; treatment days should never be skipped and the full, 10-day treatment with Aquaflor should be provided to ensure treatment success. Used judiciously in conjunction with good husbandry, vaccines and improved genetic stock, Aquaflor is a valuable tool for controlling warmwater fish mortality from bacterial infections. Aquaflor® (florfenicol) is a fast-acting, palatable, broad-spectrum antibiotic provided as a feed premix. It is proven to be an effective and safe antibiotic for use in fish. To maintain the efficacy of this valuable antibiotic and obtain maximal benefit from feed medicated with Aquaflor, producers and diagnosticians must understand the rationale behind the label indications and they must work cooperatively. Aquaflor is approved for use in finfish in over 20 countries. Indications differ from country to country but include control of mortality due to diseases associated with the warmwater bacterial pathogens Edwardsiella ictaluri, Streptococcus iniae, Streptococcus agalactiae, Flavobacterium columnare, Francisella asiatica and Aeromonas hydrophila. In the US, the approval of Aquaflor for use in fish involved many experimental efficacy and safety studies required by the United States Food and Drug Administration, a US regulatory body. In the US, Aquaflor is currently approved for control of mortality due to enteric septicemia of catfish,1 furunculosis and coldwater disease in salmonids.2 Aquaflor®-CA1 (florfenicol) is conditionally approved for control of mortality due to columnaris disease in catfish.3 The objective of this paper is to explain the best practices for incorporating Aquaflor into overall disease management programs for warmwater fish production. EFFICACy STUDIES In vivo and in vitro efficacy studies with Aquaflor have been conducted. In vitro efficacy studies: The sensitivity of bacterial pathogens to florfenicol (FFC) has been assessed by determining the minimal inhibitory concentrations (MIC) of FFC for bacteria from both experimental studies and from diagnostic specimens obtained from disease outbreaks on farms. This laboratory assay quickly determines the susceptibility of bacteria to drug.4 MIC values for warmwater fish pathogens of interest are presented in Table 1. The values indicate that a wide variety of warmwater bacterial pathogens are susceptible to FFC. MIC values correlated with data from pharmacokinetic studies can be used to predict and validate the clinical performance of Aquaflor on farms.5 In vivo studies: Experimental Aquaflor efficacy studies in warmwater fish were p r o c e e d i n g s Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control gaunt tABLe 1 figUre 1 figUre 2 Minimal inhibitory concentration (MIC) of florfenicol in bacteria cultured from catfish and tilapia. The values indicate that the bacteria are susceptible to the antibiotic. Efficacy of Aquaflor demonstrated by reduced mortality in channel catfish challenged with E. ictaluri, then fed feed medicated with Aquaflor at 10 mg FFC/kg of fish bodyweight for 10 days. The feeding regimens were initiated 24 hours after exposure to E. ictaluri. Efficacy of Aquaflor demonstrated by reduced mortality in channel catfish challenged with F. columnare, then fed feed medicated with Aquaflor at 10 mg FFC/kg of fish bodyweight for 10 days. The feeding regimens were initiated 24 hours after exposure to F. columnare. PATHOGEN Susceptibility (MIC) (µg/mL) Edwardsiella ictaluri Flavobacterium columnare 0.25 100 0.5-1.0 Unmedicated feed Unmedicated feed Aquaflor Aquaflor 60 87.3% (p < 0.001) Aeromonas hydrophila 0.5-4.0 Mortality rate % 2.0-4.0 Mortality rate % 80 Streptococcus iniae Streptococcus agalactiae 60 40 20 9.3% 0 40 30 20 10 8% 0 Channel catfish Francisella asiatica 54.2% (p < 0.001) 50 Channel catfish 2.0 conducted at a dose rate of 10 mg FFC/kg bodyweight against the pathogens E. ictaluri and F. columnare in catfish (Ictalurus punctatus) fingerlings.6-8 Aquaflor was highly efficacious (p < 0.001) when compared to controls (Figures 1 and 2). The efficacy of Aquaflor in warmwater fish has also been demonstrated in experimental studies against the pathogens S. iniae9 and F. asiatica.10 In 2009, high mortality in market-size catfish (~2 lbs or 0.907 g) associated with A. hydrophila occurred on several farms in Alabama, USA.11 Aquaflor was used to contain the outbreak. There were no untreated controls in these studies for both animal welfare and economic reasons. Nonetheless, comparison of mortality before and after treatment with feed medicated with Aquaflor showed a dramatic decrease and, in some cases, complete cessation of mortality (Figure 3). PHArMACokINETIC AND rESIDUE DEPlETIoN STUDIES Pharmacokinetic studies were conducted to determine the disposition of FFC in warmwater fish (reared in freshwater) and to confirm the dose rates determined by efficacy studies. After oral dosing of catfish at 10 mg/kg11 (Figure 4) and tilapia at 15 mg/kg,12 a high concentration of FFC was absorbed quickly from the intestine, rapidly continued 29 figUre 3 Mortality among fish treated at one of several farms in Alabama with an A. hydrophila outbreak. Over 200,000 channel catfish received 10 mg FFC/kg fish/day for 10 days. 1.800 1.600 Treatment period 1.400 % Daily mortality Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E gaunt Best treatment practices of warmwater fish pathogens using feed medicated with Aquaflor® (florfenicol) 1.200 B E S T T r E AT M E N T P r A C T I C E S 1.000 0.800 0.600 0.400 0.200 9.4 9.7 9.10 9.13 9.16 9.19 9.22 9.25 9.28 10.1 10.4 10.7 10.10 Note: Data courtesy of US Fish and Wildlife Service, AADAP B R A Z I L disseminated throughout the body and maintained at a steady concentration during the 10-day dosing period. N A T A L , Feed medicated with Aquaflor should be used in conjunction with proper husbandry, available vaccines and genetically improved fish. Good fish husbandry includes environmental management, attention to stocking density, biosecurity and good recordkeeping. Dates — 2009 6 JUNE 2 011 0.000 30 time, which is the time between the last dose of FFC and the time when the drug residue levels fall below the 1 µg/g tolerance. The results support a withdrawal time of 12 days for warmwater fish following treatment with Aquaflor administered according to label directions.*13-14 Tissue concentrations of FFC in catfish and tilapia during the 10-day treatment under the specified experimental conditions were greater than the MIC values of five pathogenic bacteria studied (Table 1). This tissue concentration was considered sufficient to effectively combat the pathogenic bacteria. In a single oral-dose study conducted with catfish, the mean concentration of Aquaflor in plasma declined below 1 µg/mL by 36 hours; this concentration is below the highest MIC efficacy value for most catfish pathogens (Table 1). Therefore, it is critical to continue daily dosing (every 24 hours) for 10 days to achieve and maintain an efficacious dose at the rate necessary to combat bacterial infections. Residue depletion studies were conducted to determine the calculated withdrawal The ideal aquaculture environment is maintained at optimal water temperatures, dissolved oxygen and chemistries for each warmwater species. Although emphasis is placed on increased stocking rates to maximize production, fish should be stocked near, but not in excess of, the maximal capacity to avoid poor water quality, suboptimal dissolved oxygen concentrations and traumatic injury. Any of these factors could stress and predispose fish to disease. Biosecurity measures such as footbaths and cleaning, disinfecting and rinsing equipment will help prevent the spread of infectious agents on the farm. Diseases can be transmitted by humans, predators * Withdrawal times may vary by market. Check local package insert for details. p r o c e e d i n g s Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control gaunt figUre 4 and scavengers, equipment and water. Although predators and scavengers are difficult to deal with, the control of other vectors is manageable. Newly introduced fish should be quarantined (and treated if necessary) for 3 to 6 weeks before introduction into the growout facilities on farms that share common water systems.15 FFC plasma concentration versus time in channel catfish (Ictalurus punctatus) at a mean water temperature of 25.4° C (77.7° F) after medication with Aquaflor at a dose rate of 10 mg FFC/kg bodyweight. FFC was rapidly absorbed and attained effective plasma concentrations above the MIC of most catfish pathogens.11 Drug residue tolerance level 100 Proper farm management requires managers to maintain fish health records that help enable recognition of diseases and their proactive management. Important farm records include the seasonality of outbreaks, fish eating patterns and behavior. For example, if fish become anorexic during summer when water temperature ranges from 24° C to 28° C (75° F to 82° F), the problem pathogen is more likely to be S. agalactiae rather than S. iniae.16 Producers should submit live, sick fish to a diagnostic laboratory for examination of lesions and culture of the suspected pathogenic bacterium. Dead fish often have been contaminated with additional bacteria that are not the source of a disease outbreak, which is why live, sick fish should be examined and lesions cultured; the results must be carefully interpreted to avoid an incorrect diagnosis.17 It is advantageous for producers to stock robust fish strains bred for fast growout and high survival rates. µg/mL 10 1 0.1 0.01 0.001 0 48 96 144 192 240 288 336 Hours Genetically improved stock fed optimal diets yield high quality alevins resulting in larger, more disease-resistant juveniles that perform well in the field. However, vaccinated fish can still succumb to pathogens if they are stressed and if husbandry is less than optimal. Prevention of disease is increasingly becoming a reality due to the availability of warmwater fish vaccines, which vary from country to country. Vaccines against E. ictaluri and F. columnare (AquaVac-ESC® and AquaVac-COL®) in catfish are commercially available in the US; AquaVac® Strep Sa is the first-ever intraperitoneal vaccine for tilapia and protects against S. agalactiae Biotype II, an important cause of streptococcosis. U S E A q U A F l o r AT T H E F I r S T SIgN oF DISEASE, ACCorDINg To lABEl DIrECTIoNS Feed medicated with Aquaflor should be administered as soon as bacterial disease is recognized in fish.18 A delay of just a few days after the onset of disease signs can mean the difference between successful therapy and treatment failure. continued 31 N A T A L , B R A Z I L 6 JUNE 2 011 Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E gaunt Best treatment practices of warmwater fish pathogens using feed medicated with Aquaflor® (florfenicol) 32 figUre 5 Some diseases can be diagnosed from the age and class of fish, early signs and lesions, and dates of outbreaks, while others require culture results. Vigilance will alert producers to early signs of disease, such as anorexia or lethargic swimming. Corneal opacity with exophthalmia (bulging eyes) seen in tilapia with streptococcosis Columnaris disease caused by F. columnare in tilapia is characterized by external lesions of ulceration and necrosis of the gills, mouth, skin, muscle and fins, giving a ragged appearance of the fin rays caused by sloughing of the epithelium. Important bacterial pathogens of freshwater tilapia include S. iniae, S. agalactiae, A. hydrophila, F. asiatica, F. noatunensis and F. columnare. Fish infected with the first four of these pathogens will quickly lose their appetites, which decreases medicated feed intake. Experimental studies of F. columnareinfected catfish demonstrate that the bacterial infection does not cause anorexia in catfish.8 However, anecdotal reports indicate that appetite is affected in columnaris disease under field conditions when the mouth becomes extremely necrotic. As stated previously, FFC tissue concentration must exceed its MIC value for the bacteria during the treatment period. Fish that are not eating or only eating small quantities will be inadequately medicated.9 Lethargic fish will likely have lesions that are more indicative of a given disease than are clinical signs. Streptococcosis in tilapia is most frequently caused by S. agalactiae and S. iniae. External lesions include exophthalmia — bulging eyes — skin ulcerations (from secondary infections) and enlarged internal organs, especially of the spleen and kidney, with whitish necrotic nodules (Figure 6). A. hydrophila in tilapia is characterized by external lesions of hemorrhage, ulceration and necrosis of the skin, base of the fins and occasionally the muscle. Exophthalmia is occasionally reported with this disease. Internal lesions include bloody fluid in the coelomic cavity and hemorrhage in the organs. Because Aquaflor requires a prescription in many markets, such as the US and Brazil, a veterinarian or other fish health specialist should examine affected fish and determine that they are sick based on the signs of disease, lesions or the results of diagnostic tests such as bacterial culture.18 If the fish have a bacterial disease that is treatable with Aquaflor, the veterinarian will issue a medicatedfeed order. Dosing should be followed according to label directions, using the effective approved dose rate for 10 days’ duration. A dose rate of 10 mg/kg bodyweight in catfish is efficacious against E. ictaluri and F. columnare; in tilapia alevins and juveniles, this dosage has been shown to be efficacious against F. columnare, A. hydrophila and S. agalactiae. Francisellosis in tilapia is caused by F. asiatica and F. noatunensis. Typical lesions of Fransicella spp. infection include exophthalmia, whitish nodules (which represent areas of necrosis) in the gills, Medicated feed should be purchased from a feed mill that follows Good Manufacturing Practices to ensure quality, purity and the indicated label concentration. For practical reasons, the with corneal opacity (Figure 5), darkening of the skin, necrosis of gills and hemorrhage of the skin, opercula, vent and muscles. Internal lesions include fluid in the coelomic cavity, hemorrhage and enlargement of internal organs as well as inflammation in joints and the heart. p r o c e e d i n g s Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control gaunt figUre 6 Enlarged internal organs, especially of the spleen and kidney, seen in tilapia infected with F. asiatica Photo courtesy of Dr. Juan A. Morales, Escuela de Medicina Veterinaria, Universidad Nacional de Costa Rica; and Dr. Esteban Soto, Ross University School of Veterinary Medicine, St. Kitts Aquaflor feeding rate (calculated as a percentage of bodyweight) for medicated feed may be predetermined by commercial feed mills on the basis of local feeding practices.20 Custom blends can be produced by farm-mixing where permitted. It is imperative that producers feed the full regimen of feed medicated with Aquaflor and that feed medicated with Aquaflor is fed as the sole ration during the treatment period. If the farmer is uncertain that the medication will work, bacterial isolation and susceptibility testing must be performed at a diagnostic laboratory. Skipping treatment days or administering feed medicated with Aquaflor for fewer days than recommended will lead to wasted resources. In addition, lower tissue concentrations of the drug in fish can lead to the selection of resistant bacteria, and resistance to one medicated feed can lead to resistance against other medicated feeds,21 eventually leaving the farmer with fewer options for bacterial treatment. When used in conjunction with good husbandry, vaccines and improved genetic stock, judicious use of Aquaflor is a valuable tool for controlling warmwater fish mortality from bacterial infections. Alternatively, producers may be tempted to administer medicated feed excessively because Aquaflor is highly palatable, but this will only lead to higher tissue concentrations than necessary, which wastes resources. Producers should adhere to recommended dosages and required withdrawal times to prevent prohibitive residues. 1 rEFErENCES US Food and Drug Administration (US FDA). [Internet]. 2009. [cited 2011 March]. FDA approves new antimicrobial for catfish. Available from: fda.gov/. 2 US Food and Drug Administration (US FDA). [Internet]. 2007. [cited 2011 March]. FDA approval of new antimicrobial for salmonids. Available from: fda.gov/. 3 CoNClUSIoN Aquaflor is effective against aquatic warmwater bacterial infections such as F. columnare, S. iniae, S. agalactiae, A. hydrophila and E. ictaluri. Fish showing early signs of disease associated with these pathogens should be examined for lesions and cultured at a diagnostic laboratory to identify the bacteria. It is imperative that producers use feed medicated with Aquaflor according to label directions to ensure maximal efficacy, preserve bacterial susceptibility and prevent prohibited tissue residues. US Food and Drug Administration (US FDA). [Internet]. 2009. [cited 2011 March]. First FDA conditionally approved new animal drug for columnaris disease in catfish. Available from: fda.gov/. 4 Gaunt P. 2010. Determining antimicrobial MICs against aquaculture pathogens using Sensititre® plates. Aqua Bulletin Technical Service Update. Number 3. MSD Animal Health. 5 Miller R, et al. 2006. Epidemiologic cutoff values for antimicrobial agents against Aeromonas salmonicida isolates determined by frequency distributions of minimal inhibitory concentration and diameter of zone of inhibition data. American Journal of Veterinary Research. 67:1837–1843. continued 33 Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E gaunt Best treatment practices of warmwater fish pathogens using feed medicated with Aquaflor® (florfenicol) 6 Gaunt P, et al. 2003. Preliminary assessment of the tolerance and efficacy of florfenicol against Edwardsiella ictaluri administered in feed to channel catfish. Journal of Aquatic Animal Health. 15:239-247. 2 011 JUNE 6 B R A Z I L N A T A L , Soto E, et al. 2010. Comparison of in vitro and in vivo susceptibility of Francisella asiatica to florfenicol. Antimicrobial Agents and Chemotherapy. 54: 4664-4670. 11 7 Gaunt P, et al. 2004. Determination of dose rate of florfenicol in feed for control of mortality in channel catfish Ictalurus punctatus (Rafinesque) infected with Edwardsiella ictaluri, etiological agent of enteric septicemia. Journal of the World Aquaculture Society. 35:257-267. 8 34 10 Gaunt P, et al. 2010. Efficacy of florfenicol for control of mortality caused by Flavobacterium columnare infection in channel catfish, Ictalurus punctatus (Rafinesque). Journal of Aquatic Animal Health. 22:115-122. Gaunt P, et al. 2011. Single intravenous and oral dose pharmacokinetics of florfenicol in channel catfish (Ictalurus punctatus). Journal of Veterinary Pharmacology and Therapeutics. doi: 10.1111/j.1365-2885.2011.01340.x. Personal communication, Dr. Rodrigo Zanolo, MSD Animal Health. 17 Plumb J. 1999. Disease recognition and diagnosis. Health Maintenance and Principal Microbial Diseases of Cultured Fishes. 34-40. 18 Gaunt P. 2006. Veterinarians’ role in the use of veterinary feed directive drugs in aquaculture. Journal of the American Veterinary Medical Association. 229: 1-3. 12 Bowser P, et al. 2009. Florfenicol residues in Nile tilapia after 10-d oral dosing in feed: effect of fish size. Journal of Aquatic Animal Health. 21:14-17. 13 Wrzesinski C, et al. 2006. Florfenicol residue depletion in channel catfish, Ictalurus punctatus (Rafinesque). Aquaculture. 253: 309-316. 9 Gaunt P, et al. 2010. Determination of florfenicol dose rate in feed for control of mortality in Nile tilapia (Oreochromis nilotica) infected with Streptococcus iniae. Journal of Aquatic Animal Health. 22: 158-166. 16 19 AliAbadi F, et al. 2000. Antibiotic treatment for animals: effect on bacterial population and dosage regimen optimization. International Journal of Antimicrobial Agents. 14:307-313. 20 Robinson E, et al. 2004. Feeds and feeding practices. Biology and Culture of Channel Catfish. 324–348. 14 Gaikowski M, et al. 2010. Depletion of florfenicol amine, marker residue of florfenicol, from the edible fillet of tilapia (Oreochromis niloticus x O. niloticus and O. niloticus x O. aureus) following florfenicol administration in feed. Aquaculture. 301: 1–6. 15 Losordo T. 1997. Tilapia culture in intensive recirculating systems. Tilapia Aquaculture in the Americas. 185-208. 21 Welch T, et al. 2009. IncA/C plasmidmediated florfenicol resistance in the catfish pathogen Edwardsiella ictaluri. Antimicrobial Agents and Chemotherapy. 53: 845-84. gaikowski Depletion of florfenicol in water and florfenicol amine from fillet tissue after feeding Aquaflor® (florfenicol) to tilapia in a recirculating aquaculture system Mark P. Gaikowski, MA; Melissa K. Whitsel, BS; Shawn Charles, MS; Susan M. Schleis, BS; Louis S. Crouch, PhD; Richard G. Endris, PhD Key points INTroDUCTIoN * A study was conducted to determine the depletion of florfenicol (FFC) in water and florfenicol amine (FFA), a marker for FFC residue, from the fillet of market-weight tilapia in a recirculating aquaculture system (rAS) after administration of feed medicated with Aquaflor® (florfenicol). * Maximum FFC concentration in water occurred on the 10th dosing day and decreased to 807 ng/ml by 240 hours after dosing; FFA decreased from a mean of 13.77 μg/g at 1 hour after dosing to a mean of 0.39 μg/g by 240 hours after dosing. * The results indicate that in tilapia the FFA decline in rAS is similar to that found in continuous-flow systems and also support the approved withdrawal time for feed medicated with Aquaflor.* Streptococcus iniae, a Gram-positive bacterium, causes substantial mortality in tilapia, Oreochromis spp., especially among fish cultured in recirculating or intensive flow-through systems. Worldwide annual economic loss as a result of S. iniaeassociated mortality in tilapia has been estimated to be about US $100 million.1 Consequently, MSD Animal Health is seeking US approval of Aquaflor®, a feed premix containing the broad-spectrum antibacterial agent florfenicol (50% w/w; Figure 1A), for treatment of S. iniae in tilapia. Use of trade or product names does not imply endorsement by the US government. Aquaflor was recently approved in the US at a dose rate of 10 mg/kg bodyweight per day (BW/day) administered in feed for 10 days to control mortality due to enteric septicemia in catfish (2005) and coldwater disease and furunculosis in trout (2007); it was conditionally approved (Aquaflor-CA1) to control mortality due to columnaris disease in catfish (2007). Globally, Aquaflor, which is also marketed as Aquafen® and Florocol® in some regions, is registered for use in more than 20 countries including Norway (1993); Chile (1995); Canada (1997); the United Kingdom (1999); Ecuador and Venezuela (2005); Colombia (2006); and Brazil, Costa Rica, Vietnam and China (2007) to control various susceptible pathogens in a variety of commercially important freshwater and marine species. continued figUre 1A /1B Chemical structures of florfenicol (1A) and florfenicol amine (1B)** 1A 1B O H 3C OH O S H3C OH S O F NH O O NH2 F Cl Cl **1A: Florfenicol [R-(R*,S*)-2,2-dichloro-N-[1-fluoromethyl-2-hydroxy-2-(4-methylsulfonylphenyl)] ethyl acetamide] is the active ingredient of Aquaflor. 1B: Florfenicol amine [R*,S*0]-α-(1-amino-2-fluoroethyl)-4-(methylsulfonyl)-benzenemethanol]) is the marker residue of florfenicol. * Withdrawal times may vary by market. Check local package insert for details. 35 Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E gaikowski Depletion of florfenicol in water and florfenicol amine from fillet tissue after feeding Aquaflor® (florfenicol) to tilapia in a recirculating aquaculture system We evaluated the depletion of florfenicol amine (FFA) — a marker of florfenicol (FFC) residue — from tilapia fillet and the decline of FFC following FFC-medicated feed administration at a nominal dose rate of 20 mg/kg BW/day to fish reared in a recirculating aquaculture system (RAS). The objective of the study was to develop the marker residue depletion data needed to allow FFC administration at a proposed maximum dose of 15 mg/kg BW/day for 10 consecutive days.2 N A T A L , B R A Z I L 6 JUNE 2 011 FlorFENICol DEPlE TIoN 36 FFC distribution, metabolism and depletion following dosing at 10 mg/kg BW/day has been well characterized in a variety of fish.3-10,17,19 FFC was similarly distributed in freshwater- or seawateracclimated tilapia with the maximum concentration occurring 2 to 24 hours post-dosing, depending on the tissue. 10 In Atlantic salmon, FFA (Figure 1B) was identified as the primary metabolite of FFC in muscle. 11 Muscle (skin-on fillet), by regulation, is considered the edible tissue of most fish. FFA was subsequently selected as the marker residue of FFC administration because it is the primary FFC metabolite, and other lesser metabolites (and FFC) are converted to FFA through acid hydrolysis. 12 Monitoring total FFA concentration (FFA + acid-hydrolyzed FFC and metabolites) in the target tissue thus provides a conservative estimate of FFC residues and enables calculation of a conservative withdrawal period. Although FFC metabolism data were not available for tilapia, FFA was assumed to be the marker residue since it is the marker residue in cattle, swine, sheep, poultry, catfish, salmon and trout.13 Data from residue depletion studies are used to calculate a withdrawal period for a drug, which is the time required for the animal to deplete the drug residue to a level that is considered safe for human consumption. Regulatory agencies estimate the safe concentration or maximum residue level (MRL) by combining an acceptable daily intake (ADI) level (from toxicology data) with a standard human mass estimate and a consumption factor (an estimate based on the mass of residue-bearing tissue consumed). For FFC, the 10 µg/kg ADI is multiplied by a standard human weight (60 kg), then divided by a consumption factor (in fish, a standard mass [300 g] of skin-on fillet [muscle] is used), resulting in a tolerance of 2 µg/g; the European Agency for the Evaluation of Medical Products and the US Food and Drug Administration have applied an additional safety factor and established the MRL for Europe and the US at 1 µg/g.13-14 M AT E r I A l S A N D M E T H o D S Commercial tilapia culture is principally focused on the rearing of phenotypic males produced by the administration of feed containing 17α-methyltestosterone (MT) to tilapia fry. Tilapia used in the study were a mix of MT gender-reversed females (phenotypic males) and genetic males of the two most commonly cultured tilapia strains, pure Nile tilapia (O. niloticus x O. niloticus) and hybrid tilapia (O. niloticus x O. aureus). Aquaflor-medicated premix was used to prepare the medicated feeds. The feeds used were assayed for FFC content by high-performance liquid chromatography15 (HPLC) before and after dosing (Table 1). The non-medicated feed was analyzed to determine proximate nutrient content as well as inorganic or organic contaminants (Eurofins Scientific Inc., Des Moines, Iowa, USA). Non-medicated feed and feed medicated with Aquaflor (2.667 g FFC/kg) for the residue depletion study (extruded 4.8 mm floating pellets) were prepared according to standard procedures at Delta Western Research Center (Indianola, Mississippi, USA). Aquaflor premix was added to the medicated feed during mixing, prior to extrusion. Nile and hybrid tilapia (mean weight = 447 ± 56 g) were obtained from a commercial farm. Tilapia were held in a Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control gaikowski p r o c e e d i n g s tABLe 1 Mean florfenicol (FFC) concentration* in feed STUDY TYPE Nominal dose (mg FFC/kg BW1/day) Nominal feed concentration (g FFC/kg) Mean concentration (g FFC/kg) Percent of nominal post-dosing periods. Three equal feed portions were offered each day with ~4 hours between each feed administration. Daily feed consumption was estimated during the dosing period. start of dosing end of dosing residue depletion 1 2 0 20 0 2.667 <loq2 2.638 <loq 2.560 NA 97.5 % Bodyweight LOQ = limit of quantitation (0.0002 g/kg) *Determined by high-performance liquid chromatography in feed samples collected at the start and end of dosing for residue depletion studies commercial RAS (Aquatic Eco-Systems Fish Farm™ II) consisting of twin ~1,900 L (500 gal.) polyethylene tanks, mechanical filters (clarifier and suspended solids filter) and a biological filter; there was ~3,350 L (885 gal.) total system water. The RAS biofilter was inoculated with commercial biofilter bacterial inoculum and allowed to operate for ~6.5 months with fish present before FFC administration. These fish were removed, and the tilapia used for testing were stocked into the RAS 38 days before FFC administration. Temperature was maintained at 27° C to 27.6° C (80.6° F to 81.7° F). Waste solids were removed once daily ~1 hour before feeding, and concurrent with solids removal, a portion of the RAS water was removed (acclimation — 6-11%; dosing and post-dosing — 5-8%) and replaced with temperature-adjusted well water (at ~22° C/71.6° F). Water chemistry (temperature, dissolved oxygen, pH, total ammonia, nitrite and nitrate) was determined once daily prior to tank cleaning. Water hardness and alkalinity were determined weekly. Alkalinity was maintained at >150 mg/L as CaCO3 by occasional addition of sodium bicarbonate. A single water sample was analyzed for metals and volatile and semi-volatile organics (Davy Laboratories, La Crosse, Wisconsin, USA). No contaminants at levels of concern were identified. Non-medicated feed was offered at a rate of 0.25%-1% BW/day during the 38-day acclimation period; the feed rate was 0.75% BW/day for the last 11 acclimation days and remained constant through the remainder of the study, including the dosing and Five fish from each tank were sampled 4 days prior to dosing to obtain control fillet tissue. Fish were indiscriminately removed and sacrificed; the fish were then scaled and skin-on fillets were collected, individually bagged and stored at <-70° C (-94° F). Tilapia (n = 209) were offered feed medicated with Aquaflor at 0.75% BW/day (nominal dose = 20 mg FFC/kg BW/day) for 10 consecutive days. The estimated delivered dose was calculated from the estimated feed mass consumed, feed FFC concentration and the total fish mass at terminal sampling. Twenty fish (10 per tank) were indiscriminately removed from the RAS tanks on days 0.04, 0.5, 1, 1.5, 2, 3, 4, 5 and 10 post-dosing, and skin-on fillets were collected as previously described. Water samples for FFC analysis were collected: (1) concurrent with the control fillet collection, (2) prior to tank cleaning during the dosing period (~1 hour prior to the first daily feeding), (3) just prior to the second and third daily feeding intervals, continued 37 N A T A L , B R A Z I L 6 JUNE 2 011 Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E gaikowski Depletion of florfenicol in water and florfenicol amine from fillet tissue after feeding Aquaflor® (florfenicol) to tilapia in a recirculating aquaculture system 38 (4) 4 hours after the third daily feed interval and (5) concurrent with tissue collection during the post-dosing period, except the 0.04-day post-dosing fillet collection. At each collection interval, one water sample (~50 mL) was taken from the RAS clarifier and from the RAS suspended solids filter. Each sample was hand-mixed and syringe-filtered (Durapore® [PVDF, 0.45 µm] membrane, Millipore, Billerica, Massachusetts, USA) in ~2-mL aliquots into HPLC vials then stored at ≤-20° C (≤-4° F) until analyzed. FFA concentrations were determined using a method validated for FFA in tilapia fillet tissue at MPI Research, Inc. (State College, Pennsylvania, USA). The method involved converting all FFC residues to FFA by acid-catalyzed hydrolysis. Fillet tissue was hydrolyzed by adding 6N hydrochloric acid then held for approximately 2 hours at 95° C to 100° C (203° F to 212° F). The tissue-hydrolysate was extracted with ethyl acetate and centrifuged. The aqueous hydrolysate was retained and adjusted to pH 12.5 or greater with 30% (w/w) sodium hydroxide solution. The pH-adjusted solution was adsorbed from 45 to 60 minutes onto a Varian Chem Elut CE120 sorbent column (Varian, Inc., Palo Alto, California, USA) then eluted with methylene chloride. The methylene chloride eluates were evaporated to dryness, dissolved in 10 mM potassium phosphate buffer (pH 4.0, 1% [v/v] acetonitrile), filtered (0.2 µm) and then analyzed by HPLC using UV detection at 220 nm. The method quantitation limit (LOQ) was 0.05 µg/g. which the tolerance limit was less than 1 µg/g. Analyses were considered significant if P < 0.05. r E S U lT S FFC concentration was determined in water samples using a validated determinative procedure capable of quantifying FFC from 10 to 5,000 ng/mL and up to 20,000 ng/mL after dilution. FFC concentration was determined by ultra-pressure liquid chromatography with mass spectrometric detection on an atmospheric pressure ionization interface. Water samples were fortified with FFC-d4 as an internal standard and analyzed directly. Ionic transitions of 356 to 185 m/z and 360 to 189 m/z were monitored for FFC and the internal standard, respectively. The method LOQ was 10 ng/mL. The mean minimum daily delivered doses were 19.4 mg/kg BW/day for tilapia in tank 1 (range 19.3 to 19.57) and 19.8 mg/kg BW/day for tilapia in tank 2 (range 19.7 to 20.0) or 97% to 99% of the target dose. Fish consumed 100% of the feed medicated with Aquaflor that was offered during the 10-day dosing period, similar to those of non-medicated feed during the acclimation and post-dosing periods. FFA concentrations in tilapia fillets are summarized in Table 2. Representative analytical standard, control and treated tissue chromatograms are presented in Figure 2. The residue depletion profile of FFA in skin-on fillet of tilapia following withdrawal from the medicated diet was estimated by log-linear regression.16 The fitted loglinear regression model ([Ln (ppm)] = 2.3215 Ln (ppm) + –0.0151 Ln (ppm)/hour x hours post-dosing) R2 was 0.8271. The withdrawal period was defined as the time when the tolerance limit of the residue concentration was at or below the 1 µg/g MRL. The tolerance limit was set as the 99th percentile of the potential residue level at 95% confidence.16 The withdrawal period was, therefore, equivalent to the time at Mean FFA concentration in tilapia fillets exceeded the MRL during the post-dosing period until the last post-dosing fillet collection (10 days post-dosing) when all fillet concentrations were below the MRL. Mean FFA concentrations steadily declined during the post-dosing period. Fillet FFA concentrations were similar between the two study tanks throughout the postdosing period. FFA level depleted rapidly to below the MRL, and the calculated tolerance limit was below the MRL at 10 days after withdrawal of the medicated feed (Figure 3). Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control gaikowski p r o c e e d i n g s tABLe 2 Mean florfenicol amine (FFA) concentration* in fillet tissue following administration of feed medicated with Aquaflor Days post-dosing TANK 1 TANK 2 Mean FFA in Nile and hybrid tilapia (µg/g) FFA (µg/g) N FFA (µg/g) N 0.04 14.42 (6.61) [3.51-27.78] 10 13.13 (3.54) [7.54-18.51] 10 13.77 (5.21) 0.5 12.12 (3.62) [9.21-21.15] 10 14.79 (4.86) [6.94-21.63] 10 13.45 (4.39) 1 7.35 (3.01) [3.49-12.41] 10 7.98 (3.64) [2.80-12.65] 10 7.67 (3.27) 1.5 7.39 (2.47) [4.49-12.46] 10 4.09 (1.40) [2.46-6.41] 10 5.74 (2.58) 2 4.60 (1.51) [2.50-7.46] 10 5.33 (1.08) [3.59-7.11] 10 4.97 (1.33) 3 2.59 (1.02) [0.86-4.26] 10 3.08 (2.15) [0.64-7.16] 10 2.84 (1.66) 4 1.93 (0.68) [0.83-3.05] 10 2.38 (0.85) [1.31-3.50] 10 2.16 (0.78) 5 1.40 (0.66) [0.42-2.32] 10 1.37 (0.41) [0.93-2.11] 10 1.38 (0.53) 10 0.46 (0.20) [0.31-0.98] 10 0.33 (0.09) [0.18-0.50] 10 0.39 (0.16) * FFA concentration in fillet tissue from Nile and hybrid tilapia following administration of feed medicated with Aquaflor as the sole ration for 10 consecutive days. Standard deviations are in parentheses and the range is in brackets. Only samples above the FFA quantitation limit of 0.05 µg/g were included in summary calculations. FFC levels in RAS water before dosing were <LOQ. FFC concentration in water increased during the dosing and post-dosing period to a maximum concentration of 1,430 ng/mL concurrent with the 12-hour fillet collection (0.5 day post-dosing; Figure 4). The maximum mean FFC concentration of 1,400 ng/mL occurred concurrent with the 24-hour fillet collection (1 day post-dosing; Figure 5). The mean FFC concentration decreased during the post-dosing period to 847 ng/mL at 10 days post-dosing (Figure 4). FFC concentration was remarkably similar in the samples collected at sites 1 and 2 (Figure 4). Unionized ammonia-nitrogen levels were <0.02 mg/L NH3-N during the acclimation, dosing and post-dosing periods. Nitratenitrogen levels fluctuated in RAS from between 7 to 123 mg/L with mean concentrations of 67, 81 and 75 mg/L during the acclimation, dosing and postdosing periods. Nitrite-nitrogen levels occasionally exceeded the safe upper limit of 2.0 mg/L but only during the acclimation period; nitrite levels were <0.9 mg/L during the 8 days prior to dosing. Nitrite levels steadily increased during the dosing period until peaking on dosing day 8 at 1.76 mg/L (Figure 5). This concentration increase was apparently not associated with any effect on the RAS biofilter but rather the inadvertent buildup of biofilm material in the water supply lines to the continued 39 figUre 2A / 2B / 2c Representative chromatograms* of extracts from control and treated tilapia fillet tissue Absorbance units 2A 0.110 0.100 0.090 0.080 0.070 0.060 0.050 0.040 0.030 0.020 0.010 0.000 0.00 2.00 4.00 6.00 8.00 10.00 12.00 14.00 16.00 18.00 biofilter from the RAS tanks as nitrite levels rapidly decreased during the remainder of the dosing period and during the postdosing period after the water supply lines were flushed. Nitrite levels again spiked during the post-dosing period then dropped after the RAS biofilter supply lines were flushed (Figure 5). 20.00 Minutes 2B Florfenicol amine -11.022 0.18 Absorbance units 0.16 0.14 0.12 0.10 0.08 0.06 0.04 0.00 0.00 2.00 4.00 6.00 8.00 10.00 12.00 14.00 16.00 18.00 20.00 6 Minutes N A T A L , 0.050 0.045 0.040 0.035 0.030 0.025 0.020 0.015 0.010 0.005 0.000 Florfenicol amine -11.171 Absorbance units B R A Z I L 2c 40 DISCUSSIoN Fish readily consumed feed medicated with Aquaflor. There was no reduction in feed consumption during the dosing periods. There do not appear to be any palatability concerns regarding feed medicated with Aquaflor. 0.02 JUNE 2 011 Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E gaikowski Depletion of florfenicol in water and florfenicol amine from fillet tissue after feeding Aquaflor® (florfenicol) to tilapia in a recirculating aquaculture system 0.00 2.00 4.00 6.00 8.00 10.00 12.00 14.00 16.00 18.00 20.00 Minutes * 2A: Extract from control tilapia fillet tissue sample 2B: Extract from control tilapia fillet sample fortified with florfenicol amine (FFA) at 2 ug/g 2C: Extract (2.33 ug/g FFA found) from fillet tissue taken from a fish at 5 days post-dosing FFC concentration increased in RAS water during the dosing period then gradually decreased during the post-dosing period. The apparent concomitant increase in nitrite concentration in the RAS does not appear to correlate to RAS-water FFC concentration. Rather, the increase in RAS nitrite concentration was apparently due to microbial growth in the biofilter water supply lines restricting water flow to the RAS biofilter, as flushing those supply lines was followed by a rapid decline in RAS nitrite concentration. Some antibiotics (erythromycin, oxytetracycline) have been found to negatively affect denitrification in aquatic systems,20-21 albeit at levels much higher than observed in the present study. Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control This rapid clearance indicates that there is likely to be only a short post-treatment therapeutic effect associated with Aquaflor administration, such as when FFC levels are at or above the bacteria MIC. Without concomitant steps by the farmer to reduce disease transmission (e.g., water disinfection, improved husbandry, vaccination), re-infection of treated fish is possible. As with other antibiotics, Aquaflor should not be expected to eliminate the need for proper husbandry practices but should be regarded as one effective tool in the management of disease in aquaculture. our interpretation of published regulatory guidance, FFA should deplete from tilapia treated with Aquaflor at 1.31 times the maximum proposed dosage (15 mg/kg BW/day for 10 consecutive days) to a level safe for human consumption 11 days after treatment.* CoNClUSIoNS FFA, a marker for FFC residue, depletes rapidly in the skin-on fillet tissue of tilapia following the withdrawal of feed medicated with Aquaflor. When dosed at 19.62 mg FFC/kg BW/day for 10 days, FFA detected in the skin-on fillet of tilapia depleted to less than the MRL in all samples collected 10 days after the end of dosing. Based on these residue data and continued * Withdrawal times may vary by market. Check local package insert for details. figUre 3 Florfenicol amine (FFA) concentrations* in fillet tissue of tilapia *ffA concentrations are from skin-on fillet of tilapia following administration of feed medicated with Aquaflor at a nominal dose rate of 20 mg florfenicol/kg bodyweight for 10 days at ~27° c (80.6° f). natural log-transformed ffA levels were fit to a log-linear model ([Ln (ppm)] = 2.3215 Ln (ppm) + –0.0151 Ln (ppm)/hour x hours post-dosing r2 = 0.8271; r2 = 0.52; coefficient of variation = 39.45; model fit — f = 851.26, df = 1, p < 0.01 the calculated tolerance limit (99th percentile ffA level at 95th confidence level) Maximum residue level of 1 μg/g for consumption at 10 days post-dosing 4 Natural log transformed florfenicol amine (µg/g) FFC is known to be rapidly and completely distributed in fish4-5,7-8,10-11,18 during dosing and to rapidly deplete from tissues6,9,17,19 after withdrawal from medication, which are excellent traits for use in food fish to control susceptible bacterial infections. However, its rapid elimination means that tissue FFC levels will rapidly decrease after fish are withdrawn from the medicated feed. While minor differences in study design (e.g., feeding procedure, test temperature, feed rates) preclude direct comparison between FFA-residue depletion studies conducted with tilapia fed FFCmedicated feed while held in flow-through systems17,19 and this study, there do not appear to be substantial differences between the depletion of FFA from skinon fillet of tilapia fed FFC-medicated feed whether fed in a RAS or in a flowthrough tank. gaikowski p r o c e e d i n g s 3 2 1 0 .......................................................................................... -1 -2 0 2 4 6 8 10 Days post-dosing 41 figUre 4 Observed, system mean and theoretical florfenicol (FFC) concentrations in recirculating aquaculture system water* 5000 Martinsen B, et al. 1993. Single dose pharmacokinetic study of florfenicol in Atlantic salmon (Salmo salar) in seawater at 11° C. Aquaculture. 112:1-11. Clarifier — observed FFC Sediment filter System mean Theoretical 4000 5 Horsberg TE, et al. 1996. Pharmacokinetics of florfenicol and its metabolite florfenicol amine in Atlantic salmon. Journal of Aquatic Animal Health. 8:292-301. 3000 2000 6 Pinault LP, et al. 1997. Absolute oral bioavailability and residues of florfenicol in the rainbow trout (Oncorhynchus mykiss). Journal of Veterinary Pharmacology and Therapeutics. 20:(Suppl. 1), 297-298. 1000 2 011 0 0 2 4 6 8 10 12 14 Days post-dosing initiation 16 18 20 *Concentrations were determined before, during and after FFC-medicated feed administration at a nominal dose rate of 20 mg FFC/kg bodyweight/day for 10 consecutive days (days 0 to 9). 7 Samuelson OB, et al. 2003. Pharmacokinetics of florfenicol in cod Gadus morhua and in vitro antibacterial activity against Vibrio anguillarum. Diseases of Aquatic Organisms. 56:127-133. 6 JUNE assessment of efficacy against furunculosis. Journal of Fish Diseases. 14:343-351. 4 Florfenicol concentration (ng/mL) Held in conjunction with the W O R L D A Q U A C U LT U R E S O C I E T Y C O N F E R E N C E gaikowski Depletion of florfenicol in water and florfenicol amine from fillet tissue after feeding Aquaflor® (florfenicol) to tilapia in a recirculating aquaculture system N A T A L , B R A Z I L 8 42 ACkNoWlEDgMENTS rEFErENCES The authors thank the staffs of the Thad Cochran National Warmwater Aquaculture Center, Delta Western Research Center, and US Geological Survey Upper Midwest Environmental Sciences Center, and Diane Sweeney of Merck Animal Health* for her statistical support to this study. The residue depletion study was funded by Merck Animal Health through a Cooperative Research and Development Agreement with the US Geological Survey. The data summarized are presently in review by regulatory agencies in several countries to satisfy the residue depletion requirements to support regulatory approval of Aquaflor in those countries. 1 * MSD Animal Health is known as Merck Animal Health in North America. Shoemaker CA, et al. 1997. Streptococcal disease problems and control: a review. In: Fitzsimmons K, editor, Tilapia Aquaculture. Northeast Regional Aquacultural Engineering Service. Ithaca, New York. 671-680. 2 Gaunt P, et al. 2010. Determination of florfenicol dose rate in feed for control of mortality in Nile tilapia infected with Streptococcus iniae. Journal of Aquatic Animal Health. 22:158-166. 3 Inglis V, et al. 1991. Florfenicol in Atlantic salmon, Salmo salar L., parr: tolerance and Yanong RP, et al. 2005. Pharmacokinetic studies of florfenicol in Koi carp and Threespot gourami Trichogaster trichopterus after oral and intramuscular treatment. Journal of Aquatic Animal Health. 17:129-137. 9 Wrzesinski C, et al. 2006. Florfenicol residue depletion in channel catfish, Ictalurus punctatus (Rafinesque). Aquaculture. 253: 309-316. 10 Feng JB, et al. 2008. Tissue distribution of florfenicol in tilapia (Oreochromis niloticus x O. aureus) after a single oral administration in freshwater and seawater at 28° C. Aquaculture. 276:29-35. p r o c e e d i n g s gaikowski Bac te ri al D i sease i n Warm wate r F i sh : New Strategies for Sustainable Control figUre 5 15 Nitrite concentration* Nitrite (NO2-N-) concentration (mg/L) 2.0 Tank 1 Tank 2 10-day dosing period 1.5 1.0 0.5 Hayes JM. 2005. Determination of florfenicol in fish feed by liquid chromatography. Journal of the Association of Official Analytical Chemists. 88:1777-1783. 16 U.S. Food and Drug Administration (US FDA) [Internet]. 2006. [cited 2008 April 28]. Guidance for Industry 3 - General Principles for Evaluating the Safety of Compounds Used in Food-Producing Animals. U.S. Department of Health and Human Services. Available from: www.fda.gov/cvm/Guidance/ published.htm. 17 0.0 -2 0 2 4 6 8 10 12 14 16 18 20 Days post-dosing initiation Gaikowski MP, et al. 2010. Depletion of florfenicol amine, marker residue of florfenicol, from the edible fillet of tilapia (Oreochromis niloticus x O. niloticus and O. niloticus x O. aureus) following florfenicol administration in feed. Aquaculture. 301:1-6. 18 * Determined in water samples removed from recirculating aquaculture system tanks 2 days prior to the dosing period, during the 10-day dosing period and the 10-day post-dosing period. Tilapia were offered florfenicol-medicated feed at a dose rate of 19.62 mg/kg bodyweight (BW)/day during the dosing period; the daily feed mass offered during the 2 days prior to dosing, the dosing and post-dosing periods was equivalent to 0.74-0.75, 0.73-0.76, and 0.70-0.76% BW, respectively. Lim JH, et al. 2010. Pharmacokinetics of florfenicol following intramuscular and intravenous administration in olive flounder (Paralichthys olivaceus). Journal of Veterinary Pharmacology and Therapeutics. 34:206-208. 19 11 Horsberg TE, et al. 1994. The disposition of 14C-florfenicol in Atlantic salmon (Salmo salar). Aquaculture. 122:97-106. to fish), Summary Report 5. EMEA/MRL/760/00-Final. Available from: www.emea.europa.eu/pdfs/vet/mrls /076000en.pdf. 20 12 Wrzesinski CL, et al. 2003. Determination of florfenicol amine in channel catfish muscle by liquid chromatography. Journal of the Association of Official Analytical Chemists. 86:515-520. 13 European Agency for the Evaluation of Medicinal Products (EMEA) [Internet]. 2000. [cited 2008 July 17]. Committee for Veterinary Medicinal Products, Florfenicol (extension Bowser PR, et al. 2009. Florfenicol residues in Nile tilapia after 10-d oral dosing in feed: Effect of fish size. Journal of Aquatic Animal Health. 21:14-17. 14 U.S. Food and Drug Administration (US FDA), Center for Veterinary Medicine [Internet]. 2005. [cited 2008 April 28]. Original New Animal Drug Application, NADA 141246 (AQUAFLOR Type A Medicated Article (florfenicol), an Antibiotic). U.S. Department of Health and Human Services. Available from: www.fda.gov/cvm/drugsuseaqua.htm. Collins MT, et al. 1976. Effects of antibacterial agents on nitrification in an aquatic recirculation system. Journal of the Fisheries Research Board of Canada. 33:215-218. 21 Klaver AL, et al. 1994. Effects of oxytetracycline on nitrification in a model aquatic system. Aquaculture. 123:237-247. 43 AQUAFLOR®, AQUAVAC®, AQUAVAC-ESC® and AQUAVAC-COL® are trademarks of Intervet International B.V. or affiliated companies or licensors and are protected by copyrights, trademark and other intellectual property laws. Copyright © 2012 Intervet International B.V., a subsidiary of Merck & Co., Inc., Whitehouse Station, NJ, USA. All rights reserved. This document contains information on veterinary products based on international registration dossiers and may refer to products that are either not available in your country or are marketed under a different trade name. In addition, the approved indications as well as safety and efficacy data for a specific product may be different depending on local regulations and approvals. Not for use or distribution in the United States. For more information, read the product labeling that applies to your country or contact your local Merck Animal Health/MSD Animal Health representative. ISP-GA-23
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