African Swine Fever Outbreak at a Farm in Central Namibia

An outbreak of African swine fever (ASF) occurred at a farm in central Namibia in March 2018. Fourteen pigs died out of a herd of 59 animals over a period of 16 days between the first and sixteenth of March 2018. The clinical signs observed included sternal recumbency, fever, weakness, pain and reluctance to move, hyperemia of the skin and anorexia, followed by death. Necropsy findings included large amounts of unclotted blood in the pleural and peritoneal cavities, diffuse carcass congestion, splenomegaly, consolidation of both lungs, hemorrhagic and frothy airways and trachea, hepatomegaly and congestion, congestion of the gastric mucosa, enlarged and congested kidneys, ecchymotic epicardial, and endocardial hemorrhages, and very enlarged and congested urinary bladder. All the remaining pigs were euthanized, burned, and buried under state veterinary supervision. The authors concluded that the outbreak resulted from indirect transmission of the ASF virus due to lapses in biosecurity measures.


Introduction
African swine fever (ASF) is an important transboundary hemorrhagic pig disease that is highly contagious, lethal, and has socio-economic implications through its limiting effect on pig production in Africa and elsewhere [1,2]. e disease is caused by a DNA virus belonging to the only known genus of the Asfiviridae family [3]. Infection of pigs by this virus results in strict control measures including culling and quarantine of affected farms and trade embargoes on affected regions or countries.
Clinically, ASF manifests in peracute and acute forms, although subacute and chronic forms may also occur [1,[4][5][6]. In spite of efforts to develop vaccines to control the disease, success has been elusive [7,8]. ASF was first reported in 1921 in East Africa from where it spread and became endemic in Southern Africa, [2,3]. From Southern Africa ASF then spread to other parts of the world including West Africa [8], Europe (Iberian Peninsula countries), Eastern Europe including the Caucasus, and Russian Federation, China, and Brazil [9,10]. About 23 ASF genotypes have been identified using p72 gene DNA analysis of samples obtained from Africa and only genotype I and genotype II have managed to spread out of Africa [11].
In Namibia, the first confirmed outbreak of ASF occurred in 1932 in Okahandja district [12]. Between 1932 and 1989 a further 41 confirmed ASF outbreaks occurred in the Okahandja, Omaruru, Gobabis, Grootfontein, Swakopmund, and Otjiwarongo districts of the country [13]. ASF is, therefore, endemic in Namibia, particularly in the central areas of the country which are mostly commercial beef farms and where warthogs (Phacochoerus africanus) are widespread and roam unrestricted.
At least 3 different cycles have been identified in the transmission of ASF. e first one is an ancient sylvatic cycle involving wild suids, Ornithodoros moubata complex ticks, and domestic pigs [1]. e second cycle involves domestic pigs and Ornithodoros moubata complex ticks [7]. e third cycle revolves around domestic pigs and their products [14]. e third cycle has evolved concomitantly with the exponential increase in pig production on the African continent gaining prominence in recent times [1,15]. e epidemiology of ASF is further complicated by the inconsistent immunological responses and socio-economic challenges [1]. e ASF outbreak in this report is part of a low level smoldering series of outbreaks that have continued to be a constant challenge to Namibian veterinary authorities in the central regions of the country. ese sporadic outbreaks have been related to the presence, in abundant numbers, of warthogs that freely roam in these regions. is is the first time that ASF has been reported at the farm in question.
is case report chronicles the sequence of events that occurred during the ASF outbreak at a farm in the Khomas Region of Namibia. e report further explores possible risk factors and evaluates prevention and control measures for future outbreaks.

Case Description
An outbreak of ASF occurred at a university teaching farm from the 1 st to 16 th March 2018. A total of 14 pigs died suddenly a er showing some or no acute clinical signs. Prior to the ASF outbreak, the piggery unit at the farm had a total of 59 pigs composed of 3 adult boars, 11 sows, 42 fatteners, and 3 weaners.
On the 1 st March 2018, two adult pigs (a boar and a sow) were found dead without any prior observed clinical signs. Nonclotting blood was found dripping from the nostrils of the two carcasses ( Figure 1) as well as hyperemia of the scrotum ( Figure 2). To rule out anthrax, blood smears were made and sent to the laboratory for diagnosis and the carcasses were isolated and destroyed intact. e rest of the remaining pigs did not show any clinical signs.
Meanwhile, the remaining herd of 57 pigs was treated with intramuscular injections of Duplocillin® (procaine benzylpenicillin 150 mg/ml, benzathine benzylpenicillin 125 mg/ml) at a dose of 1 ml/20 kg as post-exposure prophylaxis [16]. e blood smears which were sent to the laboratory were stained with M'Fadyean stain and examined, but turned out to be negative for Bacillus anthracis.
Four more pigs were found dead on the 7 th of March. Upon examination of the rest of the herd, it was discovered that two other pigs, a boar and a sow, were sick. e clinical signs observed included sternal recumbency, weakness, pain and reluctance to move, hyperemia of the skin (especially the scrotum of the boar), and inappetence. e rectal temperatures ranged between 39.5 and 39.8°C and the respiratory rate averaged 10 breaths per minute. e two sick pigs were treated with Synulox RTU® (7.0 mg amoxicillin, 1.75 mg clavulanic acid) at 8.75 mg/kg bodyweight and Finadyne® (flunixin meglumine) at 2.2 mg/kg. However, the animals failed to respond to the treatment and died two days later. Necropsy examinations were performed and fresh samples of the spleen, gastrohepatic lymph nodes, liver, and lungs, on ice, were sent to the Central Veterinary Laboratory for analysis.
Necropsy findings included the following: large patches of hyperemia of the skin (   72°C for 60 s, followed by a final elongation at 72°C for 5 min. All the samples tested negative for African swine fever. At this stage, the differential diagnoses list still included African swine fever, actinobacillosis (Actinobacillus suis, and Actinobacillus pleuropneumonia), anthrax, Mycoplasma suis, septicemic salmonellosis, and swine erysipelas. Over the following seven days, a total of 10 pigs died peracutely a er showing similar or no clinical signs. In addition, some were showing respiratory distress as well as fever (rectal temperatures upwards of 41.5°C). Two of these 10 dead pigs were found moribund and were, therefore, euthanized in accordance with the University of Namibia's School of Veterinary Medicine Animal Welfare Policy Guidelines, using a shotgun and sent to the laboratory as whole carcasses. A standard necropsy was performed and spleen and lymph nodes were collected and tested for ASF using PCR. is time all the samples showed a positivity to ASF producing amplicons of 478 bp.
Upon the confirmation of the diagnosis of African swine fever, the remaining 45 pigs were immediately culled, and the carcasses burned and buried on the farm under the supervision of a state veterinarian. e piggery unit was cleaned and disinfected with peroxygenic acid (Virkon® S), a disinfectant with proven virucidal activity [9]. All exposed equipment, vehicles, and personnel were also disinfected. e piggery was closed down for a mandatory period of three months.  sylvatic cycle of transmission of ASF is known to occur and warthog contact has either been demonstrated or suspected in previous outbreaks [1]. e presence of wild suids, so ticks of the Ornithodoros moubaba complex, and poor biosecurity measures have long been known as risk factors for ASF [8,14]. Recent studies in Kenya and Nigeria have identified the following as risk factors for ASF: the presence of a slaughter slab within 1-km radius to the piggery, presence of refuse dump sites within 1-km

Discussion
African swine fever is endemic in Namibia, with sporadic outbreaks reported over the past decades [1]. Around the university farm, the presence of wildlife, especially warthogs (Phacochoerus africanus), roaming unrestricted on the roadside is a common sight. Warthogs are known asymptomatic carriers of the African swine fever virus [5,17]. In fact, Namibia is one of the sixteen African countries in which the  radius to piggery, wearing of piggery unit protective clothing outside the piggery premises, external sourcing of replacement stock, the dry season, feed sources, and tick control [4,10]. e risk factors for an ASF outbreak existed at the farm prior to the outbreak. For instance, there was an abundance of the warthog in and around the farm. In fact the farm annually harvests and sells game meat (including warthog) to its workers. In addition, the piggery is situated within a kilometer of both a refuse dumping site and a meat processing plant and the northern boundary of the piggery was overgrown with bush and grass. e prior absence of a dedicated piggery attendant resulted in utilization of different workers in turns to feed and take care of the pigs. Some of these workers were known to use the same clothes worn at the piggery at the dairy, poultry, and small ruminant sections. e piggery is also located adjacent to the postmortem hall.
In spite of the presence of biosecurity infrastructure and availability of a biosecurity protocol, implementation of biosecurity measures at the piggery was not strictly adhered to over the years. For instance, access to the piggery was not strictly controlled and was open to visitors; various wildlife like guinea fowls and baboons could enter the premises to feed on pig feed. A study in the Namib Desert of Namibia reported that baboons are o en seriously infested by ticks [18] and it is not impossible that baboons could have been a vehicle of infected Ornithodoros moubata complex ticks. We speculate that argasid ticks could have gained access to the piggery through either guinea fowls or baboons or by crawling from the surrounding bushes.
Although the exact source of the infection could not be identified outright, any of the three cycles namely the wild suid-argasid tick-domestic pig cycle, the argasid tick-pig cycle, or the domestic pig-domestic pig cycle identified in earlier studies [1,7,14] could have been responsible for this outbreak. e authors conclude that this outbreak resulted from indirect transmission of the ASF virus from any of the sources cited above due to laxity in the implementation of biosecurity measures. We, therefore, recommend strict adherence to the biosecurity protocols. In particular, human and animal access to the piggery unit must be controlled, a dedicated and welltrained stockperson is essential; bush and grass clearing of the areas surrounding the piggery and erection of a physical barrier separating the piggery and the necropsy hall would be important biosecurity measures. Strict biosecurity at the piggery unit is of paramount importance if future outbreaks are to be avoided. e practice of harvesting warthogs for meat at the farm should be strictly controlled in order to ensure that anyone who has direct or indirect contact with domestic pigs in the piggery unit does not handle warthog meat.

Conflicts of Interest
e authors declare that they have no conflicts of interest.