{"id":474,"date":"2019-10-05T14:31:18","date_gmt":"2019-10-05T18:31:18","guid":{"rendered":"https:\/\/outdoorsportsnation.com\/?p=474"},"modified":"2020-05-26T10:26:53","modified_gmt":"2020-05-26T14:26:53","slug":"cdc-warns-of-catching-tuberculosis-from-deer","status":"publish","type":"post","link":"https:\/\/outdoorsportsnation.com\/cdc-warns-of-catching-tuberculosis-from-deer\/jeff\/hunting\/10\/05\/2019\/474\/","title":{"rendered":"CDC warns of catching tuberculosis from deer"},"content":{"rendered":"<p class=\"speakable-p-2 p-text\">The U.S. Centers for Disease Control and Prevention\u00a0<a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/68\/wr\/mm6837a3.htm?s_cid=mm6837a3_w\" target=\"_blank\" rel=\"noopener noreferrer\" data-track-label=\"inline|intext|n\/a\">has issued an advisory<\/a>,\u00a0warning that it is possible to catch\u00a0a form of tuberculosis when field-dressing infected deer.<\/p>\n<p class=\"p-text\">It&#8217;s called\u00a0<a href=\"https:\/\/www.cdc.gov\/tb\/publications\/factsheets\/general\/mbovis.htm\" target=\"_blank\" rel=\"noopener noreferrer\" data-track-label=\"inline|intext|n\/a\">M. bovis tuberculosis<\/a>, and it&#8217;s a form of the disease\u00a0found mostly in cattle, elk and deer.<\/p>\n<p>There is a four-county region of the northern Lower Peninsula: Alcona, Montmorency, Oscoda, and Alpena that are most likely to carry the infection. A small percentage of white-tailed deer from other parts of the state also have been found to carry the disease.<\/p>\n<p>If a person has a cut or an open wound, blood and bacteria from an infected deer could enter the bloodstream, causing human infection. It also may be transmitted when a human inhales aerosolized bacteria during the field-dressing process.<\/p>\n<p><strong>From the CDC:<\/strong><\/p>\n<p>In May 2017, the Michigan Department of Health and Human Services was notified of a case of pulmonary tuberculosis caused by\u00a0<i>Mycobacterium bovis<\/i>\u00a0in a man aged 77 years. The patient had rheumatoid arthritis and was taking 5 mg prednisone daily; he had no history of travel to countries with endemic tuberculosis, no known exposure to persons with tuberculosis, and no history of consumption of unpasteurized milk. He resided in the northeastern Lower Peninsula of Michigan, which has a low incidence of human tuberculosis but does have an enzootic focus of\u00a0<i>M. bovis<\/i>\u00a0in free-ranging deer (<i>Odocoileus virginianus<\/i>). The area includes a four-county region where the majority of\u00a0<i>M. bovis<\/i>\u2013positive deer in Michigan have been found (<i>1<\/i>). Statewide surveillance for\u00a0<i>M. bovis<\/i>\u00a0via hunter-harvested deer head submission has been ongoing since 1995 (<i>1<\/i>); in 2017, 1.4% of deer tested from this four-county region were culture-positive for\u00a0<i>M. bovis<\/i>, compared with 0.05% of deer tested elsewhere in Michigan (<i>2<\/i>). The patient had regularly hunted and field-dressed deer in the area during the past 20 years. Two earlier hunting-related human infections with\u00a0<i>M. bovis<\/i>\u00a0were reported in Michigan in 2002 and 2004. In each case, the patients had signs and symptoms of active disease and required medical treatment.<\/p>\n<p>Whole-genome sequencing of the patient\u2019s respiratory isolate was performed at the National Veterinary Services Laboratories in Ames, Iowa. The isolate was compared against an extensive\u00a0<i>M. bovis<\/i>\u00a0library, including approximately 900 wildlife and cattle isolates obtained since 1993 and human isolates from the state health department. This 2017 isolate had accumulated one single nucleotide polymorphism compared with a 2007 deer isolate (<a id=\"F1_up\"><\/a><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/68\/wr\/mm6837a3.htm?s_cid=mm6837a3_w#F1_down\">Figure<\/a>), suggesting that the patient was exposed to a circulating strain of\u00a0<i>M. bovis<\/i>\u00a0at some point through his hunting activities and had reactivation of infection as pulmonary disease in 2017.<\/p>\n<p>Whole-genome sequencing also was performed on archived specimens from two hunting-related human\u00a0<i>M. bovis<\/i>\u00a0infections diagnosed in 2002 (pulmonary) and 2004 (cutaneous) that were epidemiologically and genotypically linked to deer (<i>3<\/i>). The 2002 human isolate had accumulated one single nucleotide polymorphism since sharing an ancestral genotype isolated from several deer in Alpena County, Michigan, as early as 1997; the 2004 human isolate shared an identical genotype with a grossly lesioned deer harvested by the patient in Alcona County, Michigan, confirming that his infection resulted from a finger injury sustained during field-dressing. The 2002 and 2017 cases of pulmonary disease might have occurred following those patients\u2019 inhalation of aerosols during removal of diseased viscera while field-dressing deer carcasses (<i>4<\/i>).<\/p>\n<p>In Michigan, deer serve as maintenance and reservoir hosts for\u00a0<i>M. bovis<\/i>, and transmission to other species has been documented (<i>1<\/i>). Since 1998, 73 infected cattle herds have been identified in Michigan (<i>5<\/i>), resulting in increased testing and restricted movement of cattle outside the four-county zone. Transmission to humans also occurs, as demonstrated by the three cases described in this report; however, the risk for transmission is understudied. Similar to\u00a0<i>Mycobacterium tuberculosis<\/i>, exposure to\u00a0<i>M. bovis<\/i>\u00a0can lead to latent or active infection, with risk for eventual reactivation of latent disease, especially in immunocompromised hosts. To prevent exposure to\u00a0<i>M. bovis<\/i>\u00a0and other diseases, hunters are encouraged to use personal protective equipment while field-dressing deer. In addition, hunters in Michigan who submit deer heads* that test positive for\u00a0<i>M. bovis<\/i>\u00a0might be at higher risk for infection, and targeted screening for tuberculosis could be performed.<sup>\u2020<\/sup>\u00a0Close collaboration between human and animal health sectors is essential for containing this zoonotic infection.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The U.S. Centers for Disease Control and Prevention\u00a0has issued an advisory,\u00a0warning that it is possible to catch\u00a0a form of tuberculosis when field-dressing infected deer. It&#8217;s called\u00a0M. bovis tuberculosis, and it&#8217;s a form of the disease\u00a0found mostly in cattle, elk and deer. There is a four-county region of the northern Lower Peninsula: Alcona, Montmorency, Oscoda, and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":334,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"wprm-recipe-roundup-name":"","wprm-recipe-roundup-description":"","footnotes":""},"categories":[37],"tags":[242,69,70],"nelio_content":{"isAutoShareEnabled":false,"autoShareEndMode":"never","automationSources":{"useCustomSentences":false,"customSentences":[]},"followers":[1],"suggestedReferences":[],"efiUrl":"","efiAlt":"","highlights":[]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.10 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>CDC warns of catching tuberculosis from deer - Outdoor Sports Nation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/outdoorsportsnation.com\/cdc-warns-of-catching-tuberculosis-from-deer\/jeff\/hunting\/10\/05\/2019\/474\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CDC warns of catching tuberculosis from deer - Outdoor Sports Nation\" \/>\n<meta property=\"og:description\" content=\"The U.S. Centers for Disease Control and Prevention\u00a0has issued an advisory,\u00a0warning that it is possible to catch\u00a0a form of tuberculosis when field-dressing infected deer. It&#8217;s called\u00a0M. bovis tuberculosis, and it&#8217;s a form of the disease\u00a0found mostly in cattle, elk and deer. There is a four-county region of the northern Lower Peninsula: Alcona, Montmorency, Oscoda, and [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/outdoorsportsnation.com\/cdc-warns-of-catching-tuberculosis-from-deer\/jeff\/hunting\/10\/05\/2019\/474\/\" \/>\n<meta property=\"og:site_name\" content=\"Outdoor Sports Nation\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/outdoorsportsnation\/\" \/>\n<meta property=\"article:published_time\" content=\"2019-10-05T18:31:18+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-05-26T14:26:53+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/i2.wp.com\/outdoorsportsnation.com\/wp-content\/uploads\/2019\/09\/16100564760_54abcfa61a_k.jpg?fit=2048%2C1360&ssl=1\" \/>\n\t<meta property=\"og:image:width\" content=\"2048\" \/>\n\t<meta property=\"og:image:height\" content=\"1360\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Jeff Bilbrey\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Jeff Bilbrey\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/outdoorsportsnation.com\/cdc-warns-of-catching-tuberculosis-from-deer\/jeff\/hunting\/10\/05\/2019\/474\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/outdoorsportsnation.com\/cdc-warns-of-catching-tuberculosis-from-deer\/jeff\/hunting\/10\/05\/2019\/474\/\"},\"author\":{\"name\":\"Jeff Bilbrey\",\"@id\":\"https:\/\/outdoorsportsnation.com\/#\/schema\/person\/dc1b9b04deb70aa78c7efd0acf46fa82\"},\"headline\":\"CDC warns of catching tuberculosis from deer\",\"datePublished\":\"2019-10-05T18:31:18+00:00\",\"dateModified\":\"2020-05-26T14:26:53+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/outdoorsportsnation.com\/cdc-warns-of-catching-tuberculosis-from-deer\/jeff\/hunting\/10\/05\/2019\/474\/\"},\"wordCount\":686,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/outdoorsportsnation.com\/#organization\"},\"keywords\":[\"Deer\",\"Deer Hunting\",\"tuberculosis\"],\"articleSection\":[\"Hunting\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/outdoorsportsnation.com\/cdc-warns-of-catching-tuberculosis-from-deer\/jeff\/hunting\/10\/05\/2019\/474\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/outdoorsportsnation.com\/cdc-warns-of-catching-tuberculosis-from-deer\/jeff\/hunting\/10\/05\/2019\/474\/\",\"url\":\"https:\/\/outdoorsportsnation.com\/cdc-warns-of-catching-tuberculosis-from-deer\/jeff\/hunting\/10\/05\/2019\/474\/\",\"name\":\"CDC warns of catching tuberculosis from deer - 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