A Pictorial Guide to Collecting Samples for Scrapie Testing · PDF file3 Necropsy / Sample...

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A Pictorial Guide to Collecting Samples for Scrapie Testing June 2009 National Institute for Animal Agriculture United States Department of Agriculture This information provided to you by: Cindy Wolf, DVM Eileen Kuhlmann

Transcript of A Pictorial Guide to Collecting Samples for Scrapie Testing · PDF file3 Necropsy / Sample...

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A Pictorial Guide to Collecting Samples for

Scrapie TestingJune 2009

National Institutefor Animal Agriculture

United StatesDepartment of Agriculture

This information provided to you by:

Cindy Wolf, DVMEileen Kuhlmann

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Specimen Collection Presentation: Necropsy / Sample Specimen Collection

Safety PrecautionsPrecauti ons should be taken to avoid direct contact with samples collected for scrapie diagnosti cs. The following general safety precauti ons are recommended:

o Wear personal protecti ve equipment at all ti mes.o Cover cuts, abrasions, and wounds with waterproof dressing if left uncovered

aft er putti ng on personal protecti ve equipment.o Use face and respiratory protecti on such as a well-fi tt ed face shield or

goggles to protect from droplets or ti ssue parti cles.o Take steps to avoid creati ng aerosols, splashes, and dust when engaged in

acti viti es such as sawing through bones of the skull.o Wear gloves while handling samples and formalin.o Use formalin in a well-venti lated area.o Wash hands and exposed skin aft er collecti ng samples.o Wash and disinfect protecti ve clothing and instruments thoroughly aft er

use. You may use household bleach as a disinfectant. Add 50 ounces (approximately 6 ¼ cups) of bleach to 78 ounces (approximately 9 ¾ cups) of water to give 1 gallon of soluti on to use as a disin-fectant. Allow for 1 hour of surface contact at room temperature to eff ecti vely disinfect.

Personal Protective EquipmentIt is the responsibility of the sample collector to take appropriate safety precauti ons. Personal protecti ve equipment (PPE) is designed to minimize exposure to the scrapie agent while collecti ng samples. The following PPE must be worn at all ti mes during the collecti on of scrapie specimens:

o Eye protecti ono Skin protecti ono Gloveso Bootso Face masks or respirators

Sample Collector ResponsibilitiesSample collectors must complete the following acti viti es in order to properly submit the specimens for diagnosti cs:

o Collect and preserve the designated ti ssues as described in the current version of the Scrapie Tissue Collecti on Protocols on page 6 and 7.

o Collect and submit all animal identi fi cati on devices, tatt oos, and brands. Include a piece of ear ti ssue with the animal identi fi cati on device in the event DNA verifi cati on of the animal’s identi ty is needed.

o Label specimen collecti on containers.o Complete all blocks/fi elds on the appropriate sample submission form (VS

Form 10-4 or an electronic equivalent). Ensure the animal ID number and the sample container number and/or barcode are recorded accurately on the submission form.

o Maintain control of all samples unti l custody is transferred to the delivery service.

o Contact the delivery service. Ensure that packages containing fresh ti ssue will be delivered overnight.

o Noti fy the appropriate laboratory of incoming samples, as requested.o Make copies of the completed specimen submission form, when applicable:o One for submitt er’s fi leso One for the animal owner or collecti on siteo One for Veterinary Services (VS) Area Offi ceo One submitt ed with the sample and animal identi fi cati on device(s)

NOTE: The following section is a PDF copy of portions of a USDA computer-based training program. The interactive buttons do not work within this fi le.

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Necropsy / Sample Specimen Collection - Overview

Samples Required for Scrapie TestingQuality samples must be submitt ed in order to obtain a successful diagnosis of scrapie. Tissues collected for scrapie diagnosti cs include:o Brainstem (including the obex)o Complete braino Retropharyngeal lymph nodeso Tonsils

These ti ssues are either submitt ed fresh (chilled or, if given prior approval by the regional epidemiologist ti ssue may be frozen in special circumstances) or fi xed in formalin. Refer to the current version of the Scrapie Tissue Collecti on Protocols chart on page 6 and 7 to determine the appropriate ti ssues for collecti on and the preservati on method required for each specimen.

Labeling Sample ContainersSpecimen collecti on containers must be properly labeled. The informati on on the label should match the informati on from the completed VS Form 10-4 that must accompany the submission of the specimens. The label includes:

o Type of specimeno Animal identi fi cati on numbero Sample identi fi cati on number (the number assigned to this sample on the

VS Form 10-4)o Date of collecti ono Barcode sti cker, if required

NOTE: Use a permanent marker to label the specimen collecti on containers.

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Tissue Collection Protocol: FormsWhen submitti ng necropsy/slaughter samples for diagnosti cs:

o Submit samples with a VS Form 10-4 or an electronic equivalent ( VSLS).o Complete all blocks/fi elds on the submission form.o List any clinical signs the animal is exhibiti ng, when appropriate.o Also, refer to the document “Instructi ons for Completi on of VS Form 10-4”

on the current version of the Nati onal Scrapie Reference CD for additi onal details.

NOTE: Submit necropsy samples from clinical suspects and animals that were test-positi ve on a live animal test as separate submissions from other samples collected at the same ti me so that testi ng of these animals can be prioriti zed by the Nati onal Veterinary Services Laboratories (NVSL).

Tissue Collection Protocol: Identifi cationAlmost all samples submitt ed for diagnosti cs must be traceable to the animal from which they were collected.

o To ensure positive identification, collect and submit all identification devices, tatt oos, and brands on the animal in the formalin jar containing the ti ssues.

o Include a penny-sized piece of ear ti ssue with the animal’s identi fi cati on device -- preferably the offi cial eartag -- in the event DNA verifi cati on of the animal’s identi ty is needed.

o If the tag is so large that placing it in the formalin jar with the specimens will compromise the integrity of the ti ssue, use a separate container to submit the device(s).

o Be sure to clearly identi fy this container and apply a matching barcode so the container with the ID devices can be matched to the container with the appropriate ti ssue specimens.

NOTE: Ear ti ssue does not need to be collected if the animal is untagged, (e.g., an unidenti fi ed black-faced animal collected for RSSS).

Necropsy / Sample Specimen Collection - Overview

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Tissue Collection Protocol: Fresh and Formalin-Fixed TissuesWhen both fresh and formalin-fi xed ti ssues are required, the submission must be sent to NVSL. These include animals that are:

o Clinical suspects and animals that were suspect or test positi ve on live animal scrapie tests

o Collected on-farm with less specifi c clinical signso Exposed animals

Exceptions to this protocol are only with prior approval by the Regional Epidemiologist.

Tissue Collection Protocols: Field/On-Farm Specimen Collections (Including SFCP testing)

Animals that die or are euthanized and subsequently sampled for scrapie testi ng should be classifi ed as one of the following designati ons:

The designati on code for each animal should be reported on the VS Form 10-4 that accompanies the shipment of specimens. The required specimens for each designati on are described in the Scrapie Tissue Collecti on Protocols chart on page 6 and 7.

Necropsy / Sample Specimen Collection - Overview

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Tissue Collection Protocols: Specimen Collection and PreservationThe specifi c ti ssues to be collected and submitt ed for scrapie diagnosti c testi ng and the method of preservati on for these ti ssues is determined by the physical locati on at which the sampling occurs and the reason that the animal is being tested. These requirements are described in the current version of the Scrapie Specimen Tissue Collecti on Protocols chart (see below).

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Necropsy / Sample Specimen Collection - Overview

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Necropsy / Sample Specimen Collection - Brainstem Collection via Foramen Magnum

OVERVIEW

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Necropsy / Sample Specimen Collection - Brainstem Collection via Foramen Magnum

TOOLS

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Necropsy / Sample Specimen Collection - Brainstem Collection via Foramen Magnum

COLLECTION PROCEDURES

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Necropsy / Sample Specimen Collection - Brainstem Collection via Foramen Magnum

COLLECTION PROCEDURES

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Necropsy / Sample Specimen Collection - Brainstem Collection via Foramen Magnum

COLLECTION PROCEDURES

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Necropsy / Sample Specimen Collection - Brainstem Collection via Foramen Magnum

COLLECTION PROCEDURES

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Necropsy / Sample Specimen Collection - Brainstem Collection via Foramen Magnum

COLLECTION PROCEDURES

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COLLECTION PROCEDURES

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COLLECTION PROCEDURES

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COLLECTION PROCEDURES

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COLLECTION PROCEDURES

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COLLECTION PROCEDURES

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COLLECTION PROCEDURES

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SPECIMEN PRESERVATION PROCEDURES

Refer to the current version of the Scrapie Tissue Collection Protocols chart on page 6 and 7

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SPECIMEN PRESERVATION PROCEDURES

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Necropsy / Sample Specimen Collection - Brainstem Collection via Foramen Magnum

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SPECIMEN PRESERVATION PROCEDURES

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SPECIMEN PRESERVATION PROCEDURES

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Necropsy / Sample Specimen Collection - Complete Brain Removal

OVERVIEW

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Slide Text Conti nued:

There are ti mes when the carcass or head is so autolyti c that one must exercise extreme care to remove the brain without the complete disrupti on of architecture leaving an amorphous brain paste.

The following process on collecti ng a complete brain is of an elk head. The process for collecti ng a complete brain from a sheep is comparable.

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Necropsy / Sample Specimen Collection - Complete Brain Removal

TOOLS

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Necropsy / Sample Specimen Collection - Complete Brain Removal

COLLECTION PROCEDURES

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Necropsy / Sample Specimen Collection - Complete Brain Removal

COLLECTION PROCEDURES

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Necropsy / Sample Specimen Collection - Complete Brain Removal

COLLECTION PROCEDURES

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Necropsy / Sample Specimen Collection - Complete Brain Removal

COLLECTION PROCEDURES

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Necropsy / Sample Specimen Collection - Complete Brain Removal

COLLECTION PROCEDURES

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COLLECTION PROCEDURES

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Necropsy / Sample Specimen Collection - Complete Brain Removal

COLLECTION PROCEDURES

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Necropsy / Sample Specimen Collection - Complete Brain Removal

SPECIMEN PRESERVATION PROCEDURES

Refer to the current version of the Scrapie Tissue Collection Protocols chart on page 6 and 7

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Necropsy / Sample Specimen Collection - Complete Brain Removal

SPECIMEN PRESERVATION PROCEDURES

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Necropsy / Sample Specimen Collection - Complete Brain Removal

SPECIMEN PRESERVATION PROCEDURES

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Necropsy / Sample Specimen Collection - Complete Brain Removal

SPECIMEN PRESERVATION PROCEDURES

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Necropsy / Sample Specimen Collection - Complete Brain Removal

SPECIMEN PRESERVATION PROCEDURES

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Necropsy / Sample Specimen Collection - Tonsils

OVERVIEW

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Necropsy / Sample Specimen Collection - Tonsils

TOOLS

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COLLECTING TONSILS

Necropsy / Sample Specimen Collection - Tonsils

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COLLECTING TONSILS

Necropsy / Sample Specimen Collection - Tonsils

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COLLECTING TONSILS

Necropsy / Sample Specimen Collection - Tonsils

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COLLECTING TONSILS

Necropsy / Sample Specimen Collection - Tonsils

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COLLECTING TONSILS

Necropsy / Sample Specimen Collection - Tonsils

Step 1: Aft er collecti ng the tonsils, refer to the Scrapie Specimen Tissue Collecti on Protocols chart (on pages 5-6) to determine which specimens to submit and the preservati on method for submission to the designated laboratory - formalin-fi xed, fresh, or both.Step 2: If the tonsils are large, divide them in half longitudinally (lengthwise) into two halves. Place half of each tonsil into a jar of formalin. Place the remaining halves into a plasti c bag for chilling or freezing. If the tonsils are small, place one in formalin and one in a plasti c bag.

SPECIMEN PRESERVATION PROCEDURES

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Necropsy / Sample Specimen Collection - Lymph Nodes

OVERVIEW

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Necropsy / Sample Specimen Collection - Lymph Nodes

TOOLS

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Necropsy / Sample Specimen Collection - Lymph Nodes

COLLECTING MEDIAL RETROPHARYNGEAL LYMPH NODES (RPLN)

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Necropsy / Sample Specimen Collection - Lymph Nodes

COLLECTING MEDIAL RETROPHARYNGEAL LYMPH NODES (RPLN)

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Necropsy / Sample Specimen Collection - Lymph Nodes

COLLECTING MEDIAL RETROPHARYNGEAL LYMPH NODES (RPLN)

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Necropsy / Sample Specimen Collection - Lymph Nodes

COLLECTING MEDIAL RETROPHARYNGEAL LYMPH NODES (RPLN)

Slide Text Conti nued: be palpated between them. The opposite node will be about one centi meter medial to the fi rst.

The lateral RPLNs are relati vely superfi cial and are found on either side of median line midway between the larynx and the foramen magnum. They will typically be visible if the head is removed at the att lanto-occipital joint.

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Necropsy / Sample Specimen Collection - Lymph Nodes

COLLECTING MEDIAL RETROPHARYNGEAL LYMPH NODES (RPLN)

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Necropsy / Sample Specimen Collection - Lymph Nodes

SPECIMEN PRESERVATION PROCEDURES

Refer to the current version of the Scrapie Tissue Collection Protocols chart on page 6 and 7

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Necropsy / Sample Specimen Collection - Lymph Nodes

SPECIMEN PRESERVATION PROCEDURES

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Necropsy / Sample Specimen Collection - Lymph Nodes

SPECIMEN PRESERVATION PROCEDURES

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SPECIMEN PRESERVATION PROCEDURES

Necropsy / Sample Specimen Collection - Lymph Nodes

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The use of rectal biopsy ti ssue was approved for scrapie testi ng by APHIS in January 2008. The recto-anal mucosa-associated lymphoid ti ssue (RAMALT) is a band of lymphoid ti ssue detectable at the anal mucocutaneous juncti on and proceeding cranially for approximately 1.5 centi meters. It is comprised of a nearly complete 360 degree ring of lymphoid ti ssue, with relati vely sparse areas of lymphoid follicles at the 12 o’clock and 6 o’clock positi ons.

Several factors make the RAMALT useful for live animal diagnosti c testi ng for scrapie in sheep and goats. Collecti ng rectal biopsy samples is faster and technically less demanding than collecti ng third eyelid biopsy samples. The procedure causes minimal discomfort and has a low rate of surgical complicati ons, and multi ple locati ons can be sampled accommodati ng serial testi ng over ti me. The minimum test-eligible age is 14 months. If testi ng a fl ock to determine whether the fl ock is infected, those ewes potenti ally exposed as adults must be tested at least 18 months aft er the last possible lambing of the infected animal. (See Scrapie UM&R for details).

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Live Animal Specimen Collection - Rectal Biopsy

OVERVIEW

TOOLS

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Live Animal Specimen Collection - Rectal Biopsy

COLLECTION PROCEDURE

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Live Animal Specimen Collection - Rectal Biopsy

COLLECTION PROCEDURE

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Live Animal Specimen Collection - Rectal Biopsy

COLLECTION PROCEDURE

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Live Animal Specimen Collection - Rectal Biopsy

COLLECTION PROCEDURE

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Live Animal Specimen Collection - Rectal Biopsy

COLLECTION PROCEDURE

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Live Animal Specimen Collection - Rectal Biopsy

COLLECTION PROCEDURE

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Live Animal Specimen Collection - Rectal Biopsy

COLLECTION PROCEDURE

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Live Animal Specimen Collection - Rectal Biopsy

COLLECTION PROCEDURE

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Live Animal Specimen Collection - Rectal Biopsy

COLLECTION PROCEDURE

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Live Animal Specimen Collection - Rectal Biopsy

PRESERVATION

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Live Animal Specimen Collection - Rectal Biopsy

PRESERVATION

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Live Animal Specimen Collection - Rectal Biopsy

PRESERVATION

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Live Animal Specimen Collection - Rectal Biopsy

PRESERVATION

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Live Animal Specimen Collection - Rectal Biopsy

PRESERVATION

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Live Animal Specimen Collection - Rectal Biopsy

PRESERVATION

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Live Animal Specimen Collection - Rectal Biopsy

POTENTIAL COMPLICATIONS AND REMEDIES

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Live Animal Specimen Collection - Rectal Biopsy

POTENTIAL COMPLICATIONS AND REMEDIES

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Live Animal Specimen Collection - Rectal Biopsy

POTENTIAL COMPLICATIONS AND REMEDIES

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Live Animal Specimen Collection - Rectal Biopsy

POTENTIAL COMPLICATIONS AND REMEDIES

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POTENTIAL COMPLICATIONS AND REMEDIES

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4700 River Road, Unit 43Riverdale, MD 20737

Ph: 866-873-2824www.aphis.usda.gov/vs/scrapie

National Institutefor Animal Agriculture

United StatesDepartment of Agriculture

13570 Meadowgrass Drive, Suite 201Colorado Springs, CO 80921

Ph: 719-538-8843www.animalagriculture.org/scrapie

225 Veterinary Medical Center1365 Gortner AvenueSaint Paul, MN 55108

University of MinnesotaCollege of Veterinary Medicine

Cindy Wolf, DVMEileen Kuhlmann