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[TD="align: left"]Infection with SARS-CoV-2,
Greece[/TD]
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[TD]Information received on 12/01/2021 from Mrs Chrysoula Dile, Head, Animal Health Directorate, Ministry of Rural Development and Food, ATHENS, Greece[/TD]
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[TD]Summary
[TD="width: 10%"]Report type[/TD]
[TD="width: 30%"]Follow-up report No. 2[/TD]
[TD="width: 10%"]Date of start of the event[/TD]
[TD="width: 30%"]04/12/2020[/TD]
[TD="width: 10%"]Date of confirmation of the event[/TD]
[TD="width: 30%"]08/12/2020[/TD]
[TD="width: 10%"]Report date[/TD]
[TD="width: 30%"]12/01/2021[/TD]
[TD="width: 10%"]Date submitted to OIE[/TD]
[TD="width: 30%"]12/01/2021[/TD]
[TD="width: 10%"]Reason for notification[/TD]
[TD="width: 30%"]Emerging disease[/TD]
[TD="width: 10%"]Morbidity[/TD]
[TD="width: 30%"]2 (scale 0 to 5)[/TD]
[TD="width: 10%"]Mortality[/TD]
[TD="width: 30%"]1 (scale 0 to 5)[/TD]
[TD="width: 10%"]Zoonotic impact[/TD]
[TD="width: 30%"]To date, the Y453F mutation in the spike (S) protein of the virus, referred to as mink-related-variant, has been detected in sequenced SARS-CoV-2 genomes from 6 human cases directly related to mink (farm workers/owners). Presence of the Y453F mutation has been also confirmed in virus genomes from 3 farms so far. None of the other mutations described on the Rapid Risk Assessment of the 12th November 2020 from EU agencies (ECDC, EFSA, EMA) has been found up to now neither in humans nor animals. Sequencing of virus genomes from human and mink samples is ongoing[/TD]
[TD="width: 10%"]Causal agent[/TD]
[TD="width: 30%"]SARS-CoV-2[/TD]
[TD="width: 10%"]Related reports[/TD]
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Immediate notification (15/12/2020)
Follow-up report No. 1 (19/12/2020)
Follow-up report No. 2 (12/01/2021)
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[TD]New outbreaks (4)[/TD]
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| Regional Unit of Kozani, Local Community of Melidoni, Municipality of Voio, Dytiki Makedonia | |
| Date of start of the outbreak | 24/12/2020 |
| Outbreak status | Continuing (or date resolved not provided) |
| Epidemiological unit | Farm |
| Affected animals |
| Species | Susceptible | Cases | Deaths | Killed and disposed of | Slaughtered | | Mustelidae | 3500 | 3500 | 200 | 0 | 0 |
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| Affected population | The animals are bred in a commercial farm for their fur. Suspicion was raised in the framework of surveillance activities following notification about a) increased mink mortality b) a confirmed human case (farm owner) for COVID-19. Samples (oropharyngeal swabs) were collected from 3 dead and 7 symptomatic animals and tested positive with RT- PCR. Infected mink showed respiratory symptoms and reduced feed intake was observed. |
[TD="align: left"]Outbreak 1 (KOZANI_10)[/TD]
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| Regional Unit of Kozani, Local Community of Galatini, Municipality of Voio, Dytiki Makedonia | |
| Date of start of the outbreak | 31/12/2020 |
| Outbreak status | Continuing (or date resolved not provided) |
| Epidemiological unit | Farm |
| Affected animals |
| Species | Susceptible | Cases | Deaths | Killed and disposed of | Slaughtered | | Mustelidae | 14000 | 0 | 0 | 0 | 0 |
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| Affected population | The animals are bred in a commercial farm for their fur. Suspicion was raised in the framework of surveillance activities following notification about a confirmed human case (farm worker) for COVID-19. Samples (oropharyngeal swabs) were collected from twenty animals and all 4 pooled samples were tested positive with RT- PCR. Mink showed no clinical symptoms and feed intake was not reduced. No mortality was observed. |
[TD="align: left"]Outbreak 2 (KOZANI_11)[/TD]
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| Regional Unit of Kastoria, Local Community of Ano Pteria, Municipality of Kastoria, Dytiki Makedonia | |
| Date of start of the outbreak | 31/12/2020 |
| Outbreak status | Continuing (or date resolved not provided) |
| Epidemiological unit | Farm |
| Affected animals |
| Species | Susceptible | Cases | Deaths | Killed and disposed of | Slaughtered | | Mustelidae | 3200 | 0 | 0 | 0 | 0 |
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| Affected population | The animals are bred in a commercial farm for their fur. Suspicion was raised in the framework of surveillance activities following notification about a confirmed human case (farm worker) for COVID-19. Samples (oropharyngeal swabs) were collected from twenty animals and 1 out of 4 pooled samples was tested positive with RT- PCR. Mink showed no clinical symptoms and feed intake was not reduced. No mortality was observed. |
[TD="align: left"]Outbreak 3 (KASTORIA_5)[/TD]
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| Regional Unit of Kastoria, Local Community of Kalochori, Municipality of Kastoria, Dytiki Makedonia | |
| Date of start of the outbreak | 31/12/2020 |
| Outbreak status | Continuing (or date resolved not provided) |
| Epidemiological unit | Farm |
| Affected animals |
| Species | Susceptible | Cases | Deaths | Killed and disposed of | Slaughtered | | Mustelidae | 3000 | 0 | 0 | 0 | 0 |
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| Affected population | The animals are bred in a commercial farm for their fur. Suspicion was raised in the framework of surveillance activities following notification about a confirmed human case (farm owner) for COVID-19. Samples (oropharyngeal swabs) were collected from twenty animals and 1 out of 4 pooled samples was tested positive with RT- PCR. Mink showed no clinical symptoms and feed intake was not reduced. No mortality was observed. |
[TD="align: left"]Outbreak 4 (KASTORIA_6)[/TD]
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| Total outbreaks: 4 | |
| Total animals affected |
| Species | Susceptible | Cases | Deaths | Killed and disposed of | Slaughtered | | Mustelidae | 23700 | 3500 | 200 | 0 | 0 |
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| Outbreak statistics |
| Species | Apparent morbidity rate | Apparent mortality rate | Apparent case fatality rate | Proportion susceptible animals lost* | | Mustelidae | 14.77% | 0.84% | 5.71% | 0.84% |
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[TD="align: left"]Summary of outbreaks[/TD]
[TD="colspan: 2"]*Removed from the susceptible population through death, destruction and/or slaughter[/TD]
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[TD]Epidemiology
| Source of the outbreak(s) or origin of infection |
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| Epidemiological comments | In total, 21 out of 91 mink farms have been tested positive for SARS-CoV-2 since the first outbreak was confirmed on 13/11/2020. At the same time, at least one human case has been detected in all 21 infected farms. Stamping out and official disposal of carcasses were only applied to the first confirmed farm. At that point, it was decided to stop culling animals. The whole country is practically considered a single zone. Movement restrictions (complete standstill for live animals) and strict biosecurity measures, including the mandatory use of personal protective equipment (PPE), have been imposed not only to the infected mink farms, but also to all fur farms in Greece. Reporting of increased mink morbidity and mortality to the veterinary authorities is obligatory at national level. When human vaccines become available, everyone who comes in close contact with mink (farm workers, owners, veterinarians) shall be included in the highest priority group to receive vaccination. In the framework of the one-health approach, veterinary and health authorities have been closely collaborating both at local and central level. Active repeated weekly surveillance (rapid tests and RT-PCR) is conducted by health authorities in all mink farm workers/owners. Results are notified directly to veterinary authorities which investigate every farm that is epidemiologically linked to a confirmed human case. In addition, veterinary authorities investigate every notification for increased animal morbidity and mortality. Oropharyngeal swabs are collected from the animals and tested with RT-PCR. Sequencing of virus genomes from human and mink samples is conducted. |
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[TD]Control measures
| Measures applied |
- Movement control inside the country
- Surveillance outside containment and/or protection zone
- Surveillance within containment and/or protection zone
- Traceability
- Quarantine
- Zoning
- Vaccination permitted (if a vaccine exists)
- No treatment of affected animals
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| Measures to be applied |
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[TD]Diagnostic test results
| Laboratory name and type | Species | Test | Test date | Result |
| Centre for Research and Technology Hellas (CERTH) (National laboratory) | Mustelidae | real-time PCR | 08/12/2020 | Positive |
| Centre for Research and Technology Hellas (CERTH) (National laboratory) | Mustelidae | real-time PCR | 08/01/2021 | Positive |
| Centre for Research and Technology Hellas (CERTH) (National laboratory) | Mustelidae | virus sequencing | 12/01/2021 | Positive |
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[TD]Future Reporting
| The event is continuing. Weekly follow-up reports will be submitted. |
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| Map of outbreak locations |
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