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AbstractThe most significant mycobacterial diseases of free-living, captive and farmed deer are bovine tuberculosis, caused by Mycobacterium bovis, Johne's disease (paratuberculosis), caused by Mycobacterium aviumsubsp paratuberculosis(basonym M. paratuberculosis), and avian tuberculosis, caused principally by M. aviumsubsp avium.The first case of M. bovisinfection in farmed deer was identified in New Zealand in 1978. In 1983, a voluntary scheme was introduced in New Zealand to control tuberculosis in farmed deer, followed by a compulsory tuberculosis control scheme in 1990. The primary control measure is the slaughter of infected animals, detected by skin testing and blood testing, together with movement control and vector control. The number of infected deer herds peaked in the mid 1990s at over 160 herds, but by 30 June 2002 this had been reduced to 79 (1.45%), and to 67 (1.23%) by June 2003. Deer-to-deer transmission occurs, but the majority of herd breakdowns are believed to be from infected vectors. Factors likely to affect the susceptibility of deer include age, environment, population density, exposure and genetics.Avian tuberculosis occasionally causes clinical disease in wild, captive and farmed deer in New Zealand and overseas. Mycobacterium intracellulare, and subspecies of M. aviumother than M. paratuberculosis, are widespread throughout New Zealand and are thought to be largely responsible for the high level of sensitisation to avian purified protein derivative (PPD), which is used for comparison purposes in tuberculosis skin testing of deer in this country. Infections with these organisms are usually subdinical in farmed deer, although M. aviumsubsp aviumcommonly causes lesions in retropharyngeal, mesenteric and ileocaecal lymph nodes. These lesions cause problems because of their gross and microscopic similarity to those due to M. bovisinfection. Birds and domestic animals are most likely to become infected via environmental contamination of food, water, bedding litter or soil, while carnivores or scavengers may also become infected by ingesting infected carcasses.Johne's disease has been reported in deer in the wild and in zoos, especially in North America, the United Kingdom (UK) and Europe. Since first being confirmed in farmed deer in New Zealand in 1979, the incidence of Johne's disease has increased steadily. To date, M. paratuberculosishas been identified in >600 farmed deer on 300 properties. The majority of cases have been identified from suspected tuberculous lesions submitted from deer slaughter plants. Clinically, Johne's disease in deer is similar to the disease in sheep and cattle, with typical signs of loss of weight and condition, and diarrhoea. However, outbreaks of Johne's disease frequently occur in young red deer, 8–15 months of age, whereas the clinical disease in sheep and cattle is sporadic and usually affects adults 3–5 years of age. The disease is characterised by a chronic granulomatous enteritis and lymphadenitis, especially affecting the jejunum and ileum and the mesenteric lymph nodes. Deer affected subclinically may have lesions in these lymph nodes at slaughter, which are grossly indistinguishable from those due to bovine tuberculosis. Because of the antigenic similarity between M. intracellulareand all the subspecies of M. avium, including M. paratuberculosis, the diagnostic tests for Johne's disease lack sensitivity and specificity, making control difficult.

AIM: To examine the spatial and temporal pattern of Mycobacterium bovis (bovine tuberculosis) infection in a population of brushtail possums (Trichosurus vulpecula) after localised possum eradication.METHODS: Possums on a 36 ha site were eradicated and re-population from the surrounding area studied using population surveys conducted approximately every 2 months for 40 months from the cessation of eradication activity (month zero), using a capture-release programme. At each trapping session, all possums were examined for clinical signs of tuberculosis. The diagnosis of tuberculosis was confirmed by the isolation of Mycobacterium bovis, and restriction endonuclease analysis (REA) was used to type the isolates. Infected possums were categorised as residents (present on the site for at least 6 months before diagnosis), range expanders (adult possums which had extended their nearby home ranges to become trappable within the study site), or juvenile immigrants (sub-adult possums which had dispersed into the site from an unknown distance away). This classification was used to identify the location where possums became infected. Capture locations and denning site locations were used to examine the spatial pattern of disease occurrence.RESULTS: Thirty cases of tuberculosis were diagnosed among the 370 possums identified on the study site. Four different REA types (Types 2, 3, 8 and 10) were identified. The first two cases of tuberculosis were diagnosed in Month 4, in mature male possums categorised as range expanders, the third case was diagnosed in Month 6 and the fourth case at Month 9. Each of the first four cases was infected with a different REA type. The subsequent temporal pattern of infection was consistent with transmission from range expander cases and dispersing juvenile immigrants to resident possums. Clinical incidence remained low but persistent until the third year, when the incidence of Types 2, 8 and 10 escalated. Type 3 infections showed an earlier incidence peak, but disappeared from the site when the last known case died at Month 20. Of the dispersing juvenile possums entering the site, four became clinically tuberculous and represented a source of re-infection of other possums.CONCLUSIONS: Re-emergence of tuberculosis after localised possum eradication was due to the continuing reintroduction of infection in mature and immature diseased possums, and not the survival of M. bovis in the environment.

SummaryAn improved understanding of bile acid physiology is a prerequisite for the construction of an acceptable model for describing plasma clearance of bile acids. The aim of this study was to determine the extent of reflux unconjugated cholic acid from the liver to the plasma in subjects with normal liver function. The clearance of a bolus injection of unconjugated 14C-cholic acid was studied in four subjects using samples collected simultaneously from a peripheral and a hepatic vein. Hepatic extraction ratios calculated directly from the data were found to be essentially constant dining the 20 min following injection, with average values of 0·60-0·72. This indicates that reflux did not occur significantly in the subjects investigated. These results are interpreted as favouring a model in which exchange of unconjugated 14C-cholic acid occurs between the plasma and a peripheral compartment with final removal from the plasma to the liver.Australian Journal of Experimental Biology and Medical Science (1981) 59, 779–790; doi:10.1038/icb.1981.67

AIMS: To review the number of microbiologically-confirmed cases of Johne's disease in farmed deer since 2000, and determine the prevalence of the bovine and ovine subtypes of Mycobacterium avium subsp paratuberculosis (M. paratuberculosis), using a highly specific polymerase chain reaction (PCR) test on samples from infected herds.METHODS: The number of cases of M. paratuberculosis in farmed deer identified by culture or IS900 PCR was documented. A highly specific PCR test was applied to subtype M. paratuberculosis from BACTEC 12B cultures selected on the basis of one culture per deer herd, to give a wide coverage of herds in New Zealand.RESULTS: From January 2001 to October 2005, M. paratuberculosis was isolated from 1,141 farmed deer, and has now been identified by microbiological testing in over 600 deer herds in New Zealand. The bovine subtype of M. paratuberculosis was shown by a highly specific PCR test to be present in 91/95 herds examined; the ovine subtype was found in the remaining four herds.CONCLUSIONS: Since 2000, there has been a substantial increase in both the number of microbiologically-confirmed cases of Johne's disease in farmed deer and the number of infected herds. Johne's disease is now widespread and common in deer herds throughout New Zealand. Whilst the bovine subtype of M. paratuberculosis predominates in deer herds in New Zealand in which Johne's disease has been confirmed, the occasional finding of the ovine subtype highlights the need to consider both sheep and cattle as potential sources of infection for farmed deer.

CASE: A veterinarian developed tenosynovitis and secondary carpal tunnel syndrome following accidental inoculation of Mycobacterium bovis during the necropsy of a tuberculous possum from Westland, New Zealand.CLINICAL RELEVANCE: M. bovis infection is a zoonotic disease, and occupational exposure to tuberculous animals places people at risk of contracting the disease.CONCLUSIONS: Adhering to safe work practices reviewed in this article is important to minimise the risk of infection to people handling tuberculous animals.